Amendment No. 254

 

Assembly Amendment to Assembly Bill No. 313                                                                (BDR 40‑729)

Proposed by: Committee on Health and Human Services

Amendment Box:

Resolves Conflicts with: N/A

Amends:         Summary:              Title:              Preamble:             Joint Sponsorship:

 

Adoption of this amendment will:

      (1) REMOVE the 2/3s majority vote requirement from AB313; and

      (2) REMOVE the unfunded mandate from AB313.

 

ASSEMBLY ACTION              Initial and Date              |SENATE ACTION                        Initial and Date

       Adopted       Lost                                               |          Adopted       Lost                                           

Concurred In                     Not                                                        |Concurred In  Not                                 

       Receded        Not                                               |         Receded        Not                                           

 

     Amend the bill as a whole by deleting sections 1 through 42 and adding a new section designated section 1, following the enacting clause, to read as follows:

     “Section 1.  1.  The Legislative Committee on Health Care shall conduct a study of staffing ratios in hospitals and similar health care facilities. The study must include:

     (a) Establishing parameters for:

          (1) Staffing plans in hospitals; and

          (2) Minimum staffing ratios for nurses;

     (b) Required recordkeeping by hospitals concerning statistics related to patients and staffing, including a requirement that hospitals begin collecting data before establishing staffing ratios for nurses;

     (c) Establishing limitations upon the number of hours that nurses may work;

     (d) Specifying conditions under which nurses may refuse work assignments;

     (e) Specifying actions that hospitals are prohibited from taking with respect to their employees;

     (f) The public disclosure of information concerning staffing plans; and

     (g) Administrative and criminal penalties for hospitals that do not adhere to the requirements for staffing.

     2.  The Legislative Committee on Health Care shall complete the study on or before June 1, 2004, and submit a report of its findings and any recommendations for legislation on or before July 1, 2004, to the Director of the Legislative Counsel Bureau for transmittal to the Legislative Commission and the 73rd Session of the Nevada Legislature.”.

     Amend the bill as a whole by adding a preamble, immediately preceding the enacting clause, to read as follows:

     “Whereas, Adequate levels of staffing at hospitals and other health care facilities ensure the delivery of health care services in a manner that promotes proper care of patients and optimum outcomes; and

     Whereas, Financial pressures can result in the reduction of staffing ratios, jeopardizing the delivery of high quality health care and adversely affecting the health of patients; and

     Whereas, Establishing appropriate staffing ratios and related controls and protections can ensure that financial pressures do not adversely affect the quality of health care provided to patients in hospitals and other health care facilities; now, therefore,”.

     Amend the title of the bill to read as follows:

“AN ACT relating to health care; directing the Legislative Committee on Health Care to conduct a study of staffing ratios in hospitals and similar health care facilities; and providing other matters properly relating thereto.”.

     Amend the summary of the bill to read as follows:

“SUMMARY—Directs Legislative Committee on Health Care to conduct study of staffing ratios in hospitals and similar health care facilities. (BDR S‑729)”.