Skilled Nursing Facility Staffing Requirements Stakeholder Meetings

The California Department of Public Health (CDPH) Center for Health Care Quality (CHCQ) is holding a stakeholder meeting to discuss the patient needs waiver related to the 3.5 skilled nursing facility (SNF) staffing requirements enacted in SB 97 (Chapter 52, Statutes of 2017). Health and Safety Code section 1276.65 (c)(2) requires the Department to develop a waiver process for SNFs seeking a waiver to address individual patient needs. The emergency regulations for the patient needs waiver requires SNFs that will meet the 3.5 direct care hours requirement but would like to waive the use of 2.4 CNAs based on the needs of their patients to use the program flexibility process. In developing the final regulations, the Department would like to discuss and hear your ideas for creating criteria for the patient needs waiver. Please come to the meeting prepared to share your comments and suggestions.

For additional questions/comments please email the stakeholder forum email box at: CHCQStakeholderForum@cdph.ca.gov.

Meeting Documents

Meeting Minutes for Tuesday, August 1, 2017

Written submitted comments

• California Advocates for Nursing Home Reform (CANHR) (PDF)
• Carole Herman, Foundation Aiding the Elderly (FATE)

• Disability Rights California (DRC) (PDF)

  
Meeting Minutes for Friday, August 4, 2017

• California Nurses Association/National Nurses United, Questions to Stakeholders (PDF)
• California Nurses Association/National Nurses United, Suggested Amendments (PDF)
• State Long-Term Care Ombudsman, Amendments to Minimum Staffing Requirements for Skilled Nursing Facilities (PDF)
• SEIU 2015, Implementation Questions (PDF)

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Meeting Minutes for Friday, August 11, 2017

Written submitted comments

• California Association of Health Facilities, Memo Re: Staffing Waiver for Skilled Nursing Facilities (PDF)   
• Letter from CAOC: Implementation of SB 97 Amendments to Minimum Staffing Requirements for SNF (PDF)
• Letter from CAHF: SB 97 Implementation and Workforce Shortage Waiver for Skilled Nursing Facilities (PDF)
• Letter from SEIU: Comments on Workforce Shortage Waiver Draft Language for SB 97 (PDF)
• Letter from DRC: Comments on SB 97 Implements Regulation (PDF)
• Letter from CANHR: Comments on SB 97 Workforce Shortage Waiver Provisions (PDF)
• Letter from the Long-Term Care Ombudsman: Comments on SB97 Workforce Shortage Waiver Provisions (PDF)
• Letter from SEIU: Comments on Patient Acuity Waiver and Workforce Shortage Waiver Draft Language for SB 97 (PDF)
• Letter from CANHR: Comments on SB 97 Workforce Shortage Waiver Provisions (February 9, 2018) (PDF)
• California Nurses Association/National Nurses United Comments to CDPH on SB 97 (PDF)
• CAHF Edits of Workforce Shortage Waiver of 3.5 and/or 2.4 (PDF)

Meeting Minutes for Friday, November 17, 2017

Meeting Minutes for Monday, January 22, 2018

• PowerPoint Presentation from January 22, 2018 (PDF)
• 3.5 Implementation Chart

Written submitted responses

• Letter from CANHR: Comments on Draft SB 97 Workforce Shortage Waiver Provisions (PDF)
• Letter from CAHF: SB 97 Implementation of 3.5/2.4 Workforce Shortage Waiver for Skilled Nursing Facilities (PDF)
• Letter from DRC: Comments on SB 97 Implements Regulations (PDF)

Meeting Minutes for Monday, March 12, 2018

Meeting Minutes for Tuesday, July 10, 2018

• PowerPoint Presentation from July 10, 2018 (PDF)

Written submitted responses

• Letter from SEIU 2015: Comments on Patient Needs Waiver for SB 97 (PDF)
• Letter from CANHR: Comments on Proposed Patient Acuity Waiver for SB 97 (PDF)
• Letter from FATE: Proposed Patient Acuity Waiver for SB 97 (PDF)
• Letter from PLUM: Implementation of 3.5/2.4 Staffing Requirement (PDF)

Meeting Minutes for Tuesday, July 24, 2018

Written submitted responses

•  Letter from CAHF: SB (2017) Implementation - Patient Needs/Acuity Waiver Stakeholder Meetings - CAHF Comments (PDF)