HR 1303 · 119th Congress 2025–2027

Protecting America’s Seniors’ Access to Care Act

Latest action · Feb 13, 2025 Referred 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.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedFeb 13, 2025
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Protecting America’s Seniors’ Access to Care Act

This bill prohibits administration, implementation, or enforcement of the rule titled Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting, which was issued by the Centers for Medicare & Medicaid Services on May 10, 2024. 

Specifically, the bill prohibits administration, implementation, or enforcement of provisions that, among other changes, (1) establish minimum staffing standards for nurses in Medicare and Medicaid long-term care facilities, including requiring a nurse to be onsite 24/7 and requiring a minimum of 3.48 total nurse staffing hours per resident per day; and (2) require state Medicaid programs to report on payments to direct care workers and support staff of nursing facilities and intermediate care facilities for individuals with intellectual disabilities. 

Cosponsors 26

Members who signed on, in the order they did. Signatures ran from Feb 13, 2025 to Apr 16, 2026; 18 are original cosponsors, there from the day it was introduced.

SeatCosponsorSigned on
R-TXAugust PflugerOriginalFeb 13, 2025
R-TXBeth Van DuyneOriginalFeb 13, 2025
R-MNBrad FinstadOriginalFeb 13, 2025
R-WVCarol D. MillerOriginalFeb 13, 2025
R-SDDusty JohnsonOriginalFeb 13, 2025
R-GAEarl L. "Buddy" CarterOriginalFeb 13, 2025
R-INErin HouchinOriginalFeb 13, 2025
R-PAGlenn ThompsonOriginalFeb 13, 2025
R-NCGregory F. MurphyOriginalFeb 13, 2025
R-MIJohn R. MoolenaarOriginalFeb 13, 2025
R-TNJohn W. RoseOriginalFeb 13, 2025
R-OHMike CareyOriginalFeb 13, 2025
R-PAMike KellyOriginalFeb 13, 2025
R-TXNathaniel MoranOriginalFeb 13, 2025
R-SCRalph NormanOriginalFeb 13, 2025

Committees 2

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseWays and Means Committee
Referred Feb 13, 2025
HouseEnergy and Commerce Committee
Referred Feb 13, 2025

Actions 2

Everything that happened, newest first.

  1. Feb 13, 2025Introduced in House
  2. 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.

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Art I, Sec 8

The sponsor’s statement, as printed in the Congressional Record, vol. 171, no. 30, February 13, 2025, page H711.

Titles 2

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To prohibit the Secretary of Health and Human Services from implementing, administering, or enforcing provisions relating to minimum staffing standards for long-term care facilities and Medicaid institutional payment transparency reporting.
Short Title(s) as Introduced
Protecting America’s Seniors’ Access to Care Act

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 1

Each version as it was printed, newest first.

  1. Feb 13, 2025Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.