,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hefh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,octob] #i1 #bjbj,mr4 
,pascrell 7= himself1 ,ms4 ,%]rill1     
,mrs4 ,watson ,coleman1 ,mr4 ,bey]1 ,mr4
 ,payne1 ,mr4 ,doggett1 ,ms4 ,%alala1   
,ms4 ,judy ,*u ( ,cali=nia1 & ,mr4      
,kildee7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii & title ,,xix ( ! ,social       
,security ,act to codify c]ta9 infection
 control & em]g5cy prep>$ness           
regulations1 to prohibit a r$uction 9 ! 
frequ5cy ( surveys ( skill$ nurs+       
facilities & nurs+ facilities1 to       
prohibit ! waiv] ( c]ta9 report+        
requirem5ts1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,promot+ ,re/oration ( ,em]g5cy         

,prep>$ness & ,advanc+ ,response to     
,epidemics 9 ,long-,t]m ,c>e ,act or !  
,,prep>e ,,ltc ,act4  #b4 ,codify+      
infection control & em]g5cy prep>$ness  
regulations = skill$ nurs+ facilities & 
nurs+ facilities z a requirem5t =       
p>ticipation "u ! ,m$ic>e & ,m$icaid    
programs  7a7 ,infection control        
regulations  7#a7 ,m$ic>e ,section      
#ahai7;d77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;i-#c7;d77#c77 is  
am5d$-- 7,a7 by r$esignat+ subp>agraphs 
7,a7 & 7,b7 z clauses 7i7 & 7ii71       
respectively1 & mov+ su* clauses #b ems 
to ! "r2  7,b7 by /rik+ environm5t4-- ,a
 skill$ nurs+ facility mu/-- & ins]t+   
environm5t4-- 7,a7 ,9 g5]al ,a skill$   
nurs+ facility mu/--  2 &  7,c7 by add+ 
at ! end ! foll[+ new subp>agraph3  7,b7
 ,application /atem5t ,= purposes (     
c>ry+ out ?is p>agraph1 ! ,secret>y %all
 apply by ref]5ce ! provisions ( section
 #dhc4hj ( title #db1 ,code ( ,f$]al    
,regulations 7z 9 effect on ! date ( !  
enactm5t ( ! ,promot+ ,re/oration (     

,em]g5cy ,prep>$ness & ,advanc+         
,response to ,epidemics 9 ,long-,t]m    
,c>e ,act71 except 9 apply+ subsection  
7g7 ( su* regulation-- 7i7 any ref]5ce  
to ,,covid-#ai %all be treat$ z a       
ref]5ce to an infecti\s disease         
outbreak1 z def9$ 9 subp>agraph 7,c72 & 
7ii7 any ref]5ce to v5tilator capacity  
%all be treat$ z a ref]5ce to m$ical    
equipm5t & supplies critical to !       
infecti\s disease outbreak1 includ+     
v5tilator capacity4  7,c7 ,infecti\s    
disease outbreak def9$ ,= purposes (    
subp>agraph 7,b71 ! t]m infecti\s       
disease outbreak means any ( ! foll[+   
p]iods3 7i7 ,,covid-#ai em]g5cy p]iod ,!
 em]g5cy p]iod describ$ 9 section       
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b774  7ii7 ,o!r    
infecti\s disease outbreak p]iods  7,i7 
,! p]iod beg9n+ on ! date a nationwide  
em]g5cy relat$ to a public heal? em]g5cy
 is decl>$ pursuant to ! ,/af=d ,act1 a 
,major ,disa/] ,decl>ation1 or !        

,national ,em]g5cies ,act & end+ on !   
date t is #f mon?s aft] ! date on :i* ! 
decl>ation pursuant to ! ,/af=d ,act1 a 
,major ,disa/] ,decl>ation1 or !        
,national ,em]g5cies ,act1 z applicable1
 ends1 :i*ev] is ! late/4  7,,ii7 ,!    
p]iod dur+ :i* !re exi/s a public heal? 
em]g5cy relat$ to an infecti\s disease  
outbreak decl>$ by ! ,secret>y pursuant 
to section #cai ( ! ,public ,heal?      
,s]vice ,act4  7,,iii7 ,) respect to a  
skill$ nurs+ facility 9 a ,/ate )       
respect to :i* ! ,gov]nor has decl>$ an 
em]g5cy or major disa/] 7z def9$ by !   
,/ate7 ) respect to an infecti\s disease
 outbreak1 ! p]iod = :i* su* decl>ation 
is 9 effect ) respect to su* ,/ate4  4  
7#b7 ,m$icaid ,section #aiai7;d77#c7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acifr7d77#c77 is am5d$-- 7,a7 by       
r$esignat+ subp>agraphs 7,a7 & 7,b7 z   
clauses 7i7 & 7ii71 respectively1 & mov+
 su* clauses #b ems to ! "r2  7,b7 by   
/rik+ environm5t4-- ,a nurs+ facility   
mu/-- & ins]t+ environm5t4-- 7,a7 ,9    

g5]al ,a nurs+ facility mu/--  2 &  7,c7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,b7 ,application /atem5t 
,= purposes ( c>ry+ out ?is p>agraph1 ! 
,secret>y %all apply by ref]5ce !       
provisions ( section #dhc4hj ( title    
#db1 ,code ( ,f$]al ,regulations 7z 9   
effect on ! date ( ! enactm5t ( !       
,promot+ ,re/oration ( ,em]g5cy         
,prep>$ness & ,advanc+ ,response to     
,epidemics 9 ,long-,t]m ,c>e ,act71     
except 9 apply+ subsection 7g7 ( su*    
regulation-- 7i7 any ref]5ce to         
,,covid-#ai %all be treat$ z a ref]5ce  
to an infecti\s disease outbreak1 z     
def9$ 9 subp>agraph 7,c72 &  7ii7 any   
ref]5ce to v5tilator capacity %all be   
treat$ z a ref]5ce to m$ical equipm5t & 
supplies critical to ! infecti\s disease
 outbreak1 includ+ v5tilator capacity4  
7,c7 ,infecti\s disease outbreak def9$  
,! t]m infecti\s disease outbreak has ! 
mean+ giv5 su* t]m 9 section            
#ahai7;d77#c77;,c74  4  7b7 ,em]g5cy    
prep>$ness regulations  7#a7 ,m$ic>e    

,section #ahai7;d7 is am5d$ by add+ at !
 end ! foll[+ new p>agraph3  7#e7       
,em]g5cy prep>$ness ,a skill$ nurs+     
facility %all meet ! requirem5ts        
applicable to skill$ nurs+ facilities "u
 ! provisions ( section #dhc4gc ( title 
#db1 ,code ( ,f$]al ,regulations 7z 9   
effect on ! date ( ! enactm5t ( !       
,re/or+ ,safety & ,transp>5cy =         
,long-,t]m ,c>e ,resid5ts ,act74  4     
7#b7 ,m$icaid ,section #aiai7;d7 is     
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#e7 ,em]g5cy prep>$ness ,a  
nurs+ facility %all meet ! requirem5ts  
applicable to nurs+ facilities "u !     
provisions ( section #dhc4gc ( title    
#db1 ,code ( ,f$]al ,regulations 7z 9   
effect on ! date ( ! enactm5t ( !       
,promot+ ,re/oration ( ,em]g5cy         
,prep>$ness & ,advanc+ ,response to     
,epidemics 9 ,long-,t]m ,c>e ,act74  4  
7c7 ,requirem5t ,to issue guidance ,n   
lat] ?an #ij days aft] ! date ( !       
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all issue     

guidance to c>ry out ! am5dm5ts made by 
?is section4  7d7 ,public availability (
 data on defici5cies 9 infection control
 & direct c>e /aff+ 9 skill$ nurs+      
facilities ,n lat] ?an #b weeks aft] !  
beg9n+ ( a p]iod ( an infecti\s disease 
outbreak 7z def9$ 9 subp>agraph 7,c7 (  
subsection 7d77#c7 ( section #ahai ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#c71 z add$ by subsection       
7a77#a771 7or1 9 ! case ( ! ,,covid-#ai 
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 ( su* ,act 7#db      
,u4,s4,c4 #acbj;b-#e7;g77#a77;,b771 n   
lat] ?an #fj days aft] ! date ( !       
enactm5t ( ?is ,act71 ! ,adm9i/rator ( !
 ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices    
%all make publicly available on !       
int]net website ( ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices data on defici5cies   
id5tifi$ dur+ ! survey process describ$ 
"u subsection 7g7 ( su* section1 )      
respect to infection control & direct   
c>e /aff+ 9 a skill$ nurs+ facility 7z  
def9$ 9 subsection 7a7 ( su* section74  

,su* data s po/$1 ) respect to an       
infecti\s disease outbreak 7z def9$ 9   
subp>agraph 7,c7 ( su* subsection       
7d77#c771 %all be updat$ e two weeks    
until ! end ( ! p]iod ( su* outbreak4   
#c4 ,prohibition on r$uc+ frequ5cy (    
/&>d surveys  7a7 ,m$ic>e ,section      
#ahai7;g77#b77;,a77iii7 is am5d$ by add+
 at ! end ! foll[+ new subclause3       
7,,iii7 ,prohibition on r$uc+ frequ5cy (
 surveys conduct$ dur+ an infecti\s     
disease outbreak ,! ,secret>y %all n    
r$uce ! frequ5cy ( surveys conduct$ "u  
?is section dur+ an infecti\s disease   
outbreak 7z def9$ 9 subsection          
7d77#c77;,c774  4  7b7 ,m$icaid ,section
 #aiai7;g77#b77;,a77iii7 is am5d$ by    
add+ at ! end ! foll[+ new subclause3   
7,i7 ,prohibition on r$uc+ frequ5cy (   
surveys conduct$ dur+ an infecti\s      
disease outbreak ,! ,secret>y %all n    
r$uce ! frequ5cy ( surveys conduct$ "u  
?is section dur+ an infecti\s disease   
outbreak 7z def9$ 9 section             
#ahai7;d77#c77;,c774  4  #d4            

,prohibition on waiv+ submissions (     
direct c>e /aff+ in=mation ,section     
#aabh;,i7g7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acbj;a-#g;j7g77 is      
am5d$-- 7#a7 9 p>agraph 7#c71 by /rik+ &
 at ! end2  7#b7 9 p>agraph 7#d71 by    
/rik+ ! p]iod & ins]t+ 2 &2  7#c7 by    
ins]t+ aft] p>agraph 7#d7 ! foll[+ new  
p>agraph3  7#e7 %all be submitt$ n less 
frequ5tly ?an qu>t]ly1 on a s*$ule      
specifi$ by ! ,secret>y4  2 &  7#d7 by  
add+ at ! end ! foll[+ new s5t5ce3 ,!   
,secret>y %all n waive ! requirem5ts (  
?is subsection 9 ! case ( an infecti\s  
disease outbreak 7z def9$ 9 section     
#ahai7;d77#c77;,c7744  #e4 ,,gao /udy & 
report ,n lat] ?an "o ye> aft] ! end ( !
 ,,covid-#ai em]g5cy p]iod 7z describ$ 9
 section #aace7;g77#a77;,b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e7;g77#a77;,b771 ! ,comptroll] 
,g5]al ( ! ,unit$ ,/ates %all submit to 
! ,committee on ,ways & ,means ( ! ,h\se
 ( ,repres5tatives & ! ,committee on    
,f9ance ( ! ,s5ate a report analyz+     

defici5cies dur+ su* p]iod 9 infection  
control measures & direct c>e /aff+     
requirem5ts = skill$ nurs+ facilities 7z
 def9$ 9 section #ahai7;a7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acie;i-#c7;a7771 z report$ by !        
,adm9i/rator "u section #b7;d77#a74  #f4
 ,effective date ,! am5dm5ts made by ?is
 ,act %all apply ) respect to skill$    
nurs+ facilities & nurs+ facilities     
beg9n+ on ! date ( ! enactm5t ( ?is     
,act4