H.R. 9067 would establish a mandatory three-year waiver for states and individual skilled nursing facilities to forgo certain certification requirements for nurses’ aides. The bill would extend the deadline for completing evaluations, waive certain training requirements, and lift prohibitions against some facilities offering competency training. CBO estimates that enacting H.R. 9067 would not affect direct spending or revenues. CBO has not estimated the bill’s effects on spending subject to appropriation. The bill contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.