My name is Tracy Weaver and I am on the Board of Trustees for Brain Injury Connections of the Shenandoah Valley. I am involved with this organization due to my own experience as a brain injury survivor and feel it is my duty to speak for those who can not speak for themselves but that have gone through a similar experience. I struggled finding the correct care and therapies after my brain injury and I am deeply encouraged by the work of BICSV to provide case management ONLY to people with Brain Injuries because it is important that survivors have case managers that understand the intricacies of this injury and the population they serve. The proposed changes would change this by mixing the case management for other injury types and brain injuries. The proposed case management also would be ONLY for people with traumatic brain injuries and would leave out those with acquired brain injuries, things like strokes and aneurysms. This is neglecting services to large portion of the brain injury community. The changes would also make agencies that currently cooperate with each other into competitors. This is truly not in the best interest of those with brain injuries as it is going to be hard for those competing for case management to cooperate for the best result for the patient. I can strongly say that I am against the change in these policies and that they are not in the best interest of the brain injury community.