These proposed changes could place an enormous burden on families caring for loved ones with developmental disabilities. A 56-hour cap on personal assistance could leave individuals without the support they need and force parents and other family members to fill the gaps, often at the expense of their jobs, financial stability, health, and well-being.

Replacing experienced service facilitators with a brokerage model could also disrupt trusted relationships and make it more difficult for families to navigate complex waiver requirements and resolve problems. Families need individualized support, continuity of care, and meaningful choice—not additional barriers to the services their loved ones depend on to live safely and with dignity in their communities.

I strongly urge Virginia to reconsider these proposals, preserve access to the care individuals need based on their individual circumstances, and retain the option of working with trusted service facilitators.