Bill · H.R. 6592· House(119-HR-6592)
Continuous Skilled Nursing Quality Improvement Act of 2025
- Introduced
- 12/10/2025
- Last activity
- 12/10/2025 — Referred to the House Committee on Energy and Commerce.
- Sponsored by
- Michael Rulli
- Cosponsors
- - 1 - 3
- Introduced
- In Committee
What this bill would do
The Continuous Skilled Nursing Quality Improvement Act of 2025 aims to amend title XIX of the Social Security Act. It seeks to develop national quality standards for continuous skilled nursing services provided through Medicaid. The bill redefines "private duty nursing services" as "continuous skilled nursing services." It mandates that the Secretary of Health and Human Services establish these new standards through a working group of various stakeholders. Additionally, the act requires updates to home and community-based waiver services and quality measure sets.
Yes· 3 of 6
Would people with disabilities be better off under this?+5
The bill improves care standards for complex-care patients who often rely on home and community-based waiver services.
Would households on low incomes be better off under this?+4
The bill enhances the quality of care and standard of services available to Medicaid beneficiaries.
Does this make health care easier to get in general?+4
The bill establishes national quality standards and mandates that complex-care patients receive services from licensed nurses.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Improved care for complex-care patients: The bill requires that continuous skilled nursing services for complex-care patients requiring multiple hours of care per day be provided by a licensed nurse, such as a registered nurse or a licensed practical nurse (Section 3(b)(2)).
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Establishment of quality standards: A working group including patient advocacy groups, Medicaid beneficiaries, and full-benefit dual eligible individuals will work to develop national quality standards to improve the standard of care (Section 4(a)).
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Standardized quality measures: The Secretary is required to update and publish the HCBS Quality Measure Set to include core and supplemental quality measures for continuous skilled nursing services (Section 5(b)(1)).
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Regular quality oversight: The Secretary must review and update the core and supplemental quality measures for continuous skilled nursing services at least every 8 years (Section 5(b)(2)).
Potential Negative Impacts for People
- No specific negative impacts are explicitly detailed in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For People With Disabilities+5Good For Low Income Households+4Good For Seniors+3
- Healthcare
- Improves Healthcare Access+4Increases Medicaid Funding+3
- Social Issues And Justice
- Improves Poverty Reduction+1
- 2/3/2026
- 1 Cosponsor added.
- 1/7/2026
- 1 Cosponsor added.
- 12/10/2025
- Referred to the House Committee on Energy and Commerce.
- 2 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Josh GottheimerDemocrat · New Jersey
Chris PappasDemocrat · New Hampshire
Greg StantonDemocrat · Arizona
David TaylorRepublican · Ohio