Articles Tagged with legislation

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evacuation plan

Lawmakers in Outrage of Administration’s Relaxed Nursing Home Emergency Preparedness Proposed Requirements

Sen. Ron Wyden (D-OR) is the ranking member of the U.S. Senate Committee on Finance. He has been outspoken on many occasions regarding the outcome of nursing home preparedness in the event of an emergency such as a natural disaster. And with President Trump’s Administration’s recent announcement to ease a home’s necessary preparedness for emergencies, his concern came with outrage expressed in an official letter to the Centers for Medicare & Medicaid Services.

“It is troubling to see CMS decide to further roll back its already inadequate safeguards with this proposed rule, which does more to cut corners than cut costs,” Wyden wrote. “The Trump administration’s proposal not only strips patients of commonsense protections in order to pad the pockets of medical providers, but goes against the recommendations of well-respected national organizations charged with developing best practices for workplace and consumer safety.”

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evacuation plan

Senate Report Calls for U.S. Nursing Homes to Create Improved Response to Natural Disasters

When a nursing home or long-term care facility becomes vulnerable to an emergency, such as a natural disaster, all hands need to be prepared for safe resident evacuation, tracking and management of patients, backing up to an effective power and communication system, medication holding and climate control, and a plan for sanitation methods to prevent the spread of deadly infections or illnesses. Unfortunately, both Hurricane Harvey and Irma showed the world that many U.S. nursing homes are not prepared after more than a dozen seniors residing in nursing homes were perished. Months beyond these disastrous response outcomes, ranking members of the U.S. Senate Committee on Finance have called for more oversight to prevent tragedies with better planning and regulation of facilities, prompted by the release of an 84-page report highlighting the causes and consequences of facility failures related natural disasters.

Although the Centers for Medicare & Medicaid Services (CMS) pushed out new nursing home and long-term care facility standards for natural disasters in 2017, lawmakers featured in this November 2018 report said that federal rules need to be “more robust and clear,” and until changes are made, seniors in America’s nursing homes will continue to be at risk when disaster strikes.”

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nursing home reform delay

Impact of Centers for Medicare & Medicaid Services (CMS) Decision to Delay Enforcement of Protections For Nursing Home Residents

On May 30 several State Attorneys General, including Illinois Attorney General Lisa Madigan, sent a joint complaint to Alex M. Azar II, Secretary of the U.S. Department of Health and Human Services and Seema Verma, Administrator Centers for Medicare & Medicaid Services and expressed extreme concern over the Centers for Medicare & Medicaid Services (CMS) actions to slow regulatory enforcements that support the safety and wellbeing for Medicare and Medicaid beneficiaries who receive care in nursing homes and long-term care facilities. In the letter, the Attorneys General are holding CMS responsible for not pushing forward a 2016 series of skilled nursing facility reforms that were set to move out in three future stages. The current administration’s delay will bring major challenges in holding facilities accountable for providing appropriate resident care and well-being.

“We write this letter to express our concern and to alert the Centers for Medicare & Medicaid Services (CMS) about the substantial and foreseeable detriment of CMS’ actions to delay enforcement of protections for Medicare and Medicaid beneficiaries who receive care in skilled nursing facilities (SNFs). The recent CMS guidance significantly decreases the protections in SNFs by rolling back reforms to improve the safety and wellbeing of nursing home residents. If allowed to proceed, recent regulatory changes will not only threaten the mental and physical security of some of the most vulnerable residents of our states, but also potentially create additional challenges for MFCU investigation and prosecution of grievances, violations, and crimes occurring in SNFs. We therefore urge you not to lower the level of regulatory oversight.”