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Promoting the individual rights of the consumer and protecting the interests of todays caregiver. Since 1977 the Private Care Association PCA has been the voice of private duty home care. PCA members are home care registries that refer independent care providers who provide assistance with activities of daily living companion care homemaker services and nursing services in a clients home. The PCA has an involved government relations program that actively works with public policymakers at the state and federal levels to promote the interests of selfemployed caregivers and families who choose the consumerdirected model of care.