MD SB411

Licensed hospitals (excluding state hospitals) must establish clinical staffing committees with equal management and employee representation, including at least one certified nursing assistant, dietary aide, emergency room nurse, environmental service worker, staff physician, and technician

Committees must develop clinical staffing plans that address patient needs, existing staffing levels, coverage gaps, and evidence-based staffing standards, with mandatory annual reviews by July 1

Hospitals must implement staffing plans and assign personnel accordingly beginning January 1, 2028, with staff nurses and frontline workers able to file complaints about deviations from the plan

Staffing plans and actual daily staffing levels must be publicly posted on each patient unit, with copies available upon request

Annual reports on staffing committee activities must be submitted to the Maryland Health Care Commission beginning July 1, 2030, which will compile and publish them online