; (ii) an analysis of regulations, sub-regulatory guidance, and guidance to State survey agencies issued by the Secretary with respect to skilled nursing facilities and nursing facilities, and the effects of such regulations and guidance on the nursing home workforce; (iii) recommendations for the Secretary to strengthen the nursing home workforce, including recommendations for decreasing regulatory burdens for skilled nursing facilities and nursing facilities and making financial investments in training for health professionals; and (iv) other information as the Panel determines necessary. (B) Subsequent reports Not later than 1 year after submitting the initial report under subparagraph (A) , and annually thereafter, the Panel shall submit and publish an updated report in the same manner as required under such subparagraph. (d) Definitions In this section, the following definitions apply: (1) Nursing facility The term nursing facility has the meaning given such term in section 1919(a) of the Social Security Act ( 42 U.S.C. 1396r(a) ). (2) Nursing home workforce The term nursing home workforce means the workforce of health professionals that provide direct resident care in skilled nursing facilities and nursing facilities. (3) Rural area The term rural area means any area outside a metropolitan statistical area. (4) Skilled nursing facility The term skilled nursing facility has the meaning given such term in section 1819(a) of the Social Security Act ( 42 U.S.C. 1395i–3(a) ). (5) Underserved area The term underserved area means an area that is— (A) a health professional shortage area, as such term is defined in section 332(a)(1)(A) of the Public Health Service Act ( 42 U.S.C. 254e(a)(1)(A) ); or (B) designated as a medically underserved area pursuant to section 330(b)(3)(A) of such Act ( 42 U.S.C. 254b(b)(3)(A) ).