> Developed by the National Consumer Voice for Quality Long-Term Care and Justice in Aging. Reprinted with permission of the National Consumer Voice for Quality Long-Term Care. Almost all nursing homes accept Medicare or Medicaid, or both. As a condition of accepting federal reimbursement, these nursing homes follow quality of care standards set by the Nursing Home Reform Law. The Reform Law became effective in 1990, and corresponding regulations were issued in 1991. The nursing home regulation [...]