United States · Bill · HR
H.R. 4293 (109th)
Nursing Home Staffing Act of 2005
Introduced
10 November 2005
Last action
22 November 2005 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Waxman, Henry A. [D-CA-33], Rep. Dingell, John D. [D-MI-12], Rep. Rangel, Charles B. [D-NY-15], Sen. Brown, Sherrod [D-OH], Rep. Stark, Fortney Pete [D-CA-13], Rep. Capps, Lois [D-CA-24], Rep. Schakowsky, Janice D. [D-IL-9], Rep. Baca, Joe [D-CA-43], Sen. Baldwin, Tammy [D-WI], Rep. Berman, Howard L. [D-CA-28], ROBERT BRADY, Rep. Brown, Corrine [D-FL-5], Rep. Chandler, Ben [D-KY-6], Rep. Clay, Wm. Lacy [D-MO-1], Rep. Frank, Barney [D-MA-4], Rep. Grijalva, Raúl M. [D-AZ-7], Rep. Gutierrez, Luis V. [D-IL-4], Rep. Hinchey, Maurice D. [D-NY-22], Rep. Holden, Tim [D-PA-17], Rep. Kaptur, Marcy [D-OH-9], Rep. Kildee, Dale E. [D-MI-5], Rep. Kucinich, Dennis J. [D-OH-10], Rep. Maloney, Carolyn B. [D-NY-12], Sen. Markey, Edward J. [D-MA], Rep. McCarthy, Carolyn [D-NY-4], Rep. McDermott, Jim [D-WA-7], Rep. McNulty, Michael R. [D-NY-23], Rep. Meehan, Martin T. [D-MA-5], Rep. Moore, Dennis [D-KS-3], Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Owens, Major R. [D-NY-11], Rep. Pallone, Frank [D-NJ-6], Rep. Roybal-Allard, Lucille [D-CA-40], Rep. Rush, Bobby L. [D-IL-1], Sen. Sanders, Bernard [I-VT], Rep. Thompson, Bennie G. [D-MS-2], Sen. Van Hollen, Chris [D-MD], Rep. Waters, Maxine [D-CA-43], Rep. Wexler, Robert [D-FL-19], Rep. Wynn, Albert Russell [D-MD-4], Rep. Solis, Hilda L. [D-CA-32], Rep. Holt, Rush [D-NJ-12], Rep. McGovern, James P. [D-MA-2], Rep. Payne, Donald M. [D-NJ-10], Rep. DeLauro, Rosa L. [D-CT-3], Rep. Conyers, John, Jr. [D-MI-13], Rep. Filner, Bob [D-CA-51], Rep. Cummings, Elijah E. [D-MD-7]
Subjects
Healthcare
Source updated
15 August 2025
Summary
Nursing Home Staffing Act of 2005 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services to promulgate standards for minimum nurse staffing levels in nursing facilities receiving Medicare or Medicaid payments. Reinstitutes (Boren amendment) payment methodology, providing for payment of Medicaid services through the use of rates determined pursuant to the criteria under state Medicaid plan requirements as in effect on August 1, 1997. Establishes safe harbor rates. Provides a permanent 1.5% increase of the Medicaid federal medical assistance percentage (FMAP) for a state beginning with FY 2006. Authorizes inclusion of: (1) financial accountability requirements in the survey and certification process with respect to facilities receiving Medicare or Medicaid payments; and (2) professionals trained in financial accounting and auditing in the multidisciplinary survey teams of professionals under Medicare and Medicaid.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
10 November 2005
Introduced
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.
Source: IntroReferral
10 November 2005
Introduced
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.
Source: IntroReferral
10 November 2005
Introduced
Introduced in House
Source: IntroReferral
10 November 2005
Introduced
Introduced in House
Source: IntroReferral
22 November 2005
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 10 November 2005 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 10 November 2005
Introduced in House (PDF)
Introduced in House · EN · 10 November 2005
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Introduced in House
summary · EN · 10 November 2005
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Sponsors
- Rep. Waxman, Henry A. [D-CA-33] · D · Sponsor
- Rep. Dingell, John D. [D-MI-12] · D · Sponsor
- Rep. Rangel, Charles B. [D-NY-15] · D · Sponsor
- Sen. Brown, Sherrod [D-OH] · D · Sponsor
- Rep. Stark, Fortney Pete [D-CA-13] · D · Sponsor
- Rep. Capps, Lois [D-CA-24] · D · Sponsor
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Sponsor
- Rep. Baca, Joe [D-CA-43] · D · Sponsor
- Sen. Baldwin, Tammy [D-WI] · D · Sponsor
- Rep. Berman, Howard L. [D-CA-28] · D · Sponsor
- ROBERT BRADY · D · Sponsor
- Rep. Brown, Corrine [D-FL-5] · D · Sponsor
- Rep. Chandler, Ben [D-KY-6] · D · Sponsor
- Rep. Clay, Wm. Lacy [D-MO-1] · D · Sponsor
- Rep. Frank, Barney [D-MA-4] · D · Sponsor
- Rep. Grijalva, Raúl M. [D-AZ-7] · D · Sponsor
- Rep. Gutierrez, Luis V. [D-IL-4] · D · Sponsor
- Rep. Hinchey, Maurice D. [D-NY-22] · D · Sponsor
- Rep. Holden, Tim [D-PA-17] · D · Sponsor
- Rep. Kaptur, Marcy [D-OH-9] · D · Sponsor
- Rep. Kildee, Dale E. [D-MI-5] · D · Sponsor
- Rep. Kucinich, Dennis J. [D-OH-10] · D · Sponsor
- Rep. Maloney, Carolyn B. [D-NY-12] · D · Sponsor
- Sen. Markey, Edward J. [D-MA] · D · Sponsor
- Rep. McCarthy, Carolyn [D-NY-4] · D · Sponsor
- Rep. McDermott, Jim [D-WA-7] · D · Sponsor
- Rep. McNulty, Michael R. [D-NY-23] · D · Sponsor
- Rep. Meehan, Martin T. [D-MA-5] · D · Sponsor
- Rep. Moore, Dennis [D-KS-3] · D · Sponsor
- Del. Norton, Eleanor Holmes [D-DC-At Large] · D · Sponsor
- Rep. Owens, Major R. [D-NY-11] · D · Sponsor
- Rep. Pallone, Frank [D-NJ-6] · D · Sponsor
- Rep. Roybal-Allard, Lucille [D-CA-40] · D · Sponsor
- Rep. Rush, Bobby L. [D-IL-1] · D · Sponsor
- Sen. Sanders, Bernard [I-VT] · I · Sponsor
- Rep. Thompson, Bennie G. [D-MS-2] · D · Sponsor
- Sen. Van Hollen, Chris [D-MD] · D · Sponsor
- Rep. Waters, Maxine [D-CA-43] · D · Sponsor
- Rep. Wexler, Robert [D-FL-19] · D · Sponsor
- Rep. Wynn, Albert Russell [D-MD-4] · D · Sponsor
- Rep. Solis, Hilda L. [D-CA-32] · D · Sponsor
- Rep. Holt, Rush [D-NJ-12] · D · Sponsor
- Rep. McGovern, James P. [D-MA-2] · D · Cosponsor
- Rep. Payne, Donald M. [D-NJ-10] · D · Cosponsor
- Rep. DeLauro, Rosa L. [D-CT-3] · D · Cosponsor
- Rep. Conyers, John, Jr. [D-MI-13] · D · Cosponsor
- Rep. Filner, Bob [D-CA-51] · D · Cosponsor
- Rep. Cummings, Elijah E. [D-MD-7] · D · Cosponsor
Showing 48 of 62 sponsors and actors.
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/109th-congress/house-bill/4293
- Open data entity: https://api.congress.gov/v3/bill/109/hr/4293
- us · 109-hr-4293 · source updated 15 August 2025