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Bill

SD 443

An Act ensuring temporary nursing service agency quality

194th Legislature (2025-2026) Introduced by Bruce Tarr

Massachusetts bill establishes regulatory quality standards for temporary nursing staffing agencies to improve patient safety and worker protections in healthcare settings.

House concurred
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Bill Summary · SD 443

Legislative bill overview

SD 443 establishes quality standards and regulatory requirements for temporary nursing service agencies operating in Massachusetts. The bill aims to ensure that staffing agencies providing nurses meet baseline competency, safety, and professional standards to protect both patients and workers in healthcare settings.

Why is this important

Temporary nursing staffing has grown substantially in healthcare systems, yet these agencies often operate with minimal oversight compared to permanent hospital employment. Unregulated or low-quality staffing agencies can compromise patient safety, reduce continuity of care, and create exploitative working conditions for nurses. This bill addresses a gap in consumer and worker protections by establishing statewide minimum standards.

Potential points of contention

  • Cost implications: Compliance requirements may increase operational costs for staffing agencies, potentially raising prices for healthcare facilities and reducing profit margins for smaller agencies
  • Labor market effects: Stricter regulations could reduce the supply of available temporary nurses if some agencies exit the market, potentially worsening staffing shortages in healthcare facilities
  • Enforcement challenges: Determining adequate oversight mechanisms and funding for regulatory bodies to monitor compliance across multiple agencies
  • Definition of "quality": Disagreement over which specific standards (credentials, training hours, background checks, rates of pay) constitute adequate quality requirements

Compiled from official sources — confirm details with the bill’s official record.

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