These new regulations regarding educational requirements will inevitably cause a great financial hardship on the smaller facilities and most likely will cause many to close. What about knowledge gained through experience? I am one of those with no letters after my name on a piece of paper. I have learned through hard work and lessons learned starting out as a nursing assistant many many years ago.I have held several positions in the health care industry and my employer realized my value and put me into an Executive Director role in one of their communities. EXPERIENCE should be considered, not just educational background. As far as the medication techs, I agree that stricter guidelines should be incorporated. Maryland has an excellent system for Med Tech training. So much so, they are used in Nursing Homes, not just Assisted Living Facilities. Medication Administration should not be taken lightly. I have seen many, many infractions on a survey with regards to Medication. This could be virtually eliminaterd with better training and stricter requirements.