Proposed Rule to Modernize PASRR

Preadmission Screening and Annual Resident Review (now referred to as Preadmission Screening and Resident Review, or PASRR) was created as part of the Omnibus Budget Reconciliation Act of 1987 (OBRA ‘87). Very few changes have been made to that regulation since the rule was initially promulgated in 1992.

A new proposed rule​ would modernize the requirements for PASRR by incorporating statutory changes, reflecting updates to diagnostic criteria for mental illness and intellectual disability, reducing duplicative requirements and other administrative burdens on State PASRR programs, and making the process more streamlined and person-centered. ​

The goal of this proposed rule is to update and streamline the regulations to provide the most effective method of improving implementation of PASRR nationwide. With this proposed rule, they seek to modernize PASRR requirements so that they may become an even more effective tool and resource for states, nursing facilities, and individuals with mental illness or intellectual disabilities.