I was wondering if many people were affected by this decision. I am living in PA with in-home attendant care since 1994. I am enrolled in the Act 150 waiver program. With their decision, intermittent urinary catheterization must be preformed by a licensed worker (unless the worker is private pay). But, unfortunately, in the waiver program an individual is not eligible for any licensed care. So, that leaves you only one option, which would be private pay. The amount of time you would need a private pay individual for that particular service would be ridiculously low. Basically, a completely unemployable position. I was wondering if many other people were/are affected by this.