Healthcare work violence bill to kick OSHA in the pants
It may be a “shot in the dark,” but lawmakers re-introduced companion bills (in the House and Senate) to prompt OSHA to quickly issue an interim final rule in one year. The idea is to curb workplace violence in healthcare and social assistance (HCSA) work settings. If OSHA drags its feet on the one-year deadline, the provisions of the Workplace Violence Prevention for Health Care and Social Service Workers Act (or WVP Act) automatically take effect one year after enactment!
Remarkably, a similar bill passed the House in April 2021, so it has had traction in the past. However, that was in the 117th Congress. We’re now in the 119th Congress, so the bills start at square one. H.R. 2531 or S. 1232 must pass both the House and Senate before one of them can be signed into law.
WPV rule has been long on the radar
Meanwhile, OSHA’s own WVP rulemaking effort has been in the works for almost a decade (since April 2016). It too is intended to cover HCSA work settings. Things heated up in 2023. That’s when the agency issued a draft outline of the regulatory text and completed a small business panel report.
At that point, the agency was free to issue a proposed rule. The Fall 2024 agenda indicates that the last administration hoped to issue the proposal in June 2025. The upcoming Spring 2025 agenda may reveal the agency’s new priorities.
Bills’ sponsors leading the charge
Representative Joe Courtney (D-CT) commented, “Our legislation would put proven tactics into practice in hospitals and healthcare settings across the country to prevent violence before it happens. I’m grateful for the bipartisan coalition — backed by the support of the workers directly affected by this violence — who has worked tirelessly to move this legislation forward year after year.”
“We rely on our healthcare workers every day to protect our communities, and in turn, we need to protect them from senseless acts of violence,” argues Senator Tammy Baldwin (D-WI), “That’s why I am introducing legislation to give our healthcare professionals long-overdue basic protections, helping address our healthcare workforce shortage and keeping our frontline heroes safe.”
OSHA to take stab at interim final rule first
If either bill becomes law, it will direct OSHA to issue an interim final rule (not just a proposed rule) within one year. Prior to issuing the interim final rule, the agency would publish a notice with a 30-day comment period.
The interim rule must be based on “Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers,” a booklet published by OSHA in 2015. In addition, the rule would call for employers with certain HCSA settings to develop and implement a comprehensive workplace violence prevention plan (WVPP) within six months. While the rule would need to take effect no later than 30 days after issuance, delayed compliance dates are allowed to phase in engineering controls.
If OSHA fails to issue the interim rule on time, the provisions in the bill would take effect one year after enactment. OSHA would also be required to enforce those provisions. They would remain in place until the agency issues an interim final rule.
Proposed rule then final rule to hit later
Within two years after the Act’s enactment, OSHA would also be obligated to publish a proposed WPV for HCSA rule. A permanent final rule would follow no later than 42 months after enactment of the Act. The permanent rule can be no less protective than any workplace violence standard adopted in California, Washington state, or any other state-plan state.
The two bills list covered facilities and exclusions. Mandated regulatory provisions of a permanent rule would include:
- Written WVPP,
- Violent incident investigation,
- Training and education,
- Recordkeeping and records access,
- Annual reporting to OSHA,
- Annual WVPP evaluation,
- WVPP updates, and
- Anti-retaliation.
OSHA can target work violence violations without a rule
Right now, there’s no federal OSHA standard on workplace violence. Yet, OSHA can cite and has cited section 5(a)(1), the General Duty Clause, of the Occupational Safety and Health Act when the agency finds employers that expose workers to this recognized hazard. While the two bills and even the upcoming OSHA rulemaking focus on just HCSA settings, General Duty Clause citations can be used in ANY industry with work violence hazards.
Key to remember
Lawmakers re-introduced companion bills (H.R. 2531 and S. 1232) to require OSHA to issue an interim WPV final rule within one year. Just one of the bills must pass both the House and Senate before it can be signed into law. Meanwhile, all eyes will be on OSHA's upcoming Spring Agenda to see if the existing WPV rulemaking will be a priority during this administration.