Enhancing Skilled Nursing Facilities Act

HR 7106, the Enhancing Skilled Nursing Facilities Act, modifies Medicare and Medicaid rules to expand which healthcare providers can deliver services in skilled nursing facilities (SNFs) without direct physician supervision. The bill updates existing law to allow nurse practitioners, physician assistants, and clinical nurse specialists (working under state law) to perform roles previously restricted to physicians, such as certifying care, supervising residents, and maintaining clinical records. This directly affects SNFs, Medicaid/Medicare providers, and state licensing authorities, as it changes certification and supervision requirements for facility services. The key mechanism is replacing "physician" with broader provider categories in multiple sections of the Social Security Act, while requiring compliance with state practice laws.