PolicyBrief
S. 2490
119th CongressJul 29th 2025
Strengthening Advocacy for Long-Term Care Residents Act
IN COMMITTEE

This bill strengthens advocacy for long-term care residents by updating volunteer training standards, ensuring the Director of the Ombudsman Programs is a full-time position, and commissioning a study on the effectiveness of state Ombudsman programs.

Timothy "Tim" Kaine
D

Timothy "Tim" Kaine

Senator

VA

LEGISLATION

New Act Streamlines Training for Long-Term Care Advocates and Mandates National Study on Staffing Ratios

The Strengthening Advocacy for Long-Term Care Residents Act is focused entirely on boosting the effectiveness of the State Long-Term Care Ombudsman Programs—the folks who advocate for residents in nursing homes and assisted living facilities. This isn't about new funding or sweeping mandates, but rather a targeted effort to make the existing system run better, primarily through smarter training and dedicated leadership.

Cutting the Red Tape on Volunteer Training

Section 2 of the bill takes aim at one of the biggest bottlenecks for these programs: volunteer recruitment and retention. The Director of the Office of Long-Term Care Ombudsman Programs is now required to regularly update and tailor the model training standards for volunteers. The goal is to make sure the training fits the actual job. If an unpaid volunteer is only doing simple tasks, the bill mandates cutting down on specialized training that isn't necessary for their role. Think of it like this: If you're volunteering to help residents with minor issues, you shouldn't have to go through the same intensive legal training as the full-time staff handling complex abuse cases. This change is designed to make it easier and faster for more people to become advocates, which is a win for residents who need more eyes and ears looking out for them.

Ensuring Dedicated Leadership at the Top

Section 3 is short but impactful. It changes the role of the Director of the Office of Long-Term Care Ombudsman Programs from a potentially part-time or split position to a full-time job. In policy speak, this means the person running the show is 100% focused on the mission of protecting long-term care residents, rather than juggling that responsibility with other duties. This signals that the importance of this advocacy office is being elevated, ensuring consistent, dedicated attention to the needs of these vulnerable populations.

The National Academies Get the Assignment

The biggest investigative piece of this bill is Section 4, which orders a comprehensive study of the State Long-Term Care Ombudsman Programs. The Assistant Secretary for Aging is directed to try and hire the National Academies of Sciences, Engineering, and Medicine to conduct this review. Why the National Academies? Because they bring serious, objective expertise.

This study isn't just a general check-up; it has a very specific mandate: to look at the current recommended staff-to-bed ratio for these programs. For the everyday person, this is critical. If the ratio of advocates to residents is too low, it means your aging parent or relative might not get the attention or advocacy they need. The study will determine if the current staffing levels are adequate for the number of people they are supposed to serve. Once the contract is signed, the National Academies have exactly one year to finish the study and publicly release the report. This public release is key, ensuring transparency and giving state programs a clear, evidence-based roadmap for improvement.