This legislative proposal, known as the "Enhancing Skilled Nursing Facilities Act," seeks to streamline care delivery within skilled nursing facilities and nursing facilities across both Medicare and Medicaid programs. Its primary objective is to expand the scope of practice for various advanced practice providers, including nurse practitioners , physician assistants , and clinical nurse specialists . These professionals would be authorized to undertake responsibilities traditionally reserved for physicians, provided their actions align with existing state laws. Specifically, under Medicare, these qualified healthcare providers would be able to certify post-hospital extended care services, supervise facility care, administer Part B services, and fulfill certain duties related to residents' rights and care planning. For Medicaid, the bill similarly permits nurse practitioners, physician assistants, and clinical nurse specialists to certify and recertify skilled nursing facility services and oversee resident healthcare. This expansion aims to enhance the efficiency and accessibility of medical services within these facilities by utilizing a broader range of skilled professionals.