1. Short title This Act may be cited as the Nursing Home Workforce Quality Act . 2. Findings Congress finds the following: (1) Nursing facilities are an integral component of the continuum of care for Medicare and Medicaid patients. (2) Many nursing facilities have in-house educational programs approved by the Centers for Medicare & Medicaid Services to train individuals as certified nursing aides to provide extensive, direct care. (3) The ability to provide this training is critical for nursing facilities to ensure that— (A) residents receive the highest quality care; (B) caregivers are trained on the most timely best practices and clinical standards; and (C) facilities can— (i) sustain appropriate staffing levels; and (ii) recruit and retain qualified staff. 3. Training and competency evaluation programs (a) Medicare Section 1819 of the Social Security Act ( 42 U.S.C. 1395i–3 ) is amended— (1) in subsection (f)(2)— (A) in subparagraph (A)(iv)(I), by striking (unless the facility is described in subparagraph (B)(iii)(I)) ; (B) in subparagraph (B)— (i) in clause (i)— (I) by striking (subject to clause (iii)) ; and (II) by inserting and after the semicolon; (ii) in clause (ii), by striking ; and and inserting a period; (iii) by striking clause (iii); and (iv) by striking A State may not delegate (through subcontract or otherwise) its responsibility under clause (iii)(II) to the skilled nursing facility. ; (C) by striking subparagraphs (C) and (D)