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H.R. 1303
U.S. House•In House Committee
Summary
H.R. 1303, the Protecting America’s Seniors’ Access to Care Act, was introduced in the House on Feb 13, 2025 by Rep. Michelle Fischbach (R) with 26 co-sponsors. It was referred to Ways And Means, and last saw action on Feb 13, 2025: 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 consideration of such provisions as fall within the jurisdiction of the committee concerned.
Record
Text
H.R. 1303 has 26 co-sponsors.
hb1303/introduced-in-house.txt119 HR 1303 IH: Protecting America’s Seniors’ Access to Care ActU.S. House of Representatives2025-02-13text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 1303 IN THE HOUSE OF REPRESENTATIVES February 13, 2025 Mrs. Fischbach (for herself, Mr. Carter of Georgia , Mrs. Houchin , Mr. Moran , Mr. Estes , Mr. Carey , Ms. Van Duyne , Mr. Johnson of South Dakota , Mr. Thompson of Pennsylvania , Mr. Timmons , Mr. Finstad , Mr. Tiffany , Mr. Kelly of Pennsylvania , Mr. Moolenaar , Mr. Pfluger , Mr. Murphy , Mrs. Miller of West Virginia , Mr. Rose , and Mr. Norman ) introduced the following bill; which was 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 consideration of such provisions as fall within the jurisdiction of the committee concerned A BILLTo prohibit the Secretary of Health and Human Services from implementing, administering, or enforcing provisions relating to minimum staffing standards for long-term care facilities and Medicaid institutional payment transparency reporting.1.Short titleThis Act may be cited as the Protecting America’s Seniors’ Access to Care Act .2.ProhibitionBeginning on the date of enactment of this Act, the Secretary of Health and Human Services shall not implement, administer, or enforce the provisions of the final rule published by the Centers for Medicare & Medicaid Services in the Federal Register on May 10, 2024, and titled Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting (89 Fed. Reg. 40876) or any substantially similar regulation.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-02-13
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Feb 13, 2025
hb1303/introduced-in-house.mdShown Here:
Introduced in House (02/13/2025)
Protecting America’s 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.
Sponsors
Rep. Michelle Fischbach (R) sponsors H.R. 1303, and 26 members have co-sponsored it, 18 of them from the day it was introduced.

Rep. · R–MN-7 · Sponsor
Introduced Feb 13, 2025

Rep. · R–OH-15 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–GA-1 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–KS-4 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–MN-1 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–IN-9 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–SD-0 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–PA-16 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–WV-1 · Co-sponsor
Joined Feb 13, 2025 · Original

Rep. · R–MI-2 · Co-sponsor
Joined Feb 13, 2025 · Original
Committees
H.R. 1303 went before 2 committees: Energy and Commerce and Ways and Means.
Actions
H.R. 1303 has taken 2 actions since Feb 13, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Feb 13, 2025 | House | Introduced in House | ||
Feb 13, 2025 | House | 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 consideration of such provisions as fall within the jurisdiction of the committee concerned.Ways and Means Committee |
Votes
H.R. 1303 has not gone to a roll call.
Titles
H.R. 1303 goes by 3 titles, 1 of them short titles.
- Protecting America’s Seniors’ Access to Care Act — Display Title
- Protecting America’s Seniors’ Access to Care Act — Short Title(s) as Introduced
- To prohibit the Secretary of Health and Human Services from implementing, administering, or enforcing provisions relating to minimum staffing standards for long-term care facilities and Medicaid institutional payment transparency reporting. — Official Title as Introduced
Lobbying
1 client hired 1 firm and 4 registered lobbyists who named H.R. 1303 in 5 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Budget/Appropriations, Civil Rights/Civil Liberties, Government Issues, Medicare/Medicaid, Retirement.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | — | District of Columbia | 1 | 5 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | 1 | 5 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ANNE MONTGOMERY | 1 | 1 | 5 |
| DAN ADCOCK | 1 | 1 | 5 |
| LUCAS WARREN | 1 | 1 | 5 |
| MAX RICHTMAN | 1 | 1 | 5 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | 2026 second_quarter | $210K | 2nd Quarter - Report |
| NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | 2025 third_quarter | $210K | 3rd Quarter - Report |
| NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | 2025 second_quarter | $200K | 2nd Quarter - Report |
| NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | 2026 first_quarter | $190K | 1st Quarter - Report |
| NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE | 2025 fourth_quarter | $190K | 4th Quarter - Report |
Classification
The Congressional Research Service files H.R. 1303 under Health, one of its 31 policy areas, and gives it 7 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 1303’s is Health.
hr1303/policy-areas.txtLegislative Subjects
H.R. 1303 carries 7 of CRS’s legislative subjects, from Administrative law and regulatory procedures to Medicare.
hr1303/subjects.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 1303, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 30 (Thursday, February 13, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. FISCHBACH:H.R. 1303.Congress has the power to enact this legislation pursuantto the following:Art I, Sec 8[Page H711]
Source: congress.gov · legiscan.com