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                    118TH CONGRESS                                    REPT. 118-745
                       2d Session    HOUSE   OF REPRESENTATIVES           Part 1







                    PROTECTING AMERICAN SENIORS' ACCESS TO CARE ACT




                                   NOVEMBER 18, 2024.-Ordered to be printed




                     Mr. SMITH  of Missouri, from the Committee on Ways  and Means,
                                        submitted  the following



                                            REPORT


                                          [To accompany H.R. 7513]

                      The Committee   on Ways  and Means,  to whom   was referred the
                    bill (H.R. 7513) to prohibit the Secretary of Health and  Human
                    Services from finalizing a proposed rule regarding minimum  staff-
                    ing for nursing facilities, and to establish an advisory panel on the
                    skilled nursing facility workforce, having considered the same, re-
                    ports favorably thereon with  amendments   and  recommends   that
                    the bill as amended do pass.

                                                CONTENTS

                                                                                  Page
                      I. SUMMARY  AND BACKGROUND   ...............................................................  2
                            A. Background and Need for Legislation .................... 2
                            B. Legislative  H istory  ........................................................................... .  4
                               B ackground   .....................................................................................  4
                               Com m ittee  H earings  ........................................................................  4
                               Com m ittee  A ction  ............................................................................  4
                            C. Designated  H earing  ..........................................................................  4
                     II. EXPLANATION     OF  THE  BILL   ..................................................................  4
                            A . Reasons  for  Change  ..........................................................................  4
                            B. Explanation  of Provisions  .................................................................  4
                            C . E ffective  D ate  ................................................................................... .  4
                     III. VOTES   OF  THE  COM  M ITTEE   ...................................................................  5
                     IV. BUDGET EFFECTS OF THE  BILL ............................................................  5
                            A. Committee Estimate of Budgetary Effects .................. 5
                            B. Statement Regarding New Budget Authority and Tax Expendi-
                               tures Budget Authority  ..................................................................  5
                      V. COST ESTIMATE PREPARED  BY THE  CONGRESSIONAL   BUDGET
                          O F F IC E   ......................................................................................................  5
                     VI. OTHER MATTERS   TO BE  DISCUSSED  UNDER  THE  RULES  OF
                          TH E H O U SE  .............................................................................................  6
                            A. Committee Oversight Findings and Recommendations .................     6
                            B. Statement of General Performance Goals and Objectives .............    6
                            C. Information Relating to Unfunded Mandates ................            6
                            D. Congressional Earmarks, Limited Tax Benefits, and Limited
                               Tariff B enefits  .................................................................................  6


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