Documents on this website are being reviewed and updated as necessary to comply with President Trump's executive orders.
An official website of the United States government
Here’s how you know
Official websites use .gov A
.gov website belongs to an official government
organization in the United States.
Secure .gov websites use HTTPS A
lock (
) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
Report to Congress summarizing the challenges in the direct care workforce, for both workers and the individuals and families they serve (Document available from ADA Great Lakes, 2025)