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This page provides a library of federal laws, federal regulations, and related guidance that affect long-term care residents.

  • Federal laws (statutes) are rules passed by Congress and signed by the President. They establish the legal framework and broad requirements for programs and rights.
  • Federal regulations are detailed rules created by federal agencies (such as the Centers for Medicare & Medicaid Services) to implement federal laws.
  • Guidelines are interpretations or recommendations issued by agencies to help explain how to follow laws and regulations.

Federal Laws

Nursing Home Reform Act (OBRA ’87)

Older Americans Act of 1965, as Amended Through P.L. 116-131 (March 25, 2020)

Summary of the Nursing Home Reform Act (OBRA ’87)

Federal Regulations

Nursing Home Regulations

Issue Briefs on Requirements for Long-Term Care Facilities→

Summary of Final Rule on Minimum Staffing Standards→

  • Disclosure of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts – 42 C.F.R. Parts 424 and 455

Older Americans Act Regulations

Long-Term Care Ombudsman Program Final Rule – 42 C.F.R. Part 1324, Subpart A

Home and Community Based Services Settings Rule – for HCBS provided under sections 1915(c), 1915(i), and 1915(k) of the Medicaid statute.

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Care Compare – Care Compare is a tool provided by the Centers for Medicare & Medicaid Services (CMS) that offers consumers a way to compare the quality of healthcare providers, facilities, and services. The goal of Care Compare is to help individuals make informed decisions about their care by providing information on the performance and quality of different healthcare settings.

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