The goal was to stop stuff like this, to try to create a legal framework in which states could resolve their kind of differences without kind of butchering each other.
Already there are substantial state-to-state differences in what nurses are allowed to do without the supervision of doctors, differences that tend to reflect the entrenched political power of doctors rather than any sound public policy research.
On October 6th it issued a joint statement with the foreign partners saying they had settled their differences, without amending the Investment Agreement.