 AARP's Long-Term Services and Supports (LTSS) 2023 State Scorecard Report was just released and reveals significant gaps in the care provided to older adults and individuals with disabilities in the United States. Although there has been some overall progress compared to the 2020 update, every state still has areas that require improvement.
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 Effective June 1, 2023, the Connecticut Department of Social Services, in response to the increase in the minimum wage, is retroactively increasing rates by 4.9% for several Home and Community-Based waiver service providers, the Department announced in a policy bulletin on September 29. (The increase supersedes one that was issued last summer and was effective July 1, 2023.) The programs include the Connecticut Home Care Program for Elders and Personal Care Assistance.
 Choices for Increased Mobility Act of 2023 H.R. 5371 is designed to enhance patient access to a wider range of wheelchairs. It allows for code upgrades for titanium and carbon fiber wheelchairs under Medicare. This legislation seeks to offer wheelchair users a choice of products that align with their medical and lifestyle needs and remove financial barriers that have prevented some Medicare beneficiaries from accessing titanium and carbon fiber mobility solutions. The bill has been introduced in the House and referred to the Committee on Energy and Commerce as well as the Committee on Ways and Means.
 It is an incredible honor and a privilege to join the Home Care Association of America (HCAOA) and serve you and your colleagues as CEO.
Home care is deeply personal to me, and I have seen its benefits firsthand. My family relied upon home care services just a few weeks ago for my mother and autistic brother while my father was traveling to assist my aunt. It was reassuring for my entire family to know that my mother and brother were receiving exemplary care in the comfort of their own home. I know you have your own personal stories about the value of home care as well. A new report by PHI underscores the vital role that immigrants can play in alleviating workforce shortages in home-based care. The report highlights that 32% of home care workers in the U.S. are immigrants.
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