{"abstract":"This proposed rule would establish minimum staffing standards for long-term care facilities, as part of the Biden-Harris Administration's Nursing Home Reform initiative to ensure safe and quality care in long-term care facilities. In addition, this rule proposes to require States to report the percent of Medicaid payments for certain Medicaid-covered institutional services that are spent on compensation for direct care workers and support staff.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2023/09/06/2023-18781.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"438","title":42},{"chapter":null,"citation_url":null,"part":"442","title":42},{"chapter":null,"citation_url":null,"part":"483","title":42}],"citation":"88 FR 61352","comment_url":null,"comments_close_on":"2023-11-06","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, by November 6, 2023.","disposition_notes":null,"docket_ids":["CMS-3442-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":46891,"comment_start_date":"2023-09-06","updated_at":"2023-11-21T00:02:27.831-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2023-0144-0001","allow_late_comments":null,"id":"CMS-2023-0144-0001","comment_end_date":"2023-11-07","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2023-0144","title":"Minimum Staffing Standards (CMS-3442-P)"}],"document_number":"2023-18781","effective_on":null,"end_page":61429,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2023/09/06/2023-18781.xml","html_url":"https://www.federalregister.gov/documents/2023/09/06/2023-18781/medicare-and-medicaid-programs-minimum-staffing-standards-for-long-term-care-facilities-and-medicaid","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2023-18781?publication_date=2023-09-06","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2023-09-06/2023-18781/mods.xml","not_received_for_publication":null,"page_length":78,"page_views":{"count":21729,"last_updated":"2026-05-23 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-09-06/pdf/2023-18781.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-18781.pdf?1693572323","publication_date":"2023-09-06","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2023/09/06/2023-18781.txt","regulation_id_number_info":{"0938-AV25":{"issue":"202310","html_url":"https://www.federalregister.gov/regulations/0938-AV25/minimum-staffing-standards-for-long-term-care-facilities-and-medicaid-institutional-payment-transpar","title":"Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting (CMS-3442)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202310&RIN=0938-AV25&operation=OPERATION_EXPORT_XML","priority_category":"Section 3(f)(1) Significant"}},"regulation_id_numbers":["0938-AV25"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AV25/minimum-staffing-standards-for-long-term-care-facilities-and-medicaid-institutional-payment-transpar","title":"Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting (CMS-3442)"},"comments_count":46891,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2023-0144","supporting_documents_count":0,"docket_id":"CMS-2023-0144","document_id":"CMS-2023-0144-0001","regulation_id_number":"0938-AV25","title":"Minimum Staffing Standards (CMS-3442-P)","checked_regulationsdotgov_at":"2023-11-22T02:00:08Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":61352,"subtype":null,"title":"Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting","toc_doc":"Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting","toc_subject":"Medicare and Medicaid Programs:\n","topics":["Administrative practice and procedure","Grant programs-health","Health facilities","Health professions","Health records","Medicaid","Medicare","Nursing homes","Nutrition","Reporting and recordkeeping requirements","Safety"],"type":"Proposed Rule","volume":88}