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The Massachusetts Nurses Association (MNA) is trying a second time to establish patient limits in state legislation. This comes six months after losing a ballot question in the November 2018 state election.

As reported by the Boston Business Journal , the current legislation being reviewed now would hire an independent researcher to study issues affecting nurses, such as staffing, violence, injuries, and quality of life. The data collected by the researcher will then be used by state legislators to determine healthcare staffing needs and acute care patient limits.

“If these studies determine there is a best practice limit on the number of patients a nurse should care for at one time, that should inform future policy discussions,” MNA spokesman Joe Markman told the Boston Business Journal.

The original measure from this past election was defeated largely because of lobbying from the Massachusetts Health & Hospital Association (MHA), who spent $25 million to defeat the ballot. This current bill would be revisiting the same legislation, which raises points for state consideration regarding nurse staffing measures.

“The recent ballot measure raised important issues and challenges that our nurses still face today regarding their ability to give patients the quality care they need and deserve,” Massachusetts state Senator Diana DiZoglio, a sponsor of the current legislation, shared with the Boston Business Journal in an email. “While the policy prescription on the ballot was rejected by the majority of voters, we still need to remain vigilant in identifying best practices to ensure the very best patient care is afforded to all.”

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MNA has been working to get nurse-to-patient ratios at all Massachusetts hospitals for several years, including a ballot measure in 2014 that was removed, after Governor Deval Patrick passed a law patient limit law. Markman said this study is necessary to convince voters, after the 2018 election.

“The hospital industry spent … million(s) misleading people about those facts and sometimes outright lying,” Markman told the Boston Business Journal. “For example, they continuously said ED wait times would increase with safe patient limits. That is just wrong and not supported by the evidence. Based on how the industry ran its campaign, it’s clear the public will benefit from additional independent studies.”

Lily Miller
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