Bill > SB182

This bill revises provisions relating to staffing for health care facilities, specifically targeting hospitals in Nevada counties with populations over 100,000 (currently Clark and Washoe Counties). The bill requires these hospitals to establish three distinct staffing committees: nursing, technical, and service staffing committees, each composed of both staff members and managers. These committees will collaborate to develop a comprehensive documented staffing plan that includes specific patient-to-nurse ratios for different hospital units. For example, in critical care units, the ratio is one nurse per patient, while in medical-surgical units, it's one nurse per four patients. The bill also mandates that hospitals maintain detailed daily records of staffing, patient numbers, and missed breaks, and provides mechanisms for nurses to refuse work assignments that might compromise patient safety. Additionally, the bill establishes procedures for investigating potential staffing violations, prohibits retaliation against employees who report issues, and requires the Division of Public and Behavioral Health to create a confidential reporting system and conduct random facility inspections. During states of emergency, hospitals may temporarily deviate from these staffing requirements, but must report and develop contingency plans. The bill aims to improve patient care and working conditions by ensuring more structured and flexible staffing in health care facilities.

Budget and Finance, Health and Social Services

https://www.leg.state.nv.us/App/NELIS/REL/83rd2025/Bill/12200/Overview