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HHS/CMS RIN: 0938-AO82 Publication ID: Fall 2010 
Title: Waiver of Disapproval of Nurse Aide Training Program in Certain Cases (CMS-2266-F) 
Abstract: This rule permits 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. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed 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  04/23/2010  75 FR 21175   
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