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Minimum Staffing Roundup

Opposition has plans to defeat CMS’ proposed minimums rule

November 4, 2023

Our Take: As the 60-day public comment period closed November 6, AHCA/NCAL and major provider associations formally called on CMS to rescind its proposed federal staffing mandate. Bipartisan senators, former House Speaker Paul…

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Congress has thoughts about the proposed minimum staffing rule

November 2, 2023

Our Take: Throughout fall 2023, a broad and bipartisan coalition of U.S. senators, House members, governors, MedPAC commissioners, and long-term care organizations called on the Biden Administration to withdraw its proposed minimum nursing…

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Analyses predict high annual cost of staffing mandate

October 10, 2023

Our Take: Multiple independent analyses released in fall 2023 estimate the cost of the proposed nursing home minimum staffing mandate. From CMS’ estimate at $4.1 billion to Leading Age’s $7.1 billion, providers warn…

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CLA analysis: Federal nursing home staffing mandate projected to cost $6.8B to $11.7B annually, require more than 100,000 new hires

September 30, 2023

Our Take: CliftonLarsonAllen (CLA), on behalf of the American Health Care Association, published a series of cost analyses between July 2022 and September 2023 estimating that compliance with proposed federal minimum staffing requirements…

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AHCA & CLA: High costs to comply with potential minimum staffing rule

September 20, 2023

Our Take: An analysis by CliftonLarsonAllen (CLA), commissioned by AHCA, projects that a staffing minimum of 4.1 hours per resident per day will require SNFs to spend over $10 billion more annually. Providers…

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CMS issues proposed minimum staffing rule

September 1, 2023

Our Take: On September 1, 2023, CMS issued its first-ever proposed federal minimum nurse staffing rule for long-term care facilities, establishing thresholds of 0.55 hours per resident day (HPRD) for registered nurses and…

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AHCA lobbies against potential minimum staffing regulations

July 25, 2023

Our Take: Trade associations, and provider groups mounted a sustained campaign against an expected minimum staffing mandate. Citing a workforce more than 200,000 jobs below pre-pandemic levels, AHCA, LeadingAge, and the AHA consistently…

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Leaked CMS study finds no single staffing level guarantees quality care in nursing homes

June 30, 2023

Our Take: A comprehensive report prepared under contract to CMS by ABT Associates was inadvertently published in August 2023. The report found no single staffing level that would guarantee quality care in nursing…

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Proposed rule digest: Feds’ value-based changes present ‘long overdue’ opening for SNFs

April 6, 2023

Our Take: CMS finalized the FY 2024 SNF Prospective Payment System rule, delivering a 4.0% payment increase of approximately $1.4 billion while overhauling the Value-Based Purchasing program. VBP sees new measures tied to…

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How to boost your nursing home star rating

November 2, 2021

Our Take: As operations settled back into a routine, the industry again turned to managing their staffing and quality levels against CMS compliance thresholds. Strategies to managed five star ratings, health inspections, staffing,…

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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…

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

April 9, 2026

Latest PBJ News

Our Take: Minnesota’s Nursing Home Workforce Standards Board was created in 2023 to set binding wage floors and…

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…

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