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 specific state facilities (like psychiatric hospitals and developmental centers) in New Jersey. It requires facilities to maintain specific ratios, such as 1 nurse for every 5 patients on medical/surgical units and 1 nurse for every 2 patients in critical care units. The law aims to improve patient safety and reduce errors by ensuring adequate nursing coverage based on patient acuity, while requiring facilities to use acuity-based staffing systems to adjust for changing patient needs. These requirements apply to all direct-care registered nurses providing patient services, not administrative staff.