Experts: Biden's 'Build Back Better' Boondoggle will Devastate Nursing Homes


WASHINGTON, D.C. – The Build Back Better Act, recently passed by the U.S. House of Representatives, includes two unfunded nursing home mandates that could force thousands of nursing homes to further limit the number of admissions in their facilities or even shut their doors for good.

The bill requires nursing homes to have a registered nurse (RN) on-staff 24 hours a day and requires the U.S. Department of Health and Human Services (HHS) to conduct a study on minimum staffing ratios and implement the regulations within one year without additional funding, yet offers no resources to providers to implement these provisions.

The intent of the measures is largely supported by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL). In particular, having a 24-hour RN on staff is a key component of AHCA and LeadingAge’s comprehensive reform proposal, the Care for Our Seniors Act. However, without funding or programs to recruit tens of thousands of more nurses, providers will be unable to fulfill these requirements. AHCA/NCAL recently held a press conferenceoutlining their concerns.

The Build Back Better Act mandates will cost nursing homes billions of dollars per year. AHCA/NCAL estimates that if the HHS study found that nursing homes need to increase clinical and direct care staff by 25 percent, it would require hiring more than 150,000 RNs, licensed practical nurses (LPNs) and certified nursing assistants (CNAs), costing $10.7 billion per year. The RN mandate would require hiring 21,000 more nurses, costing $2.5 billion a year.

Nursing homes are already facing a historic staffing crisis. Many caregivers have been burned out by the pandemic, and workers are leaving the long term care sector for jobs in other health care settings or other industries altogether. 

Hospitals, physicians’ offices, outpatient care centers and other health care facilities have reached or surpassed pre-pandemic staffing levels, but nursing homes and assisted living communities are still experiencing substantial job losses. October data from the Bureau of Labor Statistics (BLS) show nursing homes have lost 221,000 jobs since the start of the pandemic – a 14 percent employment level drop.

Chronic Medicaid underfunding and the billions of dollars spent to fight the pandemic have left providers struggling to compete for qualified staff. The inability to recruit and retain workers has led to many facilities having to limit the number of residents they serve, and some facilities have even had to close permanently. A September AHCA/NCAL survey found that 78 percent of nursing homes and 61 percent of assisted living communities are concerned that workforce challenges may force them to close.

Sadly, this is already a reality for nursing homes across the nation. Facilities in IllinoisMaineMichiganNebraskaNew Jersey, and New York, among others, have closed because of staffing shortages, while others in TexasNorth DakotaOklahoma and Rhode Island have had to reduce or pause new admissions. If this continues, millions of seniors could face limited options for care.

Nursing homes have faced unprecedented challenges due to the COVID-19 pandemic. Lawmakers must help the long term care sector attract and retain more caregivers, so that our nation’s most vulnerable have access to the long term care they need and caregivers have access to good-paying, rewarding jobs.

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Making nursing homes safer by employing qualified people is a bad thing? That is republicans take on this? WOW, they will truly twist anything to make the other side look bad won't they.

Then why do you people do it so often?

Republicans just don't like that this legislation is so popular, and he has fulfilled at least one campaign promise less than a year into his presidency, which he won by defeating trump by the largest margin in history.

Trump lost, get over it.

Should have said, booger eater biden is going to devastate the entire US.... It'll hit home here in another month when Shannon complies with the Feds mandate of taking the jab. I'm hearing almost 1/3 of the staff, to include doctors and nurses are going to resign in lieu of taking their death shot and I side with them. Try getting sick at the tail end of January or early February and see how much you like the democrats and the Biden criminal team then........

Why are republicans so against investing in America? Just more proof of how much they hate America and Americans. 

Maybe it's because it proves that government can work and republicans have spent their entire lives trying to derail the American government in any way they can so they can say "see it doesn't work". Either way, just goes to show how republicans really feel about America and Americans, but then again they hate everything.

 I’ve finally figured out what your problem is you’re deranged. Any rational person (not you obviously) reading the article would realize  that imposing additional mandates on nursing homes without the funding is a legitimate concern that needs to be addressed…especially now considering the “unprecedented challenges” they’re facing ;)

I thought republicans were against spending, now you are advocating for more? You people can never make up your minds.

The "mandate" is to have actual trained staff on 24/7, nursing homes right now cut costs by understaffing. This is good for the elderly residents should they have an emergency. Or do you hate the elderly too?

Nursing homes aught to look at where they are spending money. If they have to close then one that is more sustainable will pop up right? That is what capitalism says will happen right?

Republicans will just say that anything Biden does is bad, even though this legislation is very popular with Americans. Republicans just simply hate things that will help Americans because they hate America.

The people who own nursing homes griping about this legislation don't like the fact that it might hurt their profits.

Here is a real article about it;

"The evidence is clear on this crucial point and demonstrates that it is important to have minimum nursing staff requirements in place to prevent harm. Research has consistently found that increasing the presence of RNs in nursing homes is a key driver of care quality and resident safety. We have seen the impact of understaffing on residents and families throughout the COVID-19 pandemic. Nursing homes with lower RN staff time per resident were more likely to have resident infections and deaths."

" It is important to note that other sections of the bill provide funding for direct care workforce development, including monies to hire, train, and support new workers. These dollars could bolster the direct care workforce specifically in nursing homes."

Here is a study saying that nursing home care is reduced because of understaffing,

As a side note Reagan passed a similar bill in 1987 (nursing home reform act).

“even though this legislation is very popular with the American people”

Haha good one! According to a recent USA Today/Suffolk University poll, only 1 in 4 say Biden’s Build Back Better bill would help them and their families ;)

Hmmm interesting. So those from the AHCA/NCAL are all republicans who knew lol.

Should be called Build Back Bitter since everything Biden has done up to this point has done absolutely nothing to solve the problems we’re facing only made them worse ;)

What "problems" did trump "solve"?

Also, what "problems" are you referring to? I know you will say the border, but Biden was handed that issue by trump, so what else?

Do I have to explain things over and over to you you’re like a child. Check your “archives” I already went over it ;)

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