,i #aai? ,,congress #b;d ,session ,h4 ,r4 #ggdg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #b1 #bjbf,mr4 ,b]gman 7= himself1 ,mr4 ,suozzi1 & ,mr4 ,ow5s7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committees on ,en]gy & ,comm]ce1 & ,vet]ans' ,affairs1 = 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 /reaml9e ! c]tification process = ,/ate ,vet]ans ,homes by all[+ c]ta9 facilities c]tifi$ by ! ,dep>tm5t ( ,vet]ans ,affairs to be deem$ 9 compliance ) specifi$ ,m$ic>e & ,m$icaid requirem5ts1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/ate ,vet]ans ,homes ,inspection ,simplification ,act4 #b4 ,deem+ ( ,/ate ,vet]ans ,homes c]tifi$ by ! ,dep>tm5t ( ,vet]ans ,affairs z meet+ ,m$ic>e conditions ( p>ticipation 7a7 ,m$ic>e deem+ au?ority ,section #ahai ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7l7 ,special ,rule = ,/ate ,vet]ans ,homes 7#a7 ,deem$ compliance 7,a7 ,9 g5]al ,a ,/ate home 7z def9$ 9 section #aja ( title #ch1 ,unit$ ,/ates ,code7 t is inspect$ & c]tifi$ by ! ,dep>tm5t ( ,vet]ans ,affairs 79 ?is subsection ref]r$ to z ! ,,va7 9 accordance ) /&>ds approv$ by ! ,secret>y %all be deem$ to meet ! requirem5ts ( subsections 7b7 ?r\gh 7i7 ( ?is section if ! ,secret>y det]m9es t ! foll[+ requirem5ts are met3 7i7 ,! ,,va provides ! ,secret>y ) docum5tation ( inspection & c]tification1 :i* mu/ include survey f9d+s1 /atem5ts ( defici5cies1 & relat$ corrective actions4 7ii7 ,n less ?an once e #b ye>s1 ! ,,va submits its ,/ate home survey /&>ds & inspection proc$ures = jo9t review ) ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices to confirm cont9u$ alignm5t ) ,m$ic>e ,conditions ( ,p>ticipation1 includ+ ov]sight me?odologies4 7,b7 ,requirem5ts = approval ( /&>ds ,9 approv+ /&>ds "u subp>agraph 7,a71 ! ,secret>y %all-- 7i7 consult ) ! ,secret>y ( ,vet]ans ,affairs2 & 7ii7 ensure t ! inspection & c]tification process us$ by ! ,,va1 includ+ bo? /&>ds & en=cem5t practices-- 7,i7 includes1 z a m9imum1 ! survey protocols & en=cem5t expectations ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 & 7,,ii7 upholds1 at a m9imum1 ! same /&>ds ( resid5t c>e1 safety1 transp>5cy1 & acc\ntability requir$ "u ?is section4 7#b7 ,ov]sight & en=cem5t ,no?+ 9 p>agraph 7#a7 %all preclude ! ,secret>y f do+ any ( ! foll[+3 7,a7 ,conduct+ compla9t inve/igations or t>get$ surveys ( any ,/ate home4 7,b7 ,impos+ rem$ies "u subsection 7h71 includ+ civil monet>y p5alties or t]m9ation ( p>ticipation "u ?is title4 7,c7 ,revok+ deem$ /atus "u p>agraph 7#a7 if ! ,,va c]tification process is f\nd to be inconsi/5t ) ,f$]al /&>ds ( transp>5cy1 data quality1 or en=cem5t4 7#c7 ,public report+ ,survey & c]tification data f ,,va inspections deem$ valid "u ?is subsection %all be report$ publicly ?r\gh ! ,nurs+ ,home ,c>e ,comp>e website "u subsection 7i7 or ano!r publicly accessible plat=m 9 a =mat det]m9$ by ! ,secret>y1 9 consultation ) ! ,secret>y ( ,vet]ans ,affairs4 7#d7 ,congressional notice ,n lat] ?an #ae days aft]-- 7,a7 approv+ /&>ds "u p>agraph 7#a72 7,b7 revok+ or susp5d+ deem$ /atus "u p>agraph 7#b72 or 7,c7 id5tify+ mat]ial non-alignm5t betwe5 ,,va inspection practices & ,m$ic>e ,conditions ( ,p>ticipation2 ! ,secret>y %all submit writt5 notice to ! ,committees on ,vet]ans' ,affairs & ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committees on ,vet]ans' ,affairs & ,f9ance ( ! ,s5ate4 4 7b7 ,m$icaid con=m+ am5dm5t ,section #aiai ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7l7 ,special rule = ,/ate vet]ans homes ,! provisions ( section #ahai7l7 %all apply ) respect to a nurs+ facility t is a ,/ate home 7z def9$ 9 section #aja ( title #ch1 ,unit$ ,/ates ,code7 & t is inspect$ & c]tifi$ by ! ,dep>tm5t ( ,vet]ans ,affairs 9 ! same mann] & to ! same ext5t z su* provisions apply "u title ,,xviii4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ! date t is #ij days aft] ! date ( enactm5t ( ?is ,act4 7d7 ,def9ition ( en=cem5t expectations ,! t]m ,en=cem5t expectations means defici5cy citations1 corrective action plans1 & rem$ies 9 response to individual defici5cies or repeat-defici5cy rates t are z effective z or m effective ?an1 & 9 lieu (1 ^? result+ f surveys conduct$ directly by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 #c4 ,alignm5t ( data = public report+ 7a7 ,,va survey data on nurs+ home c>e comp>e ,! ,secret>y ( ,heal? & ,human ,s]vices %all coord9ate ) ! ,secret>y ( ,vet]ans ,affairs to ensure t inspection f9d+s1 defici5cy /atem5ts1 & quality metrics f ,dep>tm5t ( ,vet]ans ,affairs-c]tifi$ ,/ate homes 7z def9$ 9 section #aja ( title #ch1 ,unit$ ,/ates ,code7 are incorporat$ into ! ,nurs+ ,home ,c>e ,comp>e website 7or a successor website71 to ! ext5t feasible & consi/5t ) section #ahai7;g77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c7;g77#e771 & 9 a mann] consi/5t ) ! risk-adju/m5t & case-mix me?odologies o!rwise us$ by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices = public report+ ( nurs+ facility quality measures4 7b7 ,h>monization ( survey processes ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,secret>y ( ,vet]ans ,affairs1 %all issue guidance to align c]tification & data report+ processes to ensure consi/5cy & transp>5cy 9 ! public report+ ( quality & compliance in=mation = ,/ate homes 7z s def9$74 #d4 ,,gao review ( deem+ au?ority ,n lat] ?an #c ye>s aft] ! effective date ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit a report to ! ,congress evaluat+-- 7#a7 ! impact ( deem+ au?ority on survey effici5cy & co/s2 7#b7 comp>ative en=cem5t outcomes betwe5 ,,va-conduct$ & ,,cms-conduct$ surveys2 7#c7 quality ( c>e & safety outcomes = resid5ts ( ,/ate ,vet]ans ,homes2 & 7#d7 any recomm5dations = legislative or adm9i/rative action4