Nursing Homes - Direct Care Wages and Benefits and Cost Reports

HB 1414 requires Maryland nursing homes to spend at least 75% of their nursing and residential care revenue on direct care staff wages and benefits, including nurses, dietary workers, and therapists. It also mandates that nursing homes submit detailed annual cost reports by September 1 (starting in 2027) to the Maryland Department of Health, including proof of wage payments and other required data. Failure to comply could lead to enforcement actions such as corrective plans or suspension from the Maryland Medicaid program. The bill directly affects all nursing homes operating in Maryland and takes effect October 1, 2026.