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

This bill establishes minimum nurse-to-patient staffing ratios for hospitals, ambulatory surgery centers, and certain state facilities (including developmental centers and psychiatric hospitals) in New Jersey. It requires specific ratios, such as 1 nurse per 5 medical/surgical patients, 1 per 2 in emergency critical care, and 1 per 1 in burn units. Facilities must implement acuity-based staffing systems that exceed these minimums, considering patient needs and staff skills, while maintaining nurse float pools. The regulations cannot reduce existing staffing levels and apply to all patient units covered by the law.