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Temporary Nurse Aide

NEW – October Status Update on PA Act 138 Pathway for Temporary Nurse Aides 

In November 2020, the state enacted Act 138 of 2020 to provide Temporary Nurse Aides (TNA) working under the federal emergency blanket waiver with three different pathways to become a Nurse Aide on the PA Nurse Aide Registry.

After reviewing Act 138 for inconsistences with April 8, 2021, guidance from the federal Centers for Medicare and Medicaid Services (CMS), the commonwealth has developed a revised plan to implement Act 138 in alignment with the guidance.

There is now only one pathway for a TNA to become a Nurse Aide. This pathway uses a revised attestation form that must be completed and submitted by the TNA and the facility in which they have been working in order to take advantage of this opportunity. The earlier form from April 2021 is void. Even if a TNA submitted the earlier form, they must still complete and submit this new form dated October 2021.

To take advantage of this pathway, TNAs must at a minimum:

  1. Complete an 8-hour online training and online examination program, such as the program offered by the American Health Care Association and the National Center for Assisted Living, or a comparable program, as referenced in the April 19, 2020, Pennsylvania Department of Health (DOH) guidance; and

  2. Complete a minimum of 80 hours of temporary nurse aide or supervised practical nurse aide training, on-the-job training or regular in-service nurse aide education during the declared COVID-19 emergency under the supervision of a licensed or registered nurse, in all areas of required nurse aide training as provided for in 42 CFR 483.152(a)(1-4) (relating to general requirements of a nurse aide training program), 42 CFR 483.152(a)(5) (relating to requirements for instructors who train nurse aides), and 42 CFR 483.152(b) (relating to requirements for the curriculum of a nurse aide training  program); and

  3. Successfully pass both the written and skills portions of the state nurse aide exam within a 24 month period from the federal pandemic emergency end date or June 6, 2024.

TNAs meeting the eligibility requirements are encouraged to submit the attestation form as soon as possible to begin this process. TNAs meeting the eligibility requirements and the hiring entity must jointly submit this attestation form within four months of the expiration date of the COVID-19 federal public health emergency declaration for PDE review for eligibility to sit for the state nurse aide examination.

The attestation form with instructions and a list of frequently asked questions (FAQs) are available in the additional information column to the right.

Additional questions should be emailed to: