On May 10, 2019, Senate Bill 1510: Nursing Home Care Act was passed. The act provides that the Department of Public Health shall adopt rules on or before January 1, 2020 establishing a system for determining compliance with minimum direct care staffing standards and establishing penalties for noncompliance with minimum direct care staffing ratios. The act provides that monetary penalties shall be imposed beginning no later than October 1, 2020 and quarterly thereafter . . .