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The federal government is for the first time requiring nursing homes to have minimum staffing levels after the Covid-19 pandemic exposed grim realities in poorly staffed facilities for older and disabled Americans.

Vice President Kamala Harris announced the final rules on Monday before a trip to La Crosse, Wis., where she will talk to nursing home care employees about their work. In the battleground state, Harris also will hold a campaign event focused on abortion rights.

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President Biden first announced his plan to set nursing home staffing levels in his 2022 State of the Union address, but his Democratic administration has taken longer to nail down a final rule as health care worker shortages plague the industry. Current law only requires that nursing homes have “sufficient” staffing, leaving it up to states for interpretation.

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