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 addi-
tion to the Committee on Energy and Commerce, for a period to be sub-
sequently 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 
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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 staff-
ing for nursing facilities, and to establish an advisory 
panel on the skilled nursing facility workforce. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Protecting American 
Seniors’ Access to Care Act’’. 
SEC. 2. PROHIBITION ON FINALIZING PROPOSED STAFFING 
RULE. 
The Secretary of Health and Human Services may not 
finalize, implement, enforce, or otherwise give effect to the 
proposed rule entitled ‘‘Medicare and Medicaid Programs; 
Minimum Staffing Standards for Long-Term Care Facili-
ties and Medicaid Institutional Payment Transparency Re-
porting’’ published by the Department of Health and 
Human Services on September 6, 2023 (88 Fed. Reg. 
61352–61429) and may not promulgate any substantially 
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.’’. 
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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 
Services from finalizing a proposed rule regard-
ing minimum staffing for nursing facilities, and 
to establish an advisory panel on the skilled nurs-
ing facility workforce. 
DECEMBER 19, 2024 
Committee on Energy and Commerce discharged; com-
mitted to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
VerDate Sep 11 2014 
19:57 Dec 30, 2024
Jkt 059200
PO 00000
Frm 00004
Fmt 6651
Sfmt 6651
E:\BILLS\H7513.RH
H7513
ssavage on LAPJG3WLY3PROD with BILLS