State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Medicare and Medicaid Nursing Facility Quality Improvement Act of 2002 (H.R.4030)


This legislation, introduced in March 2002 by Rep. Dave Camp (MI), would amend the Medicare and Medicaid statutes to modify the federal survey and certification process for nursing facilities. The bill would allow states to apply for waivers to the survey and certification requirements specified in Section 1819(g) of the Social Security Act. These states would develop

"innovative quality measurement and oversight systems that differ from those presently required by federal law." According to the language of the bill, waiver requests are to be approved if they demonstrate "significant potential for improving the quality of care, quality of life, and safety of residents." According to the bill, up to eight states could receive authorization to create such alternative systems. The bill would eliminate rules that prohibit surveyors from making recommendations to improve nursing care. The legislation does not include authorize a specific funding amount or source.

The bill (H.R.4030) has 15 co-sponsors and has been endorsed by both the American Association of Homes and Services for the Aging ( press_release/PR221.htm) and the American Health Care Association (

In April 2002, the bill was referred to the House Subcommittee on Health in the Committee on Energy and Commerce, for a period to be determined by the committee chairman, and there was no action on this legislation between April 2002 and May 2003.

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