Comment from American Health Care Association/National Center for Assisted Living (AHCA/NCAL)

Summary: The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) opposes the proposed rule because it would significantly increase prevailing wage requirements beyond actual market compensation levels. They argue that these higher costs, combined with fixed reimbursement structures from Medicare and Medicaid, would make it difficult for long-term care providers to recruit essential staff and could limit access to care for seniors and individuals with disabilities.