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enforcement mechanism are inconsistent with federal statute, congressional intent, and agency authority and should be withdrawn.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. 

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Kylee Childs, MSW, is the Director of Government Affairs.Since joining the association in 2023, she continues to be a fierce and resourceful advocate for aging services in Kansas. Her professional focus has always been service to others through advocacy. Kylee has a master’s degree in social work from the University of Missouri-Columbia, a bachelor's degree in criminology with a minor in Conflict Analysis and Trauma studies from Kansas State University, and a certificate in Grant Proposal Writing from Fort Hays State University. With a professional background in law enforcement and child welfare, and a successful 2023 legislative practicum with the Children's Alliance of Kansas, she brings rich professional experience to her role as Director of Government Affairs, and a front-line perspective on the needs of health and human services providers in our state. When not working, she's spending time with her two daughters. You can reach Kylee directly at 785.670.8051.