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Effective July 1, 2018, SB 97 (Chapter 52, Statutes 2017) requires SNFs, except those that are a distinct part of a general acute care hospital or a state-owned hospital or developmental center, to provide a minimum of 3.5 direct care service hours per patient day, with a minimum of 2.4 performed by certified nurse assistants. So is your facility financially ready to handle this increase? AFL 18-12, whether your facility is ready or not it's coming. There are going to be winners and losers, can you think who it will be?