The One Big Beautiful Bill Act's Potential Impacts on Skilled Nursing Facilities

Healthcare attorneys Abbey Ruby and Jane Feist co-authored an article for Birmingham Medical News analyzing how the One Big Beautiful Bill Act (OBBB) will affect skilled nursing facilities (SNFs) and the post-acute care industry. Their article reviews significant changes to Medicaid, Medicare and the Affordable Care Act (ACA), with preliminary estimates of billions of dollars in spending cuts throughout the next decade that mean post-acute and long-term care providers may face service eliminations and tighter eligibility requirements. The authors also talk about the potential for rural hospital closures, which could push patients with more complex needs to SNFs, as well as brief readers on the Centers for Medicare & Medicaid Services' (CMS) minimum staffing standards rule. They conclude their piece with a series of recommendations for SNF owners, operators and lenders, including developing financial models for various outcomes, evaluating geographic diversification in terms of facility acquisition and disposition, tracking state-by-state Medicaid regulations and updating underwriting criteria.

Ms. Ruby and Ms. Feist also published a Holland & Knight Healthcare Blog on this topic.

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