Nursing & Residential Care

Nursing homes, assisted living, and residential care providers. Staffing standards, survey and enforcement, payment terms, and quality reporting reach the facility directly.

Measures whose provisions reach this industry directly, verified against the bill text. Measures written for this industry lead the list, then measures that plainly change how it operates; within each, the likeliest to become law come first. Measures that have become law or failed are removed. Measures written to all of Health Care are included and marked Sector-wide.

Measures that reach Nursing & Residential Care directly

HR 9641 US House Last action
July 15, 2026 BurdenLong shot

Essential Caregivers Act of 2026

Claudia Tenney (Republican) · Sponsor of record · Official record ↗

What it does: The bill would require nursing homes, skilled nursing facilities, long-term care hospitals, inpatient rehabilitation facilities, and intermediate care facilities for individuals with intellectual disabilities to let each resident elect 2 essential caregivers who get in-person access whenever regular visitation is suspended, though facilities may impose limits such as denying access for the first 7 days, barring caregivers with symptoms or safety-protocol violations, and allowing only 1 caregiver at a time, while end-of-life access may never be denied or limited. It would also require the state survey agency to prioritize investigating complaints about denied caregiver access and notify complainants of the outcome within 3 days, bar these requirements from being waived during emergencies, direct federal health officials to write implementing regulations within 18 months, and make the rules apply starting 2 years after enactment. This bill requires nursing homes, skilled nursing facilities, long-term care hospitals, inpatient rehabilitation facilities, and intermediate care facilities to operate an essential caregivers program, letting each resident elect two caregivers with guaranteed in-person access even during visitation suspensions.
Where it stands: HR9641 was referred to the House Committee on Energy and Commerce and the House Committee on Ways and Means on July 13, 2026, and on July 15, 2026 Ways and Means held a markup and voted to order the bill reported in the nature of a substitute by a vote of 38 to 0. The record so far shows no written report filed and no calendar placement, and the source does not establish either committee as the primary panel.

HR 8883 US House Last action
May 21, 2026 BurdenLong shot

Protecting Seniors and Stopping Fraudsters Act

Beth Van Duyne (Republican) · Sponsor of record · Official record ↗

What it does: The bill would tighten Medicare oversight of hospice programs and home health agencies by requiring revalidation of hospice enrollment in states flagged for fraud, more frequent surveys of newly enrolled or recently sold providers, fingerprinting and proof of comprehensive liability insurance for applicants deemed at extreme risk of fraud, and a steeper Medicare payment cut for providers that fail to submit required quality data, rising to 15 percentage points starting in 2029 from 4 percentage points for hospices and 2 for home health agencies. It would also raise accreditation organizations' surveyor and training standards, extend the Medicare hospice cap amount adjustment through 2036, send patients written notice of their hospice election rights within 15 days funded by a $6 million annual transfer, require annual reports to Congress on program integrity activities, and fund the new survey work with a $190 million transfer from the Medicare Hospital Insurance Trust Fund for fiscal year 2026. This bill requires hospice programs and nursing facilities to face more frequent surveys, stricter accreditation standards, and a Medicare payment cut up to 15 percentage points starting in 2029 if they fail to submit quality data.
Where it stands: On May 19, 2026 the bill was referred to the House Committees on Ways and Means and on Energy and Commerce, and on May 21, 2026 the Ways and Means Committee, meeting in markup, ordered the bill reported in the nature of a substitute by a vote of 27 to 16. No written report has been filed and no calendar placement appears on the record, and Energy and Commerce has taken no recorded action on its referral.

HR 10547 US House Last action
September 24, 2026 MixedLong shot

PACE Access Improvement Act

Debbie Dingell (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would change the PACE program, an all-inclusive care program for frail elderly people under Medicare and Medicaid, to let eligible people enroll at any time during a month starting in 2027, with payments to providers prorated for partial months, and to require states, rather than leaving it optional, to make PACE services available to all eligible individuals with no enrollment caps. It would also speed up federal review of PACE applications by allowing entities to apply at any time and treating applications as approved if the Secretary does not act within 45 days, let established providers add a site in their existing service area with only a notice instead of an application, let applicants begin marketing as soon as they file a complete application, and remove the numerical limit on approving new PACE programs. This bill directly benefits nursing and residential care providers running PACE programs by allowing anytime enrollment with prorated payments, faster deemed approval of applications, notice-based site additions, earlier marketing, no enrollment caps, and eligibility for for-profit operators.
Where it stands: The PACE Access Improvement Act was referred on September 24, 2026 to the House Committee on Energy and Commerce and in addition to the Committee on Ways and Means, for consideration of the provisions within each committee's jurisdiction, with the period of each referral to be determined by the Speaker. No meetings, including any markup, are scheduled in our calendar data for either committee.

S 5497 US Senate Last action
September 24, 2026 BenefitLong shot

Providing Veterans Essential Medications Act

Angus S. King, Jr. · Sponsor of record · Official record ↗

What it does: The bill would require the Secretary of Veterans Affairs, at the request of a state veterans home, to either reimburse the home for or directly supply costly medications given to veterans receiving nursing home care there, with a costly medication defined as one whose monthly average wholesale price plus a 3 percent transaction fee exceeds 8.5 percent of the VA's payment for that veteran's care. This coverage would come in addition to the payments state homes already receive under existing law. This bill benefits State veterans homes providing nursing home care under VA contracts by letting them choose either federal reimbursement for costly medications or direct furnishing of those drugs by the VA.
Where it stands: S5497, the Providing Veterans Essential Medications Act, was read twice and referred to the Senate Committee on Veterans' Affairs on September 24, 2026. It now sits at the committee stage, the chamber's most common kill point, with no upcoming meetings scheduled in our calendar data.

HR 9940 US House Last action
July 23, 2026 BenefitLong shot

Disability Community Act of 2026

Paul Tonko (Democrat) · Sponsor of record · Official record ↗

What it does: The bill temporarily raises the federal government's share of Medicaid costs to 90 percent for expenses related to regulatory compliance in intellectual and developmental disabilities facilities during 2027 through 2029. It also updates outdated terminology in the Social Security Act to replace references to mental retardation with intellectual and developmental disabilities. This bill gives nursing homes, assisted living, and residential care providers that operate intermediate care facilities or home and community-based services for people with intellectual and developmental disabilities a 90 percent federal Medicaid funding share for regulatory compliance costs in 2027 through 2029.
Where it stands: HR9940 was referred to the House Committee on Energy and Commerce on July 23, 2026, where it awaits committee action. The committee chair controls whether the bill proceeds to a markup or receives a hearing, and no future meetings are currently scheduled.

HR 9844 US House Last action
July 22, 2026 BenefitLong shot

CHARTS Act

Emanuel Cleaver (Democrat) · Sponsor of record · Official record ↗

What it does: This act directs the Secretary of Health and Human Services to award grants of up to $500,000 to long-term care and post-acute care providers for developing and adopting health information technology. The bill authorizes $5 million in appropriations for each of fiscal years 2027 and 2028 to fund these three-year grants, which prioritize providers serving Medicare and Medicaid beneficiaries. This bill gives skilled nursing facilities and other long-term care providers that serve Medicare and Medicaid patients federal grants of up to $500,000 to buy and adopt health information technology systems.
Where it stands: HR9844 was referred on July 22, 2026, to the Committee on Energy and Commerce and additionally to the Committee on Ways and Means, with the Speaker determining the referral period for each panel. The bill is in committee consideration, where the chairs of both committees control whether a hearing or markup occurs.

HR 9703 US House Last action
July 15, 2026 BenefitLong shot

Improving Access to Transfusion Care for Hospice Patients Act of 2026

Debbie Dingell (Democrat) · Sponsor of record · Official record ↗

What it does: This bill requires the Center for Medicare and Medicaid Innovation to establish a model within one year that pays for blood transfusions for hospice patients separately from the standard bundled hospice payment. The model uses the same payment rates as non-hospice Medicare beneficiaries and evaluates outcomes using specific metrics like hospital utilization and transfusion frequency. This bill requires Medicare to pay hospice providers, including nursing and residential care facilities that furnish hospice services, separately for blood transfusions instead of out of the fixed per diem, increasing their reimbursement for that care.
Where it stands: HR 9703 was referred to the House Committee on Ways and Means on July 15, 2026, and no hearing or markup is currently scheduled.

S 4889 US Senate Last action
June 24, 2026 BenefitLong shot

Supporting Our Direct Care Workforce and Family Caregivers Act

Tim Kaine (Democrat) · Sponsor of record · Official record ↗

What it does: The bill authorizes $1 billion in grants for fiscal year 2027 to help states, nonprofits, and other entities recruit, train, and retain direct care professionals and support family caregivers. It also authorizes $2 million annually for fiscal years 2027 through 2031 to establish a national technical assistance center that develops training curricula and career pathway recommendations for this workforce. This bill gives nursing homes, assisted living, and residential care facilities access to $1 billion in federal grants that subsidize recruiting, training, and retaining their direct care staff, easing facility staffing costs.
Where it stands: The bill was read twice and referred to the Senate Committee on Health, Education, Labor, and Pensions on June 24, 2026. A prior version, S1298, was referred to the same committee in 2023 but was not reported, while the related House bill HR8540 remains referred to House committees.

HR 10729 US House Last action
October 5, 2026 MixedLong shot

Long-Term Rural Health Investment Act of 2026

Sector-wide

Sharice Davids (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would roll back parts of the 2025 budget law's Medicaid changes by letting state directed payments run at up to 200 percent of Medicare rates (or average commercial rates where Medicare rates are not published) for rating periods starting in 2030, phasing down previously approved payments by 10 percent a year rather than cutting them off, and reverting to the older payment rules until then. It would also require states to submit detailed data on these payments through the Medicaid reporting system starting in 2027, and would repeal the 2025 law's restrictions on state provider taxes while rescinding money appropriated under one of those provisions.
Where it stands: HR10729 was referred to the House Committee on Energy and Commerce on October 5, 2026, and no further action is recorded. The bill is at the committee stage, where a hearing or a markup would be noticed at the discretion of the committee chair.

HR 10716 US House Last action
October 1, 2026 BurdenLong shot

Integrity for Taxpayers Act

Sector-wide

David J. Taylor (Republican) · Sponsor of record · Official record ↗

What it does: The bill would tighten federal health care program exclusion rules so the HHS Inspector General can bar an entity from Medicare and Medicaid when that entity was owned or controlled by a sanctioned person at the time of the person's conviction, civil monetary penalty, or exclusion, even if the ownership has since changed hands. It would apply the same timing rule to individuals, allowing exclusion of a person who was an officer or controlling owner of a sanctioned entity at the time of the sanction, and it would fix a cross-reference in the underlying definition.
Where it stands: HR10716, the Integrity for Taxpayers Act, was referred on October 1, 2026 to the House Committee on Energy and Commerce and in addition to the House Committee on Ways and Means, with the period of each referral to be determined by the Speaker. The bill is now at the committee stage, where hearings are optional and a markup happens only if a chair notices one.

HR 9234 US House Last action
June 9, 2026 MixedLong shot

Careworker Visa Act of 2026

Gabe Vasquez (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would create a new W visa allowing up to 100,000 foreign careworkers per year to come to the United States temporarily to provide childcare, eldercare, or in-home support for people with disabilities, sponsored by families or caregiving businesses with fewer than 25 employees that pass a Labor Department certification and pay the local prevailing wage. Visas would last 3 years with renewals and a path to permanent residence, certain unauthorized or precarious careworkers already in the country could adjust into the new status by paying taxes and fees, and employers would face petition fees, wage attestations, recordkeeping duties, and new whistleblower and anti-retaliation protections, with the whole program taking effect 90 days after enactment. This bill lets small nursing and residential care facilities with fewer than 25 employees sponsor foreign careworkers through a new W visa, while requiring them to pay prevailing wages, file petitions, and keep records, but bars larger facilities from sponsoring.
Where it stands: HR9234 was referred to the House Committee on the Judiciary on June 9, 2026 and has had no further action since. It sits at the referred stage, where a bill waits for the committee chair to decide whether anything happens next.

S 4641 US Senate Last action
May 21, 2026 BenefitLong shot

Improving Access to Medicare Coverage Act of 2026

Susan M. Collins (Republican) · Sponsor of record · Official record ↗

What it does: The bill would change Medicare so that time a patient spends in a hospital on outpatient observation services counts toward the 3-day inpatient hospital stay required before Medicare covers skilled nursing facility care, applying to observation stays starting on or after January 1, 2026 and to certain denied claims for completed care if an appeal is filed within 90 days of enactment. This bill lets time a patient spends in hospital outpatient observation count toward Medicare's 3-day inpatient requirement, so more beneficiaries qualify for Medicare-covered skilled nursing facility stays, increasing patient volume for nursing homes.
Where it stands: S4641, the Improving Access to Medicare Coverage Act of 2026, was read twice and referred to the Committee on Finance on May 21, 2026, where it now sits. Under Senate practice, the committee need not act on a referred bill, and most bills at this stage never receive a hearing or markup.

HR 8737 US House Last action
June 5, 2026 MixedLong shot

Never Fight Alone Act

Jimmy Patronis (Republican) · Sponsor of record · Official record ↗

What it does: The bill would expand the VA Community Care Program so that veterans who qualify for priority admission to a VA residential mental health or substance-use treatment program but cannot be accommodated by the VA, or who cannot get such services from the VA within its access standards, may instead receive those residential services from community providers that are licensed and accredited by a State and accredited by the Joint Commission or CARF, with individual waivers allowed when no alternative program is available or the waiver is in the veteran's best interest. It would also bar the VA from denying a veteran care solely because community providers cannot meet wait-time or access standards, let veterans choose their preferred option when multiple care options exist, require annual VA reporting on how many community care requests are approved or denied including mental health data, require the VA within 90 days to set mental health access standards no more restrictive than those for specialty care, and block any later VA change to community care access conditions from taking effect until Congress approves it. This bill sends VA-referred, VA-funded veterans to community residential mental health and substance-use treatment facilities that hold state licensure plus Joint Commission or CARF accreditation, expanding their patient base while barring facilities without those credentials from eligibility.
Where it stands: HR8737, the Never Fight Alone Act, was referred to the House Committee on Veterans' Affairs on May 12, 2026 and then referred to its Subcommittee on Health on June 5, 2026. The bill sits at the earliest stage of committee consideration, the posture in which the chair can simply never schedule further action and the bill lapses when the Congress ends.

S 4499 US Senate Last action
May 12, 2026 MixedLong shot

ALERT Act of 2026

Thom Tillis (Republican) · Sponsor of record · Official record ↗

What it does: The bill would require the federal health department, through the CDC, to run a five-year program expanding the National Healthcare Safety Network to give nursing homes nationwide real-time infectious disease monitoring, a central hub of epidemiologists, and immediate outbreak alerts to health officials, with as much money as necessary authorized for fiscal years 2027 through 2031. It would let the government hire a US-based, HITRUST-certified contractor with state or local surveillance experience to build the system, bar electronic medical records companies from that contract, forbid using the collected data for enforcement unless expressly authorized by law, and include a study and report to Congress at the end. This bill requires nursing homes to report infectious disease data into an expanded NHSN surveillance system, while allowing skilled nursing facilities to opt into a federally supported staffed care management program over five years.
Where it stands: The bill was read twice and referred to the Senate Committee on Health, Education, Labor, and Pensions on May 12, 2026, and it now sits stalled in committee with no meetings scheduled in our calendar data.

HR 8662 US House Last action
May 4, 2026 BenefitLong shot

To provide assisted living assistance through Medicaid and low-income housing tax credit.

Max L. Miller (Republican) · Sponsor of record · Official record ↗

What it does: This bill would require states to cover assisted living services in their Medicaid programs for eligible low-income individuals if the cost is no greater than hospital or nursing facility care. It also adds projects that provide long-term services in non-institutional settings to the list of priorities that states must consider when allocating low-income housing tax credits. This bill requires states to cover assisted living services under Medicaid when cheaper than nursing facility or hospital care, giving assisted living facilities a new payer source while shifting patients away from nursing homes.
Where it stands: HR8662 was referred on May 4, 2026, to the House Committee on Ways and Means and the House Committee on Energy and Commerce for consideration of provisions within their respective jurisdictions. No upcoming meetings are scheduled, and the bill is currently stalled in the committee stage.

S 4479 US Senate Last action
April 30, 2026 BenefitLong shot

ACCESS Act

Roger Marshall (Republican) · Sponsor of record · Official record ↗

What it does: This bill requires Medicaid to cover services provided in assisted living residences for eligible individuals who would otherwise need hospital or nursing facility care, effective January 1, 2027. It also adds a new selection criterion for state qualified allocation plans under the low-income housing tax credit to favor projects that reduce long-term care costs by providing services in non-institutional settings, applicable to allocations after January 1, 2027. This bill requires Medicaid to cover services provided in assisted living residences starting January 1, 2027, so eligible assisted living and residential care facilities gain a new payment source for residents who would otherwise need nursing facility care.
Where it stands: The ACCESS Act was read twice and referred to the Senate Committee on Finance on April 30, 2026, where it remains without any scheduled meetings or markup notices.

S 4467 US Senate Last action
April 30, 2026 MixedLong shot

Ensuring Seniors’ Access to Quality Care Act

Mark R. Warner (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would prohibit skilled nursing and nursing facilities from offering their own nurse aide training and competency evaluation programs if they have received significant civil monetary penalties for substandard care that remains uncorrected. It would also expand access to the National Practitioner Data Bank to allow more health care providers and suppliers to conduct employee background checks. This bill bars skilled nursing and nursing facilities hit with civil monetary penalties of at least $10,697 for uncorrected substandard care from running their own nurse aide training programs for up to two years, while lifting that ban for facilities on books at enactment.
Where it stands: S4467 was read twice and referred to the Committee on Finance on April 30, 2026, and remains in committee with no scheduled meetings. The companion bill HR7096 is also pending in House committees, while the prior version S1749 failed to advance in the previous Congress.

HR 8540 US House Last action
April 28, 2026 BenefitLong shot

HCBS Access Act

Debbie Dingell (Democrat) · Sponsor of record · Official record ↗

What it does: This bill would require states to cover home and community-based services as a mandatory Medicaid benefit and provide federal grants to train and recruit direct care workers. It would also eliminate Medicaid estate recovery programs and liens against beneficiaries' property. This bill directly affects assisted living and residential care providers by making assisted living services a mandatory Medicaid benefit while shifting demand away from institutional care toward home and community-based alternatives.
Where it stands: The HCBS Access Act is currently at the referred stage, having been sent to four committees on April 28, 2026. Although the source does not designate a primary panel, the chairs of the Energy and Commerce, Education and Workforce, Oversight and Government Reform, and Ways and Means committees each control whether their respective panels take any action on the measure.

HR 8541 US House Last action
April 28, 2026 MixedLong shot

Long-Term Care Workforce Support Act

Debbie Dingell (Democrat) · Sponsor of record · Official record ↗

What it does: This proposal would provide substantial federal funding and tax incentives to strengthen the long-term care workforce through increased Medicaid payments, grants, and training programs. It would also impose new workplace safety, wage protection, and paid sick leave requirements on health care and social service employers. This bill boosts Medicaid payments, FMAP funding, grants, and wage subsidies for nursing homes, assisted living, and residential care providers, while requiring them to give direct care staff written agreements, fair scheduling, meal and rest breaks, paid sick time, and workplace violence prevention.
Where it stands: HR 8541 is referred to the Committee on Energy and Commerce and five other committees as of April 28, 2026, with no single committee identified as primary. The bill is currently blocked in committee with no scheduled meetings.

HR 8528 US House Last action
April 27, 2026 BenefitLong shot

PI Post Acute Access Act

Adrian Smith (Republican) · Sponsor of record · Official record ↗

What it does: The bill excludes intravenous immune globulin for primary immunodeficiency and related items from the fixed payment rates that skilled nursing facilities receive under Medicare. This change would take effect for services furnished on or after October 1, 2026. This bill lets skilled nursing facilities bill Medicare separately for intravenous immune globulin used to treat primary immunodeficiency, instead of absorbing its cost into their fixed daily payment rates, effective October 1, 2026.
Where it stands: HR 8528 was referred on April 27, 2026, to both the House Committee on Ways and Means and the House Committee on Energy and Commerce. No hearings or markups have been scheduled, and no specific committee chair has been designated as primary in the referral record.

HR 8484 US House Last action
April 23, 2026 BenefitLong shot

Hazard Pay for Health Care Heroes Act

Summer L. Lee (Democrat) · Sponsor of record · Official record ↗

What it does: This act would authorize the Secretary of Health and Human Services to award grants to health care facilities and home health agencies for providing hazardous duty pay and safety measures to essential workers during emergencies. Eligible workers could receive up to $13 per hour in additional compensation, capped at $25,000 annually, for work or commutes deemed hazardous by the Secretary. This bill would fund nursing homes, assisted living, and residential care providers that are public or private nonprofits with federal grants to give essential staff hazard pay up to $13 per hour and safety equipment during declared emergencies.
Where it stands: The bill was referred to the House Committee on Energy and Commerce on April 23, 2026, and no meetings are scheduled in the available data. The companion bill S4357 and related measures S1767, HR9962, and S5134 remain unreferred or unreported.

S 4357 US Senate Last action
April 21, 2026 BenefitLong shot

Hazard Pay for Health Care Heroes Act

Edward J. Markey (Democrat) · Sponsor of record · Official record ↗

What it does: The bill authorizes federal grants to public and nonprofit health care facilities and home health agencies to pay eligible workers up to $13 per hour in hazardous duty compensation during declared emergencies. Facilities may also use these funds for safety measures such as personal protective equipment and alternative transit options for workers. This bill gives public and nonprofit nursing homes and residential care facilities federal grants to pay staff up to $13 per hour in hazardous duty pay during declared emergencies and to cover safety costs like protective equipment.
Where it stands: S. 4357 was read twice and referred to the Senate Committee on Health, Education, Labor, and Pensions on April 21, 2026, and no meetings are currently scheduled.

HR 8310 US House Last action
April 15, 2026 BurdenLong shot

Patient Safety and Whistleblower Protections Act

Mary Gay Scanlon (Democrat) · Sponsor of record · Official record ↗

What it does: The bill prohibits health care facilities from retaliating against practitioners who report patient safety concerns and voids non-competition agreements for practitioners who make such reports. It also requires Medicare-participating providers to establish anonymous reporting mechanisms and investigation processes for patient safety concerns. This bill directly affects nursing homes and residential care facilities by banning retaliation against staff who report patient safety concerns, voiding their non-compete agreements, requiring anonymous reporting systems for Medicare providers, and exposing facilities to damages lawsuits.
Where it stands: HR8310 is in the referred stage, having been sent to the Committee on Energy and Commerce, the Committee on Ways and Means, and the Committee on the Judiciary on April 15, 2026. This multiple referral establishes the chairs of all three committees as gatekeepers for any committee action.

HR 8100 US House Last action
March 26, 2026 BurdenLong shot

Safe Staffing Saves Lives Act

Lloyd Doggett (Democrat) · Sponsor of record · Official record ↗

What it does: Starting January 1, 2029, this act requires skilled nursing and nursing facilities participating in Medicare and Medicaid to provide at least 4.1 hours of total nursing care per resident per day, including 24-hour onsite registered nurse coverage. Facilities that fail to meet these staffing levels face penalties such as loss of eligibility for value-based purchasing programs, denial of payments for new residents, and increased government inspections. This bill requires skilled nursing and nursing facilities in Medicare and Medicaid to provide 4.1 nursing hours per resident daily with 24-hour RN coverage starting January 1, 2029, or lose payments for new residents and post public noncompliance notices.
Where it stands: HR 8100 was referred to the Committee on Ways and Means and the Committee on Energy and Commerce on March 26, 2026, where it awaits action from each committee chair regarding the provisions within their respective jurisdictions.

HR 8060 US House Last action
March 24, 2026 BenefitLong shot

Elder Justice Reauthorization and Modernization Act of 2026

Richard E. Neal (Democrat) · Sponsor of record · Official record ↗

What it does: This bill appropriates approximately $1.2 billion annually for fiscal years 2027 through 2030 to reauthorize and expand programs preventing elder abuse and supporting the long-term care workforce, including grants for nursing home worker training, adult protective services, and medical-legal partnerships. It mandates new reporting requirements for states and federal agencies to track the effectiveness of these funds in improving access to care and reducing social isolation among older adults and individuals with disabilities. This bill funds nursing homes, assisted living, and residential care employers in eligible settings with grants for staff paid leave, training, wages, tuition, licensing fees, and childcare to help them recruit and retain workers.
Where it stands: HR8060 was referred on March 24, 2026, to the Committees on Ways and Means, Energy and Commerce, Education and Workforce, and the Judiciary. The Speaker has not yet set time limits for these committees to report the measure.

HR 7966 US House Last action
March 17, 2026 MixedLong shot

Hospice CARE Act of 2026

Linda T. Sánchez (Democrat) · Sponsor of record · Official record ↗

What it does: The bill imposes a five-year moratorium on new hospice enrollments, increases oversight and payment penalties for programs with poor quality data, and restructures Medicare hospice payments by tying routine home care to a per diem and per visit model. It also establishes new requirements for physician certifications, face-to-face encounters, and ownership disclosures, while providing $50 million in funding from the Hospital Insurance Trust Fund for program integrity and administrative tasks. This bill directly regulates hospice programs in nursing and residential care by imposing more frequent surveys, civil monetary penalties up to $1,000,000 per violation, a five-year moratorium on new enrollments, and a 400 percent payment rate for palliative services like chemotherapy and dialysis.
Where it stands: The Hospice CARE Act of 2026 was referred on March 17, 2026, to the House Committee on Ways and Means and the House Committee on Energy and Commerce. No future meetings are scheduled in the available calendar data, and the companion measure S4118 remains in the Senate Committee on Finance.

S 4118 US Senate Last action
March 17, 2026 MixedLong shot

Hospice CARE Act of 2026

Mark R. Warner (Democrat) · Sponsor of record · Official record ↗

What it does: The bill imposes a five-year moratorium on new hospice program enrollments in Medicare and increases oversight of existing programs by requiring more frequent surveys, prepayment reviews for high-volume providers, and stricter ownership reporting. It also overhauls payment structures by introducing a per diem and per visit model for routine home care, creating separate payment categories for specific palliative services like dialysis and chemotherapy, and mandating face-to-face encounters for recertifications. This bill directly affects hospice providers in nursing and residential care by freezing new Medicare enrollments for five years, adding surveys, ownership reporting, possible penalties up to $1,000,000, and new payment structures for routine home care.
Where it stands: S4118 was read twice and referred to the Senate Committee on Finance on March 17, 2026. The bill is currently in committee with no scheduled hearings or markups in the calendar data.

HR 7920 US House Last action
March 12, 2026 BurdenLong shot

Take Back Our Hospitals Act of 2026

Mary Gay Scanlon (Democrat) · Sponsor of record · Official record ↗

What it does: This bill would prohibit Medicare payments to hospitals and skilled nursing facilities owned or controlled by private equity firms or real estate investment trusts. It provides a three-year transition period for facilities already owned by such firms before they lose eligibility for Medicare reimbursement. This bill bars Medicare payments to skilled nursing facilities owned or controlled by private equity firms or REITs, giving such nursing homes three years to change ownership before losing Medicare reimbursement.
Where it stands: HR7920 was referred on March 12, 2026, to the Committee on Ways and Means and the Committee on Energy and Commerce, with no primary panel established. The bill remains in the committee stage where the chairs of both committees control whether hearings or markups occur.

S 4085 US Senate Last action
March 12, 2026 BurdenLong shot

Take Back Our Hospitals Act of 2026

Christopher Murphy (Democrat) · Sponsor of record · Official record ↗

What it does: This proposal would prohibit Medicare payments to hospitals and skilled nursing facilities that are owned or controlled by private equity funds or real estate investment trusts. Facilities already owned by such firms would face a three-year grace period before losing eligibility for these federal payments. This bill bars Medicare payments to skilled nursing facilities owned or controlled by private equity funds or real estate investment trusts, giving existing owners a three-year grace period before losing eligibility, and makes those owners jointly liable for facility penalties.
Where it stands: The bill is in the Committee on Finance following its referral on March 12, 2026, with no upcoming meetings scheduled. The committee chair controls whether the measure receives a hearing or markup, though most referred bills see no action.

HR 7747 US House Last action
March 16, 2026 BenefitLong shot

State Veterans Homes Inspection Simplification Act

Jack Bergman (Republican) · Sponsor of record · Official record ↗

What it does: State Veterans Homes inspected and certified by the Department of Veterans Affairs would be deemed to meet Medicare and Medicaid nursing home requirements, eliminating the need for separate federal inspections. The legislation also requires public reporting of these inspection results on the Nursing Home Care Compare website and mandates a Government Accountability Office review after three years. This bill lets State Veterans Homes that the Department of Veterans Affairs inspects and certifies skip separate Medicare and Medicaid nursing home inspections, while their inspection results are reported publicly on the Nursing Home Care Compare website.
Where it stands: HR 7747 is stalled in committee after referral to the Committee on Ways and Means, the Committee on Energy and Commerce, and the Committee on Veterans' Affairs on March 2, 2026, and subsequent referral to the Subcommittee on Health on March 16, 2026.

S 3886 US Senate Last action
February 12, 2026 MixedLong shot

Nurses Belong in Nursing Homes Act

Ron Wyden (Democrat) · Sponsor of record · Official record ↗

What it does: This act would require nursing homes to provide at least 3.48 hours of nursing care per resident per day and ensure a registered nurse is on duty 24 hours a day, seven days a week, while appropriating $800 million annually for oversight and allocating civil money penalties to workforce development. This bill requires nursing homes and skilled nursing facilities to provide at least 3.48 nursing hours per resident per day with a registered nurse on duty 24/7, raising labor costs, while funding workforce training with penalty money.
Where it stands: S3886 was read twice and referred to the Senate Committee on Finance on February 12, 2026. The bill currently sits in committee with no upcoming meetings scheduled.

HR 7106 US House Last action
January 15, 2026 BenefitLong shot

Enhancing Skilled Nursing Facilities Act

Jennifer A. Kiggans (Republican) · Sponsor of record · Official record ↗

What it does: The bill would allow nurse practitioners, physician assistants, and clinical nurse specialists to certify care, supervise residents, and manage medical records in skilled nursing and nursing facilities under Medicare and Medicaid, subject to state law. This change would remove the exclusive requirement for physician oversight in these specific administrative and clinical functions. This bill lets skilled nursing facilities use nurse practitioners, physician assistants, and clinical nurse specialists, under state law, to certify care, supervise residents, and manage records under Medicare and Medicaid instead of relying solely on physicians.
Where it stands: HR7106 is stalled following its referral on January 15, 2026, to the House Committee on Energy and Commerce and the House Committee on Ways and Means. Both committee chairs serve as gatekeepers for the provisions within their respective jurisdictions.

HR 7096 US House Last action
January 15, 2026 BurdenLong shot

Ensuring Seniors’ Access to Quality Care Act

Ron Estes (Republican) · Sponsor of record · Official record ↗

What it does: The bill expands the criteria used to disqualify nursing facility nurse aide training programs from Medicare and Medicaid approval by adding specific enforcement remedies to the existing list of penalties. It also raises the minimum civil money penalty amount that triggers this disqualification to at least $12,924. This bill directly affects nursing facilities by expanding the enforcement-based grounds for disqualifying their nurse aide training programs from Medicare and Medicaid approval and raising the triggering civil money penalty threshold to at least $12,924.
Where it stands: HR 7096 was referred on January 15, 2026, to the Committee on Ways and Means and the Committee on Energy and Commerce, with no primary committee designated. The bill is stalled at the discretion of the chairs of both panels, who control whether any hearings or voting meetings occur.

S 3532 US Senate Last action
December 17, 2025 MixedLong shot

State Veterans Homes Inspection Simplification Act

Mike Crapo (Republican) · Sponsor of record · Official record ↗

What it does: The bill allows State Veterans Homes inspected by the Department of Veterans Affairs to be deemed compliant with Medicare and Medicaid requirements if the VA standards meet federal thresholds and data is reported publicly. These changes take effect 90 days after the bill is enacted. This bill lets State Veterans Homes that pass VA inspections be deemed compliant with Medicare and Medicaid requirements without separate surveys, reducing inspection costs, while requiring their survey data to be posted publicly on the Care Compare website.
Where it stands: The bill was read twice and referred to the Committee on Finance on December 17, 2025, where the chair controls whether further action occurs.

HR 6766 US House Last action
December 16, 2025 BurdenLong shot

Essential Caregivers Act of 2025

Claudia Tenney (Republican) · Sponsor of record · Official record ↗

What it does: This proposal would require Medicare and Medicaid skilled nursing, nursing, intermediate care, and certain inpatient rehabilitation facilities to allow designated essential caregivers in-person access during emergencies when regular visitation is restricted. Facilities could deny access for a maximum of seven days, or fourteen days with state health agency approval, but must immediately permit access for residents in end-of-life care or distress. This bill requires skilled nursing, nursing, and intermediate care facilities to let designated essential caregivers visit residents during emergencies, with limited denial windows, safety agreements, and civil money penalties up to $5,000 for improper denial.
Where it stands: HR 6766 is stalled at the referred stage, having been sent to the Committee on Energy and Commerce and the Committee on Ways and Means on December 16, 2025. The Speaker determines the consideration period for this multiple referral, and no upcoming meetings are scheduled in the current data.

S 3492 US Senate Last action
December 16, 2025 BurdenLong shot

Essential Caregivers Act of 2025

Richard Blumenthal (Democrat) · Sponsor of record · Official record ↗

What it does: This bill requires skilled nursing, nursing, intermediate care, and certain inpatient rehabilitation facilities to permit designated essential caregivers to visit residents during emergencies when regular visitation is restricted. Facilities may deny access for a maximum of seven days, extendable to fourteen with state approval, and face civil penalties up to $5,000 if they fail to implement a corrective action plan within seven days of a violation notice. This bill requires skilled nursing, nursing, intermediate care, and inpatient rehabilitation facilities to allow residents to designate essential caregivers with guaranteed visitation during emergencies, limiting denials to seven or fourteen days and imposing civil penalties up to $5,000 for noncompliance.
Where it stands: The bill was read twice and referred to the Senate Committee on Finance on December 16, 2025. It currently awaits committee action, where the chair controls whether any hearing or markup occurs.

HR 3100 US House Last action
July 15, 2026 BurdenLong shotNew text pending

To amend the National Child Protection Act of 1993 to ensure that businesses and organizations that work with vulnerable populations are able to request background checks for their contractors who work with those populations, as well as for individuals that the businesses or organizations license or certify to provide care for those populations.

Russell Fry (Republican) · Sponsor of record · Official record ↗

What it does: The bill would broaden who counts as a covered individual subject to background checks under the National Child Protection Act of 1993, adding people who contract with a qualified entity, people who are employed by or volunteer with, or seek to be employed by or volunteer with, an entity that is under contract with a qualified entity, and people who are or seek to be licensed or certified by a qualified entity. In practice, contractors with qualified entities, their workers and volunteers, and license or certification applicants in care fields such as child care, nursing care, and services for the elderly and people with disabilities would have to clear these background checks before serving. This bill requires nursing homes, assisted living, and residential care facilities that are qualified entities to run background checks on their contractors, contractor staff and volunteers, and individuals they license or certify before those people serve vulnerable residents.
Where it stands: Referred to the House Committee on the Judiciary on April 30, 2025, the bill was taken up at a markup on July 15, 2026 and ordered reported to the House as amended by a vote of 23 to 0. No written report has been filed and no calendar placement appears on the record, though neither is required for House floor action, and the text reflecting the adopted committee amendment is pending, so the analysis reads the latest published print.

HR 5462 US House Last action
September 18, 2025 BenefitLong shot

Michelle Alyssa Go Act

Daniel S. Goldman (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would exclude small facilities with 36 beds or fewer from the federal definition of an institution for mental diseases if they meet specific evidence-based standards approved by the Secretary. This change would allow these smaller institutions to qualify for Medicaid reimbursement under different rules than large psychiatric hospitals. This bill lets small residential mental health and substance use facilities with 36 beds or fewer qualify for Medicaid reimbursement by excluding them from the federal institution for mental diseases definition if they meet approved evidence-based standards.
Where it stands: The bill was referred to the House Committee on Energy and Commerce on September 18, 2025, and no meetings are currently scheduled. The committee chair controls whether a hearing or markup occurs, though leadership retains the ability to bypass committee action via suspension or special rules.

HR 5314 US House Last action
September 11, 2025 BurdenLong shot

Randy Susen Visitation Rights Act of 2025

Glenn Grothman (Republican) · Sponsor of record · Official record ↗

What it does: This bill would require skilled nursing facilities participating in Medicare or Medicaid to allow immediate, unrestricted access to residents by at least one designated individual. Facilities could not impose any other restrictions on this access, though residents retain the right to withdraw their designation at any time. This bill directly requires skilled nursing facilities that participate in Medicare or Medicaid to allow immediate, unrestricted visits by at least one resident-designated individual, forcing these care providers to adjust security protocols and staff scheduling to comply.
Where it stands: HR5314 was referred on September 11, 2025, to the House Committee on Ways and Means and the House Committee on Energy and Commerce for consideration of provisions within their respective jurisdictions. The measure is currently stalled with no upcoming meetings scheduled, as the source does not establish either committee as the primary panel.

HR 3954 US House Last action
June 12, 2025 BenefitLong shot

Improving Access to Medicare Coverage Act of 2025

Joe Courtney (Democrat) · Sponsor of record · Official record ↗

What it does: This act counts time spent in outpatient observation services as inpatient hospital stays to help Medicare patients meet the three-day hospitalization requirement for skilled nursing facility coverage. The change applies to observation services starting on or after January 1, 2026, and allows retroactive application for completed care periods if an administrative appeal is filed within 90 days of the act's enactment. This bill lets skilled nursing facilities get Medicare payment for more patients by counting hospital observation time toward the three-day inpatient stay requirement, expanding the number of beneficiaries eligible for covered nursing care.
Where it stands: HR3954 was referred on June 12, 2025 to the Committee on Ways and Means and the Committee on Energy and Commerce. The source does not establish one panel as the primary committee, so both chairs act as gatekeepers for the bill's progress.

HR 3808 US House Last action
June 6, 2025 BenefitLong shot

Expanding Seniors Access to Mental Health Services Act

Brian K. Fitzpatrick (Republican) · Sponsor of record · Official record ↗

What it does: This proposal would remove clinical social worker services from the bundled payment system for skilled nursing facilities under Medicare. It would also expand the scope of covered clinical social worker services to include health and behavior assessment and intervention. This bill lets skilled nursing facilities bill Medicare separately for clinical social worker services instead of receiving them through the bundled payment, and expands covered social worker services to include health and behavior assessment and intervention.
Where it stands: HR 3808 was referred on June 6, 2025, to the Committee on Ways and Means and the Committee on Energy and Commerce, with the Speaker yet to set the consideration periods. The bill is currently in the committee stage, where the chairs of these two panels control whether any hearings or markups are scheduled.

S 1936 US Senate Last action
June 3, 2025 BenefitLong shot

Improving Access to Transfusion Care for Hospice Patients Act of 2025

Jacky Rosen (Democrat) · Sponsor of record · Official record ↗

What it does: This bill requires the Center for Medicare and Medicaid Innovation to establish a model that pays separately for blood transfusions provided to hospice patients rather than including them in the standard daily hospice payment. The model must be implemented within one year of enactment and will evaluate metrics such as hospital utilization and transfusion frequency to assess its impact on end-of-life care. This bill requires hospice care providers in this industry to bill Medicare for blood transfusions separately instead of covering them under the standard daily hospice payment, removing a financial reason to skip transfusions for patients receiving hospice care.
Where it stands: S1936 was read twice and referred to the Committee on Finance on June 3, 2025, where it awaits action with no meetings currently scheduled. The companion measure HR9703 remains in the House Committee on Ways and Means, and the prior version S2186 was not reported.

S 3315 US Senate Last action
October 5, 2026 MixedFair chance of law

Health Care Cybersecurity and Resiliency Act of 2026

Sector-wide

Bill Cassidy (Republican) · Sponsor of record · Official record ↗

What it does: The bill would have the Health and Human Services Secretary and the Cybersecurity and Infrastructure Security Agency coordinate to improve cybersecurity across the health care and public health sectors, including sharing threat information, providing technical assistance, and issuing cybersecurity guidance for rural health entities. It would also require the Secretary to update federal health data security regulations so that covered entities and business associates must adopt minimum cybersecurity practices such as multifactor authentication, encryption of protected health information, and penetration testing, with those requirements taking effect 36 months after enactment, while creating a grant program of up to 3 years for federally qualified health centers, Indian Health Service facilities, nonprofit hospitals, rural health clinics, and partnering nonprofits to fund cybersecurity staffing, risk assessments, cloud migration, and incident response planning.
Where it stands: The bill passed the Senate by unanimous consent, with an amendment, on September 30, 2026 and was messaged to the House, where it has been held at the desk since October 5, 2026. The Senate is done with it, and the House now decides how or whether to act.

HR 10810 US House Last action
October 15, 2026 BenefitLong shot

National Patient Safety Board Act of 2026

Sector-wide

Nanette Diaz Barragán (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would create an independent National Patient Safety Board within the Department of Health and Human Services to monitor, study, and recommend ways to prevent patient safety events, supported by a public-private Health Care Safety Team, a public Patient Safety Reporting System, an opt-in data access portal for de-identified patient data, and study division investigations with required responses from the HHS and Veterans Affairs secretaries. It would bar Board reports from being used as evidence of liability in civil lawsuits and prohibit HHS from using Board work product to discipline health care providers, while allowing the reports to inform standards of care and requiring reports to be made public within a year of the underlying study.
Where it stands: On October 15, 2026 the bill was referred to the Committee on Energy and Commerce and in addition to the Committee on Veterans' Affairs, with the period for each referral to be determined by the Speaker. No hearing or markup has been noticed in either committee, and the bill sits at the earliest stage of the committee process.

HR 10706 US House Last action
October 1, 2026 BenefitLong shot

Strengthening Innovation in Medicare and Medicaid Act

Sector-wide

Adrian Smith (Republican) · Sponsor of record · Official record ↗

What it does: The bill would restrict how the Center for Medicare and Medicaid Innovation tests and expands payment and service delivery models by capping Phase I tests at 5 years and at the lesser of 10 percent of applicable individuals or 500,000 beneficiaries, limiting the agency to at most 6 new Phase I models per year and no more than 5 concurrent mandatory-participation models starting in fiscal year 2027. It would also require a plan within 60 days for providers to get waivers from model requirements that cause undue economic hardship or reduce access to care for vulnerable populations, real-time monitoring and mitigation of adverse impacts on beneficiaries, a public notice and comment process with at least a 45-day comment period before models are set up, tested, or expanded, disclosure to participating providers and suppliers of the actuarial assumptions and data behind certification decisions, an expedited congressional disapproval process under which a proposed model testing, expansion, or modification goes forward only if Congress does not pass a joint resolution against it within 45 days, partially restored judicial review of model decisions, annual instead of biennial reporting to Congress starting in 2027, repeal of the current prohibition on providers participating in certain overlapping Medicare value-based programs, and reports from the Secretary of Health and Human Services and the Comptroller General on alternative payment model overlap and the agency's workforce efforts.
Where it stands: H.R. 10706 was referred on October 1, 2026 to the House Committee on Energy and Commerce, and in addition to the House Committees on Ways and Means and Rules, for a period to be determined by the Speaker. It sits at the start of the committee stage, with no hearing or markup noticed in the calendar data for any of the three referred committees, and each chair is a gatekeeper for the bill.

HR 10615 US House Last action
September 28, 2026 BurdenLong shot

Medicaid Integrity Improvement Act

Sector-wide

Troy Balderson (Republican) · Sponsor of record · Official record ↗

What it does: The bill would require each state's Medicaid fraud control unit, working with the HHS Inspector General and the state Medicaid agency, to audit a statistically valid sample of high-risk Medicaid providers and suppliers at least once a year to identify fraud, waste, and abuse, with those providers defined by federal risk screening or by warning signs such as abnormal billing patterns, prior audits, payment anomalies, risky ownership ties, or credible fraud allegations. It would also require the units to summarize those audits, including how much in overpayments was identified and collected, in their annual reports to the HHS Secretary, though the Secretary could still certify a unit that misses the requirement if it adopts a corrective action plan.
Where it stands: HR 10615, the Medicaid Integrity Improvement Act, was referred to the House Committee on Energy and Commerce on September 28, 2026. The bill is in the earliest committee stage, where a hearing is not required before a markup and a hearing would not commit the chair to anything.

S 5496 US Senate Last action
September 24, 2026 MixedLong shot

Health CARE Act of 2026

Sector-wide

Mark R. Warner (Democrat) · Sponsor of record · Official record ↗

What it does: This proposal would repeal most health provisions of the 2025 reconciliation law and then make sweeping changes to the health system, including permanently expanding Affordable Care Act premium tax credits beyond the current income cap, creating a low-cost public health plan option through the Exchanges, and boosting federal Medicaid matching funds. It would also cap yearly out-of-pocket and insulin costs for people with health plans, add Medicare coverage for hearing aids and audiology services, extend Medicare drug price negotiation and inflation rebates into the commercial insurance market, ban abusive spread pricing by pharmacy benefit managers in Medicaid, and impose new price and billing transparency requirements on hospitals, labs, imaging centers, health plans, and providers, backed by daily penalties for noncompliance.
Where it stands: The Health CARE Act of 2026 was read twice and referred to the Committee on Finance on September 24, 2026. It is now at the committee stage, the first and most common choke point in the Senate, where most bills never advance to a markup.

S 5443 US Senate Last action
September 17, 2026 MixedLong shot

Health Infrastructure Security and Accountability Act of 2026

Sector-wide

Mark R. Warner (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would require health care providers, health plans, clearinghouses, and their business associates to meet new minimum and enhanced federal cybersecurity standards, run annual security risk analyses and stress tests, publish compliance statements on public websites, hire independent auditors, and pay a new user fee capped at $40 million in 2028 and $50 million in 2029, with civil penalties of up to $5,000 per day and felony charges of up to $1 million in fines and 10 years in prison for false or missing reports. It would also send $800 million in Medicare payments to critical access and eligible high-needs hospitals in fiscal years 2029 and 2030 and $500 million in fiscal years 2031 and 2032 to adopt cybersecurity practices, while cutting Medicare payments for hospitals that do not adopt them, and it would let Medicare make accelerated and advance payments to hospitals, nursing homes, home health agencies, and other providers and suppliers whose claims processing is disrupted by a cyber incident.
Where it stands: S5443 was read twice and referred to the Senate Committee on Finance on September 17, 2026, so it is at the committee stage, the first and most common choke point in the Senate. No markup or other committee meeting is scheduled in our calendar data, and the Finance chair schedules any markup.

HR 3747 US House Last action
July 21, 2026 BenefitLong shot

Accelerating Access to Dementia and Alzheimer’s Provider Training Act

Sector-wide

Troy Balderson (Republican) · Sponsor of record · Official record ↗

What it does: This proposal reauthorizes the Project ECHO Grant Program for fiscal years 2027 through 2031 and expands eligible grant recipients to include public and nonprofit private entities. It also adds dementia care to the list of health outcomes the program supports to build provider capacity.
Where it stands: The bill passed the House on July 20, 2026, and was received in the Senate on July 21, 2026, where it is pending in the Committee on Health, Education, Labor, and Pensions.

S 2301 US Senate Last action
September 8, 2025 BenefitLong shot

Improving Care in Rural America Reauthorization Act of 2025

Sector-wide

Tim Scott (Republican) · Sponsor of record · Official record ↗

What it does: This bill would extend the authorization for rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs through 2030. It would require grant recipients to use funds to address the needs of rural underserved populations and involve those communities in project development and operations.
Where it stands: S. 2301 was referred to the Senate Committee on Health, Education, Labor, and Pensions on July 16, 2025, marked up on July 30, 2025, and reported without a written report on September 8, 2025. It is currently placed on the Senate Legislative Calendar under General Orders as Calendar No. 153.

May also reach

Measures that reach Nursing & Residential Care indirectly

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HR 10704 US House Last action
October 1, 2026 May reachLong shot

Direct CARE Opportunity Act of 2026

Robert C. "Bobby" Scott (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would create a grant program run by the Labor Department in coordination with Health and Human Services, awarding grants lasting at least 5 years to states, tribes, labor organizations, nonprofits, and other eligible entities to fund recruitment, retention, training, wage supports, and career advancement strategies for direct care workers. It would appropriate $300 million per year for fiscal years 2027 through 2032 for the grants, plus $6 million per year for technical assistance to help grantees and support the direct care workforce, with up to 2 percent of grant funds reserved for that assistance. This bill funds grants that nursing homes, assisted living, and residential care providers can join to recruit, train, and retain direct care workers through career pathway programs planned with employers, while workers get free training and wage supports.
Where it stands: HR10704 was referred on October 1, 2026 to the Committee on Education and Workforce and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker. The bill sits at the start of the House committee stage: each committee's chair decides whether a hearing or markup is ever noticed, and no such meeting is scheduled in available calendar data.

SJRES 159 US Senate Last action
April 13, 2026 May reachLong shot

A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Consumer Financial Protection relating to the withdrawal of the rule relating to "Consumer Financial Protection Circular 2022-05: Debt Collection and Consumer Reporting Practices Involving Invalid Nursing Home Debts".

Alex Padilla (Democrat) · Sponsor of record · Official record ↗

What it does: This resolution disapproves a CFPB rule that withdrew a guidance document on invalid nursing home debts. Consequently, the original guidance remains in effect as if the withdrawal never occurred. This bill keeps in effect CFPB guidance saying nursing homes and residential care facilities cannot be held liable for debts they do not owe, shielding them from improper debt collection and credit reporting over invalid nursing home debts.
Where it stands: The joint resolution was read twice and referred to the Senate Committee on Banking, Housing, and Urban Affairs on April 13, 2026. No upcoming meetings are scheduled for this measure in the committee.

HR 4029 US House Last action
June 17, 2025 May reachLong shot

To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services.

Debbie Dingell (Democrat) · Sponsor of record · Official record ↗

What it does: The bill increases the federal share of Medicaid costs for home and community-based services by 10 percentage points for states that apply and are approved for fiscal years 2026 and 2027. States must use the additional funds to raise provider reimbursement rates, improve worker compensation and benefits, reduce waiting lists, and support family caregivers. This bill funds moving costs for Medicaid residents leaving nursing and residential care facilities to return home, reducing occupancy and revenue while boosting home-based care competitors in fiscal years 2026 and 2027.
Where it stands: HR4029 was referred to the House Committee on Energy and Commerce on June 17, 2025, and no future meetings are scheduled in the calendar data.

HR 10487 US House Last action
September 17, 2026 May reachLong shot

Recovery First Housing Act

Tim Burchett (Republican) · Sponsor of record · Official record ↗

What it does: The bill would require any project sponsor receiving federal McKinney-Vento homeless assistance funds to offer substance use disorder treatment, including step-down treatment delivered by a licensed provider, to every person with a substance use disorder whom the sponsor admits to emergency shelter, transitional housing, or permanent housing, with an exception for unaccompanied minors. This bill requires homeless housing sponsors to arrange licensed substance use disorder treatment, giving residential mental health and substance abuse facilities, including recovery housing providers, new referrals and payment as step-down treatment providers.
Where it stands: HR10487 was referred to the House Committee on Financial Services on September 17, 2026 and is at the committee stage, where the Financial Services chair decides whether a hearing or markup is noticed. Committee action is the ordinary route, not the only one, since leadership could move the bill by suspension, a special rule, or discharge.

HR 10254 US House Last action
September 3, 2026 May reachLong shot

MORE Savings Act

Madeleine Dean (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would eliminate copays, coinsurance, and deductibles for opioid addiction treatments, including medications, overdose reversal drugs, behavioral health care in licensed residential facilities, and recovery support services like peer counseling and transportation, both for Medicare beneficiaries in a 15-state test program and for people covered by group and individual health plans starting in plan year 2027. It would also raise the federal Medicaid match to 90 percent for medication-assisted treatment and let states optionally cover recovery support services under Medicaid. This bill requires health plans and Medicare to cover opioid use disorder treatment in non-hospital residential facilities with no patient cost-sharing, and funds medication-assisted treatment at a 90 percent federal match, boosting demand and revenue for residential addiction care providers.
Where it stands: The bill was referred on September 3, 2026 to the Committee on Energy and Commerce and in addition to the Committees on Ways and Means and Education and Workforce, with the period for each referral to be determined by the Speaker. No hearing or markup has been noticed, and it has not been ordered reported or scheduled for floor action.

HR 6137 US House Last action
November 19, 2025 May reachLong shot

Recognizing the Role of Direct Support Professionals Act

Brian K. Fitzpatrick (Republican) · Sponsor of record · Official record ↗

What it does: The bill would require the Office of Management and Budget, during the first update of the federal occupational classification system after enactment, to consider creating a separate job code for direct support professionals who care for people with disabilities, and to explain to Congress if it decides not to. It would authorize no new funding for this work. This bill directs OMB to consider a unique statistical code for direct support professionals, giving nursing homes and residential care providers better federal labor market data to understand and address hiring shortages and retention among their direct support staff.
Where it stands: HR6137 was referred to the House Committee on Education and Workforce on November 19, 2025 and no further action appears in the record, including no calendar placement. In House practice this is the referral stage, where bills most often die quietly because the committee chair decides whether a hearing or markup is ever noticed.

HR 9675 US House Last action
July 14, 2026 May reachLong shot

Expanding Opportunities for Recovery Act of 2026

Bill Foster (Democrat) · Sponsor of record · Official record ↗

What it does: This act would authorize federal grants to states to expand access to evidence-based opioid addiction treatment services for individuals who lack adequate health insurance coverage. States receiving these grants must limit treatment funding to 60 consecutive days per individual and use only medications that are lawfully marketed and clinically indicated. This bill sends federal grants to states to expand opioid addiction treatment, which could fund residential and nursing care facilities that provide these treatment services and bring them new revenue for caring for uninsured patients.
Where it stands: The bill was referred to the House Committee on Energy and Commerce on July 14, 2026, and no hearings or markups are scheduled. The committee chair currently controls whether a markup occurs.

HR 9126 US House Last action
June 3, 2026 May reachLong shot

HCBS Anti-Fraud Reporting Act of 2026

Robert E. Latta (Republican) · Sponsor of record · Official record ↗

What it does: The bill would amend Medicaid law to require each state, starting with 2026, to report annually to the federal Secretary on any waste, fraud, or abuse it detected in home and community-based services furnished under its waiver program and on the steps it took to prevent them. It creates no new program or funding; it only adds this yearly reporting duty to existing state waiver requirements. This bill requires states to report yearly on Medicaid home and community-based services waste, fraud, and abuse, which affects residential care providers like nursing homes and assisted living facilities that furnish those services.
Where it stands: HR9126, the HCBS Anti-Fraud Reporting Act of 2026, was referred to the House Committee on Energy and Commerce on June 3, 2026 and has had no further action since. In the House, referral puts the bill at the committee stage, where it can sit with no announcement until the Congress ends.

HR 5685 US House Last action
October 3, 2025 May reachLong shot

PNA Modernization Act

Gwen Moore (Democrat) · Sponsor of record · Official record ↗

What it does: The bill would increase the minimum monthly personal needs allowance for Medicaid institutionalized individuals from $30 to $60 and for couples from $60 to $120 starting January 1, 2026. It also mandates that these allowance amounts adjust automatically by the same percentage as annual Social Security benefit increases. This bill doubles the Medicaid personal needs allowance for residents of nursing and residential care facilities, from $30 to $60 monthly starting 2026 with annual increases, giving those residents more cash to spend at these facilities' services.
Where it stands: The bill is referred to the House Committee on Energy and Commerce, where the chair controls whether a hearing or markup is scheduled. No upcoming meetings are listed, and the measure remains in the committee queue without active floor consideration.

S 2490 US Senate Last action
July 29, 2025 May reachLong shot

Strengthening Advocacy for Long-Term Care Residents Act

Tim Kaine (Democrat) · Sponsor of record · Official record ↗

What it does: The bill requires the Director of the Office of Long-Term Care Ombudsman Programs to update training standards to reduce unnecessary requirements for unpaid volunteers and mandates that the Director serve on a full-time basis. It also directs the Assistant Secretary for Aging to seek a contract with the National Academies of Sciences, Engineering, and Medicine to study the effectiveness of state ombudsman programs and report the findings within one year of contracting. This bill lowers training barriers for unpaid ombudsman volunteers who advocate for residents in nursing homes, assisted living, and residential care facilities, and could bring stronger oversight to those providers through a national study of ombudsman programs.
Where it stands: S2490 was read twice and referred to the Committee on Health, Education, Labor, and Pensions on July 29, 2025, where the chair controls whether a hearing or markup is scheduled. No upcoming meetings are listed in the calendar data, placing the measure in a blocked posture at the committee stage.

HR 4425 US House Last action
July 16, 2025 May reachLong shot

Palliative Care and Hospice Education and Training Act

Earl L. "Buddy" Carter (Republican) · Sponsor of record · Official record ↗

What it does: This bill authorizes $20 million annually from 2026 to 2030 for grants and contracts to train healthcare professionals in palliative and hospice care and to support faculty careers in these fields. It also directs the National Institutes of Health to expand research programs focused on palliative care for patients with serious or life-threatening illnesses. This bill funds $20 million annually through 2030 in grants for palliative and hospice care training, making nursing homes, assisted living facilities, and nurse assistant certification programs eligible to receive funding and benefit from a better-trained workforce.
Where it stands: HR4425 is referred to the House Committee on Energy and Commerce as of July 16, 2025, where the chair controls whether a hearing or markup occurs. The companion bill S2287 remains in the Senate Committee on Health, Education, Labor, and Pensions following hearings held on March 19, 2026.

S 2071 US Senate Last action
June 12, 2025 May reachLong shot

Disaster Relief Medicaid Act

Richard Blumenthal (Democrat) · Sponsor of record · Official record ↗

What it does: This bill would provide 100 percent federal funding for Medicaid coverage to disaster survivors for two years after a major disaster is declared, effective for disasters occurring on or after January 1, 2027. It also creates a grant program to help states set up emergency response teams for home and community-based services and requires states to pause eligibility redeterminations for residents in disaster-impacted areas. This bill guarantees nursing homes and residential care facilities full federal Medicaid payment for services to disaster survivors while requiring them to verify survivor status, bringing new patient revenue plus administrative work.
Where it stands: S2071 was read twice and referred to the Committee on Finance on June 12, 2025, with no subsequent action recorded. The bill remains in committee with no scheduled meetings or calendar placement.

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