This bill mandates the Secretary of Health and Human Services to establish a five-year program expanding the National Healthcare Safety Network (NHSN) to provide real-time infectious disease and public health surveillance in nursing homes nationwide. The initiative aims to significantly improve the monitoring and rapid response capabilities for emerging health threats within long-term care facilities. This expansion will integrate with existing NHSN reporting systems and establish a central hub of epidemiologists to support rapid outbreak identification. The legislation authorizes contracting with eligible entities to develop the necessary technological infrastructure, ensuring immediate notification to appropriate federal, state, and local health authorities. It also supports the implementation of an optional staffed care management program for skilled nursing facilities to improve resident health outcomes. Crucially, the bill includes robust privacy protections for individual patient data, requiring HIPAA compliance and prohibiting data use for regulatory enforcement unless expressly authorized. Upon program completion, a study will evaluate its effectiveness and impact on patient outcomes, providing recommendations for its future.