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Diving brief:
The Trump administration rescinded a Biden-era rule on Tuesday that would have required nursing homes to increase their staffing and have a registered nurse on the building around the clock.
The Biden administration introduced the rule in 2023 and finalized it in April 2024. However, lawmakers and nursing homes have opposed the rules, saying the industry cannot afford to increase staffing amid a worker shortage. In April, a federal judge sided with the trade organizations and struck down the rule, saying the Department of Health and Human Services had exceeded its authority in issuing it.
Now, HHS has been abolished§ The ruleSaying it would disproportionately burden rural and tribal communities. Health and Human Services Secretary Robert F. “Safe, high-quality care is essential, but strict, one-size-fits-all mandates are failing patients,” Kennedy Jr. said in a statement. “This administration will protect access to care by removing federal barriers — not by imposing requirements that limit patient choice,” he added.
Insight Diving:
The staffing rule was intended to address quality concerns exposed during the COVID-19 pandemic, which found that inadequate staffing can lead to more falls, illness and lower health outcomes for patients. The Biden administration cited research that found increased staffing levels are associated with better patient health.
The final rule would have required nursing homes that receive Medicare and Medicaid funding to have at least one registered nurse on site 24 hours a day, in addition to a total of 3.48 nurses per resident per day.
Industry groups said these standards were too burdensome, especially in light of ongoing staff shortages.
Analysis from CMS found that 79% of nursing homes would have to increase staffing to meet the 3.48 hours of patient care per resident, per day requirement. 81% of facilities expected You will have to hire additional staff.
Implementing the rule could also cost the industry up to $1.5 billion To $6.8 billion, according to CMS.
Since President Donald Trump took office in January, the administration has backed away from enforcing the rules. In July, Trump signed the “Big Beautiful Bill” into law, which included a 10-year moratorium on implementation of the mandate.
“At CMS, our mission is not just to improve outcomes, but to ensure that those outcomes are achievable for all communities. We cannot achieve this goal by ignoring the daily realities facing rural and underserved populations,” CMS Director Dr. Mehmet Oz said in a statement. “This repeal is a step toward smarter, practical solutions that truly work for the American people.”
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