The proposal specifies, “State programs to assist elderly persons and persons with disabilities … shall afford to program participants who are able to do so the option to hire and direct individual providers of such services.”[69] The care recipient’s ability to maintain supervisory control over the care provider is reiterated elsewhere in the proposal.[70]

This ability, however, is already vouchsafed in the current Home Help Program, and various materials available to care recipients and providers acknowledge this.[71] There’s no movement to reverse this provision, which is ingrained in the program.