The Home- and Community-Based Services (HCBS) landscape in the United States is at a critical juncture. A recent report highlighted that all states reported shortages of HCBS workers, most frequently among direct support professionals, personal care attendants, nursing staff, and home health aides. Additionally, most (43) states reported permanent closures of HCBS providers within the last year. The crisis is real, and it harms workers, individuals receiving services, and family members alike.