,,ii  #aag? ,,congress  #a/ ,session    
,s4 #cag  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ab1 #bjba,mr4
 ,book] 7= himself & ,mr4 ,blum5?al7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d titles     
,,xviii & ,,xix ( ! ,social ,security   
,act to improve ! quality ( c>e =       
resid5ts ( & work]s 9 skill$ nurs+      
facilities & nurs+ facilities dur+ !    
,,covid-#ai em]g5cy p]iod1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,quality ,c>e = ,nurs+     
,home ,resid5ts & ,work]s ,dur+         
,,covid-#ai ,act4  #b4 ,improv+ quality 
( c>e 9 skill$ nurs+ facilities & nurs+ 
facilities dur+ ,,covid-#ai em]g5cy     
p]iod  7a7 ,m$ic>e ,section #ahai ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#c7 is am5d$ by add+ at ! end ! 
foll[+ new subsection3  7k7 ,additional 
requirem5ts dur+ c]ta9 public heal?     
em]g5cy  7#a7 ,skill$ nurs+ facilities  
7,a7 ,9 g5]al ,dur+ ! portion ( !       

em]g5cy p]iod def9$ 9 p>agraph 7#a77;,b7
 ( section #aace7;g7 beg9n+ on or aft] !
 date ( ! enactm5t ( ?is subsection1 a  
skill$ nurs+ facility %all comply ) !   
quality ( c>e requirem5ts describ$ 9    
subp>agraph 7,b71 ! work] safety        
requirem5ts describ$ 9 subp>agraph 7,c71
 & ! transp>5cy requirem5ts describ$ 9  
subp>agraph 7,d74  7,b7 ,quality ( c>e  
requirem5ts ,! quality ( c>e requirem5ts
 describ$ 9 ?is subp>agraph are ea* ( ! 
foll[+3 7i7 ,employ1 on a full-"t basis1
 an infection prev5tioni/ :o-- 7,i7 has 
prim>y pr(essional tra9+ 9 nurs+1 m$ical
 te*nology1 microbiology1 epidemiology1 
or o!r relat$ field2  7,,ii7 is qualifi$
 by education1 tra9+1 exp]i5ce or       
c]tification2 &  7,,iii7 has complet$   
specializ$ tra9+ 9 infection prev5tion &
 control4  7ii7 ,9 ! case ( a resid5t :o
 elects to reside ) a family memb] ( su*
 resid5t = any portion ( ! em]g5cy p]iod
 describ$ 9 subp>agraph 7,a71 gu>antee !
 "r ( su* resid5t to resume resid5cy 9 !
 facility at any "t dur+ ! #ahj-;day    

p]iod imm$iately foll[+ ! end ( su*     
em]g5cy p]iod4  7iii7 ,not)/&+          
subp>agraphs 7,a7 & 7,b7 ( subsection   
7c77#b71 p]mit a resid5t to rema9 9 !   
facility & n dis*>ge or transf] !       
resid5t f ! facility unless-- 7,i7 !    
,/ate survey ag5cy approves ! dis*>ge or
 transf]2  7,,ii7 9 ! case ( a transf]1 
! transf] is to a facility d$icat$ to ! 
c>e ( resid5ts :o h be5 diagnos$ )      
,,covid-#ai if ! resid5t has be5        
diagnos$ ) ,,covid-#ai1 or a facility   
d$icat$ to ! c>e ( resid5ts :o h n be5  
diagnos$ ) ,,covid-#ai if ! resid5t has 
n be5 diagnos$ ) ,,covid-#ai2  7,,iii7  
be=e effect+ ! dis*>ge or transf]1 !    
facility records ! reasons 9 ! resid5t's
 cl9ical record2  7,,iv7 at lea/ #gb    
h\rs 9 advance ( ! dis*>ge or transf]1 !
 facility provides a notice ( ! dis*>ge 
or transf] to ! resid5t 7or legal       
repres5tative ( ! resid5t1 if           
applicable71 includ+ ! reasons !re= & ! 
items describ$ 9 clause 7iii7 (         
subsection 7c77#b77;,b72 &  7,v7 !      

resid5t 7or legal repres5tative ( !     
resid5t1 if applicable7 ackn[l$ges      
receipt ( ! notice describ$ 9 subclause 
7,,iv7 & provides writt5 cons5t to !    
dis*>ge or transf]4  7iv7 ,te/ 7on a    
weekly basis7 ea* resid5t = ,,covid-#ai1
 or1 9 ! case t ! facility does n h a   
suffici5t numb] ( te/+ kits =           
,,covid-#ai1 scre5 ea* resid5t =        
symptoms ( ,,covid-#ai & report 7on a   
daily basis until ! facility has a      
suffici5t numb] ( su* te/+ kits7 to !   
,/ate survey ag5cy t ! facility does n h
 a suffici5t numb] ( su* te/+ kits & :at
 /eps ! facility is tak+ to procure a   
suffici5t numb] ( su* te/+ kits4  7v7   
,ensure !re is an adequate numb] (      
employees to assi/ resid5ts 9           
communicat+ ) family memb]s & fri5ds    
?r\gh phone calls1 e-mail1 & virtual    
communications on at lea/ a weekly      
basis1 )\t reg>d to :e!r a resid5t has  
be5 diagnos$ ) ,,covid-#ai4  7,c7 ,work]
 safety requirem5ts ,! work] safety     
requirem5ts describ$ 9 ?is subp>agraph  

are ea* ( ! foll[+3 7i7 ,9 ! case !     
facility is n o!rwise subject to !      
,occupational ,safety & ,heal? ,act (   
#aigj 7or a ,/ate occupational safety & 
heal? plan t is approv$ "u section      
#ah7;c7 ( su* ,act71 comply ) !         
,bloodborne ,pa?og5s /&>d "u section    
#aiaj4ajcj ( title #bi1 ,code ( ,f$]al  
,regulations 7or a successor            
regulation74  7ii7 ,9 ! case ( a pr$ict$
 %ortage ( p]sonal protective equipm5t1 
report su* pr$ict$ %ortage to ! ,/ate   
heal? dep>tm5t ( ! ,/ate 9 :i* !        
facility is locat$ at lea/ #bd h\rs 9   
advance ( :5 su* pr$ict$ %ortage is     
expect$ to occur4  7iii7 ,educate ea*   
employee on ! transmission (            
,,covid-#ai4  7iv7 ,not)/&+ any o!r     
provision ( law1 provide at lea/ two    
weeks ( paid sick leave to ea* employee4
  7v7 ,be=e ea* employee's %ift1 te/ !  
employee = ,,covid-#ai1 or1 9 ! case t !
 facility does n h a suffici5t numb] (  
te/+ kits = ,,covid-#ai1 scre5 ea*      
employee = symptoms ( ,,covid-#ai &     

report 7on a daily basis until !        
facility has a suffici5t numb] ( su*    
te/+ kits7 to ! ,/ate survey ag5cy t !  
facility does n h a suffici5t numb] (   
su* te/+ kits & :at /eps ! facility is  
tak+ to procure a suffici5t numb] ( su* 
te/+ kits4  7,d7 ,transp>5cy requirem5ts
 ,! transp>5cy requirem5ts describ$ 9   
?is subp>agraph are ea* ( ! foll[+3 7i7 
,report 7on a daily basis7 to ! ,/ate   
survey ag5cy1 ! ,c5t]s = ,m$ic>e        
,m$icaid ,s]vices1 & ! ,c5t]s = ,disease
 ,control & ,prev5tion ea* ( ! foll[+3  
7,i7 ,! numb] ( confirm$ & suspect$     
cases ,,covid-#ai among resid5ts & /aff1
 includ+ ! age & race or e?nicity ( su* 
resid5ts & /aff4  7,,ii7 ,! numb] (     
dea?s relat$ to ,,covid-#ai among       
resid5ts & /aff1 includ+ ! age & race or
 e?nicity ( su* resid5ts & /aff4        
7,,iii7 ,! total numb] ( dea?s 7)\t     
reg>d to :e!r a dea? is relat$ to       
,,covid-#ai7 among resid5ts & /aff4     
7,,iv7 ,! am\nt ( p]sonal protective    
equipm5t available & any project$ ne$   

reg>d+ su* equipm5t4  7,v7 ,in=mation on
 /aff+ levels t w\ld o!rwise be requir$ 
to be submitt$ ?r\gh ! ,payroll-,bas$   
,j\rnal ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices4  7,,vi7 ,! numb] ( resid5ts & 
/aff :o h be5 te/$ = ,,covid-#ai4  7ii7 
,9 ! case t a resid5t or employee is    
diagnos$ ) ,,covid-#ai or dies z a      
result ( ,,covid-#ai1 notify all        
resid5ts1 legal repres5tatives (        
resid5ts1 & employees n lat] ?an #ab    
h\rs aft] su* diagnosis is made or su*  
dea? occurs4  7iii7 ,at any "t ?ree or m
 resid5ts or employees h newly onset    
,,covid-#ai symptoms1 notify all        
resid5ts1 legal repres5tatives (        
resid5ts1 & employees n lat] ?an #gb    
h\rs aft] su* ?ree or m resid5ts or     
employees are kn[n to ! facility4  7iv7 
,9 ! case t a resid5t or employee is    
suspect$ to h or is diagnos$ )          
,,covid-#ai1 po/ a notice ( su*         
suspicion or diagnosis at ea* entrance (
 ! facility = ! rema9+ portion ( !      
em]g5cy p]iod describ$ 9 subp>agraph    

7,a74  7v7 ,= ea* day ( ! portion ( !   
em]g5cy p]iod describ$ 9 subp>agraph    
7,a71 po/ a notice at ea* entrance ( !  
facility ) ! in=mation requir$ "u       
subsection 7b77#h7 = su* day4  7#b7     
,/ates & ,f$]al ,gov]nm5t  7,a7 ,public 
availability ( in=mation  7i7 ,9 g5]al  
,z soon z possible1 b n lat] ?an #bd    
h\rs aft] receiv+ any in=mation requir$ 
"u p>agraph 7#a77;,d77i71 ! ,adm9i/rator
 ( ! ,c5t]s = ,m$ic>e  ,m$icaid         
,s]vices1 9 coord9ation ) ! ,director ( 
! ,c5t]s = ,disease ,control &          
,prev5tion1 %all make su* in=mation     
publicly available on ! ,nurs+ ,home    
,comp>e website ( ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices & ! ,c,o,v,i,d,view   
website ( ! ,c5t]s = ,disease ,control &
 ,prev5tion4  7ii7 ,,hipaa compliant    
in=mation only ,in=mation may only be   
made publicly available "u clause 7i7 if
 ! disclosure ( su* in=mation w\ld      
o!rwise be p]mitt$ "u ! ,f$]al          
regulations 7conc]n+ ! privacy (        
individually id5tifiable heal?          

in=mation7 promulgat$ "u section        
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif 7#db ,u4,s4,c4 #acbj;d-#b note74  
7,b7 ,designation ( ,,covid-#ai         
facilities ,= purposes ( p>agraph       
7#a77;,b77iii77,,ii7-- 7i7 !            
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices %all specify crit]ia  
7:i* %all include ! provision ( !       
s]vices ( a regi/]$ nurse on a #bd-;h\rs
 basis7 = ea* ,/ate survey ag5cy to c>ry
 out ! designation requirem5t describ$ 9
 clause 7ii7 ) respect to skill$ nurs+  
facilities2 &  7ii7 ea* ,/ate survey    
ag5cy %all designate a skill$ nurs+     
facility 9 ! ,/ate z a facility d$icat$ 
to ! c>e ( resid5ts :o h be5 diagnos$ ) 
,,covid-#ai if su* facility meets !     
crit]ia specifi$ by ! ,adm9i/rator "u   
clause 7i74  7,c7 ,remote monitor+ &    
surveys ,a ,/ate survey ag5cy %all-- 7i7
 remotely monitor all skill$ nurs+      
facilities ) at lea/ "o resid5t or      
employee :o has be5 diagnos$ )          

,,covid-#ai2  7ii7 9 addition to surveys
 requir$ "u subsection 7g71 conduct a   
survey ( a skill$ nurs+ facility1 9 !   
same mann] & subject to ! same          
requirem5ts applicable to /&>d surveys  
conduct$ "u subsection 7g71 if !        
facility has a ratio ( ! numb] ( dea?s  
result+ f ,,covid-#ai to ! numb] (      
,,covid-#ai diagnoses t exce$s #e p]c5t1
 or ! ,/ate survey ag5cy receives a     
,,covid-#ai or /aff+ relat$ imm$iate    
jeop>dy compla9t reg>d+ ! facility2 &   
7iii7 ensure t ea* survey team t        
conducts a survey "u clause 7ii7 has    
adequate p]sonal protective equipm5t    
:ile conduct+ su* survey4  7#c7 ,civil  
money p5alties ,! ,secret>y %all impose 
a civil money p5alty aga9/ ! op]ators ( 
a skill$ nurs+ facility 9 an am\nt equal
 to #aj1jjj p] day = ea* violation ( a  
requirem5t describ$ 9 subp>agraph 7,b71 
7,c71 or 7,d7 ( p>agraph 7#a7 or !      
report+ ( false in=mation "u clause 7i7 
( su* subp>agraph 7,d74 ,! provisions ( 
section #aabh;,a 7o!r ?an subsections   

7a7 & 7b77 %all apply to a civil money  
p5alty "u ! previ\s s5t5ce 9 ! same     
mann] z su* provisions apply to a p5alty
 or proce$+ "u section #aabh;,a7a74  4  
7b7 ,m$icaid ,section #aiai ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #acifr7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7k7 ,additional requirem5ts
 dur+ c]ta9 public heal? em]g5cy  7#a7  
,nurs+ facilities  7,a7 ,9 g5]al ,dur+ !
 portion ( ! em]g5cy p]iod def9$ 9      
p>agraph 7#a77;,b7 ( section #aace7;g7  
beg9n+ on or aft] ! date ( ! enactm5t ( 
?is subsection1 a nurs+ facility %all   
comply ) ! quality ( c>e requirem5ts    
describ$ 9 subp>agraph 7,b71 ! work]    
safety requirem5ts describ$ 9           
subp>agraph 7,c71 & ! transp>5cy        
requirem5ts describ$ 9 subp>agraph 7,d74
  7,b7 ,quality ( c>e requirem5ts ,!    
quality ( c>e requirem5ts describ$ 9 ?is
 subp>agraph are ea* ( ! foll[+3 7i7    
,employ1 on a full-"t basis1 an         
infection prev5tioni/ :o-- 7,i7 has     
prim>y pr(essional tra9+ 9 nurs+1 m$ical

 te*nology1 microbiology1 epidemiology1 
or o!r relat$ field2  7,,ii7 is qualifi$
 by education1 tra9+1 exp]i5ce or       
c]tification2 &  7,,iii7 has complet$   
specializ$ tra9+ 9 infection prev5tion &
 control4  7ii7 ,9 ! case ( a resid5t :o
 elects to reside ) a family memb] ( su*
 resid5t = any portion ( ! em]g5cy p]iod
 describ$ 9 subp>agraph 7,a71 gu>antee !
 "r ( su* resid5t to resume resid5cy 9 !
 facility at any "t dur+ ! #ahj-;day    
p]iod imm$iately foll[+ ! end ( su*     
em]g5cy p]iod4  7iii7 ,not)/&+          
subp>agraphs 7,a7 & 7,b7 ( subsection   
7c77#b71 p]mit a resid5t to rema9 9 !   
facility & n dis*>ge or transf] !       
resid5t f ! facility unless-- 7,i7 !    
,/ate survey ag5cy approves ! dis*>ge or
 transf]2  7,,ii7 9 ! case ( a transf]1 
! transf] is to a facility d$icat$ to ! 
c>e ( resid5ts :o h be5 diagnos$ )      
,,covid-#ai if ! resid5t has be5        
diagnos$ ) ,,covid-#ai1 or a facility   
d$icat$ to ! c>e ( resid5ts :o h n be5  
diagnos$ ) ,,covid-#ai if ! resid5t has 

n be5 diagnos$ ) ,,covid-#ai2  7,,iii7  
be=e effect+ ! dis*>ge or transf]1 !    
facility records ! reasons 9 ! resid5t's
 cl9ical record2  7,,iv7 at lea/ #gb    
h\rs 9 advance ( ! dis*>ge or transf]1 !
 facility provides a notice ( ! dis*>ge 
or transf] to ! resid5t 7or legal       
repres5tative ( ! resid5t1 if           
applicable71 includ+ ! reasons !re= & ! 
items describ$ 9 clause 7iii7 (         
subsection 7c77#b77;,b72 &  7,v7 !      
resid5t 7or legal repres5tative ( !     
resid5t1 if applicable7 ackn[l$ges      
receipt ( ! notice describ$ 9 subclause 
7,,iv7 & provides writt5 cons5t to !    
dis*>ge or transf]4  7iv7 ,te/ 7on a    
weekly basis7 ea* resid5t = ,,covid-#ai1
 or1 9 ! case t ! facility does n h a   
suffici5t numb] ( te/+ kits =           
,,covid-#ai1 scre5 ea* resid5t =        
symptoms ( ,,covid-#ai & report 7on a   
daily basis until ! facility has a      
suffici5t numb] ( su* te/+ kits7 to !   
,/ate survey ag5cy t ! facility does n h
 a suffici5t numb] ( su* te/+ kits & :at

 /eps ! facility is tak+ to procure a   
suffici5t numb] ( su* te/+ kits4  7v7   
,ensure !re is an adequate numb] (      
employees to assi/ resid5ts 9           
communicat+ ) family memb]s & fri5ds    
?r\gh phone calls1 e-mail1 & virtual    
communications on at lea/ a weekly      
basis1 )\t reg>d to :e!r a resid5t has  
be5 diagnos$ ) ,,covid-#ai4  7,c7 ,work]
 safety requirem5ts ,! work] safety     
requirem5ts describ$ 9 ?is subp>agraph  
are ea* ( ! foll[+3 7i7 ,9 ! case !     
facility is n o!rwise subject to !      
,occupational ,safety & ,heal? ,act (   
#aigj 7or a ,/ate occupational safety & 
heal? plan t is approv$ "u section      
#ah7;c7 ( su* ,act71 comply ) !         
,bloodborne ,pa?og5s /&>d "u section    
#aiaj4ajcj ( title #bi1 ,code ( ,f$]al  
,regulations 7or a successor            
regulation74  7ii7 ,9 ! case ( a pr$ict$
 %ortage ( p]sonal protective equipm5t1 
report su* pr$ict$ %ortage to ! ,/ate   
heal? dep>tm5t ( ! ,/ate 9 :i* !        
facility is locat$ at lea/ #bd h\rs 9   

advance ( :5 su* pr$ict$ %ortage is     
expect$ to occur4  7iii7 ,educate ea*   
employee on ! transmission (            
,,covid-#ai4  7iv7 ,not)/&+ any o!r     
provision ( law1 provide at lea/ two    
weeks ( paid sick leave to ea* employee4
  7v7 ,be=e ea* employee's %ift1 te/ !  
employee = ,,covid-#ai1 or1 9 ! case t !
 facility does n h a suffici5t numb] (  
te/+ kits = ,,covid-#ai1 scre5 ea*      
employee = symptoms ( ,,covid-#ai &     
report 7on a daily basis until !        
facility has a suffici5t numb] ( su*    
te/+ kits7 to ! ,/ate survey ag5cy t !  
facility does n h a suffici5t numb] (   
su* te/+ kits & :at /eps ! facility is  
tak+ to procure a suffici5t numb] ( su* 
te/+ kits4  7,d7 ,transp>5cy requirem5ts
 ,! transp>5cy requirem5ts describ$ 9   
?is subp>agraph are ea* ( ! foll[+3 7i7 
,report 7on a daily basis7 to ! ,/ate   
survey ag5cy1 ! ,c5t]s = ,m$ic>e        
,m$icaid ,s]vices1 & ! ,c5t]s = ,disease
 ,control & ,prev5tion ea* ( ! foll[+3  
7,i7 ,! numb] ( confirm$ & suspect$     

cases ,,covid-#ai among resid5ts & /aff1
 includ+ ! age & race or e?nicity ( su* 
resid5ts & /aff4  7,,ii7 ,! numb] (     
dea?s relat$ to ,,covid-#ai among       
resid5ts & /aff1 includ+ ! age & race or
 e?nicity ( su* resid5ts & /aff4        
7,,iii7 ,! total numb] ( dea?s 7)\t     
reg>d to :e!r a dea? is relat$ to       
,,covid-#ai7 among resid5ts & /aff4     
7,,iv7 ,! am\nt ( p]sonal protective    
equipm5t available & any project$ ne$   
reg>d+ su* equipm5t4  7,v7 ,in=mation on
 /aff+ levels t w\ld o!rwise be requir$ 
to be submitt$ ?r\gh ! ,payroll-,bas$   
,j\rnal ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices4  7,,vi7 ,! numb] ( resid5ts & 
/aff :o h be5 te/$ = ,,covid-#ai4  7ii7 
,9 ! case t a resid5t or employee is    
diagnos$ ) ,,covid-#ai or dies z a      
result ( ,,covid-#ai1 notify all        
resid5ts1 legal repres5tatives (        
resid5ts1 & employees n lat] ?an #ab    
h\rs aft] su* diagnosis is made or su*  
dea? occurs4  7iii7 ,at any "t ?ree or m
 resid5ts or employees h newly onset    

,,covid-#ai symptoms1 notify all        
resid5ts1 legal repres5tatives (        
resid5ts1 & employees n lat] ?an #gb    
h\rs aft] su* ?ree or m resid5ts or     
employees are kn[n to ! facility4  7iv7 
,9 ! case t a resid5t or employee is    
suspect$ to h or is diagnos$ )          
,,covid-#ai1 po/ a notice ( su*         
suspicion or diagnosis at ea* entrance (
 ! facility = ! rema9+ portion ( !      
em]g5cy p]iod describ$ 9 subp>agraph    
7,a74  7v7 ,= ea* day ( ! portion ( !   
em]g5cy p]iod describ$ 9 subp>agraph    
7,a71 po/ a notice at ea* entrance ( !  
facility ) ! in=mation requir$ "u       
subsection 7b77#h7 = su* day4  7#b7     
,/ates & ,f$]al ,gov]nm5t  7,a7 ,public 
availability ( in=mation  7i7 ,9 g5]al  
,z soon z possible1 b n lat] ?an #bd    
h\rs aft] receiv+ any in=mation requir$ 
"u p>agraph 7#a77;,d77i71 ! ,adm9i/rator
 ( ! ,c5t]s = ,m$ic>e  ,m$icaid         
,s]vices1 9 coord9ation ) ! ,director ( 
! ,c5t]s = ,disease ,control &          
,prev5tion1 %all make su* in=mation     

publicly available on ! ,nurs+ ,home    
,comp>e website ( ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices & ! ,c,o,v,i,d,view   
website ( ! ,c5t]s = ,disease ,control &
 ,prev5tion4  7ii7 ,,hipaa compliant    
in=mation only ,in=mation may only be   
made publicly available "u clause 7i7 if
 ! disclosure ( su* in=mation w\ld      
o!rwise be p]mitt$ "u ! ,f$]al          
regulations 7conc]n+ ! privacy (        
individually id5tifiable heal?          
in=mation7 promulgat$ "u section        
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif 7#db ,u4,s4,c4 #acbj;d-#b note74  
7,b7 ,designation ( ,,covid-#ai         
facilities ,= purposes ( p>agraph       
7#a77;,b77iii77,,ii7-- 7i7 !            
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices %all specify crit]ia  
7:i* %all include ! provision ( !       
s]vices ( a regi/]$ nurse on a #bd-;h\rs
 basis7 = ea* ,/ate survey ag5cy to c>ry
 out ! designation requirem5t describ$ 9
 clause 7ii7 ) respect to nurs+         

facilities2 &  7ii7 ea* ,/ate survey    
ag5cy %all designate a nurs+ facility 9 
! ,/ate z a facility d$icat$ to ! c>e ( 
resid5ts :o h be5 diagnos$ ) ,,covid-#ai
 if su* facility meets ! crit]ia        
specifi$ by ! ,adm9i/rator "u clause    
7i74  7,c7 ,remote monitor+ & surveys ,a
 ,/ate survey ag5cy %all-- 7i7 remotely 
monitor all nurs+ facilities ) at lea/  
"o resid5t or employee :o has be5       
diagnos$ ) ,,covid-#ai2  7ii7 9 addition
 to surveys requir$ "u subsection 7g71  
conduct a survey ( a nurs+ facility1 9 !
 same mann] & subject to ! same         
requirem5ts applicable to /&>d surveys  
conduct$ "u subsection 7g71 if !        
facility has a ratio ( ! numb] ( dea?s  
result+ f ,,covid-#ai to ! numb] (      
,,covid-#ai diagnoses t exce$s #e p]c5t1
 or ! ,/ate survey ag5cy receives a     
,,covid-#ai or /aff+ relat$ imm$iate    
jeop>dy compla9t reg>d+ ! facility2 &   
7iii7 ensure t ea* survey team t        
conducts a survey "u clause 7ii7 has    
adequate p]sonal protective equipm5t    

:ile conduct+ su* survey4  7#c7 ,civil  
money p5alties ,! ,secret>y %all impose 
a civil money p5alty aga9/ ! op]ators ( 
a nurs+ facility 9 an am\nt equal to    
#aj1jjj p] day = ea* violation ( a      
requirem5t describ$ 9 subp>agraph 7,b71 
7,c71 or 7,d7 ( p>agraph 7#a7 or !      
report+ ( false in=mation "u clause 7i7 
( su* subp>agraph 7,d74 ,! provisions ( 
section #aabh;,a 7o!r ?an subsections   
7a7 & 7b77 %all apply to a civil money  
p5alty "u ! previ\s s5t5ce 9 ! same     
mann] z su* provisions apply to a p5alty
 or proce$+ "u section #aabh;,a7a74  4  
#c4 ,fund+ = ,/ate /rike teams = resid5t
 & employee safety 9 skill$ nurs+       
facilities & nurs+ facilities  7a7 ,9   
g5]al ,( ! am\nts made available "u     
subsection 7c71 ! ,secret>y ( ,heal? &  
,human ,s]vices 7ref]r$ to 9 ?is section
 z ! ,secret>y7 %all allocate su* am\nts
 among ! ,/ates1 9 a mann] t takes into 
acc\nt ! p]c5tage ( skill$ nurs+        
facilities & nurs+ facilities 9 ea*     
,/ate t h resid5ts or employees :o h be5

 diagnos$ ) ,,covid-#ai1 = purposes (   
e/abli%+ & implem5t+ /rike teams 9      
accordance ) subsection 7b74  7b7 ,use (
 funds ,a ,/ate t receives funds "u ?is 
section %all use su* funds to e/abli% & 
implem5t a /rike team t w be deploy$ to 
a skill$ nurs+ facility or nurs+        
facility 9 ! ,/ate1 n lat] ?an #gb h\rs 
aft] ?ree or m resid5ts or employees ( !
 facility are diagnos$ ) or suspect$ (  
hav+ ,,covid-#ai1 to assi/ ! facility 9 
sep>at+ resid5ts & employees :o h be5   
expos$ to ,,covid-#ai f ^? resid5ts &   
employees :o h n be5 s expos$1 sup]vis+ 
te/+ = ,,covid-#ai1 ensur+ any          
applicable :i/lebl[] protections are be+
 en=c$1 & su* o!r ne$s z det]m9$        
necess>y by ! /rike team4 ,su* /rike    
team %all include memb]s ( ! ,national  
,gu>d1 public heal? (ficials f ,/ate &  
local heal? dep>tm5ts1 exp]ts 9         
g]iatrics & long-t]m c>e m$ic9e1        
repres5tatives ( resid5ts or consum]s1 &
 repres5tatives ( work]s4  7c7          
,au?orization ( appropriations ,=       

purposes ( c>ry+ out ?is section1 !re is
 au?oriz$ to be appropriat$             
#ejj1jjj1jjj4  7d7 ,def9itions ,9 ?is   
section3 7#a7 ,nurs+ facility ,! t]m    
nurs+ facility means a nurs+ facility "u
 ! ,m$icaid program "u title ,,xix ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474  7#b7 ,skill$ nurs+     
facility ,! t]m skill$ nurs+ facility   
means a skill$ nurs+ facility "u !      
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq474  #d4 ,re9/itution (     
requirem5ts waiv$ = skill$ nurs+        
facilities & nurs+ facilities dur+      
,,covid-#ai em]g5cy p]iod  7a7 ,9 g5]al 
,) respect to requirem5ts t !           
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices 7ref]r$ to 9 ?is      
section z ! ,adm9i/rator7 waiv$ = skill$
 nurs+ facilities & nurs+ facilities "u 
section #aace or #ahab7;f7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e1 #acie;d7f77 = ! p]iod beg9n+
 on ,m>* #a1 #bjbj1 & end+ on ! la/ day 

( ! em]g5cy p]iod def9$ 9 subsection    
7g77#a77;,b7 ( su* section #aace1 !     
,adm9i/rator %all t]m9ate ! waiv] ( su* 
requirem5ts be=e ! la/ day ( su* em]g5cy
 p]iod ^u ! det]m9ation t skill$ nurs+  
facilities & nurs+ facilities h !       
capacity to comply ) su* requirem5ts & t
 su* waiv] is no long] necess>y4  7b7   
,plan = conduct+ waiv$ or po/pon$       
surveys ,) respect to any survey "u     
section #ahai7;g7 or #aiai7;g7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#c7;g71 #acifr7g77 t is waiv$ or
 po/pon$ dur+ ! p]iod beg9n+ on ,m>* #a1
 #bjbj1 & end+ on ! la/ day ( ! em]g5cy 
p]iod describ$ 9 subsection 7a71 !      
,adm9i/rator %all develop a plan =      
conduct+ su* survey aft] su* la/ day4   
7c7 ,tra9+ & c]tification ( nurse aides 
,) respect to any nurse aide ) respect  
to :om ! ,adm9i/rator waiv$ !           
application ( ! requirem5ts "u section  
#dhc4ce7;d7 ( title #db1 ,code ( ,f$]al 
,regulations1 = ! p]iod beg9n+ on ,m>*  
#a1 #bjbj1 & end+ on ! la/ day ( !      

em]g5cy p]iod describ$ 9 subsection 7a71
 ! ,adm9i/rator %all prohibit ! skill$  
nurs+ facility or nurs+ facility employ+
 su* nurse aide f reta9+ su* nurse aide 
aft] su* la/ day unless su* nurse aide  
satisfies applicable tra9+ &            
c]tification requirem5ts "u su* section 
n lat] ?an #ae days aft] su* la/ day4   
7d7 ,def9itions ,9 ?is section3 7#a7    
,nurs+ facility ,! t]m nurs+ facility   
means a nurs+ facility "u ! ,m$icaid    
program "u title ,,xix ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif et  
seq474  7#b7 ,skill$ nurs+ facility ,!  
t]m skill$ nurs+ facility means a skill$
 nurs+ facility "u ! ,m$ic>e program "u 
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq474  #e4    
,guidance = c]ta9 resid5tial c>e        
facilities dur+ ,,covid-#ai em]g5cy     
p]iod ,n lat] ?an #ae days aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y7 %all issue   
guidance = long-t]m heal? c>e           

facilities1 includ+ assi/$ liv+         
facilities1 o!r resid5tial c>e          
facilities1 & su* facilities t are      
tempor>y dur+ ! em]g5cy p]iod def9$ 9   
section #aace7;g77#a77;,b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e7;g77#a77;,b771 t are n       
subject to ov]sight by ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices on provid+   
access to virtual visitation dur+ any   
portion ( su* em]g5cy p]iod 9 :i*       
9-p]son visitation is re/rict$ & ensur+ 
appropriate infection control &         
prev5tion & employee safety dur+ su*    
em]g5cy p]iod4 ,su* guidance %all       
include-- 7#a7 /eps t heal? c>e         
facilities describ$ 9 ?is subsection    
%\ld take to provide resid5ts ) access  
to virtual visitation1 includ+ ?r\gh !  
pur*ase or in/allation ( devices pur*as$
 = ! use or b5efit ( individual or      
multiple resid5ts1 t all[s resid5ts to  
communicate ) _! families dur+ su*      
em]g5cy p]iod2  7#b7 options = su*      
facilities 9 notify+ resid5ts & resid5t 

repres5tatives ( su* access to virtual  
visitation & h[ ! facility is address+  
any op]ational issues relat$ to su*     
access to virtual visitation2 &  7#c7   
/eps t heal? c>e facilities describ$ 9  
?is subsection %\ld take to provide     
resid5ts & employees ) appropriate      
infection control & prev5tion1 bas$ on  
requirem5ts = skill$ nurs+ facilities "u
 subsection 7k7 ( section #ahai ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i-#c71 z add$ by section #b7;a71 &
 requirem5ts = nurs+ facilities "u      
subsection 7k7 ( section #aiai ( su*    
,act 7#db ,u4,s4,c4 #acifr71 z add$ by  
section #b7;b74