On July 16, 2015, the Centers for Medicare & Medicaid Services (CMS) published proposed regulations in the Federal Register to revise the federal Requirements of Participation for nursing homes. The proposed rules are the first major rewrite of the Requirements of Participation since they were published in 1991 to implement the Nursing Home Reform Act of 1987. Although CMS claims the proposed changes will modernize the Requirements, CANHR is concerned that some of the changes would be harmful. Key issues that need modernizing, such as staffing requirements and chemical restraint protections, are little improved in the proposed regulations. The proposed rules have a 60-day comment period. Comments are due on September 14, 2015.