IB Union Calendar No. 805 118th CONGRESS 2d Session H. R. 8244 [Report No. 118–956, Part I] 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.

1. Short title This Act may be cited as the Ensuring Seniors’ Access to Quality Care Act . 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).

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