Relating to: minimum nurse staffing ratios in hospitals, registered nurses’ right to refuse a work assignment, prohibiting mandatory overtime for registered nurses, and providing a penalty.
This bill establishes minimum nurse-to-patient staffing ratios for various hospital units, such as limiting registered nurses to no more than four patients in emergency units or two patients in intensive care units. It requires hospitals to create and publicly post annual staffing plans that include input from nursing staff, maintain detailed records of actual staffing levels, and establish committees with a majority of frontline nurses to oversee staffing decisions. The legislation also grants registered nurses the right to refuse work assignments that violate these ratios and prohibits mandatory overtime for nurses. Hospitals that fail to comply with staffing requirements or submit plans by the deadline face financial penalties, including a $25,000 forfeiture for missing deadlines and daily fines for non-compliance with corrective action plans.
Bill status
failed
1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 19, 2026
Last action Mar 23, 2026
Floor votes
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Full legislative history
Actions timeline
Total actions
3
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0
Committee
0
Mar 19, 2026
Introduced
Introduced by Senators Larson, Ratcliff, Hesselbein, Wirch, Keyeski, Dassler-Alfheim and Roys;
cosponsored by Representatives Hong, Subeck, Bare, Sinicki, Tenorio, Joers, Snodgrass, Stubbs, Goodwin, Clancy, Miresse, Moore Omokunde, Arney, J. Jacobson, Hysell, Palmeri and Prado
upper
7 primary · 0 co-sponsors
Sponsors
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