There are concerns with the proposed caseload restrictions. Financially, this can place a burden on agencies already struggling to sustain programs with the low reimbursement rates. When comparing programs, caseloads vary widely. HFW allows for 12 clients; however, MST carries an average of 5. TDT previously only allowed 6 clients per caseload, but this was eliminated due to the fact that there are varying needs among clients and levels of intensity so higher caseloads could be managed with an array of clients.  When factoring in school-based services with attendance and suspensions, staff often need to carry a higher caseload to actually have half of their caseload present to work with. Community based services face issues with cancellations as well, especially after driving to the home, thus, having higher caseloads allows for staff to be able to schedule with another client as a replacement for missed sessions with others. Caseload limits should be high enough to allow for cancellations and absences so that programs can be sustainable.