Category Archives for Congress

House Lawmakers Must Not View Aging as a Partisan Issue

Published in RINewsToday on March 30, 2026

The Leadership Council of Aging Organizations (LCAO), representing 69 national groups dedicated to the well-being of seniors, is urging Congress to support H. Res. 1013, a bipartisan resolution introduced by Reps. Seth Magaziner (D-RI) and Maria Elvira Salazar (R-FL), which would reestablish the Permanent House Select Committee on Aging (HSCoA). Reestablishing this  committee strengthens House congressional oversight, crucial for meeting the needs of a growing older population.

The original HSCoA served as the House’s investigative panel to spotlight aging issues until 1993, when it was dismantled at the end of the 102nd Congress as part of a budget reduction that cut $1.5 million in funding. From 1974 to 1993, the committee fostered bipartisan collaboration to address a myriad of issues affecting older Americans, expanding its membership from 35 to 65 as its political influence grew.  While the House allowed its committee to expire over 30 years ago, the U.S. Senate continues to operate a Special Committee on Aging.

Today’s aging policy challenges now demand bipartisan solutions and comprehensive, coordinated action. The reestablishment of the HSCoA is a necessary, nonpartisan step to addressing these urgent policy needs.

Working Closely with Standing Committees

“Jurisdiction over many programs affecting seniors is spread across multiple standing committees, making it difficult to fully address problems that do not fit neatly into one category,” said Max Richtman, president of the National Committee to Preserve Social Security and Medicare and chair of LCAO. “The nation faces intergenerational challenges, including increasing strain on family caregivers and a persistent retirement security crisis, which demand forward-looking solutions. A select committee with broad jurisdiction is uniquely positioned to address these issues.”

In a March 16 LCAO endorsement letter, Richtman emphasized that a reestablished committee would be active and engaged—holding field hearings, convening teleconferences, and incorporating community perspectives directly into policymaking.

Support from LCAO’s member organizations underscores that the passage of H. Res. 1013 is a national priority, not a narrow concern. As Richtman noted, the nation’s largest aging coalition is calling for the immediate reinstatement of the House Aging Committee.

Reestablishing the committee would also restore balance to Congress’s approach to aging policy, notes LCAO’s endorsement letter. In recent years, the Senate’s Special Committee on Aging has played a vital bipartisan role in highlighting issues such as elder abuse, scams and fraud, high prescription drug costs, the impact of COVID-19, financial pressures on retirees, and the growing crisis of social isolation. The House lacks a comparable legislative panel—an absence that becomes more significant as the population continues to age.

Without a dedicated body to examine the full scope of aging policy, critical issues risk fragmentation, oversight gaps, and delays. In the past, HSCoA hearings provided a forum for bipartisan debate and dialogue, helping bridge philosophical political divides and enabling standing committees to advance informed legislative solutions.

On January 21, 2026, lawmakers introduced H. Res. 1013 and referred it to the House Rules Committee. As of this writing, the resolution remains in committee, awaiting hearings, markup, or a floor vote.

“It is too hard to be a senior in the United States, and Congress has a responsibility to do more for today’s growing population of older Americans and future generations,” said Rep. Magaziner, the bill’s primary sponsor. “Reestablishing the Select Committee on Aging would create a dedicated forum to address these challenges and help ensure Americans can retire with dignity.”

“America’s seniors built this country, and they deserve more than gratitude—they deserve action,” added Rep. Salazar, an original cosponsor. “From rising health care costs to housing and long-term care, their challenges are too important to be buried in bureaucracy. This committee would provide focus, coordination, and accountability, and deliver meaningful solutions so seniors can live with security and purpose.”

As a cosponsor, Rep. Gabe Amo (D-RI) supports bringing back the HSCoA.  “With rising costs, threats to Medicare, Medicaid, and Social Security, and scams targeting older Rhode Islanders, it is essential that we deliver real solutions for America’s seniors,” says Amo.

As Co-Chair of the Stop Scams Caucus, Rep. Amo introduced the STOP Scams Against Seniors Act to ensure investigators have the resources needed to protect seniors from losing their life savings and to help them retire with dignity. “I supported reestablishing this committee in the 118th Congress, and I remain committed to elevating the voices of seniors in the legislative process,” he says.

Can a Bipartisan Proposal Pass in a Divided House?

“AARP supports exploring the restoration of a House Aging Committee to help encourage bipartisan dialogue and elevate issues important to older adults,” said Debra Whitman, AARP’s chief public policy officer.

AARP Board Member Bob Blancato, former staff director of the House Subcommittee on Human Services, highlighted the strategic importance of AARP’s backing. “AARP’s support gives bipartisan weight to the resolution and can motivate lawmakers across the aisle to consider it,” he said.

Blancato called restoring the committee a “sound policy decision,” noting that the growth of the older population makes action urgent. “The sheer increase in the number of older adults since 1993 is reason enough,” he said, pointing out that the oldest baby boomers are now turning 80. “President Donald Trump, the oldest sitting president in U.S. history, turns 80 on June 14, 2026,” he added.

He also noted that a single vote in 1993 eliminated HSCoA and several other committees as part of an effort led by House Democratic leadership to reduce government spending. Blancato suggested the resolution could pass in today’s Republican-controlled House if lawmakers see it as politically advantageous, adding that Rep. Salazar, a Republican, could play a key role in building support.

Still, Blancato acknowledged uncertainty about how effective a modern version of the committee might be. “It’s a dicey question—it depends on the issues they take on,” he said. However, he emphasized that a reestablished committee could play a crucial role by holding hearings on Social Security reform proposals from both parties.

Rep. Magaziner’s effort to secure a Republican cosponsor reflects the kind of thoughtful, collaborative leadership our country needs—especially as America’s older adult population continues to grow at an unprecedented rate, says aging advocate Vincent Marzullo, a former federal civil rights and social justice administrator. “By working across party lines, he is helping to refocus national attention on a myriad of pressing challenges facing older Americans,” he says.

“Rep. Magaziner’s bipartisan initiative also underscores a shared commitment to dignity, respect, and opportunity for seniors, adds Marzullo, who serves on the Congressman’s senior advisory council, calling a bipartisan approach a constructive path to addressing the needs of aging communities nationwide.

Robert Weiner, former chief of staff of the HSCoA under the late Chairman Claude Pepper (D-FL), now director of an ongoing op-ed writing group recruiting young journalists, which won the National Press Club President’s Award, noted that similar resolutions have been introduced in six previous congressional sessions. He said bipartisan support—including from Rep. Salazar, a member of the House Problem Solvers Caucus—could improve the resolution’s chances for passage.

However, Weiner argued that attracting Republican cosponsors should not be difficult. “Historically, Republicans have received strong support from older voters,” he said. “Bipartisan sponsorship should help overcome partisan resistance,” he believes.

Given that Rep. Salazar is a Republican member of the bipartisan Problem Solvers Caucus, Weiner agrees that it is now time to urge the Problem Solvers Caucus to endorse and become cosponsors of H. Res. 1013. “The Aging Committee has always been bipartisan, with House leaders including not only Pepper and  Ed Roybal (D-CA)as chairs, but supportive ranking minority members, including then House members — later Senators — Charles Grassley (R-IA), William Cohen (R-ME), and John Heinz (R-PA),” notes Weiner. He added that the passage could depend on political timing. “It can and should be a shared victory,” Weiner said. “If not this year, then next year.”

A Call for Support

It is time for the Tallahassee, Florida–based Claude Pepper Foundation to step forward and formally endorse H. Res. 1013. The Foundation’s mission—to advance the ideas, values, and public policy legacy of the late Sen. Pepper, ensuring they remain part of contemporary American discourse—aligns directly with the purpose of this bipartisan resolution.

At its core, the Foundation educates federal and state policymakers and advocates for initiatives that enhance the quality of life for all Americans. H. Res. 1013 embodies that commitment. Endorsing this measure would not only honor Sen. Pepper’s legacy but also reinforce the Foundation’s leadership in shaping policies that address the needs of a growing aging population.

The bipartisan Problem Solvers Caucus, established in January 2017 as an outgrowth of the No Labels organization, was created to foster cooperation across party lines on key policy issues. Nearly evenly divided between Democrats and Republicans, the caucus has demonstrated that consensus-driven policymaking is both possible and necessary.

During the 119th Congress, the Problem Solvers Caucus endorsed 12 legislative proposals. Notably, however, none directly addressed aging programs or services. As an original cosponsor of H. Res. 1013, Rep. Salazar is well-positioned to urge the caucus’s co-chairs—Representatives Brian K. Fitzpatrick (R-PA) and Tom Suozzi (D-NY)—along with their colleagues, to make this resolution their 13th endorsed proposal.

Addressing the needs of older Americans should never be viewed as a partisan issue. Reestablishing the House Select Committee on Aging is a practical, bipartisan step that lawmakers from both parties can and should strongly support.

Restoring the committee is essential—not only to revive a once-vital congressional institution, but also to ensure that today’s Congress is now equipped to meet the evolving needs of the nation’s rapidly aging population.

LCAO member organizations endorsing H. Res. 1013 include AARP, Justice in Aging, CWI Works, Inc., Alzheimer’s Association, Village to Village Network, Gerontological Society of America, Network of Jewish Human Service Agencies, Meals on Wheels America, International Association for Indigenous Aging, APWU, Retirees Department, Service Employees International Union (SEIU), PHI, LeadingAge, Aging Life Care Association, National Adult Day Services Association (NADSA), Post Acute and Long Term Care Medical Association, National Academy of Elder Law Attorneys (NAELA), National Committee to Preserve Social Security and Medicare (NCPSSM), National Council on Aging, USAging, Mairead Painter, CT State Long Term Care Ombudsman,  National Adult Protective Services; and National Association of Nutrition and Aging Services Programs (NANASP), among others.

Read the full resolution here https://www.congress.gov/bill/119th-congress/house-resolution/1013/text

Rep. Magaziner’s one-minute floor statement calling for the passage of H. Res. 1013 – see it here: https://youtube.com/watch?v=IygZGcwnFPg&si=MLAAdY6QctiXd1TF

To read LCAO’s endorsement of H. Res. 1013, go to https://www.lcao.org/wp-content/uploads/2026/03/LCAO-Chairs-Letter-Endorsing-H.-Res.-1013.pdf.

Bipartisan Push to Restore House Permanent Select Committee on Aging

Published in RINewsToday on February 9, 2026

According to Meals on Wheels America, every day, 12,000 Americans turn 60. By the end of this decade, one in four Americans will be over 60—an irreversible and historic change in population.  Yet even as the nation ages, older Americans remain without a permanent seat at the House legislative table to shape aging policy.

In 1993, during the 103rd Congress, the House Permanent Select Committee on Aging (HSCoA) was dismantled as part of a budget-cutting push by House Democratic leadership, which stripped $1.5 million from its funding. From 1974 to 1993, the committee had served as Congress’s primary forum for aging issues, initially with 35 members and ultimately expanding to 65.

Looking back, the HSCoA had handled a heavy workload, carefully scheduling hearings and issuing a steady stream of reports.  In a March 31, 1993 St. Petersburg Times article, Staff Director Brian Lutz of the Subcommittee on Retirement Income and Employment reported that “during its 18 years of existence, the House Aging Committee had been responsible for about 1,000 hearings and reports.”

Sixth Time Could Be the Charm

Since its elimination, House lawmakers have made four attempts to reestablish the committee. Former Rep. David Cicilline first introduced a resolution during the 114th Congress, with efforts continuing through the 117th. In the 118th Congress, Rep. Seth Magaziner (D-RI) picked up the baton and revived the initiative. On January 21, 2026, he once again introduced House Resolution 1013 to restore the panel—this time with bipartisan support, including original cosponsor Rep. Maria Elvira Salazar (R-FL). At press time, the resolution had been referred to the House Committee on Rules for markup prior to consideration by the full House. No Senate action is required.

More than 30 years later, as the older population surges, Congress’s failure to reinstate a dedicated aging committee is no longer merely an oversight—it is an increasingly costly mistake.

“It is about time — or really past time – for the House to re-establish the HSCoA,” says Max Richtman, president of the National Committee to Preserve Social Security and Medicare (NCPSSM), who served as staff director of the Senate Special Committee on Aging in the late 1980s.

Richtman says that a re-established HCoA would be of tremendous value to older Americans, because it could conduct investigations and develop legislation for the committees of jurisdiction in the House to take up, as the Senate committee historically has done. “We need an HSCoA in the House because its full-time job would be to safeguard the interests of seniors. There is no other House committee that can do that.”

Richtman notes that, without an HSCoA, it can be challenging for other House committees to fully review senior-related issues “that cross jurisdictional lines or involve complex interactions of a wide range of disciplines.”

Opponents argue that eliminating the HSCoA reduced “wasteful” spending, noting that 12 standing committees already have jurisdiction over aging-related issues. Advocates counter that these committees lack the time, staffing, and singular focus needed to examine aging issues comprehensively, as the select committee once did.

“Older Americans are an important and growing part of our population, and they deserve a seat at the table when Congress considers issues that directly affect their lives,” said Rep. Magaziner. “Protecting Social Security and Medicare, strengthening housing stability, and lowering everyday costs—including prescription drugs—highlight the need for a dedicated committee focused on improving seniors’ quality of life.”

“I am proud to reintroduce bipartisan legislation to reestablish the House Permanent Select Committee on Aging so we can better deliver for older Americans nationwide,” he added. “This committee would bring members of Congress together for meaningful work on the challenges and opportunities that come with aging, and I remain committed to working across the aisle to advance this effort.”

Magaziner has acknowledged entrenched opposition from senior committee leaders of both parties who are reluctant to cede jurisdiction. Nevertheless, he remains committed. “I will continue working to ensure older Americans have the focused advocacy they deserve in Congress,” he pledged.

Magaziner’s resolution has been endorsed by the Legislative Council of Aging Organizations (LCAO), a national coalition of advocacy groups currently chaired by Richtman and NCPSSM. “The Select Committee would have an opportunity to more fully explore a range of issues and innovations that cross jurisdictional lines, while holding field hearings, engaging communities, and promoting understanding and dialogue,” said LCAO in a letter supporting the resolution.

An Easy Fix

According to the Congressional Research Service, creating a temporary or permanent select committee requires only a simple resolution establishing its purpose, defining membership, and outlining responsibilities. Funding for staff salaries and operational expenses are authorized through the Legislative Branch Appropriations bill.

Magaziner’s  203-word resolution, amends House rules to establish a Permanent Select Committee on Aging. The committee, having no legislative authority, would be charged with conducting comprehensive studies of aging issues—including income, poverty, housing, health, employment, education, recreation, and long-term care—to inform legislation considered by standing committees. It would also encourage public and private programs that support older Americans’ participation in national life, coordinate governmental and private initiatives, and review recommendations from the President or the White House Conference on Aging.

Aging policy touches nearly every aspect of American life, yet it does not fall neatly within the jurisdiction of any single standing committee. Depending on the legislative, five to seven standing committees may draft a bill affecting older Americans. Without an HSCoA, pressing aging issues may be ignored.  A focused  committee would bring together Republican and Democratic lawmakers from multiple committees to closely comprehensively examine legislative proposals, both transparently, and responsibly.

While standing committees draft legislation, the HSCoA would serve a distinct but equally vital role—providing oversight, public education, and keeping the spotlight on aging issues. Key priorities include ensuring the solvency of Social Security and Medicare, lowering prescription drug costs, supporting family caregivers, combating elder fraud, and addressing affordable housing, healthcare access, and social isolation.

For more than 60 years, the Senate has recognized the value of its Special Committee on Aging. The House once did as well—producing lasting, bipartisan results. The People’s House should reclaim that leadership, particularly as older Americans face rising costs, employment barriers, and growing loneliness.

Capitol Veterans Speak Out to Bring Back HSCoA

According to Bob Weiner, former HSCoA chief of staff director during the tenure of the late Rep. Claude Pepper (D-FL) his tenure as select committee chair, the legislative panel elevated aging issues that otherwise struggled to gain sustained attention in Congress. “The bill stopping end to mandatory retirement would never have happened,” says Weiner who was a confidant of Chairman Pepper.

He recalls how it unfolded: “Chair Pepper and the committee got the President and Congress to abolish age-based discrimination in employment and mandatory retirement. President Carter invited the entire committee to the White House and later signed the bill with a powerful statement.”

“Pepper even went to the Bush and Reagan administrations and said, ‘Over my dead body’ would Social Security be cut or privatized,” Weiner added.

If reestablished today, Weiner believes the committee should draw lessons from its past. “We need full-scale investigations into fraud and scams, along with strong protections for Social Security and the Older Americans Act,” he said. He also argues the committee could play a critical oversight role in accelerating research into Alzheimer’s disease. “Seniors are justifiably terrified of dementia and Alzheimer’s. Advances in biological treatments may offer hope for prevention and reversal.”

Responding to standing committee concerns about jurisdiction, redundancy, and budgetary impact, Weiner dismisses claims of duplication. “The Aging Committee uniquely focused on aging priorities. That focus is sadly missing today,” he said.

Weiner also urged Rep. Magaziner to visibly demonstrate his commitment to recreating the House Aging Committee. “If he talks it up around the House floor like Pepper did, he’ll earn goodwill and support from members of both parties,” he said. “It is crucial that House Res. 1013 pass the Rules Committee. Nothing meaningful on aging will happen without dedicated congressional leadership.”

Momentum or Missed Opportunity

With the midterm elections just 266 days away, and now that Rep. Magaziner has secured support from a Republican lawmaker, he must continue building bipartisan momentum. None of the previous five attempts to restore the House Aging Committee attracted Republican cosponsors.

In the 119th Congress, Magaziner should seek endorsement from the bipartisan House Problem Solvers Caucus, led by Co-Chairs Rep. Brian Fitzpatrick (R-PA-01) and Rep. Tom Suozzi (D-NY-03).  Aging policy should not be considered a partisan issue but a bipartisan one.

It would also be extremely helpful for Rep. Maria Elvira Salazar to reach out to the Republican House Caucus, especially to the Florida Congressional Delegation (20 Republicans and 8 Democrat) to become cosponsors of H. Res. 1013, honoring the legacy of the late Rep. Claude Pepper, Florida’s most prominent chair of the House Select Committee on Aging.

“What made the House Aging Committee truly influential was Claude Pepper’s leadership. Others chaired the committee before and after him and did good work, but none brought national attention to aging issues the way Pepper did. Even today, members of Congress still say, ‘We need another Claude Pepper,’  says Thomas Spulak, president of the Claude Pepper Foundation and former chief council when Pepper chaired the House Rules Committee.

“While that will never happen, it would take someone with a rare combination of commitment, visibility, empathy, and knowledge to restore that level of importance to an aging committee, this is exactly why resolutions like this one matter—to remind us of what effective leadership on aging once looked like, and what it could look like again,”  Spulak observed.

The Claude Pepper Foundation should engage these lawmakers to encourage their active involvement in restoring the committee. In addition, the Claude Pepper Foundation should educate lawmakers on the positive benefits of restoring the committee. According to the Foundation’s core mission is to promote policies and programs that improve health, expand economic opportunity, and advance social justice for all Americans—especially older adults. It also seeks to provide policymakers and the public with research and information on these issues, and to encourage actions that enhance the quality of life for all citizens.

Ageism by Omission

“Ageism is as much about what you don’t do and what you do the failure to establish the HSCOA is one obvious example  Why is a HSCOA vitally needed. To help avert Possible major cuts in Social Security in as soon as 7 years. Getting a family caregiver tax credit passed. Renewing the Older Americans Act This House has done so little for older adults. Passing the Magaziner resolution would go a long way to improve on this sad record,”  adds a Bob Blancato, a staff person serving the committee from 1978 to 1993 and now president of Matz, Blancato and Associates,

Pandemic Lessons: “Essential Caregivers Act” Can’t Wait. A Merciful, Bipartisan Bill for a Voiceless Population

Published in RINewsToday on January 19, 2026

As COVID-19 spread rapidly across the country in March 2020—entering nursing homes largely through community transmission and staff movement—the Centers for Medicare & Medicaid Services (CMS) issued guidance calling for nationwide visitor bans in nursing homes. These strict restrictions barred all visitors and non-essential health care personnel, with limited exceptions for hospice care.

According to March 29, 2025 article, “Changes in Federal and State Policies on Visitation Restrictions in Nursing Homes During the COVID-19 Pandemic,” published in the Journal of Applied Gerontology, 31 states enacted statewide indoor visitation bans through executive orders between March 9 and April 6, 2020, and the end dates were between 6/15/2020 and 3/24/2021. CMS would later relax its guidance, permitting indoor visitation when facilities reported no new COVID-19 cases for 14 days and community positivity rates were low.

Charlie Galligan, a licensed criminal defense investigator in Rhode Island, knows firsthand the toll those restrictions took. He and his wife, Kerry, provided daily care for his parents for 13 years—his father, Jack, who died from Alzheimer’s disease in 2022, and his mother, Audrey, who lives with a traumatic brain injury. Balancing work with caregiving became the catalyst that pushed Galligan to lobby Congress to prevent the prolonged and unnecessary isolation of nursing home residents during future pandemics, including advocating for policies that allow designated family caregivers to visit.

“Long-term care lockdowns continued well after humane safety measures were established and family caregivers had been vaccinated,” Galligan claimed, noting that countless residents died alone as a result. “Daughters were forced to say goodbye to mothers with Alzheimer’s over FaceTime—often staring at their phones as exhausted staff struggled to provide even minimal connection.”

A Legislative Effort Revisited

The initial legislative proposal—the Essential Caregivers Act (H.R. 3733)—was introduced in June 2021 to reaffirm and enforce the right of nursing home residents to receive visits from family and friends during declared emergencies. When that proposal stalled due to the absence of a Senate companion bill, a second attempt followed the next year with the introduction of S. 4280/ H.R. 8331.  Political insiders say that these bills stalled due to the legislative process, timing, and competing priorities not because Congress rejected the process. Most recently, the Essential Caregivers Act of 2025 was reintroduced last month.

On Dec. 16, 2025, U.S. Senator Richard Blumenthal (D-CT) and U.S. Representative Claudia Tenney (R-NY) introduced bipartisan legislation in their respective chambers to prevent a repeat of the prolonged isolation and reduced care nursing home residents faced during the COVID-19 pandemic. U.S. Senator John Cornyn (R-TX) and U.S. Representative John B. Larson (D-CT) joined them in cosponsoring the Essential Caregivers Act.

The Senate bill, S. 3492, currently with seven cosponsors, was referred to the Senate Finance Committee. That same day, the companion measure, H.R. 6766, with 35 cosponsors, was introduced in the House and referred to the Ways and Means Committee and the Energy and Commerce Committee.

“Our movement to enact the Essential Caregivers Act is not led by professionals or lobbyists,” Galligan said. “We are simply a determined group of family caregivers—primarily brilliant, tenacious women from across the country, and one token guy from Rhode Island—who love our mothers and fathers and refuse to accept silence and separation as acceptable standards of care.”

Congressional Supporters Call for Passage

“During the COVID-19 pandemic, we experienced how dangerous and inhumane it is to isolate seniors and vulnerable patients from the people who care for them the most, say Rep. Tenney, in a statement announcing the introduction of the bill.  “Families were locked out, residents declined rapidly, and farm to many suffered alone,” she said.

“The Essential Caregivers Act ensures that this never happens again,” says Rep. Tenney, noting that they are loved ones, not visitors.  “They are caregivers, advocates, and lifelines. This bipartisan legislation protects dignity, safeguards patient rights, and makes sure compassion and comment sense guide our response during an future emergency,” she adds.

Sen. Blumenthal emphasized the bill’s bipartisan intent. “By allowing at least one designated essential caregiver to have safe, in-person access to their loved ones during an emergency, our legislation ensures that residents will never again face the devastating isolation experienced by so many during COVID-19,” he said.

Rhode Island Sen. Jack Reed, a cosponsor of the Senate bill, echoed that sentiment. “We want to keep people safe from germs, but we also want to keep them connected—because isolation can take a real toll on health,” Reed said. “Essential Caregivers Act would ensure that even during limited visitation, residents can still have in-person contact with a loved one.”

Sen. Sheldon Whitehouse has expressed support and is on a waiting list to cosponsor it – cosponsors are being added in bipartisan pairs. “Loneliness can take a real toll on residents of long-term care facilities,” he said. “This legislation recognizes the critical role loved ones play in supporting residents’ well-being, even during public health emergencies.”

Not yet committed to cosponsoring are Rhode Island’s two Representatives

At press time, Rep. Gabe Amo, had not yet committed to cosponsoring the bill. “I am reviewing the Essential Caregivers Act of 2025,” Amo said. “Family caregivers are the backbone of our long-term care system, and I remain committed to advancing policies that support patients, caregivers, families, and health care providers.”

Like his House colleague, Rep. Seth Magaziner (D-RI), has not yet committed to sponsoring the bill. Magaziner acknowledges the importance of allowing nursing home residents access to their loved ones and is open to considering the legislation. However, he is also working to understand what safeguards would be in place to ensure resident safety during emergencies, according to Noah Boucher, the lawmaker’s communications director.

The Nuts and Bolts

Recognizing that family members are essential to residents’ care and well-being, S. 3492 and H.R. 6766 aim to prevent the emotional, psychological, and physical harm caused by prolonged separation during public health emergencies.  This bill strikes a balance protecting public health while safeguarding the wellness of residents.

The Essential Caregivers Act requires nursing facilities receiving Medicare or Medicaid funding to participate. It guarantees that at least one designated essential caregiver may access a resident during periods of restricted visitation, provided the caregiver follows the same safety protocols as facility staff. If a resident is unable to designate a caregiver, a representative may do so on the resident’s behalf.

The legislation also affirms caregivers’ rights to advocate for residents, participate in care planning, and ensure residents’ civil rights are protected. Additional provisions address roommate rights, as well as exemptions for end-of-life and compassionate care.

Facilities must provide written justification if caregiver access is denied, with appeals overseen by state survey agencies.

The bill has been endorsed by the AARP and Consumer Voice.

Rhode Island Advocates Call for Passage

Calling for passage of the legislation, Rhode Island Long-Term Care Ombudsman Lori Light said the COVID-19 pandemic made painfully clear how critical family caregivers are to residents’ health, safety, and well-being.

“During extended lockdowns, we witnessed firsthand the profound impact isolation had on residents, including increased depression, anxiety, cognitive decline, weight loss, and loss of engagement in daily life. For many residents, family members are not simply visitors—they are essential partners in care – they provide emotional support, help residents communicate their needs, notice subtle changes in medical conditions, and advocate when something doesn’t seem right. When access was cut off, residents lost a vital layer of protection and connection. The lessons we learned during COVID-19 must guide future policy decisions,” Light said. “No resident should ever again experience prolonged isolation from the people who know them best,” said Light.

According to Deb Burton, MS, executive director of RI Elder, the isolation imposed on long-term care residents during the pandemic was devastating. While infection control was essential, she said, the complete separation of residents from their families caused profound and lasting harm. Burton, a gerontologist, noted that residents experienced rapid physical, cognitive, and emotional decline.

“Families endured anguish knowing their loved ones were frightened, confused, and alone during the most vulnerable moments of their lives. Family members are not simply visitors—they truly are essential caregivers. They provide a familiar face, a steady hand to hold, and an understanding of a resident’s routines, preferences, and communication needs. This is especially true for individuals living with dementia or other forms of memory loss, for whom familiarity and connection are critical to well-being and safety,” Burton said.

Comments from the American Health Care Association 

While expressing support for family involvement, the nursing home industry has raised concerns about certain provisions of the bill.

From Holly Harmon, senior vice president of quality, regulatory, and clinical services at the American Health Care Association: “While we wholeheartedly support family members taking an active role in their loved one’s care, there are certain provisions of this bill where we have concerns. Mainly, we believe each situation, including public health emergencies, requires a collaborative process among public health officials and stakeholders to determine the most appropriate way to keep residents safe and loved ones connected, rather than implementing a blanket, inflexible process for all situations. We hope to work with lawmakers to make improvements to these proposals as the engagement of loved ones is critical to our residents’ wellbeing.

“Despite our caregivers doing everything they could to step in for family members during the pandemic, we were deeply concerned about the prolonged isolation of our residents. Public health officials were put between a rock and a hard place on how to best protect those in long term care, and due to the vicious nature of the virus on our resident population, it was determined best to restrict visitors and social interactions. Nursing homes were required to follow these restrictions until March 2021, and even then, CMS and CDC had strict guidelines due to the ongoing spread of the virus.

“The best way to prevent this global tragedy again is for officials to prioritize long term care residents and staff during public health emergencies, so that they can remain protected, active, and engaged with their loved ones and the community.”

A Final Note…

The best way to prevent another tragedy is to prioritize long-term care residents and staff during public health emergencies, so they can remain protected, active, and connected to loved ones. We must learn from the painful lessons of COVID-19. No one should be forced to decline alone, grieve alone, or die alone because of a lack of clear policy, RIElder’s Burton added. She noted that the Essential Caregivers Act ensures that in the next public health emergency” when it could be any one of us in a facility” we will not be separated from the person who knows us best and stands ready to advocate for us.

Caregiver Galligan remains hopeful. “This is simply a merciful bill for a voiceless population”, he said.

(updated 1-21-26)