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I saw this article, but did not dig deep into it yet. It basically says trump and rfk.jr are removing the federal mandate to have RN staffing at nursing homes. I thought staffing was more of a state regulation vs federal. In PA staffing went from a 2.7 ppd up to 3.2 not to long ago. We got tagged by the state for not meeting ratios, and we also got tagged because we were 15 mins short of not having 24hr RN coverage for a day. As far as I can remember we did not get federal tags for anything related to staffing ratio.