We are opposed to the proposed DMAS changes.  For those who are "on the ground", working with children and parents, these changes will increase bureaucracy without improving services to students.  School staff, including nurses, have no control over doctors' offices timelines and willingness to review, sign and return Plans of Care.  While waiting on POCs to be signed and returned, the school division not only loses billable services but also bears the impact on its cost reimbursement.  It is unreasonable to school divisions to bear the fiscal consequences for a delayed/ unmet requirement that is beyond their control.