For children with complex medical needs, this is still true. It was presented as a place where both his medical needs and his developmental needs would be met, because it was supposed to be more homelike than the hospital. At the time this was happening, I didn’t know what care at home could look like for a child with complex medical care needs. In institutional care, the system seamlessly provides equipment, supplies, medications and care for kids with complex medical needs. She also serves as the policy director for home- and community-based services at Little Lobbyists, a family-led group that advocates for and with children with complex medical needs and disabilities.