Renee Christian, a single mom with cerebral palsy, lives in Buffalo, New York, with her 12-year-old daughter. Although her condition forced her to spend most of her childhood at a nursing home, she has resided in her own home for years with the help of personal assistants she hires under a New York State Medicaid program. In April, however, Christian’s life was upended when the state forced her and her assistants to work with a new company administering the nation’s largest consumer-directed personal assistance program, called CDPAP . One by one, she lost nearly half her assistants because they said

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