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Alaska2026Passed Legislature

SB283

SB 283: Minimum Nursing Staff Levels in Alaska Hospitals

Last scannedSep 20, 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

Validated

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

  1. (S) Heard & HeldText
  2. (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)Text
  3. (S) REFERRED TO LABOR & COMMERCE2248
  4. (S) L&C, HSS2248
  5. (S) READ THE FIRST TIME - REFERRALS2248