H.R. 2531: Workplace Violence Prevention for Health Care and Social Service Workers Act
Sponsor
Joe Courtney
Democrat · CT-2
Bill Progress
Latest Action · Apr 1, 2025
Referred to Education and Workforce, and in addition to the Committees on Energy and Commerce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. for review
Why it matters
Hospitals, nursing homes, mental health programs, and emergency responders are facing persistent workplace violence, and this bill would force faster federal action instead of waiting years for OSHA to finish its normal rulemaking.
H.R. 2531 would require the Secretary of Labor to issue a national workplace violence prevention standard for much of the health care and social service world. The basic idea is simple: employers in covered settings would have to create and carry out real plans to prevent violence, rather than relying on voluntary guidance or after-the-fact responses. The bill is aimed at hospitals, treatment centers, mental health facilities, long-term care settings, correctional health units, home-based care, and emergency response work.
The most important feature is speed. The bill orders an interim final standard within 1 year, with a final rule due within 42 months. It also tries to prevent delay by waiving several normal regulatory requirements for the interim standard, while still allowing a short public comment period. If the Labor Department misses the first deadline, the bill says the law's own violence-prevention requirements would kick in and be enforceable anyway. That is a major pressure tactic designed to stop OSHA from slow-walking the issue.
The bill appears to build on OSHA's 2015 workplace violence prevention guidelines and would require covered employers to implement comprehensive prevention plans and related protections. Even in the partial text provided, the scope is broad: it covers many institutional settings and some field-based services like home health and emergency transport. It also reaches certain federal facilities that already must follow occupational safety and health rules. One notable limit is that standalone private offices of physicians, dentists, podiatrists, and other practitioners are excluded unless they are physically located inside a covered facility.
In practical terms, the bill would likely mean more written plans, training, reporting, hazard assessments, engineering controls where needed, and closer federal oversight in sectors where assaults and threats are common. Workers and unions would likely view it as long overdue. Employers may support the goal but worry about compliance costs, staffing burdens, paperwork, and how broad the covered universe could become if the Secretary adds more facility types later.
What does H.R. 2531 do?
Fast-track federal violence prevention rule
The bill orders the Labor Secretary to issue an interim workplace violence standard within 1 year and a final standard within 42 months.
Mandatory prevention plans for covered employers
Employers in covered health care and social service settings would have to create and carry out comprehensive plans to prevent violence against workers and other personnel.
Uses OSHA's existing guidance as a floor
The interim rule must be based at least on OSHA's 2015 guidelines for preventing workplace violence in health care and social services.
Delays are harder under this bill
For the interim rule, the bill waives several normal rulemaking requirements and says that if OSHA misses the deadline, the bill's own requirements become enforceable until a rule is issued.
Broad coverage across care settings
The bill covers hospitals, residential treatment centers, nursing homes, psychiatric facilities, substance use treatment centers, correctional health settings, community care sites, home-based care, and emergency services.
Temporary focus on compliance help
After the interim rule is issued, the Labor Department can spend up to 1 year prioritizing technical assistance and advice to help employers come into compliance.
Who benefits from H.R. 2531?
Nurses, aides, technicians, and hospital staff
They could gain stronger protections against assaults, threats, and unsafe working conditions through enforceable federal standards.
Social service and behavioral health workers
Workers in mental health, substance use treatment, and community care settings would get clearer employer duties to prevent violence.
Emergency responders and home-based care workers
People working in uncontrolled environments outside traditional facilities could benefit from formal prevention planning and safety measures.
Worker advocates and unions
The bill gives them a stronger legal tool to push employers and regulators to address a long-running workplace safety problem.
Who is affected by H.R. 2531?
Hospitals and health systems
They would likely need to update policies, training, reporting systems, staffing approaches, and physical safety measures to comply.
Nursing homes and long-term care facilities
These facilities could face new compliance duties in settings where staff often report high rates of verbal and physical aggression.
Mental health, substance use, and social service providers
These employers would be directly affected by new federal requirements tailored to violence risks in their workplaces.
Standalone private practitioner offices
Most would not be covered unless located inside a covered facility, so they are affected mainly by the bill's exclusion rather than by direct mandates.
H.R. 2531 Common Questions
How long would OSHA have to issue a workplace violence rule for hospitals and nursing homes?
Under the Workplace Violence Prevention for Health Care and Social Service Workers Act, the Labor Secretary must issue an interim final standard within 1 year and a final standard within 42 months of enactment (Section 101).
How soon would a workplace violence standard take effect after OSHA issues it?
Under the Workplace Violence Prevention for Health Care and Social Service Workers Act, the interim final standard must take effect no later than 30 days after issuance, though engineering controls may be phased in (Section 101).
How long would employers have to create a workplace violence prevention plan?
According to H.R. 2531 Section 103, covered employers must develop their workplace violence prevention plan within 6 months after the interim final standard is promulgated.
How many days would employers have to log a violent incident at work?
Under the Workplace Violence Prevention for Health Care and Social Service Workers Act, employers must update the violent incident log within 7 days of learning about the incident (Section 103).
How long would hospitals and care employers have to keep workplace violence records?
According to H.R. 2531 Section 103, workplace violence records including plans, incident logs, and investigations must be kept for at least 5 years.
Which health care and social service workplaces would be covered by the workplace violence bill?
Under the Workplace Violence Prevention for Health Care and Social Service Workers Act, coverage includes hospitals, nursing homes, hospice, psychiatric facilities, substance use centers, correctional health settings, group homes, home-based care, and emergency services (Section 102).
Does the workplace violence bill cover home health workers and EMTs?
Yes. H.R. 2531 covers field work such as home health, home-based hospice, home-based social work, and emergency services or transport, including responders and firefighters (Section 102).
Are private doctor and dentist offices covered by the workplace violence bill?
Usually no. Under the Workplace Violence Prevention for Health Care and Social Service Workers Act, offices of physicians, dentists, podiatrists, and other practitioners are excluded unless physically located within a covered facility (Section 102).
Can a hospital punish a worker for reporting workplace violence under HR 2531?
No. According to H.R. 2531 Section 103, covered employers must adopt an anti-retaliation policy protecting employees who report incidents or exercise rights under the Act.
Does HR 2531 tie Medicare funding to workplace violence compliance for some hospitals and nursing facilities?
Yes. Under H.R. 2531 Section 201, hospitals and skilled nursing facilities not otherwise subject to OSHA must comply with the standard to receive Medicare funds, starting 1 year after the interim rule is issued.
Based on H.R. 2531 bill text
HR2531 Legislative Journey
House: Committee Action
Apr 1, 2025
Referred to the Committee on Education and Workforce, and in addition to the Committees on Energy and Commerce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
About the Sponsor
Joe Courtney
Democrat, Connecticut's 2nd congressional district · 19 years in Congress
Committees: Armed Services, Education and Workforce
View full profile →
Cosponsors (100)
This bill has 100 cosponsors: 98 Democrats, 2 Republicans. Cosponsors represent 35 states: Alabama, Arizona, California, and 32 more.
Don Bacon
Republican · NE
Robert Scott
Democrat · VA
Brian Fitzpatrick
Republican · PA
Ilhan Omar
Democrat · MN
Alma Adams
Democrat · NC
Betty McCollum
Democrat · MN
Jared Golden
Democrat · ME
Joseph Morelle
Democrat · NY
Sharice Davids
Democrat · KS
Chrissy Houlahan
Democrat · PA
Sheila Cherfilus-McCormick
Democrat · FL
Paul Tonko
Democrat · NY
Cosponsor Coverage Map
Committee Sponsors
Ways and Means Committee
12 of 45 committee members cosponsored
Energy and Commerce Committee
13 of 54 committee members cosponsored
Education and Workforce Committee
11 of 36 committee members cosponsored
23 Democrats across these committees haven't cosponsored yet. Mobilize their constituents
H.R. 2531 Quick Facts
- Committee
- Ways and Means
- Chamber
- House
- Policy
- Labor and Employment
- Introduced
- Apr 1, 2025
Referred to Education and Workforce, and in addition to the Committees on Energy and Commerce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. for review
Apr 1, 2025
Official Sources
Official bill text, cosponsors, and legislative history for the Workplace Violence Prevention for Health Care and Social Service Workers Act
OSHA's topic page on workplace violence in healthcare settings, including the 2015 guidelines this bill would codify into enforceable standards
OSHA guidance on building effective violence prevention programs, the five-component framework referenced in Section 101 of the bill
Documents from OSHA's 2023 Small Business Advocacy Review panel on a potential workplace violence standard for healthcare and social assistance
The Medicare participation requirements that Section 201 of the bill would amend to tie workplace violence compliance to hospital and SNF funding
CDC/NIOSH research and statistics on workplace violence, including data showing healthcare workers face the highest rates of nonfatal violence injuries
The underlying federal statute that gives the Secretary of Labor authority to issue the workplace violence standards required by this bill
The primary House committee of referral for this bill, with jurisdiction over OSHA and workplace safety standards
Who is lobbying on H.R. 2531?
5 organizations lobbying on this bill
NATIONAL NURSES UNITED | 16 |
GUN OWNERS OF AMERICA INC | 3 |
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 3 |
AMERICAN NEPHROLOGY NURSES ASSOCIATION | 2 |
INTERNATIONAL ASSOCIATION OF MACHINISTS AND AEROSPACE WORKERS | 1 |
Showing 1-5 of 5 organizations
H.R. 2531 Bill Text
“To direct the Secretary of Labor to issue an occupational safety and health standard that requires covered employers within the health care and social service industries to develop and implement a comprehensive workplace violence prevention plan, and for other purposes.”
Source: U.S. Government Publishing Office
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