Most of our legislative activity now is focused on housing and home- and community-based services appropriations for 2019. House and Senate appropriations committees are marking up legislation and the congressional leadership wants to get individual spending bills done before the new fiscal year begins on October 1. However, time is relatively short and in the end it appears likely there will be some kind of continuing resolution.

Many bills to address various aspects of the opioid epidemic have passed the House but no significant changes in Medicare or Medicaid are on the congressional agenda before the November midterm elections.

On the regulatory front, we have filed comments on the proposed Medicare payment rules for skilled nursing facilities and hospice, which include provisions on value-based purchasing, quality reporting, and reform of the payment system. We also continue our advocacy on reform of the nursing home oversight system.