Latest PBJ News For SNFs | Industry Updates, Guidance & Strategy

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Latest PBJ News

Minnesota SNF wage floor implementation delayed as CMS review restarts and provider associations file federal lawsuit

April 9, 2026

Our Take: Minnesota’s Nursing Home Workforce Standards Board was created in 2023 to set binding wage floors and working conditions for SNF staff. Planned minimum wages of $19/hour were delayed by several setbacks…

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New York minimum staffing mandate journeys through workforce shortages, enforcement, and legal challenges

April 8, 2026

Our Take: New York’s 3.5-hour minimum staffing requirement has progressed from contested legislation to active penalty assessment. State fines of up to $2,000 per day are being levied against noncompliant facilities – even…

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Medical Director compliance under increasing federal and state scrutiny

February 23, 2026

Our Take: Federal regulators and state lawmakers are intensifying scrutiny of SNF medical directors. OIG is actively reviewing whether PBJ-reported hours reflect actual engagement and whether existing oversight is sufficient. A Maryland bill…

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Virginia tries again for a state staffing minimum

February 17, 2026

Our Take: Virginia has spent more than two years trying to establish nursing home minimum staffing standards. New legislation seeks a phased-in requirement of 3.08–3.25 hours of nurse staffing per resident per day.…

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SNF benchmarking report points to value based care, Medicare Advantage, and PBJ scrutiny

January 30, 2026

Our Take: Plante Moran’s 2025 SNF Benchmarking Report analyzes data from over 12,000 skilled nursing facilities. They highlighted trends in Medicare Advantage enrollment, value-based purchasing, I-SNPs, and labor costs that are reshaping reimbursement…

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PBJ data driving increased scrutiny of nursing home staffing

November 1, 2025

Our Take: A growing ecosystem of tools and research are used by external stakeholders to evaluate nursing home staffing. Some recent uses include a new publicly available PBJ dashboard, updated U.S. News nursing…

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New Jersey SNF staffing mandate triggers fines, lawsuit and a court ruling

May 19, 2025

Our Take: New Jersey’s 2020 minimum staffing law has triggered at least $425,000 in fines against nursing homes in just six weeks, prompting six providers and the Health Care Association of NJ to…

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Connecticut staffing mandate brings $55M in unexpected costs.

February 28, 2024

Our Take: Connecticut’s nursing home staffing mandate generated $55 million in unanticipated Medicaid liability after a state health agency imposed RN-specific hour requirements beyond legislative intent. The rule that was in effect for…

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White House order aims to tie nursing home Medicare payments to worker retention

April 18, 2023

Our Take: President Biden signed an executive order directing HHS to build on minimum staffing standards and condition a portion of Medicare payments on how well nursing homes retain workers. Industry associations expressed…

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News Roundup: Plaintiffs’ lawyers gaining edge against nursing homes with staffing issues, plus SNF VBP & PHE waiver wind down

March 29, 2023

Our Take: Rising plaintiff litigation using publicly available staffing data creates compliance and legal exposure for SNFs. A new Total Nurse Staffing measure tied to PBJ data will begin affecting SNF VBP payments…

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PBJ News Topics

Read about PBJ regulations, research & news impacting SNFs

Most Recent PBJ News

SNF pay rate proposals bring heightened CMS enforcement

April 10, 2026

PBJ Policy & Enforcement

Our Take: CMS has proposed a 2.4% Medicare rate increase for SNFs in FY 2027 while simultaneously expanding…

New York minimum staffing mandate journeys through workforce shortages, enforcement, and legal challenges

April 8, 2026

Latest PBJ News

Our Take: New York’s 3.5-hour minimum staffing requirement has progressed from contested legislation to active penalty assessment. State…

Democratic bills revive minimum staffing debate

March 30, 2026

Minimum Staffing Roundup

Our Take: CMS repealed the nursing home minimum staffing rule in early 2026 following court defeats. Key provisions…

CMS nursing home funding campaign grows to $200 million

March 16, 2026

Minimum Staffing Roundup

Our Take: CMS has expanded its nursing home staffing campaign from $75 million to $200 million. Proposed with…

PBJ technical specifications changed

March 16, 2026

PBJ Policy & Enforcement

Our Take: CMS made minor updates to the PBJ data specification for uploaded PBJ files. Users can no…

The effects of labor unions on nurse staffing ratios

March 2, 2026

PBJ Research & Analysis

Our Take: A Health Affairs study of 321 newly unionized nursing homes from 2013 to 2021 found that…

Did state staffing mandates add direct care staff or hurt SNF finances?

March 2, 2026

PBJ Research & Analysis

Our Take: A study of 6,849 nursing homes in 22 states found that state minimum staffing mandates raised…

Medical Director compliance under increasing federal and state scrutiny

February 23, 2026

Latest PBJ News

Our Take: Federal regulators and state lawmakers are intensifying scrutiny of SNF medical directors. OIG is actively reviewing…

Virginia tries again for a state staffing minimum

February 17, 2026

Latest PBJ News

Our Take: Virginia has spent more than two years trying to establish nursing home minimum staffing standards. New…

State Attorneys General ask CMS for staffing rule on for-profit SNFs

February 1, 2026

Minimum Staffing Roundup

Our Take: Following CMS’s repeal of a federal staffing mandate, attorneys general from 18 states are urging the…

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