Redefining private duty nursing services provided through Medicaid

(a) Definition of medical assistance (1) In general Section 1905(a)(8) of the Social Security Act (42 U.S. 1396d(a)(8)) is amended by striking private duty nursing services; and inserting continuous skilled nursing services;. (2) Effective date The amendment made by paragraph (1) takes effect on the date that is 18 months after the date of enactment of this Act. (b) Definition of continuous skilled nursing services Not later than 18 months after the date of enactment of this Act, the Secretary, through notice and comment rulemaking, shall— (1) revise the definition of private duty nursing services in section 440.80 of title 42, Code of Federal Regulations, to be continuous skilled nursing services; and (2) require that such services under the Medicaid program provided to complex-care patients who require multiple hours of continuous nursing services per day, as determined by the State, are provided by a licensed nurse, including a registered nurse or a licensed practical nurse.