Enforcement of requirements through Federal programs

(a) Medicare program Section 1866(a)(1) of the Social Security Act (42 U.S.C. 1395cc(a)(1)) is amended— (1) in subparagraph (X), by striking, and and inserting a comma; (2) in subparagraph (Y), by striking the period at the end and inserting, and; and (3) by inserting after the subparagraph (Y) the following new subparagraph: (Z) in the case of a hospital, to comply with the provisions of title XXXIV of the Public Health Service Act.. (b) Medicaid program Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended— (1) by striking and at the end of paragraph (86); (2) by striking the period at the end of paragraph (87)(D) and inserting; and; and (3) by inserting after paragraph (87)(D) the following new paragraph: (88) provide that any hospital that receives a payment under such plan comply with the provisions of title XXXIV of the Public Health Service Act (relating to minimum direct care registered nurse staffing requirements).. (c) Health benefits program of the department of veterans affairs Section 8110(a) of title 38, United States Code, is amended by adding at the end the following new paragraphs: (7) In the case of a Department medical facility that is a hospital, the hospital shall comply with the provisions of title XXXIV of the Public Health Service Act. (8) Nothing either in chapter 74 of this title or in section 7106 of title 5 shall preclude enforcement of the provisions of title XXXIV of the Public Health Service Act with respect to a Department hospital through grievance procedures negotiated in accordance with chapter 71 of title 5.. (d) Health benefits program of the department of defense (1) In general Chapter 55 of title 10, United States Code, is amended by adding at the end the following new section: 1110c. Staffing requirements In the case of a facility of the uniformed services that is a hospital, the hospital shall comply with the provisions of title XXXIV of the Public Health Service Act.. (2) Clerical amendment The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1110b the following new item: 1110c. Staffing requirements.. (e) Indian health services program Title VIII of the Indian Health Care Improvement Act (25 U.S.C. 1671 et seq.) is amended by adding at the end the following new section: 833. Staffing requirements All hospitals of the Service shall comply with the provisions of title XXXIV of the Public Health Service Act (relating to minimum direct care registered nurse staffing requirements).. (f) Federal labor-Management relations (1) In general Section 7106 of title 5, United States Code, is amended by adding at the end the following: (c) Nothing in this section shall preclude enforcement of the provisions of title XXXIV of the Public Health Service Act through grievance procedures negotiated in accordance with section 7121.. (2) Conforming amendment Section 7106(a) of title 5, United States Code, is amended by striking Subject to subsection (b) of this title, and inserting Subject to subsections (b) and (c),.