IL SB0021

Expands mandated overtime protections from nurses only to all "hospital workers" (anyone receiving hourly wages from a hospital, including subcontractors), prohibiting mandatory overtime beyond 4 hours except in declared emergencies and requiring 8 consecutive hours off after 12-hour shifts

Requires hospitals to submit all staffing matrices, metrics, and underlying materials to the Department of Public Health annually, with the Department producing annual reports and recommendations for minimum staffing standards by hospital unit

Mandates hospitals conduct competency validations for all hospital workers within their first month of employment at no cost, with documentation submitted to the Department within 2 weeks of the worker's start date, plus annual ongoing verification

Creates a public registry of all competent hospital employees maintained by the Department, including worker names, addresses, contact information, and current employers

Establishes an "assignment despite objection" process allowing hospital workers to formally object to unsafe staffing conditions, with a multi-step resolution process culminating in binding third-party arbitration; hospitals failing to comply face daily fines of 0.1% of annual revenue