Stop burdensome federal nursing home mandates.

He discussed ... stopping burdensome federal nursing home mandates that threatened rural facilities.

Marshall committed to opposing federal nursing home mandates he viewed as harmful to rural facilities.

Senator Marshall Covers More Ground Across North Central Kansas - Senator Roger Marshall
primary · press_release · model gpt-5.4-mini

Sen. Roger Marshall said he was “proud to champion” the Protecting Rural Seniors Access to Care Act, which he said would prevent a federal minimum-staffing rule for nursing facilities from going into effect if it harmed access to care. The release says he co-introduced the bill and had already signed a letter urging CMS to rescind the proposal.

Marshall took concrete action against the nursing home staffing mandate by co-introducing legislation and lobbying CMS, but this was an attempt to stop a proposed rule, not proof of success.

partial same_term A for effort

Senator Marshall Introduces Bill to Protect Access to Nursing Homes in Rural Kansas
secondary · model gpt-5.4-mini · confidence 98%

The bill text states it was introduced to “prohibit the Secretary of Health and Human Services from finalizing a proposed rule regarding minimum staffing for nursing facilities” and to create an advisory panel on the nursing home workforce. Roger Marshall is listed among the Senate cosponsors.

This is direct legislative evidence that Marshall tried to block the federal nursing home staffing mandate through introduced legislation.

partial same_term A for effort

S. 3410: Protecting Rural Seniors’ Access to Care Act
secondary · model gpt-5.4-mini · confidence 99%

CMS announced the final rule establishing minimum staffing standards for nursing homes, including a total nurse staffing standard, enhanced facility assessment requirements, and an RN-on-site 24/7 requirement. The agency described the rule as final and set implementation timelines.

The federal nursing home staffing mandate was finalized despite Marshall’s opposition, which means the promise to stop it was not fulfilled at the federal level.

never same_term

Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Final Rule (CMS 3442-F)
secondary · model gpt-5.4-mini · confidence 97%

Marshall’s office said the CMS staffing rule was final and that he had taken several actions against it, including signing a bipartisan letter to CMS and introducing a congressional disapproval resolution that, if passed, would nullify the rule.

Marshall continued to pursue rollback efforts, but the release itself confirms the rule had already been finalized rather than stopped.

never same_term A for effort

Senator Marshall Maintains Focus on Protecting Rural Nursing Homes from Burdensome Staffing Rules
secondary · model gpt-5.4-mini · confidence 93%

SEC. 71111 bars HHS from implementing, administering, or enforcing the CMS staffing rule for long-term care facilities through September 30, 2034.

Congress enacted a moratorium that blocks enforcement of CMS's nursing-home staffing rule, which means the federal mandate was stopped during Marshall's Senate term.

delivered same_term

Public Law 119-21 — An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
secondary · model gpt-5.4-mini · confidence 99%

Marshall said he was fighting against the CMS rules and noted he had joined a joint resolution for congressional disapproval.

Marshall made concrete anti-mandate efforts, including a disapproval resolution, a CMS opposition letter, and earlier bill sponsorship.

partial same_term A for effort

Senator Marshall Maintains Focus on Protecting Rural Nursing Homes from Burdensome Staffing Rules
secondary · model gpt-5.4-mini · confidence 98%