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Skilled‑nursing providers press for WQIP restoration as DHCS crafts longer‑term financing reform

California State Senate Budget Subcommittee No. 3 on Health and Human Services · March 26, 2026
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Summary

DHCS outlined proposed one‑year SNF financing extensions and stakeholder engagement on a multi‑year redesign; nursing home workers, provider groups and public hospitals urged restoring the Workforce & Quality Incentive Program (WQIP) or temporary extensions to avoid workforce and care impacts.

DHCS presented trailer bill language proposing a one‑year extension to the Medi‑Cal long‑term care reimbursement framework to maintain the SNF workforce standards program, the accountability sanctions program and the SNF quality assurance fee (SNF QAF) that adds more than $600 million in state revenue annually. The department said it is exploring options for a 2027‑28 SNF financing redesign, including acuity‑based rates, performance…

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