HB 905 Maryland House of Delegates · 2025 Regular Session

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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What changed between versions

First - Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2025) Third - Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2025) · 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

9839
Passed · 2 other
Total votes 139
Mar 3, 2025
D Democratic100
98 Yea 1 Nay 1
98% Yea
R Republican39
38 Nay 1
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