Senator Jeremy Miller (R-Winona) and Senate Republicans struck a deal to provide an additional $300 million to address Minnesota’s nursing home crisis. The agreement will include direct grants, wage increases, and a workforce incentive fund that adds up to about $1.1 million for every nursing home in the state. These new funds are in addition to the $100 million in loans available in the Human Services bill passed last week.
“We are all aware of the challenges that nursing homes are facing,” Senator Miller said. “Last year Senate Republicans proposed a plan that would infuse more than $1 billion dollars to address the nursing home crisis. While we couldn’t get the House and Gov. Walz to agree, it set the standard for what needed to be done. I am proud to say this year we were successful at securing more than $300 million to support our nursing homes across the state. We know they need more, but this will prevent many of them from closing and provide a lifeline that they badly need. I am eager to come back next year to do even more.”
Nursing Facility Grants totaling $173.5 million will be split into two payments in August 2023 and August 2024. Each nursing home will receive at least $225,000, plus additional funds based on active beds for every nursing home in the state, an average 50-bed facility could see $465,000 in grant funding. The grants can be used for various fiscal management strategies to improve the financial health of nursing homes. Unlike loans in the Human Service budget, these grants will not need to be repaid, making their impact much more meaningful for nursing homes.
Staffing concerns continue to be a major challenge for nursing homes. $51.5 million in state money in addition to federal funds will enable a temporary $12.32 daily rate add-on for 18 months. Nursing home administrators say that this could translate into a pay raise of about $1 per hour for nursing home staff. The remaining funds from the $300 million are put into a Workforce Incentive Fund (WIF) that facilities can use for hiring and retention bonuses, employee-owned benefits, and employee contributions to a 410k, along with professional development, childcare, meals, transportation, and housing needs of employees. The WIF caps out at $3000 per worker, per year and is available until funds are spent or July 2029.
According to Long-Term Care Imperative, a collaboration of aging services providers, 15% of nursing homes statewide have completely exhausted their financial reserves and 10% are considering closing. In Greater Minnesota, 17% have no financial reserve and 12% are considering closures. With about 350 nursing homes in the state, that puts 60 nursing homes without reserves, and 41 considering closure.