119th Congress · introduced in the Senate · Feb 26, 2025
Protecting Rural Seniors’ Access to Care Act
Official title from Congress.gov
Latest action (Feb 26, 2025): Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1399-1400)
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (Feb 26, 2025)
Protecting Rural Seniors’ Access to Care Act
This bill prohibits administration, implementation, or enforcement of the rule titled Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting, which was issued by the Centers for Medicare & Medicaid Services on May 10, 2024.
Specifically, the bill prohibits administration, implementation, or enforcement of provisions that, among other changes, (1) establish minimum staffing standards for nurses in Medicare and Medicaid long-term care facilities, including requiring a nurse to be onsite 24/7 and requiring a minimum of 3.48 total nurse staffing hours per resident per day; and (2) require state Medicaid programs to report on payments to direct care workers and support staff of nursing facilities and intermediate care facilities for individuals with intellectual disabilities.
Also, the bill requires the Department of Health and Human Services to establish an Advisory Panel on the Nursing Home Workforce. The panel must report annually to Congress, including on workforce shortages and barriers to accessing nursing homes in rural and underserved areas.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1399-1400)
Introduced in Senate
Actions from Congress.gov, newest first.
Administrative law and regulatory procedures · Advisory bodies · Aging · Congressional oversight · Department of Health and Human Services · Employee hiring · Health care coverage and access · Health personnel · Intergovernmental relations · Long-term, rehabilitative, and terminal care · Medicaid · Medicare · Nursing · Rural conditions and development · State and local government operations
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
14 citations.
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$170,000
Spent on own lobbying
…nerations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - Establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…ollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors' Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids' Access to Care Act -…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$230,000
Spent on own lobbying
…nerations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - Establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC · lobbying firm or registrant: SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · amended · posted Jul 9, 2026 · issue area: Medicare/Medicaid
$286,000
Spent on own lobbying
Meetings, Letters, and Briefings in House and Senate on CMS Nursing Home Staffing Rule, and sharing SEIU strong Opposition to HR 1683/S. 750, Protecting Rural SeniorsAccess to Care Act and efforts to rescind rule for pay for in reconciliation. Advocating for workers, families as part of the regular…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$5,320,000
Spent on own lobbying
…ollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Se…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$220,000
Spent on own lobbying
…nerations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - Establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Medicare/Medicaid
$4,120,000
Spent on own lobbying
…ollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Se…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$210,000
Spent on own lobbying
…nerations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - Establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$4,230,000
Spent on own lobbying
…ollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Se…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 16, 2025 · issue area: Health Issues
$210,000
Spent on own lobbying
…nerations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - Establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 22, 2025 · issue area: Medicare/Medicaid
$4,050,000
Spent on own lobbying
…ollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Se…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 21, 2025 · issue area: Health Issues
$230,000
Spent on own lobbying
…nerations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - Establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 22, 2025 · issue area: Medicare/Medicaid
$4,830,000
Spent on own lobbying
…ollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Se…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 17, 2025 · issue area: Health Issues
$210,000
Spent on own lobbying
…nerations Act (H.R. 1812) Seeking additional support for funding of multigenerational programs in Long-Term Care. Protecting Rural Seniors' Access to Care Act (S. 750/H.R. 1683) - establishing an advisory panel to support the nursing home workforce. Train More Nurses Act (S. 547/H.R. 2151) - Requiring the Secretary of HHS an…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing