Continuous Skilled Nursing Quality Improvement Act of 2025

HR 6592 redefines Medicaid-covered "private duty nursing" as "continuous skilled nursing services" for complex-care patients requiring multiple hours of daily nursing care (as determined by states), mandating these services be provided by licensed nurses (RNs or LPNs). It requires the Secretary to develop national quality standards for these services through a stakeholder working group, to be published within one year. The bill also updates Medicaid waiver services and quality measures to include continuous skilled nursing services, with standards reviewed every eight years. This directly affects complex-care Medicaid beneficiaries and their nursing providers across all states.