Trump Administration Presses for Less Nursing Home Protections

It’s been more than nine months since the Centers for Medicare & Medicaid Services (CMS) issued revised nursing home regulations that had been carefully and thoughtfully developed over four years. The new rules, finalized last September, were aimed at promoting residents’ health and safety. Now, however, under pressure from the Trump Administration, CMS is backtracking and weakening resident protections. Shortly after Donald Trump won the presidency, nursing home lobbyists began putting pressure on CMS to eliminate or delay enforcement of some of the revised regulations and to significantly reduce penalties imposed when a nursing home violates the law. As disturbing as it seems, CMS, more often than not, has given in to the lobbyists. Protections have steadily grown weaker since January 2017, and the Trump Administration’s actions suggest an intent to continue undermining them. This is bad news for nursing home residents, for their families and friends, and for anyone who cares about the well-being of older Americans. Here are some of the more troubling measures CMS has already undertaken:  Dec. 15, 2016: Nursing home lobbyists begin pushing the Centers for Medicare & Medicaid Services (CMS) to repeal and replace nursing home regulations that became effective in November 2016, eliminate fines when the violation occurred prior to an inspection, and repeal CMS S&C Memo 16-31-NH relating to enforcement actions. See the American Health Care Association’s (AHCA) letter to President-Elect Donald Trump at March 9, 2017: Nursing home lobbyists once again pressure CMS to (1) repeal and replace the nursing home regulations that became effective in November 2016; (2) eliminate numerous regulations, including the ban on arbitration, agreements duri [...]

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6/15/18 5:59 PM

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