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HHS/CMS RIN: 0938-AO82 Publication ID: Spring 2009 
Title: Waiver of Disapproval of Nurse Aide Training Program in Certain Cases and Nurse Aide Petition for Removal of Information for Singular Finding of Neglect (CMS-2266-F) 
Abstract: This final rule will permit a waiver of a nurse aide training disapproval as it applies to skilled nursing facilities, in the Medicare program, and nursing facilities, in the Medicaid program, that are assessed a civil money penalty of at least $5,000 for noncompliance that is not related to quality of care. This is a statutory provision enacted by section 932 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173, enacted December 8, 2003.) This rule also codifies statutory provisions at sections 1819(g)(1)(D) and 1919(g)(1)(D) of the Social Security Act that permit the State to establish a procedure for a nurse aide to petition the State to have a singular finding of neglect removed from the nurse aide registry. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 483   
Legal Authority: sec 932 (c) (2) MMA    secs 1819(g)(1)(D) and 1919(g)(1)(D) of the Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA Section 902  11/23/2010 
Timetable:
Action Date FR Cite
NPRM  11/23/2007  72 FR 65692   
NPRM Comment Period End  12/24/2007    
Final Action  11/00/2010    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Patricia Miller
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and State Operations, Mailstop S2-19-14, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6780
Fax:410 786-0194
Email: patricia.miller@cms.hhs.gov