,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #ggdd  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ab1 #bjbb,mr4  
,guthrie 7for himself1 ,ms4 ,dean1 and  
,mr4 ,mc,kinley7 introduced the         
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 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 title ,,xi of the  
,social ,security ,act to extend beyond 
the ,,covid-#ai emergency period1 with  
certain modifications1 the ,emergency   
,declaration ,blanket ,waiver relating  
to training and certification of nurse  
aides to alleviate burdens imposed on   
staff of skilled nursing facilities and 
nursing facilities4  #a4 ,short title   
,this ,act may be cited as the ,building
 ,america's ,health ,care ,workforce    
,act4  #b4 ,extension and modification  

of ,,covid-#ai ,emergency ,declaration  
,blanket ,waiver relating to training   
and certification of nurse aides for    
certain employment at nursing facilities
 ,section #aace of the ,social ,security
 ,act 7#db ,u4,s4,c4 #acbj;b-#e7 is     
amended-- 7#a7 in subsection 7e77#a71 by
 striking ,a waiver and inserting       
,subject to subsection 7h71 a waiver2   
and  7#b7 by adding at the end the      
following new subsection3  7h7 ,waivers 
for nurse aides in training  7#a7 ,in   
general ,notwithstanding sections #ahai 
and #aiai1 the emergency waiver of      
requirements under section #dhc4ce7;d7  
of title #db1 ,code of ,federal         
,regulations1 relating to training and  
certification of nurse aides for        
employment by skilled nursing facilities
 under title ,,xviii and nursing        
facilities under title ,,xix1 granted by
 the ,secretary under the ,,covid-#ai   
,emergency ,declaration ,blanket        
,waivers for ,health ,care ,providers   
pursuant to this section shall remain in

 effect1 subject to paragraph 7#b71 for 
a period that is not less than #bd      
months after the date of the enactment  
of this subsection4  7#b7 ,modifications
 ,for the period described in paragraph 
7#a71 the emergency waiver described in 
such paragraph shall be applied         
consistent with the following3 7,a7     
,notwithstanding sections #ahai7;f77#b7 
and #aiai7;f77#b71 the waiver shall     
allow for time worked by a nurse aide   
during the emergency period described in
 subsection 7g77#a77;,b7 to count toward
 the #ge hours minimum training         
described in sections #ahai7;f77#b77;,a7
 and #aiai7;f77#b77;,a74  7,b7          
,notwithstanding sections               
#ahai7;f77#b77;,b77iii77,i7 and         
#aiai7;f77#b77;,b77iii77,i71 for        
purposes of sections #ahai and #aiai1 a 
competency evaluation of a nurse aide   
may be conducted at the skilled nursing 
facility or nursing facility at which   
the aide is 7or will be7 employed if the
 ,state in which the facility is located

 does not offer such an evaluation 7in  
person or online7 at least once a week4 
7#c7 ,study ,not later than #a year     
after the date of the enactment of this 
subsection1 the ,secretary shall conduct
 a study1 and submit to ,congress a     
report1 on the appropriateness of       
maintaining the waiver described in     
paragraph 7#a71 as modified pursuant to 
paragraph 7#b74 ,such study shall       
include an examination of the extent to 
which the waiver and its continuation   
pursuant to this subsection1 as         
modified1 alleviated the burdens imposed
 on staff of skilled nursing facilities 
and nursing facilities4  4