1. Short title This Act may be cited as the Nursing Home Comfortable Air Ready for Emergencies Act or the Nursing Home CARE Act . 2. Codifying Emergency Preparedness rule for skilled nursing facilities and nursing facilities as conditions of participation under Medicare and Medicaid programs (a) Medicare Section 1819(a) of the Social Security Act ( 42 U.S.C. 1395i–3(a) ) is amended— (1) in paragraph (2), by striking at the end and ; (2) in paragraph (3), by striking the period at the end and inserting ; and ; (3) by inserting after paragraph (3) the following new paragraph: (4) beginning not later than the date of the enactment of this paragraph— (A) meets the emergency preparedness requirements applicable to skilled nursing facilities under the final rule Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers as published by the Centers for Medicare & Medicaid Services on September 16, 2016 (81 Fed. Reg. 63859); and (B) has in place alternative sources of energy capable of powering heating, ventilation, and air conditioning systems for at least 96 hours after a catastrophic natural disaster. ; and (4) by adding at the end the following: Nothing in paragraph (4)(B) shall be construed to require a skilled nursing facility to continuously maintain a supply of fuel on its premise, as long as such facility is able to demonstrate to the Secretary the ability of the facility to obtain any fuel necessary to satisfy such paragraph. . (b) Medicaid Section 1919(a) of the Social Security Act ( 42 U.S.C. 1396r(a) ) is amended— (1) in paragraph (2), by striking at the end and ; (2) in paragraph (3), by striking the period at the end and inserting ; and ; (3) by inserting after paragraph (3) the following new paragraph: (4) beginning not later than the date of the enactment of this paragraph— (A) meets the emergency preparedness requirements applicable to nursing facilities under the final rule Medicare and Medicaid Programs