Sponsors (35)
Need the quick take? I'll walk you through this bill.
This is not an official government website.
Copyright © 2026 PLEJ LC. All rights reserved.
Amends the provider agreement/conditions in 42 U.S.C. 1395cc(a)(1) by adjusting punctuation in existing subparagraphs and inserting a new subparagraph (Z) requiring hospitals, as a condition of participation/eligibility under Medicare, to comply with title XXXIV of the Public Health Service Act.
Amends requirements for State Medicaid plans in 42 U.S.C. 1396a(a) by inserting a new paragraph requiring that any hospital receiving payment under a State plan comply with title XXXIV of the Public Health Service Act (relating to minimum direct care registered nurse staffing requirements); also makes small punctuation changes to paragraphs (86) and (87)(D).
Adds new paragraphs (7) and (8) to 38 U.S.C. 8110(a) to require Department medical facilities that are hospitals to comply with title XXXIV of the Public Health Service Act and to state that neither chapter 74 nor 5 U.S.C. 7106 precludes enforcement of title XXXIV for Department hospitals through grievance procedures negotiated under chapter 71 of title 5.
Adds new section 1110c to chapter 55 of title 10 establishing staffing requirements: facilities of the uniformed services that are hospitals must comply with title XXXIV of the Public Health Service Act; also makes a clerical amendment to the chapter table of sections to insert the new item after the item for section 1110b.
Adds a new section (833) to Title VIII of the Indian Health Care Improvement Act requiring all hospitals of the Service to comply with title XXXIV of the Public Health Service Act (relating to minimum direct care registered nurse staffing requirements).
Amends 5 U.S.C. 7106 by adding a new subsection (c) clarifying that nothing in that section precludes enforcement of title XXXIV of the Public Health Service Act through grievance procedures negotiated under section 7121; also conformingly amends the phrasing of subsection (a) to reference subsections (b) and (c).
Makes textual insertions into subsection (d) of 42 U.S.C. 297n by inserting material into the subsection heading and into paragraph (1).
Amends 42 U.S.C. 296p(c)(1) by adjusting punctuation in existing subparagraphs and adding new subparagraphs (D) and (E) to the retention priority areas to authorize nursing preceptorship projects and mentorship projects.
Adds a new title to the Public Health Service Act establishing minimum direct care registered nurse staffing requirements and related reporting obligations.
Requires hospitals that participate in federal health programs to meet minimum direct-care registered nurse staffing levels, creates new reporting and study requirements on nurse staffing and retention, and expands and updates federal workforce supports (scholarships, stipends, and grants) to fund preceptorships and mentorships. Directs HHS and HRSA to produce recommendations and periodic reports (within 1, 2, and 5 years) about nurse supply and how staffing levels affect retention, and extends the staffing rules to VA, DOD, and Indian Health Service facilities.
Establishes enforcement authority tied to federal program participation and allows grievance/enforcement resolution through federal labor relations procedures; adds targeted changes to existing scholarship and retention grant authorities to support clinical training, onboarding, and retention of new nurses.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced May 14, 2025 by Janice D. Schakowsky · Last progress May 14, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House