# 119-s-1920: Continuous Skilled Nursing Quality Improvement Act of 2025

119-s-1920, Continuous Skilled Nursing Quality Improvement Act of 2025, is a 119th Congress bill sponsored by Sen. Tillis, Thomas [R-NC] (R-NC); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-1920
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-1920
- Congress: 119
- Title: Continuous Skilled Nursing Quality Improvement Act of 2025
- Status: introduced
- Introduced: 2025-05-22
- Sponsor: Sen. Tillis, Thomas [R-NC] (R-NC)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Create national quality standards and expand Medicaid coverage for continuous skilled nursing services.** This bill would rename 'private duty nursing' as 'continuous skilled nursing', require complex-care Medicaid patients to receive those services from licensed nurses, and set a federal process to develop and update quality standards and measures.

## Cosponsors (3)

- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2025-05-22T00:00:00.000Z
- Sen. Sullivan, Dan [R-AK] (R-AK), 2025-05-22T00:00:00.000Z
- Sen. Cortez Masto, Catherine [D-NV] (D-NV), 2025-05-22T00:00:00.000Z

## Provisions PRIA read

- Add continuous skilled nursing to home care: benefit, medium. If enacted, the bill would require Home and Community-Based Services lists to include continuous skilled nursing. States would update rules not later than 18 months after enactment. If you are on an HCBS waiver, your State could cover this care.
- Set national quality standards for nursing: benefit, medium. If enacted, the Secretary would convene a working group within 180 days to develop national quality standards for continuous skilled nursing. The standards would be published within one year after the group's first meeting following public comment. The HCBS quality measures would be updated within…
- Clarify Medicare home health rules do not apply: benefit, low. If enacted, the Secretary would send a letter to State Medicaid Directors saying Medicaid private duty nursing providers do not have to follow Medicare home health Conditions of Participation. This could reduce paperwork and help keep providers in Medicaid.
- Rename private duty nursing; require licensed nurses: mixed, medium. If enacted, the bill would rename "private duty nursing" as "continuous skilled nursing" in Medicaid. It would take effect 18 months after enactment. Complex-care patients who need multiple hours a day would need care from a licensed nurse (registered or practical). This could improve safety but mi…

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-524: Coast Guard Authorization Act of 2025
- 119-s-1748: Kids Online Safety Act
- 119-s-410: Love Lives On Act of 2025
- 119-s-199: A bill to amend the Internal Revenue Code of 1986 to provide special rules for the taxation of certain residents of Taiwan with income from sources within the…
- 119-s-383: JOBS Act of 2025

## Sources
- [119-s-1920 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/1920)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-524: Coast Guard Authorization Act of 2025](https://policyrisk.com/legislation/119-s-524)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-410: Love Lives On Act of 2025](https://policyrisk.com/legislation/119-s-410)
- [119-s-199: A bill to amend the Internal Revenue Code of 1986 to provide special rules for…](https://policyrisk.com/legislation/119-s-199)
- [119-s-383: JOBS Act of 2025](https://policyrisk.com/legislation/119-s-383)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-1920 (as of 2025-12-21).