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ADAPT believes the following principles should be incorporated as minimum standards in any national attendant services program passed by Congress and attendant programs run by the states:
- Maximum control of the consumer to select, manage and control their attendant services.

- Attendant services must be community-based, in other words non-institutional.
- Eligibility based on functional need not medical diagnosis, disability and/or age.
- Services must be available in-home and other locations.
- Attendant services must be available 24 hours a day, 7 days a week.
- Back up and emergency attendant services must be available.
- Program must allow for
co-pay and cost sharing for people with higher incomes.
- Delivery of service must include vouchers, direct cash payment, individual provider model, as well as consumer directed agency model.
- Health related tasks can be delegated to or done by unlicensed personal attendants.
- Voluntary training should be available for consumers.
- Attendants should receive a livable wage and benefits.
- Attendant services should be based on an agreed upon individual service plan.
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