Maryland 2025 Regular Session

Maryland Senate Bill SB679

Introduced
1/30/25  
Refer
1/30/25  
Report Pass
4/4/25  
Engrossed
4/4/25  

Caption

Nursing Homes - Cost Reports (Nursing Home Care Crisis Transparency Act)

Impact

The implementation of SB 679 is expected to have significant implications for nursing home operations in Maryland. By enforcing a set percentage for direct care wages, it aims to improve the quality of care for residents through better compensation for frontline staff. Enhanced focus on wages may help retain skilled staff, which is critical given the frequent workforce shortages in nursing homes. Furthermore, the regular submission of cost reports could lead to better oversight and help the Department of Health assess the financial health and care quality of participating nursing homes.

Summary

Senate Bill 679, known as the Nursing Home Care Crisis Transparency Act, mandates that nursing homes allocate a minimum of 75% of their total nursing and residential care revenue toward direct care wages and benefits for staff. This includes nursing, dietary, restorative therapy, and social work staff. Additionally, the bill requires nursing homes to submit annual cost reports to the Maryland Department of Health, detailing wage disbursement and any pertinent financial data. The intent of this legislation is to enhance transparency and accountability in the management of funds allocated for direct care services in nursing facilities.

Sentiment

The sentiment surrounding SB 679 appears to be generally supportive among healthcare advocates and organizations focused on elder care. They view the bill as a step towards ensuring better working conditions for caregivers, which, in turn, could lead to improved outcomes for residents. However, there may be concerns from some nursing home operators regarding the financial burden imposed by the mandated wage allocation, particularly for facilities already facing economic challenges.

Contention

Notable points of contention surrounding the bill could stem from its financial implications for smaller or non-profit nursing homes that might struggle to meet the wage requirement. Critics may argue that while the intention to improve care quality is commendable, the enforced percentage may be too rigid and could impede facilities from operating sustainably. Legislative discussions may revolve around the practicality of the cost-reporting requirements and the potential penalties for non-compliance laid out in the bill, raising concerns about the feasibility for facilities unable to support the mandated changes.

Companion Bills

MD HB933

Crossfiled Nursing Homes - Cost Reports

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