Establishes minimum registered professional nurse staffing standards for hospitals and ambulatory surgery facilities and certain DHS facilities.

Bill A3450 establishes minimum nurse-to-patient staffing ratios for hospitals, ambulatory surgery centers, and certain state facilities (like psychiatric hospitals and developmental centers) in New Jersey. It requires specific ratios based on unit type, such as one nurse for every five patients in medical/surgical units or one nurse for every patient under anesthesia. Facilities must implement an acuity-based staffing system (approved by nursing staff or their union) to adjust staffing based on patient needs, and maintain float pools of nurses. The Department of Health will enforce these standards through inspections and investigations of complaints filed by staff or the public.