,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ifda  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ac1 #bjbf,ms4  
,t5ney 7= h]self & ,mr4 ,l>son (        
,connecticut7 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 am5d titles     
,,xviii & ,,xix ( ! ,social ,security   
,act to require c]ta9 facilities to     
p]mit visits f an ess5tial c>egiv] dur+ 
c]ta9 p]iods4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,ess5tial ,c>egiv]s    
,act ( #bjbf4  #b4 ,requir+ c]ta9       
facilities to p]mit visits f an ess5tial
 c>egiv] dur+ c]ta9 p]iods  7a7 ,nurs+  
facilities & skill$ nurs+ facilities    
7#a7 ,9 g5]al ,sections #ahai7;c7 &     
#aiai7;c7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie;i-#c7;c72          
#acifr7c77 are ea* am5d$--  7,a7 9      

p>agraph 7#c7-- 7i7 9 subp>agraph 7,d71 
by /rik+ & at ! end2  7ii7 9 subp>agraph
 7,e71 by /rik+ ! p]iod & ins]t+ 2 &2 & 
7iii7 by add+ at ! end ! foll[+ new     
subp>agraph3  7,f7 implem5t & ma9ta91   
dur+ any p]iod dur+ :i* regul>          
visitation at su* facility is susp5d$1 !
 ess5tial c>egiv]s program describ$ 9   
p>agraph 7#g74  2 &  7,b7 by add+ at !  
end ! foll[+ new p>agraph3  7#g7        
,ess5tial c>egiv]s program  7,a7 ,9     
g5]al ,= purposes ( subp>agraph 7,f7 (  
p>agraph 7#c71 ! ess5tial c>egiv]s      
program describ$ 9 ?is p>agraph is a    
program implem5t$ by a facility describ$
 9 su* p>agraph "u :i* su* facility     
mu/-- 7i7 all[ ea* resid5t ( su*        
facility ! ability to elect #b ess5tial 
c>egiv]s 7z def9$ 9 subp>agraph 7,d77 to
 h 9-p]son access to su* resid5t at su* 
facility2  7ii7 all[ ea* su* resid5t to 
am5d su* election at any "t2 &  7iii7   
subject to subp>agraph 7,b71 p]mit ea*  
su* c>egiv] s elect$ by su* resid5t     
9-p]son access to su* resid5t4  7,b7    

,limitations on access  7i7 ,9 g5]al ,! 
,secret>y may p]mit a facility describ$ 
9 subp>agraph 7,a7 to limit ! access to 
an ess5tial c>egiv] elect$ by a resid5t 
( su* facility 9 accordance ) guidance  
issu$ by ! ,secret>y4 ,su* guidance     
may-- 7,i7 p]mit su* a facility to d5y  
su* a c>egiv] 9-p]son access to su*     
resid5t = ! fir/ #g days dur+ ! p]iod   
dur+ :i* regul> visitation at su*       
facility is susp5d$ 7z describ$ 9       
p>agraph 7#c77;,f771 b only if1 dur+ !  
p]iod dur+ :i* su* 9-p]son access is    
d5i$1 su* facility provides su* c>egiv] 
access to su* resid5t ?r\gh an          
audio-visual telecommunications sy/em2  
7,,ii7 provide reasonable accommodations
 to protect ! rights ( a roommate ( su* 
resid5t2 &  7,,iii7 not)/&+ subclause   
7,i7--  7aa7 all[ su* a facility to     
limit or d5y su* a c>egiv] 9-p]son      
access to su* resid5t if su* c>egiv]    
displays symptoms ( a s]i\s infecti\s   
disease t poses a significant risk to ! 
resid5ts ( su* facility1 b only until   

su* "t z su* c>egiv] te/s negative = su*
 disease2  7bb7 all[ su* a facility to  
d5y su* a c>egiv] access to su* resid5t 
if su* c>egiv] fails to foll[ ! safety  
protocols describ$ 9 subp>agraph 7,d72 &
  7cc7 all[ only #a su* c>egiv] at a "t 
9-p]son access to su* resid5t4  7ii7 ,no
 limitation all[$ = end-(-life c>e      
,not)/&+ clause 7i71 a facility describ$
 9 subp>agraph 7,a7 may n d5y an        
ess5tial c>egiv] elect$ by a resid5t (  
su* facility "u subp>agraph 7,a7 9-p]son
 access to su* resid5t1 or limit !      
duration ( su* 9-p]son access1 if su*   
resid5t has 9 effect an election "u     
section #ahab7;d74  7,c7 ,presumption ( 
election ,= purposes ( subp>agraph 7,a71
 9 ! case ( a resid5t :o is unable1 by  
reason ( cognitive decl9e or m5tal      
disability1 to make an election describ$
 9 su* subp>agraph1 a resid5t           
repres5tative 7z def9$ 9 section #dhc4e 
( title #db1 ,code ( ,f$]al ,regulations
 7or a successor regulation77 ( su*     
resid5t %all be p]mitt$ to make su*     

election = su* resid5t4  7,d7 ,ess5tial 
c>egiv] def9$ ,= purposes ( ?is         
p>agraph1 ! t]m ess5tial c>egiv] means1 
) respect to a resid5t ( a facility     
describ$ 9 subp>agraph 7,a71 an         
individual :o agrees to foll[ all       
protocols = physical safety & infection 
control e/abli%$ by su* facility1 :i*   
%all be cle>ly specifi$ 9 writ+ & be n m
 re/rictive ?an su* protocols 7includ+  
safety /&>ds & entry requirem5ts7       
applicable to /aff ( su* facility4  4   
7#b7 ,timel9e = inve/igation ( compla9ts
 ,section #aabh;,i7f77#b7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;j7f77#b77 is am5d$ by add+ at
 ! end ! foll[+ new subp>agraph3  7,c7  
,process = compla9ts relat+ to ess5tial 
c>egiv] access ,! compla9t resolution   
process e/abli%$ "u subp>agraph 7,b7    
%all provide t1 9 ! case ( a compla9t   
relat+ to a violation ( ! requirem5ts ( 
section #ahai7;c77#c77;,f7 or section   
#aiai7;c77#c77;,f7--  7i7 ! ,/ate survey
 & c]tification ag5cy %all prioritize ! 

inve/igation ( su* compla9t2 &  7ii7 !  
deadl9e = notify+ ! compla9ant ( !      
outcome ( ! inve/igation is n lat] ?an  
#c days aft] su* compla9t is receiv$4  4
  7b7 ,long-t]m c>e hospitals ,section  
#ahfa7;ccc77#d7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex7ccc77#d77 is 
am5d$-- 7#a7 9 subp>agraph 7,b71 by     
/rik+ & at ! end2  7#b7 9 subp>agraph   
7,c71 by /rik+ ! p]iod at ! end & ins]t+
 2 &2 &  7#c7 by add+ at ! end ! foll[+ 
new subp>agraph3  7,d7 ! in/itution     
implem5ts & ma9ta9s1 dur+ any p]iod dur+
 :i* regul> visitation at su* in/itution
 is susp5d$1 ! ess5tial c>egiv]s program
 describ$ 9 section #ahai7;c77#g7 9 !   
same mann] z if su* in/itution 7 a      
skill$ nurs+ facility4  4  7c7 ,inpati5t
 rehabilitation facilities ,section     
#ahff7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;cc7a77#a77 is     
am5d$--  7#a7 9 subp>agraph 7,x71 by    
/rik+ & at ! end2  7#b7 9 subp>agraph   
7,y71 by /rik+ ! p]iod at ! end & ins]t+
 2 &2 &  7#c7 by ins]t+ aft] subp>agraph

 7,y7 ! foll[+ new subp>agraph3  7,z7 9 
! case ( an inpati5t rehabilitation     
facility1 to implem5t & ma9ta91 dur+ any
 p]iod dur+ :i* regul> visitation at su*
 facility is susp5d$1 ! ess5tial        
c>egiv]s program describ$ 9 section     
#ahai7;c77#g7 9 ! same mann] z if su*   
facility 7 a skill$ nurs+ facility4  4  
7d7 ,int]m$iate c>e facilities =        
individuals ) intellectual disabilities 
,section #aije7;d7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;d7d77 is     
am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ &
 at ! end2  7#b7 9 p>agraph 7#c71 by    
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+ new      
p>agraph3  7#d7 ! in/itution implem5ts &
 ma9ta9s1 dur+ any p]iod dur+ :i* regul>
 visitation at su* in/itution is        
susp5d$1 ! ess5tial c>egiv]s program    
describ$ 9 section #aiai7;c77#g7 9 !    
same mann] z if su* in/itution 7 a nurs+
 facility4  4  7e7 ,nonapplicability (  
waiv]s ,subp>agraphs 7,a7 & 7,b7 (      
section #aace7;b77#a7 ( ! ,social       

,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e7;b77#a77 are ea* am5d$ by    
ins]t+ 7o!r ?an ! requirem5ts ( sections
 #ahai7;c77#c77;,f71                    
#ahfa7;ccc77#d77;,d71 #ahff7;a77#a77,z71
 #aije7;d77#d71 & #aiai7;c77#c77;,f77   
aft] requirem5ts4  7f7 ,regulations ,!  
,secret>y ( ,heal? & ,human ,s]vices    
%all promulgate regulations to c>ry out 
! am5dm5ts made by ?is section n lat]   
?an #ah mon?s aft] ! date ( ! enactm5t (
 ?is section4  7g7 ,effective date ,!   
am5dm5ts made by ?is section %all apply 
beg9n+ #a ye> aft] ! date ( ! enactm5t (
 ?is section4