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  89R4964 KRM-D     By: Vo H.B. No. 1420       A BILL TO BE ENTITLED   AN ACT   relating to a study on nurse-to-patient ratios for critical care   patients in health care facilities.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  (a) In this section:                (1)  "Commission" means the Health and Human Services   Commission.                (2)  "Critical care" means medical care for an   individual who has a life-threatening injury or illness.                (3)  "Direct care registered nurse" means a registered   nurse licensed by the Texas Board of Nursing to engage in   professional nursing under Chapter 301, Occupations Code, who has   accepted a direct, hands-on patient care assignment to implement   medical and nursing regimens and provide related clinical   supervision of patient care.          (b)  The commission, in consultation with the United States   Department of Health and Human Services, shall conduct a study to   evaluate the outcomes and efficacy of limiting the number of   patients whose severity of illness requires critical care at a   health care facility and who are assigned to a direct care   registered nurse at any given time.          (c)  Not later than December 1, 2026, the commission shall   prepare and submit to the governor and the legislature a written   report containing the results of the study and any recommendations   for legislative or other action.  The commission shall post the   report on the commission's Internet website.          SECTION 2.  This Act expires September 1, 2027.          SECTION 3.  This Act takes effect immediately if it receives   a vote of two-thirds of all the members elected to each house, as   provided by Section 39, Article III, Texas Constitution.  If this   Act does not receive the vote necessary for immediate effect, this   Act takes effect September 1, 2025.