H.R. 2531: Workplace Violence Prevention for Health Care and Social Service Workers Act

Introduced Apr 1, 2025100 cosponsors

Sponsor

Joe Courtney

Joe Courtney

Democrat · CT-2

Bill Progress

IntroducedApr 1
Committee 
Pass House 
Pass Senate 
Signed 
Law 

Latest Action · Apr 1, 2025

1/4

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

Health workers push for violence rules

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.

What does H.R. 2531 do?

1

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.

2

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.

3

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.

4

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.

5

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.

6

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

1 actions

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

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 gained 2 cosponsors in the last 30 days

This bill has 100 cosponsors: 98 Democrats, 2 Republicans. Cosponsors represent 35 states: Alabama, Arizona, California, and 32 more.

98Democrats2Republicans·35 states

Cosponsor Coverage Map

Committee Sponsors

23 Democrats across these committees haven't cosponsored yet. Mobilize their constituents

Constituent Resources

Get notified when this bill moves

Official Sources

H.R. 2531 on Congress.gov

Official bill text, cosponsors, and legislative history for the Workplace Violence Prevention for Health Care and Social Service Workers Act

OSHA Healthcare Workplace Violence

OSHA's topic page on workplace violence in healthcare settings, including the 2015 guidelines this bill would codify into enforceable standards

OSHA Workplace Violence Prevention Programs

OSHA guidance on building effective violence prevention programs, the five-component framework referenced in Section 101 of the bill

OSHA Workplace Violence SBREFA Panel

Documents from OSHA's 2023 Small Business Advocacy Review panel on a potential workplace violence standard for healthcare and social assistance

CMS Medicare Conditions of Participation

The Medicare participation requirements that Section 201 of the bill would amend to tie workplace violence compliance to hospital and SNF funding

NIOSH Workplace Violence Prevention

CDC/NIOSH research and statistics on workplace violence, including data showing healthcare workers face the highest rates of nonfatal violence injuries

Occupational Safety and Health Act (29 USC Ch. 15)

The underlying federal statute that gives the Secretary of Labor authority to issue the workplace violence standards required by this bill

House Education and Workforce Committee

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

Total filings: 25
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

PDF

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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