,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cca  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ae1 #bjba    
,mr4 ,kell] 7= himself & ,ms4 ,wild7    
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 titles ,,xviii & ,,xix
 ( ! ,social ,security ,act to provide  
flexibility 9 tra9+ & compet5cy         
requirem5ts = skill$ nurs+ facility &   
nurs+ facility nurs+ aides "u ! ,m$ic>e 
& ,m$icaid programs4  #a4 ,%ort title   
,?is ,act may be cit$ z ! ,nurses       
,c]tification ,& ,recognition (         
,exp]i5ce ,act ( #bjba or ! ,nurses     
,,c>e ,act ( #bjba4  #b4 ,provid+       
flexibility 9 tra9+ & compet5cy         
requirem5ts = skill$ nurs+ facility &   
nurs+ facility nurs+ aides "u ! ,m$ic>e 
& ,m$icaid programs  7a7 ,9 g5]al       

,sections #ahai7;b77#e7 & #aiai7;b77#e7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acie;i-#c7;b77#e71           
#acifr7b77#e77 are ea* am5d$--  7#a7 9  
subp>agraph 7,a77i77,i71 by ins]t+ 7or1 
9 ! case ( a specifi$ individual 7z     
def9$ 9 subp>agraph 7,h77ii771 meets !  
requirem5t describ$ 9 subp>agraph       
7,h77i77 aft] subsection 7e77#a77;,a72 &
  7#b7 by add+ at ! end ! foll[+ new    
subp>agraph3  7,h7 ,,covid-#ai tra9+ &  
compet5cy requirem5t flexibility  7i7 ,9
 g5]al ,= purposes ( subp>agraph        
7,a77i77,i71 ! requirem5t describ$ 9 ?is
 clause is1 ) respect to a specifi$     
individual 7z def9$ 9 clause 7ii771 t ! 
individual demon/rates compet5cy 9 "w z 
a nurs+ aide ?r\gh-- 7,i7 ! successful  
completion ( a nurs+ aide exam9ation    
approv$ by ! ,/ate2  7,,ii7 c]tification
 ( compet5cy by a site adm9i/rator ( a  
nurs+ aide appr5tice%ip program approv$ 
by ! ,/ate2 or  7,,iii7 an assessm5t by 
! facility 9 ea* ( ! areas & skills     
describ$ 9 section #ehc4aeb7;b7 ( title 

#db1 ,code ( ,f$]al ,regulations 7or a  
successor regulation74  7ii7 ,specifi$  
individual def9$ ,= purposes ( ?is      
subp>agraph1 ! t]m specifi$ individual  
means an individual :o1 dur+ ! em]g5cy  
p]iod describ$ 9 section                
#aace7;g77#a77;,b7-- 7,i7 complet$ a    
nurs+ aide tra9+ program & compet5cy    
assessm5t 7:e!r onl9e or o!rwise7       
approv$ by ! ,/ate2 &  7,,ii7 complet$ a
 m9imum ( #hj h\rs ( "w z a tempor>y    
nurse aide1 9 sup]vis$ practical nurse  
aide tra9+1 9 on-!-job nurs+ aide tra9+1
 or 9 9-s]vice nurs+ aide education1 "u 
! sup]vision ( a regi/]$ nurse or a     
lic5s$ practical nurse4  4  7b7         
,inclusion on regi/ry ,section          
#ahai7;e77#b77;,a7 & #aiai7;e77#b77;,a7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acie;i-#c7;e77#b77;,a71      
#acifr7e77#b77;,a77 are ea* am5d$ by    
ins]t+ 1 or any specifi$ individual 7z  
def9$ 9 clause 7ii7 ( subsection        
7b77#e77;,h77ii77 :o meets ! requirem5t 
describ$ 9 clause 7i7 ( su* subsection  

be=e ! p]iod at ! end4  7c7 ,educational
 & outrea* activities ,! ,secret>y (    
,heal? & ,human ,s]vices %all und]take  
outrea* & educational activities =      
purposes ( in=m+ ,/ates (-- 7#a7 !      
effects ( ! am5dm5ts made by ?is        
section2 &  7#b7 :at actions ,/ates may 
take ) respect to ! tra9+ & assessm5t ( 
nurs+ aides 9 su* ,/ate t w comply ) !  
provisions ( su* am5dm5ts4