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HR7106119th CongressWALLET
Enhancing Skilled Nursing Facilities Act
Sponsored By: Representative Kiggans, Jennifer A. [R-VA-2]
Introduced
Summary
Would expand who can provide and supervise care in skilled nursing and nursing facilities. It would let nurse practitioners, physician assistants, and clinical nurse specialists certify post-hospital extended care, supervise services, administer Medicare Part B services, and be named alongside attending physicians in residents' rights, where State law allows.
Show full summary
- Families and residents — Would see NPs, PAs, and clinical nurse specialists explicitly listed in residents' rights and care teams, making those clinicians formal options for care and advocacy.
- Clinicians and care delivery — Would allow these non-physician clinicians to certify extended care, be included in the scope of services, and administer Part B services under Medicare rules that conform to State law.
- States and Medicaid programs — Would add NPs, PAs, and clinical nurse specialists as possible certifiers and supervisors for nursing facility services and let States optionally permit CNS supervision while keeping physicians central to care.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More clinicians in nursing facilities
If enacted, this bill would let nurse practitioners (NPs), physician assistants (PAs), and clinical nurse specialists (CNSs) certify or recertify nursing facility services. This would apply under Medicare and Medicaid when State law allows. It would add NPs and PAs to the list of people who may administer Medicare Part B services. It would let NPs and PAs supervise resident care, and let states choose to allow CNS supervision for Medicaid. It would also add these providers to Medicare resident-rights rules and update the Medicare definition of CNSs to reference collaboration with a physician. These changes would take effect upon enactment.
Sponsors & CoSponsors
Sponsor
Kiggans, Jennifer A. [R-VA-2]
VA • R
Cosponsors
Rep. Dingell, Debbie [D-MI-6]
MI • D
Sponsored 1/15/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov