The One Big Beautiful Bill Act (OBBBA) could have major implications for employers of low-wage and part-time workers, especially in sectors like long-term care, including nursing homes. By imposing new Medicaid work requirements and more frequent eligibility checks, the law risks disrupting employee stability and increasing workforce turnover. The bill’s Medicaid reforms and greater scrutiny […]
Editor’s note: President Donald Trump signed the so-called One Big Beautiful Bill Act (OBBBA) into law Friday, a day after it was narrowly passed by Congress. The House passed the reconciliation bill on Thursday with the Senate-passed version largely intact. While the bill included some nursing home-friendly provisions – such as a 10-year delay on […]
In the latest version of President Donald Trump’s budget reconciliation bill, which passed the Senate on Tuesday by a narrow margin, a 10-year moratorium on the staffing mandate remains intact. Provider taxes for nursing homes are also unaffected, though uncertainty about the large Medicaid cuts’ indirect impact worries many in the sector. The bill passed […]
Close to 600 nursing homes across the nation could face increased risk of closure under proposed Medicaid cuts in the Republican budget bill, with the high-risk facilities disproportionately located in urban areas and concentrated in states like Illinois, Texas, California, Georgia, and Ohio. Nursing homes in some states will be even more deeply impacted by […]
A repeal of the nursing home staffing mandate could have been among several provisions in the Republicans’ “One Big, Beautiful Bill” that would have been subject to a 60-vote threshold if it were to remain in the bill by the time the Senate took a vote on it this week. However, the 10-year moratorium on […]
Legislation aimed at improving oversight at long-term care facilities and memory care units on Monday passed the state Senate and has moved on to the Ways and Means Committee in Oregon. The bill was introduced after reports of serious neglect, including residents wandering unsupervised, unsanitary conditions and fatalities. If signed into law, immediate investigations within […]
Senate Republicans are pushing a proposal to scale back Medicaid provider taxes to help fund a sweeping budget package – but nursing homes and intermediate care facilities would be exempt from the cuts. A draft from the Senate Finance Committee proposes gradually reducing the maximum provider tax rate in Medicaid expansion states from 6% to […]
As Senate Republicans work behind closed doors to finalize President Trump’s sweeping tax proposal popularly called the “One Big Beautiful Bill,” a key Medicaid provision drawing attention is the proposed restriction on provider taxes, a funding tool critical to state Medicaid programs and rural health care providers, including nursing homes. Provider taxes allow states to […]
A state bill in Louisiana made progress this week, granting broad legal protections to nursing home management companies, despite widespread concern over poor care and accountability. The legislation would shield nursing homes from most lawsuits, funneling claims through the Medical Malpractice Act which caps damages and limits the financial liability of individual owners to $100,000. […]
In the wake of the proposed $700 billion Medicaid cuts in the House Republicans’ “One Big Beautiful Bill,” advocates and experts are assessing the situation at the state level, and a bleak picture is emerging. In Illinois, nursing home and long-term care facilities could have severe consequences, according to a story in the local affiliate […]
Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving Seniors’ Timely Access to Care Act would require MA plans to adopt an electronic prior auth system with standardized transactions, and improve transparency around MA prior auth use and requirements. It’s the third time this legislation […]
The House narrowly passed a sweeping Republican-backed bill Thursday that could significantly alter Medicaid, with cuts of $700 billion to the program over the course of 10 years. “Technically this is lower than some projections of Medicaid cuts, but it’s still a dramatic reduction in federal funding for Medicaid programs. As states figure out how […]
Rep. David Schweikert (R-Ariz.) has introduced the Medicare Advantage Reform Act, which among other provisions would require health plans to pay for hospice care. If enacted, the bill would make wholesale changes to the Medicare Advantage program. It would mandate capitated payment models, change risk adjustment methodologies and create new exemptions for physician self-referrals, among […]
Some state legislatures are taking a closer look at the sustainability of long-term care, with their eye on a rapidly aging population and an increased need for such services in the coming years. In Pennsylvania, nursing home associations testified on reimbursement during a legislative hearing this spring as the state discussed its 2025-26 budget. Pennsylvania’s […]
During a Congressional hearing held Wednesday, U.S. Department of Health & Human Services (HHS) Secretary Robert F. Kennedy Jr. defended the Trump administration’s proposed cuts to top health agencies as lawmakers questioned HHS actions under his leadership – ranging from workforce reductions at HHS to spending cuts on scientific research, including research impacting older adults […]
The House of Representatives’ Committee on Energy and Commerce has released a budget proposal that would place a moratorium on the federal nursing home staffing mandate and also prevent states from establishing new provider taxes. In its quest to find $880 billion in savings, the committee was widely expected to propose major cuts and changes […]
A class action lawsuit filed by nursing home residents against the Maryland Department of Health (MDH) is advancing, with plaintiffs alleging that the state’s failure to carry out required and timely inspections of nursing homes has resulted in substandard care. Meanwhile, delays in nursing home inspections have grave financial and legal repercussions for facilities as […]
Legislation introduced a second year in a row in Louisiana would make it more difficult to sue nursing home operators and limit the amount of money residents and their families could receive from lawsuits involving injuries, neglect and wrongful deaths. Republican Sens. Thomas Pressly and Alan Seabaugh re-introduced the bill in response to an increase […]
States with significant survey backlogs have prompted lawmakers to take action, in one case possibly requiring the state health department to provide quarterly reports on the progress of nursing home inspections. In Maryland, a bill awaiting the governor’s approval will require the state office of Health Care Quality to report to local jurisdictions every six […]
A leaked budget document from the White House shows nursing home-related changes, notably potential elimination of health care workforce programs focused on geriatrics and other aging services, and a prioritization of survey and certification funding. The “pre-decisional” document titled, “The Department of Health and Human Services (HHS) 2026 Discretionary Budget Passback,” released by Inside Medicine, […]
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