It is my understanding that the National Exam will cost 400.00$ !.  I am already paying 275.00 just to take the training required to take this exam.  The cost of living is at an all time high and I am finding it hard to financially comply Va State laws just to stay in business.   There have been so many changes and all seem to be causing a financial burden and a threat to my business with the possible deision of having to lay some of my dear employees off. I am already avoiding raising care costs and trying to keep daily rates at a comfortable level, in order for residents to afford their care  without worry.    In order to continue a business that I have succesfully ran for 12 years, continue quality of care for so many residents through the years (with excellant references), We really need to work together here and keep costs of operation to a minimum. I really do not feel that a NAtional Exam is necessary.  Please.......Please......... reconsider a STATE Exam opposed to a NATIONAL EXAM. There are numerous small private homes like myself that are being beat up with too many stringent laws , causing a discouraging factor to continue a much needed service.  I would really appreciate your re- consideration.

Sincerely,

Annette NAff, LPN, Owner