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| 2 | 2 | | SENATE DOCKET, NO. 502 FILED ON: 1/13/2025 |
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| 3 | 3 | | SENATE . . . . . . . . . . . . . . No. 485 |
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| 4 | 4 | | The Commonwealth of Massachusetts |
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| 5 | 5 | | _________________ |
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| 6 | 6 | | PRESENTED BY: |
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| 7 | 7 | | Mark C. Montigny |
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| 8 | 8 | | _________________ |
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| 9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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| 10 | 10 | | Court assembled: |
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| 11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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| 12 | 12 | | An Act to establish safe staffing levels at skilled nursing facilities. |
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| 13 | 13 | | _______________ |
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| 14 | 14 | | PETITION OF: |
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| 15 | 15 | | NAME:DISTRICT/ADDRESS :Mark C. MontignySecond Bristol and Plymouth 1 of 2 |
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| 16 | 16 | | SENATE DOCKET, NO. 502 FILED ON: 1/13/2025 |
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| 17 | 17 | | SENATE . . . . . . . . . . . . . . No. 485 |
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| 18 | 18 | | By Mr. Montigny, a petition (accompanied by bill, Senate, No. 485) of Mark C. Montigny for |
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| 19 | 19 | | legislation to establish safe staffing levels at skilled nursing facilities. Elder Affairs. |
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| 20 | 20 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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| 21 | 21 | | SEE SENATE, NO. 394 OF 2023-2024.] |
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| 22 | 22 | | The Commonwealth of Massachusetts |
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| 23 | 23 | | _______________ |
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| 24 | 24 | | In the One Hundred and Ninety-Fourth General Court |
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| 25 | 25 | | (2025-2026) |
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| 26 | 26 | | _______________ |
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| 27 | 27 | | An Act to establish safe staffing levels at skilled nursing facilities. |
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| 28 | 28 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 29 | 29 | | of the same, as follows: |
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| 30 | 30 | | 1 The department of public health shall establish minimum staffing requirements at skilled |
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| 31 | 31 | | 2nursing care facilities and for all level I, II and III long-term care facilities as defined in 105 |
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| 32 | 32 | | 3CMR 150.001. Working with 1199SEIU and other appropriate stakeholders, the department shall |
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| 33 | 33 | | 4develop amendments to the existing nursing services regulations contained in 105 CMR 150.007 |
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| 34 | 34 | | 5that ensure these facilities employ an adequate number of nurses, certified nurse assistants, and |
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| 35 | 35 | | 6other staff to both meet all resident needs and ensure that sufficient nursing staff with the |
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| 36 | 36 | | 7appropriate competencies is working at any given time to assure resident safety and attain or |
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| 37 | 37 | | 8maintain the highest practicable physical, mental, and psychosocial well-being of each resident, |
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| 38 | 38 | | 9as determined by resident assessments and individual plans of care. Said amended regulations |
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| 39 | 39 | | 10shall include specific standards, including but not limited to, a minimum 4.1 hours of care per 2 of 2 |
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| 40 | 40 | | 11patient per day as well as direct-care staff-to-resident ratios to ensure consistent delivery of |
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| 41 | 41 | | 12quality care in a safe and sanitary facility. |
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| 42 | 42 | | 13 The department shall issue public recommendations on these issues no later than six |
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| 43 | 43 | | 14months following final passage of this act. |
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