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Federal Matters

1. NaCCRA is working to try to remove the artificial distinction between hospital observation and inpatient delays, so that Medicare reimbursement practices are both understandable and defensible.


2. NaCCRA was instrumental in the enactment of the Federal Right to Return Home Act, which allows CCRC residents to return to the Care Center in their CCRC after a hospitalization. Previously, managed care plans were apt to send CCRC residents to off-campus skilled nursing facilities with which the managed care plan has contracted. This is now under question because of the Affordable Care Act.


3.NaCCRA participated in the push to eliminate the imputed income tax related to refundable entry fees. Previously, residents were taxed on phantom “imputed interest” that they supposedly accrued even though entry fees were not loans and were not interest bearing.


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