Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003
Latest action · Mar 10, 2003 Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedFeb 13, 2003
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
Revises requirements for nurse aide training and competency evaluation programs and for nurse aide competency evaluation programs to state that the prohibition against approval of a program offered by or in a skilled nursing facility which is operating under a waiver, subject to an extended survey, or has been assessed a civil penalty shall not be continued when the facility involved through on-site verification demonstrates compliance with the applicable standards.
Authorizes the Secretary to: (1) waive the skilled nursing survey and certification process in order to test and implement innovative alternatives to the otherwise applicable survey process; and (2) continue payments for up to one year under certain conditions, pending remediation, to a nursing facility that no longer meets the specified requirements.
Requires each State to establish an informal and independent dispute resolution process to allow facilities to settle disputes involving compliance with nursing facility requirements.
Requires surveyors to defer to the diagnosis and treatment decisions of the resident's attending physician and of the facility's medical director. Requires the Secretary to implement programs to monitor and correct instances of failure of surveyors to do so.
Declares that nothing shall be construed as precluding members of survey teams from providing information to faculty and staff on best or innovative practices for assuring quality care in nursing facilities.
Requires the Secretary to provide incentives for operators with histories of good compliance to acquire facilities with poor compliance histories.
Permits nursing facilities to appeal deficiency determinations.
Requires the Secretary to establish a program that rewards skilled nursing facilities that provide the highest quality of care.
Cosponsors 1
Members who signed on, in the order they did. All signed on Apr 3, 2003.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| R-IN | Mark E. Souder | Apr 3, 2003 |
Committees 2
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Ways and Means Committee | Referred Feb 13, 2003 |
| Health Subcommittee | Referred Feb 27, 2003 | |
| House | Energy and Commerce Committee | Referred Feb 13, 2003 |
| Health Subcommittee | Referred Mar 10, 2003 |
Actions 4
Everything that happened, newest first.
- Mar 10, 2003Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.
- Feb 27, 2003Referred to the Subcommittee on Health.
- Feb 13, 2003Introduced in House
- Feb 13, 2003Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and 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.
Titles 2
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- To amend titles XVIII and XIX of the Social Security Act with respect to reform of Federal survey and certification process of nursing facilities under the Medicare and Medicaid Programs.
- Short Titles as Introduced
- Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Administrative procedure
- Administrative remedies
- Awards, medals, prizes
- Commemorations
- Communication in medicine
- Department of Health and Human Services
- Education
- Employment tests
- Government Operations and Politics
- Health
- Higher education
- Labor and Employment
- Law
- Mediation
- Medicaid
- Medical education
- Medicare
- Nursing homes
- Paramedical personnel
- Patient satisfaction
- Physicians
- Quality of care
- Quality of life
- Social Welfare
- Surveys
- Welfare waivers
Text 1
Each version as it was printed, newest first.
- Feb 13, 2003Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.