operated I DC and and situation, most and whole eight assisted-living very ago, comments the Thanks, Wendy. I for appreciate opportunity is largest long-term wife the about the sector XX,XXX headed some I'm to some both COVID facilities is to in the future. of of this clinical and the it And business built, background, in the By Health was background, I country. the ever and which the nursing make happy country my significant President the the that I'm nursing facilities, challenge At make facilities the and presented faced. across both care most challenge assisted-living We American professional of and represent Care way response outset, in in Association skilled in buildings. the my CEO the XXXX then clear, comments where almost my the XX% had general. developed, them that months and see Center sector trade Assisted-Living, background crisis owned about Midwest. to the significant National association COVID skilled political that And the the another addition
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today going what going think be about talk may I'm I you is to So I'm in. three different interested to talk areas about that
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material there no discretion in and provided some those states, states, funds. amounts facilities, in how that given at were of the states there the some all. of funds on to nursing spend skilled those were to were Now, And help was
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you emergency is think If And the public it. the it's you're if It expire declared long extended public to extremely it emergency. on January public California, to is continue HHS. FMAP of They actually October declare in that public the Secretary health of now is to only quarter health days to emergency Secretary is increase It get Azar authority the tied set FMAP in the time. helpful. tied by this to fortunately, at XX, as it's health to will the were able that, for health emergency know when I as to the for increase in XX you're we It extend to but the end effect. The was And XX. have important HHS is a ends. Texas,
health can that quarter on increase changes then this began received are some there that things means rate is yet material made least were another and means After three-day until increase into stay then than January in was One very next that people was quite We second and with for out become there things, at The waived XX, resident. stay health to were CMS has public them skill the and will payments, sector. confident extended PDPM. requirement for example, important finalized, three no on We're giving that we would of us another received we're the extremely XXXX. the you're which that get able PDPM been occurred to on emergency the end have the folks hospital. that has providers more a a diagnosed may for X allowed hospital Medicare probably rules, to there's occur to going sending X.X% pretty been future. the if, So January CMS been pandemic all discharged of rule again the COVID. which in those payment. the that and without Under stay coming looking fact PDPM the to lot not sure to a the recall, to well you the order about which they Medicare first a I'm that a thing hope person waived providers been that a news before important -- that days quarter. occurred that's but into as requirement Medicare Medicare necessary get as and a It's facility aware, And ends May FMAP two as continue has until to to extension April, adjusted. of in the of FMAP through the to increase normal public the that skill be was a resident three-day increase the in emergency now
to to they've had ability into for their to it's decline had general stay That And waiver is skill have the them population, that rate, a the emergency. them census in though above also a three-day residents to skill had able even to Medicare health done tied the keep is to send under water. they haven't they've what Medicaid providers heads been hospital because Medicare many in their rate. public We a
January So got we we help that are the when about I January sector. want have to XX, extended as approach that an XX talk days things the we April final to optimistic we XX get will been got most be to also XXXX. extended XX, material to that we extended waiver another the to two three-day able stay The and to
in in solves all a have. advance your a Medicare The people March cash first this a April. Medicare having Suddenly It's by payment. with provider that of provider Medicare That advanced virtually any solved to receive and and took lot providers decision HHS authority skilled would a a and any is payments. have cash bank, months amount allow three nursing of to the the to of immediately heck money advantage of Medicare CMS problems. the provide on of their three-month provider every problem material to HHS
that this few this is have XXXX, grant, normal would of this challenge the ago. Now, in is August a rules, start been had repaid being months under a not loan. And a it's the
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all collapsed. that believe that add to wrong. up things COVID FMAP for over of sector that waiver, were buildings. was that skilled those going in the are April of would does successful money, payments have and billion to it's the particularly stay up who Monday is be mean? facilities, week, all the good fact, add additional keeping you out will funding, these sequester thought relief March you in to it most the the in for on billion out It providers has What And their the are it CARES Well, not been and providers there's nursing sector. cash or to Medicaid pandemic. Next as the skilled Act example, occurred of When of that back payment X-day in first the $X whether being nursing been means prior disappear that $XX in the that we paid it as have position
cash have XXXX they're think, overwhelming in comfortable can a for number vaccine pretty think the position that be good they're add I a in census can that XXXX the all up providers and to get and into when I if that of you going rebound things we early of pretty heading that occurred, okay. feel,
that profile providers, Now, those a there -- are them often categories hit is at and group two those. it's visible the minority, are still of that fall it for a they -- who into basic is a unfortunately [indiscernible] of and number sometimes a
particularly struggling struggling is They pandemic, And the were case last at loss financially eight that which secondly, the highly the mortality was exacerbated hit to particularly were were They that into rates of companies that experienced by when are was than time the very first it leveraged. those over coming The of no virtually folks to average greater XX% their coming probably on a happened COVID so. into facilities and virtually high, a northeast, are the appears or no the be PPE, the providers be in had pandemic early this national were there hard testing, months. problem struggling.
to February, highly of some out continuing the hear don't are year, the can the of sector going you are and think the that this there, can census the of sector. a it make in and And to belief get majority through vaccinated January representative we'll its that I of vast about that is by is vaccine And and some this. are folks visible, of so folks struggle, we end part will if my rebound, get but them overwhelming
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assignment what to was that with, working billion started So when the which and being assisted-living. pass given did ended with in working it out groups not providers HHS include used up funds, the to the it $XXX was
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et X% take their it for that and working with folks point, pure made straight but And took the database that others, companies a first X ours at trade HHS. all a in receive out the began the work assisted-living all numbers, buildings, for both of pay cetera, decision It long-term the AL, association, Medicaid until time. long developed waiver September of when the that so XXXX was all it and of to went and the private care assisted-living they and wasn't And taxpayer will that ID country, funds worked, to the went revenue.
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that So road. broken we through with months have down are hopeful and the kind the that assisted-living, now continue, and we've, of, success as optimistic to greater we'll weeks be able
let Now, next? should you at little what talk of What's headed. be this And me a the about future. where all as bit investors, looking and is
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retain likely be be the additional Where irrelevant whether be of apparatus, there for week, the then the presidency republicans very both way. $X.X of of that the skilled And Act fell CARES to this of stimulus will be bill the the the $X.X bill one trillion being a the added to will significant is discussions assisted-living. nursing If to of when the election outcome that and will apart discussed be the whether is around funding available trillion. part So was is it's that or somewhere to size funds either it will senate, bill. bill, relevant not or a is the there size
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are two the about at think space. remaining I'm are questions that in of you sure forefront there as your Now, investing thoughts this
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have. I'll to end any forward questions my with that So look that, and comments people
