Nursing Homes - Direct Care Wages and Benefits and Cost Reports

This bill requires Maryland nursing homes to spend at least 75% of their total nursing and residential care revenue on direct care staff wages and benefits (including nurses, dietary, therapy, and social workers). Nursing homes must annually submit detailed cost reports by September 1 starting in 2027, including proof of wage payments and other data determined by the Maryland Department of Health. Failure to comply may result in enforcement actions, including suspension from the Maryland Medical Assistance Program. The law takes effect October 1, 2026, directly affecting all nursing homes operating in Maryland.