Senators Cory Booker (D-NJ), Ron Wyden (D-OR), and Elizabeth Warren (D-MA) sent a letter to Centers for Medicare and Medicaid Services (CMS) Administrator Mehmet Oz on June 3,2026, urging CMS to immediately reinstate the skilled nursing facilities (SNFs) off-cycle revalidations.

The off-cycle revalidations, which sought to provide greater transparency around the ownership, management, and financial ties of CMS-certified SNFs, were suspended indefinitely in December 2025 after multiple delays due to issues with the process. Issues included confusion among providers about what exactly to report, difficulty obtaining the required data from the entities to be reported, and a lack of clarity from CMS and consistency among the Medicare Administrative Contractors (MACs) responsible for processing the off-cycle revalidations.

In the letter to CMS, the Senators contend “greater transparency into ownership and control is essential to protect residents, safeguard public funds, and enhance oversight of the nursing facility sector.” The Senators outline a troubling example of a complex network of related companies through which two nursing homes’ funds were tunneled while nursing home quality and staffing suffered.

Cases like this highlight the need for improved transparency. However, the significant concerns identified with the CMS form and guidance by which nursing homes were required to report information on off-cycle revalidations underscore the need for CMS to re-evaluate this form and process. To improve nursing home ownership and management transparency in a meaningful way, CMS must develop a process that ensures the right information is acquired in the most efficient way.