While Pennsylvania initially intended to end its years-long practice of paying parents of children with complex healthcare needs who provide home health aide care to their own children, that decision has changed. When it was discovered that Pennsylvania planned to end the program, advocates, families, and other stakeholders urged the state to continue the program considering the continued and increasing direct care worker shortage. In response, the Pennsylvania Department of Human Services (DHS) sought and received federal approval to continue the program after the public health emergency ends. DHS will be sending notices to families letting them know the program will continue as well as providing additional details on how the program will operate.