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Celebrating a Legacy of Vision, Service, and Leadership in Aging Services

LeadingAge Minnesota is proud to honor Bob Dahl, outgoing President and CEO of Cassia, with our prestigious Lifetime Achievement Award — one of the highest honors bestowed by the association. Reserved for individuals who are retiring from a career of distinction in aging services, the award recognizes visionary leadership, enduring impact, and a legacy that inspires future generations.

On September 16, 2025, the U.S. Department of Justice (DOJ) notified our plaintiff attorneys that it intends to dismiss its appeal in the CMS Staffing Rule challenge. Plaintiff attorneys consented to this action, and the government’s filing and subsequent court order of dismissal are expected in the near future. This marks a major victory and is the direct result of your dedication, advocacy, and hard work—congratulations!

Operators of independent living 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, Sept. 16th from 10 to 11 a.m. 

If this meeting isn’t on your calendar, email Shelli Bakken and you’ll receive an invite.    

Do you have a Tricky Situation to share with the group? A case study review will be shared with an opportunity for those on the call to weigh in on ideas for resolution. Your experience will be key! Bring an idea you have for discussion to this or to future meetings. 

Nursing home members should be aware that they need to submit a minimum wage rate add-on application to DHS in just over two weeks. DHS has provided an application and written instructions to apply for the rate add-on. They also have produced an instructional video that talks through how nursing homes should complete the application as well as a set of guidance in response to issues with some of the early arriving applications. 

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. Important note: Applications submitted after Oct. 1 will not be considered, so providers need to get the form completed and returned to receive the funding they are entitled to. Please contact Jeff Bostic with any questions.  

The Department of Employment and Economic Development (DEED) is seeking proposals for the Drive for Five Initiative Competitive Grants to conduct outreach, provide education and training, and job placement in high-demand fields, including the caring professions.

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.

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.

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 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.