The Trump administration rolled back regulations on facilities. Two years later, they are not being held as accountable.
By Robert Gebelhoff Robert Gebelhoff Opinions contributor focusing on health, science and public policy. Email Bio Follow Assistant editor and Opinions contributor March 25 at 12:39 PM In December 2017, President Trump, standing proudly beside several massive stacks of papers that represented the federal government’s expansive regulatory regime, boasted that his administration had removed more than 22 times as many regulations as it had added.
To no one’s surprise, Trump rolled back these policies soon after entering office. The number of per-day fines plummeted. The ban on mandatory arbitration was blocked. Trump even delayed the enforcement of new health and safety requirements by 18 months, much to the delight of the nursing home industry.
This is important because elder care is a multibillion-dollar field, and nursing homes — especially large chain operations — have revenue in the millions of dollars. Small, one-off fines barely register in this context. The daily fines the Obama administration levied could rack up quickly, resulting in higher average fines. The lower average under Trump suggests that offenders are being spared the harshest penalties.
Edelman has been closely tracking these nursing homes, especially those that the federal government classified as having “not improved” since they were first listed as special focus facilities. She has found that the Trump administration has largely pulled back its enforcement of them, issuing increasingly small fines even though the government continued to cite them for serious violations, according to her most recent analysis of CMS data in January.
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