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HR 4138 110th Congress House

Registered Nurse Safe Staffing Act of 2007

Official title: To amend title XVIII of the Social Security Act to impose minimum nurse staffing ratios in Medicare participating hospitals, and for other purposes.

Introduced: November 9, 2007 See on congress.gov
Health Administrative remediesCivil Rights and Liberties, Minority IssuesCivil actions and liabilityCommerce
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Consumer complaintsConsumer educationDamagesDepartment of Health and Human ServicesDisciplining of employeesDiscrimination in employmentDiscrimination in medical careDismissal of employeesElectronic government informationFinance and Financial SectorFines (Penalties)Government Operations and PoliticsGovernment paperworkGovernment publicityGovernmental investigationsGrievance proceduresHospital careHospital personnelHospitalsInternetLabor and EmploymentLabor unionsLawLegal feesLicensesLimitation of actionsMedical recordsMedicareNursesNursingPatient satisfactionPatients' rightsPromotionsScience, Technology, CommunicationsSocial WelfareWage restitutionWeb sitesWhistle blowing
This bill died when the 110th Congress ended
It never became law before the 110th Congress (2007–2008) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Nov 19, 2007
Referred to the Subcommittee on Health.
Nov 9, 2007
Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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.
Nov 9, 2007
Introduced in House
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 Latest action November 19, 2007

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Registered Nurse Safe Staffing Act of 2007 - Amends part D (Miscellaneous) of title XVIII (Medicare) of the Social Security Act (SSA) to: (1) require each participating hospital to adopt and implement a staffing system that ensures a number of registered nurses on each shift and in each unit of the hospital to ensure appropriate staffing levels for patient care; (2) provide for the public reporting of certain staffing information, including a daily posting for each shift in the hospital of the current number of licensed and unlicensed nursing staff directly responsible for patient care; (3) prescribe recordkeeping, data collection, and evaluation requirements for participating hospitals; (4) specify civil monetary penalties for violations of such requirements; and (5) provide whistleblower protections.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
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APA
U.S. Congress. (2026). H.R. 4138: Registered Nurse Safe Staffing Act of 2007. 110th Congress. Open America. https://openamerica.io/bill/110-HR-4138/
MLA
"H.R. 4138: Registered Nurse Safe Staffing Act of 2007." 110th Congress, 2026, Open America, https://openamerica.io/bill/110-HR-4138/.
Bluebook (legal)
H.R. 4138, 110th Cong. (2026), https://openamerica.io/bill/110-HR-4138/.
Markdown link
[H.R. 4138: Registered Nurse Safe Staffing Act of 2007](https://openamerica.io/bill/110-HR-4138/)
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