Ohio Nurses Association Applauds Introduction of House Bill 456 – Prohibit Requiring Nurses to Work Overtime

Bill addresses safe patient care, would make Ohio 19th state to outlaw mandatory overtime for nurses


COLUMBUS – House Bill 456, sponsored by Representative Robert Sprague (R-Findlay), aims to make Ohio the 19th state to outlaw nurse mandatory overtime – a potentially dangerous practice occurring across Ohio that can jeopardize safe patient care. The bill was introduced on December 28, 2017.

In 2011, the Joint Commission issued an alert that called for hospitals to intensify their efforts to monitor and address health care workers’ risk for fatigue caused by extended shifts. Even after this alert, it is still common place in Ohio to mandate RNs to work beyond their regularly scheduled hours. This practice is used to staff health care facilities on a regular basis and leads to nurse fatigue and burnout.

Fatigue can affect nurses’ ability to deliver optimal patient care. Research demonstrates that fatigue causes an increased risk in errors, decline in memory, reduced ability to learn, and impaired mood and communication skills. Further, scientific evidence links long working hours to many health effects, including cardiovascular disease and cancer.

House Bill 456 would give nurses the right to refuse overtime if they feel too fatigued to continue to provide safe patient care without fear of termination or licensure sanctions.

“Nurses are professionals who are ethically-bound to assess their ability to care for their patients. If a nurse is too fatigued to provide the safe care his/her patient deserves, the nurse should have the right to refuse overtime without fear of discipline,” states Brian Burger, president of the Ohio Nurses Association. “Prioritizing safe nurse staffing benefits everyone: nurses, patients and healthcare facilities. Research points to dissatisfied patients, increased errors and higher patient readmissions when nurses are not safely staffed. Furthermore, nurse burnout increases with regular extended shifts, leading to costly nurse-turnover for healthcare facilities,” continued Burger.  “The needs and safety of the patient and nurse need to be put first instead of trying to cut initial costs by using mandatory overtime to plug nurse staffing holes.”

Federal laws prohibit the amount of hours worked by pilots, train engineers and truck drivers because of the dangerous consequences of fatigue. Because there is a not a federal law protecting patients and nurses to this degree, 18 other states have passed laws prohibiting nurse mandatory overtime. Those states include Alaska, California, Connecticut, Illinois, Maine, Maryland, Massachusetts, Minnesota, Missouri, New Hampshire, New Jersey, Oregon, Pennsylvania, Rhode Island, Texas, Washington and West Virginia.

“House Bill 456 stands up for Ohio’s nurses, which play a crucial and influential role in the treatment of patients,” said Rep. Sprague. “This bill makes patient safety the highest priority, and no one should have their nursing license or employment threatened for declining unscheduled overtime after a scheduled shift.”

The Ohio Nurses Association helped pass the current RN Staffing Law in 2008 – the foundation to begin addressing Ohio’s nurse staffing concerns. The staffing law requires hospital have nursing care committees who are tasked with creating, evaluating and adjusting the facility’s nurse staffing plan.

ONA also helped pass a budget amendment in 2017 that requires hospitals submit their nurse staffing plans to the Ohio Department of Health to increase hospital transparency.

“House Bill 456 is another much needed step in Ohio nurses’ quest for safe nurse staffing and quality patient care,” Burger stated.


House Bill 456 – As Introduced

House Bill 456 Background Information


Molly Homan, Director of Communications

Ohio Nurses Association

O: 614-448-1041|C: 614-668-9927 | [email protected]