VA HB605

Directs the Joint Commission on Health Care to evaluate workforce conditions in Virginia's nursing facilities, building on findings from its 2021 report on "Workforce Challenges in Virginia's Nursing Homes"

Requires assessment of current direct care hours per resident compared to Centers for Medicare and Medicaid Services expected hours and Virginia Medicaid Nursing Facility Value-Based Purchasing program requirements

Mandates review of staffing by registered nurses, licensed practical nurses, and certified nurse aides, including examination of whether adding registered nurse coverage as a minimum staffing requirement component would improve care

Directs analysis of practical impacts including staffing availability, costs, reporting methods, and potential inclusion of other direct care professionals in per-patient-day calculations

Report with findings and recommendations due to the Governor and relevant House and Senate committees by December 1, 2026