This part does not apply to State hospitals. Each hospital licensed under this title shall comply with the staffing standards of: The accreditation body that accredits the hospital; and The federal Centers for Medicare and Medicaid Services conditions of participation. A clinical staffing plan developed under this part shall comply with this subsection. Each hospital licensed under this title shall establish and maintain a clinical staffing committee that: If the hospital has 150 or fewer licensed beds, has 3 managers and 2 employees; or If the hospital has 151 or more licensed beds, has 5 managers and 4 employees. Each clinical staffing committee established under this part may include: A certified nursing assistant; A dietary aide; A licensed nurse; An environmental service worker; A medical resident, if the committee is in a teaching hospital; A staff physician who is not a hospital employee or administrator; A technician; or An employee whose duties include patient advocacy. The chief nurse executive of each hospital shall produce a draft clinical staffing plan and submit it to the clinical staffing committee of the hospital. Each clinical staffing committee shall finalize a clinical staffing plan that meets patient needs using the plan submitted under paragraph (1) of this subsection. When finalizing a clinical staffing plan, the clinical staffing committee shall consider: Existing staffing levels; Methods to secure coverage needs as necessary; Existing gaps in staffing and how to address the gaps; Any available evidence–based staffing standards; A schedule for periodic review of the staffing plan; Appropriate skill mix and competency of staff; Standards required by: The Centers for Medicare and Medicaid Services conditions of participation; and The accreditation body that accredits the hospital; The average number of patients of the hospital during the immediately preceding year and relevant information regarding patient discharges, potential admissions, and transfers; The average level of acuity for patients of the hospital during the immediately preceding year and the corresponding level of nursing care required; and An estimate of the appropriate combination of skill, experience level, and specialty certification or training of staff that is required to adequately provide care to patients of the hospital.