3.0.0
5169
2023-03-08T19:58:54Z
2023-03-08T19:58:54Z
House
HR
2021-09-03
117
[Congressional Record Volume 167, Number 153 (Friday, September 3, 2021)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. NEAL:H.R. 5169.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8: The Congress shall have Power To layand collect Taxes, Duties, Imposts and Excises, to pay theDebts and provide for the common Defence and general Welfareof the United States.[Page H4507]
- hsif00
Energy and Commerce Committee
House
Standing
  - hsif14
Health Subcommittee
    - Referred to
2021-09-06T18:16:49Z
  - Referred to
2021-09-03T16:00:45Z
- hswm00
Ways and Means Committee
House
Standing
  - hswm02
Health Subcommittee
    - Referred to
2021-09-03T18:26:07Z
  - Referred to
2021-09-03T16:00:40Z

- Nursing Home Improvement and Accountability Act of 2021
117
2694
S
2021-08-10
Read twice and referred to the Committee on Finance.
  - Related bill
CRS
- 2021-09-06
  - hsif14
Health Subcommittee
1
House committee actions
Referred to the Subcommittee on Health.
Committee
- 2021-09-03
  - hswm02
Health Subcommittee
1
House committee actions
Referred to the Subcommittee on Health.
Committee
- 2021-09-03
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.
IntroReferral
H11100
2
House floor actions
  - hsif00
Energy and Commerce Committee
- 2021-09-03
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.
IntroReferral
H11100
2
House floor actions
  - hswm00
Ways and Means Committee
- 2021-09-03
Introduced in House
IntroReferral
Intro-H
9
Library of Congress
- 2021-09-03
Introduced in House
IntroReferral
1000
9
Library of Congress
- N000015
Rep. Neal, Richard E. [D-MA-1]
RICHARD
NEAL
D
MA
E.
1
N
- P000034
Rep. Pallone, Frank, Jr. [D-NJ-6]
FRANK
PALLONE
D
NJ
6
2021-09-03
True
- L000557
Rep. Larson, John B. [D-CT-1]
JOHN
LARSON
D
CT
B.
1
2021-09-20
False
- L000588
Rep. Lamb, Conor [D-PA-17]
Conor
Lamb
D
PA
17
2021-10-08
False
- M000312
Rep. McGovern, James P. [D-MA-2]
JAMES
MCGOVERN
D
MA
P.
2
2022-10-14
False
Health
- Accounting and auditing
- Alternative dispute resolution, mediation, arbitration
- Appropriations
- Congressional oversight
- Government information and archives
- Government studies and investigations
- Government trust funds
- Health care quality
- Health facilities and institutions
- Health information and medical records
- Health personnel
- Health programs administration and funding
- Health promotion and preventive care
- Infectious and parasitic diseases
- Intergovernmental relations
- Judicial review and appeals
- Long-term, rehabilitative, and terminal care
- Medicaid
- Medicare
- Nursing
- State and local finance
Health
00
2021-09-03
Introduced in House
2022-03-11T22:40:20Z
Nursing Home Improvement and Accountability Act of 2021
This bill establishes reporting, staffing, and other quality control requirements for Medicare skilled nursing facilities and Medicaid nursing facilities.
For example, the bill requires facilities to have registered professional nurses available 24-7 and to provide infection control services overseen by infection preventionists at least 40 hours per week. It also establishes civil penalties for facilities that submit inaccurate reports relating to staffing data and prohibits facilities from entering into pre-dispute arbitration agreements.
Additionally, the Centers for Medicare & Medicaid Services (CMS) must conduct additional quality control and oversight, including (1) auditing facility cost reports; (2) reviewing the quality and effectiveness of compliance surveys; and (3) establishing on-site educational programming for facilities that fail to meet applicable standards. The CMS must also establish minimum staff-to-resident ratios for nursing staff, as it determines appropriate.
The bill also establishes a demonstration program to evaluate the impact of certain changes to facility design, staffing, and care coordination on the health outcomes of residents in skilled nursing facilities. Among other requirements, selected facilities must serve between 5 and 14 residents, offer private rooms, and have resident and family councils.

Nursing Home Improvement and Accountability Act of 2021
- Official Title as Introduced

To improve care furnished and to support the workforce in skilled nursing facilities under the Medicare program and in nursing facilities under the Medicaid program, and for other purposes.
Introduced in House
IH
- Display Title

Nursing Home Improvement and Accountability Act of 2021
- Short Title(s) as Introduced

Nursing Home Improvement and Accountability Act of 2021
Introduced in House
IH
- Introduced in House
2021-09-03T04:00:00Z
  - https://www.govinfo.gov/content/pkg/BILLS-117hr5169ih/xml/BILLS-117hr5169ih.xml
2021-09-06
Referred to the Subcommittee on Health.
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
Congressional Research Service, Library of Congress
This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.