As far as I am concerned, as a PA resident, with a valid LTCF, the United States of America only consists of 30 states. They include Pennsylvania, AK, AZ, AR, CO, FL, GA, IA, ID, IN, KY, LA, ME, MI, MO, MS, MT, NH, NC, ND, OK, SD, TN, TX, UT, VA, VT, WI, WV, and WY.