As discussed previously, Michigan has had a program to subsidize, certify and monitor in-home caregivers since 1981 — the Home Help Program. This program will continue whether or not Proposal 4 passes. Proposal 4 does not mandate a state program for disabled adults or the elderly.[*]  


[*] The proposed Article 5, Section 31(1), requires state programs for the elderly and disabled to give recipients control over hiring and supervision of the providers, but it does not require that such programs exist.