---
kind: "section"
citation: "42 C.F.R. § 431.120"
title: "42"
number: "431.120"
heading: "State requirements with respect to nursing facilities."
url: "https://uscodex.org/cfr/42/431.120"
---

# §431.120. State requirements with respect to nursing facilities.

- (a) **State plan requirements.** A State plan must—
  - (1) Provide that the requirements of [subpart D of part 483](/cfr/42/part483-subpartD.md) of this chapter are met; and
  - (2) Specify the procedures and rules that the State follows in carrying out the specified requirements, including review and approval of State-operated programs.
  - (3) To an NF or ICF/IID that is dissatisfied with a determination as to the effective date of its provider agreement.
- (b) **Basis and scope of requirements.** The requirements set forth in [part 483](/cfr/42/part483.md) of this chapter pertain to the following aspects of nursing facility services and are required by the indicated sections of the Act.
  - (1) Nurse aide training and competency programs, and evaluation of nurse aide competency (1919(e)(1) of the Act).
  - (2) **Nurse aide registry (1919(e)(2) of the Act).**

## Notes

### Amendments

[56 FR 48918, Sept. 26, 1991, as amended at 62 FR 43935, Aug. 18, 1997]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45188, Sept. 29, 1978, unless otherwise noted.

### Amendments

[56 FR 48918, Sept. 26, 1991, as amended at 62 FR 43935, Aug. 18, 1997]