Allows a person legally responsible for an eligible individual's care and support, an eligible individual's spouse or designated representative to be a personal assistant in a consumer directed personal assistance program where such person is the sole person responsible for the eligible individual's care and support.

New York Assembly Bill A00393 proposes allowing individuals who are legally responsible for an eligible individual's care and support, including spouses or designated representatives, to serve as personal assistants in the Consumer Directed Personal Assistance Program (CDPAP). This is permitted only when they are the sole persons responsible for the eligible individual's care and support. The bill aims to provide flexibility in caregiving arrangements within the CDPAP framework.

Supporters of the bill argue that it offers greater flexibility for families, enabling those who are most familiar with the care recipient's needs to provide assistance. This could lead to improved quality of care and stronger familial support systems.

Critics express concerns about potential conflicts of interest and the possibility of reduced oversight when legally responsible individuals also serve as paid caregivers. They worry this arrangement might compromise the quality of care and lead to financial exploitation.