Please make parents as paid attendants under consumer-directed services in Virginia permanent! This option is safer, healthier, cheaper, and more efficient for special needs children. Nobody knows the needs of disabled and medically complex children better than their parents and nobody is more invested in their care. Parents and spouses often have to quit jobs to provide the care needed due to the inability to find care. We, like many others, were in that position! There were no other options! Parents and spouses are the ones who are best equipped to care for our disabled and they care the most about them, it makes the most sense for them to be allowed to provide the care! Please do not remove this incredibly important ability for so many families, including ours, already struggling in our state.