HR 5169 117th Congress House Health Accounting and auditing Alternative dispute resolution, mediation, arbitration Appropriations Congressional oversight Government information and archives Government studies and investigations Government trust funds Health care quality Health facilities and institutions Health information and medical records Health personnel Health programs administration and funding Health promotion and preventive care Infectious and parasitic diseases Intergovernmental relations Judicial review and appeals Long-term, rehabilitative, and terminal care Medicaid Medicare

Nursing Home Improvement and Accountability Act of 2021

Introduced: October 8, 2021 Introduced by: Neal, Richard E. Democratic · Massachusetts See on congress.gov

Everywhere this bill has been 4 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Sep 6, 2021

Referred to the Subcommittee on Health.

Sep 3, 2021

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.

Sep 3, 2021

Introduced in House

Sep 3, 2021

Referred to the Subcommittee on Health.

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Plain-English summary Congressional Research Service

Nursing Home Improvement and Accountability Act of 2021

This bill establishes reporting, staffing, and other quality control requirements for Medicare skilled nursing facilities and Medicaid nursing facilities.

For example, the bill requires facilities to have registered professional nurses available 24-7 and to provide infection control services overseen by infection preventionists at least 40 hours per week. It also establishes civil penalties for facilities that submit inaccurate reports relating to staffing data and prohibits facilities from entering into pre-dispute arbitration agreements.

Additionally, the Centers for Medicare & Medicaid Services (CMS) must conduct additional quality control and oversight, including (1) auditing facility cost reports; (2) reviewing the quality and effectiveness of compliance surveys; and (3) establishing on-site educational programming for facilities that fail to meet applicable standards. The CMS must also establish minimum staff-to-resident ratios for nursing staff, as it determines appropriate.

The bill also establishes a demonstration program to evaluate the impact of certain changes to facility design, staffing, and care coordination on the health outcomes of residents in skilled nursing facilities. Among other requirements, selected facilities must serve between 5 and 14 residents, offer private rooms, and have resident and family councils.

What's happening now September 6, 2021

Referred to the Subcommittee on Health.

Related & companion bills 1

Bill text 1 version

Introduced in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 4

Energy and Commerce Committee
House of Representatives
Health Subcommittee
House of Representatives · subcommittee of Energy and Commerce Committee
Health Subcommittee
House of Representatives · subcommittee of Ways and Means Committee
Ways and Means Committee
House of Representatives

Cosponsors 4

McGovern, James P.

Massachusetts · Oct 14, 2022

Lamb, Conor

· Oct 8, 2021

Larson, John B.

Connecticut · Sep 20, 2021

Pallone, Frank

New Jersey · Sep 3, 2021

Cite this page click to expand

APA

U.S. Congress. (2026). H.R. 5169: Nursing Home Improvement and Accountability Act of 2021. 117th Congress. Open America. https://openamerica.io/bill/117-HR-5169/

MLA

"H.R. 5169: Nursing Home Improvement and Accountability Act of 2021." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-HR-5169/.

Bluebook (legal)

H.R. 5169, 117th Cong. (2026), https://openamerica.io/bill/117-HR-5169/.

Markdown link

[H.R. 5169: Nursing Home Improvement and Accountability Act of 2021](https://openamerica.io/bill/117-HR-5169/)