Public Policy Connection



WAHSA's Legislative Action Center
AAHSA's Legislative Action Center



Nursing Facility Medicaid Deficits
  • Press Release: Analysis Documents Record Medicaid Nursing Home Deficits
  • Fact Sheet: Underpayment for Resident Care
  • Wisconsin Nursing Facilities Summary of Medicaid Deficits Payment Year 2006-2007

    Property Tax Exemption Legislation
  • The Consequences, Unintended or Otherwise, of the Passage of Senate Bill 403 on Senior Housing
  • Senate Bill 403
  • SB 403 Amendment Request
  • 2007 Senate Bill 403

    Comments on Clearinghouse Rule 07-095, the Proposed Revisions of HFS 83, the CBRF Rule

    WAHSA’s Continued Opposition to Senate Bill 283 and to the Anticipated Amendment to SB 283

    2008 Therapy Fee Schedule Payment Rates

    Wisconsin Medicaid RUGs and Level of Care Case Mix Indexes

    WAHSA Opposition to 2007 Senate Bill 283
  • Alzheimer's Disease Standards Bill

    The Impact on Nursing Homes of a Rate Freeze in 2007-08

    Legislative Fiscal Bureau Issue Paper #396 Nursing Home Rates and Bed Assessment Increase
  • Support for Alternative A4, with a 5% Rate Increase Under Attachment 2, and Alternative B1

  • Briefing Paper: Nursing Home MA Rate Increases and Provider Bed Tax (2007-09 Biennial Budget Bill)

  • Provider Bed Tax and MA Rate Increase: Overall & Facility-Specific Estimates July 2007

  • Overview of Long Term Care Provisions Included in 2007 Senate Bill 40, Governor Doyle's 2007-09 Biennial Budget Bill

  • Fact Sheet: Medicaid Underpayment for Resident Care
  • Summary of Nursing Facility Medicaid Deficits: Payment Year 2005-06 -- Updated

  • WAHSA Nursing Facility Advocacy Agenda: 2007-2009 Biennial Budget
  • Summary of Nursing Facility Medicaid Deficits: Payment Year 2005-06

    WAHSA Advocacy: Seeking 2005-07 Medicaid Nursing Facility Rate Increase/Fuel & Utility Supplement
  • Letter to Wisconsin Legislators, Fact Sheet and Talking Points

    Impact of 2005 Wisconsin Act 25 and MA Rate Increase Veto on Nursing Facilities
  • Excel Spreadsheet file
  • PDF file

    WAHSA 2005-2007 State Biennial Budget Bill: Legislative Issue Briefs

    Issue: Nursing Home Relocation Initiative/Community Integration Program
  • CHSRA Report on Nursing Home and Community Acuity (CHSRA Report)
  • 2003 Nursing Home Information (Key Findings)
  • DHFS Nursing Home Relocation Projections

    Issue: Nursing Home Medicaid Rate Increase and Provider Bed Tax
  • Nursing Home Medicaid Funding Crisis

    Issue: Nursing Home Acuity-Based Rate Adjustments

    WAHSA 2005 Legislative Issue Briefs

    Issue: Property Tax Exemptions for Residential Housing
  • Legislative Council Special Committee Website

    Issue: Liability Cap Extension for Long Term Care and Human Services Providers
  • LRB Draft Legislation




    Long Term Care Reform: WAHSA’s Blueprint for Change

    Follow-up to Audit Report 02-021, Regulation of Nursing Homes and Assisted Living Facilities

    News Release: Health Care Leaders Voice TABOR Concerns -- Proposal could lead to Medicaid “Hidden Tax” Hike



    Documents Related to WAHSA's Position on the Property Tax Exemption
    The Columbus Park Supreme Court Decision
    and the Continued Property Tax Exemption for Low Income and Senior Housing Providers
    Talking Points on "Pre-Columbus Park Legislation

    July 2000 Benevolent Retirement Home for the Aged Task Force: Not-for-Profit Perspective -- Final Report

    November 19, 2003 Columbus Park Housing Corporation v. City of Kenosha Supreme Court Decision

    League of Wisconsin Municipalities Amicus Curiae Brief in Columbus Park: Benevolent Retirement Homes

    WAHSA FYI-03-16 (11/26/03): Supreme Court Rules Against Columbus Park Housing Group

    Reinhart Frequently Asked Questions Regarding Property Tax Exemption for Senior Housing: WAHSA Member Alert (1/23/04)

    12/16/03 Letter from John Sauer to James Gultry of the Department of Revenue: Clarification of the Columbus Park Decision

    1/23/04 Memo to Wisconsin Assessors from DOR on Columbus Park

    WHEDA Memo: Property Tax Exemption Issues Raised by Columbus Park -- Potential Effects for WHEDA and WHEDA Draft Language on Possible Amendments

    Non-Profit Affordable Housing Coalition Draft Legislation (no sunset clause)

    2/3/04 Interested Legislators Memo on Columbus Park from John Sauer

    Spreadsheet on Median Incomes (30%, 50%, 60%, 80%, 140% and median)

    1/04/2000 Memo from WAHSA Executive Director John Sauer to Tom Ourada of the Department of Revenue
    on the Legislative Chronology of the Benevolent Retirement Home for the Aged Issue




    WAHSA's 2004 Issue Papers

    Support for Assembly Bill 842 Relating to the Regulation of Nursing Homes

    2003 Assembly Bill 644: RCAC Fees and Regulations

    Issue: $400 Million Medicaid Deficit



    WAHSA's Recommended Long Term Care Reforms (October 2, 2003)



    Board on Aging's Nursing Home Policy White Paper (July 23, 2003)

    WAHSA Letter to the Editor (July 23, 2003)



    FYI-03-11 -- July 24, 2003
  • Governor Signs Budget Bill into Law



    WAHSA's Assisted Living Document: A Discussion on the Differences Between AL and Nursing Homes
  • Cover
  • Document



    WAHSA 2003 Issue Papers:

    Nursing Home Forfeiture Surcharge/Assisted Living Forfeitures

    Nursing Home Medicaid Rate Increase and Provider Bed Tax


    Federal Revenue Maximization Initiatives/Transfer from the Patients Compensation Fund

    Nursing Home Funding in the 2003-05 Biennium

    Wisconsin Legislative Audit Bureau Report 02-21, “Regulation of Nursing Homes and Assisted Living Facilities”



    WAHSA's Veto-Request Letter Sent to Govenor Doyle (June 25, 2003)

    LFB Paper #400, "Nursing Home Rate Increase and Bed Tax" (DHFS -- Nursing Homes) (May 19, 2003)

    SB 44 Provisions on Nursing Home Rate Increases and Provider Bed Tax/Nursing Home Reimbursement Methods (May 15, 2003)

    Long Term Care Provisions Contained in 2003 Senate Bill 44, the Biennial Budget Bill

    Medicaid Waiver to Restructure and Reform the Long-Term Care Delivery System

    Legislative Briefing Document: 2003 Senate Bill 44, The Governor's 2003-05 Biennial Budget Bill

    Wisconsin Family Care Implementation Process Evaluation Report III
  • Wisconsin Legislative Audit Bureau Audit Summary

    Regulation of Nursing Homes and Assisted Living Facilities
  • Wisconsin Legislative Audit Bureau Audit Summary



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    Study Shows that Quality Nursing Homes are Losing Money

    This study by the American Association of Homes and Services for the Aging (AAHSA) of operating margins in not-for-profit nursing homes is based on an analysis of the 990 tax returns from 272 not-for-profit, freestanding facilities.


    WAHSA 2002 Issue Papers:

    Issue: Preserve IGT Funding for Nursing Homes

    Issue: Support for the Budget Reform Bill's Medicaid Provisions

    Issue: Opposition to The Health Care Worker Mandatory Overtime Prohibition Bills

    Issue: Minimum Nurse Staffing Requirements for Nursing Facilities

    Issue: Summary - July 2000 Medicaid Rates

    Issue Paper: The Critical Need to Approve the Intergovernmental Transfer Program (IGT) Nursing Facility Provisions Contained in Senate Bill 55, the 2001-03 Biennial Budget Bill

    Issue: 2001-2003 Medicaid Nursing Facility Funding Increases

    A Proposed Legislative Solution to the Underfunding of Nursing Homes by the Wisconsin Medicaid Program

    Fact Sheet: The Financial Crisis in Wisconsin's Nursing Facilities

    Response to DHFS Nursing Home "Fact Sheet"

    Special Report: On the Financial Condition of Nursing Homes in Wisconsin

    Benevolent Retirement Home for the Aged Task Force: The Not-for-Profit Perspective -- Final Report; July 28, 2000

    WAHSA 2000 Issue Papers:

    Issue: Future Nursing Facility Funding Concerns

    Issue: A 3.5% wage pass-through for nursing home housekeepers, food workers and laundry workers

    Issue: User Fees

    Issue: A Federal Waiver to Pilot an Alternative Nursing Home Survey Process in Wisconsin

    Issue: Further Balanced Budget Act Refinements Needed

    Issue: Recruitment of Foreign Nurses

    Issue: Use of "Single Task" Employees in Nursing Homes

    WAHSA Letter to BQA related to Single Task Employees -- February 22, 2000

    WAHSA 1999 Issue Papers:

    Issue: Caregiver Criminal Background Checks
    Issue: Support for a Wage Pass-through for Nursing Home Employees
    Position Statement on Family Care, the Governor's Budget Proposal to Redesign the Long-Term Care Delivery System


    Legislative Briefing Document on Senate Bill 45/Assembly Bill 133: The Governor's 1999-2001 Biennial Budget Bill

    Position Statement on Family Care -- The Proposed Redesign of the Long Term Care Delivery System

    Issue: Long Term Care Redesign/Family Care

    Issue: 1997 Assembly Bill 479

    WAHSA's Position on 1997 Senate Bill 261: Property Tax Exemption

    LTC Redesign

    Link to E-mail addresses of members of the Wisconsin Assembly
    Link to E-mail addresses of members of the Wisconsin Senate

    Wisconsin Association of Homes and Services for the Aging
    204 South Hamilton Street
    Madison, WI 53703
    Telephone: (608)255-7060 FAX:(608)255-7064