---
title: [RECAP] AHCA/NCAL Response to State of the Union
description: Missed AHCA/NCAL's Post-State of the Union call? We recapped what's proposed for nursing homes, CMS, and oversight, plus AHCA/NCAL's plan of response.
image: https://info.primecaretech.com/hubfs/Email%20Banners/Summary%20of%20AhcaNCAL%20Response%20to%20Biden%20Proposals%20for%20Nursing%20Homes.png
---

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###### 2 min read

# [[RECAP] AHCA/NCAL Response to State of the Union](https://www.primecareholdings.com/news/recap-ahca/ncal-response-to-state-of-the-union)

 By [Prime Care Tech Marketing](https://www.primecareholdings.com/news/author/prime-care-tech-marketing) on Fri, Mar 11, 2022 @ 02:04 PM

###### Topics: [ahca/ncal](https://www.primecareholdings.com/news/topic/ahca-ncal) [STATE OF UNION](https://www.primecareholdings.com/news/topic/state-of-union)

![[RECAP] AHCA/NCAL Response to State of the Union](https://info.primecaretech.com/hubfs/Email%20Banners/Summary%20of%20AhcaNCAL%20Response%20to%20Biden%20Proposals%20for%20Nursing%20Homes.png)

On March 4, AHCA/NCAL held a Post-State of the Union call as a response to President Biden’s proposals for nursing homes. Here's the [replay link](http://media01.commpartners.com/AHCA/ahca_030422/AHCA_Mar4_1pm_ET_Member_Webinar.mp4?cm_ven=ExactTarget&cm_cat=COVID-19+Update+%23+277&cm_pla=Marks+Memos+2022+List&cm_ite=http%3a%2f%2fmedia01.commpartners.com%2fAHCA%2fahca_030422%2fAHCA_Mar4_1pm_ET_Member_Webinar.mp4&cm_lm=1248436150&cm_ainfo=&&&&&), as well as our summary of what was discussed.

*In general, don't panic! *

- Major reforms often fail in Congress
- Rulemaking takes time
- Some of the proposals require Congressional action
- AHCA/NCAL is working on a response plan

#### Proposed for Nursing Homes

*Quality Measures*

- Phase-out rooms with 3 or more beds
- Reduce inappropriate use of antipsychotics
- SNF Value-Based Purchasing (VBP) includes more staffing and resident experience measures

*Readiness for Pandemics*

- Continue to support COVID testing
- Continue to support vaccine efforts
- Review on-site infection control rules and increase the standards
- Review emergency preparedness rules to improve readiness

#### Proposed for CMS

*Transparency*

- Create a new database of building owners and operators
- Make Nursing Home Compare easier to understand
- Examine the role of REITS and private equity

* Jobs*

- Make nurse aide training cheaper
- Support state training programs
- Work with Dept. of Labor to launch a national campaign for recruiting, training, retaining, and transitioning workers to long-term care.

#### Proposed Oversight

- Add $500 million for survey inspections
- Change Special Focus Facility Program
- Increase civil fines (CMP) to $1million
- Consider CMPs on a per diem basis
- Congress to develop standards for chain owner participation in Medicare/Medicaid
- Congress to give CMS more authority to validate data and enforce incorrect reporting

 

#### AHCA/NCAL Plan of Response

- Determine what AHCA/NCAL can support
- Determine which proposalsAHCA/NCAL might make more acceptable
- Try to kill proposals AHCA/NCAL can’t modify or support
- Question Minimum Staffing Study 
    - Where can nursing homes find the workers?
    - What’s their implementation timeline?
    - What are the penalties for non-compliance?

As you may have seen this week, the AHCA/NCAL action plan is already underway. AHCA/NCAL contacted the [Secretary of the U.S. Department of Health and Human Services](https://www.ahcancal.org/News-and-Communications/Fact-Sheets/Letters/AHCA-Letter-HHS-NursingHomeReformPlan.pdf) to outline their position and request a meeting.

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