,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #afhc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #bg1         
#bjbe,mrs4 ,fis*ba* 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       
prohibit ! ,secret>y ( ,heal? & ,human  
,s]vices f implem5t+1 en=c+1 or o!rwise 
giv+ effect to a f9al rule reg>d+ m9imum
 /aff+ = nurs+ facilities1 & to e/abli% 
an advisory panel on ! nurs+ home       
work=ce4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,protect+ ,rural ,s5iors'   
,access to ,c>e ,act4  #b4 ,prohibition 
on implem5t+1 en=c+1 or o!rwise giv+    
effect to ! f9al /aff+ rule ,beg9n+ on !
 date ( enactm5t ( ?is ,act1 ! ,secret>y
 ( ,heal? & ,human ,s]vices may n       
implem5t1 en=ce1 or o!rwise give effect 
to ! f9al rule entitl$ ,m$ic>e &        

,m$icaid ,programs2 ,m9imum ,/aff+      
,/&>ds = ,long-,t]m ,c>e ,facilities &  
,m$icaid ,in/itutional ,paym5t          
,transp>5cy ,report+ publi%$ by !       
,dep>tm5t ( ,heal? & ,human ,s]vices on 
,may #aj1 #bjbd 7#hi ,f$4 ,reg4         
#djigf-dajjj71 & may n promulgate any   
sub/antially simil> rule4  #c4 ,advisory
 panel on nurs+ home work=ce  7a7 ,9    
g5]al ,n lat] ?an #fj days aft] ! date (
 ! enactm5t ( ?is section1 ! ,secret>y (
 ,heal? & ,human ,s]vices 79 ?is section
 ref]r$ to z ! ,secret>y7 %all e/abli% !
 ,advisory ,panel on ! ,nurs+ ,home     
,work=ce 79 ?is section ref]r$ to z !   
,panel74  7b7 ,memb]%ip  7#a7 ,numb] &  
appo9tm5t ,! ,panel %all be compos$ (   
#ag memb]s repres5t+ v>i\s geographic   
areas1 appo9t$ by ! ,secret>y z foll[s3 
7,a7 #a repres5tative ( ! ,secret>y1 :o 
%all s]ve z ! *air ( ! ,panel4  7,b7 #b 
regi/]$ nurses :o actively furni%       
s]vices 9 a skill$ nurs+ facility or    
nurs+ facility1 "o ( :om %all repres5t a
 rural area4  7,c7 #b lic5s$ pr(essional

 nurses :o actively furni% s]vices 9 a  
skill$ nurs+ facility or nurs+ facility1
 "o ( :om %all repres5t a rural area4   
7,d7 #b nurse aides :o actively furni%  
s]vices 9 a skill$ nurs+ facility or    
nurs+ facility1 "o ( :om %all repres5t a
 rural area4  7,e7 #b physicians :o     
actively furni% s]vices 9 a skill$ nurs+
 facility or nurs+ facility1 "o ( :om   
%all repres5t a rural area4  7,f7 #a    
repres5tative ( ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices4  7,g7 #a             
repres5tative ( ! ,heal? ,res\rces &    
,s]vices ,adm9i/ration4  7,h7 #b        
individuals ) pr(essional exp]tise      
relat$ to ! nurs+ home work=ce1 "o ( :om
 %all h exp]i5ce ) respect to ! nurs+   
home work=ce 9 rural & und]s]v$ areas4  
7,i7 #a lic5s$ adm9i/rator or           
repres5tative ( a rural n-=-pr(it skill$
 nurs+ facility4  7,j7 #a lic5s$        
adm9i/rator or repres5tative ( a rural  
=-pr(it skill$ nurs+ facility4  7,k7 #b 
repres5tatives ( ,/ate bo>ds ( nurs+4   
7#b7 ,tim+ ( appo9tm5ts ,ea* ( !        

appo9tm5ts "u p>agraph 7#a7 %all be made
 n lat] ?an #fj days aft] ! date ( !    
enactm5t ( ?is section4  7#c7 ,t]ms2    
vacancies ,ea* memb] %all be appo9t$ = a
 t]m n to exce$ #b ye>s1 & a vacancy 9 !
 ,panel %all be fill$ 9 ! mann] 9 :i* ! 
orig9al appo9tm5t 0 made4  7#d7 ,quorum 
#ac memb]s ( ! ,panel %all con/itute a  
quorum4  7#e7 ,f$]al ,advisory          
,committee ,act ,*apt] #aj ( title #e1  
,unit$ ,/ates ,code1 %all apply to !    
,panel4  7c7 ,duties  7#a7 ,meet+s  7,a7
 ,frequ5cy ,! ,panel %all meet n lat]   
?an #ahj days aft] ! date on :i* !      
appo9tm5ts describ$ 9 subsection 7b7 are
 made1 & n less frequ5tly ?an twice p]  
ye> !reaft]4  7,b7 ,public access ,!    
,panel %all make available on a public  
website ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices-- 7i7 real-"t virtual access to
 ea* meet+ ( ! ,panel2 &  7ii7 n lat]   
?an #cj days aft] ea* su* meet+1 a      
record+ & transcript ( ! meet+4  7#b7   
,reports  7,a7 ,initial report ,n lat]  
?an #fj days aft] ! initial meet+ ( !   

,panel "u p>agraph 7#a77;,a71 ! ,panel  
%all submit to ! ,secret>y1 ! ,committee
 on ,ways & ,means & ! ,committee on    
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives1 & ! ,committee on      
,f9ance ( ! ,s5ate1 & %all publi% on a  
public website ( ! ,c5t]s = ,m$ic>e     
,m$icaid ,s]vices1 a report on ! /ate ( 
! nurs+ home work=ce1 :i* %all include--
  7i7 an assessm5t ( ! /ate ( ! nurs+   
home work=ce 9 rural & und]s]v$ areas1  
includ+ an analysis (-- 7,i7 work=ce    
%ortages2 &  7,,ii7 ) respect to        
individuals entitl$ to b5efits "u "p ,a 
( title ,,xviii ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acie et seq47 &    
individuals entitl$ to m$ical assi/ance 
"u title ,,xix ( su* ,act 7#db ,u4,s4,c4
 #acif et seq471 b>ri]s to access to    
skill$ nurs+ facilities & nurs+         
facilities caus$ by su* %ortages2  7ii7 
an analysis ( regulations1              
sub-regulatory guidance1 & guidance to  
,/ate survey ag5cies issu$ by !         
,secret>y ) respect to skill$ nurs+     

facilities & nurs+ facilities1 & !      
effects ( su* regulations & guidance on 
! nurs+ home work=ce2  7iii7            
recomm5dations = ! ,secret>y to /r5g!n !
 nurs+ home work=ce1 includ+            
recomm5dations = decreas+ regulatory    
burd5s = skill$ nurs+ facilities & nurs+
 facilities & mak+ f9ancial inve/m5ts 9 
tra9+ = heal? pr(essionals2 &  7iv7 o!r 
in=mation z ! ,panel det]m9es necess>y4 
7,b7 ,subsequ5t reports ,n lat] ?an #a  
ye> aft] submitt+ ! initial report "u   
subp>agraph 7,a71 & annually !reaft]1 ! 
,panel %all submit & publi% an updat$   
report 9 ! same mann] z requir$ "u su*  
subp>agraph4  7d7 ,def9itions ,9 ?is    
section1 ! foll[+ def9itions apply3     
7#a7 ,nurs+ facility ,! t]m nurs+       
facility has ! mean+ giv5 su* t]m 9     
section #aiai7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acifr7a774  7#b7   
,nurs+ home work=ce ,! t]m nurs+ home   
work=ce means ! work=ce ( heal?         
pr(essionals t provide direct resid5t   
c>e 9 skill$ nurs+ facilities & nurs+   

facilities4  7#c7 ,rural area ,! t]m    
rural area means any area outside a     
metropolitan /ati/ical area4  7#d7      
,skill$ nurs+ facility ,! t]m skill$    
nurs+ facility has ! mean+ giv5 su* t]m 
9 section #ahai7;a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acie;i-#c7;a774  7#e7 ,und]s]v$ area ,!
 t]m und]s]v$ area means an area t is-- 
7,a7 a heal? pr(essional %ortage area1 z
 su* t]m is def9$ 9 section             
#ccb7;a77#a77;,a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bed;e7a77#a77;,a772 or  7,b7 designat$ 
z a m$ically und]s]v$ area pursuant to  
section #ccj7;b77#c77;,a7 ( su* ,act    
7#db ,u4,s4,c4 #bed;b7b77#c77;,a774