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 Slew of States Offer New Regulations for Assisted Living Providers

In keeping pace with new state regulations, the National Center for Assisted Living (NCAL) has published the 2017 edition of its “Assisted Living State Regulatory Review” covering updates in 17 states. Included in the new reporting are overviews of new laws in California, Oregon, Rhode Island, and Virginia to enhance penalties and oversight of assisted living operators.

“Once again, states are demonstrating their effectiveness in regulating assisted living communities,” said NCAL Executive Director Scott Tittle. “These targeted changes indicate a robust oversight system is in place, as providers continue to meet the local demands of residents and families. We all have the same goal in mind—ensuring the utmost care for our residents.”

NCAL’s “Assisted Living State Regulatory Review” summarizes key selected state requirements for assisted living licensure or certification. There is information on 20 separate categories, including which state agency licenses assisted living as well as recent legislative and regulatory activity. Other categories examine the requirements for resident agreements, admission and discharge policies, scope of care, and life safety.

When assessing a theme to the state regulatory activity, NCAL said the most common changes among the 17 states that reported updates were for civil monetary penalties and oversight requirements. Many states also issued new regs on training requirements, administrator licensing, background checks, and medication administration.

“We anticipate that more than half of states will be proposing, formally reviewing, or considering changes that would affect assisted living communities in the coming year. Some may make significant changes, while others may make small updates,” said Lilly Hummel, NCAL’s senior policy director and the report’s author.

“States are also in the process of reviewing their regulations to comply with federal requirements for assisted living communities and other home- and community-based settings that are Medicaid providers.”

The full report, along with each state’s, summary is available online at

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