; (3) provide regular periodic reports on COVID–19 disease among such employees to the public; and (4) based on such reports and investigations make recommendations on needed actions or guidance to protect such employees from COVID–19. II Application of the Permanent COVID–19 Standard to Certain Facilities Receiving Medicare Funds. 201. In general (a) In general Section 1866 of the Social Security Act ( 42 U.S.C. 1395cc ) is amended— (1) in subsection (a)(1)— (A) in subparagraph (X), by striking and at the end; (B) in subparagraph (Y), by striking at the end the period and inserting ; and ; and (C) by inserting after subparagraph (Y) the following new subparagraph: (Z) in the case of hospitals that are not otherwise subject to the Occupational Safety and Health Act of 1970 (or a State occupational safety and health plan that is approved under section 18(b) of such Act) and skilled nursing facilities that are not otherwise subject to such Act (or such a State occupational safety and health plan), to comply with the standard promulgated under section 101(b) of the COVID–19 Workers First Protection Act of 2020 . ; and (2) in subsection (b)(4)— (A) in subparagraph (A), by inserting and a hospital or skilled nursing facility that fails to comply with the requirement of subsection (a)(1)(Z) (relating to the standard promulgated under section 101(b) of the COVID–19 Workers First Protection Act of 2020 ) after Bloodborne Pathogens Standard) ; and (B) in subparagraph (B)— (i) by striking (a)(1)(U) and inserting (a)(1)(V)