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You can now use e-Services to create and submit 2025 Certificates of Rent Paid (CRPs). By making 2025 CRPs available now, you have the option to create CRPs for renters who move before the end of the year. You must give each renter a CRP by January 31 of each year.

The Minnesota Health and Education Facilities Authority recently announced an expansion of its services, as the state agency is now able to assist nonprofit healthcare organizations across the state. This enhancement is a direct result of legislation approved in 2025.

The Centers for Disease Control and Prevention (CDC) has announced updated recommendations for flu vaccination for the 2025–2026 flu season. On August 28, 2025, the CDC’s Advisory Committee on Immunization Practices (ACIP) approved the guidance that will shape flu prevention efforts nationwide.

LeadingAge Minnesota’s VP of Clinical Services, Kari Everson, recently had an opportunity to speak with Minnesota Board of Nursing Executive Director Caryn Gaytko, not to recap policy, but to get to know the leader behind the title. The goal was simple: build a stronger working relationship, understand Caryn’s leadership approach and values firsthand, and open a clear line of communication between the Board and Minnesota’s long-term care community.

In late August, the public health community was surprised by news that Senate-confirmed CDC Director Susan Monarez was terminated, along with the temporary departure of three top CDC officials. The decision followed Director Monarez’s reported refusal to sign off on the Advisory Committee on Immunization Practices (ACIP) recommendations for the COVID-19 vaccine.

The 2025 Legislature approved a transition of the nursing home case mix system from RUGs to PDPM. DHS has now produced new rates for nursing homes and posted them on the nursing facility portal.

LeadingAge learned this week of a move within the Department of Housing and Urban Development (HUD) to execute on President Trump’s March 1 English-as-America’s-official-language Executive Order (EO) by replacing the agency’s Limited English Proficiency (LEP) policy with an English-only policy.

Memo

In a memo to HUD employees, HUD deputy secretary Andrew D. Hughes stated that the EO will “enhance social and economic integration,” and reports that the agency will no longer have contracts for translation services for documents or communications, and all paper and online materials in languages other than English would be removed. HUD Secretary Scott Turner stated on Fox News, “… HUD will solely use English for all Departmental business and services. We are one people, united, and we will speak with one voice and one language to deliver on our mission.”

Previously, HUD had a practice of translating materials like resident brochures, documents, and forms into nearly 20 languages.

LeadingAge National confirmed the announcement with HUD leadership, who said that the change would take effect “immediately.” However, next steps and timelines for removing materials and ending contracts is currently unclear, and as of August 20, several translated materials are still available online through HUD’s LEP webpage.

LeadingAge National is working to save translated materials that housing providers may need in order to serve households with diverse LEP needs. Providers are encouraged to consider doing the same, particularly for documents that you use frequently for the population you serve.

The 2025 Legislature approved a temporary rate add-on to cover the cost of raising employees to the minimum wage levels passed by the Nursing Home Workforce Standards Board. This step was taken based on strong advocacy by the LTC Imperative. We have long-argued, even before the Board’s creation, that any standards it approves which increase costs for providers must have upfront funding to be workable. 

Application Details

DHS has now developed an application and written instructions to apply for the rate add-on. They also recently produced an instructional video that talks through how nursing homes should complete the application.  

The add-on will be calculated using two months of actual wage data for individuals below the minimum standards, then annualized and calculated as a per day rate adjustment that will appear on nursing homes’ 2026 and 2027 rates in the external fixed category where it is not subject to the operating rate caps that will apply starting in 2026. Applications must be submitted by October 1 to receive a rate increase, so member nursing homes are strongly encourage to complete and return the application forms to DHS quickly. 

In breaking news earlier this week, a Ramsey County district judge struck down a provision in a 2024 session law, which raises questions about future legislatures and how public policies, including aging services, may be enacted moving forward. 

The session law in question, coined the “Megabus Bill”, was enacted in the final minutes of the 2024 regular session. It was originally advanced as a tax bill before lawmakers added a number of omnibus supplemental budget and policy bills to the language. In total, over 1,400 pages were passed in a controversial voice vote before adjournment.  
 
No immediate impact to aging services 

There is nothing immediate to be done. Many of the provisions in the Megabus bill related to aging were separately passed by both chambers as a stand-alone human services omnibus law, in addition to being folded into the 1,400 page bill. As a result, those specific budget and policy items would remain intact, even if the Megabus bill was stricken in its entirety.   

A deeper look 

The judge’s ruling was narrowly crafted to apply only to the issue raised by plaintiffs, but he left the door open to other legal challenges. Most intriguing to note, his ruling acknowledges the increasingly common practice of the legislature to rely on omnibus bills to enact laws. His ruling, along with subsequent opinions from other legal experts, has re-ignited an ongoing debate about the application of omnibus bills that make sweeping changes to the state’s budget and regulatory environment.  

For our sector, this practice has both helped aging services in providing vehicles to advance our policy objectives but has also produced setbacks when an unfavorable policy is incorporated into a larger bill that has majority support. It remains to be seen how this decision will impact the 2026 Legislature, which is scheduled to convene on February 17th of next year. 

Operators of independent senior housing communities are invited to join the monthly networking group that is specifically designed for you! This virtual networking meeting will be held on Tuesday, August 19^th from 10 to 11 a.m.

If you are an operator of a HUD community, you are invited to join our upcoming quarterly networking group. Get together with other operators to network, share best practices, and get the latest updates related to HUD.

Join your colleagues in taking the Safe Lift: STOP for Safety Pledge – a shared commitment to protect residents and staff by reducing lift-related falls. By taking this pledge, your organization commits to implementing the Safe Lift: STOP for Safety 3-Step Process as a standard practice, ensuring every resident transfer is safe, respectful, and reliable.

Occupancy rates for nursing homes continue to show improvement, coming in at 84.8% statewide in the first quarter of this year and 84.2% in the second, both higher than any quarter since the first quarter of 2020, just before the pandemic hit.

This week, Minnesota’s 4th Congressional District Representative, Congresswoman Betty McCollum, stopped by Sholom’s east campus in St. Paul for a resident town hall. Staff and residents celebrated the 30th anniversary of Medicare and Medicaid, a landmark law enacted by Congress and signed into law by President Lyndon B. Johnson.

Discussing Real World Impacts

Congresswoman McCollum, who was the second woman ever elected to serve Minnesota in Washington D.C., also hosted a conversation with residents about the impact of H.R. 1, what it will mean for Minnesota legislators, and what to expect from Congress for the remainder of the year.   

LeadingAge Minnesota would like to thank the leadership and staff at Shirley Chapman Sholom Home East for hosting such an engaging meeting. Remember that our federal delegation are back in their districts this month, so it is a wonderful opportunity to invite them out for a tour of your community.

Contact Kayla Khang at kkhang@leadingagemn.org if you would like assistance in making the invitation.  

Cassia is pleased to announce Matthew Kern as its next president and Chief Executive Officer (CEO), effective October 1, 2025.

The 2025 LeadingAge Minnesota Foundation Golf Tournament – held on Aug. 5 at Prestwick Golf Club in Woodbury – helped raise funds for the next round of caregiver scholarships. In total, thanks to golfers, sponsors, volunteers, and ticket sales, the event raised over $122,000 before expenses. It was a gorgeous day for golf. 

With the average data breach costing organizations $4.88 million, we must be aware of the leading cybersecurity threats.

CMS is proposing a steep 9% cut to the Medicare Fee for Service (FFS) payment rates for home health services. Our partners at LeadingAge have been analyzing the 2026 Home Health Payment System Rate Update, and when combined with the 8.8% payment reductions the agency has imposed since CY2023, the impact will be significant to all providers of home health care.

On July 30, the Minnesota Department of Health (MDH) informed LeadingAge Minnesota that the Centers for Medicare & Medicaid Services (CMS) has once again clarified its position regarding resident rights and Enhanced Barrier Precautions (EBP).

We have received several calls from members recently regarding their Assisted Living license renewal process being very slow, or licenses expiring before the renewal is received.

The LeadingAge Minnesota QUEST Report is now available for Q1 2025.

The fourteenth edition of the Really Big Book of Nursing Home Regulations is finally here and ready to go! It is now available for order.

Several new state laws go into effect on Aug. 1, 2025 that will impact aging services. As a reminder, many of these changes will require additional guidance from our state agency partners, so continue to look to LeadingAge MN for resources, expert support and operational counsel.

The Department of Housing and Urban Development (HUD) has posted draft materials needed for certain federally-assisted housing providers to comply with requirements under the Housing Opportunity and Modernization Act (HOTMA).

In Minnesota, landlords are required to notify residential tenants about the availability of the Minnesota Attorney General's Office Landlords and Tenants: Rights and Responsibilities handbook. 

One of the changes approved by the Legislature this year is a transition of the nursing home case mix system to using the PDPM nursing weights to adjust rates instead of RUGs-IV weights. This change will be effective Oct. 1, 2025.

The application materials for another round of the nursing facility moratorium exceptions process were recently posted on the MDH website. Nursing homes interested in applying for approval to fund a construction project will need to complete all the required application materials and return them to MDH by December 18, 2025.

The Minnesota Nursing Home Workforce Standards Board (NHWSB) has established training requirements for nursing home employers under the Nursing Home Workforce Standards Board Act. All nursing home workers must complete at least one hour of training every two years on their workplace rights, provided by a Certified Worker Organization (CWO). This requirement takes effect January 1, 2025, with full compliance required by December 31, 2026.

As shared in last week’s Advantage, there are still several unknowns for how the federal budget bill, also known as the “One Big Beautiful Bill”, will impact older adults and the services they need. Minnesota budget officials estimate that the law will result in nearly $500 million in annual losses to our Medicaid program. Most of those reductions will not take effect until Jan. 1, 2027, or later, and will be subject to future state action by the Minnesota Legislature.

We’re taking a fresh look at the Really Big Book of Nursing Home Regulations and want to hear from you. Your feedback will guide improvements to ensure this essential resource meets your needs in the most practical and valuable ways. The survey takes just 3–5 minutes to complete. Please click here to share your input—your voice makes a difference!