The imposition of a rigid 40-hour work limit for parent care attendants fails to account for the intricacies and dynamics of cases involving multiple children under the CCC Plus waiver. By adhering to a one-size-fits-all approach, these changes disregard the unique care requirements of children with complex medical conditions. The notion that children can be adequately cared for within a limited 40-hour timeframe reflects a fundamentally flawed understanding of the multifaceted challenges and individualized needs. Parents intimately familiar with their children's medical profiles and daily routines are pivotal in delivering personalized care. Restricting their caregiving capacity through an inflexible hourly limit undermines the provision of comprehensive care and may lead to adverse health outcomes for the children. Such an indiscriminate approach disregards the intricate nature of caregiving for multiple children, jeopardizing their overall well-being and potentially burdening the healthcare system with additional costs and complexities.