Government Affairs


An important factor considered by many when choosing an Assisted Living Home for their seniors is whether or not the facility is licensed and complies with government regulations. Assisted Living Homes are not regulated by the federal government the way Nursing Homes are.

Each state in the country sets and follows its own regulations and licensing standards, even in terms of the frequency of compliance audits conducted and the sizes of rooms. In this respect, the RAL National Association helps and guides you towards meeting the regulatory requirements as laid out by every state.


In some states, Senior Housing Communities that provide only housing, housekeeping and meals do not require to obtain a license.

Most states list assistance with activities of daily living, housekeeping, meals and assessments as minimum essential services that a Senior Living Facility must provide.

Some states include services such as shopping trips, and help with doctor appointments and money management to the list of minimum requirements.

In some states, at least 25 hours of training for caregiving staff is a must, while some states have no minimum training requirements.

Some states require a minimum resident-to-caregiver ratio.

The rights of the residents and the rights of the RAL business owners also differ from state to state.

More than half of the states (29 of them) changed their regulations and policies for Assisted Living Homes between June 2017 and June 2018.

Most changes in regulation were related to staffing, particularly minimum training and background check requirements.

Florida, New Hampshire and North Carolina made changes to minimum administrator qualifications or training.

Oklahoma now requires special training for caregivers on Alzheimer’s and dementia-related care.

Louisiana mandated an evaluation of whether the caregivers are competent to provide assistance with activities of daily living.


The truth is that each new regulation that is introduced by a state means additional expenses for the RAL business owners. This translates to higher charges for the residents. We at RAL National Association are your voice in every state. We provide strategic support for you to help educate regulators about the needs of RAL business owners and residents. RALNA follows relevant activity and participates in regulatory policy-making decisions that affect Assisted Living Facilities and Senior Care Homes.

Our RALNA legal team is participating in the drafting committee to revise the residential care facility design guidelines, helping to shape the rules and maintaining a voice for small assisted living communities and pressing the issues & considerations for small senior care homes. These efforts help ensure that states set appropriate regulations that allow the option for seniors to choose a smaller living environment that we recognize as safer and healthier.

Our newsletter and website keep you apprised of significant changes in State Laws that might affect your RAL business.

We assist you with passing regulatory issues you might face.

We can help you respond and adapt quickly to any changes in regulatory requirements.

We provide a clear understanding of what significant changes in the law could mean for your business.

We proudly represent our members and help you get the most relevant information while cutting out the excess noise.

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