SB 190 — NURSING HOMES: Provides relative to nursing home licenses. (8/1/26) (EN INCREASE GF EX See Note)

SLS 26RS-259 REENGROSSED Regular Session ENROLLED SENATE BILL NO.

190 BY SENATOR MIZELL NURSINGAN HOMES.ACT To enact R.S.

Provides relative to nursing home licenses.

(8/1/26) AN ACT To enact R.S.

B.B.AnynursingfacilityidentifiedinSubsectionAofthisSectionshalldo all of the following:

Any(1) nursingProvide facilitynotice identifiedto inboth Subsectionprospective Aand ofcurrent thisresidents Sectionthat shall:the facilityisin the Special Focus FacilityProgramdue tothescopeand severityof noncompliance with state and federal requirements.

(1)(2) Provide noticecurrent residents the opportunity to bothtransfer prospectiveto andanother currentavailable residentsfacility thatif the facilityisinresident theSpecialFocuscan FacilityProgramduebe tothescopeandtransferred severityofsafely noncomplianceand there is an alternative nursing facility with stateavailability that meets the resident's geographical, physical health, and federalmental requirements.health needs.

(2)(3)Complywithallofthefollowingstaterequirementsinadditiontoany Providerequirements currentimposed residentsby the opportunityCenters tofor transferMedicare toand anotherMedicaid PageServices: 1 of 4 Coding:

(a) Attend an in-person meeting with the Louisiana Department of Health within forty-five days of being selected to participate in the Special Focus Facility Program to discuss increased state monitoring and other state-imposed requirements.

Page 1 of 3 Coding:

SLS 26RS-259 REENGROSSED SB NO.

190 availableENROLLED facility(b)EnterintoanagreementwiththeLouisianaDepartmentofHealthto ifaddress the residentnoncompliance canof bethe transferred safely and there is an alternative nursing facilityfacility. with availability that meets the resident's geographical, physical health, and mental health needs.

(3) Comply with the following state requirements in addition to any requirements imposed by the Centers for Medicare and Medicaid Services:

(a) Attend an in-person meeting with the Louisiana Department of Health within forty-five days of being selected to participate in the Special Focus Facility Program to discuss increased state monitoring and other state-imposed requirements.

(b)EnterintoanagreementwiththeLouisianaDepartmentofHealthto address the noncompliance of the nursing facility.

(x) Complying with alternate remedies or other provisions intended to Pagedeter 2noncompliance, ofcorrect 4deficiencies, Coding:and address quality, health, safety, and welfare issues, imposed by the department.

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SLS 26RS-259 REENGROSSED SB NO.

190 deter noncompliance, correct deficiencies, and address quality, health, safety, and welfare issues, imposed by the department.

However, nothing in this Section shall prohibit the department from issuing a license revocation to a nursing facility prior to the expiration of the eighteen-month period, if the nursing facilityviolatestheprovisionsofthesettlementagreementandtheviolationsor noncompliancewithfederalorstateregulationsPage hasplacedresidentsatriskfor2 seriousof harm3 orCoding: death.

The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Senate Legislative Services.

The keyword, summary, and digest do not constitute part of the law or proof or indicia of legislative intent.

[R.S.

1:13(B) and 24:177(E)] DIGEST SB 190 Reengrossed 2026 Regular Session Mizell Proposed law establishes state requirements to correspond with the federal requirements established by the Centers for Medicare and Medicaid Services (CMS) Special Focus Facility (SFF) Program which focuses on nursing homes that have a history of serious quality issues.

Proposed law requires the nursing facilities to notify prospective and current residents of participation in the program and give the residents an opportunity to transfer to another nursing facility.

ProposedlawrequiresanynursingfacilitylicensedbytheLa.Dept.ofHealththatisselected for participation in the SFF Program to be subject to enhanced state monitoring and other state-imposed requirements.

Proposed law requires the La.

Dept.

of Health to revoke the license of any nursing facility that fails to meet the requirements for graduation from the program and additional requirements imposed by the department within 18 months.

Proposedlawauthorizes the La.

Dept.

ofHealthto revokethelicenseofanynursingfacility priorto18monthsifthefacilityis noncompliantwith federalrequirementsortheadditional requirements imposed by the department.

Effective August 1, 2026.

(Adds R.S.

40:2009.10.2) Page 3 of 4 Coding:

SLS 26RS-259 REENGROSSED SB NO.

190 SummaryENROLLED ofnoncompliancewithfederalorstateregulations Amendmentshas Adoptedplacedresidentsatriskfor byserious Senateharm Committeeor Amendmentsdeath. Proposed bySenate Committee on Health and Welfare to the original bill 1.

RemovesPRESIDENT candidatesOF forTHE theSENATE SpecialSPEAKER FocusOF FacilityTHE ProgramHOUSE fromOF theREPRESENTATIVES requirementsGOVERNOR ofOF proposedTHE law.STATE OF LOUISIANA APPROVED:

2.Page 3 of 3 Coding: