Action Center

Meaningful Change to the Minimum Staffing Mandate, Sensible Solutions

Contact your local legislators today, and invite them for a facility tour to discuss the sensible solutions needed to be made to the Minimum Staffing Mandate.


  • Delay the Implementation of the Penalties of the Minimum Staffing Statute through at least 12/31/2024
  •  Adopt a broader definition of a “Direct Care Workers”, similar to other states including Director of Nurses, RNs/LPNs with Administrative duties, Occupational Therapy Assistants, Respiratory Therapists, Social Workers and Activities Professionals.
  •  Certified Nursing Assistants (CNAs) who are specially trained and licensed as Medication Aides and Nurses Aides in Training should be included with other CNAs when calculating the CNA PPD consistent with Medicare Compare Staffing Data.
  •  Grant greater discretion to RIDOH in determining compliance, implementing fines/penalties and provide them the ability to grant waivers.
  •  Indefinitely delay increases in the required (Tier 2) staffing PPDs slated for 1/1/2023.
  •  The overall methodology of determining fines needs to be modified. Rather than penalizing facilities that are unable to comply, the current methodology would bankrupt providers with tens of millions in fines, Medicaid Claw-backs and Admissions Freezes, closing facilities – displacing thousands of residents from their homes.
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