Home and community-based services (HCBS) provide a lifeline for millions, allowing individuals to remain in their homes, stay engaged in their communities, and live independently. Over 3.5 million people benefit from these services, which range from assistance with daily activities such as eating, bathing, and managing medications to more complex care needs. Central to the success of HCBS is the caregiving workforce, both paid and unpaid, who work tirelessly to ensure that individuals—whether older adults, people with disabilities, or those with chronic conditions—can continue to lead fulfilling lives. This book delves into the vital roles played by the caregiving workforce, from professional care providers to family members who give their time and energy to support loved ones. It explores the challenges and opportunities facing caregivers, the systemic issues that impact home and community-based services, and the importance of creating a robust, sustainable caregiving infrastructure for the future. Through a comprehensive look at these crucial services, we aim to shed light on how we can better support caregivers and the individuals they care for, ultimately fostering a more inclusive, resilient society.