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Introduced April 1, 2025 by Joe Courtney · Last progress April 1, 2025
Requires the Department of Labor to quickly issue enforceable workplace-violence prevention standards for health care, social service, and similar workplaces and makes employers adopt written prevention plans, incident reporting, training, engineering and work-practice controls, recordkeeping, and anti-retaliation protections. Also requires certain Medicare-participating hospitals and skilled nursing facilities that lack OSHA coverage under a State plan to follow the federal workplace-violence standard, with noncompliance treated as a condition-level violation for enforcement.
The bill strengthens worker and patient safety with mandatory workplace-violence prevention standards and centralized oversight, but it imposes significant compliance costs, legal risks, and tight deadlines that may strain smaller providers and risk reduced access in some communities.
Healthcare and social-service workers will receive mandatory, facility-specific workplace-violence prevention plans plus engineering/work-practice controls and required training, reducing on-the-job assaults, improving safety, and lowering staff turnover.
Patients in hospitals and skilled nursing facilities will likely see improved safety and continuity of care as reduced workplace violence helps stabilize staffing and reduce care disruptions.
Hospitals and SNFs will be subject to a uniform federal workplace-violence standard with centralized electronic reporting to the Secretary, creating better federal oversight, data for policymaking, and a narrower regulatory gap across states.
Hospitals, SNFs, and other covered employers will face substantial compliance costs for plans, engineering controls, training, and recordkeeping that may be passed to patients or reduce staffing/resources.
Small, rural, or non-OSHA-covered providers will face tight deadlines and a one-year compliance window that can strain operational capacity, risking service reductions, reduced hours, or facility closures in underserved communities.
Hospitals and SNFs that fail to comply risk penalties or loss of Medicare participation/payments, which could reduce access to care for Medicare and Medicaid beneficiaries in affected communities.