Bill changes how nursing homes are punished for poor care.
S. 4467 — Ensuring Seniors’ Access to Quality Care Act · Filed by Mark Warner (D-VA) · 7 cosponsors · Introduced Apr 30, 2026 · Referred to committee
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What it does
The bill lets the government stop nursing homes from training nurse aides. This happens if homes were fined at least $10,697 for bad care. The homes must also fail to fix their problems. The bill erases old rules that already banned some homes from training. The bill lets nursing homes check a national database about workers.
Who it affects
Nursing homes and healthcare providers are affected. Nurse aides and people living in nursing homes may be affected.
One thing to notice
The bill creates a new way to punish bad nursing homes. But it also wipes away old punishments that were already in place.
From the analysis of the bill text, linked under Primary records below.
Where it stands
7 cosponsors: 4 Republicans, 2 Democrats, 1 Independents.
- Apr 30, 2026 — Introduced · Congress.gov: “Introduced in Senate”
- Apr 30, 2026 — Referred to Senate Committee on Finance · Congress.gov: “Read twice and referred to the Committee on Finance”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
2 groups reported lobbying about this bill. They filed 2 reports from Jun 2026 to Jun 2026.
Those reports show $1,240,000 in lobbying spending. Each report lists about 20 bills. So that money was not all for this bill.
More groups named this bill than 41% of bills with any report.
Mark Warner, who sponsored the bill, received $2,218,150 from PACs for the 2026 election.
- American Health Care Association — $840,000 in 1 report
- Medline — $400,000 in 1 report
Lobbying is legal. These reports show who lobbied about this bill, not what changed.
Words to know
- nursing homes — Places where people who need medical care and daily help can live.
- nurse aides — Workers who help nurses care for patients in hospitals and nursing homes.
- national database — A large collection of information stored and shared across the country.
- bad care — Care that does not meet required safety and quality rules.
- lobbying — Trying to influence lawmakers about a bill. Companies and groups pay people to do this.
- PACs — Groups that collect money and give it to candidates for office.
How this was measured
Analysis — Quorum's AI read the full bill text on Jun 10, 2026; transparency and hidden-provision scores are compared against the median of 14,522 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Jun 2026 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-09-21.
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