Home > ABPAS Pilot


Goal: By January 2024, implement a pilot in the San Francisco / Bay Area that demonstrates the desirability, practicality, scalability, and viability of having an attendant referral and management agency.


  1. Recruit independent facilitators1, attendants2, and clients3 from colleges, universities, medical schools, community groups, religious institutions, and local businesses to participate in the ABPASPilot through presentations, personal contacts, social media, etc.
  2. Work with clients and attendants to contact local businesses, colleges, training institutions, community groups, religious institutions, medical facilities, and assisted living centers to
    1. Obtain recommendations for potential new clients and attendants
    1. Ask if they have jobs that can allow staff to be available for emergencies
    1. Ask if there are jobs attendants can do to augment their homecare schedule6
  3. Implement processes and procedures7 that will
    1. Record and maintain attendants’ skills, personal care experiences, existing word schedule, desired work schedule, wanted weekly wages10 and fringe benefits11, emergency attendant services availability, privacy needs12, etc.
    1. Record and maintain client’s attendants’ needs, desired work schedules, the wage they or their 3rd party payer can pay, skills, prior experiences, or certifications their attendants should or must-have, desire to vet, train and manage attendants, etc.
    1. Suggest to clients
      1. Support circle(s)8 to form or join
      1. Attendants to employ
      1. Schedules
      1. Rotations9
    1. Suggest to attendants
      1. Support circle(s) to start or join
      1. Clients to work with
      1. Other non-attendant jobs to fill in their schedules to meet their weekly wage goals
      1. Schedules
      1. Rotations
  4. Develop a post-pilot 5-year business plan.
  5. Find a well-established health plan provider willing to add personal assistant services to their offerings and integrate the APBAS model, staff, and systems into their recruiting, marketing, IT,scheduling, community, and government relations departments.

Next Steps:

  1. Develop the pilot’s project, staffing, contracting4, recruiting, and marketing plans.
  2. Define website requirements.

3.    Define fee schedule5

4.    Develop the pilot’s budget.6

  • Find a temporary tax-exempt fiscal agency to funnel donations, grants, and contract to ABPAS until the IRS approves ABPAS’ tax exemption.
  • Secure pilot funding.


  1. Independent facilitator- people who can interface with funding source(s), recruit, vet, train, and or manage attendants forclients
  2. Attendants – people who can provide clients with personal care assistance they want
  3. Clients – people with disabilities, elders, and their families
  4. Contracting for legal, accounting, payroll, independent facilitators, and interfacing with job sites such as Care.com
  5. Clients can use website tools by themselves for free. Fees for services will be a la carte. Packages will be offered.
  6. Augmenting attendants’ work schedules with non-attendant jobs may be delayed for a post-pilot phase
  7. Processes and procedures
    1. Will be implemented in stages and continually refined
    1. May be executed manually by independent facilitators until the website’s portion is available
  8. Support circles are small groups of clients, attendants, independent facilitators, and friends that agree to share attendants, rotate attendants, and be available for emergencies.
  9. Rotation – periodically switch attendants t maintain their abilities to work with clients’ changing needs.
  10. ABPAS aims to ensure that attendants earn a livable wage as defined by the city where the attendant lives. On rare occasions, ABPAS may supplement an attendant’s income with grant and donated funds
  11. With the client’s 3rd-party funding source consent, ABPAS will offer clients the option of being a co-employer with ABPAS; ABPAS is the legal employer responsible for liability, payroll, tax-filing, fringe benefits, etc. ABPAS will also pay independent facilitators and other service providers upon client documented requests. All expenses incurred by ABPAS will be billed back to the client or their 3rd party funding source along with a management fee. Clients will manage their attendants and independent facilitators*.
  12. Clients and attendants will choose which of their information can be shared with their support circles, ABPAS staff, or the public

*These features may not be available by the end of the pilot