LeadingAge released a new framework and perspective for federal legislation concerning staffing ratios in nursing homes. They’re calling it “Get Real on Ratios.” They also issued a statement to the media, created talking points for you to download, and made available a policymakers handout. Nursing homes will not be able to meet any federally set staffing ratios without additional reimbursement and a sufficient supply of workers seeking jobs in the economy. LeadingAge sent word to Congress today, January 30, outlining six conditions that must be met if CMS is going to mandate staffing ratios in nursing homes. The conditions are:  

  • The Medicaid fee for service reimbursement rate must cover at least 95% of the cost of care. 
  • In Medicaid Managed LTSS states, the state would have to set a benchmark rate equal to at least 95% of the cost of care. 
  • The Secretaries of Labor and Health and Human Services would have to certify that there is not a shortage of potential employees qualified to work in LTC settings. 
  • Standards are flexible enough to meet the needs of the residents being served. 
  • A national public health emergency is not in place. 
  • Staffing ratio mandates include waivers for local emergency conditions.  

Here is a quick backgrounder on the staffing ratios issue. 

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Rachel Monger, JD, LACHA is President/CEO. Rachel joined LeadingAge Kansas in 2011 as the Director of Government Affairs and has been a powerful voice for our membership ever since. Rachel is a Kansas licensed attorney and adult care home administrator. She received her bachelor’s degree from Bard College at Simon’s Rock in Great Barrington, MA, and her Juris Doctorate from the University of Kansas School of Law. Over the years, Rachel has served in many volunteer roles in her community and in the state of Kansas to support senior needs, aging services education, and community mental health services. She is also a member of the Board of Governors for the Kansas Health Care Stabilization Fund. As an award-winning trial lawyer, turned award-winning senior care advocate, she has spent nearly two decades passionately supporting quality of care and quality of life for Kansas seniors. When not at work, Rachel loves reading, crafting, volunteering with her church, and spending time with her partner Steven. You can reach Rachel directly at 785.670.8046.