Building America’s Health Care Workforce Act
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.
Building America's Health Care Workforce Act
This bill extends certain flexibilities relating to training and competency requirements for nurse aides in Medicare skilled nursing facilities (SNFs) and Medicaid nursing facilities (NFs).
Generally, SNFs and NFs may not hire nurse aides for longer than four months unless they meet certain training and certification requirements. The Centers for Medicare & Medicaid Services waived some of these requirements during the COVID-19 emergency period so as to allow facilities to maintain adequate staffing levels; the blanket waiver ended in June 2022, though individual facilities, states, and counties may continue to apply for waivers during the emergency period.
The bill extends these flexibilities for at least two years after the bill's enactment and specifies that (1) any time worked by a nurse aide during the emergency period counts toward the 75 hours required for initial training, and (2) a competency evaluation may be conducted at the SNF or NF where the nurse aide is employed if the state does not offer such an evaluation at least once a week.
Referred to the Subcommittee on Health.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 468: Building America’s Health Care Workforce Act. 118th Congress. Open America. https://openamerica.io/bill/118-HR-468/
"H.R. 468: Building America’s Health Care Workforce Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-HR-468/.
H.R. 468, 118th Cong. (2026), https://openamerica.io/bill/118-HR-468/.
[H.R. 468: Building America’s Health Care Workforce Act](https://openamerica.io/bill/118-HR-468/)