I have been a homecare worker for over 10years. During that time, I have worked more than one job. It was not because I wanted to but because I needed to. I cannot imagine how parents and spouses are able to survive with low wages and little to no benefits. During the pandemic it became clear that the services under consumer direct care were needed, and which is why it was be extended to LRI's to include partners. People needed to be cared for. Now that the pandemic is over, the additional stipulations imposed on LRI's is taxing on families. The additional documentation, the required stenography of the daily activities and services garnished, adds to the challenges of caring for someone with complex medical needs.  Under the consumer direct care, this program should be permanent. Parents and partners should not be worried about who would take care of their loved one. They know their needs and give care where it is needed. When these individuals take care of their family member or partner it does not cost the state any additional funds. This is because they are approved for those services which supports a paid provider. This program needs to be permanent and reinstate the full scope of CDC services to LRI's. The proposed amendment- which is consistent with other CMS approved plans will greatly impact countless families and spouses who take care of their partner. Please consider and approve the following requests: Change the start date to when the Appendix K waiver expired, which was March 1st, 2024. That was also when the new regulations were put into effect. LRI continue to extend services and care beyond 40hrs per week. They should be allowed full reimbursement of approved hours. Also, please extend respite services to LRI's. They should be consistent with the respite services offered to individuals using consumer direct care.