; (B) in clause (i)— (i) by inserting after care of cognitively impaired residents, the following: care of older adults, ; (ii) by striking patient abuse prevention training, and inserting patient abuse prevention training), ; and (iii) by striking 75 hours and inserting 120 hours ; and (C) in clause (ii)— (i) by striking requirement relating to and inserting requirements relating to (I) ; (ii) by inserting after care of cognitively impaired residents, the following: care of older adults, ; and (iii) by striking and procedures and inserting (II) minimum hours of initial and ongoing training and retraining (including not less than 120 hours in the case of initial training), and (III) procedures . (b) Medicaid (1) Orientation for registered professional nurses, licensed practical nurses, and nurse aides Section 1919(d) of the Social Security Act ( 42 U.S.C. 1396r(d) ) is amended by adding at the end the following new paragraph: (5) Orientations A nursing facility must provide to registered professional nurses, licensed practical nurses, and nurse aides, before such registered professional nurses, licensed practical nurses, and nurse aides are assigned to provide direct care services to residents in the facility, orientations providing education on the policies and emergency procedures of the facility and on residents’ rights under this section. . (2) Requirements for nurse aide training and competency evaluation programs and for nurse aide competency evaluation programs Subparagraph (A) of section 1919(f)(2) of the Social Security Act ( 42 U.S.C. 1396r(f)(2) ) is amended— (A) in the matter preceding clause (i), by inserting after 1988 the following: , and update, as determined necessary by the Secretary ; (B) in clause (i)— (i) by inserting after care of cognitively impaired residents, the following: care of older adults, ; (ii) by striking patient abuse prevention training, and inserting patient abuse prevention training), ; and (iii) by striking 75 hours and inserting 120 hours