IB 

Union Calendar No. 769 

118TH CONGRESS 

2D SESSION H. R. 7513 

[Report No. 118–745, Part I] 

To prohibit the Secretary of Health and Human Services from finalizing 

a proposed rule regarding minimum staffing for nursing facilities, and 

to establish an advisory panel on the skilled nursing facility workforce. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 1, 2024 

Mrs. FISCHBACH (for herself and Mr. PENCE) 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 

NOVEMBER 18, 2024 

Reported from the Committee on Ways and Means with amendments 

[Strike out all after the enacting clause and insert the part printed in italic] 

NOVEMBER 18, 2024 

Referral to the Committee on Energy and Commerce extended for a period 

ending not later than December 19, 2024 

DECEMBER 19, 2024 

Additional sponsors: Mr. MURPHY, Mr. CAREY, Mr. ESTES, Mr. FEENSTRA, 

Ms. TENNEY, Mr. MOOLENAAR, Mr. FINSTAD, Mr. SMITH of Nebraska, 

Mr. KELLY of Pennsylvania, Mr. BUCHANAN, Ms. BOEBERT, Mr. MANN, 

Mr. LATURNER, Mr. JOHNSON of South Dakota, Mr. GOLDEN of Maine, 

Mr. DUNCAN, Mr. YAKYM, Mr. BURLISON, Mr. GROTHMAN, Mr. GRAVES

of Missouri, Mr. TIFFANY, Mr. CARTER of Georgia, Mr. BACON, Mr. 

LALOTA, Mr. MEUSER, Mr. CRENSHAW, Ms. VAN DUYNE, Mr. MORAN, 

Mr. THOMPSON of Pennsylvania, Ms. MALOY, Mr. KUSTOFF, Mrs. BICE, 

Mr. MOORE of Alabama, Mr. RUTHERFORD, Mr. KEAN of New Jersey 

and Mrs. HINSON


ssavage on LAPJG3WLY3PROD with BILLS
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•HR 7513 RH

DECEMBER 19, 2024 

Committee on Energy and Commerce discharged; committed to the Committee 

of the Whole House on the State of the Union and ordered to be printed 

[For text of introduced bill, see copy of bill as introduced on March 1, 2024] 

A BILL 

To prohibit the Secretary of Health and Human Services 

from finalizing a proposed rule regarding minimum staffing for nursing facilities, and to establish an advisory 

panel on the skilled nursing facility workforce. 


ssavage on LAPJG3WLY3PROD with BILLS
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•HR 7513 RH

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Protecting American 

5 Seniors’ Access to Care Act’’. 

6 SEC. 2. PROHIBITION ON FINALIZING PROPOSED STAFFING 

7 RULE. 

8 The Secretary of Health and Human Services may not 

9 finalize, implement, enforce, or otherwise give effect to the 

10 proposed rule entitled ‘‘Medicare and Medicaid Programs; 

11 Minimum Staffing Standards for Long-Term Care Facili12 ties and Medicaid Institutional Payment Transparency Re13 porting’’ published by the Department of Health and 

14 Human Services on September 6, 2023 (88 Fed. Reg. 

15 61352–61429) and may not promulgate any substantially 

16 similar rule. 

Amend the title so as to read: ‘‘A bill to prohibit the 

Secretary of Health and Human Services from finalizing 

a proposed rule regarding minimum staffing for skilled 

nursing facilities and nursing facilities.’’. 


ssavage on LAPJG3WLY3PROD with BILLS
Union Calendar No. 769 

118TH CONGRESS 

2D SESSION H. R. 7513 

[Report No. 118–745, Part I] 

A BILL 

To prohibit the Secretary of Health and Human 

ing facility workforce. to establish an advisory panel on the skilled nursing minimum staffing for nursing facilities, and Services from finalizing a proposed rule regardDECEMBER 19, 2024 

Committee on Energy and Commerce discharged; comState of the Union and ordered to be printed mitted to the Committee of the Whole House on the 


ssavage on LAPJG3WLY3PROD with BILLS