CDPAANYS began as a forceful grassroots effort. Many advocates, people with disabilities and individuals supportive of this burgeoning model began meeting in 1997. Fresh from the victory of securing legislative passage of the Consumer Directed Personal Assistance Program (CDPAP), this dedicated group met regularly, sharing information and supporting each other through the early years of Consumer Directed Personal Assistance Program infrastructure building across New York State. In 2000, the Consumer Directed Personal Assistance Association of New York State, Inc., a nonprofit 501(c)(3) corporation, was born. CDPAANYS retains its grassroots heritage through the continued support of key stakeholders such as people with disabilities who are users of home health care services and individuals who fervently believe in CDPAP. These stakeholders continue to build, brick by brick, CDPAANYS infrastructure. The association began a new phase of its evolution by establishing a staffed office in Albany, the capital of New York State. The Consumer-Directed Personal Assistance Association of New York State will support Consumer-Directed Personal Assistance contractors and users in all counties of New York State, providing assistance including, but not limited to: advocacy, systems change, promotion of consumer control and self determination.