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  • The Trump Administration’s Proposed $103,265 Fee for H-1B Visas Could Affect the Health Care Workforce

    Quick Insights

    The proposed $103,265 fee could lead to reductions in U.S. health care workforce, increasing barriers to care….A decline in H-1B workers would disproportionately impact states that employ the largest shares of H-1B workers (NY, MA, CA, and PA), lower income and rural areas where H-1B health care workers often are employed, and smaller employers, who would face greater challenges paying the fee.

  • A Closer Look at Deficiencies in Nursing Homes

    Issue Brief

    Amid changes to federal oversight of nursing homes during the Trump administration -- including rescinding the nursing home staffing rule issued by the Biden administration, prioritizing inspections that are triggered by complaints over routine inspections, and suspending the deadline to report detailed ownership information -- this issue brief provides an overview of the nursing home inspection process and the types of deficiencies (e.g., failures to meet federal safety and quality requirements) identified during these inspections.

  • Forthcoming Policy Changes to Medicaid State Directed Payments

    Issue Brief

    The 2025 reconciliation law reduced federal Medicaid spending by an estimated $911 billion from 2025 through 2034, some of which stems from new restrictions on Medicaid state directed payments (SDPs) for hospital and other health care services. This issue brief describes SDPs and forthcoming policy changes stemming from the 2025 reconciliation law and the proposed regulation to implement those requirements and make other changes.

  • A Closer Look at Rural Nursing Homes

    Issue Brief

    This analysis compares the characteristics of nursing homes in rural areas with those in urban areas. This brief uses data from Nursing Home Compare, a publicly available dataset that provides a snapshot of information on quality of care in each nursing home.

  • A Look at Nursing Facility Characteristics in 2025

    Issue Brief

    This data note discusses the impact of the 2025 reconciliation law on nursing facilities and examines the characteristics of nursing facilities and the people living in them with data from Nursing Home Compare, a publicly available dataset.