There should be no changes necessary. Since the inception of these regulations the safety and quality of recovery houses has increased 10fold. The number of accredited houses has increased 5 times over. The national standards recognized in this regulation has the support of operators nation wide and the VA legislative bodies. Each year the law that lead to this regulation is reviewed and expanded to ensure the standards, quality of care, and transparency are maintained at the highest levels. Other states look to VA and model their own policies based on this regulation. Any change has the potential to harm the people that utilize certified recovery residences.