Bill Overview
Title: To amend title XI of the Social Security Act to ensure nursing facilities report information on medical directors of such facilities.
Description: This bill requires the Centers for Medicare & Medicaid Services to revise regulations so as to specifically require Medicare skilled nursing facilities and Medicaid nursing facilities to report the identity of medical directors and related information.
Sponsors: Rep. Levin, Mike [D-CA-49]
Target Audience
Population: Residents, staff, and associated individuals of nursing facilities worldwide
Estimated Size: 3000000
- The bill targets nursing facilities, which directly involves medical directors, staff, and residents of such facilities.
- Medical directors will be impacted as they will now have their identities and related information officially reported.
- Nursing facility administrators and staff will have to comply with the new reporting requirements.
- Residents of nursing facilities, typically elderly and disabled individuals, may see changes in oversight and potentially in quality of care that comes from increased transparency in the reporting of medical directors.
Reasoning
- The policy impacts primarily medical directors, facility administrators, staff, and possibly residents of nursing facilities.
- Given the policy's scope, the majority of direct financial impacts will affect facilities rather than residents.
- The reporting requirements might improve transparency, potentially improving accountability and thus care quality, which could indirectly influence residents' wellbeing.
- Most of the budget would likely be utilized in the implementation phase for creating and managing reporting systems.
Simulated Interviews
Nursing Home Resident (Florida)
Age: 68 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 3.0 years
Commonness: 15/20
Statement of Opinion:
- I hope this new rule makes those in charge more accountable.
- More transparency can't hurt, but I haven't felt any direct changes yet.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 6 |
| Year 2 | 6 | 6 |
| Year 3 | 7 | 6 |
| Year 5 | 7 | 6 |
| Year 10 | 7 | 6 |
| Year 20 | 7 | 6 |
Medical Director (Ohio)
Age: 55 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 5/20
Statement of Opinion:
- This seems like another administrative hurdle.
- If it leads to better care, maybe it'll be worth it.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 5 |
| Year 2 | 5 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 6 | 5 |
| Year 10 | 6 | 5 |
| Year 20 | 6 | 5 |
Nursing Facility Administrator (California)
Age: 45 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 10/20
Statement of Opinion:
- The reporting is more documentation, but it's manageable.
- If it helps our facility's reputation, then it's a positive.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 6 |
| Year 2 | 6 | 6 |
| Year 3 | 7 | 6 |
| Year 5 | 7 | 6 |
| Year 10 | 7 | 6 |
| Year 20 | 7 | 6 |
Nursing Home Resident (New York)
Age: 84 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 2.0 years
Commonness: 12/20
Statement of Opinion:
- Anything that might get us better attention or care is good.
- I haven't noticed any direct changes yet.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 4 | 4 |
| Year 2 | 5 | 4 |
| Year 3 | 5 | 4 |
| Year 5 | 5 | 4 |
| Year 10 | 5 | 4 |
| Year 20 | 5 | 4 |
Nursing Facility Staff (Texas)
Age: 60 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 1.0 years
Commonness: 18/20
Statement of Opinion:
- It seems like it'll help medical directors stay more transparent.
- I don't think it'll affect my day-to-day work much.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 7 | 7 |
| Year 3 | 7 | 7 |
| Year 5 | 7 | 7 |
| Year 10 | 7 | 7 |
| Year 20 | 7 | 7 |
Family Member of Resident (Illinois)
Age: 39 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 6/20
Statement of Opinion:
- This policy gives me some peace of mind.
- I like knowing who is accountable for my mother's care.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 6 |
| Year 2 | 7 | 6 |
| Year 3 | 7 | 6 |
| Year 5 | 7 | 6 |
| Year 10 | 7 | 6 |
| Year 20 | 7 | 6 |
Nursing Home Medical Director (New Jersey)
Age: 52 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 6.0 years
Commonness: 8/20
Statement of Opinion:
- Accountability is crucial, but implementation is key.
- Would like to see positive outcomes from this policy.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 8 | 7 |
| Year 3 | 8 | 7 |
| Year 5 | 8 | 7 |
| Year 10 | 8 | 7 |
| Year 20 | 8 | 7 |
Regulatory Compliance Officer (Michigan)
Age: 28 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 1.0 years
Commonness: 7/20
Statement of Opinion:
- More regulations, but necessary for transparency.
- Prepared for an increase in workload initially.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 5 |
| Year 2 | 5 | 5 |
| Year 3 | 5 | 5 |
| Year 5 | 5 | 5 |
| Year 10 | 5 | 5 |
| Year 20 | 5 | 5 |
Senior Policy Analyst (Georgia)
Age: 46 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 10.0 years
Commonness: 4/20
Statement of Opinion:
- This policy could lead to significant improvements in care quality.
- Resources must be allocated effectively for maximum impact.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 7 | 7 |
| Year 3 | 7 | 7 |
| Year 5 | 8 | 7 |
| Year 10 | 8 | 7 |
| Year 20 | 8 | 7 |
Resident in Assisted Living (Pennsylvania)
Age: 70 | Gender: male
Wellbeing Before Policy: 4
Duration of Impact: 2.0 years
Commonness: 9/20
Statement of Opinion:
- Anything that improves accountability is good.
- Wish there were more direct improvements seen.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 4 | 4 |
| Year 2 | 5 | 4 |
| Year 3 | 5 | 4 |
| Year 5 | 5 | 4 |
| Year 10 | 5 | 4 |
| Year 20 | 5 | 4 |
Cost Estimates
Year 1: $5000000 (Low: $3000000, High: $8000000)
Year 2: $3000000 (Low: $2000000, High: $6000000)
Year 3: $3000000 (Low: $2000000, High: $6000000)
Year 5: $3000000 (Low: $2000000, High: $6000000)
Year 10: $3000000 (Low: $2000000, High: $6000000)
Year 100: $3000000 (Low: $2000000, High: $6000000)
Key Considerations
- Administrative reporting may enhance quality of care due to improved oversight.
- Compliance costs may be notable for smaller facilities with limited administrative staff.
- Potential cost savings from enhanced accountability could positively affect funding equilibria in the sector.