The Olmstead Decision turned 25 this past June 22 (see Omstead vs L.C. and North Carolina Olmstead Plan 2024-2025). The promise of this landmark decision was to move people with disabilities into community settings, and it has had an impact. For consumers with I/DD, the number living in large, state-run facilities has dropped from nearly 200,000 in the 1960s to below 20,000 today (see 16,000 People With Disabilities Are In State-Operated Institutions. This Is How Experts Say Health Care Should Change).

But the waiting lists for home- and community-based services remains . . .

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