The Gerontological Society of America

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Home Resources Older Adults and Health Care Reform
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Older Adults and Health Care Reform
Insurance Reforms
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Long-Term Care
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Criminal Background Checks
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Criminal Background Checks
  • H.R. 3590 will extend to all states an existing pilot program that enables states to conduct national criminal background checks, including fingerprint checks, on individuals who apply for direct patient access jobs in long-term care facilities and with home care agencies that receive funding from Medicare or Medicaid, thus eliminating the ability of persons with criminal histories to move from state to state to work with vulnerable seniors and persons with disabilities.
  • The federal government will provide federal matching funds to states to conduct these activities. The provision specifies that the checks should be implemented in such a way that does not result in application fees for long-term care workers.
  • States will be required to guarantee (directly or through donations from public or private entities) a designated amount of non-federal contributions to the program. The federal government will provide a match equal to three times the amount a state guarantees; except that federal funds will not exceed $3 million for newly participating states and $1.5 million for previously participating states.