Continuous Skilled Nursing Quality Improvement Act of 2025

This bill redefines "private duty nursing services" under Medicaid as "continuous skilled nursing services" requiring licensed nurses (RNs or LPNs) for complex-care patients needing multiple hours of daily nursing. It directly affects Medicaid beneficiaries, particularly "full-benefit dual eligible individuals" (those qualifying for both Medicare and full Medicaid benefits), who rely on these services. Key mechanisms include mandating licensed providers, establishing a working group to develop national quality standards within 180 days, and updating Medicaid program guidelines to include these services by 18 months. The bill also requires states to incorporate these standards into their Medicaid programs and quality measure sets.