Bill > HR6592

This bill aims to improve the quality of continuous skilled nursing services provided through Medicaid by redefining and establishing new national standards. Specifically, the bill changes the terminology from "private duty nursing services" to "continuous skilled nursing services" and requires the Secretary of Health and Human Services to convene a working group of stakeholders to develop comprehensive national quality standards within 180 days of enactment. The bill mandates that these services for complex-care patients requiring multiple hours of daily nursing care must be provided by licensed nurses (registered or practical). The Secretary must also update regulations to include continuous skilled nursing care in home and community-based waiver services and create a quality measure set for these services, which will be reviewed and updated at least every 8 years. The bill provides detailed definitions for key terms like "full-benefit dual eligible individual" and "Medicaid beneficiary" and emphasizes that providers will not be required to follow home health agency participation conditions. The changes will be implemented gradually, with most provisions taking effect 18 months after the bill's enactment, allowing time for regulatory adjustments and stakeholder input.

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https://www.congress.gov/bill/119th-congress/house-bill/6592/all-info