McKnight's November 22, 2025
John O'Connor

If you work in long-term care, you already know pressure is basically part of the job description.

Staffing shortages, shrinking margins, ballooning expectations — pick your headache. So the fact that ownership transparency is suddenly getting fresh attention probably won’t shock anyone. But the speed at which states are acting might.

A new analysis from the Private Equity Stakeholder Project suggests that 2025 may be remembered as the year states told Washington, “Hold my beer.”

Lawmakers from Maine to Oregon are pushing through bills to force clearer ownership disclosures and rein in risky financial maneuvers tied to private investment.

To be clear, this is not because most providers are doing anything shady. Far from it. Operators have long argued —...

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