; (B) in paragraph (2)— (i) in subparagraph (C), by striking If a nursing facility and inserting Subject to paragraph (10), if a nursing facility ; and (ii) in subparagraph (D), by striking In the case of and inserting Subject to paragraph (10), in the case of ; (C) in paragraph (3)— (i) in subparagraph (A), by inserting before the period the following: and the remedies described in paragraph (10)(B) ; and (ii) in subparagraph (B), by striking With respect to and inserting Subject to paragraph (10), with respect to ; and (D) by adding at the end the following new paragraph: (10) Special enforcement process with respect to minimum nurse staffing requirements (A) In general If a State finds, on the basis of a standard, extended, or partial extended survey under subsection (g)(2) or otherwise, that a nursing facility does not meet the minimum staffing requirements of clause (ii) of subsection (b)(4)(C) with respect to nursing facility services provided on or after January 1, 2020, the State shall— (i) deny any further payments under the State plan with respect to all individuals enrolled under such plan who are admitted to the facility after the effective date of the finding; and (ii) recommend to the Secretary that the Secretary impose the civil money penalty described in subparagraph (B). (B) Secretarial authority (i) In general With respect to any nursing facility in a State other than a State nursing facility, if the Secretary finds that such a nursing facility does not meet the minimum staffing requirements of clause (ii) of subsection (b)(4)(C) with respect to nursing facility services provided on or after January 1, 2020, the Secretary shall— (I) deny any further payments to the State for medical assistance furnished by the facility to all individuals enrolled under the State plan who are admitted to the facility after the effective date of the finding