What’s changing for Nursing Homes in the OBBBA?

In this month’s Hurley Elder Care Law blogs, we have already discussed Medicaid and ABLE accounts; however, another critical area impacted by the One Big Beautiful Bill Act (OBBBA) is nursing home care. The law brings both opportunities and risks for residents and their families.

What’s Changing for Nursing Homes?

• No Federal Staffing Requirements for 10 Years
  The new law blocks the federal government from enforcing minimum staffing standards in nursing homes for the next decade. This means no national mandates for nurse or aide hours per resident. While states may still set their own rules, federal oversight is currently off the table. This is a dramatic reversal of the Biden Administration’s initiative to increase staffing requirements in nursing homes.
• Transparency Rules Stay in Place
  Nursing homes must still report ownership details (including private equity ties), staffing levels, and use of contract workers. Families and advocates can access this information, helping them make informed decisions about care.

• Increased Renewal Requirements OBBA enables states to require more frequent Medicaid renewals (redeterminations), beyond the existing annual cycle.  More frequent checks mean greater administrative burden on families and facilities. Subsequently we could see a higher risk of coverage lapses if deadlines are missed and forms are missing or incomplete.

What This Means for You

• Nursing homes may face less accountability for staffing, but you’ll have better access to information.
• Now more than ever, families must stay proactive: ask questions, check public reports, and advocate for your loved ones.

How We’re Helping Families Prepare

At Hurley Elder Care Law, we know how overwhelming these changes can feel. That’s why we’re keeping a close eye on implementation, and we’re here to help you navigate:

• Medicaid eligibility and renewal challenges
• Long-term care planning and funding
• Nursing home research and advocacy

We’re prepared to guide you through these elder law and care challenges, whether you’re planning ahead or facing a crisis.