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HR 3355 108th Congress House

Nursing Home Staffing Act of 2003

Official title: To amend titles XVIII and XIX of the Social Security Act to establish minimum requirements for nurse staffing in nursing facilities receiving payments under the Medicare or Medicaid Program.

Introduced: October 21, 2003 See on congress.gov
Health Accreditation (Medical care)Administrative procedureAuditingBusiness records
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CommerceConsumer educationDepartment of Health and Human ServicesFinance and Financial SectorGovernment Operations and PoliticsHospital ratesIntergovernmental fiscal relationsLawMedicaidMedicareNursesNursing homesSocial WelfareSurveys
This bill died when the 108th Congress ended
It never became law before the 108th Congress (2003–2004) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Oct 27, 2003
Referred to the Subcommittee on Health.
Oct 21, 2003
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Oct 21, 2003
Introduced in House
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 Latest action October 27, 2003

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Nursing Home Staffing Act of 2003 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services to promulgate standards for minimum nurse staffing levels in nursing facilities receiving Medicare or Medicaid payments.

Reinstitutes (Boren amendment) payment methodology, providing for payment of Medicaid services through the use of rates determined pursuant to the criteria under State Medicaid plan requirements as in effect on August 1, 1997. Establishes safe harbor rates.

Provides a permanent 1.50 percent increase of the Medicaid Federal medical assistance percentage (FMAP) for a State beginning with FY 2004.

Authorizes inclusion of: (1) financial accountability requirements in the survey and certification process with respect to facilities receiving Medicare or Medicaid payments; and (2) professionals trained in financial accounting and auditing in the multidisciplinary survey teams of professionals under Medicare and Medicaid.

 Related & companion bills 2
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 3355: Nursing Home Staffing Act of 2003. 108th Congress. Open America. https://openamerica.io/bill/108-HR-3355/
MLA
"H.R. 3355: Nursing Home Staffing Act of 2003." 108th Congress, 2026, Open America, https://openamerica.io/bill/108-HR-3355/.
Bluebook (legal)
H.R. 3355, 108th Cong. (2026), https://openamerica.io/bill/108-HR-3355/.
Markdown link
[H.R. 3355: Nursing Home Staffing Act of 2003](https://openamerica.io/bill/108-HR-3355/)
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