The One Big Beautiful Bill Medicaid changes could reshape coverage for older adults and individuals with disabilities, with new red tape, work requirements, and more.
How does the new one big beautiful bill affect you, caregivers, and those with disabilities? In early July, the United States Congress passed, and President Trump signed, the One Big Beautiful Bill (OBBB). This is one of the most sweeping pieces of federal legislation in years, combining tax changes with deep cuts and major reforms to public benefits programs—especially Medicaid, a public benefit program relied upon by many disabled individuals and older adults requiring long-term care, and lower income Americans needing insurance.
ROTHKOFF LAW GROUP SYNOPSIS OF KEY MEDICAID AND RELATED PROVISIONS IN ONE BIG BEAUTIFUL BILL ACT One Big Beautiful Bill Act Bill passed by House on May 22 Senate significantly amended the bill and considered it this past weekend during a multi-day vote-a-rama, and passed by Senate on July 1 Following Senate passage, bill returns to the House House Rules Committee will convene today to set rules for debate House vote potentially happening this week Many House members pushing to amend Senate bill If House amends the bill, it will return to the Senate President Trump set unofficial deadline [...]
Discover the legal and ethical considerations of Video Surveillance in Nursing Homes, including consent rules, privacy laws, and family rights in Pennsylvania and New Jersey.
For decades, academic research has shown that staffing levels reliably predict the quality of care in nursing homes and that shortages increase the risk of delayed response to daily needs, like toileting and eating, as well as medical emergencies, such as falls and strokes. A pivotal federal study from 20 years ago, when most nursing home residents were younger and healthier than today, suggested a minimum of 4.1 hours per resident daily – more than the new rule. On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) released its final rule on Minimum Staffing Standards for Long-Term [...]
On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited regulations on minimum staffing in nursing homes. This was a culmination of a two-year process, including a request for information, a study, and a comment period. Although the final rule is well below the 4.2 hours of direct care per resident per day, as numerous studies have shown is required, the staffing standards are a good first step. There is good news: Nursing homes are required to have a registered nurse on duty 24 hours a day, seven days a week. This is a significant improvement providing clinical [...]
On Tuesday, April 23, 2024, the Centers for Medicare & Medicaid Services (CMS) published the final rule, implementing minimum staffing standards for nursing homes intended to increase staffing levels and improve patient care in nursing homes. The Biden Administration’s announcement is controversial. CMS has faced fierce opposition from the nursing home industry and Republicans in Congress who see these requirements as an unfunded mandate. It establishes, for the first time, national minimum staffing standards for nursing homes that collect taxpayer money through Medicare- and Medicaid-funded services. The staffing requirements will be phased in over the next two to five years, and CMS has made provisions to grant exemptions [...]
At our firm, we’re often asked how to transfer a car title from deceased family members. Until recently, in New Jersey, transferring a title required a trip to the local DMV office, which sometimes needed a significant wait time. However, in May 2023, New Jersey enacted a new "transfer on death" law for motor vehicles. This new law represents a notable step toward making the asset transfer process more efficient and cost-effective. It aligns motor vehicles with the ease of transfer typically associated with bank accounts and retirement plans, simplifying the lives of both vehicle owners and their beneficiaries. This [...]
The United States Supreme Court recently ruled 7-2 to protect the right of Medicaid nursing home residents to seek relief in federal court when state officials do not meet a certain quality of care—a ruling being hailed as a civil rights victory for Medicaid patients. In Health and Hospital Corporation of Marion County v. Talevski, state officials challenged the right of a Medicaid beneficiary to bring suit in federal court in a case involving the alleged violation of Gorgi Talevski's federal rights under Medicaid's Federal Nursing Home Reform Act (FNHRA). By a 7-2 margin, in a remarkable opinion for the [...]
In December 2022, Pennsylvania state Senators Michelle Brooks and Judy Ward proposed legislation that would expand Medicaid coverage for assisted living facilities. The proposal is designed to provide support for older adults who require assistance with daily living but do not require the high level of care provided by nursing homes. Under the proposed legislation, eligible seniors would be able to access Medicaid coverage for assisted living services, including room and board, personal care, and medication management. This would be a game-changer for many seniors who are currently struggling to pay for these services out-of-pocket or relying on family members [...]
