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Federal Judge Blocks Biden Nursing Home Staffing Rule

A Texas court has ruled that the Biden administration's staffing mandate exceeded statutory authority, halting its implementation.

Tim Corbin, left, the administrator of Truman Lake Manor, passes through the hallway of the nursing home on Feb. 14, 2023, in Lowry, Mo. The facility was cited in December for a violation of the federal vaccination requirement for health care workers but subsequently came into compliance. Corbin believes it's time for the vaccination mandate to end. (AP Photo/David A. Lieb)
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Overview

  • U.S. District Court Judge Matthew Kacsmaryk nullified the Biden administration's nursing home staffing rule, citing inconsistency with Congressional statutes.
  • The regulation, finalized in April 2024, required 24/7 registered nurse coverage and increased nurse-to-resident ratios in facilities receiving Medicare and Medicaid funding.
  • Nursing home operators and trade groups argued the rule imposed unrealistic standards, costing $6.8 billion annually and requiring over 100,000 additional hires.
  • Bipartisan congressional concerns were raised, with lawmakers warning the mandate could lead to widespread closures of nursing homes, particularly in rural areas.
  • The ruling underscores limitations on administrative authority, with the court emphasizing that regulatory actions must align with existing legislation.