Skip to main content
HR 3355 108th Congress House Health Accreditation (Medical care) Administrative procedure Auditing Business records Commerce Consumer education Department of Health and Human Services Finance and Financial Sector Government Operations and Politics Hospital rates Intergovernmental fiscal relations Law Medicaid Medicare Nurses Nursing homes Social Welfare Surveys

Nursing Home Staffing Act of 2003

Introduced: October 21, 2003 See on congress.gov
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
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 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.

What's happening now October 27, 2003

Referred to the Subcommittee on Health.

 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/)
Report a problem