The Centers for Medicare & Medicaid Services (CMS) announced it is seeking comments and feedback from the public on the Cutting Administrative Requirements for Excellence in Patient Care (CARE) proposed rule. This proposed rule would alleviate unnecessary regulatory burden through deregulation, including in the following ways for the Medicaid program: 

• Rescind the following Medicaid institutional payment transparency reporting requirements to reduce burden for states and institutional providers;

• The percentage of Medicaid payments for nursing facility services spent on compensation for direct care workers;

• The percentage of Medicaid payments for nursing facility services spent on compensation for support staff; and 

• The percentage of Medicaid payments for ICFs/IID services spent on compensation for support staff. 

The deadline to submit public comments is January 11, 2027. 

For more information, please review the fact sheet, which provides an overview of the provisions in the proposed rule.