Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
H.R. 7106 modifies Medicare and Medicaid rules to expand the healthcare roles of nurse practitioners, physician assistants, and clinical nurse specialists in skilled nursing facilities and nursing homes. Currently, these facilities require direct physician oversight for most patient care decisions; this bill allows these advanced practice clinicians to provide and supervise care independently or collaboratively, depending on state law. The changes affect approximately 15,000 nursing facilities nationwide and the millions of elderly and disabled patients they serve under federal insurance programs. The bill does not specify new funding but aims to streamline operations and potentially reduce costs by making better use of advanced clinicians where physician availability may be limited. The legislation was referred to the House Energy and Commerce Committee and Ways and Means Committee in January 2026.
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