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To amend title XIX of the Social Security Act to repeal the requirement for annual resident review for nursing facilities under the Medicaid program and to require resident reviews for mentally ill or mentally retarded residents when there is a significant change in physical or mental condition.

Public Law 104-315 · H.R. 3632 · 104th Congress · began in the House

Signed by Bill Clinton (D) on Oct 19, 1996 · Health

Sponsor: Rep. Robert Ehrlich (R-MD-2)

Cosponsors (1): Rep. David Minge

Passage votes

  • HouseVoice vote
  • SenateUnanimous consent
Data notes

The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.

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Summary

The Congressional Research Service’s plain-language summary of what the law does.

Amends title XIX (Medicaid) of the Social Security Act to repeal the requirement for annual resident review for mentally ill and mentally retarded nursing facility residents, and instead require a review in case of a significant change in the physical or mental condition of such a resident, as well as an appropriate, prompt notification to the applicable State authority after such change.

Committees

The committees the bill was sent to, and what each did with it.

Data notes

A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.

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Timeline

From introduction to signing, newest first: the committees, the floor and the president. 14 actions.

  1. Oct 19, 1996Became lawBecame law · Became Public Law No: 104-315.
  2. Became lawBecame law · Signed by President.
  3. Oct 10, 1996PresidentPresident · Presented to President.
  4. Oct 3, 1996FloorFloor · Passed Senate without amendment by Unanimous Consent.
  5. Sep 28, 1996FloorFloor · Motion to reconsider laid on the table Agreed to without objection.
  6. FloorFloor · On motion to suspend the rules and pass the bill Agreed to by voice vote.
  7. FloorFloor · Mr. Bilirakis moved to suspend the rules and pass the bill.
  8. FloorFloor · Mr. Bilirakis asked unanimous consent to consider the bill under suspension of the rules, notwithstanding the requirement that a one hour notice be given before consideration of the bill. Agreed to without objection.
  9. Sep 23, 1996CommitteeCommittee · Reported by House Energy and Commerce Committee
  10. Sep 18, 1996CommitteeCommittee · Markup by House Energy and Commerce Committee
  11. CommitteeCommittee · Discharged from Health and Environment Subcommittee of the House Energy and Commerce Committee
  12. Jun 21, 1996CommitteeCommittee · Referred to Health and Environment Subcommittee of the House Energy and Commerce Committee
  13. Jun 12, 1996CommitteeCommittee · Referred to House Energy and Commerce Committee
  14. IntroducedIntroduced · Introduced in the House
Data notes

Shows the introduction, each committee and subcommittee step the source dates (referral, hearings, markup, report, discharge), and the floor, conference, presidential and became-law steps. Calendar placements, messages between the chambers, amendments and committee report numbers are not shown for laws before the 108th Congress. Two entries the source lists twice are shown once.

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Official record

The bill’s full text and every action, including introduction and committee steps, are on Congress.gov. Data through Oct 7, 2026.