H.R. 7096

[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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