PA HB475

Requires all dialysis facilities in Pennsylvania licensed by CMS to maintain a minimum staffing ratio of one dialysis caregiver for every four patients actively receiving treatment

Defines "dialysis caregiver" as physicians, physician assistants, nurse practitioners, registered nurses, licensed practical nurses, or dialysis technicians trained in dialysis procedures and direct patient care

Applies to both inpatient and outpatient dialysis services, regardless of whether the facility is owned by a hospital or the Commonwealth

Covers hemodialysis and peritoneal dialysis treatments for end-stage renal disease

Takes effect 60 days after enactment