S. 750Senate119th Congress (2025-2027)In Committee

Protecting Rural Seniors’ Access to Care Act

Introduced February 26, 2025

AI-Generated Summary

Updated November 24, 2025 at 2:25 AM UTC

The Protecting Rural Seniors’ Access to Care Act stops the Health and Human Services Secretary from putting into effect a 2024 rule that would set minimum staffing levels for nursing homes. It also creates a 17‑member advisory panel to study the nursing‑home workforce, especially in rural and underserved areas, and to advise HHS on how to improve staffing and reduce barriers to care for seniors.

Key Provisions

  • Bars the HHS Secretary from implementing, enforcing, or issuing any rule similar to the May 10, 2024 final rule on minimum staffing standards for long‑term care facilities.
  • Requires the Secretary to establish an Advisory Panel on the Nursing Home Workforce within 60 days of enactment.
  • The panel must include 17 members representing nurses, aides, physicians, administrators, federal agencies, and experts, with specific seats for rural representatives.
  • The panel must meet at least twice a year, provide live virtual access to meetings, and post recordings and transcripts online.
  • The panel must deliver an initial report on the state of the nursing‑home workforce, focusing on rural shortages and barriers to care, within 60 days after its first meeting, and then issue annual updated reports with recommendations for staffing, regulatory relief, and training investments.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1399-1400)

February 26, 2025

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SenateIntro Referral

Introduced in Senate

February 26, 2025

SenateIntro Referral

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1399-1400)

February 26, 2025

Floor Debate

16 members

What members said about S. 750 on the floor

6 Republicans10 Democrats
Mike Lee
Sen. Mike LeeR-UT · Feb 26, 2025

Mr. President, the American people are being told once again not to trust their own eyes. Democrats are telling them not to worry about their soaring electricity bills, telling them to ignore rolling…

Tim Kaine
Sen. Tim KaineD-VA · Feb 26, 2025

Mr. President, I rise to begin a discussion that will take place, during today, about S.J. Res. 10, which is a resolution that my colleague Senator Heinrich and I have filed to challenge President…

Martin Heinrich
Sen. Martin HeinrichD-NM · Feb 26, 2025

Mr. President, I want to thank my colleague from Virginia for bringing this resolution to the floor. And it was a little less than a year ago, I met with workers at several manufacturing facilities…

James Lankford
Sen. James LankfordR-OK · Feb 26, 2025

Mr. President, President Biden liked to be able to say over and over again that we are producing record amounts of oil and gas. Some of my Democratic colleagues have even come to this floor in the…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 26, 2025

Mr. President, it has been almost 6 weeks--maybe a couple of days beyond 6 weeks--of the new administration of Donald Trump and his second term. It is a lot different than his first term. I was here…

Show 8 more
James C. Justice
Sen. James C. JusticeR-WV · Feb 26, 2025

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I ask unanimous consent that I be allowed to address the Senate while seated when necessary. Mr.…

Lisa Murkowski
Sen. Lisa MurkowskiR-AK · Feb 26, 2025

Mr. President, I join my colleague from Utah, the chairman of the Energy Committee, in speaking today in clear opposition to S.J. Res. 10, which would terminate the energy emergency that has been…

Jeanne Shaheen
Sen. Jeanne ShaheenD-NH · Feb 26, 2025

Mr. President, I come to the floor today in support of S. J. Res. 10, which would terminate the misguided national energy emergency that President Trump signed on his first day in office. It has been…

Chris Van Hollen
Sen. Chris Van HollenD-MD · Feb 26, 2025

Mr. President, I want to start by thanking my colleague from across the Potomac River, Senator Kaine of Virginia, and also Senator Heinrich of New Mexico for bringing this resolution before the U.S.…

John Hoeven
Sen. John HoevenR-ND · Feb 26, 2025

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I come to the floor today to discuss our continued efforts to reverse the Biden administration's…

John W. Hickenlooper
Sen. John W. HickenlooperD-CO · Feb 26, 2025

Mr. President, the United States is in an energy boom. Our Nation has never produced more electricity or oil and gas than we are producing right now. This ``all of the above'' approach to energy…

Mark R. Warner
Sen. Mark R. WarnerD-VA · Feb 26, 2025

Mr. President, I rise today in support of my colleagues'--Senator Heinrich and Senator Kaine--resolution. I appreciate their part of the presentations, but I strongly support this resolution. I want…

Sheldon Whitehouse
Sen. Sheldon WhitehouseD-RI · Feb 26, 2025

Mr. President, I am here to join my colleagues in objecting to President Trump's fake energy emergency, which is part of the Trump continuing strategy to hurt families and help billionaires-- in this…

Show 6 more
Richard Blumenthal
Sen. Richard BlumenthalD-CT · Feb 26, 2025

Mr. President, I am pleased to follow my colleague and friend from Rhode Island and to join with the Senator from Virginia, Senator Kaine, in supporting S.J. Res. 10, which is a joint resolution to…

Mark Kelly
Sen. Mark KellyD-AZ · Feb 26, 2025

Mr. President, I want to state the obvious: The United States has real energy needs. We have to produce enough reliable energy to make utility bills affordable for families and to bring online the…

Deb Fischer
Sen. Deb FischerR-NE · Feb 26, 2025

Mr. President, across America, 1.3 million people live in nursing homes. Many of us have parents, grandparents, or other loved ones who rely on these homes for care and community in their golden…

Deb Fischer
Sen. Deb FischerR-NE · Feb 26, 2025

Mr. President, across America, 1.3 million people live in nursing homes. Many of us have parents, grandparents, or other loved ones who rely on these homes for care and community in their golden…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 26, 2025

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Deb Fischer
Sen. Deb FischerR-NE · Feb 26, 2025

I yield the floor. I suggest the absence of a quorum.

Bill Text

Latest available legislative text

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Introduced in SenateIssued February 26, 2025

II

119th CONGRESS

1st Session

S. 750

IN THE SENATE OF THE UNITED STATES

February 26, 2025

Mrs. Fischer (for herself and Mr. Lankford) introduced the following bill; which was read twice and referred to the Committee on Finance

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.

Short title

This Act may be cited as the Protecting Rural Seniors’ Access to Care Act.

2.

Prohibition on implementing, enforcing, or otherwise giving effect to the final staffing rule

Beginning on the date of enactment of this Act, the Secretary of Health and Human Services may not implement, enforce, or otherwise give effect to the final rule entitled Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting published by the Department of Health and Human Services on May 10, 2024 (89 Fed. Reg. 40976–41000), and may not promulgate any substantially similar rule.

3.

Advisory panel on nursing home workforce

(a)

In general

Not later than 60 days after the date of the enactment of this section, the Secretary of Health and Human Services (in this section referred to as the Secretary) shall establish the Advisory Panel on the Nursing Home Workforce (in this section referred to as the Panel).

(b)

Membership

(1)

Number and appointment

The Panel shall be composed of 17 members representing various geographic areas, appointed by the Secretary as follows:

(A)

1 representative of the Secretary, who shall serve as the chair of the Panel.

(B)

2 registered nurses who actively furnish services in a skilled nursing facility or nursing facility, one of whom shall represent a rural area.

(C)

2 licensed professional nurses who actively furnish services in a skilled nursing facility or nursing facility, one of whom shall represent a rural area.

(D)

2 nurse aides who actively furnish services in a skilled nursing facility or nursing facility, one of whom shall represent a rural area.

(E)

2 physicians who actively furnish services in a skilled nursing facility or nursing facility, one of whom shall represent a rural area.

(F)

1 representative of the Centers for Medicare & Medicaid Services.

(G)

1 representative of the Health Resources and Services Administration.

(H)

2 individuals with professional expertise related to the nursing home workforce, one of whom shall have experience with respect to the nursing home workforce in rural and underserved areas.

(I)

1 licensed administrator or representative of a rural not-for-profit skilled nursing facility.

(J)

1 licensed administrator or representative of a rural for-profit skilled nursing facility.

(K)

2 representatives of State boards of nursing.

(2)

Timing of appointments

Each of the appointments under paragraph (1) shall be made not later than 60 days after the date of the enactment of this section.

(3)

Terms; vacancies

Each member shall be appointed for a term not to exceed 2 years, and a vacancy in the Panel shall be filled in the manner in which the original appointment was made.

(4)

Quorum

13 members of the Panel shall constitute a quorum.

(5)

Federal Advisory Committee Act

Chapter 10 of title 5, United States Code, shall apply to the Panel.

(c)

Duties

(1)

Meetings

(A)

Frequency

The Panel shall meet not later than 180 days after the date on which the appointments described in subsection (b) are made, and not less frequently than twice per year thereafter.

(B)

Public access

The Panel shall make available on a public website of the Department of Health and Human Services—

(i)

real-time virtual access to each meeting of the Panel; and

(ii)

not later than 30 days after each such meeting, a recording and transcript of the meeting.

(2)

Reports

(A)

Initial report

Not later than 60 days after the initial meeting of the Panel under paragraph (1)(A), the Panel shall submit to the Secretary, the Committee on Ways and Means and the Committee on Energy and Commerce of the House of Representatives, and the Committee on Finance of the Senate, and shall publish on a public website of the Centers for Medicare & Medicaid Services, a report on the state of the nursing home workforce, which shall include—

(i)

an assessment of the state of the nursing home workforce in rural and underserved areas, including an analysis of—

(I)

workforce shortages; and

(II)

with respect to individuals entitled to benefits under part A of title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) and individuals entitled to medical assistance under title XIX of such Act (42 U.S.C. 1396 et seq.), barriers to access to skilled nursing facilities and nursing facilities caused by such shortages;

(ii)

an analysis of regulations, sub-regulatory guidance, and guidance to State survey agencies issued by the Secretary with respect to skilled nursing facilities and nursing facilities, and the effects of such regulations and guidance on the nursing home workforce;

(iii)

recommendations for the Secretary to strengthen the nursing home workforce, including recommendations for decreasing regulatory burdens for skilled nursing facilities and nursing facilities and making financial investments in training for health professionals; and

(iv)

other information as the Panel determines necessary.

(B)

Subsequent reports

Not later than 1 year after submitting the initial report under subparagraph (A), and annually thereafter, the Panel shall submit and publish an updated report in the same manner as required under such subparagraph.

(d)

Definitions

In this section, the following definitions apply:

(1)

Nursing facility

The term nursing facility has the meaning given such term in section 1919(a) of the Social Security Act (42 U.S.C. 1396r(a)).

(2)

Nursing home workforce

The term nursing home workforce means the workforce of health professionals that provide direct resident care in skilled nursing facilities and nursing facilities.

(3)

Rural area

The term rural area means any area outside a metropolitan statistical area.

(4)

Skilled nursing facility

The term skilled nursing facility has the meaning given such term in section 1819(a) of the Social Security Act (42 U.S.C. 1395i–3(a)).

(5)

Underserved area

The term underserved area means an area that is—

(A)

a health professional shortage area, as such term is defined in section 332(a)(1)(A) of the Public Health Service Act (42 U.S.C. 254e(a)(1)(A)); or

(B)

designated as a medically underserved area pursuant to section 330(b)(3)(A) of such Act (42 U.S.C. 254b(b)(3)(A)).