HOUSE DOCKET, NO. 1805        FILED ON: 1/18/2023

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2214

The Commonwealth of Massachusetts

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PRESENTED BY:

Kay Khan

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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act establishing a commission on quality patient outcomes and professional nursing practice.

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PETITION OF:

HOUSE DOCKET, NO. 1805        FILED ON: 1/18/2023

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2214

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 2339 OF 2021-2022.]

The Commonwealth of Massachusetts

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In the One Hundred and Ninety-Third General Court
(2023-2024)

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An Act establishing a commission on quality patient outcomes and professional nursing practice.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

SECTION 1. Chapter 6 of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by adding the following section: –

Section 221. (a) There shall be a commission on nurse staffing in hospitals located within, but not subject to the control of the executive office of health and human services. The commission shall review and make recommendations regarding best nurse staffing practices designed to improve the patient care environment, quality outcomes and nurse satisfaction.

(b) (1) The commission shall consist of 17 members, as follows: the secretary of health and human services or a designee, who shall serve as the chair; the attorney general or a designee; the executive director of the health policy commission or a designee; the house chair of the joint committee on health care finance; the senate chair of the joint committee on health care finance; one person appointed by the speaker of the house; one person appointed by the senate president; and one representative from each of the following 10 organizations: American Nurses Association Massachusetts, Inc.; Emergency Nurses Association of Massachusetts State Council; Academy of Medical Surgical Nursing, Massachusetts Chapter; Massachusetts Nurses Association; Organization of Nurse Leaders; the Massachusetts Health and Hospital Association, Inc.; Service Employees International Union; Massachusetts Health Council; American Association of Retired Persons; and Health Law Advocates.

(2) Members of the commission shall serve for a term of 4 years, without compensation. Any member shall be eligible for reappointment. Vacancies shall be filled in accordance with paragraph (1) for the remainder of the unexpired term. Any member who is appointed by the governor may be removed by the governor for cause.

(c) The commission may establish advisory committees to assist its work.

(d) The commission shall:

(1) examine evidence based, tested and validated research on patient care quality outcomes relative to nurse staffing levels;

(2) examine evidence based, tested and validated research on appropriate staffing levels for all units within a hospital;

(3) examine nursing standards of care and recommended nurse staffing levels established by specialty nursing organizations;

(4) examine approaches undertaken by other states by statute or regulation to address the issues of patient safety and patient quality outcomes relative to nurse staffing;

(5) examine any barriers to reasonable and efficient enforcement of staffing standards adopted in other jurisdictions;

(6) develop strategies for collaborative practice amongst registered nurses and other members of the health care team;

(7) comment on nurse staffing in non-hospital settings;

(8) hold public hearings on at least an annual basis and meetings to accept comment from the general public and to seek advice from experts, including but not limited to the Massachusetts Board of Registration in Nursing;

(9) submit an annual report to the legislature as provided in subsection (e) on the state of hospital staffing in the commonwealth.

(e) The commission shall file an annual report, on or before March 1, with the joint committee on health care financing on its activities and any statutory or regulatory recommendations.

The commission shall monitor the implementation of its recommendations and update recommendations to reflect current science and evidence-based practice.