,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dahd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #b1 #bjbj,ms4    
,w>r5 7= h]self & ,mr4 ,m>key7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,f9ance  ,a   
,,bill  ,to require ,/ates to meet      
assi/$ liv+ facility report+ requirem5ts
 to qualify = future ,,covid-#ai        
response funds4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,assi/$ ,liv+      
,facility ,coronavirus ,report+ ,act4   
#b4 ,def9itions ,9 ?is ,act3 7#a7       
,assi/$ liv+ facility ,! t]m assi/$ liv+
 facility means-- 7,a7 an adult c>e     
facility t-- 7i7 is lic5s$ & regulat$ by
 ! ,/ate 9 :i* ! facility is locat$ 7or1
 if !re is no ,/ate law provid+ = su*   
lic5s+ & regulation by ! ,/ate1 by !    
municipality or o!r political           
subdivision 9 :i* ! facility is locat$72
  7ii7 makes available to resid5ts      
supportive s]vices to assi/ ! resid5ts 9
 c>ry+ out activities ( daily liv+1 su* 
z ba?+1 dress+1 eat+1 gett+ 9 & out ( b$

 or *airs1 walk+1 go+ outdoors1 us+ !   
toilet1 laundry1 home managem5t1 prep>+ 
meals1 %opp+ = p]sonal items1 obta9+ &  
tak+ m$ication1 manag+ money1 us+ !     
telephone1 or p]=m+ light or heavy      
h\sework1 & :i* may make available to   
resid5ts home heal? c>e s]vices1 su* z  
nurs+ & !rapy2 &  7iii7 provides dwell+ 
units = resid5ts1 ea* ( :i* may conta9 a
 full kit*5 & ba?room1 & :i* includes   
common rooms & o!r facilities           
appropriate = ! provision ( supportive  
s]vices to ! resid5ts ( ! facility2     
7,b7 an adult c>e facility t-- 7i7 is-- 
7,i7 lic5s$ & regulat$ by ! ,/ate 9 :i* 
! facility is locat$ 7or1 if !re is no  
,/ate law provid+ = su* lic5s+ &        
regulation by ! ,/ate1 by ! municipality
 or o!r political subdivision 9 :i* !   
facility is locat$72 &  7,,ii7 simil> to
 a skill$ nurs+ facility1 7z def9$ 9    
section #ahai7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie;i-#c7;a7771 a 
nurs+ facility 7z def9$ 9 section       
#aiai7;a7 ( ! ,social ,security ,act    

7#db ,u4,s4,c4 #acifr7a7771 or a bo>d & 
c>e facility 7z def9$ 9 section         
#afaf7;e7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #achb;e7e7772 or  7ii7 is
 subject to ! id5tification1            
inve/igation1 & resolution ( compla9ts  
by1 or o!rwise subject to ! activities  
(1 a ,/ate ,long-,t]m ,c>e ,ombudsman   
program e/abli%$ "u section #gab ( !    
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjeh;g72 or  7,c7 an adult   
c>e facility receiv+ ,f$]al funds ?r\gh 
a ,/ate ,m$icaid program "u title ,,xix 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif et seq471 includ+ ?r\gh 
any waiv] relat+ to su* a program grant$
 "u su* title or title ,,xi ( su* ,act  
7#db ,u4,s4,c4 #acja et seq474  7#b7    
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
#c4 ,/ate report+ requirem5ts = assi/$  
liv+ facilities & ,,covid-#ai  7a7 ,9   
g5]al ,z a condition ( receiv+ fund+ to 
combat ! coronavirus p&emic "u ,f$]al   
legislation enact$ on or aft] ! date (  

enactm5t ( ?is ,act :i* designates su*  
fund+ z be+ = em]g5cy requirem5ts       
pursuant to section #bea7;b77#b77;,a77i7
 ( ! ,balanc$ ,budget & ,em]g5cy        
,deficit ,control ,act ( #aihe 7#b      
,u4,s4,c4 #ija7;b77#b77;,a77i771 a ,/ate
 %all d ! foll[+3 7#a7 ,)9 #cj days ( ! 
passage ( ?is ,act1 beg9 weekly report+ 
( ! foll[+ in=mation = ea* assi/$ liv+  
facility locat$ 9 ! ,/ate to ! ,c5t]s = 
,disease ,control & ,prev5tion1         
disaggregat$ by race1 e?nicity1 prim>y  
language1 sex1 sexual ori5tation1 g5d]  
id5tity1 age1 & disability /atus3 7,a7  
,! numb] ( suspect$ & confirm$ active   
cases ( ,coronavirus ,disease #bjai     
7,,covid-#ai7 among resid5ts & ! numb] (
 suspect$ & confirm$ active cases (     
,,covid-#ai among /aff ( ! facility4    
7,b7 ,! numb] ( resid5ts & /aff ( !     
facility1 respectively1 :o1 s9ce ! la/  
report "u ?is p>agraph1 contract$ sev]e 
respiratory infections relat$ to        
,,covid-#ai t result$ 9 hospitalization 
& ! numb] t result$ 9 dea?1 includ+     

dea?s t occurr$ outside ( ! facility4   
7,c7 ,! numb] ( ,,covid-#ai diagno/ic   
te/s conduct$ weekly on resid5ts & /aff 
( ! facility1 respectively1 & ! p]c5tage
 ( ^? te/s t are positive among resid5ts
 & /aff ( ! facility1 respectively4     
7,d7 ,! av]age "t betwe5 te/+ a resid5t 
& receiv+ ! results ( ! te/4  7,e7 ,!   
p]sonal protective equipm5t1 h& hygi5e  
supplies1 v5tilators1 & m$ical supplies 
9 ! facility4  7,f7 ,! total numb] (    
resid5t b$s at1 resid5ts liv+ 91 & /aff 
employ$ by ! facility4  7,g7 ,o!r       
in=mation specifi$ by ! ,secret>y4  7#b7
 ,)9 #cj days ( ! passage ( ?is ,act1   
report = ea* assi/$ liv+ facility 9 !   
,/ate to ! ,c5t]s = ,disease ,control & 
,prev5tion1 ! in=mation specifi$ 9      
subp>agraphs 7,a7 ?r\gh 7,g7 ( p>agraph 
7#a7 = ! p]iod ( "t betwe5 ,janu>y #a1  
#bjbj1 & ! passage ( ?is ,act1          
disaggregat$ by race1 e?nicity1 prim>y  
language1 sex1 sexual ori5tation1 g5d]  
id5tity1 age1 & disability /atus4  7#c7 
,)9 #cj days ( ! passage ( ?is ,act1    

require ea* assi/$ liv+ facility 9 !    
,/ate to in=m ! ,c5t]s = ,m$ic>e        
,m$icaid ,s]vices1 ! ,c5t]s = ,disease  
,control & ,prev5tion1 ,/ate & local    
heal? (ficials1 resid5ts1 _!            
repres5tatives1 & families ( ^? resid+ 9
 facilities by #e p4m4 ! next cal5d> day
 foll[+ ! occurr5ce ( ei!r a s+le       
confirm$ infection ( ,,covid-#ai among !
 resid5ts or /aff ( ! facility or #c or 
m resid5ts or /aff ( ! facility pres5t+ 
new-onset ( respiratory symptoms )9 #gb 
h\rs ( ea* o!r4 ,?is in=mation %all--   
7,a7 n include p]sonally id5tifiable    
in=mation2  7,b7 include in=mation on   
mitigat+ actions implem5t$ to prev5t or 
r$uce ! risk ( transmission1 includ+ if 
normal op]ations ( ! facility w be      
alt]$2 &  7,c7 include any cumulative   
updates = resid5ts1 _! repres5tatives1 &
 families at lea/ weekly or by #e p4m4 !
 next cal5d> day foll[+ ! subsequ5t     
occurr5ce (-- 7i7 ! id5tification ( a   
confirm$ infection ( ,,covid-#ai among !
 resid5ts or /aff ( ! facility2 or  7ii7

 #c or m resid5ts or /aff pres5t+ new   
onset ( respiratory symptoms )9 #gb h\rs
 ( ea* o!r4  7b7 ,sunset ,! requirem5ts 
( subsection 7a7 %all t]m9ate if & :5 ! 
circum/ances :i* l$ to ! public heal?   
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b77 7relat+ to !   
coronavirus p&emic7 cease to exi/ & are 
unlikely to recur4  7c7 ,guidance ,)9   
#ae days ( ! date ( enactm5t ( ?is ,act1
 ! ,secret>y %all issue guidance to     
,/ates to ensure ! in=mation report$ 9  
7a7 is report$ 9 an electronic1 /&>diz$ 
=mat t mat*es1 to ! ext5t practicable1 !
 =mat applicable to in=mation report$ to
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices 
by skill$ nurs+ facilities & nurs+      
facilities on ,,covid-#ai "u section    
#dhc4cj7;g7 ( title #db1 ,code ( ,f$]al 
,regulations 7z am5d$ by ! int]im f9al  
rule ( ! ,c5t]s = ,m$ic>e  ,m$icaid     
,s]vices publi%$ on ,may #h1 #bjbj 7#he 
,f$4 ,reg4 #bgeej771 to enable !        

comp>ison ( ,,covid-#ai outbreaks across
 congregate c>e sett+s4  7d7            
,publication ( in=mation ,! ,secret>y   
%all publicly po/ on ! website ( !      
,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
in=mation receiv$ by ! ,dep>tm5t "u     
section 7a71 & %all update su* in=mation
 on a weekly basis4  7e7 ,ext5sions ,!  
,secret>y may grant1 at ! reque/ ( a    
,/ate1 a #cj-;day ext5sion = ! ,/ate    
report ! in=mation requir$ "u p>agraphs 
7#a7 & 7#b7 ( subsection 7a7 to all[ !  
,/ate to develop ! report+ infra/ructure
 necess>y to ga!r su* in=mation f assi/$
 liv+ facilities4  #d4 ,application (   
nurs+ facility report+ requirem5ts to   
assi/$ liv+ facilities ,! ,secret>y %all
 provide t any ,,covid-#ai report+      
requirem5t t applies to skill$ nurs+    
facilities 7z def9$ 9 section #ahai7;a7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acie;i-#c7;a777 or nurs+     
facilities 7z def9$ 9 section #aiai7;a7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acifr7a777 & is impos$ on or 

aft] ! date ( enactm5t ( ?is ,act "u    
title ,,xviii or ,,xix ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acie et  
seq41 #acif et seq47 or "u a regulation 
promulgat$ "u su* title %all apply 9 !  
same mann] to assi/$ liv+ facilities1   
:i* %all report su* in=mation ?r\gh !   
,/ates unless comply+ ) su* report+     
requirem5t is n practicable 9 ! assi/$  
liv+ facility sett+4  #e4 ,,gao report  
,n lat] ?an #b ye>s aft] ! date (       
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all conduct an
 evaluation1 & submit to ,congress1 a   
report includ+-- 7#a7 :at is kn[n ab\t  
h[ requir$ report+ ( ,,covid-#ai data on
 resid5ts 9 nurs+ homes dur+ ! p&emic 0 
us$ to prev5t or control ,,covid-#ai    
cases or dea?s1 & h[ ?is comp>es to !   
exp]i5ce ( o!r congregate c>e facilities
 )\t requir$ report+ ( ?is data2 &  7#b7
 any lessons le>n$ f requir$ report+ (  
,,covid-#ai cases or dea?s 9 nurs+ homes
 t c\ld be appli$ to o!r congregate c>e 
facilities dur+ ! ,,covid-#ai p&emic1 if

 x cont9ues1 & simil> public heal?      
em]g5cies 9 ! future4