Sponsors (2)
The bill raises RN supervisory experience requirements to improve nurse‑aide training quality and RN career opportunities, but it risks higher costs and reduced training capacity—especially for small or rural facilities—potentially shifting expenses to taxpayers and residents.
Nursing home and long-term care residents (including Medicare/Medicaid beneficiaries) are likely to receive higher-quality nurse‑aide training because supervising RNs must have at least two years' experience.
Registered nurses with two or more years' experience gain clearer supervisory roles, which can improve RN career pathways and compensation prospects.
Medicare- and Medicaid-certified nursing facilities get clearer, standardized regulatory expectations by setting a minimum RN supervisory experience requirement, reducing ambiguity for providers and state oversight.
Some facilities may face higher labor costs or staffing shortages if fewer RNs meet the two-year requirement, potentially reducing the availability of nurse‑aide training slots.
Higher operating costs for facilities could be passed on to taxpayers and residents through increased Medicare/Medicaid spending or higher facility charges.
Smaller or rural nursing facilities may struggle to comply, risking reduced local training offerings or reliance on expensive contract RNs, which could worsen access in rural communities.
Based on analysis of 2 sections of legislative text.
Requires HHS to revise federal CNA training rules so the RN supervising CNA training must have at least two years of nursing experience.
Requires the Department of Health and Human Services to update federal nurse-aide training rules so that the registered nurse who provides general supervision of certified nursing assistant (CNA) training must have at least two years of nursing experience. The Department must make that regulatory change within one year of enactment, and the two-year minimum applies whether or not any of that experience occurred in long-term care settings.
Official title: To direct the Secretary of Health and Human Services to adjust certain training requirements for certified nursing assistants in nursing facilities and skilled nursing facilities.
Introduced May 15, 2025 by Derrick Van Orden · Last progress May 15, 2025