,i  #aagth ,,congress  #ast ,session    
,h4 ,r4 #cca  ,,in ,,the ,,house ,,of   
,,representatives  ,january #ae1 #bjba  
,mr4 ,keller 7for himself and ,ms4      
,wild7 introduced the following bill2   
which was referred to the ,committee on 
,ways and ,means1 and in addition to the
 ,committee on ,energy and ,commerce1   
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     
amend titles ,,xviii and ,,xix of the   
,social ,security ,act to provide       
flexibility in training and competency  
requirements for skilled nursing        
facility and nursing facility nursing   
aides under the ,medicare and ,medicaid 
programs4  #a4 ,short title ,this ,act  
may be cited as the ,nurses             
,certification ,and ,recognition of     
,experience ,act of #bjba or the ,nurses
 ,,care ,act of #bjba4  #b4 ,providing  
flexibility in training and competency  

requirements for skilled nursing        
facility and nursing facility nursing   
aides under the ,medicare and ,medicaid 
programs  7a7 ,in general ,sections     
#ahai7;b77#e7 and #aiai7;b77#e7 of the  
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#c7;b77#e71 #acifr7b77#e77 are  
each amended--  7#a7 in subparagraph    
7,a77i77,i71 by inserting 7or1 in the   
case of a specified individual 7as      
defined in subparagraph 7,h77ii771 meets
 the requirement described in           
subparagraph 7,h77i77 after subsection  
7e77#a77;,a72 and  7#b7 by adding at the
 end the following new subparagraph3    
7,h7 ,,covid-#ai training and competency
 requirement flexibility  7i7 ,in       
general ,for purposes of subparagraph   
7,a77i77,i71 the requirement described  
in this clause is1 with respect to a    
specified individual 7as defined in     
clause 7ii771 that the individual       
demonstrates competency in work as a    
nursing aide through-- 7,i7 the         
successful completion of a nursing aide 

examination approved by the ,state2     
7,,ii7 certification of competency by a 
site administrator of a nursing aide    
apprenticeship program approved by the  
,state2 or  7,,iii7 an assessment by the
 facility in each of the areas and      
skills described in section #ehc4aeb7;b7
 of title #db1 ,code of ,federal        
,regulations 7or a successor            
regulation74  7ii7 ,specified individual
 defined ,for purposes of this          
subparagraph1 the term specified        
individual means an individual who1     
during the emergency period described in
 section #aace7;g77#a77;,b7-- 7,i7      
completed a nursing aide training       
program and competency assessment       
7whether online or otherwise7 approved  
by the ,state2 and  7,,ii7 completed a  
minimum of #hj hours of work as a       
temporary nurse aide1 in supervised     
practical nurse aide training1 in       
on-the-job nursing aide training1 or in 
in-service nursing aide education1 under
 the supervision of a registered nurse  

or a licensed practical nurse4  4  7b7  
,inclusion on registry ,section         
#ahai7;e77#b77;,a7 and                  
#aiai7;e77#b77;,a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acie;i-#c7;e77#b77;,a71                
#acifr7e77#b77;,a77 are each amended by 
inserting 1 or any specified individual 
7as defined in clause 7ii7 of subsection
 7b77#e77;,h77ii77 who meets the        
requirement described in clause 7i7 of  
such subsection before the period at the
 end4  7c7 ,educational and outreach    
activities ,the ,secretary of ,health   
and ,human ,services shall undertake    
outreach and educational activities for 
purposes of informing ,states of-- 7#a7 
the effects of the amendments made by   
this section2 and  7#b7 what actions    
,states may take with respect to the    
training and assessment of nursing aides
 in such ,state that will comply with   
the provisions of such amendments4