Senate committee substitute makes the following changes to the 1st edition.

Specifies, in GS 108C-3, that the categorical risk level for provider screening of skilled nursing facilities (SNF) is the categorical risk required by federal law or regulation. Instructs that if federal law does not require a particular categorical risk level, SNFs are a limited categorical risk. Removes provisions that would have designated prospective (newly enrolling) skilled nursing facilities and those undergoing a change in ownership as high risk provider types. Makes technical, organizational, clarifying, and conforming changes.

Further modifies GS 108C-3, as amended by the act, as follows. Removes provisions that would have designated certain revalidating skilled nursing facilities as a moderate categorical risk provider. Expands the type of hospice organizations that are considered a high categorical risk provider to include those that are revalidating. Specifies that prospective hospice organizations and those that are newly enrolling are separate things. Clarifies that the described revalidating agencies falling into the high categorical risk category that provide durable medical equipment that includes orthotics and prosthetics (was, includes but not limited to). Removes revalidating skilled nursing facilities. Makes technical, organizational, clarifying, and conforming changes.