I live in Pennsylvania, and when my mom was diagnosed with a chronic illness, we decided that one of us needed to care for her. I wondered if I could officially be her caregiver. I started looking, and it turns out that in Pennsylvania it is possible. Here, for example, is a pretty detailed description of who can be a paid caregiver for family member pa https://carepointpa.com/can-a-family-member-get-paid-to-be-a-caregiver-in-pennsylvania/ - and what the nuances are if you want to become a paid caregiver for family member pa. It helped us a lot with the paperwork and understanding the process. So if you're thinking along these lines - it's really possible to do everything legally.