Legislative Priorities

Nursing Facility Stabilization Legislation

The Commonwealth’s nursing facilities provide a core state service to frail elders and disabled individuals who can no longer be cared for safely at home. Approximately two-thirds of nursing home residents (about 30,000) have their care paid for by the state Medicaid program, which reimburses $38 per day below the cost of patient care.  And, since three-quarters of a nursing home’s budget is used to fund employee wages and benefits, a nursing home’s ability to increase wages and benefits is largely dependent upon state funding for nursing home care.  The Nursing Facility Stabilization bills would make significant investments in the long term care workforce and would seek to close the record-high gap between Medicaid payments and the cost of providing quality care. 


Nursing Home Quality Jobs Initiative

The Nursing Home Quality Jobs Initiative would provide nursing home staff with a pathway to a living wage, greater career advancement opportunities and promote a supportive work environment. In particular, The Nursing Home Quality Jobs Initiative focuses on creating a PATH to a Living Wage plan provides direct care workers with:

  • Pathway to a Living Wage
    Nursing Home Quality Jobs Initiative would fund an annual wage increase that recognizes the need to provide a living wage to support direct care workers and their families
  • Accessible education to reduce staffing vacancies
    Nursing Home Quality Jobs Initiative would establish a CNA Scholarship Training Program designed to increase the number of nursing home caregivers
  • Training opportunities for increased retention
    Nursing Home Quality Jobs Initiative would implement a supervisory and leadership training program to improve staff stability

Additional Information:
Quality Jobs for Quality Care, The Path to a Living Wage for Nursing Home Workers Report (2015)