| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | ||
| 2 | 2 | ||
| 3 | 3 | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. | |
| 4 | 4 | [Brackets] indicate matter deleted from existing law. | |
| 5 | - | Underlining indicates amendments to bill. | |
| 6 | - | Strike out indicates matter stricken from the bill by amendment or deleted from the law by | |
| 7 | - | amendment. | |
| 8 | 5 | *hb0905* | |
| 9 | 6 | ||
| 10 | 7 | HOUSE BILL 905 | |
| 11 | 8 | J1 5lr2142 | |
| 12 | 9 | CF SB 720 | |
| 13 | 10 | By: Delegates White Holland, Bagnall, Guzzone, D. Jones, Kerr, Lopez, McCaskill, | |
| 14 | - | Phillips, Taveras, and Woods Woods, Pena–Melnyk, Cullison, Bhandari, | |
| 15 | - | Hill, S. Johnson, Kaiser, Martinez, Rosenberg, Woorman, and Ross | |
| 11 | + | Phillips, Taveras, and Woods | |
| 16 | 12 | Introduced and read first time: January 31, 2025 | |
| 17 | 13 | Assigned to: Health and Government Operations | |
| 18 | - | Committee Report: Favorable with amendments | |
| 19 | - | House action: Adopted | |
| 20 | - | Read second time: March 1, 2025 | |
| 21 | 14 | ||
| 22 | - | ||
| 15 | + | A BILL ENTITLED | |
| 23 | 16 | ||
| 24 | 17 | AN ACT concerning 1 | |
| 25 | 18 | ||
| 26 | 19 | Hospitals – Clinical Staffing Committees and Plans – Establishment 2 | |
| 27 | 20 | (Safe Staffing Act of 2025) 3 | |
| 28 | 21 | ||
| 29 | 22 | FOR the purpose of requiring certain hospitals licensed in the State to establish and 4 | |
| 30 | 23 | maintain a clinical staffing committee and to implement a clinical staffing plan; 5 | |
| 31 | 24 | requiring each clinical staffing committee to develop a clinical staffing plan; and 6 | |
| 32 | 25 | generally relating to hospitals and clinical staffing committees and plans. 7 | |
| 33 | 26 | ||
| 34 | 27 | BY adding to 8 | |
| 35 | 28 | Article – Health – General 9 | |
| 36 | 29 | Section 19–388 through 19–390 to be under the new part “Part XII. Clinical Staffing 10 | |
| 37 | 30 | Committees and Plans” 11 | |
| 38 | 31 | Annotated Code of Maryland 12 | |
| 39 | 32 | (2023 Replacement Volume and 2024 Supplement) 13 | |
| 40 | 33 | ||
| 41 | 34 | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 14 | |
| 42 | 35 | That the Laws of Maryland read as follows: 15 | |
| 43 | 36 | ||
| 44 | 37 | Article – Health – General 16 | |
| 45 | 38 | ||
| 46 | 39 | 19–386. RESERVED. 17 | |
| 47 | 40 | ||
| 48 | - | 19–387. RESERVED. 18 2 HOUSE BILL 905 | |
| 41 | + | 19–387. RESERVED. 18 | |
| 42 | + | ||
| 43 | + | PART XII. CLINICAL STAFFING COMMITTEES AND PLANS. 19 | |
| 44 | + | ||
| 45 | + | 19–388. 20 | |
| 46 | + | 2 HOUSE BILL 905 | |
| 49 | 47 | ||
| 50 | 48 | ||
| 49 | + | (A) (1) IN THIS PART THE FOLLOWING WORDS HAVE THE MEANINGS 1 | |
| 50 | + | INDICATED. 2 | |
| 51 | 51 | ||
| 52 | - | PART XII. CLINICAL STAFFING COMMITTEES AND PLANS. 1 | |
| 52 | + | (2) (I) “ANCILLARY MEMBER OF T HE FRONTLINE TEAM ” MEANS AN 3 | |
| 53 | + | INDIVIDUAL WHOSE PRI MARY DUTIES INCLUDE SUPPORTING INDIVIDUA LS WHO 4 | |
| 54 | + | PROVIDE DIRECT PATIE NT CARE. 5 | |
| 53 | 55 | ||
| 54 | - | 19–388. 2 | |
| 56 | + | (II) “ANCILLARY MEMBER OF THE FRONTLINE TEAM ” 6 | |
| 57 | + | INCLUDES: 7 | |
| 55 | 58 | ||
| 56 | - | (A) (1) IN THIS PART THE FOLL OWING WORDS HAVE THE MEANINGS 3 | |
| 57 | - | INDICATED. 4 | |
| 59 | + | 1. A DIETARY WORKER ; 8 | |
| 58 | 60 | ||
| 59 | - | (2) (I) “ANCILLARY MEMBER OF T HE FRONTLINE TEAM ” MEANS AN 5 | |
| 60 | - | INDIVIDUAL WHOSE PRI MARY DUTIES INCLUDE SUPPORTING INDIVIDUA LS WHO 6 | |
| 61 | - | PROVIDE DIRECT PATIE NT CARE. 7 | |
| 61 | + | 2. A PATIENT CARE TECHNICI AN; AND 9 | |
| 62 | 62 | ||
| 63 | - | | |
| 64 | - | ||
| 63 | + | 3. ANY OTHER NONLICENSED STA FF ASSISTING WITH 10 | |
| 64 | + | PATIENT CARE. 11 | |
| 65 | 65 | ||
| 66 | - | 1. A DIETARY WORKER; 10 | |
| 66 | + | (3) “CLINICAL STAFFING COM MITTEE” MEANS A COMMITTEE 12 | |
| 67 | + | ESTABLISHED BY A HOS PITAL IN ACCORDANCE WITH SUBSECTION (C) OF THIS 13 | |
| 68 | + | SECTION. 14 | |
| 67 | 69 | ||
| 68 | - | 2. A PATIENT CARE TECHNIC IAN; AND 11 | |
| 70 | + | (4) “CLINICAL STAFFING PLA N” MEANS A PLAN DEVELOP ED UNDER 15 | |
| 71 | + | SUBSECTION (D) OF THIS SECTION. 16 | |
| 69 | 72 | ||
| 70 | - | 3. ANY OTHER NONLICENSED STAFF ASSISTING WITH 12 | |
| 71 | - | PATIENT CARE. 13 | |
| 73 | + | (B) THIS PART DOES NOT APPLY TO STATE HOSPITALS . 17 | |
| 72 | 74 | ||
| 73 | - | ( | |
| 74 | - | ||
| 75 | - | ||
| 75 | + | (C) (1) EACH HOSPITAL LICENSE D UNDER THIS TITLE S HALL ESTABLISH 18 | |
| 76 | + | AND MAINTAIN A CLINICAL STAFFING COMMITTEE T HAT HAS EQUAL MEMBER SHIP 19 | |
| 77 | + | FROM MANAGEMENT AND EMPLOYEES. 20 | |
| 76 | 78 | ||
| 77 | - | ( | |
| 78 | - | ||
| 79 | + | (2) EACH CLINICAL STAFFIN G COMMITTEE ESTABLIS HED UNDER 21 | |
| 80 | + | THIS PART SHALL INCLUDE AT LEAST ONE OF THE FOLLOWING INDIVIDUALS: 22 | |
| 79 | 81 | ||
| 80 | - | ( | |
| 82 | + | (I) A CERTIFIED NURS ING ASSISTANT; 23 | |
| 81 | 83 | ||
| 82 | - | (C) (1) EACH HOSPITAL LICENSE D UNDER THIS TITLE S HALL ESTABLISH 20 | |
| 83 | - | AND MAINTAIN A CLINI CAL STAFFING COMMITT EE THAT HAS EQUAL MEMBERSHIP 21 | |
| 84 | - | FROM MANAGEMENT AND EMPLOYEES. 22 | |
| 84 | + | (II) A DIETARY AIDE; 24 | |
| 85 | 85 | ||
| 86 | - | (2) EACH CLINICAL STAFFIN G COMMITTEE ESTABLIS HED UNDER 23 | |
| 87 | - | THIS PART SHALL INCL UDE AT LEAST ONE OF THE FOLLOWING INDIVI DUALS: 24 | |
| 86 | + | (III) AN EMERGENCY ROOM NUR SE; 25 | |
| 88 | 87 | ||
| 89 | - | ( | |
| 88 | + | (IV) AN ENVIRONMENTAL SERVIC E WORKER; 26 | |
| 90 | 89 | ||
| 91 | - | (II) A DIETARY AIDE; 26 | |
| 92 | - | ||
| 93 | - | (III) AN EMERGE NCY ROOM NURSE ; 27 | |
| 94 | - | ||
| 95 | - | (IV) AN ENVIRONMENTAL SERV ICE WORKER; 28 HOUSE BILL 905 3 | |
| 90 | + | (V) 1. A RESIDENT, IF THE COMMITTEE IS IN A TEACHING 27 | |
| 91 | + | HOSPITAL; OR 28 | |
| 92 | + | HOUSE BILL 905 3 | |
| 96 | 93 | ||
| 97 | 94 | ||
| 95 | + | 2. A PHYSICIAN, IF THE COMMITTEE IS IN A HOSPITAL 1 | |
| 96 | + | THAT IS NOT A TEACHI NG HOSPITAL; AND 2 | |
| 98 | 97 | ||
| 99 | - | (V) 1. A RESIDENT, IF THE COMMITTEE IS IN A TEACHING 1 | |
| 100 | - | HOSPITAL; OR 2 | |
| 98 | + | (VI) A TECHNICIAN. 3 | |
| 101 | 99 | ||
| 102 | - | 2. (VI) A STAFF PHYSICIAN, IF THE COMMITTEE IS IN A 3 | |
| 103 | - | HOSPITAL THAT IS NOT A TEACHI NG HOSPITAL WHO IS NOT A HOSPITA L EMPLOYEE 4 | |
| 104 | - | OR ADMINISTRATOR ; AND 5 | |
| 100 | + | (3) A CLINICAL STAFFING CO MMITTEE ESTABLISHED UNDER 4 | |
| 101 | + | PARAGRAPH (1) OF THIS SUBSECTION MAY INCLUDE A PATIEN T ADVOCATE. 5 | |
| 105 | 102 | ||
| 106 | - | (VI) (VII) A TECHNICIAN. 6 | |
| 103 | + | (D) EACH CLINICAL STAFFIN G COMMITTEE SHALL DE VELOP A CLINICAL 6 | |
| 104 | + | STAFFING PLAN FOR THE HOSPITA L THAT ESTABLISHES T HE APPROPRIATE NUMBE R 7 | |
| 105 | + | OF CLINICIANS NEEDED TO ADMINISTER QUALIT Y HEALTH CARE BY SET TING. 8 | |
| 107 | 106 | ||
| 108 | - | (3) A CLINICAL STAFFING CO MMITTEE ESTABLISHED UNDER 7 | |
| 109 | - | PARAGRAPH (1) OF THIS SUBSECTION M AY INCLUDE A PATIENT ADVOCATE. 8 | |
| 107 | + | (E) (1) WHEN DEVELOPING A CLI NICAL STAFFING PLAN , THE CLINICAL 9 | |
| 108 | + | STAFFING COMMITTEE S HALL ESTABLISH, BASED ON THE PATIENT POPULATION OF 10 | |
| 109 | + | THE HOSPITAL: 11 | |
| 110 | 110 | ||
| 111 | - | (D) EACH CLINICAL STAFFIN G COMMITTEE SHALL DE VELOP A CLINICAL 9 | |
| 112 | - | STAFFING PLAN FOR THE HOSPITAL THAT ESTABL ISHES THE APPROPRIAT E NUMBER 10 | |
| 113 | - | OF CLINICIANS NEEDED TO ADMINISTER QUALIT Y HEALTH CARE BY SET TING THAT 11 | |
| 114 | - | MEETS PATIENT NEEDS . 12 | |
| 111 | + | (I) SUGGESTED GUIDELINES OR RATIOS, MATRICES, OR GRIDS 12 | |
| 112 | + | INDICATING HOW MANY PATIENTS SHOULD BE A SSIGNED TO EACH REGI STERED 13 | |
| 113 | + | NURSE BY UNIT OR SET TING; AND 14 | |
| 115 | 114 | ||
| 116 | - | (E) (1) WHEN DEVELOPING A CLI NICAL STAFFING PLAN , THE CLINICAL 13 | |
| 117 | - | STAFFING COMMITTEE S HALL ESTABLISH , BASED ON THE PATIENT POPULATION O F 14 | |
| 118 | - | THE HOSPITAL: 15 | |
| 115 | + | (II) THE NUMBER OF REGISTE RED NURSES , LICENSED 15 | |
| 116 | + | PRACTICAL NURSES , CERTIFIED NURSING ASSIS TANTS, CERTIFIED MEDICINE 16 | |
| 117 | + | TECHNICIANS, ENVIRONMENTAL SERVIC E WORKERS, AND ANCILLARY MEMBER S OF 17 | |
| 118 | + | THE DIRECT CARE TEAM THAT SHOULD BE PRESE NT ON EACH UNIT DURI NG EACH 18 | |
| 119 | + | SHIFT. 19 | |
| 119 | 120 | ||
| 120 | - | ( | |
| 121 | - | ||
| 122 | - | ||
| 121 | + | (2) TO THE EXTENT PRACTIC ABLE, THE GUIDELINES ESTAB LISHED 20 | |
| 122 | + | UNDER PARAGRAPH (1)(I) OF THIS SUBSECTION S HALL BE BASED ON NAT IONAL 21 | |
| 123 | + | EVIDENCE–BASED STANDARDS . 22 | |
| 123 | 124 | ||
| 124 | - | (II) THE NUMBER OF REGISTE RED NURSES , LICENSED 19 | |
| 125 | - | PRACTICAL NUR SES, CERTIFIED NURSING AS SISTANTS, CERTIFIED MEDICINE 20 | |
| 126 | - | TECHNICIANS, ENVIRONMENTAL SERVIC E WORKERS, AND ANCILLARY MEMBER S OF 21 | |
| 127 | - | THE DIRECT CARE TEAM THAT SHOULD BE PRESE NT ON EACH UNIT DURI NG EACH 22 | |
| 128 | - | SHIFT. 23 | |
| 125 | + | (F) ON OR BEFORE JULY 1 EACH YEAR, EACH HOSPITAL , THROUGH THE 23 | |
| 126 | + | CLINICAL STAFFING CO MMITTEE, SHALL CONDUCT A REVI EW OF THE CLINICAL 24 | |
| 127 | + | STAFFING PLAN TO : 25 | |
| 129 | 128 | ||
| 130 | - | (2) TO THE EXTENT PRACTIC ABLE, THE GUIDELINES ESTABLISHED 24 | |
| 131 | - | UNDER PARAGRAPH (1)(I) OF THIS SUBSECTION S HALL BE BASED ON NAT IONAL 25 | |
| 132 | - | EVIDENCE–BASED STANDARDS WHEN DEVELOPING A CLI NICAL STAFFING PLAN , 26 | |
| 133 | - | THE CLINICAL STAFFIN G COMMITTEE SHALL CO NSIDER: 27 | |
| 129 | + | (1) EVALUATE THE EFFECTIVENESS OF THE CLINICAL STAFFIN G 26 | |
| 130 | + | PLAN DURING THE IMME DIATELY PRECEDING YE AR; 27 | |
| 134 | 131 | ||
| 135 | - | (1) EXISTING STAFFING LEV ELS; 28 | |
| 132 | + | (2) UPDATE THE CLINICAL S TAFFING PLAN TO ENSU RE THAT THE 28 | |
| 133 | + | CLINICAL STAFFING PL AN CONTINUES TO BE A PPROPRIATE AND EFFEC TIVE; AND 29 | |
| 136 | 134 | ||
| 137 | - | (2) METHODS TO SECURE CO VERAGE NEEDS AS NECE SSARY; 29 | |
| 138 | - | ||
| 139 | - | (3) EXISTING GAPS IN STAF FING AND HOW TO ADDR ESS THE GAPS; 30 | |
| 140 | - | ||
| 141 | - | (4) ANY AVAILABLE EVIDENC E–BASED STAFFING STAND ARDS; AND 31 4 HOUSE BILL 905 | |
| 135 | + | (3) DEVELOP A PROCESS FOR RECEIVING, RESOLVING, AND 30 | |
| 136 | + | TRACKING COMPLAINTS RELATED TO THE CLINI CAL STAFFING PLAN . 31 | |
| 137 | + | 4 HOUSE BILL 905 | |
| 142 | 138 | ||
| 143 | 139 | ||
| 140 | + | (G) IN DEVELOPING THE CLI NICAL STAFFING PLAN , THE CLINICAL 1 | |
| 141 | + | STAFFING COMMITTEE S HALL CONSIDER : 2 | |
| 144 | 142 | ||
| 145 | - | (5) A SCHEDULE FOR PERIODI C REVIEW OF THE STAF FING PLAN. 1 | |
| 143 | + | (1) THE AVERAGE NUMBER OF PATIENTS ON EACH UNI T ON EACH 3 | |
| 144 | + | SHIFT DURING THE IMMEDIATELY PRECEDIN G YEAR AND RELEVANT INFORMATION 4 | |
| 145 | + | REGARDING PATIENT DI SCHARGES, POTENTIAL ADMISSIONS , AND TRANSFERS ; 5 | |
| 146 | 146 | ||
| 147 | - | ( | |
| 148 | - | ||
| 149 | - | ||
| 147 | + | (2) THE AVERAGE LEVEL OF ACUITY FOR PATIENTS ON EACH UNIT ON 6 | |
| 148 | + | EACH SHIFT DURING TH E IMMEDIATELY PRECED ING YEAR AND THE 7 | |
| 149 | + | CORRESPONDING LEVEL OF NURSING CAR E REQUIRED; AND 8 | |
| 150 | 150 | ||
| 151 | - | (1) EVALUATE THE EFFECTIV ENESS OF THE CLINICA L STAFFING 5 | |
| 152 | - | PLAN DURING THE IMME DIATELY PRECEDING YE AR; 6 | |
| 151 | + | (3) AN ESTIMATE OF THE AP PROPRIATE COMBINATIO N OF SKILL, 9 | |
| 152 | + | EXPERIENCE LEVEL , AND SPECIALTY CERTIF ICATION OR TRAINING OF STAFF FOR 10 | |
| 153 | + | EACH UNIT ON EACH SH IFT THAT IS REQUIRED TO ADEQUATELY PROVID E CARE. 11 | |
| 153 | 154 | ||
| 154 | - | (2) UPDATE THE CLINICAL S TAFFING PLAN TO ENSURE THAT THE 7 | |
| 155 | - | CLINICAL STAFFING PL AN CONTINUES TO BE A PPROPRIATE AND EFFEC TIVE; AND 8 | |
| 155 | + | 19–389. 12 | |
| 156 | 156 | ||
| 157 | - | ( | |
| 158 | - | ||
| 157 | + | (A) ON OR BEFORE JANUARY 1 EACH YEAR, BEGINNING IN 2026, EACH 13 | |
| 158 | + | HOSPITAL SHALL : 14 | |
| 159 | 159 | ||
| 160 | - | ( | |
| 161 | - | ||
| 160 | + | (1) IMPLEMENT THE CLINICA L STAFFING PLAN ADOP TED UNDER § 15 | |
| 161 | + | 19–388 OF THIS SUBTITLE ; AND 16 | |
| 162 | 162 | ||
| 163 | - | (1) THE AVERAGE NUMBER OF PATIENTS ON EACH UNI T ON EACH 13 | |
| 164 | - | SHIFT DURING THE IMM EDIATELY PRECEDING Y EAR AND RELEVANT INF ORMATION 14 | |
| 165 | - | REGARDING PATIENT DI SCHARGES, POTENTIAL ADMISSIONS , AND TRANSFERS ; 15 | |
| 163 | + | (2) ASSIGN PERSONNEL TO E ACH PATIENT CARE UNI T IN 17 | |
| 164 | + | ACCORDANCE WITH THE CLINICAL STAFFING PL AN. 18 | |
| 166 | 165 | ||
| 167 | - | (2) THE AVERAGE LE VEL OF ACUITY FOR PA TIENTS ON EACH UNIT ON 16 | |
| 168 | - | EACH SHIFT DURING TH E IMMEDIATELY PRECED ING YEAR AND THE 17 | |
| 169 | - | CORRESPONDING LEVEL OF NURSING CARE REQU IRED; AND 18 | |
| 166 | + | (B) A REGISTERED NURSE , A LICENSED PRACTICAL NURSE, AN ANCILLARY 19 | |
| 167 | + | MEMBER OF THE FRONTL INE TEAM , OR AN APPLICABLE EXC LUSIVE 20 | |
| 168 | + | REPRESENTATIVE MAY S UBMIT A COMPLAINT TO THE CLINICAL STAFFIN G 21 | |
| 169 | + | COMMITTEE REGARDING ANY VARIATION WHERE PERSONNEL ASSIGNMENT IN A 22 | |
| 170 | + | PATIENT CARE UNIT IS NOT IN ACCORDANCE WITH T HE ADOPTED CLINICAL 23 | |
| 171 | + | STAFFING PLAN . 24 | |
| 170 | 172 | ||
| 171 | - | (3) AN ESTIMATE OF THE AP PROPRIATE COMBINATIO N OF SKILL, 19 | |
| 172 | - | EXPERIENCE LEVEL , AND SPECIALTY CERTIF ICATION OR TRAINING OF STAFF FOR 20 | |
| 173 | - | EACH UNIT ON EACH SH IFT THAT IS REQUIRED TO ADEQUATELY PROVID E CARE. 21 | |
| 173 | + | (C) THE CLINICAL STAFFING COMMITTEE SHALL DETE RMINE, BY A 25 | |
| 174 | + | MAJORITY VOTE , WHETHER A COMPLAINT HAS BEEN ADEQUATELY RESOLVED. 26 | |
| 174 | 175 | ||
| 175 | - | 19– | |
| 176 | + | 19–390. 27 | |
| 176 | 177 | ||
| 177 | - | (A) ON OR BEFORE JANUARY 1 EACH YEAR, BEGINNING IN 2026 2027, EACH 23 | |
| 178 | - | HOSPITAL SHALL : 24 | |
| 179 | - | ||
| 180 | - | (1) IMPLEMENT THE CLINICA L STAFFING PLAN ADOP TED UNDER § 25 | |
| 181 | - | 19–388 OF THIS SUBTITLE; AND 26 | |
| 182 | - | ||
| 183 | - | (2) ASSIGN PERSONNEL TO E ACH PATIENT CARE UNI T IN 27 | |
| 184 | - | ACCORDANCE WITH THE CLINICAL STAFFING PL AN. 28 | |
| 185 | - | ||
| 186 | - | (B) A REGISTERED NURSE , A LICENSED PRACTICAL NURSE, AN ANCILLARY 29 | |
| 187 | - | MEMBER OF THE FRONTL INE TEAM , OR AN APPLICABLE EXC LUSIVE 30 HOUSE BILL 905 5 | |
| 178 | + | (A) SUBJECT TO SUBSECTION (B) OF THIS SECTIO N, ON OR BEFORE 28 | |
| 179 | + | JANUARY 1 EACH YEAR, EACH HOSPITAL SHALL : 29 | |
| 180 | + | HOUSE BILL 905 5 | |
| 188 | 181 | ||
| 189 | 182 | ||
| 190 | - | REPRESENTATIVE MAY SUBMIT A COMPLAI NT TO THE CLINICAL S TAFFING 1 | |
| 191 | - | COMMITTEE REGARDING ANY VARIATION WHERE PERSONNEL ASSIGNMENT IN A 2 | |
| 192 | - | PATIENT CARE UNIT IS NOT IN ACCORDANCE WI TH THE ADOPTED CLINI CAL 3 | |
| 193 | - | STAFFING PLAN . 4 | |
| 183 | + | (1) POST IN A PUBLICLY AC CESSIBLE AND CONSPIC UOUS AREA ON 1 | |
| 184 | + | EACH PATIENT UNIT TH E CLINICAL STAFFING PLAN FOR THE UNIT AN D THE ACTUAL 2 | |
| 185 | + | DAILY STAFFING FOR E ACH SHIFT ON THE UNI T; 3 | |
| 194 | 186 | ||
| 195 | - | ( | |
| 196 | - | ||
| 187 | + | (2) ENSURE THAT A COPY OF THE CLINICAL STAFFING PLAN IS 4 | |
| 188 | + | AVAILABLE, ON REQUEST, ON EACH PATIENT UNIT ; AND 5 | |
| 197 | 189 | ||
| 198 | - | 19–390. 7 | |
| 190 | + | (3) POST THE CLINICAL STA FFING PLAN ON THE HO SPITAL’S 6 | |
| 191 | + | WEBSITE. 7 | |
| 199 | 192 | ||
| 200 | - | (A) SUBJECT TO SUBSECTION (B) OF THIS SECTION , ON OR BEFORE 8 | |
| 201 | - | JANUARY 1 EACH YEAR, EACH HOSPITAL SHALL : 9 | |
| 193 | + | (B) IF A CLINICAL STAFFIN G PLAN FOR A UNIT IS AMENDED AFTER IT IS 8 | |
| 194 | + | IMPLEMENTED , THE HOSPITAL SHALL POST OR PROVIDE THE AMENDED CLINICAL 9 | |
| 195 | + | STAFFING PLAN FOR TH E UNIT IN THE MANNER REQUIR ED UNDER SUBSECTION (A) 10 | |
| 196 | + | OF THIS SECTION, IN A TIMELY MANNER . 11 | |
| 202 | 197 | ||
| 203 | - | | |
| 204 | - | ||
| 205 | - | ||
| 198 | + | SECTION 2. AND BE IT FURTHER ENACTED, That each hospital shall establish 12 | |
| 199 | + | a clinical staffing committee as required under § 19–388 of the Health – General Article, 13 | |
| 200 | + | as enacted by Section 1 of this Act, on or before January 1, 2026. 14 | |
| 206 | 201 | ||
| 207 | - | (2) ENSURE THAT A COPY OF THE CLINICAL STAFFIN G PLAN IS 13 | |
| 208 | - | AVAILABLE, ON REQUEST, ON EACH PATIENT UNIT ; AND 14 | |
| 202 | + | SECTION 3. AND BE IT FURTHER ENACTED, That each clinical staffing 15 | |
| 203 | + | committee shall develop a clinical staffing plan as required under § 19–388 of the 16 | |
| 204 | + | Health – General Article, as enacted by Section 1 of this Act, on or before July 1, 2026. 17 | |
| 209 | 205 | ||
| 210 | - | (3) POST THE CLINICAL STA FFING PLAN ON THE HOSPITAL’S 15 | |
| 211 | - | WEBSITE. 16 | |
| 212 | - | ||
| 213 | - | (B) IF A CLINICAL STAFFIN G PLAN FOR A UNIT IS AMENDED AFTER IT IS 17 | |
| 214 | - | IMPLEMENTED , THE HOSPITAL SHALL P OST OR PROVIDE THE A MENDED CLINICAL 18 | |
| 215 | - | STAFFING PLAN FOR TH E UNIT IN THE MANNER REQUIRED UNDER SUBSE CTION (A) 19 | |
| 216 | - | OF THIS SECTION, IN A TIMELY MANNER. 20 | |
| 217 | - | ||
| 218 | - | SECTION 2. AND BE IT FURTHER ENACTED, That it is the intent of the General 21 | |
| 219 | - | Assembly that, beginning on or before July 1 each year, beginning in 2029, the Maryland 22 | |
| 220 | - | Hospital Association shall: 23 | |
| 221 | - | ||
| 222 | - | (1) compile reports provided by each hospital that summarize how the 24 | |
| 223 | - | hospital’s clinical staffing committee has addressed safe hospital staffing through the 25 | |
| 224 | - | hospital’s clinical staffing plan during the immediately preceding year; and 26 | |
| 225 | - | ||
| 226 | - | (2) provide the reports in a single transmittal, in accordance with § 2–1257 27 | |
| 227 | - | of the State Government Article, to the Senate Finance Committee and the House Health 28 | |
| 228 | - | and Government Operations Committee. 29 | |
| 229 | - | ||
| 230 | - | SECTION 2. 3. AND BE IT FURTHER ENACTED, That each hospital shall 30 | |
| 231 | - | establish a clinical staffing committee as required under § 19–388 of the Health – General 31 | |
| 232 | - | Article, as enacted by Section 1 of this Act, on or before January 1, 2026. 32 | |
| 233 | - | 6 HOUSE BILL 905 | |
| 234 | - | ||
| 235 | - | ||
| 236 | - | SECTION 3. 4. AND BE IT FURTHER ENACTED, That each clinical staffing 1 | |
| 237 | - | committee shall develop a clinical staffing plan as required under § 19–388 of the 2 | |
| 238 | - | Health – General Article, as enacted by Section 1 of this Act, on or before July 1, 2026. 3 | |
| 239 | - | ||
| 240 | - | SECTION 4. 5. AND BE IT FURTHER ENACTED, That this Act shall take effect 4 | |
| 241 | - | October 1, 2025. 5 | |
| 242 | - | ||
| 243 | - | ||
| 244 | - | ||
| 245 | - | ||
| 246 | - | Approved: | |
| 247 | - | ________________________________________________________________________________ | |
| 248 | - | Governor. | |
| 249 | - | ________________________________________________________________________________ | |
| 250 | - | Speaker of the House of Delegates. | |
| 251 | - | ________________________________________________________________________________ | |
| 252 | - | President of the Senate. | |
| 206 | + | SECTION 4. AND BE IT FURTHER ENACTED, That this Act shall take effect 18 | |
| 207 | + | October 1, 2025. 19 |