SNF-Health Services

Engage Headlines


LeadingAge California Co-Sponsored Legislation Passes Senate Human Services Committee

On June 12, a LeadingAge California co-sponsored bill that would require all RCFEs to provide initial and annual training on the community’s disaster preparedness plan passed the Assembly Human Services Committee without one “no” vote. LeadingAge California is co-sponsoring this bill with the California Assisted Living Association (CALA) and 6Beds, Inc.

 

CCRC Actuarial Studies Bill Passes Senate Human Services Committee

A CALCRA-sponsored Assembly bill that would require all Continuing Care Retirement Communities (CCRCs) to conduct an actuarial study every five years has passed the Senate Human Services Committee. 

 

LeadingAge California Releases Additional Technical Brief on AED Use in Long-Term Care Settings

LeadingAge California has released a series of technical briefs for members, which can be accessed on the LeadingAge California website. This member-only benefit is intended to provide a way to navigate common regulatory requirements.

 

California Department of Public Health (CDPH) Releases Staff Addresses Under Court Order

On Friday, June 8, in response to a California Public Records Act and corresponding court order, the California Department of Public Health (CDPH) released the addresses of record for a number of staff classifications, including: certified nurse assistants, certified hemodialysis technicians and licensed nursing home administrators.

 

California Department of Public Health (CDPH) to Release Staff Addresses Under Court Order

Late last week, and without advanced notice, LeadingAge California was notified that the California Department of Public Health (CDPH) was reaching out to skilled nursing providers that they will be releasing the address of record for a number of staff classifications, including: certified nurse assistants, certified hemodialysis technicians and licensed nursing home administrators on May 15.

 

Member Resource: LeadingAge California Technical Briefs on Regulatory Issues

LeadingAge California has released a series of technical briefs for members, which can be accessed on the LeadingAge California website. This member-only benefit is intended to provide a way to navigate common regulatory requirements.

 

California’s “Aid-in-Dying” Law Overturned

On Tuesday, a California court overturned California's controversial "Aid-in-Dying" law. California’s law, which allows terminally-ill patients to request lethal medications from their doctors, was passed during a special session of the legislature nearly two years ago.

 

Legislation Requiring Continuing Care Retirement Communities to Conduct Actuarial Studies Passes the Assembly

A CALCRA-sponsored Assembly bill that would require all Continuing Care Retirement Communities (CCRCs) to conduct an actuarial study every five years has passed through two committees.

 

LeadingAge California Co-Sponsored Legislation Passes Assembly Human Services Committee

On April 20, a LeadingAge California co-sponsored bill that would require all RCFEs to provide initial and annual training on the community’s disaster preparedness plan passed the Assembly Human Services Committee without one “no” vote. LeadingAge California is co-sponsoring this bill with the California Assisted Living Association (CALA) and 6Beds, Inc.

 

LeadingAge California Co-Sponsored Legislation Passes Assembly Aging and Long-Term Care Committee

On April 17, a LeadingAge California co-sponsored bill that would require all RCFEs to provide initial and annual training on the community’s disaster preparedness plan passed the Assembly Aging and Long-Term Care Committee without one “no” vote. LeadingAge California is co-sponsoring this bill with the California Assisted Living Association (CALA) and 6Beds, Inc.

 

Member Resource: LeadingAge California Technical Briefs on Regulatory Issues

LeadingAge California has released a series of technical briefs for members, which can be accessed on the LeadingAge California website. This member-only benefit is intended to provide a way to navigate common regulatory requirements.

 

Legislation Requiring Continuing Care Retirement Communities to Conduct Actuarial Studies Passes First Two Committees

A CALCRA-sponsored Assembly bill that would require all Continuing Care Retirement Communities (CCRCs) to conduct an actuarial study every five years has passed through two committees.

 

Legislation Defining “Public Shaming” As Elder Abuse Passes Assembly Aging and Long-Term Care Committee

On April 17, an Assembly bill defining “public shaming” as elder abuse passed the Assembly Aging and Long-Term Care Committee.

 

Member Resource: LeadingAge California Technical Briefs on Regulatory Issues

LeadingAge California has released a series of technical briefs for members, which can be accessed on the LeadingAge California website. This member-only benefit is intended to provide a way to navigate common regulatory requirements. 

 

Emergency Preparedness Webinar Series to start June 12, 2018!

Save the Dates! LeadingAge California has partnered with Connect Consulting Services to offer a series of webinars to help you develop an emergency preparedness program in your community.

 

Entrance Fee Pooling Bill Introduced

AB 2033 (Choi) was introduced in the state legislature to allow the “pooling” of entrance fees. A model heavily used by providers like Erickson Senior Living.

 

Bill Amended to Address CCRC Actuarial Studies & Capital Improvements

AB 3088 (Chu), was recently amended to include provisions relating to continuing care retirement community actuarial study requirements.

 

Senate Budget Subcommittee Discusses Measure Seeking to Collect More Statewide LTSS Data

On Monday, March 5, the Senate Budget Subcommittee on Health and Human Services held their first hearing on the Governor’s proposed budget.

 

LeadingAge California Co-Sponsoring Bill to Update RCFE Disaster Planning

LeadingAge California, in conjunction with the California Assisted Living Association and 6Beds, Inc, have introduced a bill that would add some common-sense requirements for RCFEs when developing their facility-wide emergency plans.

 

Member Resource: LeadingAge California Technical Briefs on Regulatory Issues

LeadingAge California has released a series of technical briefs for members, which can be accessed on the LeadingAge California website. This member-only benefit is intended to provide a way to navigate common regulatory requirements.

 

LeadingAge California Releases Three Additional Technical Briefs on Regulatory Issues

LeadingAge California has released a series of technical briefs for members, which can be accessed on the LeadingAge California website. This member-only benefit is intended to provide a way to navigate common regulatory requirements.

 

Final Stakeholder Meeting on New Skilled Nursing Facility Staffing Ratios Held on February 23rd

On Thursday, February 23, the final stakeholder meeting with the Department of Public Health regarding implementation of new skilled nursing facility staffing ratio, which will be implemented on July 1, 2018.

 

Hundreds of Bills Potentially Impacting LeadingAge California Members Introduced at the Deadline

A flurry of legislation was introduced near the bill deadline that may have significant impacts on LeadingAge California members.

 

California Department of Public Health Releases Small-House SNF Standards

The California Department of Public Heath has released standards for operating a "small house" skilled nursing facility under California's pilot program.

 

Caregiver Support Bill Passes Congress

On January 8th, the U.S. Senate passed the Recognize, Assist, Include, Support and Engage (RAISE) Family Caregiver Act of 2017. The RAISE Act was sponsored by Senator Susan Collins (R-ME) and Tammy Baldwin (D-WI).

 

LeadingAge California Releases Additional Technical Briefs on Regulatory Requirements

LeadingAge California has released a series of technical briefs for members, which can be accessed on the LeadingAge California website. This member-only benefit is intended to provide a way to navigate common regulatory requirements.

 

New Final Rule Requirement Moving Forward

The Centers for Medicare and Medicaid Services (CMS) is moving forward with its implementation of the second phase (Phase Two) of the Requirements of Participation.

 

2017 Legislative Overiew

October 15 was the Governor's deadline to clear 977 bills that were on his desk in 2017. Of the 977, he signed 859 and vetoed 118.

 

Appeals Court Rules Against Providers in Florida Generator Case

On October 19, the First District Court of Appeals sided with Florida Governor Rick Scott (R), requiring long-term care facilities to install generators and other resources to maintain operation for up to 96 hours after a power outage.

 

Dietary Services Grant Project Seeks Volunteer Facilities to Test Training Program

LeadingAge California has partnered with the California Association of Health Facilities (CAHF) and the California Department of Public Health to implement the CMS/CDPH Dietary Grant, a three-year grant to improve dietary services in California SNFs.

 

LeadingAge Releases New Tools and Resources for Phase Two Implementation of RoPs

LeadingAge has released additional tools and resources for members to use to comply with the new CMS Requirements of Participation (RoPs).

 

Legislation Aimed At Lowering The Evidentiary Standard For Elder Abuse Claims Passes Off The Senate Floor

An Assembly Bill that would lower the standard of evidence needed to prove Elder Abuse has moved off the Senate floor, and is now awaiting concurrence in the Assembly. The bill is likely headed to the Governor for signature.

 

LeadingAge California Participates in Stakeholder Meeting on New Skilled Nursing Facility Staffing Ratios

On Friday, August 11, LeadingAge California participated in a stakeholder meeting with the Department of Public Health regarding implementation of new skilled nursing facility staffing ratio, which will be implemented on July 1, 2018.

 

Clearing the SNF Quality Reporting Program Confusion

by Nicole Fallon, LeadingAge: In the past several weeks, there have been a number of communications from CMS regarding issues, corrections, changes to reporting periods and implementation of the 2 percent payment reduction for “non-compliant” SNFs.

 

Informational Hearing on LTSS Financing Held September 21st

On Thursday, September 21, the Assembly Aging and Long-Term Care Committee will be hosting an informational hearing on financing long-term services and supports.

 

Governor Signs Budget Trailer Bill Authorizing Higher Staff-To-Patient Ratios In Skilled Nursing Facilities

On Wednesday, July 12, Governor Edmund G. “Jerry” Brown, Jr., signed SB 97, a budget trailer bill that will increase the minimum nursing hours per patient day (NHPPD) in nursing homes from 3.2 to 3.5 hours. Furthermore, this bill will also require than within the 3.5 NHPPD, certified nursing assistants (CNAs) cover 2.4 of those hours.

 

CMS Releases Revised Appendix PP with Renumbered F Tags

The Centers for Medicare and Medicaid Services (CMS) has released a new Survey & Certification letter, S&C: 17-36-NH, detailing revisions to the State Operations Manual (SOM) Appendix PP for Phase 2, F-Tag revisions, and related issues. Revisions will be effective on November 28, 2017.

 

CMS Revision of Civil Money Penalty (CMP) Policies and Analytic Tool

On Friday, July 7th, 2017, The Centers for Medicare and Medicaid (CMS) released the Revision of Civil Money Penalty (CMP) Policies and the Analytic Tool User's Guide.

 

CMS Proposes To Revise Arbitration Agreement Requirements for Long-Term Care Facilities

The Centers for Medicare & Medicaid Services (CMS) published a proposed rule in the Federal Register on June 8, 2017 revising the requirements for the use of arbitration agreements in long-term care facilities. The proposed rule reverses the ban on pre-dispute binding arbitration agreements contained in the October, 2016 Reform of Requirements of Long-Term Care Facilities Final Rule.

 

Private Right of Action Removed from LGBT Legislation

On May 26th, legislation that would create a Lesbian, Gay, and Bi-Sexual and Transgender (LGBT) Bill of Rights for long-term care facility residents was significantly amended to make the bill more palatable for providers.

 

Legislation to Lower Evidentiary Standards for Elder Abuse Claims Passes Through Assembly

An Assembly Bill that would lower the standard of evidence needed to prove Elder Abuse has moved off the Assembly floor, and is now awaiting committee assignment in the Senate.

 

CMS Looking Into Revisions of the Requirements of Participation to Reduce Burden on Providers

In a proposed rule regarding nursing home payment and other issues, the Centers for Medicare and Medicaid Services (CMS) has requested comments from stakeholders about possible changes to the revised Requirements of Participation (RoPs) for nursing homes.

 

Data Submission for Skilled Nursing Facility Quality Reporting for Fiscal Year 2018 Due May 15th

Skilled nursing facilities (SNFs) have until May 15, 2017 to complete their first required MDS data submissions to the Centers for Medicare and Medicaid Services (CMS) under the Quality Reporting Program (QRP), or be at risk of losing two percent of their FY 2018 Medicare rates as a penalty for failure to report.

 

Hospital Proposed Rule Impacts Hospice, Home Health and SNFs

On April 14, the Centers for Medicare & Medicaid Services (CMS) released a proposed regulation that will have implications for hospice, home health and SNF providers.

 

LGBT Bill of Rights Legislation Being Heard

On April 18, legislation that would create a Lesbian, Gay, and Bi-Sexual and Transgender (LGBT) Bill of Rights for long-term care facility residents will be heard in the Senate Judiciary Committee.

 

LeadingAge Urges Regulatory Reform at CMS

LeadingAge President and CEO Katie Smith Sloan and Dr. Cheryl Phillips, Senior Vice President for Public Policy and Health Services participated, along with other LeadingAge State Affiliates, in a meeting with Seema Verma, the new head of the Center for Medicare and Medicaid Services (CMS) to discuss the need for nursing home regulatory relief.

 

CMS Issues Letter Detailing Nursing Home CMP Increases for 2017

The Centers for Medicare and Medicaid Services (CMS) has released Survey and Certification Letter No. S&C: 17-23-NH/HHA/CLIA, dated Mar. 31, 2017, that details the increase in civil monetary penalties (CMPs) for nursing home regulatory noncompliance pursuant to a final rule issued on Feb. 3, 2017

 

Legislation Pertaining to Not-For-Profit Health Facility Sales Being Heard in Assembly Health Committee

On March 28, legislation that would add additional reporting requirements for not-for-profit health facilities who wish to sell their facilities to for-profit corporations is being heard in the Assembly Health Committee.

 

LGBT Bill of Rights Legislation Being Heard

SB 219 (Weiner, D-San Francisco) aims to address the rights of LGBT residents in long-term care facilities, and prohibits the facility from taking specified actions based on a person’s sexual orientation, gender identity, gender expression or human immunodeficiency virus (HIV) status.

 

California Department of Public Health Proposes to Increase SNF Licensing Fees

State law requires the California Department of Public Health to publish the proposed licensing fee report for every category of facility, clinic or agency, as well as proposed fees for licensed Nursing Home Administrators, on February 1 of each year.

 

Several Concerning Skilled Nursing-Related Bills Introduced At Bill Introduction Deadline

A flurry of legislation was introduced near the bill deadline that may have significant impacts on California skilled nursing facilities.

 

Washington State Introduces Legislation to Finance Long-Term Care

On January 25, Washington State introduced legislation that would provide a newly created public benefit to finance long-term care costs in the state.

 

Legislative Analyst’s Office Releases Report on California Impact of Affordable Care Act Repeal

In February 2017, the California Legislative Analyst’s Office (LAO) released a report on how the repeal of the Affordable Care Act (ACA) might impact California. The report, titled, “The Uncertain Affordable Care Landscape: What It Means For California,” provides a thorough overview of how the ACA fundamentally altered the health care landscape in the state, and how potential changes to the health care law might change the provision of services.

 

LeadingAge Develops Series of New Member Resources for CMS Requirements of Participation Implementation for Nursing Homes

LeadingAge has developed a series of new tools and resources for skilled nursing facilities to help with the implementation of the Centers for Medicare and Medicaid Services (CMS) Final Rule on Long-Term Care Requirements for Participation for Nursing Homes. CMS began implementing phase one of the rule on November 28th, 2016.

 

MedPAC and MACPAC Release Data Book for Dual-Eligibles

On Tuesday, January 24th, the Medicaid and CHIP Payment and Access Commission (MACPAC) and the Medicare Payment Advisory Commission (MedPAC), released their joint data book, Beneficiaries Dually Eligible for Medicare and Medicaid.

 

California's $1.9 Billion Budget "Miscalculation" in Medi-Cal Program Leads to Deficit

Governor Jerry Brown’s Administration admitted that they had “miscalculated” costs in the state’s Medi-Cal program last year, contributing to this year’s $1.6 billion deficit. Department of Finance spokesman H.D. Palmer noted, “There’s no other way to describe this other than a straight up error in accounting, which we deeply regret.”

 

New Medicare Service Approved To Improve Care Planning For Alzheimer’s Disease Patients

The Centers for Medicare & Medicaid Services (CMS) recently approved a new Medicare service that will improve access to care planning and related services for persons with cognitive impairment, including Alzheimer’s disease and related dementias.

 

Federal Judge Blocks Portion of Federal Rule That Bans Pre-Dispute Arbitration Agreements in Nursing Home Disputes

On Monday, November 7th, U.S. District Court Judge Michael P. Mills, who sits in the Oxford-based Northern District of Mississippi, temporarily blocked enforcement of the federal government’s looming ban on pre-dispute arbitration in nursing home agreements.

 

CMS Releases New Data on Hospice Utilization

In October, the Centers for Medicare & Medicaid Services (CMS) released a privacy-protected public data set, the Hospice Utilization and Payment Public Use File (Hospice PUF), which provides information on services provided to Medicare beneficiaries by hospice providers.

 

Phase 1 Implementation for CMS Long-Term Care Requirements Rule to Begin November 28

The Centers for Medicaid and Medicare Services Final Rule on Long-Term Care Requirements for Participation will begin its Phase 1 implementation on Monday, November 28th.

 

LeadingAge Five-Star Reports Updated to Reflect New Quality Measures

LeadingAge has updated its popular Five-Star Analysis Reports to include five of the new measures included in the calculation of the Five-Star Quality Rating.

 

Legislation Increasing Nursing Hours Per Patient Day on Senate Floor

A bill introduced earlier this year that would require the California Department of Public Health to develop regulations increasing the number of required nursing hours per patient day (NHPPD) in skilled nursing facilities is currently waiting to be heard on the Senate Floor.

 

Legislation on Approval of Psychotropic Medications on Assembly Floor

A bill that would require a patient with a major neurocognitive disorder (MNCD) who has a conservator to go to court for judicial approval when a physician prescribes any psychotropic medication, is currently on the Assembly Floor.

 

Legislation Recently Introduced to Clarify Treatment Options for Incapacitated Residents

On June 30th, a bill was “gut and amended” to include new language attempting to “fix” the problem created by the Alameda Superior Court decision on the CAHNR v. Chapman ruling issued this past year. On June 24th 2015, the Alameda Superior court ruled that a California law allowing nursing homes to make medical decisions on behalf of mentally incompetent residents is unconstitutional. 

 

AB 2079 Heard in Appropriations on August 1st

A bill introduced earlier this year that would require the California Department of Public Health to develop regulations creating Certified Nursing Assistant (CNA) staff-to-patient ratios in skilled nursing facilities by July 1, 2017 has passed out of the Assembly after being significantly amended on the Assembly Floor.

 

SB 1065 Significantly Amended, LeadingAge California Removes Opposition

A bill that would have weakened that enforcement of arbitration agreements has been significantly amended in the Assembly Judiciary Committee. As a result of the amendments, LeadingAge California was able to remove our opposition to the bill.

 

AB 2079 Passes Out of the Assembly After Being Significantly Amended

A bill introduced earlier this year that would require the California Department of Public Health to develop regulations creating Certified Nursing Assistant (CNA) staff-to-patient ratios in skilled nursing facilities by July 1, 2017 has passed out of the Assembly after being significantly amended on the Assembly Floor.

 

Bill That Would Weaken Arbitration Agreements being Heard in Assembly Judiciary Committee

A bill that would weaken that enforcement of arbitration agreements is being heard in the Assembly Judiciary Committee on Tuesday, June 21st.

 

CDPH-Healthcare Associated Infections Program Hosting Webinar Series for Antimicrobial Stewardship in Nursing Homes

The California Department of Public Health Healthcare-Associated Infections program (CDPH-HAI) is hosting a free webinar series for nursing homes to comply with the new law requiring facilities to adopt and implement an antimicrobial stewardship policy by January 1, 2017.

 

LeadingAge California-Sponsored Bill on SNF Special Services Significantly Amended, Passes Out of Assembly Health Committee

A LeadingAge California-sponsored bill expanding skilled nursing facility (SNF) special services was heard in the Assembly Health Committee on March 29th.

 

Skilled Nursing Facility Antimicrobial Stewardship Plan Required By January 1, 2017

In 2015, the legislature passed and the Governor signed AB 361 (Hill), which requires all skilled nursing homes to adopt and implement an antimicrobial stewardship policy that is consistent with antimicrobial stewardship guidelines developed by the federal Centers for Disease Control and Prevention, the federal Centers for Medicare and Medicaid Services, the Society for Healthcare Epidemiology of America, or similar recognized professional organizations.

 

Music and Memory: Improving Quality of Life and Quality of Care Through Music

Many LeadingAge California members may already be aware of the Music and Memory program; indeed, there are over 18 members who are certified for this program.

 

CNA Staffing Bill Rescheduled to April 12

A bill introduced earlier this year that would require the California Department of Public Health to develop regulations creating Certified Nursing Assistant (CNA) staff-to-patient ratios in skilled nursing facilities was pulled from the Assembly Health Committee on Tuesday, March 29th and has been rescheduled for April 12th.

 

Bill Establishing CNA Staff-to-Patient Ratios Being Heard in Asm. Health Committee

A bill introduced earlier this year that would require the California Department of Public Health to develop regulations creating Certified Nursing Assistant (CNA) staff-to-patient ratios in skilled nursing facilities will be heard in the Assembly Health Committee on Tuesday, March 29th.

 

LeadingAge California-Sponsored Bill To Expand Skilled Nursing Facility Special Services Introduced in Legislature

A LeadingAge California-sponsored bill that would allow skilled nursing facilities (SNF) to provide additional special services other than those currently allowed in state law was introduced in the legislature last week.

 

Bill That Would Have Mandated Skilled Nursing Facility Licensure Denials Dies in Assembly Health Committee

A LeadingAge California-sponsored bill expanding Skilled Nursing Facility (SNF) passed out of the Assembly Appropriations Committee on April 13, and is now headed to the Assembly floor for a vote.

 

Members: Not receiving our communications? 
Subscribe to Engage Headlines e-news and more!



Support the PAC!

Your contributions are needed to help expand the influence and message of nonprofit providers.
Join the PAC online now and you will receive a lapel pin corresponding to your level of support. Please visit our website today to make your much needed contribution.



Content provided by...

Jedd Hampton, director of policy - health services for LeadingAge California.
Jedd can be reached at (916) 469-3366 or jhampton@leadingageca.org