The possibility of returning to a process that forces legally responsible individuals to satisfy CMS criteria for extraordinary care, address conflicts of interest, and prove service adequacy is deeply concerning. The existing framework under HB909/SB488 prioritizes the caregiver’s ability to provide uninterrupted, high-quality care, recognizing that family members are often the most effective and knowledgeable providers. Reinstating these stringent requirements would not only complicate the process but also create an unnecessary burden that detracts from the caregiver’s primary focus—ensuring the health and well-being of their loved one. The previous process was fraught with inefficiencies, requiring caregivers to navigate a complex web of documentation and justification that often led to delays in service provision. This approach risks destabilizing the continuity of care, as caregivers are forced to divert their attention from caregiving to satisfy administrative demands. To truly support the waiver individual’s best interests, the current, more streamlined system must remain intact, avoiding the pitfalls of unnecessary bureaucratic hurdles.