What just changed in skilled nursing.

Applies to freestanding skilled nursing facilities under Medi-Cal. The bill extends the quality assurance fee (which funds rate increases) from expiring Dec 31, 2026 to Dec 31, 2027, and extends the Medi-Cal Long-Term Care Reimbursement Act's operative date to Dec 31, 2027, with repeal pushed from Jan 1, 2028 to Jan…

Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to Medicaid-participating nursing facilities in Tennessee subject to the annual assessment fee under Title 71, Chapter 5, Part 10. The bill rolls forward the assessment period, payment dates, and fiscal-year references by one year, extending the fee through June 30, 2027, with related payment deadlines moved…

Bill text and status: legiscan.com · retrieved Sep 13, 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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Applies to any Louisiana nursing facility selected for the CMS Special Focus Facility Program. These facilities must notify residents, offer transfer options, attend a state meeting within 45 days, and sign a corrective agreement that can include monitoring costs, fines, staffing changes, or consultant hires at the…

Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing facilities and additional bed licenses in Louisiana, extending the existing construction and bed-addition moratorium four more years, to July 1, 2031. It also requires the state health department to start collecting monthly data from hospitals and nursing facilities on avoidable skilled nursing…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to Louisiana nursing facilities required to have backup power under existing law. Facilities can claim a rebate from the Department of Revenue for eligible costs of installing a solar-based alternative electrical power source, capped at a total of $2 million statewide and ending January 1, 2029; the Department…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to licensed skilled nursing and assisted living facilities enrolled in Arizona's ALTCS program. When ownership changes, the new owner can request that AHCCCS and its program contractors keep processing claims and paying under the previous owner's provider number and subcontracts, with the standard 30-day claim…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing facilities, assisted living facilities, and group homes for persons with mental illness in Delaware, excluding state-owned facilities. 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 Sep 13, 2026

Applies to gig-style health care worker platforms that place nurses, aides and similar staff into shifts at long-term care facilities licensed under chapter 111 section 71. Platforms must give workers contracts barring forced shift minimums, exclusivity, or fees on hires, and must carry liability and occupational…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing facilities admitting residents with a diagnosis of serious mental illness. Facilities must refer any such resident to DHS or its designee for a resident review within 72 hours after a significant change in physical or mental condition, and new admissions must still get a follow-up visit within 60…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

This bill mainly reworks Insurance Commissioner bulletin authority, extends the Strengthen Oklahoma Homes windstorm mitigation program, adds a personal financial statement requirement for insurer acquisition filings, and requires a proper license to sell or solicit long-term care insurance. It explicitly confirms…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Nursing homes and assisted living programs must notify residents and prospective residents in writing if they do not carry professional liability insurance or if coverage has lapsed and was not renewed, with lapse notices due within 30 days. Facilities without coverage must also post a conspicuous notice for residents…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to Medicaid-enrolled nursing homes with investment-entity owners (5%+ beneficial interest). Starting October 1, 2026, homes must annually disclose investor ownership, financing and purchase agreements to the state, with a $1,000/day penalty for late filing; by July 1, 2028 homes with such owners must secure a…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to licensed nursing facilities in New Hampshire receiving Medicaid per diem payments. The bill appropriates $2,500,000, nonlapsing, for fiscal year ending June 30, 2026 to stabilize nursing home Medicaid per diem rates, funded first from excess Medicaid enhancement tax revenue and then general funds if needed…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to Illinois nursing facilities under the Nursing Home Care Act. Facilities must notify the Department of any incident causing serious physical harm or requiring immediate medical attention within 24 hours by phone, email, fax, or the LLCS Portal, and follow up with a narrative summary within 5 business days…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing facilities found to be in immediate jeopardy under Oklahoma's Nursing Home Care Act. When the Department of Health issues an emergency order, its personnel must now remain on site until the facility's Plan of Removal is accepted, rather than leaving after the order is issued. The rest of the…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to Medicaid-eligible elderly and disabled residents in licensed nursing facilities, chronic hospitals, rest homes, and similar institutions in Massachusetts. The monthly personal needs allowance is increased from $72.80 to $113.42, with the state making up any shortfall if a resident's income is below that…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to MaineCare-participating nursing facilities in the 3-year rate reform transition period. DHHS must amend its rules to remove the ban on inflation-adjusting the guardrails and apply the January 1, 2026 cost-of-living adjustment to those guardrails retroactively; guardrails must keep adjusting for future COLAs…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing homes with administrator-in-training programs and to applicants for administrator licensure in New Jersey. The bill sets a 1,750-hour administrative intern training requirement, preceptor qualifications, an electronic application portal to be built within six months of the effective date, and caps…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to skilled nursing facility patients executing written advance health care directives. The bill removes patient advocates from the list of who can serve as the required witness, leaving only a designated ombudsman able to witness the directive. No fiscal or rate impact; this changes a procedural witnessing…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing homes and prescribing health care professionals treating residents in New York. Written informed consent from the resident or their lawful representative is required before starting an antipsychotic medication, with exceptions for prior prescriptions, hospice, behavioral units, Huntington's disease…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing homes and assisted living residences in New York. Residents or their representatives gain the right to install and maintain electronic monitoring devices in their rooms at their own expense, limited to their personal space, with written consent required from roommates for audio capture; facilities…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Amends a 2023 appropriations section to broaden an existing $1,000,000 career pathway program for long-term care workers, extending eligibility beyond LPN training to include becoming a registered nurse, and to LPNs in long-term care facilities. It also makes students enrolled at public community colleges or…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to intermediate care and skilled nursing facilities that serve war veterans and are owned or operated on behalf of Georgia's Department of Veterans Service. These facilities are exempted from certificate of need requirements, and their beds are excluded from the state's bed inventory used to determine need for…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to long-term care facilities in Georgia that maintain a website. Each facility must post a prominent link on its website to the official website of the office of the state long-term care ombudsman. No fee, payment rate, or funding mechanism is involved.

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to operators of nursing homes, hospitals and adult care facilities cited for public health law violations. General civil penalties rise from $2,000 to $3,000, nursing/hospital operator penalties rise to $5,000, repeat-violation penalties rise to $10,000, and penalties for violations causing serious harm rise…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Applies to nursing and long-term care facilities in Massachusetts. DPH's commissioner sets up a team to evaluate facilities flagged as operationally or financially distressed, and a facility dispatched a team must cooperate and grant full access to physical plant, financial, operational and programmatic information…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

This is a study resolution directing the Louisiana Department of Health to examine capacity, staffing, and payment rates for in-home continuous and extended-hour skilled nursing services for Medicaid beneficiaries, particularly medically fragile children and adults. It requires a preliminary status update to the…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

Newly appointed MatrixCare CEO Jonathan Lujan is keenly aware that technology intended to ease the post-acute sector’s burdens from heavy regulation to unpredictable reimbursement can sometimes add to them. And so, his immediate goal is to help staff spend more time at the bedside and less time managing technology…

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The pain points stemming from the continued expansion of Medicare Advantage (MA) have lingered for so long without a course correction that some nursing home organizations have altered their contracting practices with managed care groups. The headline per-diem rate is no longer the primary factor in deciding whether…

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This applies to the Dormitory Authority of New York's financing of hospital and nursing home capital projects statewide. The bill raises the ceiling on aggregate hospital and nursing home project bonds and notes the agency may issue from twenty billion dollars to twenty-one billion eight hundred million dollars. It…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

The nursing home sector is expected to get a lot more competitive in the years to come. As hospitality gets baked into every service line, AI use and strong interdisciplinary teams will be defining features of high-performing operators. But some existing headwinds will persist, including Medicare Advantage, Trilogy…

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Nursing home operators are getting a clearer picture of the Medicaid-rate environment – modest increases for most, while other states are seeing no change. Eleven states have reported their Medicaid rate cycle turnover since July 1, with West Virginia seeing the highest median rate increase of 3.3%, followed by…

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Nursing home operators are getting a clearer picture of the Medicaid-rate environment – modest increases for most, while other states are seeing no change. Eleven states have reported their Medicaid rate cycle turnover since July 1, with West Virginia seeing the highest median rate increase of 3.3%, followed by…

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We all need care as we age. Adam Scott leads New England’s largest nonprofit provider of senior care and living communities. He says demand is rising as the Commonwealth’s average age continues to increase. This week on Health or Consequences, John McDonough of the Harvard T.H. Chan School of Public Health and Paul…

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Nursing home operators are getting a clearer picture of the Medicaid-rate environment – modest increases for most, while other states are seeing no change. Eleven states have reported their Medicaid rate cycle turnover since July 1, with West Virginia seeing the highest median rate increase of 3.3%, followed by…

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While AI adoption is emerging as the more immediate priority for nursing home providers, workforce challenges are expected to persist over the long term, according to providers surveyed about the sector outlook. Nursing home providers said in a survey conducted by Skilled Nursing News in late August ahead of the…

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Nursing homes that can successfully balance their nurse hours per patient day (HPRD), overtime and agency use consistently see stronger quality outcomes and lower labor costs. Anywhere between 3.75 to 4.5 nursing HPRD is the range for consistent quality outcomes, according to a report from Covr, a workforce scheduling…

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Survey changes, value-based care and other regulatory updates are shaping how operators hire and build clinical teams. As regulatory priorities shift and staffing conditions stabilize, nursing home hiring is increasingly driven by specialized expertise and a clearer sense of accountability to a company’s core values…

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Nursing homes have only reached the tip of the iceberg when it comes to mental health challenges in the sector, with such challenges affecting quality metrics (QMs) and reimbursement amid renewed monitoring of antipsychotics use in facilities. Operators must start preparing now for behavioral health needs in…

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Applies to any entering operator taking over a Pennsylvania long-term care nursing facility through a change of ownership or control. Requires a license application 45-90 days in advance, a bond of $10,000 per licensed bed (waivable in common-ownership cases), five years of administrator experience, and imposes civil…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026

A Houston-based nursing home sold for $15 million following a court-approved bankruptcy sale. Meanwhile, a multistate provider secured a $30 million healthcare receivables financing facility to support operations across its 18 skilled nursing and post-acute care facilities. Multistate post-acute care provider gets…

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Nursing home surveys in New Jersey have fallen behind state and federal regulatory requirements, with inspections frequently delayed. State officials say the delays are due to Covid backlogs, hiring freezes and loss of staff. Federal policy requires each of the state’s 350 nursing homes to be inspected at least every…

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Nursing homes would be wise to establish protocols – and comment on a certain proposed rule – to safeguard themselves from complications stemming from fraud, waste and abuse initiatives underway as part of a broader focus on Medicare and Medicaid program integrity. That’s because the Trump administration has made this…

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Special needs plans (SNPs) may be overhauled through streamlining or potentially by combining the various plans types. The Centers for Medicare and Medicaid Services (CMS) appears to be in an info-gathering stage when it comes to the future of SNPs, using requests for information (RFI), discussions with experts and…

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While the Centers for Medicare and Medicaid Services’ (CMS) bid to make resident satisfaction a mandatory part of federal regulation was shelved, a pilot program across skilled nursing facilities is demonstrating the power of resident councils to improve both care quality and the nursing home industry’s tarnished…

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With greater scrutiny of case-mix growth and coding, nursing homes should be strengthening documentation. Operators should also prepare now for expanded MDS reporting requirements beginning in 2029, reimbursement experts said. To be sure, the Centers for Medicare and Medicaid Services (CMS) is not implementing a…

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Applies to Michigan nursing facilities participating in Medicaid and the state department administering cost report audits. The bill keeps existing audit timelines and settlement rules but adds a requirement that the department's annual audit and settlement report be made publicly available on the department's…

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Bill text and status: legiscan.com · retrieved Sep 13, 2026