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Committee pauses nursing-home staff-ratio regulation pending fuller fiscal review
Summary
The Legislative Regulation Review Committee voted to reject regulation 2024-026 without prejudice after DSS and DPH testimony produced differing cost estimates; members cited uncertainty about Medicaid reimbursements and potential impacts on low-margin, Medicaid-dependent nursing homes.
Representative Dathan, chair of the Legislative Regulation Review Committee, opened consideration of proposed regulation 2024-026 from the Department of Public Health on nursing home staff ratios and initially moved to accept the LCO recommendation of approval with technical corrections.
Senator Kissel raised concerns that the regulation could shift substantial costs to the Department of Social Services (DSS). Nicole Godburn, fiscal manager for reimbursement and certificate-of-need at DSS, told the committee that DSS examined nursing-home cost reports and estimated roughly 24 homes would need to add certified nursing assistant (CNA) coverage and about four homes would need additional…
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