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Skip to main content Turn off refresh Currently Reading More than 130 nursing homes sue to block NY law capping profits Next Up:NY's budget late 4th year in a row and more delay... * Subscribe SPRING SALE! ONLY 25¢ * e-Edition * Sign In * Capital Region * Best of the Capital Region * Weather * Education * School closings * Obituaries * Health * History * NXIVM * Local First * Hudson Valley * Sports * High school * Siena * UAlbany * Saratoga Race Course * ValleyCats * Albany Empire * Pro sports * New York * State Government * Cannabis * COVID-19 * Business * Women@Work * Fun + Games * Comics * Puzzles * Entertainment * Events Calendar * Art + Exhibits * Movies + TV * Music + Concerts * Theater + Dance * Were You Seen? * U.S. + World * Food + Drink * Table Hopping * Life + Culture * Kristi * Shopportunist * Travel * Weddings * Faith + Values * Special Reports * Real Estate * For sale * For rent * Virtual tours * Opinion * Subscribe * Jobs * Job fair * Place an ad * Classifieds * Search classifieds * Place classified ad * Legal notices * Place a legal notice * Realtor ads * Job listings * About us * Newsletters * Privacy notice * Terms of use * How to advertise * Subscriber Services * Archives * Capital Region * Best of the Capital Region * Weather * Education * School closings * Obituaries * Health * History * NXIVM * Local First * Life + Culture * Kristi * Shopportunist * Travel * Weddings * Faith + Values * U.S. + World * Sports * High school * Siena * UAlbany * Saratoga Race Course * ValleyCats * Albany Empire * Pro sports * Entertainment * Events Calendar * Art + Exhibits * Movies + TV * Music + Concerts * Theater + Dance * Were You Seen? * Hudson Valley * Special Reports * Classifieds * Search classifieds * Place classified ad * Legal notices * Place a legal notice * Realtor ads * Job listings * About us * Newsletters * Privacy notice * Terms of use * How to advertise * Subscriber Services * Archives * Business * Women@Work * Opinion * New York * State Government * Cannabis * COVID-19 * Real Estate * For sale * For rent * Virtual tours * Fun + Games * Comics * Puzzles * Jobs * Job fair * Place an ad * Food + Drink * Table Hopping * Subscribe * Capital Region * Best of the Capital Region * Weather * Education * School closings * Obituaries * Health * History * NXIVM * Local First * Fun + Games * Comics * Puzzles * Special Reports * Sports * High school * Siena * UAlbany * Saratoga Race Course * ValleyCats * Albany Empire * Pro sports * New York * State Government * Cannabis * COVID-19 * Hudson Valley * Opinion * Entertainment * Events Calendar * Art + Exhibits * Movies + TV * Music + Concerts * Theater + Dance * Were You Seen? * Life + Culture * Kristi * Shopportunist * Travel * Weddings * Faith + Values * Subscribe * Classifieds * Search classifieds * Place classified ad * Legal notices * Place a legal notice * Realtor ads * Job listings * Real Estate * For sale * For rent * Virtual tours * Food + Drink * Table Hopping * About us * Newsletters * Privacy notice * Terms of use * How to advertise * Subscriber Services * Archives * Jobs * Job fair * Place an ad * Business * Women@Work * U.S. + World * Capital Region * Best of the Capital Region * Weather * Education * School closings * Obituaries * Health * History * NXIVM * Local First * Hudson Valley * Opinion * Sports * High school * Siena * UAlbany * Saratoga Race Course * ValleyCats * Albany Empire * Pro sports * Fun + Games * Comics * Puzzles * Subscribe * Entertainment * Events Calendar * Art + Exhibits * Movies + TV * Music + Concerts * Theater + Dance * Were You Seen? * New York * State Government * Cannabis * COVID-19 * Classifieds * Search classifieds * Place classified ad * Legal notices * Place a legal notice * Realtor ads * Job listings * Real Estate * For sale * For rent * Virtual tours * About us * Newsletters * Privacy notice * Terms of use * How to advertise * Subscriber Services * Archives * Jobs * Job fair * Place an ad * U.S. + World * Life + Culture * Kristi * Shopportunist * Travel * Weddings * Faith + Values * Business * Women@Work * Food + Drink * Table Hopping * Special Reports SPRING SALE: Only 25¢ for Unlimited Digital Access! ONLY 25¢ FOR ACCESS! ACT NOW Persistent RECOMMENDED NY's budget late 4th year in a row and more delay expected Former aide accuses assemblyman of sexual harassment, report says More than 130 nursing homes sue to block NY law capping profits Area hospitals would benefit from proposed Medicare rules Court denies disability for police officer injured at desk Churchill: Still no weed in the garden? What gives? Health care workers continue push to boost Medicaid rates Juul Labs paying $462M for creating 'youth vaping epidemic' Overnight stays at Gov. Pataki's Adirondack farm in the works New York to stockpile abortion pill in light of Texas ruling New York State MORE THAN 130 NURSING HOMES SUE TO BLOCK NY LAW CAPPING PROFITS IT'S THE LATEST IN A SERIES OF COURT CASES THAT GROUPS REPRESENTING HOSPITAL ASSOCIATIONS AND NURSING HOME FACILITIES HAVE FILED AGAINST THE STATE Raga Justin April 14, 2023 Members of the 1199SEIU rally in Albany on April 12, 2023. The union has backed a Department of Health law that would require nursing home operators to abide by a set of strict spending requirements; nursing homes recently called the measure unconstitutional in a lawsuit filed last week. Lori Van Buren/Times Union ALBANY — More than 130 nursing homes are suing the state alleging that a requirement to designate 70 percent of their profits for care of residents represents “the most serious regulatory threat” facing the industry. The controversy centers around a 2021 law included in that year’s budget that required residential health care facilities to spend a minimum of 70 percent of their total operating revenue on direct care for their residents, including at least 40 percent of their revenue for resident-facing staff. The law was set to go into effect in January 2022, but was delayed by a series of executive orders and other regulatory holdups. The lawsuit, filed late last week in state Supreme Court in Albany, names state Department of Health Commissioner James McDonald and Budget Director Robert Megna as defendants. It's the latest in a series of court actions that groups representing hospital associations and nursing home facilities have taken in recent years seeking to overturn the law. SPRING SALE: Only 25¢ for Unlimited Digital Access! ONLY 25¢ FOR ACCESS! Act Now Read More Nursing home operators contend that what they contend is an “arbitrary, capricious, and extremely damaging” statute poses grave risks to the industry and to the quality of care for residents. The measure had been crafted by the Legislature in response to pandemic-related concerns over how nursing homes were spending their money as public outrage over the conditions in those facilities began to escalate. They have also criticized a provision that would require nursing homes that have profits over a 5 percent cap to turn those funds over to a state-managed fund, which would then disburse money as a reward to facilities that have met certain standards for high-quality care. Nursing homes would also face monetary penalties for failing to meet the 70/40 allocation rule. In effect, the law forces nursing homes to turn over private and federal Medicare dollars to fund the state’s Medicaid program, the lawsuit alleges. A previous federal lawsuit filed in U.S. District Court in Albany in 2021, right before the law was originally set to go into effect, called the measure an unconstitutional takeover of private property for public programs. Groups who support the law have argued that it was intended to ensure accountability in how nursing homes spend Medicaid funds, ensuring that most of the funds received are spent on caring for residents — not administrative costs. Studies cited by the 1199SEIU union representing nursing home care workers have shown that under the law, an extra $510 million of funding would have gone to resident care based on cost reports from 2019. James Clyne, the president of LeadingAge New York — a group that filed a similar state lawsuit last May that was later dismissed — said that while the nursing home industry can comply with the rule, facilities want to ban the section of the law that demands funds over the 5 percent cap be turned over to the state. “The problem with the state is they're telling us what we have to do with other people's money,” Clyne said. “They're not a party to the contract that we have with either Medicare or with people who are private payers.” Clyne also criticized a separate provision in the law that facilities have also balked at, which establishes minimum staffing standards of at least 3.5 hours of daily nursing care for each resident. He said that some types of residential care facilities have different needs, providing the example of a dementia unit versus a pediatric facility for children with greater medical requirements. In the former, residents may need less clinical care but more recreational activities, rendering the 3.5-hour standard ineffective. “One size does not fit all for every nursing home,” Clyne said, calling the law “fundamentally flawed.” Most Popular 1. The millionaire workers club at Stewart's Shops keeps growing 2. Court affirms removal of NXIVM doctor's medical license 3. Air quality health advisory in effect for Hudson Valley, other regions of N.Y. 4. Body found at East Greenbush mobile home fire scene 5. Schoharie County farmer mourns loss of 34 goats in barn fire But proponents and unions who back the policy have said the underlying premise behind the law is meant to provide guardrails for how nursing home operators allocate funds they already have, not unfairly penalize facilities. “All the law requires them to do is to sort of shift their priorities,” said Dennis Short, a policy analyst with 1199SEIU. “If they're not meeting the standard, the easiest way to do so is to hire additional staff and spend more money on supplies, increase wages or benefits.” “If the money is intended to go to resident care, is it permissible to to use taxpayer dollars to enrich owners?” Short added. The majority of facilities already meet the standard, Short said. The law is in effect, although no penalties have been assessed since nursing homes have not released updated cost reports, Short said. If the lawsuit is successful, no penalties would be assessed. The lawsuit, which claims the law violates several protections under the U.S. Constitution, including the Contracts Clause and Supremacy Clause, is seeking an injunction that would bar the state Department of Health from enforcing any penalties either in the future or retroactively. Sponsored LinksSponsored Links Promoted LinksPromoted Links Healthy Guru Cardiologist: Too Much Belly Fat? 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Schoharie County farmer mourns loss of 34 goats in barn fire SIGN UP FOR THE CAPITOL CONFIDENTIAL NEWSLETTER Get in-depth news and political headlines from the Capitol team in your inbox. Email SIGN UP By signing up, you agree to our Terms of Use and acknowledge that your information will be used as described in our Privacy Policy. Written By Raga Justin Reach Raga on Raga Justin is a second-year Hearst fellow covering state politics for the Times Union. She spent her first year covering Darien, Connecticut, as part of the Hearst Connecticut Media Group. She is from Texarkana, Texas, and previously worked for the Dallas Morning News in Washington, D.C., the Houston Chronicle and the Texas Tribune. Raga graduated in 2021 from the University of Texas at Austin, majoring in journalism. Healthy Guru Cardiologist: Too Much Belly Fat? 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