Continuous Skilled Nursing Quality Improvement Act of 2025
Impact
The enactment of SB1920 is expected to significantly influence state Medicaid programs by introducing uniform national standards for skilled nursing services. This standardization aims to guarantee that state Medicaid beneficiaries receive consistent and high-quality care across the country. Moreover, by requiring licensed nursing professionals to provide care, the bill could enhance the overall safety and effectiveness of nursing services within the Medicaid framework, addressing existing disparities in care quality for vulnerable populations.
Summary
SB1920, titled the Continuous Skilled Nursing Quality Improvement Act of 2025, is designed to amend title XIX of the Social Security Act. Its primary focus is to develop national quality standards for continuous skilled nursing services provided through Medicaid. With an emphasis on improving care for complex patients requiring extensive nursing services, the bill mandates that these services be delivered by licensed nursing professionals, thereby reinforcing the standards for private duty nursing care and ensuring patients receive high-quality services under the Medicaid program.
Contention
While SB1920 has garnered support for its intentions to enhance nursing care quality, it could face challenges related to implementation and funding. Critics may argue that establishing new standards could impose financial strain on state Medicaid programs already dealing with budget constraints. Furthermore, some stakeholders might express concerns regarding the feasibility of aligning diverse state nursing practices with federal standards, which could lead to operational hurdles for nursing agencies and Medicaid providers looking to comply with the new regulations.
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.