{"database": "press", "table": "releases", "rows": [["https://flood.house.gov/media/press-releases/nebraska-delegation-writes-center-medicare-and-medicaid-services-register", "Nebraska Delegation Writes Center for Medicare and Medicaid Services to Register Concerns on New Staffing Proposal", "2023-09-18", "2023", "2023-09", "Republican", "House", "NE", "Mike Flood", "F000474", "flood.house.gov", "flood", "https://flood.house.gov/media/press-releases", "scraper", "WASHINGTON, D.C. \u2013 Recently, U.S. Congressmen Mike Flood, along with every member of the Nebraska Delegation, wrote the Centers for Medicare and Medicaid Services (CMS) regarding their recent proposal that includes phasing in new long-term care (LTC) facility requirements for minimum staffing standards.\n\n\u201cIt is our concern that the proposed rule presents unique compliance challenges to rural states like Nebraska. Nationally, the long-term care industry is facing historic staffing shortages, which are forecasted to increase,\u201d wrote the delegation. \u201cThese shortages are particularly acute in rural areas. In Nebraska, 80% of counties\u2019 RNs and Licensed Practical Nurses (LPNs) per capita are lower than the national average, and nine counties do not have any practicing RNs available.\u201d", 1, "2026-03-30T01:40:41Z", "2026-04-08T00:37:48Z"]], "columns": ["url", "title", "date", "year", "month", "party", "chamber", "state", "member_name", "bioguide_id", "domain", "scraper", "source", "date_source", "text", "has_text", "collected_at", "updated_at"], "primary_keys": ["url"], "primary_key_values": ["https://flood.house.gov/media/press-releases/nebraska-delegation-writes-center-medicare-and-medicaid-services-register"], "units": {}, "query_ms": 1.3789129443466663, "source": "dwillis/congress-press", "source_url": "https://github.com/dwillis/congress-press", "license": "MIT", "license_url": "https://github.com/dwillis/congress-press/blob/main/LICENSE"}