In April 2021, a law was passed in New York establishing new requirements for how much the state’s nursing homes must spend on care for their residents and setting forth limits on what nursing homes may spend on other categories of expenses. The law, set to go into effect at the start of 2022, has been delayed multiple times. This policy brief details why this law must be implemented as soon as possible to ensure transparency and accountability in nursing homes.

Download the full policy brief, “New York’s Direct Care Minimum Spending Ratio,” or access individual sections in the toggle boxes on the left.

In April 2021, New York State passed a law establishing a direct care minimum spending ratio to ensure that the bulk of funds received by nursing homes are spent on resident care. Expeditious implementation of this law is urgently required to help ensure transparency and accountability in nursing homes. Read more…

Because of these inadequate standards and often lax oversight, many nursing home owners and operators have become increasingly sophisticated in using taxpayer dollars for their own benefit. Read more…

This section examines the current policy approach, key definitions of the law, status in New York, and precedents in other states. Read more…

Lawmakers should implement this law without delay and ensure that a reasonable amount of the money that New Yorkers provide to nursing homes is actually used to meet the needs of nursing home residents. Read more…

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