In making the Survey and Certification budgetary allocation, CMS may, among other things,
adjust the amount allocated to States that refuse to survey and certify compliance with all
applicable Medicare and Medicaid health and safety regulations. These state allocations would
be reduced for the current fiscal year and each successive year until the state resumes full
oversight of the entirety of Medicare and Medicaid regulations. These funds would be used by
CMS to support federal oversight alternatives in the state (including contractor support) to
safeguard the health and safety of those receiving care from Medicare and Medicaid certified
providers and suppliers.
CMS is talking tough to states failing to enforce the nursing home employees vaccination requirement.