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Improving Care and Staffing in Nursing Homes

This act aims to improve the quality of life for nursing home residents by increasing staffing levels, ensuring 24/7 nursing coverage, and enhancing oversight. It also bans pre-dispute arbitration agreements, making it easier for residents and families to pursue legal action.
Key points
Requires a registered nurse to be on-site 24 hours a day, 7 days a week, starting October 2023.
Prohibits nursing homes from using pre-dispute arbitration agreements with residents, allowing disputes to be settled in court.
Provides increased federal funding to states to improve nursing home staffing and quality, including supporting staff wages and benefits.
Establishes a demonstration program to fund facility modifications (like private rooms) and staff investment to improve resident outcomes.
Increases transparency of staffing and quality data and imposes penalties for inaccurate reporting.
article Official text account_balance Process page
Expired
Citizen Poll
No votes cast
Additional Information
Print number: 117_HR_5169
Sponsor: Rep. Neal, Richard E. [D-MA-1]
Process start date: 2021-09-03
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Summarized by: gemini-2.5-flash-preview-04-17
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Nursing Home Improvement and Accountability Act of 2021

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_5169.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-09-03.

What are the main provisions?

Key points include:

  • Requires a registered nurse to be on-site 24 hours a day, 7 days a week, starting October 2023.
  • Prohibits nursing homes from using pre-dispute arbitration agreements with residents, allowing disputes to be settled in court.
  • Provides increased federal funding to states to improve nursing home staffing and quality, including supporting staff wages and benefits.
  • Establishes a demonstration program to fund facility modifications (like private rooms) and staff investment to improve resident outcomes.
  • Increases transparency of staffing and quality data and imposes penalties for inaccurate reporting.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Neal, Richard E. [D-MA-1].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Health