This study investigates how campaign contributions affect administrative oversight in state governments, specifically focusing on skilled nursing facilities inspections across 16 states. Unlike prior work that examined federal or organizational-level influences, this research analyzes the impact at individual facility and governmental branch levels.

### Context & Approach

Two key aspects of state politics are leveraged: distinguishing between legislative and executive branch contributions, and considering how a state's professionalization level affects regulatory influence.

### Key Findings

* Inspected facilities with campaign donations generally receive better overall results from inspections. This includes fewer citations for any problems at all.

* Contributions to state legislators are linked to reductions in non-severe facility issues, especially noticeable where legislatures appear less professionalized.

* Contributions targeted specifically at governors have a different impact, reducing the likelihood of finding severe problems during inspections.

### Significance

These findings demonstrate that campaign contributions can systematically influence inspection outcomes. The effects vary by government branch and depend on state-level characteristics regarding oversight.