H.R. 969 (ih) To establish sources of funding for certain transportation ...

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                                                  Union Calendar No. 21
105th CONGRESS
  1st Session
                                H. R. 968

                  [Report No. 105-23, Parts I and II]

  To amend title XVIII and XIX of the Social Security Act to permit a 
     waiver of the prohibition of offering nurse aide training and 
     competency evaluation programs in certain nursing facilities.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 6, 1997

 Mr. Ehrlich (for himself, Mr. Burr of North Carolina, and Mr. Minge) 
 introduced the following bill; which was referred to the Committee on 
  Ways and Means, and in addition to the Committee on Commerce, for a 
 period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the 
                          committee concerned

                             March 13, 1997

     Reported from the Committee on Ways and Means with amendments
  [Omit the part struck through and insert the part printed in italic]

                             March 13, 1997

Referral to the Committee on Commerce extended for a period ending not 
                       later than March 18, 1997

                             March 18, 1997

 Reported from the Committee on Commerce with amendments, committed to 
the Committee of the Whole House on the State of the Union, and ordered 
                             to be printed
  [Omit the part struck through and insert the part printed in italic]

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII and XIX of the Social Security Act to permit a 
     waiver of the prohibition of offering nurse aide training and 
     competency evaluation programs in certain nursing facilities.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. PERMITTING WAIVER OF PROHIBITION OF OFFERING NURSE AIDE 
              TRAINING AND COMPETENCY EVALUATION PROGRAMS IN CERTAIN 
              FACILITIES.

    Section 1819(f)(2) of the Social Security Act (42 U.S.C. 1395i-
3(f)(2)) and section 1919(f)(2) of such Act (42 U.S.C. 1396r(f)(2)) are 
each amended--
            (1) in subparagraph (B)(iii), by inserting ``subject to 
        subparagraph (C),'' after ``(iii)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(C) Waiver authorized.--Clause <DELETED>(iii)</DELETED> 
                (iii)(I) of subparagraph (B) shall not apply to a 
                program offered in (but not by) a nursing facility (or 
                skilled nursing facility for purposes of title XVIII) 
                in a State if the State--
                            ``(i) determines that there is no other 
                        such program offered within a reasonable 
                        distance of the facility,
                            ``(ii) assures, through an oversight 
                        effort, that an adequate environment exists for 
                        operating the program in the facility, and
                            ``(iii) provides notice of such 
                        determination and assurances to the State long-
                        term care ombudsman.''.




                                                  Union Calendar No. 21

105th CONGRESS

  1st Session

                               H. R. 968

                  [Report No. 105-23, Parts I and II]

_______________________________________________________________________

                                 A BILL

  To amend title XVIII and XIX of the Social Security Act to permit a 
     waiver of the prohibition of offering nurse aide training and 
     competency evaluation programs in certain nursing facilities.

_______________________________________________________________________

                             March 18, 1997

 Reported from the Committee on Commerce with amendments, committed to 
the Committee of the Whole House on the State of the Union, and ordered 
                             to be printed

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