A study by Charlie Lakin et al. published in the October issue of the journal, Intellectual and Developmental Disabilities, shows that the number of people with intellectual disability receiving Medicaid Home and Community Based Services (HCBS) while living with family members is an estimated 224,264 individuals as of June 30, 2006, 17 times higher than in June 1999. A notable policy trend that corresponds with this increased reliance of family-based living, is the growth of Medicaid Supports Waiver programs. Although HCBS Supports Waivers limit total expenditures to amounts that are typically considerably less on average than is provided in the regular HCBS program, it also provides greater flexibility to the individuals and families enrolled.