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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.

8 items for South CarolinaChecked 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 0

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

Nothing in this lane right now.

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 0

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

Nothing in this lane right now.

Worth knowing 8

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

Staffing and care3

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

Federal

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

Published Oct 23, 2026

14,686 facilities · 1,567,009 licensed beds

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…

Federal

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

Published Oct 23, 2026

14,686 facilities · 1,567,009 licensed beds

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…

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 liability2

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

Nursing Homes Are Meeting Practical Needs, But Need To Do Better on Promoting Independence and Privacy, Survey Shows

Published Oct 7, 2026

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…

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 28, 2026

14,686 facilities · 1,567,009 licensed beds

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

5 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.

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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