This study, funded in part by the Administration on Intellectual and Developmental Disabilities and by the National Institute on Disability, Independent Living, and Rehabilitation Research (Award H133G120010), presents trends in federal, state, and local government spending for services and income maintenance for persons with intellectual and developmental disabilities (I/DD), mental health needs (MH), and physical and sensory disabilities.

Spending by federal, state, and local units of government constitutes a large proportion of the resources available to assist people with disabilities in the United States. These public funds pay for health care, income maintenance, special education, vocational rehabilitation and training, and long-term care including housing and related residential support services. Funds are allocated directly to individuals as well as to schools, health care organizations, and tens of thousands of nonprofit and proprietary disability services organizations.

The findings of this study illustrate the increasing size and growth rate of disability spending as well as a strong, continuing shift away from the use of institutional and nursing facility care toward more individualized community residential and personal support services.

For a more extensive discussion of disability spending trends and state-by-state data, see David Braddock's paper for the Federal Reserve Bank of Boston (PDF).

You can create 21 interactive charts that compare states and regions for fiscal year 2013.

Note: These 2013 data are preliminary, and we encourage you to contact us with any questions.

There are five new charts, addressing annual adjusted cost of care spending during fiscal years 1997-2013 in each state for health care, income maintenance, special education, long-term care, and total disability spending.

These charts rank the states by the positive (or negative) average yearly percentage change in cost of care.

There is also a second type of chart: Annual cost of care by disability group for total disability spending, adjusted for inflation, and averaged across 1997-2013.

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