Many nursing home facilities in the United States receive funding from Medicaid and/or Medicare. Those facilities which do receive federal funds are regulated by federal law. These laws are the basis for all nursing home residents’ quality of care, rights, quality of life, etc. Additional protections can be put in place by individual states, however, states cannot diminish the protections mandated by federal law.
The Nursing Home Reform Law, the primary federal law for nursing homes, passed in 1987 has never been substantially re-written, only modified. In September, 2016, the Centers for Medicare and Medicaid Services (CMS) issued the first major overhaul of federal nursing home regulations in 25 years. The new regulations will be implemented in three stages: Phase 1 on November 28, 2016, Phase 2 on November 28, 2017 and Phase 3 on November 28, 2019.