,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #gdfc  ,,in ,,the ,,house ,,of  
,,representatives  ,july #a1 #bjbj,mrs4 
,carolyn ,b4 ,maloney of ,new ,york     
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
require ,states to meet assisted living 
facility reporting requirements to      
qualify for future ,,covid-#ai response 
funds4  #a4 ,short title ,this ,act may 
be cited as the ,assisted ,living       
,facility ,coronavirus ,reporting ,act4 
#b4 ,definitions ,in this ,act3 7#a7    
,assisted living facility ,the term     
assisted living facility means-- 7,a7 an
 adult care facility that-- 7i7 is      
licensed and regulated by the ,state in 
which the facility is located 7or1 if   

there is no ,state law providing for    
such licensing and regulation by the    
,state1 by the municipality or other    
political subdivision in which the      
facility is located72  7ii7 makes       
available to residents supportive       
services to assist the residents in     
carrying out activities of daily living1
 such as bathing1 dressing1 eating1     
getting in and out of bed or chairs1    
walking1 going outdoors1 using the      
toilet1 laundry1 home management1       
preparing meals1 shopping for personal  
items1 obtaining and taking medication1 
managing money1 using the telephone1 or 
performing light or heavy housework1 and
 which may make available to residents  
home health care services1 such as      
nursing and therapy2 and  7iii7 provides
 dwelling units for residents1 each of  
which may contain a full kitchen and    
bathroom1 and which includes common     
rooms and other facilities appropriate  
for the provision of supportive services
 to the residents of the facility2  7,b7

 an adult care facility that-- 7i7 is-- 
7,i7 licensed and regulated by the      
,state in which the facility is located 
7or1 if there is no ,state law providing
 for such licensing and regulation by   
the ,state1 by the municipality or other
 political subdivision in which the     
facility is located72 and  7,,ii7       
similar to a skilled nursing facility1  
7as defined in section #ahai7;a7 of the 
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#c7;a7771 a nursing facility 7as
 defined in section #aiai7;a7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acifr7a7771 or a board and care        
facility 7as defined in section         
#afaf7;e7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #achb;e7e7772 or  7ii7 is
 subject to the identification1         
investigation1 and resolution of        
complaints by1 or otherwise subject to  
the activities of1 a ,state ,long-,term 
,care ,ombudsman program established    
under section #gab of the ,older        
,americans ,act of #aife 7#db ,u4,s4,c4 

#cjeh;g72 or  7,c7 an adult care        
facility receiving ,federal funds       
through a ,state ,medicaid program under
 title ,,xix of the ,social ,security   
,act 7#db ,u4,s4,c4 #acif et seq471     
including through any waiver relating to
 such a program granted under such title
 or title ,,xi of such ,act 7#db        
,u4,s4,c4 #acja et seq474  7#b7         
,secretary ,the term ,secretary means   
the ,secretary of ,health and ,human    
,services4  #c4 ,state reporting        
requirements for assisted living        
facilities and ,,covid-#ai  7a7 ,in     
general ,as a condition of receiving    
funding to combat the coronavirus       
pandemic under ,federal legislation     
enacted on or after the date of         
enactment of this ,act which designates 
such funding as being for emergency     
requirements pursuant to section        
#bea7;b77#b77;,a77i7 of the ,balanced   
,budget and ,emergency ,deficit ,control
 ,act of #aihe 7#b ,u4,s4,c4            
#ija7;b77#b77;,a77i771 a ,state shall do

 the following3 7#a7 ,within #cj days of
 the passage of this ,act1 begin weekly 
reporting of the following information  
for each assisted living facility       
located in the ,state to the ,centers   
for ,disease ,control and ,prevention1  
disaggregated by race1 ethnicity1       
primary language1 sex1 sexual           
orientation1 gender identity1 age1 and  
disability status3 7,a7 ,the number of  
suspected and confirmed active cases of 
,coronavirus ,disease #bjai             
7,,covid-#ai7 among residents and the   
number of suspected and confirmed active
 cases of ,,covid-#ai among staff of the
 facility4  7,b7 ,the number of         
residents and staff of the facility1    
respectively1 who1 since the last report
 under this paragraph1 contracted severe
 respiratory infections related to      
,,covid-#ai that resulted in            
hospitalization and the number that     
resulted in death1 including deaths that
 occurred outside of the facility4  7,c7
 ,the number ,,covid-#ai diagnostic     

tests conducted weekly on residents and 
staff of the facility1 respectively1 and
 the percentage of those tests that are 
positive among residents and staff of   
the facility1 respectively4  7,d7 ,the  
average time between testing a resident 
and receiving the results of the test4  
7,e7 ,the personal protective equipment1
 hand hygiene supplies1 ventilators1 and
 medical supplies in the facility4  7,f7
 ,the total number of resident beds at1 
residents living in1 and staff employed 
by the facility4  7,g7 ,other           
information specified by the ,secretary4
  7#b7 ,within #cj days of the passage  
of this ,act1 report for each assisted  
living facility in the ,state to the    
,centers for ,disease ,control and      
,prevention1 the information specified  
in subparagraphs 7,a7 through 7,g7 of   
paragraph 7#a7 for the period of time   
between ,january #a1 #bjbj1 and the     
passage of this ,act1 disaggregated by  
race1 ethnicity1 primary language1 sex1 
sexual orientation1 gender identity1    

age1 and disability status4  7#c7       
,within #cj days of the passage of this 
,act1 require each assisted living      
facility in the ,state to inform the    
,centers for ,medicare  ,medicaid       
,services1 the ,centers for ,disease    
,control and ,prevention1 ,state and    
local health officials1 residents1 their
 representatives1 and families of those 
residing in facilities by #e p4m4 the   
next calendar day following the         
occurrence of either a single confirmed 
infection of ,,covid-#ai among the      
residents or staff of the facility or   
three or more residents or staff of the 
facility presenting new-onset of        
respiratory symptoms within #gb hours of
 each other4 ,this information shall--  
7,a7 not include personally identifiable
 information2  7,b7 include information 
on mitigating actions implemented to    
prevent or reduce the risk of           
transmission1 including if normal       
operations of the facility will be      
altered2 and  7,c7 include any          

cumulative updates for residents1 their 
representatives1 and families at least  
weekly or by #e p4m4 the next calendar  
day following the subsequent occurrence 
of-- 7i7 the identification of a        
confirmed infection of ,,covid-#ai among
 the residents or staff of the facility2
 or  7ii7 three or more residents or    
staff presenting new onset of           
respiratory symptoms within #gb hours of
 each other4  7b7 ,sunset ,the          
requirements of subsection 7a7 shall    
terminate if and when the circumstances 
which led to the public health emergency
 period described in section            
#aace7;g77#a77;,b7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e7;g77#a77;,b77 7relating to   
the coronavirus pandemic7 cease to exist
 and are unlikely to recur4  7c7        
,guidance ,within #ae days of the date  
of enactment of this ,act1 the          
,secretary shall issue guidance to      
,states to ensure the information       
reported in 7a7 is reported in an       

electronic1 standardized format that    
matches1 to the extent practicable1 the 
format applicable to information        
reported to the ,department of ,health  
and ,human ,services by skilled nursing 
facilities and nursing facilities on    
,,covid-#ai under section #dhc4cj7;g7 of
 title #db1 ,code of ,federal           
,regulations 7as amended by the interim 
final rule of the ,centers for ,medicare
  ,medicaid ,services published on ,may 
#h1 #bjbj 7#he ,fed4 ,reg4 #bgeej771 to 
enable the comparison of ,,covid-#ai    
outbreaks across congregate care        
settings4  7d7 ,publication of          
information ,the ,secretary shall       
publicly post on the website of the     
,department of ,health and ,human       
,services1 the information received by  
the ,department under section 7a71 and  
shall update such information on a      
weekly basis4  7e7 ,extensions ,the     
,secretary may grant1 at the request of 
a ,state1 a #cj-;day extension for the  
,state report the information required  

under paragraphs 7#a7 and 7#b7 of       
subsection 7a7 to allow the ,state to   
develop the reporting infrastructure    
necessary to gather such information    
from assisted living facilities4  #d4   
,application of nursing facility        
reporting requirements to assisted      
living facilities ,the ,secretary shall 
provide that any ,,covid-#ai reporting  
requirement that applies to skilled     
nursing facilities 7as defined in       
section #ahai7;a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acie;i-#c7;a777 or nursing facilities  
7as defined in section #aiai7;a7 of the 
,social ,security ,act 7#db ,u4,s4,c4   
#acifr7a777 and is imposed on or after  
the date of enactment of this ,act under
 title ,,xviii or ,,xix of the ,social  
,security ,act 7#db ,u4,s4,c4 #acie et  
seq41 #acif et seq47 or under a         
regulation promulgated under such title 
shall apply in the same manner to       
assisted living facilities1 which shall 
report such information through the     

,states unless complying with such      
reporting requirement is not practicable
 in the assisted living facility        
setting4  #e4 ,,gao report ,not later   
than #b years after the date of         
enactment of this ,act1 the ,comptroller
 ,general of the ,united ,states shall  
conduct an evaluation1 and submit to    
,congress1 a report including-- 7#a7    
what is known about how required        
reporting of ,,covid-#ai data on        
residents in nursing homes during the   
pandemic was used to prevent or control 
,,covid-#ai cases or deaths1 and how    
this compares to the experience of other
 congregate care facilities without     
required reporting of this data2 and    
7#b7 any lessons learned from required  
reporting of ,,covid-#ai cases or deaths
 in nursing homes that could be applied 
to other congregate care facilities     
during the ,,covid-#ai pandemic1 if it  
continues1 and similar public health    
emergencies in the future4