On April 23, 2010, CMS published a final rule that will permit CMS to waive the disapproval of a nursing facility’s or skilled nursing facility’s nurse aide training program if the facility has been assessed a civil money penalty of at least $5,000 for noncompliance that is not related to quality of care. CMS did not finalize a provision in its November 23, 2007 proposed rule that would have required states to establish a procedure to permit a nurse aide to petition the state to have a single finding of neglect removed from the nurse aide registry if the state determines that the employment and personal history of the nurse aide does not reflect a pattern of abusive behavior or neglect and the neglect involved in the original finding was a single occurrence. Based on public comments, CMS will further explore this issue to reconsider whether regulatory action is necessary and to review the available options. If the agency determines that regulatory action is required for this issue, CMS will publish a new notice of proposed rulemaking. The rule is effective May 24, 2010.