Skip to Main Content
Legislation Search

H.R. 7106: Enhancing Skilled Nursing Facilities Act

This bill, titled the Enhancing Skilled Nursing Facilities Act, aims to amend certain sections of the Social Security Act to improve the delivery of care in skilled nursing facilities (SNFs) and nursing facilities under the Medicare and Medicaid programs. The main goals of the bill are to streamline care delivery, update supervision requirements, and ensure that a broader range of healthcare providers can contribute to patient care in these facilities.

Key Provisions

Medicare Changes

  • Certification of Extended Care Services: The bill allows for the certification of post-hospital extended care services to include healthcare providers working in accordance with state law, rather than being restricted to specific categories of providers.
  • Supervision Requirements: The bill amends the supervision requirements in skilled nursing facilities to allow nurse practitioners and physician assistants to supervise care, in addition to physicians, based on state laws.
  • Administration of Part B Services: The legislation expands eligible providers to include nurse practitioners and physician assistants for the administration of Medicare Part B services, streamlining the process and reducing physician dependency.
  • Provision of Medical Services: It revises definitions to ensure that clinical nurse specialists can also provide medical services in collaboration with attending physicians.
  • Residents’ Rights: The bill improves residents' rights by formally recognizing the roles of nurse practitioners, physician assistants, and clinical nurse specialists when they are involved in residents’ healthcare decisions.

Medicaid Changes

  • Certification for Skilled Nursing and Intermediate Care Services: Similar to Medicare, the bill allows nurse practitioners, physician assistants, and clinical nurse specialists to certify services in skilled nursing facilities, easing requirements regarding who can recertify care needs.
  • Nursing Facility Services Supervision: It establishes that healthcare for residents must be provided under the supervision of a physician, nurse practitioner, or physician assistant, enhancing flexibility in supervision of care.

The overarching aim of these amendments is to enhance the efficiency and effectiveness of care in skilled nursing facilities by allowing more healthcare professionals to participate actively in patient care, ultimately improving the quality of service for residents.

Relevant Companies

  • HCA Healthcare (HCA) - As one of the largest healthcare providers, changes in Medicare and Medicaid regulations could directly affect their operations, especially in skilled nursing care facilities.
  • Amedisys (AMED) - This company provides home health care and may be influenced by adjustments in healthcare provider certifications and supervision rules.
  • Pfizer (PFE) - Pharmaceutical companies like Pfizer could be indirectly affected due to changes in medication administration protocols in skilled nursing settings.

This is an AI-generated summary of the bill text. There may be mistakes.

Show More

Sponsors

2 bill sponsors

Actions

2 actions

Date Action
Jan. 15, 2026 Introduced in House
Jan. 15, 2026 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.

Corporate Lobbying

0 companies lobbying

None found.

* Note that there can be significant delays in lobbying disclosures, and our data may be incomplete.

Potentially Relevant Congressional Stock Trades

Estimated excess return of the underlying stock since the transaction
Politician Stock Transaction Filed Traded
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Jan 12, 2026 Dec 19, 2025 +0.83%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Dec 15, 2025 Nov 18, 2025 -3.63%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 06, 2025 Oct 27, 2025 +0.04%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 06, 2025 Oct 27, 2025 +0.04%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 06, 2025 Oct 27, 2025 +0.04%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $1,001 - $15,000
Oct 03, 2025 Sep 15, 2025 +2.69%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $1,001 - $15,000
Oct 03, 2025 Sep 15, 2025 +2.69%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $1,001 - $15,000
Oct 03, 2025 Sep 15, 2025 +2.69%
Congress pfp
Lisa C. McClain R / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Oct 22, 2025 Sep 11, 2025 +12.05%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $1,001 - $15,000
Oct 03, 2025 Sep 05, 2025 -3.44%
Congress pfp
Lisa C. McClain R / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Sep 12, 2025 Aug 19, 2025 +9.16%
Congress pfp
Lisa C. McClain R / House
AMED logo
AMED AMEDISYS INC - COMMON STOCK
Sale $1,001 - $15,000
Sep 12, 2025 Aug 18, 2025 -
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Sep 12, 2025 Aug 05, 2025 -6.15%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Sep 09, 2025 Aug 04, 2025 -0.24%
Congress pfp
Lisa C. McClain R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Sep 12, 2025 Aug 04, 2025 -0.24%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Sep 09, 2025 Aug 04, 2025 -0.24%
Congress pfp
Lisa C. McClain R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 13, 2025 Jul 16, 2025 -6.25%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Aug 07, 2025 Jul 01, 2025 -9.20%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC
Purchase $1,001 - $15,000
Jul 09, 2025 Jun 20, 2025 -8.71%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC
Purchase $1,001 - $15,000
Jul 09, 2025 Jun 20, 2025 -8.71%
Congress pfp
Julia Letlow R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jan 13, 2026 Jun 17, 2025 -8.50%
Congress pfp
Lisa C. McClain R / House
AMED logo
AMED AMEDISYS INC - COMMON STOCK
Purchase $1,001 - $15,000
Aug 13, 2025 Jun 09, 2025 -0.36%
Congress pfp
Josh Gottheimer D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Jul 16, 2025 Jun 03, 2025 -5.81%
Congress pfp
Ron Wyden D / Senate
PFE logo
PFE Pfizer, Inc. Common Stock
Sale (Full) $1,001 - $15,000
Jul 02, 2025 Jun 03, 2025 -5.81%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 06, 2025 May 30, 2025 -7.80%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Jun 10, 2025 May 28, 2025 -6.67%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $15,001 - $50,000
Jun 10, 2025 May 19, 2025 -4.39%
Congress pfp
Jared Moskowitz D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 27, 2025 May 15, 2025 +5.37%
Congress pfp
Jared Moskowitz D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 27, 2025 May 15, 2025 +5.37%
Congress pfp
Robert Bresnahan R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $15,001 - $50,000
May 31, 2025 May 15, 2025 -3.28%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jun 10, 2025 May 07, 2025 +7.59%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $15,001 - $50,000
Jun 10, 2025 May 07, 2025 +7.59%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jun 10, 2025 May 07, 2025 +7.59%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
May 06, 2025 Apr 29, 2025 -16.59%
Congress pfp
Bruce Westerman R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
May 12, 2025 Apr 21, 2025 -17.80%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $15,001 - $50,000
May 12, 2025 Apr 15, 2025 -13.98%
Congress pfp
Jefferson Shreve R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $15,001 - $50,000
May 08, 2025 Apr 11, 2025 -12.14%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $15,001 - $50,000
May 12, 2025 Apr 09, 2025 -12.94%
Congress pfp
Robert Bresnahan R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $15,001 - $50,000
Apr 28, 2025 Apr 08, 2025 -21.33%
Congress pfp
Julie Johnson D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
May 14, 2025 Apr 07, 2025 +6.12%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $15,001 - $50,000
Apr 07, 2025 Mar 31, 2025 -22.11%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Apr 10, 2025 Mar 12, 2025 +27.13%
Congress pfp
Carol D. Miller R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Apr 11, 2025 Mar 10, 2025 -26.67%
Congress pfp
Bruce Westerman R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Apr 16, 2025 Mar 03, 2025 -20.33%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Mar 06, 2025 Feb 26, 2025 -18.84%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Mar 06, 2025 Feb 25, 2025 +25.38%
Congress pfp
Robert Bresnahan R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $15,001 - $50,000
Mar 27, 2025 Feb 25, 2025 -20.08%
Congress pfp
Robert Bresnahan R / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Mar 27, 2025 Feb 25, 2025 +25.38%
Congress pfp
Jefferson Shreve R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $15,001 - $50,000
Mar 09, 2025 Feb 24, 2025 -19.17%
Congress pfp
John Boozman R / Senate
PFE logo
PFE Pfizer Inc
Sale (Full) $1,001 - $15,000
Mar 06, 2025 Feb 13, 2025 -13.01%
Congress pfp
Julie Johnson D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Mar 12, 2025 Feb 12, 2025 -13.54%
Congress pfp
Gilbert Ray Cisneros, Jr. D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Feb 11, 2025 Jan 24, 2025 -15.07%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Feb 06, 2025 Jan 22, 2025 +33.71%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Feb 06, 2025 Jan 22, 2025 -15.05%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Feb 06, 2025 Jan 17, 2025 -17.83%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Feb 06, 2025 Jan 17, 2025 +36.32%
Congress pfp
Julie Johnson D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Feb 12, 2025 Jan 15, 2025 -18.46%
Congress pfp
Val T. Hoyle D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Sep 12, 2025 Dec 27, 2024 +39.80%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $15,001 - $50,000
Dec 05, 2024 Nov 15, 2024 -14.28%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Dec 05, 2024 Nov 13, 2024 -19.45%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Dec 05, 2024 Nov 13, 2024 -19.45%
Congress pfp
Val T. Hoyle D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Sep 12, 2025 Oct 29, 2024 +12.03%
Congress pfp
Laurel M. Lee R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $15,001 - $50,000
Nov 21, 2024 Oct 21, 2024 -29.47%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 08, 2024 Oct 15, 2024 -1.57%
Congress pfp
Greg Landsman D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Nov 14, 2024 Oct 15, 2024 -31.80%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 08, 2024 Oct 15, 2024 -1.57%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Sep 06, 2024 Aug 27, 2024 -33.82%
Congress pfp
Kathy E. Manning D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Sep 04, 2024 Aug 09, 2024 -39.56%
Congress pfp
Scott Franklin R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $15,001 - $50,000
Aug 20, 2024 Aug 06, 2024 -44.58%
Congress pfp
Scott Franklin R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Aug 20, 2024 Aug 01, 2024 -43.33%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jul 08, 2024 Jun 12, 2024 +10.80%
Congress pfp
Ro Khanna D / House
PFE logo
PFE DC PFIZER INC. CMN
Purchase $15,001 - $50,000
Jun 05, 2024 May 29, 2024 -38.84%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Jun 05, 2024 May 28, 2024 +17.65%
Congress pfp
Tommy Tuberville R / Senate
PFE logo
PFE Pfizer, Inc. Common Stock
Sale (Full) $15,001 - $50,000
Jun 14, 2024 May 03, 2024 -42.63%
Congress pfp
Ro Khanna D / House
PFE logo
PFE EPFIZER INC. CMN
None $15,001 - $50,000
May 06, 2024 Apr 26, 2024 -34.68%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
May 06, 2024 Apr 23, 2024 -38.90%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Apr 05, 2024 Mar 25, 2024 -39.11%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $15,001 - $50,000
Apr 05, 2024 Mar 20, 2024 -39.52%
Congress pfp
Roger Williams R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Jun 12, 2024 Mar 04, 2024 -35.54%
Congress pfp
Roger Williams R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 12, 2024 Mar 01, 2024 -37.98%
Congress pfp
Josh Gottheimer D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Apr 07, 2024 Mar 01, 2024 +16.48%
Congress pfp
Roger Williams R / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Sale $1,001 - $15,000
Jun 12, 2024 Mar 01, 2024 -37.98%
Congress pfp
Tommy Tuberville R / Senate
PFE logo
PFE Pfizer, Inc. Common Stock
Purchase $1,001 - $15,000
Mar 15, 2024 Feb 27, 2024 -40.65%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PRZER INC. CMN
Purchase $15,001 - $50,000
Mar 06, 2024 Feb 13, 2024 -44.51%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $15,001 - $50,000
Mar 06, 2024 Feb 13, 2024 -44.51%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Mar 06, 2024 Feb 13, 2024 +15.00%
Congress pfp
Earl Blumenauer D / House
PFE logo
PFE PFIZER, INC. COMMON STOCK
Purchase $1,001 - $15,000
Mar 02, 2024 Feb 12, 2024 -44.92%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Sale $15,001 - $50,000
Feb 05, 2024 Feb 02, 2024 -44.28%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Feb 05, 2024 Jan 31, 2024 -48.09%
Congress pfp
Ro Khanna D / House
PFE logo
PFE PFIZER INC. CMN
Purchase $1,001 - $15,000
Feb 05, 2024 Jan 31, 2024 -48.09%