Regulators would determine payments depending on dollars allocated under the state budget, often at a rate that left operators shorthanded. Over the next two years, nursing homes will receive an additional $162 million through the state formula, with a federal match of $215 million. In addition, Sen. David Argall (R-Schuylkill) authored two more measures to shore up long-term care staffing, both of which have passed the chamber. Beyond institutional careLong-term care encompasses more than nursing homes, which are the most expensive and intensive version of care. “This program really is the most cost-effective way to care for people.