[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"current-user-roles":3,"user-subscription":3,"bill:119-s-750":4},null,{"bill":5,"indexable":238,"summaries":239,"cosponsors":245,"cosponsorSlugs":255,"actions":258,"amendments":271,"amendmentSponsorSlugs":272,"linkages":273,"sponsorSlug":274},{"statusDate":6,"sponsor":7,"updateDate":14,"cboCostEstimates":15,"originChamber":16,"congress":17,"isByRequest":18,"title":19,"createdAt":20,"committeeReports":21,"cosponsorCount":22,"onBehalfOfSponsor":3,"adminOverride":3,"amendmentCount":23,"actionCount":22,"popularTitle":3,"laws":3,"billType":24,"introducedDate":6,"committees":25,"congressGovUrl":26,"constitutionalAuthority":3,"policyArea":27,"deletedAt":3,"latestAction":28,"billNumber":30,"cosponsorCountIncludingWithdrawn":22,"status":31,"shortTitle":19,"officialTitle":32,"keyMilestoneCount":33,"subjects":34,"updatedAt":50,"policyAreaLower":51,"searchTokens":52,"committeeCodes":237},"2025-02-26",{"firstName":8,"lastName":9,"fullName":10,"state":11,"party":12,"bioguideId":13},"Deb","Fischer","Sen. Fischer, Deb [R-NE]","NE","R","F000463","2025-12-05T21:57:42Z",[],"Senate",119,false,"Protecting Rural Seniors’ Access to Care Act","2026-05-11T00:59:42.375Z",[],2,0,"s",[],"https:\u002F\u002Fwww.congress.gov\u002Fbill\u002F119th-congress\u002Fsenate-bill\u002F750","Health",{"date":6,"text":29},"Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1399-1400)",750,"in_committee","A bill to prohibit the Secretary of Health and Human Services from implementing, enforcing, or otherwise giving effect to a final rule regarding minimum staffing for nursing facilities, and to establish an advisory panel on the nursing home workforce.",1,[35,36,37,38,39,40,41,42,43,44,45,46,47,48,49],"Administrative law and regulatory procedures","Advisory bodies","Aging","Congressional oversight","Department of Health and Human Services","Employee hiring","Health care coverage and access","Health personnel","Intergovernmental relations","Long-term, rehabilitative, and terminal care","Medicaid","Medicare","Nursing","Rural conditions and development","State and local government operations","2026-05-22T14:52:18.143Z","health",[53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,51,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,201,202,203,204,205,206,207,208,209,210,211,212,213,214,215,216,217,218,219,220,221,222,223,224,225,226,227,228,229,230,231,232,233,234,235,236],"protecting","pr","pro","prot","prote","protec","protect","protecti","protectin","rural","ru","rur","rura","seniors","se","sen","seni","senio","senior","access","ac","acc","acce","acces","to","care","ca","car","act","bill","bi","bil","prohibit","proh","prohi","prohib","prohibi","the","secretary","sec","secr","secre","secret","secreta","secretar","of","he","hea","heal","healt","and","human","hu","hum","huma","services","ser","serv","servi","servic","service","from","fr","fro","implementing","im","imp","impl","imple","implem","impleme","implemen","implement","implementi","implementin","enforcing","en","enf","enfo","enfor","enforc","enforci","enforcin","or","otherwise","ot","oth","othe","other","otherw","otherwi","otherwis","giving","gi","giv","givi","givin","effect","ef","eff","effe","effec","final","fi","fin","fina","rule","rul","regarding","re","reg","rega","regar","regard","regardi","regardin","minimum","mi","min","mini","minim","minimu","staffing","st","sta","staf","staff","staffi","staffin","for","nursing","nu","nur","nurs","nursi","nursin","facilities","fa","fac","faci","facil","facili","facilit","faciliti","facilitie","establish","es","est","esta","estab","establ","establi","establis","an","advisory","ad","adv","advi","advis","adviso","advisor","panel","pa","pan","pane","on","home","ho","hom","workforce","wo","wor","work","workf","workfo","workfor","workforc","fischer","fis","fisc","fisch","fische","deb","ne",[],true,[240],{"versionCode":241,"actionDate":6,"actionDesc":242,"text":243,"updateDate":244},"00","Introduced in Senate","\u003Cp>\u003Cstrong>Protecting Rural Seniors’ Access to Care Act\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>This bill prohibits administration, implementation, or enforcement of the rule titled \u003Cem>Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting\u003C\u002Fem>, which was issued by the Centers for Medicare & Medicaid Services on May 10, 2024.\u003C\u002Fp>\u003Cp>Specifically, the bill prohibits administration, implementation, or enforcement of provisions that, among other changes, (1) establish minimum staffing standards for nurses in Medicare and Medicaid long-term care facilities, including requiring a nurse to be onsite 24\u002F7 and requiring a minimum of 3.48 total nurse staffing hours per resident per day; and (2) require state Medicaid programs to report on payments to direct care workers and support staff of nursing facilities and intermediate care facilities for individuals with intellectual disabilities.\u003C\u002Fp>\u003Cp>Also, the bill requires the Department of Health and Human Services to establish an Advisory Panel on the Nursing Home Workforce. The panel must report annually to Congress, including on workforce shortages and barriers to accessing nursing homes in rural and underserved areas.\u003C\u002Fp>","2025-08-14T15:48:58Z",[246,251],{"bioguideId":247,"fullName":248,"party":12,"state":249,"sponsorshipDate":250,"isOriginalCosponsor":18,"withdrawn":18,"sponsorshipWithdrawnDate":3},"M001198","Sen. Marshall, Roger [R-KS]","KS","2025-03-10",{"bioguideId":252,"fullName":253,"party":12,"state":254,"sponsorshipDate":6,"isOriginalCosponsor":238,"withdrawn":18,"sponsorshipWithdrawnDate":3},"L000575","Sen. Lankford, James [R-OK]","OK",{"M001198":256,"L000575":257},"roger-marshall","james-lankford",[259,266],{"actionDate":6,"actionDateTime":3,"text":29,"type":260,"actionCode":3,"sourceSystem":261,"committees":262,"recordedVotes":3,"calendarNumber":3,"sequenceIndex":23,"isKeyMilestone":18},"IntroReferral",{"name":16},[263],{"name":264,"systemCode":265},"Finance Committee","ssfi00",{"actionDate":6,"actionDateTime":3,"text":242,"type":260,"actionCode":267,"sourceSystem":268,"committees":3,"recordedVotes":3,"calendarNumber":3,"sequenceIndex":33,"isKeyMilestone":238},"10000",{"code":269,"name":270},9,"Library of Congress",[],{},[],"deb-fischer"]