HB 1420

AN ACT relating to a study on nurse-to-patient ratios for critical care

House Bill Vo
Filed

Filed

Bill introduced by legislator

Committee

Hearing

Passed Cmte

Calendar

Passed

Sent

Enrolled

Governor

Signed

89th Regular Session

Jan 14, 2025 - Jun 2, 2025 • Session ended

Awaiting Committee Assignment

Bill filed, pending referral to House committee

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Committee

Not yet assigned

Fiscal Note

Not available

What This Bill Does

This Texas bill requires the Health and Human Services Commission to conduct a comprehensive study on nurse-to-patient ratios in critical care settings by consulting with the U.S. Department of Health and Human Services. The study will evaluate the outcomes and effectiveness of limiting the number of critically ill patients assigned to each direct care registered nurse, with a mandated written report to be submitted to the governor and legislature by December 1, 2026. The bill aims to improve patient care and nurse workload management in healthcare facilities, with the study and potential recommendations expiring on September 1, 2027.

Subject Areas

Bill Text

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
(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
(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.

Bill Sponsors

Legislators who authored or co-sponsored this bill.

Bill History

filed

Bill filed: AN ACT relating to a study on nurse-to-patient ratios for critical care