House keeps stringent rules on asset transfers in budget package

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The House passed its reconciliation bill passed this week. The bill met mixed reactions from nursing home providers.

While providers were pleased the House modified its bad debt provision to ensure that uncollectible bad debt reimbursements will not be reduced they were disappointed the House maintained its tough stance on asset transfers.

The bill lengthens the look back period to five years from three and moves the start date of the period of ineligibility to coincide with the time residents are in a nursing home. Providers believe puts nursing homes in the spot of having to collect from residents who cannot pay for the care.

Still, the bill presented another bright spot for providers: The 75% rule is still moving forward. The House did not agree on a temporary rollback of this rule.