On July 16, 2019, The Centers for Medicare and Medicaid Services (CMS) announced a proposed rule, “Medicare & Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency and Transparency” (CMS-3347-P), which will reform the Phase 3 Requirements of Participation. The proposed rule would remove Requirements of Participation that are unnecessary, obsolete, or excessively burdensome on long-term care (LTC) facilities and nursing homes.