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Senate bill would require Texas nursing homes to spend 80% of Medicaid payments on direct resident care; advocates and operators disagree on effects
Summary
Senate Bill 457 would require nursing homes to dedicate at least 80% of certain Medicaid funds to direct resident care and expand ownership disclosure; the Health and Human Services Committee left the bill pending for further public testimony and technical work.
Senate Bill 457 would require nursing facilities that receive Medicaid payments to dedicate at least 80% of specified Medicaid funds to direct resident care and to disclose any affiliated entities with a 5% or greater ownership stake. The Health and Human Services Committee laid the bill pending for later public testimony.
Supporters said the measure would increase transparency and steer taxpayer dollars toward bedside care. “When families place a loved one in a nursing home, they do so with the expectation of safety, dignity, and quality of care,” Andrea Earl of AARP Texas told the committee. She noted more than half of Texas nursing homes were rated one or two stars by CMS and asked, “where is the money going?”
Patty Duque, the state…
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