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119th Congress
Independent · Nonpartisan · Reader-supported
HOUSEH.R. 1303· 119th Congress

Bill blocks new nursing home staffing rules

Protecting America’s Seniors’ Access to Care Act

Sponsor
Michelle Fischbach (R-MN)
Introduced
Feb 13, 2025
Last Action
Feb 13, 2025
Passage
28%
Introduced
Feb 13, 2025
2
Committee
3
Floor Vote
4
Both Chambers
5
Enacted
01 — The Text

What.

  • Blocks a May 2024 Medicare/Medicaid rule requiring minimum nurse staffing in long-term care facilities.
  • Prevents enforcement of 24/7 onsite nurse requirement and 3.48 nurse hours per resident per day minimum.
  • Stops requirement for states to report how much Medicaid pays direct care workers in nursing homes.
02 — The Stakes

So what?

  • Nursing home operators avoid compliance costs; unclear if staffing levels would drop without the rule.
  • Seniors and disabled residents lose potential protections tied to minimum staffing standards.
  • State governments won't have to track or publish care worker pay data, reducing transparency.
03 — The Path

Now what?

  • Bill introduced Feb. 13, 2025; referred to two House committees. No votes scheduled yet.
  • 26 cosponsors suggest some bipartisan or unified-caucus support, but passage uncertain.
  • Contact your House representative to support or oppose before committee action.
Legislative History

Actions.

  • Feb 13, 2025Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
  • Feb 13, 2025Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
  • Feb 13, 2025Introduced in House
  • Feb 13, 2025Introduced in House