What just changed in skilled nursing.

This law applies to freestanding skilled nursing facilities paid under the Medi-Cal Long-Term Care Reimbursement Act. It extends the quality assurance fee assessment from December 31, 2026 to December 31, 2027, and keeps the facility-specific rate methodology operative through December 31, 2027, with repeal of the…

Bill text and status: legiscan.com · retrieved Oct 28, 2026

The 4 payment tiers move by different amounts on the same date. The biggest increase is to the Hospital Leave Day Rate rate, 4.2% to $163.86 a day. They now run from $163.86 to $459.30 a day. Rates are set by the state, not by the facility.

This applies to Medicaid-participating nursing facilities in Tennessee subject to the annual bed assessment fee. The law shifts the assessment period and payment dates in the existing statute forward by one year, from FY 2025-2026 to FY 2026-2027, and extends the fee's sunset date from June 30, 2026 to June 30, 2027…

Bill text and status: legiscan.com · retrieved Oct 28, 2026

All 5 payment tiers move by the same 4.0% on the same date. They now run from $568.23 to $1,335.34 a day. Rates are set by the state, not by the facility.

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The 2 payment tiers move by different amounts on the same date. The biggest increase is to the Class 3 NF HCQS per diem add-on rate, 9.0% to $10.20 a day. They now run from $10.20 to $29.14 a day. Rates are set by the state, not by the facility.

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Applies to any Louisiana-licensed nursing facility selected for the CMS Special Focus Facility Program. These facilities must notify residents, offer transfer options, meet with the Louisiana Department of Health within 45 days, and sign a correction agreement that can include added inspections, fines, staffing…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This law extends Louisiana's existing moratorium on new nursing facilities and additional beds, pushing its expiration from July 1, 2027 to July 1, 2031. It also requires the state health department to collect monthly data starting January 1, 2027 from hospitals (avoidable skilled nursing days) and from nursing…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Applies to nursing homes (and separately to assisted living programs, nurse midwives, and licensed certified midwives) that do not maintain professional liability insurance or whose coverage has lapsed and not been renewed. Nursing homes must notify prospective residents at first visit and at application, and notify…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Louisiana nursing facilities that were eligible for the now-canceled federal DOE Grid Resilience grant program can apply to the Department of Health for a rebate covering eligible costs of installing a qualifying solar alternative electrical power source used to meet the state's existing emergency generator/fuel…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Applies to Medicaid-participating nursing homes with a five-percent-or-more investment entity owner. Each home must report detailed ownership, financing and transaction information to the Commissioner of Social Services by February 15, 2027 and annually after; by July 1, 2028 those homes must secure a surety bond or…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Applies to skilled nursing and assisted living facilities enrolled in Arizona's ALTCS program that change ownership while not under suspension, termination or payment hold. When ownership changes, AHCCCS and its program contractors must keep processing and paying claims under the previous owner's AHCCCS number and…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This law appropriates $2,500,000, nonlapsing, to the NH Department of Health and Human Services to support nursing home Medicaid per diem rate stabilization for the fiscal year ending June 30, 2026. Funds come first from excess Medicaid enhancement tax revenue above budget estimates, then from general funds if needed…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Applies to nursing facilities, assisted living facilities, and group homes for persons with mental illness in Delaware, except state-owned facilities. These facilities must maintain general and professional liability insurance of at least $1 million per claim and $3 million aggregate, including abuse and molestation…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This bill would apply to Medicaid-eligible residents in licensed nursing facilities, chronic hospitals, rest homes, and public medical institutions in Massachusetts. It would set the monthly personal needs allowance residents keep from their own income at $113.42, replacing the current $72.80 figure referenced in one…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This law applies to MaineCare-participating nursing facilities in Maine's 3-year rate reform transition. It directs the Department of Health and Human Services to amend its rules to remove the ban on adjusting the reimbursement guardrails for inflation and to apply the January 1, 2026 cost-of-living adjustment to…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This bill applies to health care worker platforms that let nurses, aides and similar licensed workers pick up shifts at long-term care facilities in Massachusetts. Platforms would be barred from dictating mandatory hours or shifts, blocking workers from using other platforms, or charging facilities or workers a fee if…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This bill would apply to nursing homes and prescribing health care professionals, requiring written informed consent from a resident or their lawful representative before starting an antipsychotic medication, with exceptions for prior prescriptions on admission, consent given within the last 12 months, hospice…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This bill would give nursing home patients (or their representatives) the right to install and maintain an electronic monitoring device in their room at their own expense, limited to their own personal space, with written roommate consent required for audio capture; the facility administrator would have to keep a…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This bill applies to intermediate care or skilled nursing facilities that provide care to war veterans and are owned by, or operated on behalf of, the Georgia Department of Veterans Service. Such facilities would be added to the list of certificate-of-need exemptions, and their beds would not count in the state's…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Applies to long-term care facilities in Georgia that maintain their own website. Each such facility would have to post a link in a prominent location on its website to the official website of the state long-term care ombudsman. The bill keeps the existing written-notice and posting requirements to residents and adds…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Applies to nursing facilities under the Nursing Home Care Act when the State Department of Health determines an immediate jeopardy exists during an emergency order. Under this bill, Department personnel would have to remain on site until the facility's Plan of Removal is accepted by the Department, rather than leaving…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This bill applies to any person or entity found in violation of public health law provisions, including nursing home and general hospital operators and their contractors under Article 28. It would raise the base civil penalty from $2,000 to $3,000, raise the subsequent-violation penalty from $5,000 to $10,000, and…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This is a study resolution directed at the Louisiana Department of Health, not a nursing facility mandate. It asks the department to examine Medicaid in-home skilled nursing provider capacity, staffing shortages, prior authorization practices, and payment rates for continuous and extended-hour nursing, with a…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

This bill would let individuals who buy long-term care insurance claim a state income tax credit equal to 20 percent of premiums paid, applying to tax years ending on or after December 31, 2023. It amends the insurance code to add this credit under the state income tax excise and directs the Department of Revenue to…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

The top 10 states with the most nursing home citations tied to insufficient staffing so far this year include Iowa, Illinois and California, among others. An analysis of data from the Centers for Medicare and Medicaid Services (CMS) by the Iowa Capital Dispatch shows that staffing violations don’t result in fines or…

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The top 10 states with the most nursing home citations tied to insufficient staffing so far this year include Iowa, Illinois and California, among others. An analysis of data from the Centers for Medicare and Medicaid Services (CMS) by the Iowa Capital Dispatch shows that staffing violations don’t result in fines or…

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The Centers for Medicare and Medicaid Services (CMS) and states have launched a $275 million initiative to recruit and retain nurses in nursing homes, with students and licensed nurses qualified for up to $40,000 in student loan repayment, and/or a $10,000 stipend. In exchange, nurses must serve in a qualifying…

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The Centers for Medicare and Medicaid Services (CMS) and states have launched a $275 million initiative to recruit and retain nurses in nursing homes, with students and licensed nurses qualified for up to $40,000 in student loan repayment, or a $10,000 stipend. In exchange, nurses must serve in a qualifying nursing…

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As lawmakers aim to overhaul the nation’s long-term care (LTC) system, with proposals addressing nursing home ownership transparency and staffing standards, providers are seeking adjustments while expressing support for many of the proposed changes. Senate Finance Committee Democrats, led by Ranking Member Ron Wyden…

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The top 10 states with the most nursing home citations tied to insufficient staffing so far this year include Iowa, Illinois and California, among others. An analysis of data from the Centers for Medicare and Medicaid Services (CMS) by the Iowa Capital Dispatch shows that staffing violations don’t result in fines or…

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Bill text and status: legiscan.com · retrieved Oct 28, 2026

Iowa’s nursing home inspectors issued more citations for insufficient staffing last year than regulators in any other state in the nation, an Iowa Capital Dispatch review of federal data shows. The Center for Medicare and Medicaid Services data show that 66 Iowa nursing homes were cited at least once for insufficient…

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After a federal judge approved Genesis HealthCare’s Chapter 11 liquidation plan Wednesday, one consequence across the nursing home giant’s nationwide operations is that patients and families with claims against the company will likely recover about a quarter of what they are owed. The outcome has renewed concerns…

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There’s a correlation between agency use and change in ownership (CHOW) among nursing homes, with facilities substantially more likely to experience a Medicare-recorded change of ownership (CHOW) within two years. That’s according to a study published by 3G Healthcare Real Estate, which found that agency staffing is…

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Genesis HealthCare secured court approval Wednesday for the sale of its nationwide nursing home business to an affiliate of New Generation Health LLC for nearly $1 billion as part of its bankruptcy proceedings. Buyer 101 West State Street LLC will take over Genesis HealthCare’s operations and employees, including…

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While many older adults believe senior living care, including nursing homes, meets safety, care and meals well, operators can do a better job of promoting resident independence, privacy and respect to the same degree. According to a report based on a survey conducted by A Place for Mom and published on Wednesday…

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Lawmakers are raising concerns about the Centers for Medicare and Medicaid Services’ (CMS) new Risk-Based Survey program for nursing homes, warning in a letter Tuesday that shortened inspections could put thousands of residents at risk. In the letter addressed to CMS Chief Dr. Mehmet Oz, Sens. Elizabeth Warren…

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The new Nurses for Nursing Homes initiative is expected to support more than 4,000 nurses and nursing students nationwide, including those serving rural communities

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