,,ii #aaf? ,,congress #b;d ,session ,s4 #dahb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #b1 #bjbj,mr4 ,grassley 7= himself1 ,mr4 ,da9es1 & ,ms4 ,mc,sally7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to provide nurs+ homes ) res\rces = respond+ to ! ,,covid-#ai public heal? em]g5cy to protect ! heal? & safety ( resid5ts & work]s1 to reau?orize fund+ = programs "u ! ,eld] ,ju/ice ,act ( #bjji1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,em]g5cy ,support = ,nurs+ ,homes & ,eld] ,ju/ice ,re=m ,act ( #bjbj4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,def9itions4,sec4 #c4 ,provid+ res\rces = p]sonal protective equipm5t & te/+4,sec4 #d4 ,promot+ transp>5cy ab\t ,,covid-#ai-relat$ cases & fatalities & /aff+ levels 9 long-t]m c>e facilities4,sec4 #e4 ,e/abli%+ /rike teams4,sec4 #f4 ,promot+ id5tification & report+ ( pot5tial abuse or neglect 9 long-t]m c>e facilities4,sec4 #g4 ,promot+ quality ( life ( long-t]m c>e facility resid5ts ?r\gh televisitation4,sec4 #h4 ,upgrad+ nurs+ home comp>e & ! ,five-,/> rat+ sy/em4,sec4 #i4 ,enhanc+ ,f$]al ov]sight ( nurs+ homes p>ticipat+ 9 ,m$ic>e or ,m$icaid4,sec4 #aj4 ,cont9u+ fund+ = programs to prev5t & prosecute eld] abuse & neglect4,sec4 #aa4 ,increas+ res\rces to inve/igate abuse or neglect & ext5d s]vices to victims4,sec4 #ab4 ,protect+ ,am]icans ) dem5tia4,sec4 #ac4 ,r$uc+ racial & e?nic disp>ities 9 long-t]m c>e facilities4,sec4 #ad4 ,e/abli%+ reciprocity ) ,drug ,en=cem5t ,adm9i/ration to address improp] prescrib+ ( controll$ sub/ances4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,,covid-#ai public heal? em]g5cy p]iod ,! t]m ,,covid-#ai public heal? em]g5cy p]iod means ! p]iod beg9n+ on ! fir/ day ( ! em]g5cy p]iod def9$ 9 p>agraph 7#a77;,b7 ( section #aace7;g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77 & end+ on ! la/ day ( ! cal5d> qu>t] 9 :i* ! la/ day ( su* em]g5cy p]iod occurs4 7#b7 ,indian tribe ,! t]m ,indian tribe has ! mean+ giv5 t t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#c7 ,long-t]m c>e facility ,! t]m long-t]m c>e facility has ! mean+ giv5 t t]m 9 section #bjaa7ae7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;j7#ae774 7#d7 ,nurs+ facility ,! t]m nurs+ facility has ! mean+ giv5 t t]m 9 section #aiai7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr7a774 7#e7 ,p>ticipat+ provid] ,! t]m p>ticipat+ provid] means a skill$ nurs+ facility or a nurs+ facility t has be5 assign$ a national provid] id5tifi] numb] by ! ,secret>y & has execut$ an agreem5t to p>ticipate 9 ! ,m$ic>e program e/abli%$ "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 or ! ,m$icaid program e/abli%$ "u title ,,xix ( su* ,act 7#db ,u4,s4,c4 #acif et seq474 7#f7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#g7 ,skill$ nurs+ facility ,! t]m skill$ nurs+ facility has ! mean+ giv5 t t]m 9 section #ahai7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c7;a774 7#h7 ,/ate ,except z o!rwise provid$1 ! t]m ,/ate has ! mean+ giv5 su* t]m = purposes ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#i7 ,tribal organization ,! t]m tribal organization has ! mean+ giv5 t t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#aj7 ,o!r t]ms ,ea* o!r t]m has ! mean+ giv5 ! t]m = purposes ( subtitle ,b ( title ,,xx ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;j et seq474 #c4 ,provid+ res\rces = p]sonal protective equipm5t & te/+ 7a7 ,9 g5]al ,a portion ( any paym5ts receiv$ or funds made available on or aft] ,july #a1 #bjbj1 = respond+ to ! public heal? or fiscal impacts relat$ to ! ,coronavirus ,disease 7,,covid-#ai7 "u ,f$]al legislation enact$ on or aft] t date :i* prim>ily makes appropriations = ! coronavirus response & relat$ activities1 %all be us$ = ! purposes describ$ 9 subsection 7b71 not)/&+ ! orig9al purpose = :i* ! am\nts 7 appropriat$ to make su* paym5ts or funds available1 or any o!r provision ( law re/rict+ ! use ( su* paym5ts or funds4 7b7 ,purposes describ$ ,! purposes describ$ 9 ?is subsection are ! foll[+3 7#a7 ,to e/abli% & ma9ta9 a supply ( p]sonal protective equipm5t at a level t is suffici5t1 z det]m9$ by ! ,c5t]s = ,disease ,control & ,prev5tion1 9 collaboration ) ! ,secret>y & ! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy1 to provide = ! safety (-- 7,a7 p]sonnel employ$ by p>ticipat+ provid]s & long-t]m c>e facilities1 includ+ lic5s$ assi/$ liv+ or resid5tial c>e facilities1 dur+ ! ,,covid-#ai public heal? em]g5cy p]iod2 & 7,b7 ,/ate survey ag5cy p]sonnel :o conduct audits or inve/igations ( p>ticipat+ provid]s & long-t]m c>e facilities1 includ+ lic5s$ assi/$ liv+ or resid5tial c>e facilities1 dur+ ! ,,covid-#ai public heal? em]g5cy p]iod4 7#b7 ,to provide regul> ,,covid-#ai te/+ = p]sonnel & resid5ts ( p>ticipat+ provid]s & long-t]m c>e facilities1 includ+ lic5s$ assi/$ liv+ or resid5tial c>e facilities 7at no co/ to su* p]sonnel & resid5ts71 at a level t is suffici5t1 bas$ on ! ne$s ( ! locality & its circum/ances1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 9 collaboration ) ! ,secret>y & ! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy1 to provide = ! safety ( su* p]sonnel & resid5ts4 ,a ,/ate %all provide su* te/+ dur+ ! #ij-;day p]iod t beg9s on ! date on :i* ! ,secret>y1 aft] consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 det]m9es ! ,/ate is able to conduct su* te/+ at su* level & notifies ! ,/ate ( ! date on :i* ! te/+ p]iod is to />t4 7c7 ,/&>ds & guidance ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 9 collaboration ) ! ,secret>y & ! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy1 %all issue detail$ guidance to ,/ates on compliance ) ! requirem5ts ( ?is section z x relates to p>ticipat+ provid]s & long-t]m c>e facilities1 includ+ lic5s$ assi/$ liv+ or resid5tial c>e facilities4 #d4 ,promot+ transp>5cy ab\t ,,covid-#ai-relat$ cases & fatalities & /aff+ levels 9 long-t]m c>e facilities 7a7 ,collection & report+ ( /aff+ data by p>ticipat+ provid]s ,! ,secret>y %all develop a plan = ensur+ t p>ticipat+ provid]s %all resume compliance ) ! requirem5t1 "u section #aabh;,i7g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;j7g771 to electronically submit direct c>e /aff+ in=mation bas$ on payroll & o!r auditable data 7includ+ measures to ensure t ! submitt$ data includes direct c>e /aff+ in=mation = ! entire duration ( ! em]g5cy p]iod74 7b7 ,collection & report+ ( data relat$ to ,,covid-#ai by p>ticipat+ provid]s & long-,t]m c>e facilities 7#a7 ,9 g5]al 7,a7 ,report+ ( ,,covid-#ai cases & fatalities by p>ticipat+ provid]s & long-t]m c>e facilities ,! ,secret>y %all ensure t p>ticipat+ provid]s & long-t]m c>e facilities report all suspect$ & confirm$ cases ( ,,covid-#ai among p]sonnel & resid5ts ( ! provid] or facility1 all ,,covid-#ai-relat$ fatalities among p]sonnel & resid5ts ( ! provid] or facility1 & all fatalities among p]sonnel & resid5ts ( ! provid] or facility1 :e!r relat$ to ,,covid-#ai or unrelat$ to ,,covid-#ai1 = ! p]iod beg9n+ on ,janu>y #a1 #bjbj1 to ! ,secret>y4 7,b7 ,tim+ & mann] ( report+ ,su* data %all be report$ to ! ,secret>y by p>ticipat+ provid]s & long-t]m c>e facilities 9 a =mat & mann] t is consi/5t ) any data t ! ,secret>y has direct$ p>ticipat+ provid]s to furni% to ! ,c5t]s = ,disease ,control & ,prev5tion on or aft] ,may #h1 #bjbj1 &1 beg9n+ on ! date t is #ae days aft] ! date ( enactm5t ( ?is ,act1 %all be collect$ & report$ to ! ,secret>y by p>ticipat+ provid]s & long-t]m c>e facilities on a daily basis4 7,c7 ,publication ( data ,n lat] ?an #ae days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all make ! data collect$ "u ?is p>agraph publicly available & %all update su* data on a daily basis4 7#b7 ,collection & report+ ( demographic data ,! ,secret>y %all po/ ! foll[+ in=mation ) respect to p>ticipat+ provid]s & long-t]m c>e facilities on ! (ficial int]net website ( ! ,f$]al ,gov]nm5t = ,m$ic>e b5efici>ies 7commonly ref]r$ to z ! ,nurs+ ,home ,comp>e ,m$ic>e website7 7or a successor website7 aggregat$ by ,/ate3 7,a7 ,! age1 g5d]1 race1 e?nicity1 disability1 & pref]r$ language ( ! resid5ts ( p>ticipat+ provid]s ) suspect$ or confirm$ ,,covid-#ai infections4 7,b7 ,) respect to resid5ts ( p>ticipat+ provid]s & long-t]m c>e facilities :o di$ on or aft] ,janu>y #a1 #bjbj1 ! age1 g5d]1 race1 e?nicity1 disability1 & pref]r$ language (-- 7i7 all ( su* resid5ts2 & 7ii7 all ( su* resid5ts ^: dea?s are relat$ to ,,covid-#ai4 7#c7 ,confid5tiality ,any in=mation report$ "u ?is subsection t is made available to ! public %all be made s available 9 a mann] t protects ! id5tity ( resid5ts ( p>ticipat+ provid]s & long-t]m c>e facilities4 #e4 ,e/abli%+ /rike teams 7a7 ,9 g5]al ,a portion ( any paym5ts receiv$ or funds made available on or aft] ,july #a1 #bjbj1 = respond+ to ! public heal? or fiscal impacts relat$ to ! ,coronavirus ,disease 7,,covid-#ai7 "u ,f$]al legislation enact$ on or aft] t date :i* prim>ily makes appropriations = ! coronavirus response & relat$ activities1 %all be us$ to e/abli% & support ! op]ation ( /atewide or regional /rike teams t meet ! requirem5ts ( subsection 7b7 to respond to ,,covid-#ai-relat$ crises 9 p>ticipat+ provid]s1 not)/&+ ! orig9al purpose = :i* ! am\nts 7 appropriat$ to make su* paym5ts or funds available1 or any o!r provision ( law re/rict+ ! use ( su* paym5ts or funds4 7b7 ,/rike team requirem5ts ,! requirem5ts ( ?is section ) respect to a /rike team ( a ,/ate are ! foll[+3 7#a7 ,/rike teams may include assessm5t1 te/+1 & cl9ical teams1 & ! ,/ate %all e/abli% a mission = ea* su* team by writt5 directive1 :i* may include p]=m+ m$ical exam9ations1 conduct+ ,,covid-#ai te/+1 & assi/+ p>ticipat+ provid]s ) ! implem5tation ( qu>ant9e1 isolation1 or dis9fection proc$ures4 7#b7 ,ea* /rike team %all be compris$ ( individuals :o h relevant skills1 qualifications1 & exp]i5ce to s]ve z memb]s ( #a or m ( ! assessm5t1 te/+1 & cl9ical teams describ$ 9 p>agraph 7#a71 su* z employees ( ! ,/ate or any ( its political subdivisions1 memb]s ( ! militia on ,/ate activity duty1 memb]s ( ,,covid-#ai response teams s5t to ! ,/ate by ! ,secret>y1 or o!r individuals designat$ by ! ,/ate ag5cy ) prim>y responsibility = promot+ resid5t & employee safety 9 p>ticipat+ provid]s4 7#c7 ,/rike teams & memb]s ( su* teams %all be subject to ! ,/ate's ov]sight & direction & team memb]s %all receive a ,/ate-issu$ lett] ( au?orization describ+-- 7,a7 ! individual's designation to s]ve on #a or m teams "u an em]g5cy proclamation2 7,b7 ! mission ( ! team2 7,c7 ! au?ority ( ! individual to p]=m ! team mission on ! ,/ate's behalf2 7,d7 ! individual's au?ority to access places1 p]sons1 & mat]ials necess>y = ! team memb]'s p]=mance ( ! team's mission2 & 7,e7 ! requirem5t t team memb]s ma9ta9 ! confid5tiality ( pati5t in=mation %>$ ) su* individuals by ! facility4 7#d7 ,! ,/ate may1 at any "t1 disb& any /rike team & resc9d ! lett] ( au?orization = any team memb]4 7#e7 ,a team & team memb] may n use ! lett] ( au?orization describ$ 9 p>agraph 7#c7 = any purpose except 9 connection ) ! team's mission ( act+ 9 good fai? to promote resid5t & employee safety 9 p>ticipat+ provid]s 9 :i* ,,covid-#ai is confirm$ to be pres5t4 7#f7 ,! ,/ate %all e/abli% protocols & proc$ures = reque/+ ! assi/ance ( a /rike team e/abli%$ "u ?is section & any o!r proc$ures deem$ necess>y = ! team's op]ation4 7#g7 ,if a /rike team f9ds consi/5t quality ( c>e defici5cies ) respect to a p>ticipat+ provid] & su* defici5cies imm$iately jeop>dize ! heal? or safety ( resid5ts ( ! p>ticipat+ provid]1 ! team %all1 )9 #ah h\rs ( mak+ su* f9d+1 al]t ! ,/ate survey ag5cy 7:i* may take imm$iate en=cem5t action to remove ! jeop>dy & correct ! defici5cies ?r\gh ! rem$ies specifi$ 9 section #ahai7;h77#b77;,b77iii7 or #aiai7;h77#b77;,a77iii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c7;h77#b77;,b77iii71 #acifr7h77#b77;,a77iii771 ! long-t]m c>e ombudsman ( ! ,/ate1 & ! ,m$icaid fraud control unit ( su* ,/ate74 #f4 ,promot+ id5tification & report+ ( pot5tial abuse or neglect 9 long-t]m c>e facilities 7a7 ,use ( claims data ,to id5tify in/ances ( pot5tial abuse or neglect 9 facilities ,section #aabh;,i ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;j7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,use ( claims data ,to id5tify in/ances ( pot5tial abuse or neglect 7#a7 ,compilation ( codes ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y1 9 collaboration ) ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all-- 7,a7 compile a compreh5sive li/ ( diagnosis codes t may indicate pot5tial physical or sexual abuse or neglect ( ! eld]ly2 & 7,b7 develop a plan = reliance on data f claims "u titles ,,xviii & ,,xix t conta9 #a or m ( ^? codes1 = ! purpose ( id5tify+ in/ances ( pot5tial physical or sexual abuse or neglect 9 facilities receiv+ reimbursem5t "u su* titles4 7#b7 ,availability to /ates ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y %all make su* claims data available to ,/ate survey ag5cies to help v]ify compliance ) ,f$]al & ,/ate m&atory report+ laws4 4 7b7 ,requir$ tra9+ on signs & symptoms ( pot5tial abuse or neglect ,section #aabh;,i ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;j71 z am5d$ by subsection 7a71 is am5d$ by add+ at ! end ! foll[+ new subsection3 7j7 ,requir$ tra9+ on signs & symptom ( pot5tial abuse or neglect ,beg9n+ n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is subsection1 a facility %all ensure t any /aff ( ! facility :o provide direct c>e 7z def9$ 9 section #bjaa7 to resid5ts ( ! facility receive tra9+ on ! signs & symptoms ( pot5tial abuse or neglect ( ! eld]ly4 4 7c7 ,evaluation & report on protocols ,to enc\rage prompt report+ ( suspect$ incid5ts ( pot5tial abuse or neglect 7#a7 ,evaluation & implem5tation ( protocols ,! ,secret>y1 9 collaboration ) ! ,attorney ,g5]al1 %all evaluate ! effectiv5ess ( curr5t protocols &1 if w>rant$1 recomm5d & implem5t improvem5ts 9 ^? protocols1 to enc\rage prompt report+ ( suspect$ incid5ts ( pot5tial abuse or neglect to ! appropriate law en=cem5t (ficials or adult protective s]vices (fice1 by ,/ate & ,f$]al surveyors ( ,m$ic>e & ,m$icaid cov]$ entities4 7#b7 ,report ,n lat] ?an #ahj days aft] ! completion ( ! evaluation "u p>agraph 7#a71 ! ,secret>y %all submit to ,congress a report conta9+ ! results ( su* evaluation1 toge!r ) recomm5dations = improvem5ts1 includ+ su* legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate4 7d7 ,issuance ( guidance ,to det] social m$ia abuse 9 facilities 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all-- 7,a7 update guidance1 &1 z necess>y1 issue new guidance to cl>ify = ,/ate survey & c]tification ag5cies ! requirem5ts applicable to facilities 7z def9$ 9 section #dhc4e ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulations77 "u "p #dhc ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulations71 to protect resid5t privacy & prohibit m5tal abuse or exploitation1 specifically z x relates to exploitative photographs1 audio & video record+s1 & po/+ or %>+ ( su* photographs or record+s on social m$ia networks or ?r\gh multim$ia messages2 & 7,b7 e/abli% proc$ures to ensure t violations ( ! safety & privacy requirem5ts applicable to facilities 7z s def9$7 "u "p #dhc ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulations71 :i* prohibit misuse ( photographs1 audio & video record+s1 & ! inappropriate po/+ or %>+ ( su* photographs or record+s on social m$ia networks or ?r\gh multim$ia messages1 are report$ by ,/ate survey ag5cies to law en=cem5t ag5cies1 adult protective s]vice ag5cies1 & o!r relevant ag5cies & t su* violations are record$ & track$ 9 ! ,automat$ ,survey ,process+ ,environm5t 7,,asp57 & ! ,,asp5 ,compla9ts_/,incid5t ,track+ ,sy/em 7,,acts74 7#b7 ,cl>ification ,! guidance issu$ "u p>agraph 7#a7 %all cl>ify t en=cem5t p5alties d n apply to ! po/+ or %>+ ( su* photographs or record+s t occurr$ solely = ! purpose ( docum5t+ & promptly report+1 to ! appropriate au?orities1 a case ( abuse 9 a facility4 #g4 ,promot+ quality ( life ( long-t]m c>e facility resid5ts ?r\gh televisitation 7a7 ,promot+ televisitation = resid5ts 7#a7 ,9 g5]al ,sections #ahai7;c77#c7 & #aiai7;c77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c7;c77#c71 #acifr7c77#c77 are ea* am5d$-- 7,a7 9 subp>agraph 7,d71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,e71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 provide = access to telecommunications devices & use ( ! int]net1 includ+ assi/ance f facility /aff 9 ! use ( su* te*nology1 if necess>y or reque/$ by ! resid5t or a family memb]1 to support telecommunication1 includ+ b n limit$ to audio1 visual1 text communication1 videoconf]5ce1 & two-way audio_/video options1 by resid5ts ( su* facility ) family memb]s & o!r individuals4 4 7#b7 ,access dur+ ,,covid-#ai public heal? em]g5cy p]iod 7,a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all take /eps necess>y to ensure t ! resid5ts ( ea* p>ticipat+ provid] & lic5s$ assi/$ liv+ or resid5tial c>e facility h access to telecommunications devices & use ( ! int]net 7to ! ext5t practicable71 includ+ assi/ance f facility /aff 9 ! use ( su* te*nology1 if necess>y or reque/$ by ! resid5t or a family memb]1 to support telecommunication1 includ+ b n limit$ to audio1 visual1 text communication1 videoconf]5ce & two-way audio_/video options1 by resid5ts ( su* provid] or facility ) family memb]s & o!r individuals4 7,b7 ,requirem5ts ,9 tak+ su* /eps1 ! ,secret>y %all address-- 7i7 notification to resid5ts1 family memb]s1 & o!r individuals ( access to televisitation describ$ 9 subp>agraph 7,a72 7ii7 h[ su* a provid] or facility w ensure or enable in/allation & access to a device pur*as$ by1 or = ! use or b5efit (1 individual resid5ts2 & 7iii7 op]ational issues & /eps to avoid unnecess>y b>ri]s to ! timely deploym5t ( su* televisitation4 7b7 ,fund+ ,a p>ticipat+ provid] may use a portion ( any em]g5cy fund+ t ! provid] receives 7prior to & aft] ! date ( enactm5t ( ?is ,act7 f ! ,secret>y relat$ to ! ,,covid-#ai public heal? em]g5cy p]iod to pur*ase any te*nology1 includ+ telecommunications devices & int]net s]vice1 or any o!r items or s]vices z necess>y to implem5t ! televisitation describ$ 9 ! provisions (1 & am5dm5ts made by1 subsection 7a71 not)/&+ any o!r provision ( law re/rict+ ! use ( su* fund+4 #h4 ,upgrad+ nurs+ home comp>e & ! ,five-,/> rat+ sy/em 7a7 ,compreh5sive review ( ,five-,/> quality rat+ sy/em ,sections #ahai & #aiai ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c1 #acifr7 are ea* am5d$-- 7#a7 by r$esignat+ subsection 7j7 z subsection 7k72 & 7#b7 by ins]t+ aft] subsection 7i7 ! foll[+ new subsection3 7j7 ,compreh5sive review & modification ( ,five-,/> quality rat+ sy/em 7#a7 ,9 g5]al ,! ,secret>y %all conduct a compreh5sive review ( ! sy/em ma9ta9$ by ! ,secret>y to measure & publicly report ! quality ( skill$ nurs+ facilities & nurs+ facilities 7commonly ref]r$ to z ! ,five-,/> ,quality ,rat+ ,sy/em74 7#b7 ,tim+ ,! ,secret>y %all conduct su* review n lat] ?an #a ye> aft] ! end ( ! ,,covid-#ai public heal? em]g5cy p]iod & %all implem5t modifications to ! ,five-,/> ,quality ,rat+ ,sy/em 7or its successor sy/em7 n lat] ?an #ahj days aft] ! release ( ! report t is requir$ "u p>agraph 7#d74 7#c7 ,requirem5ts ,! review ( ! sy/em "u ?is subsection %all include an evaluation ( ! relative weight accord$ to ea* ( ! foll[+3 7,a7 ,! adequacy ( ! facility's proc$ures = prev5t+ & report+ infection4 7,b7 ,! adequacy ( ! facility's proc$ures = prev5t+ & report+ incid5ts ( abuse1 neglect1 mi/reatm5t1 or exploitation ( resid5ts ( ! facility4 7,c7 ,defici5cies id5tifi$ 9 ! facility's mo/ rec5t /&>d survey & ! ext5t to :i* ! facility correct$ su* defici5cies s9ce ! date ( ! mo/ rec5t survey4 7,d7 ,! numb]1 type1 sev]ity1 & outcome ( sub/antiat$ compla9ts4 7,e7 ,! numb] ( adjudicat$ in/ances ( crim9al violations by a facility or ! employees ( a facility4 7,f7 ,! numb] ( civil monet>y p5alties levi$ aga9/ ! facility1 employees1 contractors1 & o!r ag5ts ( ! facility4 7,g7 ,select$ quality measures 7su* z ! p]c5tages ( long-/ay resid5ts :o exp]i5ce pressure ulc]s1 are physically re/ra9$1 exp]i5ce falls ) major injury1 or receiv$ antipsy*otic m$ication74 7,h7 ,:e!r a facility is connect$ to an assi/$ liv+ facility & :e!r su* facilities %\ld be rat$ sep>ately f facilities t are /&alone skill$ nurs+ facilities or nurs+ facilities4 7,i7 ,o!r items det]m9$ appropriate by ! ,secret>y4 7#d7 ,report ,n lat] ?an #ahj days aft] ! completion ( ! review "u p>agraph 7#a71 ! ,secret>y %all submit to ! ,committee on ,f9ance ( ! ,s5ate & ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives a f9al report t includes su* f9d+s & recomm5dations z ! ,secret>y consid]s appropriate bas$ on ! review1 includ+ recomm5d$ actions to be tak5 to implem5t ! specific recomm5dations 9 su* report4 7#e7 ,consultation ,9 conduct+ su* review & implem5t+ modifications ( ! sy/em1 ! ,secret>y %all consult ) ea* ( ! foll[+3 7,a7 ,/ate long-t]m c>e ombudsman programs4 7,b7 ,adult protective s]vices ag5cies4 7,c7 ,consum] advocacy & o!r nonpr(it organizations ^: mission is to promote ! heal?1 safety1 & well be+ ( old] ,am]icans4 7,d7 ,provid] /akehold] gr\ps4 7,e7 ,/atewide provid] ag5cies & advocacy gr\ps ) relevant exp]tise4 7,f7 ,any o!r repres5tatives ( programs or gr\ps ! ,secret>y det]m9es appropriate4 7#f7 ,,covid-#ai public heal? em]g5cy p]iod ,9 ?is subsection1 ! t]m ,,covid-#ai public heal? em]g5cy p]iod means ! p]iod beg9n+ on ! fir/ day ( ! em]g5cy p]iod def9$ 9 p>agraph 7#a77;,b7 ( section #aace7;g7 & end+ on ! la/ day ( ! cal5d> qu>t] 9 :i* ! la/ day ( su* em]g5cy p]iod occurs4 4 7b7 ,transp>5cy ,! ,secret>y %all publicly report data1 at lea/ qu>t]ly1 reg>d+ ea* ,/ate's en=cem5t actions ) respect to defici5cies or /atutory violations t h be5 report$ to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 corrective actions1 if any1 t 7 recomm5d$ to resolve su* defici5cies or /atutory violations1 & ! /atus ( implem5tation ( ea* su* recomm5d$ corrective action by ! p>ticipat+ provid] involv$4 7c7 ,fund+ ,! ,secret>y %all transf] to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt1 f ! ,f$]al ,hospital ,insurance ,tru/ ,fund e/abli%$ "u section #ahag ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i7 a "o-"t allocation ( #bj1jjj1jjj1 to be us$ to c>ry out sections #ahai7;j7 & #aiai7;j7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c1 #acifr7 7z add$ by subsection 7a7 & subsection 7b774 ,! am\nt %all be available on ! date ( ! enactm5t ( ?is ,act & %all rema9 available until exp5d$4 #i4 ,enhanc+ ,f$]al ov]sight ( nurs+ homes p>ticipat+ 9 ,m$ic>e or ,m$icaid 7a7 ,id5tification ( facilities includ$ 91 or c&idates =1 ! special focus facility program ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all publi% ! foll[+ li/s on ! (ficial int]net website ( ! ,f$]al ,gov]nm5t = ,m$ic>e b5efici>ies 7commonly ref]r$ to z ! ,nurs+ ,home ,comp>e ,m$ic>e website7 7or a successor website73 7#a7 ,a li/ ( all p>ticipat+ provid]s t are includ$ 9 ! special focus facility program conduct$ "u sections #ahai7;f77#h7 & #aiai7;f77#aj7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c7;f77#h71 #acifr7f77#aj774 7#b7 ,a li/ ( all p>ticipat+ provid]s t h be5 id5tifi$ z c&idates = su* program1 bas$ on ! mo/ rec5t survey ( ! facility4 7b7 ,regul>ly publi%$ updates ,! ,secret>y %all publi% p]iodic updates ( ! li/s publi%$ "u subsection 7a7 no less (t5 ?an once e #cj days4 7c7 ,data collection ,to ! ext5t t ! ,secret>y ma9ta9s a sy/em to collect c]tification defici5cies & lic5sure violations relat+ to p>ticipat+ provid]s 7su* z ! ,automat$ ,survey ,process+ ,environm5t ,,asp5 or a successor sy/em71 ! ,secret>y %all develop me?ods to sep>ately track reports ( confirm$ incid5ts ( abuse or neglect 9 su* provid]s on survey =ms ?r\gh su* sy/em4 7d7 ,guidance on ! mean+ ( t]ms ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 aft] consultation ) /aff ( p>ticipat+ provid]s & o!r long-t]m c>e facilities t receive provid] paym5ts "u ! ,m$ic>e or ,m$icaid programs1 %all issue guidance = su* p>ticipat+ provid]s & o!r long-t]m c>e facilities to cl>ify ! mean+ ( c]ta9 t]ms1 su* z suspici\s1 injuries ( unkn[n s\rce1 & mi/reatm5t1 :5 us$ 9 ! /atutory & regulatory requirem5ts = su* provid]s relat+ to report+ & track+ incid5ts ( abuse1 sexual abuse1 neglect1 mi/reatm5t1 or exploitation ( resid5ts ( su* provid]s by facility /aff1 includ+ on social m$ia4 #aj4 ,cont9u+ fund+ = programs to prev5t & prosecute eld] abuse & neglect 7a7 ,long-,t]m c>e ombudsman program grants & tra9+ ,section #bjdc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm-#b7 is am5d$-- 7#a7 9 subsection 7a77#b7-- 7,a7 9 subp>agraph 7,b71 by /rik+ & aft] ! semicolon2 7,b7 9 subp>agraph 7,c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,d7 = ea* ( fiscal ye>s #bjbj ?r\gh #bjbc1 #ab1jjj1jjj4 2 & 7#b7 9 subsection 7b77#b71 by ins]t+ be=e ! p]iod ! foll[+3 1 & = ea* ( fiscal ye>s #bjbj ?r\gh #bjbc1 #ab1jjj1jjj4 7b7 ,eld] abuse1 neglect1 & exploitation =5sic c5t]s ,section #bjca7;f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigl7f77 is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ & aft] ! semicolon2 7#b7 9 p>agraph 7#c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#d7 = ea* ( fiscal ye>s #bjbj ?r\gh #bjbc1 #aj1jjj1jjj4 4 7c7 ,eld] ju/ice coord9at+ c\ncil 7#a7 ,memb]%ip ,section #bjba7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigk7b77#a77 is am5d$-- 7,a7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,d72 & 7,b7 by ins]t+ aft] subp>agraph 7,b71 ! foll[+3 7,c7 ,! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy4 4 7#b7 ,duties ,section #bjba7;f77#a7 ( su* ,act 7#db ,u4,s4,c4 #acigk7f77#a77 is am5d$ by ins]t+ ! ,f$]al ,em]g5cy ,managem5t ,ag5cy1 aft] ,ju/ice14 7d7 ,adult protective s]vices functions & grant programs ,section #bjdb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm-#a7 is am5d$-- 7#a7 9 subsection 7a77#b71 by /rik+ #c1jjj1jjj & all t foll[s ?r\gh ! p]iod & ins]t+ #e1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbc42 7#b7 9 subsection 7b77#e71 by /rik+ #ajj1jjj1jjj & all t foll[s ?r\gh ! p]iod & ins]t+ #abj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbc42 & 7#c7 9 subsection 7c77#f71 by /rik+ #be1jjj1jjj & all t foll[s ?r\gh ! p]iod & ins]t+ #cj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbc44 7e7 ,te*nical am5dm5t ,section #bjaa7ab77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;j7#ab77;,a77 is am5d$ by /rik+ #dej;b & ins]t+ #ecjd4 #aa4 ,increas+ res\rces to inve/igate abuse or neglect & ext5d s]vices to victims 7a7 ,fund+ = adult protective s]vices dur+ ! ,,covid-#ai public heal? em]g5cy 7#a7 ,9 g5]al ,a total ( #fj1jjj1jjj ( ! am\nts appropriat$ to make paym5ts or funds available on or aft] ,july #a1 #bjbj1 = respond+ to ! public heal? or fiscal impacts relat$ to ! ,coronavirus ,disease 7,,covid-#ai7 "u ,f$]al legislation enact$ on or aft] t date :i* prim>ily makes appropriations = ! coronavirus response & relat$ activities1 %all be transf]r$ & made available to ! ,secret>y to make direct paym5ts "u ?is subsection to ! ag5cy ( ea* ,/ate ) prim>y responsibility = adult protective s]vices & to tribally op]at$ adult protective s]vices ag5cies1 not)/&+ ! orig9al purpose = :i* ! am\nts 7 appropriat$ to make su* paym5ts or funds available1 or any o!r provision ( law re/rict+ ! use ( su* paym5ts or funds4 7#b7 ,paym5ts 7,a7 ,9 g5]al ,f ! funds transf]r$ & made available "u p>agraph 7#a71 ! ,secret>y %all-- 7i7 res]ve #c p]c5t ( su* funds = mak+ paym5ts to tribally op]at$ adult protective s]vices ag5cies 9 su* mann]1 & bas$ on su* in=mation1 z ! ,secret>y %all specify2 & 7ii7 make allotm5ts to ,/ates f ! rema9d] ( su* funds 7aft] ! application ( clause 7i771 9 ! same mann] z am\nts are allott$ to ,/ates = fiscal ye> #bjbj "u section #bjjc7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;b7b774 7,b7 ,direct paym5ts ,! ,secret>y %all make direct paym5t f ! am\nts res]v$ "u subp>agraph 7,a7 to tribally op]at$ adult protective s]vices ag5cies & f ! am\nts allott$ "u t subp>agraph to ! ag5cy ( ea* ,/ate ) prim>y responsibility = adult protective s]vices4 7#c7 ,o!r requirem5ts 7,a7 ,no mat* ,no ca% or 9-k9d mat*+ requirem5t %all apply to ! paym5ts made "u ?is subsection4 7,b7 ,deadl9e ,! ,secret>y %all make ! paym5ts requir$ "u ?is subsection n lat] ?an #fj days aft] ! date on :i* funds are transf]r$ & made available "u p>agraph 7#a74 7,c7 ,use ( funds ,ea* ag5cy t receives funds f a paym5t made "u ?is subsection %all use ! funds to provide adult protective s]vices dur+ ! ,,covid-#ai public heal? em]g5cy p]iod4 7,d7 ,prohibition ,no funds f a paym5t made "u ?is subsection %all be us$ to satisfy any requirem5t ( a f$]ally fund$ program relat+ to ,/ate or local mat*+ funds or 9-k9d contributions4 7#d7 ,def9itions ,9 ?is subsection3 7,a7 ,adult protective s]vices ,! t]m adult protective s]vices has ! mean+ giv5 t t]m 9 section #bjaa7b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;j7#b774 7,b7 ,indian c\ntry ,! t]m ,indian c\ntry has ! mean+ giv5 t t]m 9 section #aaea ( title #ah1 ,unit$ ,/ates ,code4 7,c7 ,/ate ,! t]m ,/ate has ! mean+ giv5 t t]m 9 section #aaja7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acja7;a77#a77 = purposes ( title ,,xx ( su* ,act4 7,d7 ,tribally op]at$ adult protective s]vices ag5cy ,! t]m tribally op]at$ adult protective s]vices ag5cy means an ag5cy ( ! recogniz$ gov]n+ body ( any ,indian or ,alaska ,native ,tribe1 b&1 ,nation1 pueblo1 village1 community1 compon5t b&1 or compon5t res]vation1 individually id5tifi$ 7includ+ p>5!tically7 9 ! li/ publi%$ mo/ rec5tly z ( ! date ( enactm5t ( ?is ,act pursuant to section #ajd ( ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid 7#be ,u4,s4,c4 #eaca7 ^: prim>y purpose is to protect any vuln]able adult :o is ! victim ( an alleg$ or sub/antiat$ incid5t ( abuse1 neglect1 or exploitation 9 ,indian ,c\ntry4 7b7 ,au?ority = transf]s f ! crime victims fund ,section #adjb7;d77#c7 ( ! ,victims ( ,crime ,act ( #aihd 7#cd ,u4,s4,c4 #bjaja7;d77#c77 is am5d$ by add+ at ! end ! foll[+3 7,c7 7i7 ,not)/&+ subp>agraph 7,b71 ! ,director may use n m ?an #c p]c5t ( ! am\nt to be di/ribut$ f ! ,fund "u ?is p>agraph 9 a p>ticul> fiscal ye> to provide & improve s]vices = victims ( eld] abuse1 neglect1 or exploitation by a dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t o!r ?an ! ,dep>tm5t ( ,ju/ice4 4 #ab4 ,protect+ ,am]icans ) dem5tia 7a7 ,alzheim]'s disease be/ practices & report+ 7#a7 ,address+ ,alzheim]'s disease 9 be/ practices 7,a7 ,9 g5]al ,section #aja7;b7 ( ! ,eld] ,abuse ,prev5tion & ,prosecution ,act 7#cd ,u4,s4,c4 #bagaa7;b77 is am5d$-- 7i7 by r$esignat+ subp>agraphs 7,a71 7,b71 & 7,c7 ( p>agraph 7#b7 z clauses 7i71 7ii71 & 7iii71 respectively1 & adju/+ ! m>g9 accord+ly2 7ii7 by r$esignat+ p>agraphs 7#a71 7#b71 & 7#c7 z subp>agraphs 7,a71 7,b71 & 7,c71 respectively1 & adju/+ ! m>g9 accord+ly2 7iii7 by /rik+ ,n lat] ?an & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,n lat] ?an 2 7iv7 9 p>agraph 7#a77;,b71 z s r$esignat$-- 7,i7 9 clause 7ii71 by ins]t+ 1 includ+ witnesses :o h ,alzheim]'s disease & relat$ dem5tias aft] o!r legal issues2 & 7,,ii7 9 clause 7iii71 by /rik+ eld] abuse cases1 & ins]t+ eld] abuse cases 7includ+ victims & witnesses :o h ,alzheim]'s disease & relat$ dem5tias712 & 7v7 by add+ at ! end ! foll[+3 7#b7 ,tra9+ mat]ials 7,a7 ,9 g5]al ,9 creat+ or compil+ replication guides & tra9+ mat]ials "u p>agraph 7#a77;,b71 ! ,eld] ,ju/ice ,coord9ator %all consult ) ! ,secret>y ( ,heal? & ,human ,s]vices1 ,/ate1 local1 & ,tribal adult protective s]vices1 ag+1 social1 & human s]vices ag5cies1 ,f$]al1 ,/ate1 local1 & ,tribal law en=cem5t ag5cies1 & nationally recogniz$ nonpr(it associations ) relevant exp]tise1 z appropriate4 7,b7 ,updat+ ,! ,eld] ,ju/ice ,coord9ator %all-- 7i7 review ! be/ practices id5tifi$ & replication guides & tra9+ mat]ials creat$ or compil$ "u p>agraph 7#a77;,b7 to det]m9e if ! replication guides or tra9+ mat]ials require updat+2 & 7ii7 p]=m any necess>y updat+ ( ! replication guides or tra9+ mat]ials4 4 7,b7 ,applicability ,! am5dm5ts made by subp>agraph 7,a7 %all-- 7i7 take effect on ! date ( enactm5t ( ?is ,act2 & 7ii7 apply on & aft] ! date t is #a ye> aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,report on outrea* 7,a7 ,9 g5]al ,section #aja7;c77#b7 ( ! ,eld] ,abuse ,prev5tion & ,prosecution ,act 7#cd ,u4,s4,c4 #bagaa7;c77#b77 is am5d$-- 7i7 by r$esignat+ subp>agraphs 7,a7 ?r\gh 7,d7 z clauses 7i7 ?r\gh 7iv71 respectively1 & adju/+ ! m>g9 accord+ly2 7ii7 by /rik+ a report detail+ & ins]t+ ! foll[+3 8a report-- 7,a7 detail+ 2 & 7iii7 by add+ at ! end ! foll[+3 7,b7 ) respect to ! report by ! ,attorney ,g5]al1 includ+ a l9k to ! publicly available be/ practices id5tifi$ "u subsection 7b77#a77;,b7 & ! replication guides & tra9+ mat]ials creat$ or compil$ "u su* subsection4 4 7,b7 ,applicability ,! am5dm5ts made by subp>agraph 7,a7 %all apply ) respect to ! report "u section #aja7;c77#b7 ( ! ,eld] ,abuse ,prev5tion & ,prosecution ,act 7#cd ,u4,s4,c4 #bagaa7;c77#b77 submitt$ dur+ ! second ye> beg9n+ aft] ! date ( enactm5t ( ?is ,act1 & ea* ye> !reaft]4 7b7 ,promot+ acc\ntability ( c\rt-,appo9t$ gu>dians ,section #bjdb7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm-#a7;c77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ p>agraph 7#b77;,e7 & ins]t+ subp>agraphs 7,e71 7,f71 7,g71 & 7,h7 ( p>agraph 7#b72 7#b7 9 p>agraph 7#b7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a7-- 7i7 by /rik+ ,funds & ins]t+ ,subject to p>agraph 7#g71 funds2 & 7ii7 by /rik+ subp>agraph 7,e7 & ins]t+ subp>agraphs 7,e71 7,f71 7,g71 & 7,h72 7,b7 9 subp>agraph 7,e71 by /rik+ or at ! end2 7,c7 by r$esignat+ subp>agraph 7,f7 z subp>agraph 7,i72 & 7,d7 by ins]t+ aft] subp>agraph 7,e7 ! foll[+ new p>agraphs3 7,f7 me?ods to assess ,/ate gu>dian%ip /ati/ics su* z ! creation ( ,/ate databases to collect in=mation ab\t ! numb] & *>act]i/ics ( gu>dian%ip arrangem5ts1 gu>dians1 & individuals subject to gu>dian%ip2 7,g7 ! use ( tra9$ c\rt visitors to improve c\rt adm9i/ration ( gu>dian%ip arrangem5ts1 includ+ ! appo9tm5t & ov]sight ( gu>dians2 7,h7 me?ods = collect+1 /or+1 & mak+ available to ! appropriate individuals1 organizations1 & entities in=mation on prospective1 curr5t1 & previ\sly appo9t$ gu>dians1 :i* may include-- 7i7 contact & id5tify+ in=mation2 7ii7 in=mation relat+ to backgr\nd *eck inve/igations2 7iii7 c\rt decisions reg>d+ petitions = appo9tm5t z a gu>dian1 includ+ ! rationale = su* decisions2 & 7iv7 in=mation relat+ to ! cause = removal ( ! gu>dian or t]m9ation ( ! gu>dian%ip arrangem5t2 or 2 7#c7 9 p>agraph 7#d71 by /rik+ p>agraph 7#b77;,e7 & ins]t+ subp>agraphs 7,e71 7,f71 7,g71 & 7,h7 ( p>agraph 7#b72 7#d7 9 p>agraph 7#e71 by /rik+ p>agraph 7#b77;,e7 ea* place x appe>s & ins]t+ subp>agraphs 7,e71 7,f71 7,g71 & 7,h7 ( p>agraph 7#b72 & 7#e7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,ensur+ demon/ration program fund+ = ! highe/ c\rts ( /ates ,! ,secret>y %all ensure t up to #e p]c5t ( ! total ( any funds made available to c>ry out ?is subsection 9 a fiscal ye> 7beg9n+ ) fiscal ye> #bjbj7 is aw>d$ "u grants to ! highe/ c\rts ( ,/ates = purposes ( conduct+ demon/ration programs describ$ 9 subp>agraphs 7,e71 7,f71 7,g71 & 7,h7 ( p>agraph 7#b74 4 #ac4 ,r$uc+ racial & e?nic disp>ities 9 long-t]m c>e facilities 7a7 ,task =ce ,! ,secret>y %all e/abli% a task =ce1 to be kn[n z ! ,e?nic & ,racial ,disp>ities 9 ,long-,t]m ,c>e ,facilities ,task ,=ce 7ref]r$ to 9 ?is section z ! task =ce71 to ga!r data on racial & e?nic disp>ities 9 long-t]m c>e facilities & provide recomm5dations to ,f$]al1 ,/ate1 local1 & ,tribal policymak]s on ways to r$uce su* disp>ities4 7b7 ,memb]%ip ,! task =ce %all be compos$ ( ! ,secret>y1 ! ,surgeon ,g5]al1 o!r ,f$]al1 ,/ate1 & local gov]nm5t (ficials1 & individuals appo9t$ by ! ,secret>y ) fir/h& k (1 or exp]tise relat+ to1 disp>ities 9 access to quality c>e = resid5ts ( long-t]m c>e facilities :o are memb]s ( racial or e?nic m9ority gr\ps4 ,9 appo9t+ su* individuals1 ! ,secret>y %all ensure ! individuals appo9t$ provide ample repres5tation ) respect to ! demographics ( resid5ts & c>egiv]s ( su* facilities1 p>ticul>ly ) respect to resid5ts & c>egiv]s ( su* facilities :o are memb]s ( racial or e?nic m9ority gr\ps4 7c7 ,adm9i/ration 7#a7 ,*airp]son ,! ,secret>y %all s]ve z ! *airp]son ( ! task =ce4 ,! ,surgeon ,g5]al %all s]ve z ! vice *airp]son4 7#b7 ,/aff ,! task =ce %all h #b full-"t /aff memb]s4 7#c7 ,meet+s ,! task =ce %all conv5e at lea/ mon?ly1 ) ! fir/ meet+ to occur )9 #fj days aft] ! enactm5t ( ?is ,act4 7d7 ,report+ & recomm5dations 7#a7 ,mon?ly reports ,n lat] ?an #de days aft] ! #a/ meet+ ( ! task =ce1 & mon?ly !reaft]1 ! task =ce %all submit to ,congress & ! ,f$]al ,em]g5cy ,managem5t ,ag5cy a report t includes-- 7,a7 recomm5d$ me?odologies = improv+ ,f$]al data collection on resid5t outcomes 9 long-t]m c>e facilities ) disproportionately high rates ( admission ( individuals :o are memb]s ( racial or e?nic m9ority gr\ps2 7,b7 ! id5tification ( long-t]m c>e facilities evid5c+ racial or e?nic disp>ities 9 psy*otropic drug usage1 infection prev5tion & control defici5cies1 hospitalization rates1 infecti\s disease rates1 injury rates1 abuse rates1 neglect rates1 fatality rates1 & any additional areas1 z det]m9$ by ! task =ce bas$ on available public heal? data 7or1 if no su* data are available1 on ! basis ( su* o!r publicly available data or in=mation z ! task =ce may det]m9e72 7,c7 ! id5tification ( factors1 includ+ ,f$]al & ,/ate policies1 t h contribut$ to racial or e?nic heal? disp>ities 9 resid5t outcomes 9 long-t]m c>e facilities1 & actions ,congress 7& if appropriate1 o!r entities7 c take to address ^! factors2 & 7,d7 recomm5dations = be/ practices to promote improvem5ts 9 long-t]m c>e facilities evid5c+ racial or e?nic disp>ities 9 psy*otropic drug usage1 infection prev5tion & control defici5cies1 hospitalization rates1 infecti\s disease rates1 injury rates1 abuse & neglect rates1 fatality rates1 or any additional areas det]m9$ by ! task =ce4 7#b7 ,consultation ) indian tribes ,9 submitt+ reports & recomm5dations "u ?is subsection1 ! task =ce %all consult ) ,indian ,tribes & ,tribal organizations4 7#c7 ,sunset ,! task =ce %all t]m9ate on ,decemb] #ca1 #bjba4 #ad4 ,e/abli%+ reciprocity ) ,drug ,en=cem5t ,adm9i/ration to address improp] prescrib+ ( controll$ sub/ances 7a7 ,notification ( ! attorney g5]al by ! ,secret>y ( ,heal? & ,human ,s]vices 9 cases ( improp] prescrib+ ( controll$ sub/ances 7#a7 ,9 g5]al ,section #ahff7;j7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7j77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#aj7 ,notification ( attorney g5]al 7,a7 ,9 g5]al ,if ! ,secret>y makes a det]m9ation describ$ 9 subp>agraph 7,b7 ) respect to improp] prescrib+ ( a controll$ sub/ance 7z def9$ 9 section #ajb7f7 ( ! ,controll$ ,sub/ances ,act71 ! ,secret>y %all notify ! ,attorney ,g5]al 9 accordance ) subp>agraph 7,c74 7,b7 ,det]m9ation by secret>y ,a det]m9ation describ$ 9 ?is subp>agraph is a det]m9ation by ! ,secret>y "u :i*-- 7i7 ! enrollm5t ( a provid] ( s]vices or suppli] "u ?is title is revok$1 bas$ 9 :ole or 9 "p on a f9d+ by ! ,secret>y "u section #dbd4ece7;a77#ad7 ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation71 z appli$ to improp] prescrib+ ( controll$ sub/ances2 or 7ii7 a provid] ( s]vices or suppli] is plac$ on ! preclusion li/ z def9$ "u sections #dbb4b & #dbc4ajj ( su* title #db 7or any successor regulation71 bas$ 9 :ole or 9 "p on a f9d+ by ! ,secret>y t su* provid] or suppli] has engag$ 9 conduct1 9 connection ) prescrib+ ( controll$ sub/ances1 t w\ld be consid]$ improp] prescrib+ "u su* section #dbd4ece7;a77#ad71 if ! provid] ( s]vices or suppli] 7 enroll$ "u ?is title4 7,c7 ,notification ,if ! ,secret>y revokes an enrollm5t or makes a preclusion li/ placem5t z describ$ 9 subp>agraph 7,b71 ! ,secret>y %all notify ! ,attorney ,g5]al ( su* revocation or placem5t1 no lat] ?an #cj days aft]-- 7i7 ! affirmation ( su* ,secret>ial action1 9 response to a reque/ = reconsid]ation by ! provid] ( s]vices or suppli] involv$ "u section #dbd4ede7;a7 or "p #dih ( su* title #db1 z applicable 7or any successor regulations72 or 7ii7 abs5t su* a reque/ = reconsid]ation1 expiration ( ! "t p]iod dur+ :i* su* a reque/ may be fil$4 7,d7 ,subsequ5t notification ,9 ! case t a revocation ( enrollm5t or a preclusion li/ placem5t z describ$ 9 subp>agraph 7,b7 is rev]s$ "u proce$+s subsequ5t to ! appropriate notification "u subp>agraph 7,c71 ! ,secret>y %all in=m ! ,attorney ,g5]al ( su* rev]sal 7& z applicable1 re9/atem5t ( su* enrollm5t or removal f ! preclusion li/74 4 7#b7 ,te*nical correction to citation = appeals provision ,section #ahff7;j77#e77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7j77#e77;,b77 is am5d$ by /rik+ p>agraph 7#g7 & ins]t+ p>agraph 7#i74 7b7 ,revocation ( regi/ration "u ! ,controll$ ,sub/ances ,act ,section #cjd ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbd7 is am5d$ by add+ at ! end ! foll[+3 7h7 7#a7 ,^u receipt ( a notification f ! ,secret>y "u section #ahff7;j77#aj77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7j77#aj77;,c77 ( a det]m9ation ( ! ,secret>y to revoke an enrollm5t or make a preclusion li/ placem5t1 ! ,attorney ,g5]al %all revoke ! regi/ration grant$ "u section #cjc ( ?is ,act ( ! regi/rant t is ! subject ( su* revocation or placem5t4 7#b7 ,aft] revocation ( a regi/ration "u p>agraph 7#a71 if ! ,attorney ,g5]al receives in=mation f ! ,secret>y "u section #ahff7;j77#aj77;,d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7j77#aj77;,d77 t ! det]m9ation ( ! ,secret>y describ$ 9 p>agraph 7#a7 has be5 rev]s$1 ! ,attorney ,g5]al may rev]se ! revocation ( ! regi/ration if ! ,attorney ,g5]al det]m9es su* rev]sal is appropriate4 4