124 STAT. 726 PUBLIC LAW 111–148—MAR. 23, 2010 (i) A skilled nursing facility (as defined in section 1819(a) of the Social Security Act (42 U.S.C. 1395i– 3(a))). (ii) A nursing facility (as defined in section 1919(a) of such Act (42 U.S.C. 1396r(a))). (iii) A home health agency. (iv) A provider of hospice care (as defined in section 1861(dd)(1) of such Act (42 U.S.C. 1395x(dd)(1))). (v) A long-term care hospital (as described in sec- tion 1886(d)(1)(B)(iv) of such Act (42 U.S.C. 1395ww(d)(1)(B)(iv))). (vi) A provider of personal care services. (vii) A provider of adult day care. (viii) A residential care provider that arranges for, or directly provides, long-term care services, including an assisted living facility that provides a level of care established by the Secretary. (ix) An intermediate care facility for the mentally retarded (as defined in section 1905(d) of such Act (42 U.S.C. 1396d(d))). (x) Any other facility or provider of long-term care services under such titles as the participating State determines appropriate. (7) EVALUATION AND REPORT.— (A) EVALUATION.— (i) IN GENERAL.—The Inspector General of the Department of Health and Human Services shall con- duct an evaluation of the nationwide program. (ii) INCLUSION OF SPECIFIC TOPICS.—The evaluation conducted under clause (i) shall include the following: (I) A review of the various procedures imple- mented by participating States for long-term care facilities or providers, including staffing agencies, to conduct background checks of direct patient access employees under the nationwide program and identification of the most appropriate, effi- cient, and effective procedures for conducting such background checks. (II) An assessment of the costs of conducting such background checks (including start up and administrative costs). (III) A determination of the extent to which conducting such background checks leads to any unintended consequences, including a reduction in the available workforce for long-term care facilities or providers. (IV) An assessment of the impact of the nation- wide program on reducing the number of incidents of neglect, abuse, and misappropriation of resident property to the extent practicable. (V) An evaluation of other aspects of the nationwide program, as determined appropriate by the Secretary. (B) REPORT.—Not later than 180 days after the comple- tion of the nationwide program, the Inspector General of the Department of Health and Human Services shall
