Category: Federal issues
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Widespread Inaccuracies of Records on Autism Treatment Providers
By James C. Sherlock The author has completed a detailed survey of individual Applied Behavior Analysis (ABA) providers in New Jersey licensed by Virginia Medicaid to provide services to children with autism. He picked New Jersey for reasons familiar to readers of his work on nursing home chains. The survey revealed that most of those…
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A Q&A on the Federal Scholarship Tax Credit
by Josh Cowen Publisher’s Note by Todd Truitt As Virginians await Governor Abigail Spanberger’s decision regarding continued participation in the new federal scholarship tax credit program—originally opted into by former Governor Glenn Youngkin in early 2026—Josh Cowen’s Q&A below offers an overview of how the program functions. Cowen, a longtime critic of traditional private school…
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Government Oversight of the Integrity of Healthcare Programs in Virginia – Part 1
by James C. Sherlock This author’s unbroken experience over many years has been that majorities in the General Assembly have sought to protect the healthcare industry from competition (COPN) and leave it alone to operate as it sees fit. They have not wanted oversight because many of their largest donors and most influential constituents in…
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Table Stakes: Virginia Nursing Home Chains Selling to REITs
by James C. Sherlock Sometimes, when you are winning big in a table stakes poker game, it can be time to put some money in your pocket. That is part of the game many nursing home chains are playing these days. Everybody wins but the nursing facility residents, Medicare, and Medicaid. The enterprise architecture of…
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Good News for Medical Research in Virginia
by Dick Hall-Sizemore Remember that edict by the Trump administration capping the indirect costs portion of grants by the National Institutes of Health (NIH) at 15 percent? There was vigorous discussion of that announcement on this blog, with many commentators supporting the move. Well, the Trump administration has given up on that effort. As soon as…
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DREAM On
by Dick Hall-Sizemore Virginia law provides that a student attending a public institution of higher education shall be eligible for in-state tuition, regardless of citizenship or immigration status if the following conditions are met: Federal law provides: “Notwithstanding any other provision of law, an alien who is not lawfully present in the United States shall…
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Betrayal 4 – Portsmouth
by James C. Sherlock DD/ID (Intellectual and Developmental Disabilities) refers to services, supports, and classifications for individuals with cognitive, physical, or emotional impairments. The author’s first three articles on this subject provided background on Virginia’s broken system of services to that population. In many instances, it doesn’t work well due to combinations of oversight failures…
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Betrayal 2 – The Virginia General Assembly
by James C. Sherlock People, including our elected representatives in the General Assembly of Virginia, might not know that the Commonwealth is subject to a permanent federal court injunction requiring compliance with the Americans with Disabilities Act (ADA). The “Commonwealth of Virginia” is enjoined, not just the executive branch. The author herein informs the…
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Betrayal
by James C. Sherlock This will be the first of a series of reports on the scandalous failures of the Virginia Department of Behavioral Health and Developmental Services (DBHDS) in its stewardship of Virginia’s compliance with the Americans with Disabilities Act (ADA) in matters affecting the safety and health of people with intellectual and developmental…
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Give Us Your Voter Registration Rolls
by Dick Hall-Sizemore The Trump administration has sued the Commonwealth of Virginia for refusing to turn over its voting registration rolls to the U.S. Dept. of Justice (DOJ). The Commonwealth is not alone. Currently, the administration has sued 24 states and the District of Columbia for refusing the demand. The states sued were primarily those…
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The Busiest Physician in Virginia
by James C. Sherlock In the first article in this series, the author revealed the names of the medical directors of each of Virginia’s nursing homes and the hours of medical director time for each facility as reported in the second quarter of 2025. Almost half of Virginia’s nursing homes reported zero hours from their…
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Is There a Doctor in the House?
Part 1: Medical Directors by James C. Sherlock The active presence of the medical director in a nursing home is vital to maintaining the quality of care. By overseeing medical practices, implementing care policies, ensuring compliance with professional standards, and, if required, butting heads with facility administrators and owners, the medical director plays a crucial…
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Dominion Describes Efforts to Limit Turbine Radar Interference
By Steve Haner Dominion Energy Virginia’s team building its offshore wind facility spent years working with the U.S. Navy and the air defense agency NORAD on ways to mitigate the problems that would be caused by the 836-foot-tall turbines, reaching several agreements, the utility has told a federal court. The company – meaning ultimately the…
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Virginia Nursing Homes – Southwestern Region Update
by James C. Sherlock This article was revised on November 16 to provide a better view of the data. The format the author chose wasn’t getting the job done, so he revised it. Changes in the text are made only to reflect the updated spreadsheet. It should provide more clarity. This is the third article…
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Virginia’s Nursing Homes – Central Region Update
by James C. Sherlock This article was revised on November 16 to provide a better view of the data. The format the author chose wasn’t getting the job done, so he revised it. Changes in the text are made only to reflect the updated spreadsheet. It should provide more clarity. This is the second article…