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Ensuring Seniors’ Access to Quality Care Act
To amend titles XVIII and XIX of the Social Security Act to ensure appropriate approval for certain skilled nursing facility and nursing facility nursing aide training and competency evaluation programs under the Medicare and Medicaid program.
Summary
The bill amends Medicare and Medicaid provisions related to nursing aide training and competency evaluation programs in skilled nursing facilities and nursing facilities. The bill updates the criteria for approving these programs to include provisions regarding civil money penalties of at least $12,924 for facilities cited for quality-of-care deficiencies. The bill also modifies references to remedies available to enforce compliance with quality-of-care standards in these facilities.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Estes, Ron [R-KS-4] (R-KS)
10 cosponsors
- Rep. Barr, Andy [R-KY-6] (R-KY)
- Rep. Bentz, Cliff [R-OR-2] (R-OR)
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR)
- Rep. Davids, Sharice [D-KS-3] (D-KS)
- Rep. Fischbach, Michelle [R-MN-7] (R-MN)
- Rep. Harder, Josh [D-CA-9] (D-CA)
- Rep. Hoyle, Val T. [D-OR-4] (D-OR)
- Rep. Mann, Tracey [R-KS-1] (R-KS)
- Rep. Smith, Adrian [R-NE-3] (R-NE)
- Rep. Walkinshaw, James R. [D-VA-11] (D-VA)
Money behind the sponsor
Top reported contributors to Ron Estes’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- TRANSYSTEMS $21,650
- WATCO $13,200
- NULL $11,600
- BERGEN PAIN MANAGEMENT PC $9,900
- ASH BROKERAGE $7,061
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Ron Estes → · Outside spending →
Actions (2)
- Jan 15, 2026 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. · house
- Jan 15, 2026 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE HOUSE OF REPRESENTATIVES
January 15, 2026
Mr. Estes (for himself and Mr. Harder of California) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
A BILL
To amend titles XVIII and XIX of the Social Security Act to ensure appropriate approval for certain skilled nursing facility and nursing facility nursing aide training and competency evaluation programs under the Medicare and Medicaid program.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Ensuring Seniors’ Access to Quality Care Act”.
SEC. 2. ENSURING APPROPRIATE APPROVAL FOR CERTAIN SKILLED NURSING FACILITY AND NURSING FACILITY NURSING AIDE TRAINING AND COMPETENCY EVALUATION PROGRAMS UNDER THE MEDICARE AND MEDICAID PROGRAM.
(a) Medicare.—Section 1819(f)(2) of the Social Security Act (42 U.S.C. 1395i-3(f)(2)) is amended—
(1) in subparagraph (B)(iii)—
(A) in the matter preceding subclause (I), by striking “subparagraphs (C) and (D)” and inserting “subparagraph (C)”; and
(B) in subclause (I)—
(i) in item (b), by striking “or” at the end;
(ii) by amending item (c) to read as follows:
“(c) has been assessed a civil money penalty described in subsection (h)(2)(B)(ii) or section 1919(h)(2)(A)(ii) of not less than $12,924 and has been cited for a deficiency relating to the quality of care provided to residents of the facility; or”; and
(iii) by adding at the end the following new item:
“(d) has been subject to a remedy described in clause (i) or (iii) of subsection
(h)(2)(B), subsection (h)(4), section 1919(h)(1)(B)(i), or in clause (i), (iii), or (iv) of section 1919(h)(2)(A), or”; and
(2) by striking subparagraph (D).
(b) Medicaid.—Section 1919(f)(2) of the Social Security Act (42 U.S.C. 1396r(f)(2)) is amended—
(1) in subparagraph (B)(iii)—
(A) in the matter preceding subclause (I), by striking “subparagraphs (C) and (D)” and inserting “subparagraph (C)”; and
(B) in subclause (I)—
(i) in item (b), by striking “or” at the end;
(ii) by amending item (c) to read as follows:
“(c) has been assessed a civil money penalty described in subsection (h)(2)(A)(ii) or section 1819(h)(2)(B)(ii) of not less than $12,924 and has been cited for a deficiency relating to the quality of care provided to residents of the facility; or”; and
(iii) by adding at the end the following new item:
“(d) has been subject to a remedy described in subsection
(h)(1)(B)(i), clauses (i),
(iii), or (iv) of subsection
(h)(2)(A), clauses (i) or (iii) of section 1819(h)(2)(B), or section 1819(h)(4), or”; and
(2) by striking subparagraph (D). <all>
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