In a June 27 letter to the CMS Administrator, LeadingAge joined AHCA, AJAS, AAPACN, LSA and other associations to outline significant concerns about, and opposition to, the increased enforcement proposal laid out in CMS’s FY 2025 Medicare PPS Proposed Rule for Skilled Nursing Facilities (SNFs).
This proposal, which seeks to layer civil monetary penalties (CMPs) onto nursing homes, will not lead to better resident care. Instead, it will exacerbate the existing workforce crisis and displace more of our nation’s vulnerable residents. There is no evidence that imposing CMPs directly improves the quality of care in nursing homes, the letter says. More CMPs would divert funds from care and services for residents and this would further reduce the number of nursing homes eligible to offer training programs known to help hire and develop nursing staff. In addition, the proposed revisions to the CMP enforcement mechanism are inconsistent with federal statute, congressional intent, and agency authority and should be withdrawn. LeadingAge submitted comments on the SNF PPS rule in June; our comments included similar opposition to the proposed rule’s increased CMPs.