1. Short title This Act may be cited as the Ensuring Seniors’ Access to Quality Care Act . 2. Training and competency evaluation programs (a) Medicare Section 1819(f)(2) of the Social Security Act ( 42 U.S.C. 1395i–3(f)(2) ) is amended— (1) in subparagraph (A)(iv)(I), by striking (unless the facility is described in subparagraph (B)(iii)(I)) ; (2) in subparagraph (B)— (A) in clause (i)— (i) by striking (subject to clause (iii)) ; and (ii) by inserting and after the semicolon; (B) in clause (ii), by striking ; and and inserting a period; and (C) by striking clause (iii); (3) by striking A State may not delegate (through subcontract or otherwise) its responsibility under clause (iii)(II) to the skilled nursing facility. ; (4) by striking subparagraphs (C) and (D); and (5) by adding at the end the following: (C) Disapproval of nurse aide training and competency evaluation programs and nurse aide competency evaluation programs (i) In general With respect to a State, the Secretary shall, in consultation with such State, disapprove, for a period not to exceed 2 years, a nurse aide training and competency evaluation program or a nurse aide competency evaluation program offered by or in a skilled nursing facility if such facility— (I) has been assessed a civil monetary penalty under subsection (h)(2)(B)(ii) or section 1919(h)(2)(A)(ii) of not less than $10,697 for providing substandard quality of care; and (II) has not, in the determination of the Secretary, corrected the deficiencies in quality of care for which such civil monetary penalty was assessed. (ii) Rescission of disapproval The Secretary shall rescind a disapproval under clause (i) upon demonstration by a skilled nursing facility that— (I) all deficiencies for which the civil monetary penalty described in clause (i)(I) was assessed have been remedied; (II) the facility has not received deficiencies related to direct patient harm for substandard quality of care deficiencies in the prior 2 years