```

[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8244 Reported in House (RH)]

<DOC>

                                                 Union Calendar No. 805
118th CONGRESS
  2d Session
                                H. R. 8244

                      [Report No. 118-956, Part I]

    To amend titles XVIII and XIX of the Social Security Act 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

                              May 6, 2024

Mr. Estes (for himself and Mr. Connolly) 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

                           December 27, 2024

 Additional sponsors: Mr. Feenstra, Mrs. Fischbach, Mr. Grothman, Mr. 
               Davis of North Carolina, and Mr. Van Orden

                           December 27, 2024

    Reported from the Committee on Ways and Means with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

                           December 27, 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 May 6, 
                                 2024]

_______________________________________________________________________

                                 A BILL

 
    To amend titles XVIII and XIX of the Social Security Act 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).
                                                 Union Calendar No. 805

118th CONGRESS

  2d Session

                               H. R. 8244

                      [Report No. 118-956, Part I]

_______________________________________________________________________

                                 A BILL

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

_______________________________________________________________________

                           December 27, 2024

    Reported from the Committee on Ways and Means with an amendment

                           December 27, 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
```