A bill to amend titles XVIII and XIX of the Social Security Act to exempt certain nurses aides from competency evaluation requirements mandated under such titles.

Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to exempt a nurse aide employed at an individual skilled nursing facility for over one year as of July 1, 1989, from the requirement that before a nursing facility uses a nurse aide for over four months such aide must complete a State-approved training and/or competency evaluation program.