HB2604 | Illinois 2019-2020 | SAFE PATIENT LIMITS

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On January 13, 2021 in the House:

Session Sine Die

On June 23, 2020 in the House:

Rule 19(b) / Re-referred to Rules Committee

On February 4, 2020 in the House:

Approved for Consideration Rules Committee; 004-000-000
Placed on Calendar 2nd Reading - Short Debate

On May 31, 2019 in the House:

Rule 19(a) / Re-referred to Rules Committee

On May 7, 2019 in the House:

Approved for Consideration Rules Committee; 004-000-000
Placed on Calendar 2nd Reading - Short Debate
Final Action Deadline Extended-9(b) May 31, 2019

On April 12, 2019 in the House:

House Committee Amendment No. 2 Fiscal Note Filed as Amended
Rule 19(a) / Re-referred to Rules Committee

On April 11, 2019 in the House:

House Committee Amendment No. 2 Home Rule Note Filed as Amended
House Committee Amendment No. 2 State Mandates Fiscal Note Filed as Amended

On April 10, 2019 in the House:

Second Reading - Short Debate
Held on Calendar Order of Second Reading - Short Debate

On April 1, 2019 in the House:

House Committee Amendment No. 2 Fiscal Note Requested as Amended by Rep. Tom Demmer
House Committee Amendment No. 2 State Mandates Fiscal Note Requested as Amended by Rep. Tom Demmer
House Committee Amendment No. 2 Home Rule Note Requested as Amended by Rep. Tom Demmer

On March 29, 2019 in the House:

Placed on Calendar 2nd Reading - Short Debate

On March 27, 2019 in the House:

House Committee Amendment No. 2 Rules Refers to Labor & Commerce Committee
House Committee Amendment No. 2 Adopted in Labor & Commerce Committee; by Voice Vote
Do Pass as Amended / Short Debate Labor & Commerce Committee; 017-008-000
House Committee Amendment No. 1 Tabled Pursuant to Rule 40

On March 26, 2019 in the House:

House Committee Amendment No. 2 Filed with Clerk by Rep. Fred Crespo
House Committee Amendment No. 2 Referred to Rules Committee

On March 20, 2019 in the House:

House Committee Amendment No. 1 Rules Refers to Labor & Commerce Committee

On March 19, 2019 in the House:

House Committee Amendment No. 1 Filed with Clerk by Rep. Fred Crespo
House Committee Amendment No. 1 Referred to Rules Committee

On February 26, 2019 in the House:

Assigned to Labor & Commerce Committee

On February 14, 2019 in the House:

Filed with the Clerk by Rep. Fred Crespo
First Reading
Referred to Rules Committee

House Amendment 002

Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Defines "registered nurse", "direct care registered professional nurse", and "rapid response team". Excludes specified facilities from the definition of "facility". Adds LTAC hospitals and ambulatory surgical treatment centers to the definition of "facility". Makes changes to the definition of "nursing care". Provides that in all units with critical care or intensive care patients, the maximum patient assignment of critical care patients to a registered nurse is 2. Provides that at least one direct care registered professional nurse shall be assigned to triage patients, shall be immediately available at all times to triage patients when they arrive in the emergency department, and shall perform triage functions only. Provides that in all units with acute rehabilitation patients the maximum patient assignment of acute rehabilitation patients to a registered nurse is 4 (rather than 3). Provides that in all units with conscious sedation patients, the maximum patient assignment of conscious sedation patients to a registered nurse is one. Provides that in all units with pediatric patients, the maximum patient assignment of pediatric patients to a registered nurse is 3 (instead of 4) and in all units with observational patients, the maximum patient assignment of observational patients to a registered nurse is 3 (instead of 4). Provides that a rapid response team nurse shall not be given direct care patient assignments while assigned as a nurse responsible for responding to a rapid response team request. Provides specified requirements for the Act's implementation by a facility. Provides that a facility shall plan for routine fluctuations in its patient census. Provides that if a health care emergency causes a change in the number of patients in a clinical care unit or patient care area, a facility must be able to demonstrate that immediate and diligent efforts were made to maintain required staffing levels. Establishes recordkeeping requirements. Provides that any method, software, or tool used to create or evaluate a staffing plan adopted by a facility shall be established in coordination with direct care registered professional nurses and shall be transparent in all respects. Requires the Department of Public Health to establish procedures to ensure that the documentation submitted is available for public inspection in its entirety. Provides specified nurse rights and protections. Amends the Hospital Licensing Act. Provides that a hospital shall not mandate that a registered professional nurse delegate nursing interventions. Amends the Nurse Practice Act. Provides that the exercise of professional judgment by a direct care registered professional nurse in the performance of his or her scope of practice shall be provided in the exclusive interests of the patient. Makes other changes.