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State Legislation

State Legislation


The National Background Check Program (NBCP) aims to establish an efficient, effective, and economical nationwide system for States to screen prospective direct access employees of long term care (LTC) facilities and providers. Although many States already have a range of screening programs in place, the Centers for Medicare & Medicaid Services (CMS) aims to use the NBCP to help States enhance their existing background check systems to use a common framework and reach increased efficiency.

CNA has developed a spreadsheet containing links to relevant State statutes and regulations from the 50 States, the District of Columbia, and Puerto Rico, specific to requirements for background checks in the LTC setting. In addition to the links, the spreadsheet captures what aspects of the NBCP, as detailed in the Patient Protection and Affordable Care Act of 2010, are met by a respective State’s legislation.