Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003

[AI summary unavailable — showing source text] Medicare and Medicaid Nursing Facility Quality Improvement Act of 2003 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to revise the Federal survey and certification process of skilled nursing facilities. Revises requirements for nurse aide training and competency evaluation programs and for nurse aide competency evaluation programs to state that the prohibition against approval of a program offered by or in a skilled nursing facility which is operating under a waiver, subject to an extended survey, or has been assessed a civil penalty shall not be continued when the facility involved through on-site verification demonstrates compliance with the applicable standards. Authorizes the Secretary to: (1) waive the skilled nursing survey and certification process in order to test and implement innovative alternatives to the otherwise applicable survey process; and (2) continue payments for up to one year under certain conditions, pending remediation, to a nursing facility that no longer meets the specified requirements. Requires each State to establish an informal and independent dispute resolution process to allow facilities to settle disputes involv…