Cal Stein, a partner with Troutman Pepper Locke, was quoted in the March 11, 2025 McKnight’s Long-Term Care News article, “CMS Targets Third-Party Pay Policies With Updated Guidance.”

More restrictions on the ability of facilities to secure third-party guarantees to defray financial risk “creates a very tricky situation,” Callan Stein, a partner with Troutman Pepper Locke, told McKnight’s Long-Term Care News.

“We may come to see more frequent legal collection actions by nursing homes, for example, against the estate of a resident who passes away with a large outstanding balance owed,” he added. “It would also not be surprising to see nursing homes more frequently writing off bad debt, as permitted, for tax benefits.”

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