Congress funds nursing homes to run child care—but who actually benefits?
H.R. 1812 — Care Across Generations Act · Filed by Marilyn Strickland (D-WA) · 7 cosponsors · Introduced Mar 3, 2025 · Referred to committee
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What it does
This bill creates a federal competitive grant program to fund long-term care facilities (nursing homes, assisted living) that operate or partner with on-site child care centers and run intergenerational activities connecting elderly residents with children. Eligible facilities apply for grants (minimum 36 months) to build, expand, or operate child care, coordinate activities between the two groups, and report on outcomes. The bill requires grantees to evaluate effectiveness and submit findings to Congress.
Why we flagged it
The bill's core mechanism is a competitive grant program to fund multigenerational activities in long-term care facilities. It is a straightforward appropriations/program-creation measure with no hidden riders or deceptive framing.
What the text implies
- Grant funding may disproportionately flow to larger, better-resourced facilities with capacity to apply and manage grants, potentially widening service gaps in rural or under-resourced areas.
- The bill requires infection control screening and compliance but does not specify funding levels, which could create unfunded compliance burdens on smaller facilities.
The full analysis lists 3 implications of this text.
Who stands to gain
long-term care facility operators; child care facility operators; nursing home chains