Last week, the Centers for Medicare & Medicaid Services (CMS) finalized a revised rule (the 2019 Final Rule) removing the prohibition in the 2016 Rule on pre-dispute arbitration agreements for long-term healthcare facilities but keeping provisions from the 2016 rule “banning facilities from requiring that residents sign arbitration agreements as a condition of admission to a facility” and “specifying that a resident’s right to continue to receive care at the facility must not be contingent upon signing an arbitration agreement.” The CMS short summary of the Final Rule states:
We have reviewed all of the comments received and considered the concerns raised by all stakeholders. As a result, we have made some revisions to the proposed rule in response to public comments. Specifically, as discussed in detail below, we are finalizing our proposals to remove the requirement at § 483.70(n)(1) precluding facilities from entering into pre-dispute, binding agreements for binding arbitration with any resident or his or her representative, and the provisions at § 483.70(n)(2)(ii) regarding the terms of arbitration agreements. We are not finalizing the proposed removal of the provision at § 483.70(n)(2)(iii) banning facilities from requiring that residents sign arbitration agreements as a condition of admission to a facility. Therefore, facilities will continue to be prohibited from requiring any resident or his or her representative to sign an agreement for binding arbitration as a condition of admission to the facility. In addition, to address commenters’ concerns that facilities may still coerce or intimidate the resident and his or her representative into signing the agreement, the facility must explicitly inform the resident or his or her representative that signing the agreement is not a condition of admission and ensure that this language is also in the agreement. We are finalizing provisions requiring that arbitration agreements be in a form and manner that the resident understands. However, we are not finalizing the proposed transparency related provisions that the facility must ensure that the agreement for binding arbitration is in ‘‘plain language’’ and that the facility post a notice regarding the use of agreements for binding arbitration in an area that is visible to residents and visitors. We are not finalizing the proposed removal of the provision specifying that a resident’s right to continue to receive care at the facility must not be contingent upon signing an arbitration agreement. Finally, based on comments, we are adding a requirement that facilities grant to residents a 30 calendar day period during which they may rescind their agreement to an arbitration agreement.
The full text of the revised Final Rule can be found here. For more, check out the coverage at the Disputing Blog, here.
H/T Alyson Carrel (Northwestern)
One thought on “Long-Term Healthcare Arbitration Update”
This is fascinating. Thanks so much for posting. While I am sorry that the new regulation will not prohibit pre-dispute arbitration altogether, in this context, I am pleasantly surprised that the agency seemed genuinely concerned that unfair arbitration might be forced on patients. While they have required clauses be clear, optional, and revokable for a month I am still nervous many will unknowingly agree. Time will tell how this works out.