The Gerontological Society of America

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  • To strengthen the geriatric care workforce, H.R. 3590 will:
    • Authorize $10.8 million to Geriatric Education Centers (GECs) to support training in geriatrics, chronic care management, and long-term care for faculty in a broad array of health professions schools, and direct care workers and family caregivers; GECs also will develop curricula and best practices in geriatrics;
    • Expand the Geriatric Academic Career Awards to advanced practice nurses, clinical social workers, pharmacists, and psychologists, and create a parallel Geriatrics Career Incentive Award program for Master’s level candidates ($10 million over 3 years);
    • Establish federal traineeships for individuals who are preparing for advanced education degrees in geriatric nursing, long-term care, and gero-psychiatric nursing;
    • Provide grants to foster greater interest among health professionals (advanced practice nurses, clinical social workers, pharmacists, and students of psychology) to enter the field of geriatrics, long-term care, and chronic care management;
    • Require federally funded GECs to offer one of two required activities (in addition to health professions training), one being to provide at least two courses each year, at no charge or nominal cost and in collaboration with appropriate community partners, to family caregivers who support frail older adults and individuals with disabilities;
    • Authorize $10 million over three years to establish advanced training opportunities — such as tuition support for obtaining a nursing degree or specialized training — for direct care workers (certified nurse aides, home health aides and personal/home care aides) who already are employed in long-term care facilities;
    • Provide $5 million per year, for three years, to conduct a Medicaid demonstration in up to six states for development of training programs for personal and home care aides;
    • Establish a national panel of long-term care workforce experts to develop the core competencies for these training programs and to make recommendations on how such training could be provided. This requires the Secretary to conduct an evaluation of the demonstration and report recommendations to Congress.

This document was summarized from various sources by GSA Policy Advisor Brian Lindberg and Gail MacInnes. For more information, call (202) 789-3606 or e-mail This e-mail address is being protected from spambots. You need JavaScript enabled to view it or This e-mail address is being protected from spambots. You need JavaScript enabled to view it .









· H.R. 3590 contains several nursing home transparency provisions. It will:

o Require nursing homes to disclose their owners, operators, suppliers, financers, and others with whom they do business so they can be held accountable for the care their residents receive;

o Require nursing homes to take steps internally to reduce criminal and civil violations;

o Establish a Quality Assurance and Performance Improvement Program to improve quality assurance standards;

o Require the government to implement a system to collect and report information about how well nursing homes are staffed, including accurate information about the hours of nursing care residents receive; staff turnover rates; and how much facilities spend on wages and benefits;

o Require cost reports that nursing homes will file with the government to show expenditures by category — nursing, therapy, capital assets, and administrative services;

o Require civil monetary penalties (fines) to be held in escrow pending appeals rather than allowing nursing homes to delay payment indefinitely while they file appeals.

o Implement a pilot program to improve federal government oversight of nursing home chains that have quality of care problems;

o Provide training to workers who care for residents with dementia and to prevent abuse.