Failures to invest in intellectual and developmental disabilities (I/DD) services in the U.S. has created a direct support workforce crisis and prevented access to critical community-based services for many Americans.

During 2022, there were 481,601 Americans with I/DD on waiting lists for home- and community-based services (HCBS) and, by the third quarter of 2022, more than six in ten community provider organizations had discontinued HCBS programs due to challenges related to high turnover and vacancy rates. Without access to state funded HCBS, people with I/DD rely on family members to deliver care or . . .

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