Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2025)
This bill requires licensed hospitals in Maryland to create clinical staffing committees with equal representation from management and employees, including frontline staff such as nurses, patient care technicians, and dietary workers. These committees must develop staffing plans that specify the number of healthcare workers needed on each unit during each shift based on patient volume and acuity levels, with guidelines ideally based on national evidence-based standards. Hospitals must review and update their staffing plans annually by July 1, implement them by January 1, 2026, and publicly post both the plan and daily staffing numbers on patient units and their websites. The bill also establishes a complaint process allowing nurses and other frontline staff to report when staffing assignments do not meet the plan, with committees required to resolve these complaints through a majority vote. State hospitals are exempt from these requirements.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House of Delegates Passage
Mar 2025
Senate Passage
Governor
Introduced Jan 31, 2025
Last action Apr 4, 2025
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First - Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2025)
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Third - Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2025)
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4 edits
MODERATE
This bill was amended to add new sponsors and advance its legislative status from first reading to adoption with a favorable committee report. The substantive policy content regarding hospital clinical staffing committees and plans remains largely unchanged, with minor formatting adjustments to the bill text structure.
TECHNICAL
Added new sponsors to the bill: Woods, Pena-Melnyk, Cullison, Bhandari, Hill, S. Johnson, Kaiser, Martinez, Rosenberg, Woorman, and Ross
Changed bill status from 'First reading' to 'Third reading' with favorable committee report and adoption
Reorganized bill text structure, moving explanatory notes and chapter headers to different positions in the document
Minor line number adjustments and formatting changes throughout the legislative text
Floor votes · House of Delegates Mar 3, 2025
How they voted
98–39
Passed · 2 other
Total votes 139
Mar 3, 2025
D
Democratic100
98% Yea
R
Republican39
97% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
12
Key actions
7
Committee
7
Apr 4, 2025
Upper · Passed
Motion Recommit to Committee (Senator Beidle) Adopted
upper
Apr 4, 2025
Upper · Passed
Favorable with Amendments {
upper
Apr 4, 2025
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 17, 2025
Committee
Referred Finance
upper
Mar 13, 2025
Lower · Passed
Third Reading Passed
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Mar 3, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (98-39-2)
house of delegates
Jan 31, 2025
Committee
First Reading Health and Government Operations
lower
19 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Aletheia McCaskill
DDemocratic
P
Anne Kaiser
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Dana Jones
DDemocratic
P
Deni Taveras
DDemocratic
P
Harry Bhandari
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jamila Woods
DDemocratic
P
Jennifer White Holland
DDemocratic
P
JP
Joseline Peña-Melnyk
DDemocratic
P
Ken Kerr
DDemocratic
P
Kim Ross
DDemocratic
P
Lesley Lopez
DDemocratic
P
Pam Guzzone
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Scott Phillips
DDemocratic
P
Steve Johnson
DDemocratic
P
Teresa Woorman
DDemocratic
P
Terri Hill
DDemocratic
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