Ensuring Seniors’ Access to Quality Care Act
Sponsored By: Representative Estes
Introduced
Summary
Conditions approval of nursing aide training and competency programs on evidence of serious quality-related penalties or remedies. This bill would change Medicare and Medicaid rules so that approval of skilled nursing facility and nursing facility training programs depends on whether a facility has been assessed at least $12,924 in civil money penalties or has been subject to certain remedies for quality-of-care deficiencies.
Show full summary
- Residents and families: Would affect which facilities can host approved training programs by tying program approval to a facility's history of penalties or cited care deficiencies.
- Nursing facilities and training programs: Facilities hit with civil money penalties of $12,924 or more or subject to specific remedies may face new hurdles to get or keep training and competency evaluation program approval.
- Medicare and Medicaid oversight: Applies the same penalty-and-remedy criteria across titles XVIII and XIX, removing a prior approval ground and narrowing the statutory approval criteria.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Stricter training approvals for nursing homes
If enacted, this would tighten rules that let nursing homes and skilled nursing facilities run nursing aide training and competency programs. A facility would be barred from initial or continued approval if it had a civil money penalty of at least $12,924 and was cited for a quality-of-care deficiency. It would also bar facilities that had been subject to certain serious remedies listed in the law. These changes would apply to both Medicare and Medicaid training approvals; the excerpt gives no effective date.
Sponsors & CoSponsors
Sponsor
Estes
KS • R
Cosponsors
Harder (CA)
CA • D
Sponsored 1/15/2026
Smith (NE)
NE • R
Sponsored 2/3/2026
Walkinshaw
VA • D
Sponsored 2/3/2026
Roll Call Votes
No roll call votes available for this bill.
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