care entities that enter into contracts with such programs, and providers of items and services under such programs. 5. Maintaining up-to-date continuous skilled nursing standards (a) Updating home and community-Based waiver services Not later than 18 months after the date of enactment of this Act, the Secretary, through notice and comment rulemaking, shall revise the list of services that are included as home and community-based waiver services under section 440.180(b) of title 42, Code of Federal Regulations, to include continuous skilled nursing care services, as defined for purposes of section 1905(a)(8) of the Social Security Act (as amended by section 3(a)) under section 440.80 of title 42, Code of Federal Regulations (as revised after the application of section 3(b)). (b) Updating the home and community-Based services quality measure set (1) In general Not later than 1 year after the date of enactment of this Act, the Secretary shall update and publish the HCBS Quality Measure Set, described in the State Medicaid Director Letter #22–003 issued on July 21, 2022, to include core and supplemental quality measures for continuous skilled nursing services for use by State Medicaid programs, managed care entities that enter into contracts with such programs, and providers of items and services under such programs. (2) Regular reviews and updates The Secretary shall review and update the core set and supplemental set of continuous skilled nursing services quality measures published under paragraph (1) not less frequently than every 8 years.