89R4964 KRM-D By: Vo H.B. No. 1420 A BILL TO BE ENTITLED AN ACT relating to a study on nurse-to-patient ratios for critical care patients in health care facilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. (a) In this section: (1) "Commission" means the Health and Human Services Commission. (2) "Critical care" means medical care for an individual who has a life-threatening injury or illness. (3) "Direct care registered nurse" means a registered nurse licensed by the Texas Board of Nursing to engage in professional nursing under Chapter 301, Occupations Code, who has accepted a direct, hands-on patient care assignment to implement medical and nursing regimens and provide related clinical supervision of patient care. (b) The commission, in consultation with the United States Department of Health and Human Services, shall conduct a study to evaluate the outcomes and efficacy of limiting the number of patients whose severity of illness requires critical care at a health care facility and who are assigned to a direct care registered nurse at any given time. (c) Not later than December 1, 2026, the commission shall prepare and submit to the governor and the legislature a written report containing the results of the study and any recommendations for legislative or other action. The commission shall post the report on the commission's Internet website. SECTION 2. This Act expires September 1, 2027. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2025.