Sec. 4. Administrative staffing requirements for skilled nursing facilities under Medicare program and nursing facilities under Medicaid program
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/bill/117/s/315/is/section-4A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Paragraph
(1)of section 1819(d) of the Social Security Act ( 42 U.S.C. 1395i–3(d) ) is amended— by redesignating the second subparagraph
(C)as subparagraph (E); and by inserting after the first subparagraph
(C)the following new subparagraph: A skilled nursing facility must employ nursing management personnel in accordance with this subparagraph. A skilled nursing facility must employ a registered professional nurse to serve full-time as the director of nursing services of the facility. Such director of nursing services shall be responsible for determining the number and types of nursing personnel needed to sufficiently meet the nursing needs of the residents of the facility (as required under subsection (b)(4)(C)). A skilled nursing facility must employ a registered professional nurse to serve full-time as the assistant director of nursing services of the facility, except that in the case of a skilled nursing facility that has fewer than 100 beds, such facility may employ a registered professional nurse to serve part-time as the assistant director of nursing services of the facility. A registered professional nurse who serves as the assistant director of nursing services of a skilled nursing facility may also serve as a supervisor for direct clinical nursing care for such facility. A skilled nursing facility must employ a registered professional nurse to serve full-time as the director of in-service education of the facility, except that in the case of a skilled nursing facility that has fewer than 100 beds, such facility may employ a registered professional nurse to serve part-time as the director of in-service education of the facility. In carrying out the previous sentence, a skilled nursing facility must, to the extent practicable and appropriate, employ a registered professional nurse who has received training in adult education and gerontology. . Paragraph
(1)of section 1919(d) of the Social Security Act ( 42 U.S.C. 1396r(d) ) is amended by inserting after subparagraph
(C)the following new subparagraph: A nursing facility must employ nursing management personnel in accordance with this subparagraph. A nursing facility must employ a registered professional nurse to serve full-time as the director of nursing services of the facility. Such director of nursing services shall be responsible for determining the number and types of nursing personnel needed to sufficiently meet the nursing needs of the residents of the facility (as required under subsection (b)(4)(C)). A nursing facility must employ a registered professional nurse to serve full-time as the assistant director of nursing services of the facility, except that in the case of a nursing facility that has fewer than 100 beds, such facility may employ a registered professional nurse to serve part-time as the assistant director of nursing services of the facility. A registered professional nurse who serves as the assistant director of nursing services of a nursing facility may also serve as a supervisor for direct clinical nursing care for such facility. A nursing facility must employ a registered professional nurse to serve full-time as the director of in-service education of the facility, except that in the case of a nursing facility that has fewer than 100 beds, such facility may employ a registered professional nurse to serve part-time as the director of in-service education of the facility. In carrying out the previous sentence, a nursing facility must, to the extent practicable and appropriate, employ a registered professional nurse who has received training in adult education and gerontology. . Paragraph
(1)of section 1919(d) of the Social Security Act ( 42 U.S.C. 1396r(d) ) is amended by redesignating subparagraph
(V)as subparagraph (E). The amendments made by this section take effect on the date of enactment of this Act and apply with respect to the administration of skilled nursing facilities and nursing facilities on or after the date that is one year after such date of enactment.
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- 42 USC 1395i–3(d)
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Sec. 4
Administrative staffing requirements for skilled nursing facilities under Medicare program and nursing facilities under Medicaid program
Cite42 USC 1395i–3(d)
Cites 2Cited by 0 across 0 sources