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. 2011 Oct;46(5):1495–1516. doi: 10.1111/j.1475-6773.2011.01274.x

Table 1.

Minimum Direct Care Staffing Laws—1998–2004

HPRD of MDCS Requirement

States Any MDCS Requirement Changed MDCS Requirement Years Changes Are Effective 1998 2004
Alabama No No
Arkansas Yes Yes 2001; 2003 3.20 3.50
Arizona No No
California Yes Yes 1999 2.80 3.50
Colorado Yes No 2.00 2.00
Connecticut Yes Yes 2001 1.90 2.60
Delaware Yes Yes 2001; 2002 2.50 3.28
Florida Yes Yes 2002; 2003 2.30 3.60
Georgia Yes No 2.00 2.00
Iowa Yes No 2.00 2.00
Idaho Yes No 2.40 2.40
Illinois Yes No 2.50 2.50
Indiana No No
Kansas Yes No 2.00 2.00
Kentucky No No
Louisiana Yes No 2.60 2.60
Massachusetts Yes No 2.00 2.00
Maryland Yes No 2.00 2.00
Maine Yes Yes 2000 2.60 3.70
Michigan Yes No 2.25 2.25
Minnesota Yes No 2.00 2.00
Missouri No No
Mississippi Yes Yes 2000 2.33 2.80
Montana Yes No 1.78 1.78
North Carolina Yes No 2.10 2.10
North Dakota No No
Nebraska No No
New Hampshire No No
New Jersey Yes No 2.50 2.50
New Mexico Yes Yes 2000 2.50
Nevada No No
New York No No
Ohio Yes Yes 2001 2.50 2.75
Oklahoma Yes Yes 2000; 2001; 2003 2.20 3.60
Oregon Yes No 2.10 2.10
Pennsylvania Yes Yes 1999 2.50 2.70
Rhode Island No No
South Carolina Yes Yes 1999 2.48 2.78
South Dakota No No
Tennessee Yes No 2.00 2.00
Texas No No
Utah No No
Virginia No No
Vermont Yes Yes 2001 3.00
Washington No No
Wisconsin Yes Yes 1998 2.25 2.50
West Virginia Yes No 2.00 2.00
Wyoming Yes No 2.25 2.25

Notes. The table reports which states have MDCS requirements and whether they changed from 1998 to 2004. The MDCS requirements in the last two columns are reported in terms of hours per resident day (HPRD), assuming there are 100 residents in the facility.

MDCS, minimum direct care staffing.