BOSTON – Wednesday, November 19, 2025 – Representative LaNatra joined her colleagues in the Massachusetts House of Representatives in unanimously supporting legislation that strengthens protections for health care workers, establishes preventive and protective standards to reduce the risk of violence, improves health care facility incident reporting, enhances interagency coordination to safeguard privacy, and creates legal protections for certain employees harmed in the line of duty.
“Our health care workforce is the backbone of Massachusetts nation-leading health care system. For too long, this workforce has endured violence in the workplace that has gone unaddressed on a state level.” said Representative Kathy LaNatra (D – Kingston). “It is our job to ensure that health care workers do not have to worry for their own safety while trying to deliver the best care for their patients. This legislation affirms the Legislature’s commitment to protecting and strengthening the health care workforce and is a critical step in reducing workplace violence and giving workers the protections and benefits they deserve when it does happen. Thank you to Speaker Mariano, Chairman Lawn and Chairman Cahill for their leadership and thank you to Massachusetts Nurses Association, 1199SEIU and the Massachusetts Health & Hospital Association for working collaboratively with the legislature to address the health care workplace violence crisis.”
Every 38 minutes in Massachusetts health care facilities someone, most often a clinician or an employee, is physically assaulted, endures verbal abuse, or is threatened, according to the Massachusetts Health & Hospital Association. Violence against health care workers most often occurs in emergency rooms, inpatient units and psychiatric units. To support a culture of safety and respect in health care facilities, the bill passed takes the following approach:
Prevention Plans, Training and Reporting
• Establishes a statewide requirement for health care employers to address workplace violence through a standardized framework, requiring annual and facility-specific risk assessments conducted with employees and labor representatives to identify factors that place staff at risk.
• Mandates a written violence prevention plan that includes hazard mitigation strategies, employee training, post-incident debriefing and a crisis response program.
• Requires annual reporting of workplace violence incidents to the Department of Public Health (DPH) and district attorneys, supporting statewide and county-level data tracking while maintaining data privacy. The de-identified data will be publicly published and categorized by occupation and incident type.
• Imposes civil penalties against a health care employer for noncompliance (up to $2,000 per violation) and protects employees from retaliation.
Criminal Protections and Penalties for Assaults Against a Health Care Workers
The bill codifies graduated penalties for assaulting an employee or contracted employee in the line of duty. With 91 percent of violent incidents in hospitals committed by patients against workers, it focuses on health care settings where violence is most prevalent. Strengthening these protections ensures that direct health care providers, and the staff who support facility operations, on-site administrative work, security, or emergency medical transportation, have an opportunity to seek the justice that they are entitled to through the following penalties:
• Assault causing bodily injury: Up to 5 years in state prison, up to 2.5 years in a jail or house of correction, a fine of $500 – $5,000, or combination of imprisonment and fines.
• Assault causing serious bodily injury: Up to 10 years in state prison, up to 2.5 years in a jail or house of correction, a fine of $500 – $5,000 fine, or combination of imprisonment and fines.
Paid Leave for Employees
This bill establishes that employees directly employed by a health care employer in high-acuity settings, who suffer workplace violence resulting in bodily injury or serious bodily injury are entitled to paid leave without using any accrued time (vacation, sick or personal).
Privacy Protection for Employees and Union Members
Victims of workplace violence who are employed directly by a health care facility, or who are union members, may provide either the address of their health care facility or that of their labor organization instead of their personal home address for all court documents related to a workplace violence incident.
Alternative Pathways for Behavioral and Mental Health and Data Protection
• Mandates a statewide report from the Executive Office of Health and Human Services (EOHHS) and the Executive Office of Public Safety and Security (EOPSS) to improve care and alternative treatment options for those with mental or behavioral health diagnoses, and for criminal justice patients.
• Requires identification of new, non-arrest pathways to reduce unnecessary criminal justice involvement for high-acuity behavioral health patients.
• All recommendations must include strong safeguards, penalties for data misuse, and full compliance with federal confidentiality laws, including heightened protections for behavioral health and substance-use information.
• Ensures that improving data sharing of workplace violence incidents to improve safety does not come at the expense of any patient or health care worker’s privacy.
The bill passed the House of Representatives 158-0. It now goes to the Senate for consideration.