DISABILITY SPENDING IN THE STATES
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).
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