This entire process has become extremely overwhelming. I stopped working to care for my mother and gave up my career teaching at the college level so that I could make sure she received the care and support she needed. I love my mother, and I have made tremendous sacrifices to keep her at home and properly cared for.

We have tried rehabilitation several times, and unfortunately, each time my mother eventually ended up back in the hospital. I truly believe that my constant involvement, care, and advocacy have played a major role in keeping her alive.

Now, on top of everything families like mine are already responsible for, we are being faced with additional requirements surrounding live attendance, including clocking in and out and transitioning from service facilitators to brokers.

For a family already dealing with serious caregiving responsibilities, medical appointments, hospitalizations, medications, household expenses, and the everyday demands of caring for a loved one, these additional administrative requirements create even more stress and responsibility.

My concern is not simply about having to clock in and out or learning a new system. It is about the cumulative burden being placed on family caregivers who are already stretched beyond their limits. Every new requirement takes additional time and energy away from actually caring for the person who needs us.

There also needs to be clear communication regarding the transition from service facilitators to brokers. Families need to understand exactly what is changing, what responsibilities will now fall on the individual or family, how these changes will affect existing services, and what protections will be in place to ensure that individuals do not experience interruptions in their care.

I understand the need for accountability and proper documentation of services. However, accountability should not come at the expense of creating unnecessary barriers for families who are already doing everything possible to keep their loved ones safely at home.

I am exhausted. I have sacrificed my career and a significant portion of my personal and financial stability to care for my mother. The increasing costs and administrative demands associated with keeping her at home are becoming extremely difficult to sustain.

Before implementing additional requirements, I believe the real-life impact on caregivers and families must be considered. We need systems that support families, not systems that make an already difficult caregiving situation even harder.

I am asking that these concerns be taken seriously and that families receive clear information, adequate training, reasonable accommodations, and meaningful support throughout these changes. Most importantly, these changes should not jeopardize or interrupt the services that vulnerable individuals depend upon to remain safely in their homes.