Nursing Homes - Cost Reports

HB 933 requires Maryland nursing homes to spend at least 75% of their total nursing and residential care income on direct care staff wages and benefits, including nurses, dietary workers, therapists, and social workers. Nursing homes must annually submit detailed cost reports by September 1 (starting in 2026) to the Maryland Department of Health, including proof of wage payments and other required details. The Department can enforce compliance through actions like recouping funds, imposing corrective plans, or suspending program participation for violations. This bill directly affects nursing homes operating in Maryland and aims to ensure adequate staffing resources through transparent financial reporting.