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Trump shuts off access to asylum, plans to send 10,000 troops to the border; Federal employees are told to name colleagues who work in DEI roles or risk adverse consequences; Jackson's office of violence prevention aims to revive communities, reduce crime; Hate crimes double in CA from 2019-2023; reporting low in rural areas; MN nurses: Patient care shouldn't come with a heavy dose of AI.

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Trump's pardons of January 6th participants spark mixed reactions, federal DEI suspensions raise equity concerns, diversity in medicine faces challenges post-affirmative action and Citizens United continues to amplify big money in politics.

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Winter blues? Alaskans cure theirs at the Cordova Iceworm Festival, Trump's energy plans will impact rural folks, legislation in Virginia aims to ensure rural communities get adequate EV charging stations, and a retreat for BIPOC women earns rave reviews.

NE Legislature to hear bills that bolster struggling long-term care industry

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Tuesday, February 13, 2024   

Nebraska saw nine long-term care facility closures in 2022, second only to 13 in Texas.

In the past three years, Nebraska has lost a combined 29 assisted living facilities and nursing homes. Inadequate funding for Medicaid patients, workforce issues and the rising costs of goods and services have all contributed to these closures.

Two bills to be heard in the Unicameral's Appropriations Committee today would mean substantial increases in state and federal funding for both types of facilities.

Jalene Carpenter, Nebraska Health Care Association CEO, says additional funding is crucial to stem the state's long-term care crisis.

"In Nebraska, 15 counties do not have a nursing home or an assisted-living [facility], and we are really starting to see a 'care desert' be created. And that causes significant issues for Nebraska seniors, " Carpenter expressed.

LB-941 would increase the daily reimbursement rate for assisted living residents on the Medicaid Waiver program. The new daily rate of just under $79 is based on a Nebraska Department of Health and Human Services study. LB-942 would increase the nursing home Medicaid reimbursement rate by about 5% over the next year. Both bills were introduced by state Sen. Myron Dorn, R-Adams.

Carpenter says the COVID-impacted long-term care workforce is improving in the state, but she stresses Medicaid reimbursement rates play a large part.

"A large portion of the Medicaid rate -- when you look at what it covers -- it's primarily going towards labor and benefits. Nursing-facility and assisted-living care is very hands-on, and we need adequate rates to be able to attract and retain team members," she added.

Carpenter said the state, educational institutions and organizations, including the Nebraska Health Care Association, are also focused on building the long-term care workforce -- including introducing young people to careers in health care and strengthening Certified Nursing Assistant programs.

"We're trying not only to increase the rates so that our facilities can attract and retain (employees), but then also, as an association, to look at other ways to drive people into the workforce for this profession, " she said.

In 2023, Gov. Jim Pillen approved a one-year, 3% increase in the Medicaid reimbursement rate, but vetoed the Legislature's 2% increase for the second year.


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