My spouse is living with advanced Parkinson’s disease, which necessitates constant monitoring to manage tremors and other motor symptoms. My deep understanding of their specific needs allows me to provide immediate and appropriate interventions. Introducing an unfamiliar caregiver could lead to delays in care, exacerbating symptoms and reducing quality of life. I should be the first choice to continue providing this nuanced and essential care. HB909/SB488 has enabled me to ensure that my spouse receives the consistent and skilled care required for their condition. The Virginia General Assembly’s actions have been crucial in safeguarding the continuity of care that is vital for managing Parkinson’s effectively. Amending these provisions would compromise the quality of care, leading to potentially severe consequences for my spouse. The current waiver draft might force us to entrust care to someone who lacks the experience necessary to manage Parkinson’s symptoms effectively, thereby diminishing my spouse's quality of life.