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New federal staffing rule could reduce number of nursing homes in South Dakota
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New federal staffing rule could reduce number of nursing homes in South Dakota

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Organizations representing nursing homes in South Dakota are hopeful President-elect Donald Trump will halt a staffing rule they say could devastate their industry.

Organizations have been saying this for over a year: new squad rule The measures implemented by the U.S. Centers for Medicare and Medicaid under President Joe Biden will decimate the state’s nursing homes. They estimate the price tag for South Dakota nursing homes will be just under $20 million, or just under $205,000 per facility.

“I think we can look forward to different outcomes as different policymakers come in, without taking it for granted or relying on it as we continue to pursue other strategies,” South Dakota Health Public Policy and Communications Director Brett Hoffman said. Care Association. He spoke to the Legislature’s budget committee in Pierre on Thursday.

The rule aims to increase accountability and solve problems. chronically understaffed that nursing homes may lead to poor quality and unsafe care. US Department of Health and Human Services. Urban areas in the state, such as Sioux Falls and Rapid City, as well as midsize cities such as Aberdeen, Spearfish and Yankton, must meet the requirements by May 2026. Rural areas have this obligation until May 2027. The most controversial rules require a registered nurse to be a registered nurse. It states that there is always staff and that nursing homes meet the daily staffing standard of 3.48 hours.

Hoffman said it would be “impossible” to enforce the requirements in South Dakota. Up to 600 nursing home residents — 12.5% ​​of the statewide nursing home population — would be at risk of displacement, he added.

Justin Hinker, vice president of post-acute care for the South Dakota Association of Healthcare Providers, said the rule could cost significantly more if nursing homes contract with travel nurses, following a sharp decline in staffing during the pandemic and slow recovery since then.

Hinker said about 5% of South Dakota facilities currently meet the hours-per-resident day requirement.

Two cases challenge this rule: covering South DakotaHinker said there are several federal bills that could overturn the rule. A potential U.S. Supreme Court decision in a separate case could impact federal agencies’ rule-making authority.

“We are not against adequate staffing, but we are not in favor of a one-size-fits-all solution,” Hinker said.

Hinker told lawmakers that rolling back the rule isn’t the only action needed to support nursing homes in the state. He said lawmakers should continue to invest in the “continuum of health care” for seniors in South Dakota, including assisted living, home health, hospice and palliative care.

South Dakota Projector, State NewsroomThe nation’s largest government-focused nonprofit news organization.