OSHA sidelines ‘Workplace Violence in Health Care and Social Assistance’ proposed rule
An OSHA proposed rule — ‘Workplace Violence in Health Care and Social Assistance’ — was surprisingly moved to be a Long-Term Action item, according to the Spring 2025 regulatory agenda that came out on September 4.
Long-Term Actions are items under development, but the agency doesn’t expect to have a regulatory action within the 12 months after the latest edition of the agenda. These regulatory agendas are published twice per year, so any progress with this rule, if any, won’t happen for at least one year.
This turn of events is surprising since OSHA has been working on a standard for preventing workplace violence in health care and social assistance settings. In the fall regulatory agenda, which came out in December 2024, it was in the proposed rule stage. OSHA had planned to publish the proposed rule in the Federal Register in June 2025. So, this abrupt change is unexpected.
Background on this federal workplace violence proposed rule
OSHA recognizes the seriousness of the issues of violence in health care, as the agency states in the rule, “Workplace violence against employees providing healthcare and social assistance services is a serious and longstanding concern.”
Data from the U.S. Bureau of Labor Statistics reports that health care and social assistance experienced the highest counts and annualized incidence rates for workplace violence of any private industry sector over the two-year period from 2021-2022. There were 41,960 total nonfatal cases of workplace violence requiring days away from work, job restriction, or transfer in the health care and social assistance industry over this time, accounting for 72.8 percent of all cases in private industry over the two-year period.
OSHA issued “Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers” in 1996 and updated the guidelines in 2004 and 2016. OSHA has also used the general duty clause (Section 5(a)(1) of the Occupational Safety and Health Act) in enforcement cases addressing workplace violence in health care.
OSHA published a Request for Information on December 7, 2016, seeking information about the extent and nature of workplace violence in the industry and the nature and effectiveness of interventions and controls used to prevent such violence. Also in 2016, a broad coalition of labor unions petitioned OSHA to issue a standard to address workplace violence in health care, and National Nurses United submitted a separate petition for a workplace violence standard.
On January 10, 2017, OSHA granted the petitions. In accordance with the requirements of the Small Business Regulatory Enforcement Fairness Act, OSHA convened a Small Business Advocacy Review (SBAR) panel in March 2023 to consider a potential standard for prevention of workplace violence in health care and social assistance. The SBAR Panel issued its report on May 1, 2023.
The next step in the regulatory process is the Notice of Proposed Rulemaking (or NPRM). Instead of listing a date for the NPRM on the site, it now says, “To Be Determined.”
Key to remember: OSHA moved the ‘Workplace Violence in Health Care and Social Assistance’ proposed rule to be a Long-Term Action item. No progress is expected for at least one year.