The 2005 State of the States in Developmental Disabilities study has been completed (Braddock et al., 2005). In this paper we summarize selected trends in public spending for services to persons with intellectual and developmental disabilities (ID/DD) in the United States during 2002–2004. Total public United States spending for ID/DD services from consolidated federal, state, and local sources grew from $34.48 billion in Fiscal Year (FY) 2002 to $38.55 billion in FY 2004. The 2004 spending figure included three components: (a) $30.80 billion for residential services provided in settings for 15 or fewer persons and for related community services, such as day programs, family support, supported living, and supported employment; (b) $6.03 billion for state-operated institutions for 16+ persons; and (c) $1.72 billion for privately operated 16+ person institutional facilities.

Total public spending grew 5.7% during FYs 2002–2004, adjusted for inflation (...

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