a product by 3G Healthcare Real EstateExclusively SNF sell-side advisors
Live Legislation · read every weekday

What just changed in skilled nursing.

Medicaid rate moves, staffing and survey rules, and the nursing home bills moving through 50 legislatures, sorted by whether it is already costing you money, whether it is coming and certain, or whether it is still only possible.

12 items for LouisianaChecked today.

Moved this week, for an owner

Every bill that moved in the last 7 days, in plain English. Tap one for the full read.

Plain-English reads are written by AI from each bill's own text. Not legal advice.

No bill moved in the last 7 days. Everything on file is in the lanes below.

What it touches

Where

In force now 3

Final, in effect, and it changes what a building earns or owes.

Plain-English reads are written by AI from each bill's own text. Not legal advice.

Licences, beds and buildings3

Certificate-of-need, moratoria, physical-plant mandates and who owns what: the rules that decide whether supply can grow, and what an existing licence is worth.

LouisianaSB190Effective Aug 1, 2026

Nursing homes in CMS Special Focus Facility Program face new LDH rules, license revocation in 18 months

AI read If your home lands in the federal Special Focus program, you get 18 months to clear it or the state pulls your license.

Provides relative to nursing home licenses. (8/1/26) (EN INCREASE GF EX See Note)

Published May 29, 2026 · takes effect Aug 1, 2026

265 facilities · 32,214 licensed beds

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…

Bill text and status: legiscan.com · retrieved Oct 31, 2026

LouisianaHB199Effective Aug 1, 2026

Nursing facility moratorium on new facilities/beds extended from 2027 to July 1, 2031

AI read No new nursing homes or added beds in the state until July 1, 2031, and monthly bed, occupancy and admission-denial reporting starts Jan 1, 2027.

Extends moratorium on nursing facilities (EN SEE FISC NOTE GF EX See Note)

Published May 15, 2026 · takes effect Aug 1, 2026

265 facilities · 32,214 licensed beds

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…

Bill text and status: legiscan.com · retrieved Oct 31, 2026

LouisianaHB1095Effective Aug 1, 2026

Nursing facilities can get up to $2 million total in state rebates for solar backup power, starting Jan 1, 2027

Provides for alternative power sources at nursing facilities

Published Jun 25, 2026 · takes effect Aug 1, 2026

265 facilities · 32,214 licensed beds

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…

Bill text and status: legiscan.com · retrieved Oct 31, 2026

Coming, and certain 0

Signed into law with a date still ahead. You know it is happening and you have time.

Nothing in this lane right now.

Coming, and possible 1

Moving through a legislature and past a real hurdle. Most bills die; these have not.

Plain-English reads are written by AI from each bill's own text. Not legal advice.

Federal and general policy1

The floor every state builds on, and the policy movement that has not landed in one bucket yet.

LouisianaSR154

Senate resolution asks state to study in-home skilled nursing access, report by Feb 1, 2027

AI read A study of in-home nursing, reports due October 2026 and February 2027; nothing in the text changes for your nursing home.

Requests the Louisiana Department of Health to study the adequacy of the in-home skilled nursing services market in…

Published May 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…

to read what this moves for the 265 facilities it reaches.

Bill text and status: legiscan.com · retrieved Oct 31, 2026

Worth knowing 8

The rest of what moved in skilled nursing policy this month.

Staffing and care4

Hours per resident, and what a building must do for one. These bind hardest on buildings already below their state average.

Federal

War on Fraud or ‘Rewards’ for Allies: Report Calls for Nursing Home Transparency Amid Industry Divisions Over Reform

Published Oct 30, 2026

Certain nursing home operators and politically connected investors have profited through financial schemes, chronic understaffing and weakened federal oversight, according to a new Senate Finance Committee minority report released Thursday. Meanwhile, the nursing home industry appears divided over transparency…

to read what this moves for the 14,686 facilities it reaches.

Federal

[UPDATED] CMS, States Partner to Launch $275M Nursing Home Workforce Initiative

Published Oct 23, 2026

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…

to read what this moves for the 14,686 facilities it reaches.

Federal

BREAKING: CMS, States Partner to Launch $275M Nursing Home Workforce Initiative

Published Oct 23, 2026

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…

to read what this moves for the 14,686 facilities it reaches.

Federal

‘Real Common Ground’: Nursing Homes Support Key LTC Reform Proposals While Seeking Adjustments

Published Oct 19, 2026

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…

to read what this moves for the 14,686 facilities it reaches.

Licences, beds and buildings2

Certificate-of-need, moratoria, physical-plant mandates and who owns what: the rules that decide whether supply can grow, and what an existing licence is worth.

Federal

Genesis Bankruptcy Plan Limits Compensation for Affected Nursing Home Residents

Published Oct 16, 2026

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…

to read what this moves for the 14,686 facilities it reaches.

Federal

‘A Screening Signal’: The Link Between Nursing Home Sales, Ownership Changes and Agency Use

Published Oct 16, 2026

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…

to read what this moves for the 14,686 facilities it reaches.

Oversight and liability1

Surveys, enforcement and exposure. Lenders and buyers price citation risk directly.

Federal

Nursing Home Giant Ensign Touts $1B for Future Investments, Census Momentum and New CMS Survey Performance in 3Q

Published Oct 28, 2026

Ensign Group’s (Nasdaq: ENSG) third quarter was marked by solid occupancy and skilled-mix growth, with CEO Barry Port calling attention Wednesday to the nursing home giant’s outperformance among peers on new survey inspection results and other metrics. Port said his company’s operating results were evidence that its…

to read what this moves for the 14,686 facilities it reaches.

Federal and general policy1

The floor every state builds on, and the policy movement that has not landed in one bucket yet.

Federal

CMS and States Launch $275 Million Initiative to Recruit and Retain Nurses in Nursing Homes

Published Oct 30, 2026

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

to read what this moves for the 14,686 facilities it reaches.

9 more items, with what each one moves

Every item here carries the number of buildings and beds it reaches, what it changes for an owner, and a link into that state's full report, facility by facility, with the rates, the ratings and the ownership. It is the same picture we run our own business on.

Create your free account and this page becomes yours, opened to the states you own in, every item in full, with the state report one tap away.

Your state, every weekday

Track your state, or talk to us about it.

Follow the states you own in and we flag what moves in them. A free account opens every item here in full, with your state's report a tap away. Or put a short call on the calendar and we walk you through what is moving in your market.

Thirty seconds on this page

What changed, what is coming, and what touches you.

Filter by state or by topic, and every item says whether it’s in force now, coming and certain, or still only possible.

Read the words on screen

Live legislation. What changed, and what is coming.

What changed in skilled nursing, every weekday. Medicaid rate moves, staffing and survey rules, bills in all 50 statehouses. On screen: what just changed in skilled nursing; moved this week, for an owner; what it touches.

Filter by state or topic. In force now, or still coming. On screen: coming, and possible.

See your building. Understand your market. Explore your next move. SNFRadar is free. Create a free account at snfradar.com.

More short films on how SNFRadar works ›

How to read this

Every line here traces to a filing: a bill a legislature filed, a rule the Federal Register published, a rate a state set. We read the trade press, all 50 statehouses, the Federal Register and the state rate files every weekday, and publish what a nursing home owner would actually act on. Most of what we read does not make it here, which is the point.

A bill that is only moving is not a law. We say which is which and we do not put odds on anything, because nobody honestly can. Position in the process is the only signal that exists, so a bill earns a mention here by having advanced past a real hurdle, never by having been filed.

Want the full picture for your state: who the chains are, how the buildings are rated, what the state pays, and where the pressure is? Your state's report is free.

Questions

Straight answers

How often is this updated?

Every weekday. The line at the top of the feed says when it was last checked, and says so honestly when we cannot tell.

Is a bill that is moving already a law?

No, and this page never blurs the two. The lanes separate what is in force, what is enacted with a known effective date, and what is moving but unpassed. We put odds on nothing.

What earns an item a mention?

Advancing past a real hurdle, never merely being filed. Every item says what it moves for an owner, in dollars or obligations.

Is this legal advice?

No. It is SNFRadar’s read of the legislation, for skilled nursing owners and operators.

Christian Patrick
President
317.493.7767
[email protected]
Stan Klos III
Founder
813.562.7780 (c) · 317.982.5106 (o)
[email protected]
3G Healthcare Real Estate · 3ghcre.com
Exclusively SNF Sell-Side Advisors