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S4467FEDERALin_committee

Ensuring Seniors’ Access to Quality Care Act

April 30, 2026

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently in_committee. The next step in the legislative lifecycle is Floor Vote.

Last action
Read twice and referred to the Committee on Finance.Apr 30, 2026

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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The Frame

What this does

Nursing facilities that have been fined at least $10,697 for substandard care may lose the authority to conduct their own nurse aide training programs until they prove they have corrected the issues and met specific safety standards.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Nursing facilities

Facilities face new criteria for the suspension of their nurse aide training programs and gain new access to the National Practitioner Data Bank for background checks.

Nurse aides

Aides may be required to complete training at alternative locations if their facility's training program is suspended.

Department of Health and Human Services

The agency is tasked with creating new regulations and overseeing the approval or disapproval of training programs.

What changed

Current stage: in_committee.

What's next

Floor Vote.

Summary

This bill updates federal rules for nursing home nurse aide training programs and expands access to the for employee background checks. It establishes new criteria for when the government can suspend a nursing home's ability to run its own nurse training program based on past quality-of-care penalties.

Key Facts

  • The Secretary of Health and Human Services must disapprove a nursing facility's nurse aide training program for up to 2 years if the facility is fined $10,697 or more for substandard care and fails to correct the deficiency.
  • Disapproval of a training program can be rescinded if the facility proves all deficiencies are fixed, has had no direct patient harm in the last 2 years, and the original penalty was not related to abuse or neglect.
  • The Secretary may require additional oversight of a facility during the period of training program disapproval.
  • The bill removes previous automatic prohibitions on training programs that were in effect prior to the bill's enactment, subject to new correction determinations.
  • The Secretary of Health and Human Services must issue new regulations to implement these changes within 180 days of the bill's enactment.
  • The bill amends the Social Security Act to allow Medicare and Medicaid providers to access the National Practitioner Data Bank for employee background checks.
  • The new training program disapproval rules apply only to civil monetary penalties assessed on or after the date of the bill's enactment.

Frequently Asked Questions

Will this bill shut down nursing home training programs?
It allows the government to suspend a facility's ability to run its own nurse aide training program for up to 2 years if the facility has been fined for poor care and has not fixed the problems.
How can a nursing home get its training program back if it is suspended?
The facility must demonstrate that all deficiencies have been fixed, that it has had no direct patient harm in the last 2 years, and that the original penalty was not related to abuse or neglect.
Does this bill change how nursing homes check employee backgrounds?
Yes, it amends the Social Security Act to permit Medicare and Medicaid providers to access the for employee background checks.

Why It Matters

Nursing facilities that have been fined at least $10,697 for substandard care may lose the authority to conduct their own nurse aide training programs until they prove they have corrected the issues and met specific safety standards.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Standardization of Training Penalties

The bill moves to standardize the consequences for nursing homes that fail to meet quality standards by explicitly linking civil monetary penalties to the loss of training program authority.

Connected Entities

personJohn BarrassoSenator from Wyoming who co-sponsored the bill.Map →
personTim ScottSenator from South Carolina who co-sponsored the bill.Map →
personMark WarnerSenator from Virginia who introduced the bill.Map →
organizationDepartment of Health and Human ServicesResponsible for implementing regulations and overseeing facility compliance.Map →
personMark KellySenator from Arizona who co-sponsored the bill.Map →

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy30
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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