Rulli, Stanton Introduce Bipartisan Bill to Protect Access to In-Home Skilled Nursing Care

WASHINGTON, D.C. - Today, Rep. Mike Rulli (OH-06) and Rep. Greg Stanton (AZ-04) introduced the Continuous Skilled Nursing (CSN) Quality Improvement Act, a bipartisan piece of legislation to roll back outdated federal red tape that has prevented skilled nurses from tending to the at-home patients that need it.

The bill is the House companion to legislation led in the Senate by Sens. Thom Tillis (R-NC), Maggie Hassan (D-NH), Dan Sullivan (R-AK), and Catherine Cortez Masto (D-NV). Together, the measures are aimed at simplifying federal rules so that continuous skilled nursing services can keep pace with how modern care is delivered: one-on-one, highly specialized support in the home for children and adults with complex medical needs.

"The care provided by continuous skilled nursing is what allows many Ohioans with disabilities and complex medical conditions to remain at home while getting the care they need," said Congressman Rulli. "Right now, federal regulations written for a different era are preventing families from accessing specialized, in-home nursing and pushing providers out of the program. This bipartisan legislation makes sure the law no longer stands in the way of lifesaving services and recognizes the unique, one-on-one work nurses do to help patients thrive at home."

"Continuous skilled nursing services are a lifeline for Arizonans with complex medical conditions and disabilities, letting patients stay at home while getting the one-on-one care they need," Rep. Stanton added. "But too often providers run into a maze of outdated rules that simply don't fit the care being delivered today. Our bipartisan legislation will advance patient care and remove provider red tape, and I look forward to working with Congressman Rulli to pass it into law."

Continuous skilled nursing services provide intensive, around-the-clock care in the home for children and individuals who rely on ventilators, feeding tubes, seizure management, and other complex supports. Families and providers report that a patchwork of outdated and overlapping federal requirements can delay services, discourage provider participation, and contribute to workforce challenges in a field already under strain. The Continuous Skilled Nursing Quality Improvement Act is intended to streamline those requirements, clarify expectations, and remove unnecessary administrative barriers so that more patients can access care where they want to be: at home.

"Congressman Rulli has been an incredible advocate for children and families in Eastern Ohio since his time in the Ohio Statehouse and we are so grateful for his continued advocacy at the national level," said Veronica Charles, Senior Director of Government Relations at Maxim Healthcare, a longtime provider of these nursing services throughout Ohio. "Thanks to strong, committed members like Congressman Rulli, the nation's most medically fragile children will continue to have a voice in Washington."

Rulli and Stanton emphasized that the legislation reflects a broad, bipartisan recognition that federal health care rules must keep pace with modern models of care. By prioritizing patient access, clear expectations, and common-sense oversight rather than duplicative and outdated paperwork, the bill aims to strengthen home and community-based services and support better outcomes for patients, families, and caregivers across the country.

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