I am commenting in regards to the residency requirements that are being proposed for auxillary grant recipients.  I have an assisted living facility in Bristol, Virginia about four block from the Tennessee line.  The nearest hospital to my facility is in Bristol, Tennessee and most of my residents use Tennessee doctors because of location of offices.   My facility is licensed for 44 residents.  I presently have 37 residents and 29 of those are auxillary grant qualified and many of them came from Tennessee.  I am the only assisted living home in Bristol who will take auxillary grant at the present, so many of poor elderly in my town, whether it be Tennessee or Virginia have had a place to go when the need has arrised.  We already operate on a shoestring budget because of the pittifully low rate and now you are proposing to make us wait 90 days to even apply for auxillary grant.  Can a person not move from one state to another in this country without being penalized?  Is this not infinging on their rights?  We have almost been regulated out of business already and are operating under "medical regulations" without the proper re-imbursement. We are not considered "medical facilities"  This is a slap in the face to our elderly who are in need of our care and to the  people who care for them.  Our population is aging quickly and I'm afraid that many of them will be on the streets, because there will not be any facilities who can afford to care for them.  Please do not pass this requirement.  We cannot keep people for any less than what we are doing presently.