A Republican bill with 1 Democratic cosponsor · See the cosponsor
Last activity — 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The Enhancing Skilled Nursing Facilities Act aims to amend titles XVIII and XIX of the Social Security Act. The bill focuses on streamlining care delivery within skilled nursing facilities and nursing facilities under the Medicare and Medicaid programs. It introduces changes regarding how services are supervised and certified. Specifically, it expands the types of healthcare providers allowed to provide or supervise care. These changes include nurse practitioners, physician assistants, and clinical nurse specialists. The amendments are designed to function in accordance with State law.
Yes· 3 of 6
- Scored +5
Would people over 65 be better off under this?
Seniors in skilled nursing facilities benefit from more flexible and streamlined care delivery by various healthcare providers.
- Scored +5
Would retired people be better off under this?
Retirees using Medicare in skilled nursing facilities will benefit from expanded provider options for supervision and care.
- Scored +5
Does this make health care easier to get in general?
The bill improves access to care by allowing nurse practitioners, physician assistants, and clinical nurse specialists to provide and supervise care in skilled nursing facilities.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Expanded Care Providers in Medicare: The bill amends various sections of the Social Security Act to allow nurse practitioners and physician assistants to be included in the administration of part b (Section 2(a)(3)).
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Flexible Supervision Requirements: Under Medicare, the bill changes the supervision requirement to allow for a nurse practitioner or a physician assistant to provide supervision in accordance with State law (Section 2(a)(2)).
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Broader Scope of Services: The bill updates the scope of services to include nurse practitioners, physician assistants, or clinical nurse specialists working in accordance with State law (Section 2(a)(5)).
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Enhanced Resident Rights: The bill amends resident rights provisions to include nurse practitioners, physician assistants, or clinical nurse specialists working in accordance with State law (Section 2(a)(6)).
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Streamlined Medicaid Certification: For Medicaid, the bill expands the certification process for skilled nursing facility services to include nurse practitioners, physician assistants, or clinical nurse specialists working in accordance with State law (Section 2(b)(1)).
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Flexible Medicaid Supervision: The bill allows the health care of every resident under Medicaid to be provided under the supervision of a nurse practitioner or a physician assistant, or at the option of a State, a clinical nurse specialist (Section 2(b)(2)).
Potential Negative Impacts for People
- No specific negative impacts are explicitly detailed in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would retired people be better off under this? — Retirees using Medicare in skilled nursing facilities will benefit from expanded provider options for supervision and care. Would people over 65 be better off under this? — Seniors in skilled nursing facilities benefit from more flexible and streamlined care delivery by various healthcare providers. Would households on low incomes be better off under this? — The bill may improve the quality and efficiency of care for low-income individuals relying on Medicaid-funded nursing facilities.
- Healthcare
- Does this make health care easier to get in general? — The bill improves access to care by allowing nurse practitioners, physician assistants, and clinical nurse specialists to provide and supervise care in skilled nursing facilities. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill expands the roles of healthcare providers within the Medicaid certification process for skilled nursing facilities. Does this put more money into Medicare, the health coverage for people over 65? — The bill expands the scope of services and supervision capabilities within Medicare without explicitly increasing the total funding budget.
- 1/15/2026
- 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.
- 1 Cosponsor added.
- Introduced in House
Debbie DingellDemocrat · Michigan