Maryland 2025 Regular Session

Maryland House Bill HB905

Introduced
1/31/25  
Refer
1/31/25  
Report Pass
3/12/25  
Engrossed
3/13/25  
Refer
3/17/25  

Caption

Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2025)

Impact

The implications of HB905 are significant for state healthcare laws, as it will require hospitals to ensure transparency and accountability in their staffing practices. Each year, hospitals will need to review and update their clinical staffing plans based on patient needs, acuity levels, and feedback regarding staffing effectiveness. This legislation aims to safeguard patient welfare by establishing evidence-based staffing levels, thus potentially reducing incidents of understaffing that can lead to poor healthcare outcomes. Additionally, hospitals will have to make these staffing plans publicly accessible, enhancing transparency regarding their operational standards and practices.

Summary

House Bill 905, also known as the Safe Staffing Act of 2025, is focused on the establishment of clinical staffing committees and plans in hospitals across Maryland. The bill mandates that hospitals licensed in the state must form a clinical staffing committee composed of equal representation from management and employees to develop a comprehensive staffing plan. This committee's role is crucial in ensuring that sufficient staffing levels are maintained to meet the healthcare needs of patients, thereby promoting quality patient care. The expected implementation timeline for these committees and plans is set for January 1, 2026, with the legislation taking effect on October 1, 2025.

Sentiment

Overall sentiment surrounding HB905 appears to be positive among healthcare advocates who argue that better staffing practices lead to improved patient outcomes. However, there are concerns from some hospital administrators regarding the potential administrative burden and costs associated with implementing these changes. Stakeholders are worried about balancing the practicalities of staffing with legislative mandates, which, while well-intentioned, may impose strict requirements that are challenging to fulfill under current resources. The debate highlights concerns around both patient safety and the operational feasibility for hospitals.

Contention

One notable point of contention is the requirement for each committee to include a diverse range of frontline staff members, such as certified nursing assistants and environmental service workers. Critics argue that while inclusive decision-making is essential, the effectiveness of these committees may vary based on hospital size and resources. Moreover, ensuring that these committees can operate effectively in larger institutional settings may prove difficult. However, proponents defend this requirement, stating that it ensures that staffing plans reflect the realities of patient care across all levels of hospital operations.

Companion Bills

MD SB720

Crossfiled Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2025)

Previously Filed As

MD SB1020

Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2024)

MD HB1194

Hospitals - Patient's Bill of Rights Training and Clinical Staffing Committees and Plans (Safe Staffing Act of 2024)

MD SB328

Funding for Wages and Benefits for Nursing Home Workers (Nursing Home Staffing Crisis Funding Act of 2024)

MD HB462

Funding for Wages and Benefits for Nursing Home Workers (Nursing Home Staffing Crisis Funding Act of 2024)

MD HB969

Public Service Commission – Cybersecurity Staffing and Assessments (Critical Infrastructure Cybersecurity Act of 2023)

MD SB800

Public Service Commission - Cybersecurity Staffing and Assessments (Critical Infrastructure Cybersecurity Act of 2023)

MD HB632

Baltimore City Sheriff – Staffing

MD HB1034

Baltimore City Sheriff - Staffing

MD SB59

Hospitals - Care of Infants After Discharge (Safe Sleep Act of 2024)

MD HB184

Public Health - Healthy Maryland Program - Establishment

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