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I'm not familiar with other skilled nursing facilities (SNFs) outside of California but I believe if the skilled nursing facilities in California are struggling to survive, there is a possibility that others would as well with this requirement. Already operating margins have been shown to be at break even or negative before Biden's initiatives [1], [2][3, note to add, i can count on my fingers, 10 yrs in HC, how many ppl pay privately for SNF].
The whole sector is honestly a mess unfortunately and I have so much to say. I will keep it simple though. I do not think the prices will rise or will be passed onto consumers like the above poster suggests because SNFs cannot control Medicare or MediCal reimbursement/payments (which is the bulk of their clientele). I think they will simply close down, especially with Bidens requirement, leaving less options for any patients needing short term care (iv abx before going home, wound care, rehab) and almost NO options for patients that don't have money to live anywhere else. Already, sometimes I have to send long term pts 200+ miles because I can't find any SNF beds closer. There has been a nursing shortage in SNF for so long, and Bidens requirement does not address any issues currently with the SNFs. And just adds a HUGE problem, likely to cause many SNFs to close down. That's why I am against the nurse requirement.