Health facilities: hospitals; mandatory overtime for nurses; prohibit except under certain circumstances. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 21526. TIE BAR WITH: SB 0297'25

Added a new exemption allowing nurses to work without off-duty time during the first 4 weeks of a public health emergency if hospitalizations are expected to significantly increase.

Refined the conditions under which a nurse can waive off-duty time, clarifying that they cannot waive more than 4 hours in a 72-hour period.

Modified the definition of 'declared state of emergency' to explicitly exclude emergencies caused by labor disputes or consistent understaffing.

Changed the consequence for violating the bill from 'administrative fines' to 'administrative sanctions', broadening the potential penalties.

Added a new provision allowing nurses to voluntarily waive up to 4 hours of their required off-duty time in a 72-hour period, provided they agreed to work extra hours.

Reorganized the list of exemptions to clarify that the standard 12-hour shift rule does not apply during declared emergencies, mass casualty incidents, specific public health emergencies, or when a nurse cannot be relieved due to unexpected staffing shortages.

Changed the consequence for hospitals violating the bill from 'administrative sanctions' to 'administrative fines' in section 20165.

Updated the definition of 'supervisor' in the patient-care exception to remove the specific exclusion of 'charge nurse' while retaining the requirement that the supervisor must not be a charge nurse.

Added a new exemption allowing nurses to work an extra 4 consecutive hours if they cannot be relieved due to an unexpected absence of their scheduled replacement, provided patient safety is at risk.

Updated the conditions for patient-care procedure exceptions to require approval from an 'immediate supervisor' rather than just any supervisor.

Redefined 'declared state of emergency' to explicitly exclude public health emergencies, labor disputes, and consistent understaffing, ensuring these situations do not justify violating nurse rest limits.

Changed the penalty for hospital violations from 'administrative fines' to 'administrative sanctions' in section 20165.

Added a new provision allowing nurses to voluntarily waive up to 4 hours of required off-duty time in a 72-hour period, provided they agreed to work extra hours.

Updated the text to clarify that the off-duty time requirement applies to nurses working 12 or more consecutive hours.

Changed the effective date of the new section from an unspecified date to specifically June 1, 2027.

Removed internal document headers, page numbers, and inconsistent formatting lines from the original draft.