The federal government is for the first time requiring nursing homes to have minimum staffing levels after the COVID-19 pandemic exposed grim realities in poorly staffed facilities for older and disabled Americans.

Vice President Kamala Harris announced the final rules on Monday before a trip to La Crosse, Wisconsin, where she will talk to nursing home care employees about their work. In the battleground state, Harris also will hold a campaign event focused on abortion rights.

President Joe Biden first announced his plan to set nursing home staffing levels in his 2022 State of the Union address, but his Democratic administration has taken longer to nail down a final rule as health care worker shortages plague the industry. Current law only requires that nursing homes have “sufficient” staffing, leaving it up to states for interpretation.