I work in Kansas and our hospital just provided us with copies of the 108th Congress 2d Session H.R. 4316 I believe this is part of the same bill? I got on the computer and came directly to this site to see what I could find out, about this bill. I have been told by the hospital that Clifornia Nurses and Nevada Nurses are already working with this standard. I was told by Sr Management that in California. the sick people are driving around in cars because they can not find a hospital with an open bed, due to lack of enough nurses to open the beds they already have. We on the other hand have a staffing and acuity level so high we are not able to give quality care, and they are shoving more pts at us before the beds are even empty, and we are considering the need for a holding and triage area on our floor, where we will not be able to monitor or care for them for sometime anyway. I WILL write as soon as possible. I knew I would find informed nurses on this site.. Yea Ultimate Nurse...