Alaska2026Passed Legislature
SB283
SB 283: Minimum Nursing Staff Levels in Alaska Hospitals
Last scannedSep 10, 2026, 12:32 AM
In one sentence
This law sets specific limits on how many patients a registered nurse can care for at one time and requires hospitals to create staffing plans that include minimum staff levels.
What it does
- Sets maximum patient-to-nurse ratios for different hospital units, including emergency departments, intensive care, operating rooms, labor and delivery, oncology, psychiatric, pediatrics, and hemodialysis units.
- Requires hospitals to write a staffing plan that includes minimum staff levels, the mix of nurse skills needed, and the number of supportive direct patient care personnel required for each unit.
- Mandates that at least 51 percent of the committee members who approve staffing plans must be registered nurses working directly with patients in nonsupervisory roles.
- Prohibits counting remote workers, coordinators not providing direct care, or artificial intelligence as part of the required on-site nursing staff.
- Allows hospitals to temporarily break these rules only during unforeseen emergencies that jeopardize patient safety, severe weather preventing nurse relief, or declared rural staffing shortages.
Who it affects
- Hospitals in Alaska
- Registered nurses working in hospital units
- Supportive direct patient care personnel such as nursing assistants
Limits and unknowns
- The law does not state a specific date when these new rules will begin.
- Hospitals can assign fewer patients than the maximum limit allowed by this law.
- Temporary deviations from staffing plans require reporting to the committee within 30 days and cannot last longer than 90 days without majority committee approval.
Plain language
Terms to know
- Acuity
- A measure of how much medical attention and skill a specific patient needs, which can lower the number of patients assigned to one nurse.
- Staffing Committee
- A group at the hospital that prepares and approves plans for nurse staffing levels; most members must be nurses providing direct care.
- Variance
- An official permission to temporarily go against standard rules due to an emergency, severe weather, or a rural staffing shortage.
Official record
Sources
Official summary
MINIMUM NURSING STAFF LEVELS IN HOSPITALS An Act relating to staffing standards for registered nurses; and providing for an effective date.
Official activity
Bill history
- (S) Heard & HeldText
- (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)Text
- (S) REFERRED TO LABOR & COMMERCE2248
- (S) L&C, HSS2248
- (S) READ THE FIRST TIME - REFERRALS2248