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S. 1920

BillFederalSenateIn Committee
Continuous Skilled Nursing Quality Improvement Act of 2025
About This Bill
Committee
Latest Action · May 22, 2025
Read twice and referred to the Committee on Finance.
Congress
119th (2025–2027)
Introduced
May 22, 2025
Sponsor
Sen. Thom TillisR
Cosponsors (3)
2D 1R
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Summary

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This bill aims to improve the quality of nursing care provided to Medicaid beneficiaries by renaming and redefining "private duty nursing services" as "continuous skilled nursing services" and establishing national quality standards for these services. The legislation requires that complex-care patients needing multiple hours of continuous nursing care daily receive services from licensed nurses (registered nurses or licensed practical nurses) under Medicaid. Within 180 days of enactment, the bill directs the Secretary of Health and Human Services to convene a working group of nursing providers, patient advocates, state officials, and other stakeholders to develop national quality standards, which must be published within one year. The changes take effect 18 months after enactment, and the bill requires the Secretary to update quality measures for these services within one year and review them at least every eight years to keep standards current.

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