Our Take: Federal lawmakers advanced a bipartisan campaign to stop the CMS staffing mandate – but ultimately did nothing. Committee markups, hearings with HHS Secretary Becerra, a Congressional Briefing by AHCA/NCAL, and floor speeches highlighted congressional concerns over rural access, workforce shortages, and a $4.6B compliance cost, even as CMS finalized the proposed rule. ▼
Facilities in rural and Medicaid-heavy markets face the most acute staffing-gap and civil monetary penalty risk, suggesting continued congressional activity to address the issues surrounding the staffing mandate.
Senator rails against ‘punitive’ CMS, nursing home staffing rule in floor speech
“Less than a quarter of North Dakota facilities meet this requirement, and among rural facilities, only 14% will meet that mandate.”
— McKnight’s Long-Term Care News, September 25, 2024
Republicans won’t force vote to overturn nursing home staffing mandate
“Whether a CRA passes or not, the problem is still sitting there. The goal is not just to be able to pass the CRA. The goal is to be able to stop that policy implementation.”
— McKnight’s Long-Term Care News, September 18, 2024
Republicans Won’t Pursue Legislative Measure to Overturn Nursing Home Staffing Mandate
“Despite the absence of a CRA vote, Lankford noted that alternative strategies are being considered, such as utilizing year-end funding bills to block the implementation of the staffing mandate.”
— Skilled Nursing News, September 18, 2024
“There will be a Congressional Review Act I’m heading the charge up on. It’s going to pass.”
— McKnight’s Long-Term Care News, June 4, 2024
“Whether it’s $300,000 or $400,000, it’s an unfunded mandate that the vast majority of buildings across the country simply don’t have the funds to meet.”
— Skilled Nursing News, June 4, 2024
Rare congressional review aims to undo nursing home staffing mandate
“To see the House begin CRA proceedings on an executive rule this bad is a strong message from elected officials that they are increasingly prioritizing access to care for our nation’s seniors.”
— McKnight’s Long-Term Care News, May 16, 2024
House committee split raises new questions on nursing home staffing rule’s future
“I fear that the minimum staffing rule will force nursing homes to close or reduce the number of seniors served.”
— McKnight’s Long-Term Care News, May 1, 2024
Top US health official takes more heat over nursing home staffing standards
“Estimates show this rule will impose a $4.6 billion cost on nursing homes, 94% of which currently wouldn’t be in compliance, jeopardizing access to care for 1.2 million Americans.”
— McKnight’s Long-Term Care News, March 22, 2024
“We have to make sure that if we’re going to leave our loved one in a nursing home, there is a nurse that is available to provide care. And these standards simply say that.”
— Skilled Nursing News, March 21, 2024
Senators Blast Nursing Homes’ Staffing Proposal in Finance Meeting, Citing Lack of Funding, Staff
“Even those trying to hire people can’t find people to fulfill it. So four out of five nursing homes are going to be out of compliance with administration rules.”
— Skilled Nursing News, March 15, 2024
House Advances Legislation To Block Nursing Home Federal Staffing Proposal
“The blanket, unfunded mandate that CMS intends to impose on nursing homes will be detrimental to our most vulnerable citizens, especially in our rural and underserved communities.”
— Skilled Nursing News, March 6, 2024
“H.R. 7513, the ‘Protecting America’s Seniors’ Access to Care Act’ was ordered favorably reported to the House of Representatives as amended … by a roll call vote of 26 yeas and 17 nays.”
— House Committee on Ways and Means, March 6, 2024
Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate
“This unfunded mandate threatens access to long-term care for seniors everywhere, but especially our nation’s rural and underserved communities.”
— McKnight’s Long-Term Care News, December 7, 2023
Bipartisan Legislation Aims to Block CMS Staffing Proposal – Most Recently With Senate Bill
“The Senate bill is endorsed by more than 90 organizations, according to Fischer’s office.”
— Skilled Nursing News, December 6, 2023
ICYMI: Democrat Lawmaker Opposition Of Federal Staffing Mandate For Nursing Homes Is Growing
“This is not a partisan issue. The long term care industry needs tailored, supportive solutions in order to grow its workforce rather than a blanket, unfunded mandate that will put access to care at risk for nearly 300,000 nursing home residents.”
— American Health Care Association / NCAL, November 30, 2023
Senator promises legislation to quash nursing home staffing mandate
“This mandate from CMS would devastate facilities across Nebraska and other rural states. It would force many facilities to reduce their number of patients or close their doors for good.”
— McKnight’s Long-Term Care News, November 29, 2023
Legislation to Block CMS’ Nursing Home Staffing Mandate Gaining Steam Among Senators
“The increased co-sponsor interest means that the legislation is gaining momentum.”
— Skilled Nursing News, November 29, 2023