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This bill amends the Public Health Service Act to establish federal minimum nurse-to-patient staffing ratios in hospitals, ranging from 1:1 in trauma and operating rooms to 6:1 in postpartum and well-baby units. Hospitals must implement compliant staffing plans within one year, with ratio requirements taking effect within two to four years depending on hospital location. The bill prohibits averaging ratios across shifts, mandatory overtime to meet ratios, and requires nurses to demonstrate competence before assignment to units.
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