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State of the States in I/DD Releases 2025 Update
The State of the States in Intellectual and Developmental Disabilities project at the Kansas University Center on Developmental Disabilities (KUCDD) has released its FY 2022-2023 State Profiles and key national data trends.
For more than 40 years, the State of the States project has provided a national look at how local, state, and federal investments in I/DD services have evolved. The data help policymakers, advocates, and researchers make informed decisions to improve services and supports for people with intellectual and developmental disabilities and their families.
Key Takeaways from FY 2023 National Data Trends:
- Total Public Spending: $104.6 billion in FY 2023, a 7% increase from FY 2021
- Medicaid Spending: 83.1% of total I/DD service funding came from Federal-State Medicaid
- Fiscal Effort: Increased 11.3%, from $4.19 to $4.66 per $1,000 of personal income
- Residential Settings: Of the 729,109 people receiving I/DD services, 87% lived in community settings with six or fewer people
- Annual Cost of Care: Supported Living averaged $46,600 per person annually; Public ICF/ID (16+) averaged $358,900
- Community-Based Services: 62.2% of national I/DD spending supported six or fewer community-based services
Explore the Data:
Visit State of the States in Intellectual and Developmental Disabilities to view state profiles, interactive charts, and the Data Dictionary, or explore monthly “Data Bites” that highlight national trends.
About the Project:
The State of the States in Intellectual and Developmental Disabilities project was initiated in 1982 to investigate the determinants of public spending for I/DD services in the United States. It is a Longitudinal Data Project of National Significance funded by the Administration on Disabilities, part of the U.S. Department of Health and Human Services, and is housed within the Kansas University Center on Developmental Disabilities.

