H.R. 1303 (119th)Bill Overview

Protecting America’s Seniors’ Access to Care Act

Health|Administrative law and regulatory proceduresDepartment of Health and Human Services
Cosponsors
Support
Republican
Introduced
Feb 13, 2025
Discussions
Bill Text
Current stageCommittee

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 c…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill prohibits the Secretary of Health and Human Services from implementing, administering, or enforcing the CMS final rule published May 10, 2024 (89 Fed. Reg. 40876) titled “Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting,” and bars any substantially similar regulation.

Why people may split

Progressives emphasize resident safety and transparency benefits

Watch point

Narrow deregulatory measure can advance where chamber favors rollback, but faces organized opposition from care advocates and unions.

This bill prohibits the Secretary of Health and Human Services from implementing, administering, or enforcing the CMS final rule published May 10, 2024 (89 Fed.

Reg. 40876) titled “Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting,” and bars any substantially similar regulation.

The prohibition takes effect on enactment and applies to the identified rule provisions and similar future rules.

Passage30/100

Narrow, clear rollback proposal eases House prospects but faces substantial barriers in Senate and potential executive opposition or litigation.

CredibilityPartial

How solid the drafting looks.

Contention70/100

Progressives emphasize resident safety and transparency benefits

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Local governments · Federal agenciesFederal agencies · States

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Local governmentsPreserves provider flexibility to set staffing levels based on local needs and budgets.
  • Federal agenciesAvoids potential increased operating costs tied to federally mandated staffing ratios.
  • Federal agenciesReduces federal administrative and compliance burdens on long-term care providers and states.
Likely burdened
  • Federal agenciesRemoves a federal mechanism intended to raise staffing levels and potentially improve resident safety.
  • Federal agenciesEliminates nationwide transparency standards for Medicaid institutional payments, reducing federal visibility.
  • StatesLikely increases variation in care standards across states, creating potential inequities for beneficiaries.
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize resident safety and transparency benefits
Progressive10%

Likely opposes the bill because it blocks federal minimum staffing standards and transparency reporting meant to raise care quality and accountability in long‑term care.

Views the prohibition as removing protections for seniors and workers without providing alternative safeguards.

Likely resistant
Centrist50%

Mixed view: sympathetic to concerns about unfunded mandates and facility closures, but also concerned about delaying standards that improve resident safety and payment transparency.

Prefers a compromise approach that pairs standards with phased implementation and funding.

Split reaction
Conservative85%

Likely supports the bill as a restraint on federal overreach and unfunded mandates.

Sees prohibition as protecting providers from costly staffing mandates and preserving access in rural or financially stressed markets.

Leans supportive
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood30/100

Narrow, clear rollback proposal eases House prospects but faces substantial barriers in Senate and potential executive opposition or litigation.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Absent cost estimate or CBO score
  • Stakeholder mobilization from providers, labor, and advocates
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressives emphasize resident safety and transparency benefits

Narrow, clear rollback proposal eases House prospects but faces substantial barriers in Senate and potential executive opposition or litiga…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for Protecting America’s Seniors’ Access to Care Act.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis