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POSITIVE Healthcare 119th Congress

H.R.3415 Nurse Staffing Standards for Hospital Patient Safety Act

Sets minimum nurse-to-patient staffing ratios in hospitals to improve patient safety (119th Congress)

View on Congress.gov

Legal & Constitutional Grounding

Each additional patient per nurse raises 30-day mortality by 7% (JAMA 2002; Lancet 2014).

Aiken et al., JAMA 288(16) (2002) — 7% mortality increase per additional patient
  • Lancet 383(9931) (2014) — replicated across nine European countries

Bill activity

Introduced May 14, 2025 by Janice D. Schakowsky (D-IL) with 17 original cosponsors. 49 cosponsors as of Aug 17, 2026.

Rep. Pat Ryan (D-NY-18) is not listed among the cosponsors of this bill.
  1. IntroducedMay 14, 2025
  2. Passed House 
  3. Passed Senate 
  4. To President 
  5. Became Law 

Latest action May 14, 2025: Referred to the House Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Cosponsors during the cosponsorship window

119th Congress (Jan 2025 to Jan 2027)

Aug 2025SepOctNovDecJan 2026FebMarAprMayJunJulAugSepOctMay 14, 2025Oct 16, 2026 (still open)17 originalAlexandria Ocasio-Cortez (D-NY-14). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Dina Titus (D-NV-1). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Eleanor Holmes Norton (D-DC). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Greg Casar (D-TX-35). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Jared Huffman (D-CA-2). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Judy Chu (D-CA-28). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Julia Brownley (D-CA-26). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.LaMonica McIver (D-NJ-10). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Lloyd Doggett (D-TX-37). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Mike Quigley (D-IL-5). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Pramila Jayapal (D-WA-7). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Raja Krishnamoorthi (D-IL-8). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Rashida Tlaib (D-MI-12). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Ro Khanna (D-CA-17). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Robin L. Kelly (D-IL-2). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Steve Cohen (D-TN-9). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Suzanne Bonamici (D-OR-1). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Bennie G. Thompson (D-MS-2). Cosponsored Jul 16, 2025, 63 days after introduction.Betty McCollum (D-MN-4). Cosponsored Jul 16, 2025, 63 days after introduction.Christopher R. Deluzio (D-PA-17). Cosponsored Jul 16, 2025, 63 days after introduction.Delia C. Ramirez (D-IL-3). Cosponsored Jul 16, 2025, 63 days after introduction.Emilia Strong Sykes (D-OH-13). Cosponsored Jul 16, 2025, 63 days after introduction.Ilhan Omar (D-MN-5). Cosponsored Jul 16, 2025, 63 days after introduction.Jimmy Gomez (D-CA-34). Cosponsored Jul 16, 2025, 63 days after introduction.Juan Vargas (D-CA-52). Cosponsored Jul 16, 2025, 63 days after introduction.Mark Pocan (D-WI-2). Cosponsored Jul 16, 2025, 63 days after introduction.Debbie Dingell (D-MI-6). Cosponsored Oct 6, 2025, 145 days after introduction.Maxine Waters (D-CA-43). Cosponsored Oct 6, 2025, 145 days after introduction.Shri Thanedar (D-MI-13). Cosponsored Oct 6, 2025, 145 days after introduction.Yvette D. Clarke (D-NY-9). Cosponsored Oct 6, 2025, 145 days after introduction.Brad Sherman (D-CA-32). Cosponsored Nov 12, 2025, 182 days after introduction.Josh Harder (D-CA-9). Cosponsored Nov 19, 2025, 189 days after introduction.Ayanna Pressley (D-MA-7). Cosponsored Dec 17, 2025, 217 days after introduction.Bill Foster (D-IL-11). Cosponsored Dec 17, 2025, 217 days after introduction.Adelita S. Grijalva (D-AZ-7). Cosponsored Mar 16, 2026, 306 days after introduction.Lateefah Simon (D-CA-12). Cosponsored Mar 16, 2026, 306 days after introduction.Mark Takano (D-CA-39). Cosponsored Mar 16, 2026, 306 days after introduction.Maxwell Frost (D-FL-10). Cosponsored Mar 16, 2026, 306 days after introduction.Ritchie Torres (D-NY-15). Cosponsored Apr 9, 2026, 330 days after introduction.Timothy M. Kennedy (D-NY-26). Cosponsored Apr 14, 2026, 335 days after introduction.Chellie Pingree (D-ME-1). Cosponsored May 11, 2026, 362 days after introduction.Emily Randall (D-WA-6). Cosponsored Jun 9, 2026, 391 days after introduction.Nanette Diaz Barragán (D-CA-44). Cosponsored Jun 18, 2026, 400 days after introduction.Melanie A. Stansbury (D-NM-1). Cosponsored Jun 23, 2026, 405 days after introduction.Jahana Hayes (D-CT-5). Cosponsored Jun 29, 2026, 411 days after introduction.James P. McGovern (D-MA-2). Cosponsored Jul 20, 2026, 432 days after introduction.Ted Lieu (D-CA-36). Cosponsored Jul 20, 2026, 432 days after introduction.Jonathan L. Jackson (D-IL-1). Cosponsored Aug 6, 2026, 449 days after introduction.Jamie Raskin (D-MD-8). Cosponsored Aug 17, 2026, 460 days after introduction. Oct 2025Feb 2026MayJulSepMay 14, 2025Oct 16, 2026 (still open)17 originalAlexandria Ocasio-Cortez (D-NY-14). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Dina Titus (D-NV-1). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Eleanor Holmes Norton (D-DC). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Greg Casar (D-TX-35). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Jared Huffman (D-CA-2). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Judy Chu (D-CA-28). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Julia Brownley (D-CA-26). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.LaMonica McIver (D-NJ-10). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Lloyd Doggett (D-TX-37). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Mike Quigley (D-IL-5). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Pramila Jayapal (D-WA-7). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Raja Krishnamoorthi (D-IL-8). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Rashida Tlaib (D-MI-12). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Ro Khanna (D-CA-17). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Robin L. Kelly (D-IL-2). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Steve Cohen (D-TN-9). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Suzanne Bonamici (D-OR-1). Cosponsored May 14, 2025, on the day of introduction. Original cosponsor.Bennie G. Thompson (D-MS-2). Cosponsored Jul 16, 2025, 63 days after introduction.Betty McCollum (D-MN-4). Cosponsored Jul 16, 2025, 63 days after introduction.Christopher R. Deluzio (D-PA-17). Cosponsored Jul 16, 2025, 63 days after introduction.Delia C. Ramirez (D-IL-3). Cosponsored Jul 16, 2025, 63 days after introduction.Emilia Strong Sykes (D-OH-13). Cosponsored Jul 16, 2025, 63 days after introduction.Ilhan Omar (D-MN-5). Cosponsored Jul 16, 2025, 63 days after introduction.Jimmy Gomez (D-CA-34). Cosponsored Jul 16, 2025, 63 days after introduction.Juan Vargas (D-CA-52). Cosponsored Jul 16, 2025, 63 days after introduction.Mark Pocan (D-WI-2). Cosponsored Jul 16, 2025, 63 days after introduction.Debbie Dingell (D-MI-6). Cosponsored Oct 6, 2025, 145 days after introduction.Maxine Waters (D-CA-43). Cosponsored Oct 6, 2025, 145 days after introduction.Shri Thanedar (D-MI-13). Cosponsored Oct 6, 2025, 145 days after introduction.Yvette D. Clarke (D-NY-9). Cosponsored Oct 6, 2025, 145 days after introduction.Brad Sherman (D-CA-32). Cosponsored Nov 12, 2025, 182 days after introduction.Josh Harder (D-CA-9). Cosponsored Nov 19, 2025, 189 days after introduction.Ayanna Pressley (D-MA-7). Cosponsored Dec 17, 2025, 217 days after introduction.Bill Foster (D-IL-11). Cosponsored Dec 17, 2025, 217 days after introduction.Adelita S. Grijalva (D-AZ-7). Cosponsored Mar 16, 2026, 306 days after introduction.Lateefah Simon (D-CA-12). Cosponsored Mar 16, 2026, 306 days after introduction.Mark Takano (D-CA-39). Cosponsored Mar 16, 2026, 306 days after introduction.Maxwell Frost (D-FL-10). Cosponsored Mar 16, 2026, 306 days after introduction.Ritchie Torres (D-NY-15). Cosponsored Apr 9, 2026, 330 days after introduction.Timothy M. Kennedy (D-NY-26). Cosponsored Apr 14, 2026, 335 days after introduction.Chellie Pingree (D-ME-1). Cosponsored May 11, 2026, 362 days after introduction.Emily Randall (D-WA-6). Cosponsored Jun 9, 2026, 391 days after introduction.Nanette Diaz Barragán (D-CA-44). Cosponsored Jun 18, 2026, 400 days after introduction.Melanie A. Stansbury (D-NM-1). Cosponsored Jun 23, 2026, 405 days after introduction.Jahana Hayes (D-CT-5). Cosponsored Jun 29, 2026, 411 days after introduction.James P. McGovern (D-MA-2). Cosponsored Jul 20, 2026, 432 days after introduction.Ted Lieu (D-CA-36). Cosponsored Jul 20, 2026, 432 days after introduction.Jonathan L. Jackson (D-IL-1). Cosponsored Aug 6, 2026, 449 days after introduction.Jamie Raskin (D-MD-8). Cosponsored Aug 17, 2026, 460 days after introduction.
Democratic 49

Each dot is one cosponsor. Dots stack by sign-on day, or by week when the window is long. The block at the left holds the original cosponsors.

Still open as of Oct 16, 2026 (119th Congress): not yet reported by the House Energy and Commerce Committee and the House Ways and Means Committee.

Activity log

Source: Congress.gov actions
  1. Introduced in House
  2. Referred to the House Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the...
  3. 17 original cosponsors on the day of introduction
  4. 9 members cosponsored
  5. 4 members cosponsored
  6. Brad Sherman cosponsored (D-CA)
  7. Josh Harder cosponsored (D-CA)
  8. 2 members cosponsored
  9. 4 members cosponsored
  10. Ritchie Torres cosponsored (D-NY)
  11. Timothy M. Kennedy cosponsored (D-NY)
  12. Chellie Pingree cosponsored (D-ME)
  13. Emily Randall cosponsored (D-WA)
  14. Nanette Diaz Barragán cosponsored (D-CA)
  15. Melanie A. Stansbury cosponsored (D-NM)
  16. Jahana Hayes cosponsored (D-CT)
  17. 2 members cosponsored
  18. Jonathan L. Jackson cosponsored (D-IL)
  19. Jamie Raskin cosponsored (D-MD)

Votes on this bill

No recorded votes yet on this measure.

Cosponsors

49 cosponsored

Sponsor Introduced by Janice D. Schakowsky (D-IL) on May 14, 2025

MemberParty/StateDateDays after introductionOriginalGrade
Alexandria Ocasio-CortezD-NYMay 14, 20250OriginalA-
Dina TitusD-NVMay 14, 20250OriginalB+
Eleanor Holmes NortonD-DCMay 14, 20250Original—
Greg CasarD-TXMay 14, 20250OriginalB
Jared HuffmanD-CAMay 14, 20250OriginalB+
Judy ChuD-CAMay 14, 20250OriginalB+
Julia BrownleyD-CAMay 14, 20250OriginalC+
LaMonica McIverD-NJMay 14, 20250OriginalB+
Lloyd DoggettD-TXMay 14, 20250OriginalA
Mike QuigleyD-ILMay 14, 20250OriginalB
Pramila JayapalD-WAMay 14, 20250OriginalA+
Raja KrishnamoorthiD-ILMay 14, 20250OriginalB
Rashida TlaibD-MIMay 14, 20250OriginalA+
Ro KhannaD-CAMay 14, 20250OriginalA
Robin L. KellyD-ILMay 14, 20250OriginalB+
Steve CohenD-TNMay 14, 20250OriginalA
Suzanne BonamiciD-ORMay 14, 20250OriginalB+
Bennie G. ThompsonD-MSJul 16, 202563B+
Betty McCollumD-MNJul 16, 202563B
Christopher R. DeluzioD-PAJul 16, 202563B+
Delia C. RamirezD-ILJul 16, 202563B+
Emilia Strong SykesD-OHJul 16, 202563C+
Ilhan OmarD-MNJul 16, 202563A+
Jimmy GomezD-CAJul 16, 202563C+
Juan VargasD-CAJul 16, 202563B
Mark PocanD-WIJul 16, 202563A+
Debbie DingellD-MIOct 6, 2025145B+
Maxine WatersD-CAOct 6, 2025145B
Shri ThanedarD-MIOct 6, 2025145A
Yvette D. ClarkeD-NYOct 6, 2025145B
Brad ShermanD-CANov 12, 2025182B
Josh HarderD-CANov 19, 2025189C
Ayanna PressleyD-MADec 17, 2025217B
Bill FosterD-ILDec 17, 2025217C-
Adelita S. GrijalvaD-AZMar 16, 2026306C
Lateefah SimonD-CAMar 16, 2026306B
Mark TakanoD-CAMar 16, 2026306B+
Maxwell FrostD-FLMar 16, 2026306B+
Ritchie TorresD-NYApr 9, 2026330B
Timothy M. KennedyD-NYApr 14, 2026335B
Chellie PingreeD-MEMay 11, 2026362A-
Emily RandallD-WAJun 9, 2026391B+
Nanette Diaz BarragánD-CAJun 18, 2026400B
Melanie A. StansburyD-NMJun 23, 2026405B
Jahana HayesD-CTJun 29, 2026411B
James P. McGovernD-MAJul 20, 2026432B+
Ted LieuD-CAJul 20, 2026432B
Jonathan L. JacksonD-ILAug 6, 2026449B+
Jamie RaskinD-MDAug 17, 2026460B

Sets minimum nurse-to-patient staffing ratios in hospitals. Evidence shows adequate nurse staffing reduces patient mortality by 14-24% and decreases burnout-driven turnover in the nursing workforce.