Amends titles XVIII and XIX of the Social Security Act.
Aims to ensure appropriate approval for skilled nursing facility and nursing aide training and competency evaluation programs under Medicare and Medicaid.
Modifies provisions related to civil money penalties and deficiencies in quality of care for skilled nursing facilities.
Introduces criteria for assessing penalties and remedies that affect approval of training programs.
Strikes certain subparagraphs to streamline the approval process for training programs.
Enhances oversight of nursing aide training programs to improve quality of care for residents.