House Hearing Scrutinizes ‘Horror’ of Private Equity Investment in Nursing Homes

For the second time in as many weeks, federal lawmakers scrutinized private equity investment in nursing homes as the probes into the COVID-19 disaster in long-term care continue to intensify. “How many grandmothers and grandfathers died because profits were prized above lives, with our taxpayer dollars funding this?” Rep. Bill Pascrell, who chairs the House […]

Staffing and Ownership Structure Take Center Stage in Senate Hearing on COVID-19 in Nursing Homes

The Senate Finance Committee on Wednesday held a hearing on the impact of COVID-19 on nursing homes, and witnesses from the frontlines to the academic sphere testified to the fact that the pandemic exacerbated problems that long predated the novel coronavirus. And while the hearing contained its share of partisan talking points — ranging from […]

Nursing Home Industry Targets RN Staffing, PPE Stockpiles in Reform Pitch — But Ownership Untouched for Now

The two largest trade groups for nursing homes proposed a policy agenda to address the systemic issues in the sector illuminated by COVID-19, with reforms centered on improving nursing hours, staff retention and infection control — in addition to increasing reimbursement from Medicaid, the largest payer for nursing home care, to cover the costs. The […]

Congress OKs Stimulus with $250M for Nursing Home Strike Teams, $200M for Infection Control, Vaccine Support

The U.S. House of Representatives on Wednesday passed a sweeping $1.9 trillion stimulus bill that contains some additional support for the nation’s beleaguered nursing homes, with President Biden expected to sign the package into law Friday. The American Rescue Plan specifically includes $200 million to support COVID-19 vaccination efforts and infection control improvements in nursing […]

Lawmakers Mull State-Level Ban on New For-Profit Nursing Home Licenses, Expansions

As nursing home deaths in New York remain national news, reform efforts in the state are increasingly focusing on for-profit providers, and one proposal would specifically ban their expansion in the Empire State. For-profit nursing home operators would be prohibited from establishing new facilities or expanding their existing ones under a proposal sponsored by Manhattan […]

HHS Nominee Becerra Says More Nursing Home Aid ‘Top Priority’ — But Faces No Questions on SNF Reform

California attorney general Xavier Becerra faced a range of questions in his confirmation hearing for the role of Department of Health and Human Services (HHS) secretary — including whether or not he would support more government aid for nursing homes and other health care providers ravaged by the COVID-19 pandemic. Sen. Susan Collins, a Republican […]

Cuomo Targets Ownership Transparency, Caps on Profit and Executive Pay in Nursing Home Reform Push

Embroiled in an ongoing scandal about the state’s handling of COVID-19 in nursing homes, New York Gov. Andrew Cuomo announced reform legislation that would require full disclosure of facility ownership and place caps on both profits and executive pay. “Facilities have put profits over care for far too long and as we look forward, we […]

Cuomo Takes Aim at For-Profit Nursing Homes, Hints at Reforms for 2021

New York Gov. Andrew Cuomo’s handling of the COVID-19 crisis in nursing homes continues to make headlines amid accusations of a deliberate cover-up, but the embattled executive this week promised to explore reforms targeted at for-profit facility owners. “I have long believed that there is a tension in a for-profit nursing home, because those institutions […]

Parkinson: Given COVID’s Toll, Nursing Homes Will — and Should — Get Significant Oversight Overhaul

With a change in presidential administration comes changes in policy, and skilled nursing facilities should expect a shift in the approach of the federal government to regulation. As the SNF sector emerges from the devastation of COVID-19, they are also going to receive significant oversight from the administration of Democratic President Joe Biden. And according […]

Investing in Home-Based Senior Care Can’t Come at Expense of Nursing Facilities

The COVID-19 pandemic has rightfully prompted lawmakers at the state and federal level to reconsider the way government payers incentivize or discourage the use of nursing homes relative to other options, such as home- and community-based services (HCBS). But one prominent long-term care researcher this week warned against looking at the reform equation as a […]

COVID-19 Bill Includes Some Offsets to Part B Cuts Scheduled for Next Year

The new spending bill passed by Congress on Monday night, which includes $900 billion in COVID-19 relief, also contains some respite for cuts to Medicare Part B that posed a significant threat to therapy operations in skilled nursing facilities. The Consolidated Appropriations Act of 2021 is now awaiting President Trump’s signature, and it includes a […]

As Some Senators Decry ‘Worsening Crisis’ in Nursing Homes, New Stimulus Plan Includes Liability Shield

A bipartisan group of senators released a stimulus plan on Monday consisting of two different aid packages, $748 billion and $160 billion apiece — one of which includes a controversial liability protection for health care providers and other businesses. The latter aid package contains parameters, favored by business interests of multiple stripes, on liability for […]

Feds Look to Expand Special Focus Facility List of Poor-Performing Nursing Homes, Create New Ranking System

The two U.S. senators who last year released a “secret” list of nursing homes under consideration for inclusion on a formal list of facilities with major quality issues are now calling for expanded oversight of poorly performing skilled nursing facilities in the wake of the COVID-19 pandemic. Sens. Pat Toomey and Bob Casey, both of […]

New York Passes Partial Repeal of Liability Protections for Nursing Homes, Other Care Providers

The New York State Senate and Assembly voted on July 23 to partially repeal liability protections granted to nursing homes, hospitals, and other health care facilities as part of the state budget passed in April. Nexstar Broadcasting initially reported the news July 24. New York’s budget for fiscal 2021 included the Emergency or Disaster Treatment […]

Grassley Bill Would Require Retroactive COVID-19 Reporting for Nursing Homes, Fund Strike Teams

A trio of Republican U.S. senators, including Senate Finance Committee Chairman Chuck Grassley, introduced a bill this week that would establish regional strike teams to respond to outbreaks in skilled nursing facilities and extend reporting requirements related to COVID-19 — both for the rest of the year and retrospective to the start of 2020. The […]

As Officials Mull Stronger Nursing Home Enforcement, Restorative Justice Holds Key to True Reform

As the federal and state governments slowly start to flex their enforcement muscles on nursing homes in the wake of COVID-19, my mind keeps going back to a concept that’s traditionally been the domain of social scientists and prison-reform advocates: restorative justice. Unlike our current crime-and-punishment system, which typically focuses on punitive measures such as […]