Small business are the backbone of America.A lot of government  incentives are given to start a small business in a state ,county or other specific locations.This amendment seems like it wants small business  of assisted livings that except a.g.out of Virginia.This would be a misfortune not to have assisted living's to serve the auxiliary grant,regardless of where residents are from .These residents who qualify for a.g. are funded from their federal check and a.g.money.This is similiar to a waiver program where the state match the money from federal.A person needing nursing home care can cross the state line without any issues,sometimes it is because a service is not available in that state.At any point it is still a person with money coming supply local and state jobs .I have seen a.g.checks for providing care for people for as little as $4.00 per month. The reasoning behind this was said, to save that a.g.bed for a virginia resident.I can't help believe this came from mental health in efforts to prevent any alf from accepting any out of state residents because sometimes the person would require lengthy hospitilizatoin in a state hospital within a week.I understand their concerns.But some operators realized that was an issue and the screening process and acceptance process has improved.If national healthcare is approved and Va.participates,from what I have heard the states are open from state to state to share medicaid and welfare programs would this apply?Also if healthcare is passed it will require require employers to provide healthcare for employees or pay a fee.To many bad things happening to a.l.f.s to survive. 5 years a.g.rates were 60% below the market. That wa before min.wage increase of 36%.Everyone ignores the cost of care.20 years of lenthy cost reports for nothing.Just a incredible huge file to look at .To bad we can't just send this business to China where they don't have to go by the law of the land and cheap labor.This amendment should be withdrawn and some empathy and more funding needs to be given to these a.g.home.Thank you