“On July 20, 2026, CMS issued a memo that appears to be an attempt to intimidate nursing home staff from assisting residents in the voting process,” a group of senators led by Elizabeth Warren (D-Ma.) and Alex Padilla (D-NJ) wrote August 12, in a letter addressed to Oz and shared exclusively with Mother Jones. The new memo “replaces language from CMS’s 2020 and 2024 guidance aimed at ensuring that facilities helped residents to vote with language threatening nursing home staff with prosecution for voter fraud.” The new guidance removes suggestions of specific ways nursing home staff can help residents vote—providing transportation to polling places, for example—and instead threatens staff with fraud investigations if they “engage in inappropriate coercion or other violations of residents’ rights.”