Bill > HB789

This bill modifies regulations for long-term care facilities, focusing on licensing requirements, staffing standards, and transparency. It amends existing laws to require more detailed disclosure of facility ownership, including trustees and service providers. The bill introduces new staffing mandates for assisted living facilities, specifically requiring a minimum of 0.55 hours per resident day with a registered nurse and 2.44 hours per resident day with certified nursing assistants. Facilities must have a registered nurse on-site 24/7 and electronically submit staffing data to the Centers for Medicare and Medicaid Services (CMS). The bill also establishes a hardship exemption process for facilities in underserved areas that cannot meet staffing requirements, with specific criteria for demonstrating recruitment challenges. Additionally, the bill requires facilities to designate a full-time director of nursing and a charge nurse for each shift, with some flexibility for smaller facilities. The legislation aims to enhance resident care quality, increase transparency, and ensure appropriate staffing in long-term care facilities by implementing more rigorous oversight and reporting mechanisms.

https://house.mo.gov/Bill.aspx?bill=HB789&year=2025&code=R