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Bill

HB 933

Nursing Homes - Cost Reports

2025 Regular Session Introduced by Tiffany Alston and 16 co-sponsors

Maryland nursing homes must submit standardized cost reports to the state for financial transparency and regulatory oversight of facility operations and expenses.

Approved by the Governor - Chapter 733
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Bill Summary · HB 933

Legislative bill overview

HB 933 requires Maryland nursing homes to submit detailed cost reports to the state, providing transparency on their operational expenses and financial structure. The bill establishes standardized reporting requirements that allow the state to monitor and analyze nursing home finances. This became law in May 2025 after passing both chambers and receiving gubernatorial approval.

Why is this important

Nursing home cost transparency enables policymakers to identify financial patterns, detect potential fraud or mismanagement, and make data-driven decisions about Medicaid reimbursement rates and facility regulations. This information can help protect vulnerable residents by ensuring facilities are adequately funded for quality care and staffing while preventing excessive profiteering.

Potential points of contention

  • Reporting burden: Nursing homes may argue that detailed cost reporting requirements increase administrative costs and compliance complexity, potentially diverting resources from patient care
  • Competitive concerns: Facilities may resist disclosing financial data they consider proprietary business information, fearing competitive disadvantages or public scrutiny of profit margins
  • Rate implications: Clear cost data could pressure lawmakers to adjust Medicaid reimbursement rates, creating uncertainty for facility operators about future revenue stability

Compiled from official sources — confirm details with the bill’s official record.

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