A decade ago, the U.S. Supreme Court ordered States to stop unnecessarily segregating individuals with disabilities in institutions in order to receive long term services.1 Yet, ten years later, there has been little national progress moving people with disabilities out of nursing facilities and public institutions and into communities with supports.2 People who want to live with their families and neighbors are still needlessly confined in large public and private institutions. NDRN calls for more urgent federal action to compel compliance with this civil right.