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Nursing Home Operators Wary of Steep Medicaid Cuts as "One Big Beautiful Bill" Moves to Senate

Even as long-term care providers celebrate a proposed 10-year moratorium on the nursing home staffing mandate[1], they are sounding the alarm over major Medicaid cuts included in the House-passed budget reconciliation bill...more

In Surprise Move, DHHS Appeals District Court Decision to Strike Down Long Term Care Staffing Mandates

On April 7, 2025, U.S. District Judge Matthew J. Kacsmaryk of the Northern District of Texas struck down the Biden administration’s final rule related to federally imposed minimum staffing requirements for long term care...more

Nursing Home Industry Cheers While Also Signaling a Continuing Need for Workforce Solutions

When the Biden administration issued its final rule related to federally imposed minimum staffing requirements for long-term care facilities (“Final Rule”) on April 22, 2024, it sought to mandate minimum levels of nursing...more

Federal Long Term Care Staffing Mandates:  Impacts on Facilities Across the Country and in Alabama

On May 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published its controversial final rule imposing minimum staffing requirements for long term care facilities (the “Final Rule”). When it takes effect on June...more

Federal Long Term Care Staffing Mandates:  Key Requirements, Compliance Dates, Hardship Exceptions, and Ongoing Controversy

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) issued its controversial final rule related to the first federally imposed minimum staffing requirements for long term care facilities (“Final Rule”).[i] ...more

States Mobilize for the Great Medicaid Unwinding

Enacted at the start of the COVID-19 pandemic, the Families First Coronavirus Response Act (FFCRA) required states to keep individuals continuously enrolled in their Medicaid programs throughout the public health emergency...more

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