Wisconsin 2025-2026 Regular Session

Wisconsin Assembly Bill AB1146

Introduced
3/13/26  
Refer
3/13/26  

Caption

An Act to amend 111.322 (2m) (a) and 111.322 (2m) (b); to create 50.374, 103.035, 106.54 (10) (c) and 146.998 of the statutes; Relating to: minimum nurse staffing ratios in hospitals, registered nurses’ right to refuse a work assignment, prohibiting mandatory overtime for registered nurses, and providing a penalty.

Impact

The passage of AB1146 would fundamentally alter existing labor regulations governing nurses in California by applying strict staffing ratios in hospitals. This legislative change is expected to lead to better support for registered nurses, thereby reducing mental and physical strain while ensuring that patient care standards are consistently met. Healthcare facilities may need to adjust their workforce management strategies and budgeting to comply with these new requirements, ultimately impacting healthcare delivery systems across the state.

Summary

AB1146 introduces legislation aimed at establishing minimum nurse staffing ratios in hospitals, granting registered nurses the right to refuse specific work assignments, and prohibiting mandatory overtime for registered nurses. The bill intends to enhance patient care and improve working conditions for nurses, addressing ongoing concerns about nurse burnout and the quality of care provided to patients in crowded hospital environments.

Contention

Debate surrounding AB1146 has highlighted significant divisions among stakeholders. Proponents argue that optimal staffing ratios and the right to refuse unsafe work assignments will directly contribute to improved patient outcomes and reduced healthcare provider dissatisfaction. However, critics, primarily from hospital administrations, express concerns about the financial implications and potential staffing shortages that may arise from the mandated ratios. They warn that rigid regulations could hinder operational flexibility and lead to unintended consequences in patient care when hospitals face fluctuating patient volumes.

Companion Bills

WI SB1115

Crossfiled An Act to amend 111.322 (2m) (a) and 111.322 (2m) (b); to create 50.374, 103.035, 106.54 (10) (c) and 146.998 of the statutes; Relating to: minimum nurse staffing ratios in hospitals, registered nurses’ right to refuse a work assignment, prohibiting mandatory overtime for registered nurses, and providing a penalty.

Previously Filed As

WI SB1115

Minimum nurse staffing ratios in hospitals, registered nurses’ right to refuse a work assignment, prohibiting mandatory overtime for registered nurses, and providing a penalty.

WI SB2356

Relating to hospital staffing report processes and to retaliation and mandatory overtime protections for nurses; providing administrative penalties.

WI HB2187

Relating to hospital staffing report and complaint processes and to retaliation and mandatory overtime protections for nurses.

WI HB1308

Registered nurses and advanced practice registered nurses; revise authority to delegate medication administration.

WI HB2310

Advanced practice registered nurses; compact

WI A1971

Establishes minimum registered professional nurse staffing standards for hospitals and ambulatory surgery facilities and certain DHS facilities.

WI HB2478

Requiring that advanced practice registered nurses and registered nurse anesthetists submit to a criminal history check upon application for a nursing license.

WI HB1129

Advanced practice registered nurses.

WI SB0060

Advanced practice registered nurses.

WI HB2266

Enacting the advanced practice registered nurse licensure compact to provide interstate practice privileges for advanced practice registered nurses.

Similar Bills

No similar bills found.