President Joe Biden is launching a major overhaul of nursing home quality in his State of the Union speech
Lawmakers in Congress have been debating legislation to require minimum staffing standards for facilities that accept payment from Medicare and Medicaid, as virtually all do. The original plan was to include staffing requirements in Biden's domestic agenda bill, but with that legislation stalled the administration seems to be shifting to using its regulatory powers to bring about changes.
“Despite the tens of billions of federal taxpayer dollars flowing to nursing homes each year, too many continue to provide poor, substandard care that leads to avoidable resident harm,” said a White House policy document that outlined Biden's plan.Beefed-up oversight is another priority for Biden. His plan calls for increasing the nursing home inspection budget by $500 million, a boost of nearly 25%.
Biden's plan calls for the government to keep a focus on vaccinating and boosting nursing home residents and staff, along with regular testing. While the omicron wave saw increased cases and deaths in nursing homes, facilities were largely spared a repeat of last winter's grim experience. More than half of the nation's nursing homes are owned by for-profit companies, and the administration wants to shine a spotlight on a growing trend of private equity firms snapping up ownership of facilities.
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Biden to launch ambitious overhaul of nursing home qualityTaken together, the more than 20 separate steps would raise the bar on staffing and quality, increase government oversight, continue efforts to keep COVID-19 out of nursing homes, and shine a spotlight on a growing trend toward investor-owned, for-profit facilities.
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