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HB 4074Directs a hospital to implement a hospital-wide nurse staffing plan that has been developed and adopted by the hospital nurse staffing committee or, if the committee has not adopted a plan, a hospital-wide nurse staffing plan that meets the statutory requirements.

Congress · introduced 2026-01-16

Digest: Makes changes to the laws regarding hospital nurse staffing plans. (Flesch Readability Score: 61.3). Directs a hospital to implement a hospital-wide nurse staffing plan that has been developed and adopted by the hospital nurse staffing committee or, if the committee has not adopted a plan, a hospital-wide nurse staffing plan that meets the statutory requirements. Directs that the statutory direct care registered nurse-to-patient staffing ratios constitute the nurse staffing plan for a unit if the hospital nurse staffing committee has not adopted a nurse staffing plan for the unit. Changes from four to five the number of patients that a direct care registered nurse may be assigned for a medical-surgical unit under the statutory staffing ratios. Allows a type C hospital to vary from the statutory direct care registered nurse-to-patient staffing ratios. Modifies the definition of type C hospital. Requires a unit manager to notify the cochairs of the hospital nurse staffing committee after each deviation from a nurse staffing plan. Directs the Oregon Health Authority to determine whether a complaint is valid or not within 30 days after receiving the complaint. Requires the authority to accept an attestation from a hospital as sufficient documentation the hospital took certain actions. Establishes a maximum amount in civil penalties that may be imposed for violations of the hospital staffing requirements. Directs that all civil penalties collected shall be paid into the Hospital Quality Assurance Fund. Requires the authority to submit an annual report on the number and types of violations to the committees or interim committees of the Legislative Assembly related to health care. Prohibits the impositions of civil penalties for violations that occur before July 1, 2030.

Latest action: In House Committee

Sponsors

Action timeline

  1. · state_lower First reading. Referred to Speaker's desk.
  2. · state_lower Referred to Health Care.
  3. · state_lower Public Hearing held.
  4. · state_lower In committee upon adjournment.

Text versions

No text versions on file yet — same ingest as the action timeline populates these. Each version has direct links to the XML / HTML / PDF at govinfo.gov.

Who matters

Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.

#MemberRoleSpeechesVotedScore
1Diehl, Ed (R, state_lower OR-17)sponsor05
2McIntire, Emily (R, state_lower OR-56)sponsor05
3Reschke, E. Werner (R, state_lower OR-55)cosponsor01

Predicted vote

Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.

0 predicted yes (0%) · 543 predicted no (100%) · 0 unknown (0%)

By party: · R: 0 yes / 277 no · D: 0 yes / 263 no · I: 0 yes / 3 no

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