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    <number>750</number>
    <updateDate>2025-12-05T21:57:42Z</updateDate>
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    <introducedDate>2025-02-26</introducedDate>
    <congress>119</congress>
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            <name>Referred To</name>
            <date>2025-02-26T18:56:15Z</date>
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        <title>Protecting Rural Seniors’ Access to Care Act</title>
        <congress>119</congress>
        <number>1683</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2025-02-27</actionDate>
          <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.</text>
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        <text>Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1399-1400)</text>
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        <actionDate>2025-02-26</actionDate>
        <text>Introduced in Senate</text>
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          <name>Library of Congress</name>
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        <fullName>Sen. Fischer, Deb [R-NE]</fullName>
        <firstName>Deb</firstName>
        <lastName>Fischer</lastName>
        <party>R</party>
        <state>NE</state>
        <isByRequest>N</isByRequest>
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        <bioguideId>L000575</bioguideId>
        <fullName>Sen. Lankford, James [R-OK]</fullName>
        <firstName>James</firstName>
        <lastName>Lankford</lastName>
        <party>R</party>
        <state>OK</state>
        <sponsorshipDate>2025-02-26</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>M001198</bioguideId>
        <fullName>Sen. Marshall, Roger [R-KS]</fullName>
        <firstName>Roger</firstName>
        <lastName>Marshall</lastName>
        <party>R</party>
        <state>KS</state>
        <sponsorshipDate>2025-03-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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    </cosponsors>
    <policyArea>
      <name>Health</name>
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    <subjects>
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          <name>Administrative law and regulatory procedures</name>
          <updateDate>2025-09-02T15:18:36Z</updateDate>
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          <name>Advisory bodies</name>
          <updateDate>2025-09-02T15:19:11Z</updateDate>
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          <name>Aging</name>
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          <name>Congressional oversight</name>
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          <name>Department of Health and Human Services</name>
          <updateDate>2025-09-02T15:18:43Z</updateDate>
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          <name>Employee hiring</name>
          <updateDate>2025-09-02T15:19:19Z</updateDate>
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          <name>Health care coverage and access</name>
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          <name>Health personnel</name>
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          <name>Intergovernmental relations</name>
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          <name>Long-term, rehabilitative, and terminal care</name>
          <updateDate>2025-09-02T15:18:47Z</updateDate>
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          <name>Medicaid</name>
          <updateDate>2025-09-02T15:18:28Z</updateDate>
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          <name>Medicare</name>
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          <name>Nursing</name>
          <updateDate>2025-09-02T15:18:51Z</updateDate>
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          <name>Rural conditions and development</name>
          <updateDate>2025-09-02T15:17:53Z</updateDate>
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          <name>State and local government operations</name>
          <updateDate>2025-09-02T15:19:02Z</updateDate>
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      <policyArea>
        <name>Health</name>
        <updateDate>2025-03-21T16:17:56Z</updateDate>
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    <summaries>
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        <actionDate>2025-02-26</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2025-08-14T15:48:58Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;strong&gt;Protecting Rural Seniors’ Access to Care Act&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;This bill prohibits administration, implementation, or enforcement of the rule titled &lt;em&gt;Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting&lt;/em&gt;, which was issued by the Centers for Medicare &amp;amp; Medicaid Services on May 10, 2024.&lt;/p&gt;&lt;p&gt;Specifically, the bill prohibits administration, implementation, or enforcement of provisions that, among other changes, (1) establish minimum staffing standards for nurses in Medicare and Medicaid long-term care facilities, including requiring a nurse to be onsite 24/7 and requiring a minimum of 3.48 total nurse staffing hours per resident per day; and (2) require state Medicaid programs to report on payments to direct care workers and support staff of nursing facilities and intermediate care facilities for individuals with intellectual disabilities.&lt;/p&gt;&lt;p&gt;Also, the bill requires&amp;nbsp;the Department of Health and Human Services to establish an Advisory Panel on the Nursing Home Workforce. The panel must report annually to Congress, including on workforce shortages and barriers to accessing nursing homes in rural and underserved areas.&lt;/p&gt;</text>
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      </summary>
    </summaries>
    <title>Protecting Rural Seniors’ Access to Care Act</title>
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        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>Protecting Rural Seniors’ Access to Care Act</title>
        <updateDate>2025-03-21T04:08:27Z</updateDate>
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        <titleType>Short Title(s) as Introduced</titleType>
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        <title>Protecting Rural Seniors’ Access to Care Act</title>
        <updateDate>2025-03-21T04:08:22Z</updateDate>
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      <item>
        <titleType>Official Title as Introduced</titleType>
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        <title>A bill to prohibit the Secretary of Health and Human Services from implementing, enforcing, or otherwise giving effect to a final rule regarding minimum staffing for nursing facilities, and to establish an advisory panel on the nursing home workforce.</title>
        <updateDate>2025-03-21T04:03:24Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
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    </titles>
    <textVersions>
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        <type>Introduced in Senate</type>
        <date>2025-02-26T05:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-119s750is/xml/BILLS-119s750is.xml</url>
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    <latestAction>
      <actionDate>2025-02-26</actionDate>
      <text>Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1399-1400)</text>
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    <dc:rights>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.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>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.</dc:description>
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