Wednesday, October 4, 2017

NCAL Report: States Make Continuous Changes to Assisted Living Regulations

Lilly Hummel

Assisted living regulations, statutes, and policies in 17 states were updated between June 2016 and June 2017, according to the National Center for Assisted Living’s (NCAL) 2017 edition of “Assisted Living State Regulatory Review.” The association released the latest edition of its annual review today. The report also found that four states—California, Oregon, Rhode Island, and Virginia—each passed new laws within the past year to enhance penalties and oversight.

“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. It includes information on 20 categories, including which state agency licenses assisted living as well as recent legislative and regulatory activity. Additional categories cover requirements for resident agreements, admission and discharge policies, scope of care, life safety, among others.

This year’s review found that the most common changes among the 17 states that reported updates to assisted living requirements were in the areas of civil monetary penalties and oversight requirements. Other changes were made to 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 states’ summary is available online at

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