posed, supervising testing for COVID–19, ensuring any 
applicable whistleblower protections are being enforced, 
and such other needs as determined necessary by the 
strike team. Such strike team shall include members of 
the National Guard, public health officials from State and 
local health departments, experts in geriatrics and long- 
term care medicine, representatives of residents or con-
sumers, and representatives of workers. 
(c) AUTHORIZATION OF APPROPRIATIONS.—For pur-
poses of carrying out this section, there is authorized to 
be appropriated $500,000,000. 
(d) DEFINITIONS.—In this section: 
(1) NURSING
FACILITY.—The term ‘‘nursing 
facility’’ means a nursing facility under the Medicaid 
program under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.) 
(2) SKILLED
NURSING
FACILITY.—The term 
‘‘skilled nursing facility’’ means a skilled nursing fa-
cility under the Medicare program under title XVIII 
of the Social Security Act (42 U.S.C. 1395 et seq.). 
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SEC. 4. REINSTITUTION OF REQUIREMENTS WAIVED FOR 
SKILLED NURSING FACILITIES AND NURSING 
FACILITIES DURING COVID–19 EMERGENCY 
PERIOD. 
(a) IN GENERAL.—With respect to requirements that 
the Administrator of the Centers for Medicare & Medicaid 
Services (referred to in this section as the ‘‘Adminis-
trator’’) waived for skilled nursing facilities and nursing 
facilities under section 1135 or 1812(f) of the Social Secu-
rity Act (42 U.S.C. 1320b–5, 1395d(f)) for the period be-
ginning on March 1, 2020, and ending on the last day 
of the emergency period defined in subsection (g)(1)(B) 
of such section 1135, the Administrator shall terminate 
the waiver of such requirements before the last day of such 
emergency period upon the determination that skilled 
nursing facilities and nursing facilities have the capacity 
to comply with such requirements and that such waiver 
is no longer necessary. 
(b) PLAN FOR CONDUCTING WAIVED OR POSTPONED 
SURVEYS.—With respect to any survey under section 
1819(g) or 1919(g) of the Social Security Act (42 U.S.C. 
1395i–3(g), 1396r(g)) that is waived or postponed during 
the period beginning on March 1, 2020, and ending on 
the last day of the emergency period described in sub-
section (a), the Administrator shall develop a plan for con-
ducting such survey after such last day. 
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(c) TRAINING
AND
CERTIFICATION
OF
NURSE 
AIDES.—With respect to any nurse aide with respect to 
whom the Administrator waived the application of the re-
quirements under section 483.35(d) of title 42, Code of 
Federal Regulations, for the period beginning on March 
1, 2020, and ending on the last day of the emergency pe-
riod described in subsection (a), the Administrator shall 
prohibit the skilled nursing facility or nursing facility em-
ploying such nurse aide from retaining such nurse aide 
after such last day unless such nurse aide satisfies applica-
ble training and certification requirements under such sec-
tion not later than 15 days after such last day. 
(d) DEFINITIONS.—In this section: 
(1) NURSING
FACILITY.—The term ‘‘nursing 
facility’’ means a nursing facility under the Medicaid 
program under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.) 
(2) SKILLED
NURSING
FACILITY.—The term 
‘‘skilled nursing facility’’ means a skilled nursing fa-
cility under the Medicare program under title XVIII 
of the Social Security Act (42 U.S.C. 1395 et seq.). 
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SEC. 5. GUIDANCE FOR CERTAIN RESIDENTIAL CARE FA-
CILITIES DURING COVID–19 EMERGENCY PE-
RIOD. 
Not later than 15 days after the date of the enact-
ment of this Act, the Secretary of Health and Human 
Services (referred to in this section as the ‘‘Secretary’’) 
shall issue guidance for long-term health care facilities, 
including assisted living facilities, other residential care fa-
cilities, and such facilities that are temporary during the 
emergency period defined in section 1135(g)(1)(B) of the 
Social Security Act (42 U.S.C. 1320b–5(g)(1)(B)), that 
are not subject to oversight by the Centers for Medicare 
& Medicaid Services on providing access to virtual visita-
tion during any portion of such emergency period in which 
in-person visitation is restricted and ensuring appropriate 
infection control and prevention and employee safety dur-
ing such emergency period. Such guidance shall include— 
(1) steps that health care facilities described in 
this subsection should take to provide residents with 
access to virtual visitation, including through the 
purchase or installation of devices purchased for the 
use or benefit of individual or multiple residents, 
that allows residents to communicate with their fam-
ilies during such emergency period; 
(2) options for such facilities in notifying resi-
dents and resident representatives of such access to 
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virtual visitation and how the facility is addressing 
any operational issues related to such access to vir-
tual visitation; and 
(3) steps that health care facilities described in 
this subsection should take to provide residents and 
employees with appropriate infection control and 
prevention, based on requirements for skilled nurs-
ing facilities under subsection (k) of section 1819 of 
the Social Security Act (42 U.S.C. 1395i–3), as 
added by section 2(a), and requirements for nursing 
facilities under subsection (k) of section 1919 of 
such Act (42 U.S.C. 1396r), as added by section 
2(b). 
Æ 
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