The change record

September 2026

The first issue. This was the month the collection was finished in outline: it began with 33 state pages, two of them full, and ended with all 51, fifty of them full. Texas revised a document these pages quote, and three states moved documents to new addresses. Fifteen pages were corrected for errors of this project's own.

What the states changed

Texas · Sep 5. Two of the page's four sources moved, and one was revised. HHSC's Fair and Fraud Hearings Handbook left hhs.texas.gov for fhb.hhs.texas.gov, where it is now served as Revision 25-3, effective May 15, 2025; the page had quoted Revision 23-1, effective July 31, 2023, from the old address, which now returns HTTP 403. The handbook's quotation of 26 TAC Section 554.502 reads differently in three spans the page quotes. The Long-Term Care Ombudsman program left the apps.hhs.texas.gov directory for its own site at ltco.texas.gov, and its telephone sentence changed shape. The page quotes the current text.

Was · Rev. 23-1

"the resident or individuals in the facility"

Now · Rev. 25-3

"the resident or person in the facility"

Was · Rev. 23-1

"assistance in completing the form"

Now · Rev. 25-3

"assistance completing the form"

Was · Rev. 23-1

"the name, address, email address, and telephone number of the managing local ombudsman"

Now · Rev. 25-3

"the name, address, email address and phone number of the managing local ombudsman"

Was · ombudsman

"Call 1-800-252-2412 to speak with an LTC ombudsman in your area."

Now · ombudsman

"Call 800-252-2412 to speak with an LTC ombudsman in your area, email our office, or look for an LTC ombudsman in your area."

The number is the same, without the "1-" prefix. The two moved sources were re-captured into a supplement. The rest of the page's evidence could not be re-captured in the same pass, and the page records that as a limitation. Texas's change log.

Utah · Sep 4. The department renamed its skilled nursing facility discharge appeal form in place, from SNF-Discharge-Appeal-Form.pdf to SNF-Discharge-Appeal-Form-11.7.23.pdf; the old address returns HTTP 404. The Ombudsman Locations page now redirects to a new address. Every quotation the page draws from the form appears verbatim in the document now served, so these are the same instruments at new addresses, not new documents. No quotation changed. Utah's change log.

Nevada · Sep 25. The Aging and Disability Services Division moved its uploaded files, and the ombudsman program's discharge-rights brochure now redirects (HTTP 301) to a new address, which the page now links. The division's own ombudsman page still links the old one. The brochure's text is unchanged. The page's link to it was also broken by an error of ours, listed below. Nevada's change log.

Corrections to these pages

Errors of this project's own. In each the state's document was unchanged, and each is set out in full in the page's change log on the date shown. Most were found the same way: a page first captured by hand in August was re-captured by a recorded, repeatable method, and the new capture stopped matching what the page quoted.

The five spacing corrections share one cause. The August captures turned web pages into text by stripping their tags, and where a publisher set a section number or a phone number as a link, the strip left a space the publisher never printed. Each page traced perfectly against a capture that carried the same space, which is why only a fresh capture found them.

Published and deepened

Every state. Eighteen states were published for the first time in September, bringing the collection from 33 to all 51. Forty-eight pages were deepened from a baseline of contacts and citations to full pages, which add the state's grounds for transfer or discharge, its published process, bed-hold and return, and a register of the notice periods and deadlines its sources state. At the end of the month fifty of 51 pages were full. The one that is not is Hawaii, for the reason given in the next section.

Repeatable capture. Pages built from a hand capture in August were re-captured during the month by recorded methods a later review can repeat and compare. That is how most of the corrections above were found.

Still not published by the state

Most pages list something their sources do not yet supply. Three absences are of a different order.

Hawaii. HAR 11-94.2, the state's nursing facility rule, is published by the Department of Health only as a scanned image with no text layer, and no second publisher carries it. The page links the scan for a reader to open, quotes the one page that has text, and says "Not quotable from the sources reviewed" where it would otherwise quote the grounds and the notice. That wording is distinct from "Not stated", which would mean the state publishes nothing. The page.

New Hampshire. He-P 803 and He-E 802, the department's nursing home and nursing facility rules, could not be retrieved by any method tried. The page rests on the statutes, RSA 151:21, 151:25 and 151:26, which state the notice's contents, the 30-day period and its exceptions, and the appeal-rights sentence in full. The page.

Idaho. The 2025 Legislature repealed IDAPA 16.03.02, the chapter that had stated the grounds for an involuntary transfer or discharge, by Senate Bill No. 1015. Neither that act nor Idaho Code Title 39, Chapter 13 states grounds in its place. This is the state's law as published, not a gap in capture. The page.

Where a state's documents disagree

Recorded in September, and not every one: others are in the pages' change logs. Both versions are quoted on the page named, and the disagreement is reconciled by no one, this project included.

North Dakota · leave days. The rule and the department's own Medicaid manual, updated April 2026, state different numbers of covered therapeutic leave days for the same benefit. North Dakota's change log, which also records two different addresses for the same Appeals Supervisor office.

NDAC 75-02-06-14(4)

"A maximum of twenty-four therapeutic leave days per individual per rate year may be allowed for payment by the medical assistance program"

Medicaid manual

"ND Medicaid will cover a maximum of 30 therapeutic leave days per resident per rate year."

Oklahoma · a hospital stay. The health department's rule gives a resident a right to be readmitted after a hospital stay, with no day limit stated. The Medicaid agency's rule pays nothing to hold the bed during that stay. Neither says what the facility itself owes in between. The page quotes both.

OAC 310:675-7-4(b)(2)

"The facility shall not use a discharge to a hospital as a reason for failing to re-admit a resident after release from the hospital to the first available bed in a semi-private room."

OAC 317:30-5-126(2)

"No payment shall be made to a nursing facility for hospital leave."

Rhode Island · notice and decision. The regulation requires thirty days' notice for every involuntary transfer or discharge, with four exceptions. The General Laws tie thirty days only to a discharge for nonpayment. The licensing rule requires only "Reasonable advance notice" for transfers to non-hospital facilities. Separately, the statute gives the hearing officer five days to decide and the appeals regulation gives ten. Rhode Island's change log.

Michigan · when a move may happen. The department's 2024 notice form states a timeline running to the 34th day after the notice is received or the 10th day after a hearing decision, whichever is later. Its 2013 guidance says "you will not be transferred until at least 30 days after you received the original notice". Michigan's change log.

Nebraska · which text is current. The compiled Title 465 manual prints "REV. AUGUST 21, 1995" on every page of the two chapters the page quotes. The department's index page says both chapters were "Amended 9/17/2024". No 2024 text appears in the compiled manual. Nebraska's change log.

District of Columbia · one amendment, two notes. The Council prints two Applicability notes beneath § 44-1003.03, one stating that the 2018 amendment "has been implemented" and the other that it "has not been implemented". The District's change log.

Maine and New Mexico. Maine's MaineCare manual names two different recipients for appeals at the same street address, and the department's hearings page gives a third address. New Mexico's licensing rule leaves bed-hold to each facility's own policy, while its Medicaid rule sets reserve-bed days. Maine, New Mexico.

How closely this record watches

The review keeps each capture of a source and compares the next one with it. That series began on Aug 27, so in September most sources had only their first or second capture, and a document that changed had nothing earlier to be compared with. Every state change and every correction above was found by people building and checking pages, not by that comparison. Expect the next few issues to say the same, and read a short list of state changes as a young record rather than a quiet month.

The comparison recorded no difference this month that came from this project's own tools reading an unchanged document differently. Two defects in the capture tools were found and are open: one misreads text from sources encoded as Windows-1252, as New Mexico's are, and one cannot yet read Word documents, which Maine needs. Both were worked around by hand, and every quotation on both pages was checked against the documents as published.

Written from the pages' own change logs, each already reviewed on the date shown there. Reviewer: Carrie Schluter, reviewed 2026-10-01. Corrections on the record: hello@fieldassembly.net.