Bill > S1920

This bill aims to improve the quality and definition of continuous skilled nursing services provided through Medicaid by implementing several key changes. The legislation redefines "private duty nursing services" as "continuous skilled nursing services" and requires the Secretary of Health and Human Services to convene a working group within 180 days to develop national quality standards for these services. The working group will include representatives from nursing providers, patient advocacy groups, state Medicaid officials, and other stakeholders. Within one year, the Secretary must publish these national quality standards for use by state Medicaid programs and managed care entities. The bill also mandates that continuous skilled nursing services for complex-care patients requiring multiple hours of daily nursing be provided by licensed nurses. Additionally, the legislation requires updating the Home and Community-Based Services (HCBS) Quality Measure Set to include specific quality measures for continuous skilled nursing services, with mandatory reviews and updates at least every 8 years. The bill specifically clarifies that nursing service providers are not required to adhere to home health agency participation conditions under Medicare, providing more flexibility for Medicaid nursing service providers. These changes aim to improve the consistency, quality, and accessibility of skilled nursing services for Medicaid beneficiaries, particularly those with complex medical needs.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/1920/all-info