Adviser Fall 2018 Vol 1 - Page 42

One Voice 2019 Legislative Outlook ... (Continued from page 39) Legislation on the State Level • • • • • Role of the Nurse in an ACF: We will be supporting legislation to allow adult care facilities (ACFs) to directly employ LPNs or RNs to provide nursing services. Resident Assistants in Senior Housing: We will be supporting legislation to establish a dedicated Affordable Independent Senior Housing Assistance Program. This program would bolster New York’s historic commitment of $125 million to senior housing and create a very cost-effective model for seniors to age in place, either While the number of CCRCs has grown in the new housing constructed considerably across the nation, only 12 for them or in the preexisting housing where they reside. The CCRCs are currently operating in New York. model would also result in savings to the State’s Medicaid program by keeping low-income seniors out of more costly levels of care, such as assisted living or nursing homes. CCRC Revitalization Act: We will be supporting the Continuing Care Retirement Community (CCRC) Revitalization Act. CCRCs provide a full range of services including independent housing, ACF/assisted living and nursing home care to residents in a campus setting as their needs change. While the number of CCRCs has grown considerably across the nation, only 12 CCRCs are currently operating in New York. Comprehensive statutory and regulatory reforms are needed in order to modernize the CCRC laws in New York and eliminate barriers to their development, expansion and efficient operation. Nurse Staffing Ratios: We are opposing the Safe Staffing for Quality Care Act, legislation that would create specific staffing ratios for nurses and other direct care staff in hospitals and nursing homes. The staffing standards proposed in this legislation (upper end of range) would conservatively cost an estimated $1.06 billion to implement in nursing homes. It would require more than an hour of additional staff time per resident per day when compared to current staffing. The typical downstate nursing home would see a $15 per resident day cost increase if it were to increase aide staffing to meet the standard. For a home serving 200 residents, that would total $3,000 per day for increased aide staffing. LeadingAge New York’s Staffing Ratios Cost Template will assist you in determining the financial impact of the proposed legislation on your facility. Advanced CNAs: We are advancing legislation that would We are opposing the Safe Staffing for Quality establish a demonstration Care Act, legislation that would create specific program authorizing Certified Nursing Aides (CNAs) who staffing ratios for nurses and other direct care receive advanced training staff in hospitals and nursing homes. to administer medications in nursing homes under the supervision of an RN. Legislation on the Federal Level • Nurse Aide Training Lockout: We have advanced the Nursing Home Workforce Quality Act, a bill that would make the nurse aide training lockout discretionary rather than mandatory, as it is under current law, and restore training authority once the nursing home is back in compliance, eliminating the current two-year lockout. (See 2019 Legislative Outlook on page 42) 41 Adviser a publication of LeadingAge New York | Fall 2018