Ensuring Seniors’ Access to Quality Care Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7096 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 7096

  To amend titles XVIII and XIX of the Social Security Act to ensure
 appropriate approval for certain skilled nursing facility and nursing
facility nursing aide training and competency evaluation programs under
                   the Medicare and Medicaid program.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                            January 15, 2026

  Mr. Estes (for himself and Mr. Harder of California) introduced the
following bill; which was 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

_______________________________________________________________________

                                 A BILL

  To amend titles XVIII and XIX of the Social Security Act to ensure
 appropriate approval for certain skilled nursing facility and nursing
facility nursing aide training and competency evaluation programs under
                   the Medicare and Medicaid program.

    Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ensuring Seniors' Access to Quality
Care Act''.

SEC. 2. ENSURING APPROPRIATE APPROVAL FOR CERTAIN SKILLED NURSING
              FACILITY AND NURSING FACILITY NURSING AIDE TRAINING AND
              COMPETENCY EVALUATION PROGRAMS UNDER THE MEDICARE AND
              MEDICAID PROGRAM.

    (a) Medicare.--Section 1819(f)(2) of the Social Security Act (42
U.S.C. 1395i-3(f)(2)) is amended--
            (1) in subparagraph (B)(iii)--
                    (A) in the matter preceding subclause (I), by
                striking ``subparagraphs (C) and (D)'' and inserting
                ``subparagraph (C)''; and
                    (B) in subclause (I)--
                            (i) in item (b), by striking ``or'' at the
                        end;
                            (ii) by amending item (c) to read as
                        follows:
                                            ``(c) has been assessed a
                                        civil money penalty described
                                        in subsection (h)(2)(B)(ii) or
                                        section 1919(h)(2)(A)(ii) of
                                        not less than $12,924 and has
                                        been cited for a deficiency
                                        relating to the quality of care
                                        provided to residents of the
                                        facility; or''; and
                            (iii) by adding at the end the following
                        new item:
                                            ``(d) has been subject to a
                                        remedy described in clause (i)
                                        or (iii) of subsection
                                        (h)(2)(B), subsection (h)(4),
                                        section 1919(h)(1)(B)(i), or in
                                        clause (i), (iii), or (iv) of
                                        section 1919(h)(2)(A), or'';
                                        and
            (2) by striking subparagraph (D).
    (b) Medicaid.--Section 1919(f)(2) of the Social Security Act (42
U.S.C. 1396r(f)(2)) is amended--
            (1) in subparagraph (B)(iii)--
                    (A) in the matter preceding subclause (I), by
                striking ``subparagraphs (C) and (D)'' and inserting
                ``subparagraph (C)''; and
                    (B) in subclause (I)--
                            (i) in item (b), by striking ``or'' at the
                        end;
                            (ii) by amending item (c) to read as
                        follows:
                                            ``(c) has been assessed a
                                        civil money penalty described
                                        in subsection (h)(2)(A)(ii) or
                                        section 1819(h)(2)(B)(ii) of
                                        not less than $12,924 and has
                                        been cited for a deficiency
                                        relating to the quality of care
                                        provided to residents of the
                                        facility; or''; and
                            (iii) by adding at the end the following
                        new item:
                                            ``(d) has been subject to a
                                        remedy described in subsection
                                        (h)(1)(B)(i), clauses (i),
                                        (iii), or (iv) of subsection
                                        (h)(2)(A), clauses (i) or (iii)
                                        of section 1819(h)(2)(B), or
                                        section 1819(h)(4), or''; and
            (2) by striking subparagraph (D).
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