; (B) in the matter preceding subclause (I) (as so redesignated), by striking Procedures established pursuant to and inserting the following: (i) In general Procedures established under ; and (i) by adding at the end the following: (ii) State-specific requirements not considered Under procedures established under subparagraph (A), the Secretary may not consider State-specific requirements in determining noncompliance or serious deficiency with respect to an institution under this section. ; (2) in subparagraph (C), in the matter preceding clause (i), by striking pursuant to and inserting under ; and (3) by adding at the end the following: (F) Serious deficiency process (i) In general Not later than 1 year after the date of enactment of this subparagraph, the Secretary shall— (I) review the serious deficiency process for the program under this section; and (II) issue guidance and, as appropriate, regulations based on that review. (ii) Review Under clause (i)(I), the Secretary shall review, at a minimum— (I) the processes relating to determining a serious deficiency with respect to an institution or a family or group day care home, including— (aa) which measures automatically result in a finding of serious deficiency; and (bb) how to differentiate between— (AA) a reasonable margin of human error and systematic or intentional noncompliance; and (BB) State-specific requirements and Federal regulations; (II) the processes relating to appealing and mediating a finding of serious deficiency with respect to an institution or a family or group day care home, including— (aa) findings related to State-specific requirements; and (bb) processes for ensuring officials involved in appeals and mediation are fair and impartial; (III) the processes relating to determining the circumstances under which a corrective action plan is acceptable; (IV) the processes relating to termination, suspension, and disqualification under the program, including maintenance of the list under subparagraph (E)