,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #baad  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ai1 #bjba,ms4   
,t5ney introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = 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 titles     
,,xviii & ,,xix ( ! ,social ,security   
,act to require skill$ nurs+ facilities1
 nurs+ facilities1 & int]m$iate c>e     
facilities = ! intellectually disabl$ to
 p]mit c]ta9 ess5tial c>egiv] visitors  
dur+ a public heal? em]g5cy "u ! ,m$ic>e
 & ,m$icaid programs4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,ess5tial     
,c>egiv]s ,act ( #bjba4  #b4 ,requir+   
c]ta9 facilities to p]mit ess5tial      
c>egiv] visitors dur+ a public heal?    
em]g5cy  7a7 ,skill$ nurs+ facilities2  
nurs+ facilities ,section #ahai7;c7 &   
#aiai7;c7 ( ! ,social ,security ,act    

7#db ,u4,s4,c4 #acie;i-#c7;c71          
#acifr7c77 are ea* am5d$--  7#a7 9      
p>agraph 7#c7-- 7,a7 9 subp>agraph 7,d71
 by /rik+ & at ! end2  7,b7 9           
subp>agraph 7,e71 by /rik+ ! p]iod &    
ins]t+ 2 &2 &  7,c7 by add+ at ! end !  
foll[+ new subp>agraph3  7,f7 e/abli% & 
ma9ta91 dur+ ! p]iod beg9n+ on ! date ( 
! enactm5t ( ?is subp>agraph & end+ on !
 la/ day ( ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b71 ! ess5tial  
c>egiv] visitor program describ$ 9      
p>agraph 7#g74  2 &  7#b7 by add+ at !  
end ! foll[+ new p>agraph3  7#g7        
,ess5tial c>egiv] visitor program  7,a7 
,9 g5]al ,= purposes subp>agraph 7,f7 ( 
p>agraph 7#c71 ! ess5tial c>egiv]       
visitor program describ$ 9 ?is p>agraph 
is a program e/abli%$ by a facility     
describ$ 9 su* p>agraph "u :i* su*      
facility-- 7i7 all[s ea* resid5t ( su*  
facility to elect n m ?an #b ess5tial   
c>egiv]s 7z def9$ 9 subp>agraph 7,c77 to
 visit su* resid5t at su* facility2     
7ii7 p]mits ea* su* c>egiv] s elect$ by 

su* resid5t to provide c>e to su*       
resid5t at su* facility = up to #h h\rs 
e day2 &  7iii7 en=ces ea* agreem5t     
describ$ 9 subp>agraph 7,c77iv7 )       
respect to an ess5tial c>egiv]4  7,b7   
,presumption ( election ,= purposes (   
subp>agraph 7,a71 9 ! case ( a resid5t  
:o is unable1 by reason ( physical or   
m5tal disability1 to make an election   
describ$ 9 su* subp>agraph1 #b ( !      
foll[+ individuals :o are ess5tial      
c>egiv]s 7z def9$ 9 subp>agraph 7,c771 z
 select$ by ! legal gu>dian ( su*       
resid5t1 %all be deem$ to h be5 s elect$
 by su* resid5t3 7i7 ,a relative ( su*  
resid5t4  7ii7 ,! p[] ( attorney ( su*  
resid5t4  7iii7 ,! heal? c>e proxy ( su*
 resid5t4  7,c7 ,ess5tial c>egiv] def9$ 
,= purposes ( ?is p>agraph1 ! t]m       
ess5tial c>egiv] means1 ) respect to a  
resid5t ( a facility describ$ 9         
subp>agraph 7,a71 an individual :o-- 7i7
 furni%$ c>e to su* resid5t prior to !  
fir/ day ( ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b72  7ii7 w     

provide activities ( daily liv+ 7z      
det]m9$ appropriate by ! facility7 or   
emotional support to su* resid5t1 9     
accordance ) ! c>e plan ( su* resid5t2  
7iii7 ! facility approves to furni% su* 
activities or support2  7iv7 agrees to--
 7,i7 foll[ all safety protocols        
e/abli%$ by su* facility 7includ+ ! use 
( p]sonal protective equipm5t & any     
m&atory ,,covid-#ai-relat$ tra9+72      
7,,ii7 provide pro( ( a negative        
,,covid-#ai te/ prior to entry to su*   
facility = ! fir/ "t1 & !n weekly       
!reaft]2  7,,iii7 only visit ) su*      
resid5t 9 a private room & ma9ta9       
di/ance f o!r resid5ts & /aff2 &  7,,iv7
 und]go scre5+ = ,,covid-#ai 9 ! same   
mann] z /aff ( su* facility2 &  7v7     
provides a sign$ waiv] to su* facility  
agree+ n to hold su* facility liable =  
any transmission ( ,,covid-#ai to !     
individual t may occur at su* facility4 
4  7b7 ,int]m$iate c>e facilities = !   
intellectually disabl$ ,section         
#aije7;d7 ( ! ,social ,security ,act    

7#db ,u4,s4,c4 #acif;d7d77 is am5d$--   
7#a7 9 p>agraph 7#b71 by /rik+ & at !   
end2  7#b7 9 p>agraph 7#c71 by /rik+ !  
p]iod & ins]t+ 2 &2 &  7#c7 by add+ at !
 end ! foll[+ new p>agraph3  7#d7 !     
in/itution e/abli%$ & ma9ta9s1 dur+ !   
p]iod beg9n+ on ! date ( ! enactm5t (   
?is p>agraph & end+ on ! la/ day ( !    
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b71 ! ess5tial c>egiv]  
program describ$ 9 section #aiai7;c77#g7
 9 ! same mann] z if su* in/itution 7 a 
nurs+ facility4  4