If we are looking at costs, it is wiser to have parents able to work all the care attendant hours and be paid directly, this money goes to the person needing care.

Training takes many paid hours that the person being cared for sees no benefit, especially when the trained person leaves soon for higher paid work and one with medical benefits (which the states do not give to full time attendants)

High turnover is training hours spent with no long term benefit

If you strip agency in who is hired from parents/guardians of loved ones needing care, then the money is actually lost to the fees and agencies- they profit while the one needing care loses out on skilled care and bonding

Anxiety, stress, sadness are heightened (most costs for mental health supports) because agencies go thru many attendants, costing money money money-

Disabled center care should be for the one needing care and loved ones are best, and the funds benefit the one needing care

"Need for oversight" is a fallacy- every consumer directed care has several social workers/case managers/ insurance managers already.

Any changes to policy that strips parent caregivers of hours, ability to have one parent as EOR, etc.  actually threatens more identity theft issues, and also lost of time and funds that should be going to the disabled person needing care.

These policy changes are only meant to make agencies RICHER, and more powerful, and more able to steal money from those disabled they claim to help.

A few bad apples should not shift a system that is actually WORKING better than it ever has.

Please keep things they way they are, not make agencies greedier and richer with bogus 'need for oversight.'  Oversight is already there- stop pretending it isn't.