A nurse at Swedish Edmonds pickets outside the hospital in 2020 with a sign calling attention to staffing concerns. (Joey Thompson / Herald file)

A nurse at Swedish Edmonds pickets outside the hospital in 2020 with a sign calling attention to staffing concerns. (Joey Thompson / Herald file)

Bill to set minimum hospital staffing dies in state Senate

Hospitals opposed a bill limiting the number of patients per nurse. It died in a committee this week.

OLYMPIA — A fierce legislative fight over staffing levels and worker protections in hospitals is over.

For now.

A bill that would have limited the number of patients assigned to a nurse and imposed hefty fines on hospitals that failed to comply with staffing plans died in a Senate committee earlier this week.

Nurses and health care workers, many physically and emotionally wiped out by the coronavirus pandemic, pushed hard for House Bill 1868. They viewed it as crucial to improve job safety by addressing staffing shortages they say create dangerous conditions for themselves and patients.

“I am very concerned and somewhat shocked and disappointed” that the bill didn’t advance, said Maria Goodall, a vascular ultrasound technologist at Providence Regional Medical Center Everett. “We cannot sustain this chronic short staffing burnout, and this bill was a direct way to address the staffing crisis. Hospital executives have ignored our voices on short staffing issues for several years, and now some state lawmakers have, as well.”

Hospital executives pushed back hard, in turn, arguing that to comply with ratios would require hiring thousands of nurses, an improbability in the midst of an industry-wide staffing crisis. Hospitals would wind up leaving beds unfilled, they said.

“While we share lawmakers’ desire to support health care workers, this legislation would not solve any of the root causes of the strain on our workforce and would make permanent many of the worst parts of pandemic health care, including long delays in care,” Darcy Jaffe, senior vice president of safety and quality at the Washington State Hospital Association, said as the bill progressed last month.

Disappointed backers will renew the debate next session.

“Our health care workers need real solutions to the staffing crisis and resulting burnout,” said Jack Sorenson, spokesman for a coalition of unions representing nurses and hospital employees. “It’s getting worse, and hospital executives have provided no answers. We’re absolutely not done fighting for the safety of health care workers and patients.”

Goodall said the current conditions are unsustainable.

“We need immediate solutions,” she said. “Hospital executives have not ensured adequate staffing levels in many of the departments needed for patient care. Now several lawmakers have let us down.”

Ratios will still be a nonstarter for hospitals if that approach is revived in 2023.

But there are avenues for conversation on other topics, such as developing and carrying out hospital staffing plans and expanding education and training programs to increase the number of nurses, said Chelene Whiteaker, the hospital association’s senior vice president of government affairs.

“We are glad the bill is not moving forward in its present form. The association and hospitals around the state had significant concerns about what it would do in terms of impacts on patient care,” she said.“Our concerns remain high.”

Ill-fated House Bill 1868 proposed far-reaching changes inside hospitals. Most notable were the patient-nurse ratios and added rigor for hospital staffing plans. It would have shifted responsibility for enforcement of those plans and investigation of complaints from one state agency, the Department of Health, to another, Labor and Industries.

Sen. June Robinson, D-Everett, sponsor of the bill’s Senate companion, tried to keep the legislation alive with a rewrite that removed the controversial ratios. A separate amendment eased limits on some hospitals’ use of on-call hours for nurses, something that also concerned hospitals.

It still didn’t receive a vote in the Democrat-led Senate Ways and Means Committee before a Feb. 28 deadline.

“I thought the striker I put on was very reasonable,” Robinson said. “At the end of the day, it didn’t have the votes. The hospital association put out quite the opposition. We’ll keep working on it.”

Rep. Marcus Riccelli, D-Spokane, the bill’s author, tracked the changes as it moved through the Senate. He would have signed on to the revamped wording.

“I thought it had the bones for a good bill to help our frontline workers. Both sides were not willing to talk on the ratios,” he said. “I think it’s disappointing and disheartening for our front-line workers.”

Rep. Mike Sells, D-Everett, the chair of the House Labor and Workplace Standards Committee, helped steer the bill through the House, where it passed on a 55-43 on Feb. 13.

He called the setback disappointing, “especially for those who have worked so hard in our hospitals to keep the system going in a particularly precarious time.”

”We already have people leaving in large numbers from health care facilities due to stress,” he said. “Failure to address scheduling issues will only add to problems.”

Jerry Cornfield: 360-352-8623; jcornfield@heraldnet.com; Twitter: @dospueblos.

Talk to us

More in Local News

Logo for news use featuring the municipality of Lake Stevens in Snohomish County, Washington. 220118
Motorcyclist identified in fatal crash near Lake Stevens

Anthony Palko, 33, died Monday night after colliding with a passenger car. The juveniles in the car were taken to the hospital.

Marysville
Police: Marysville man shot sword-wielding roommate in self-defense

The roommates were arguing over eBay sales, according to police. Then one of them allegedly brandished a two-foot sword.

Logo for news use featuring the municipality of Lake Stevens in Snohomish County, Washington. 220118
Everett boy, 12, identified as Davies Beach drowning victim

Malachi Bell was one of three swimmers in distress Sunday in Lake Stevens. He did not survive.

Everett
Port of Everett hosting annual open house after pandemic hiatus

Also, Rustic Cork Wine Bar plans to open a second shop at Fisherman’s Harbor — the latest addition to the port’s “wine walk.”

Mike Kersey with Aiya Moore, daughter of Christina Anderson, right, talk about the condition of Nick’s Place in Everett, Washington on June 17, 2022.  (Kevin Clark / The Herald)
‘We’re all good people when we get clean and sober’

Who has fentanyl taken from us? A messenger who saved lives. A “street mom.” A grandpa who loved his grandkids “999 trillion times.”

Snohomish County Superior Courthouse in Everett, Washington on February 8, 2022.  (Kevin Clark / The Herald)
Bailiff’s comments leads to appeal of child rape conviction

Joseph Hall, of Snohomish, was sentenced to more than 13 years in prison. Now he faces another trial.

Jeffrey Vaughan
In unexpected move, Vaughan resigns from Marysville council

He got re-elected in November. But he and his wife moved to Texas when she received a job promotion.

Snohomish County Prosecutor Adam Cornell at the Snohomish County Courthouse on Monday, Nov. 15, 2021 in Everett, Wa. (Olivia Vanni / The Herald)
How to answer Snohomish County’s basic crime questions? ‘Transparent data’

An initiative funded in part by Microsoft could reveal racial disparities, while creating an “apples to apples” database.

Chris Rutland and son Julian buy fireworks from the Big House of Boom stall at Boom City on Thursday, June 30, 2022 in Tulalip, Washington. (Olivia Vanni / The Herald)
At Tulalip’s Boom City, fireworks are a family tradition

Generations have grown up at the Fourth of July institution. “Some people make good money, some are just out here for the pastime.”

Most Read