HB 807 Summary

• Prohibits hospitals from assigning unlicensed assistive personnel to perform nursing care tasks that fall within a registered nurse's scope of practice, including medication administration, intravenous therapy, invasive procedures, patient assessment, and patient education.

• Requires registered nurses to receive orientation and demonstrate individual competency before assignment to any nursing unit or critical care area.

• Mandates the Department of Health adopt rules establishing minimum registered nurse-to-patient ratios by hospital unit, considering patient severity, equipment needs, clinical complexity, and licensure requirements.

• Requires written policies for training and mandatory orientation of nursing staff at all hospitals; allows flexibility and waivers for rural health centers that do not jeopardize patient safety.

• Requires the Department of Health to submit a report to the legislature no later than twenty days prior to the 2026 regular session on implementation efforts and any proposed rule changes.