Our “Stop Repeat Offender Hospitals” bill — stay updated on its progress!

California is the only state in the nation with minimum nurse-to-patient ratio standards for every unit. These regulations are intended to keep our patients safe.

The trouble is the penalties for violating the law are nearly nonexistent. Hospitals claim Title 22 regulations are just “recommendations” or “guidelines.” Most are never fined unless there’s a patient death or serious injury. By then, it’s too late.


  • February 16, 2018—State Senator Connie M. Leyva (D—Chino) introduced SB 1288, which the RNs of SEIU Local 121RN co-sponsored to help California enforce its safe staffing regulations. SB 1288 will protect patient safety by fining hospitals that constantly put our patients’ care in danger.
  • April 18, 2018—the bill cleared its first hurdle, winning nearly unanimous support in the Senate Health Committee. (Click here to see how legislators voted.)
  • May 22, 2018—SB 1288 again won overwhelmingly in the Senate Appropriations Committee. (Click here to see how legislators voted.)
  • May 29, 2018—Great news! Our bill just passed the full Senate. Now it goes to the Assembly side. Learn more here.
  • June 19, 2018—More great news: the Assembly Health Committee approved our bill. This was our first step on the Assembly side. (Click here to see how legislators voted.)
  • Stay tuned for more as SB 1288 makes its way (hopefully! let’s do this!) to the Governor’s desk.

Click here for a complete list of the bill’s official supporters to-date.

sb1288 before-after chart for web

SEIU Local 121RN nurses like…

Kathy Montanino

Kathy Montanino - headshotREAD KATHY’S STORY
Joyce Powell

Joyce Powell - headshotREAD JOYCE’S STORY



Alvin Nadal

Alvin Nadal - headshotREAD ALVIN’S STORY



Yolanda Tominac

Yolanda Tominac - headshotREAD YOLANDA’S STORY

…worked with Senator Leyva to examine ways to raise standards and challenge hospitals to be real partners with us and all Californians as we work together to strengthen patient care.

LAST YEAR, we successfully strengthened California’s Whistleblower Protection laws. Signed into law in September, Assembly Bill 1102 (which amends Section 1278.5 of the Health & Safety Code) increases the fines on our employers if they retaliate against us for reporting unlawful assignments that put patient safety and our RN license at risk.

THIS YEAR, we will continue to work with Senator Connie Leyva (District 20, Inland Empire) to pass SB 1288, which will put some real teeth into the regulations that set staffing levels in our hospitals. We frequently report that our hospitals ignore the laws that set minimum staffing levels in our Emergency Rooms, Intensive Care Units, Labor & Delivery Floors and other patient care areas. This endangers patients, is an unnecessary stress on families, and puts our licenses and livelihoods at risk. Now we will work to make sure this bill gets passed.

What will the bill do?

SB 1288 will mandate unannounced inspections of hospitals with a special focus on adherence to California’s nurse-to-patient ratios as regulated by Title 22. This bill will also increase the penalties assessed against repeat offender hospitals who continue to flout these regulations. No longer will hospitals be able to simply submit a plan when they are cited for staffing violations. Repeat offender hospitals will be subject to ever-increasing fines.

As Senator Leyva says, “SB 1288 is important legislation that will help to improve patient health and safety by ensuring that hospitals comply with legally mandated nurse-to-patient staffing ratios. The state needs to take a more proactive role by conducting unannounced visits at hospitals across California. We must do everything we can to make sure that we fully enforce existing law, since the stakes are simply too high for patients. I thank SEIU California and SEIU Local 121RN for co-sponsoring SB 1288 and standing alongside me in our fight to protect patients and making sure that nurses are able to properly care for their patients.”

If you didn’t have a chance yet, be sure to watch the ABC News report on our new “Stop Repeat Offender Hospitals” bill, SB 1288. It was exciting to see this coverage state our case so clearly and not even mention the false message the hospitals are putting out there: that it’s our fault because we call in sick (good grief). Some more great news: the same day we got this news story, our bill also sailed through the Senate Health Committee 7-to-2. That was our first of several victories!


What can I do?

Like last year, we will work hard to ensure our bill gets strong bi-partisan support and makes it all the way to the Governor’s desk for his signature. We’ll do it by speaking out, sharing our stories, talking to our co-workers about this important bill, lobbying legislators and speaking to the press.

Here are some ways to get involved:

  1. Click here to tell us about patients you know who’ve suffered due to insufficient staffing
  2. Click here to RSVP for our Lobby and Media Training on August 9th
  3. Watch our emails, website and Facebook page for updates so that you can participate in our escalating campaign to ensure SB 1288 BECOMES LAW!
  4. Click here to be an active “Nurse-Powered Politics!” RN/Healthcare Professional
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