Sponsors (2)
Introduced May 15, 2025 by Derrick Van Orden · Last progress May 15, 2025
Requiring supervising RNs to have at least two years' experience aims to improve nurse‑aide training quality and RN career paths, but it may create staffing shortfalls, raise costs, and strain small or rural facilities—potentially shifting burdens to residents and taxpayers.
Nursing home and long-term care residents will likely 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 role opportunities, which can strengthen RN career pathways and potential compensation.
Medicare- and Medicaid-certified nursing facilities and state regulators get a standardized minimum RN supervisory experience requirement, reducing regulatory ambiguity.
Many nursing facilities may face staffing shortages or reduced nurse‑aide training availability if fewer RNs meet the two‑year requirement.
Higher facility labor costs could be passed to residents or taxpayers through increased charges or higher Medicare/Medicaid spending.
Smaller and rural facilities may struggle to comply, risking reduced training offerings or reliance on expensive contract RNs and worsening access in rural communities.
Based on analysis of 2 sections of legislative text.
Requires HHS to revise federal nursing facility rules so RNs who supervise nurse‑aide training must have at least two years of nursing experience.
Requires the Department of Health and Human Services to change federal nursing facility training regulations so that the registered nurse who provides general supervision of nurse-aide training must have at least two years of nursing experience. The department must complete the regulatory revision within one year of enactment, and the two-year minimum applies whether or not any of that experience was in long-term care settings.