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HR 968105th CongressSigned into LawHouse

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.

Policy Area: Health
View on Congress.gov
Origin Chamber
House
Last Updated
Jun 3, 2026
Latest Action Date
May 15, 1997

Latest Action

Became Public Law No: 105-15.

Official Summary

Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to permit waiver of the prohibition against offering nurse aide training and competency evaluation programs in certain facilities if no other such program is offered within a reasonable distance of such a facility.

GovScope Watchdog™

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Executive Summary

This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to allow a waiver of the existing prohibition on offering nurse aide training and competency evaluation programs in certain nursing facilities. The waiver applies if no other such program is available within a reasonable distance of the facility, thereby potentially increasing access to nurse aide training in underserved areas.

Bottom Line

The law permits certain nursing facilities to offer nurse aide training programs through a waiver when no nearby programs exist, aiming to improve training availability under Medicare and Medicaid.

Policy Risk Level
🟢 Low
Neutral Risk Assessment
Key Points
  • Amends Social Security Act titles XVIII and XIX related to Medicare and Medicaid.
  • Allows waiver of prohibition on nurse aide training programs in specific nursing facilities.
  • Waiver is conditional on the absence of other training programs within a reasonable distance.
Who Benefits?

['Nursing facilities in areas lacking nurse aide training programs', 'Prospective nurse aides seeking training in underserved regions', 'Medicare and Medicaid beneficiaries indirectly through improved staffing']

Potential Concerns

["Implementation challenges in defining and verifying 'reasonable distance' for waiver eligibility", 'Oversight and monitoring of training program quality in waived facilities', 'Potential increased administrative burden on Medicare and Medicaid agencies to manage waivers']

Political Context

The bill was introduced and passed during the 105th Congress and was signed into law on May 15, 1997. It reflects legislative efforts to address workforce training shortages in nursing facilities under federal health programs Medicare and Medicaid.

Hidden Impact Review

Hidden impact flags detected: 1

GovScope reviewed 1 policy-risk categories. Hover for a quick definition. Click detected flags for bill-specific details.

1 Detected
Detected Flags
Indirect Effects

['Potential increase in the number of trained nurse aides in underserved areas, improving workforce capacity.', 'Possible variation in training program quality due to decentralized waiver implementation.', 'Enhanced access to nurse aide training may affect staffing patterns and care quality in nursing facilities.']

GovScope Watchdog Notes

The bill introduces a waiver mechanism that requires clear criteria and oversight to ensure consistent application and maintenance of training standards. Transparency in waiver approvals and monitoring outcomes will be important for accountability.

Passage Likelihood: HighConfidence: 95%Model: gpt-4.1-mini

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