A Compendium of Current Federal Initiatives in Response to the Olmstead Decision. HHS OFFICE OF CIVIL RIGHTS ACTIVITIES


Funding Organization:

  • Office of Civil Rights (OCR)

Implementing Organization:

  • Office of Civil Rights (OCR)


OCR is working, on a state-by-state basis, with state and county officials, individuals with disabilities, advocates, foundations and other stakeholders to increase opportunities for individuals with disabilities to live in their own communities. OCR recently received $50 million in additional FY 2000 funds specifically for Olmstead related activities.


OCR is involved in the following activities:

  • Resolving more than 250 complaints alleging that states and other public entities have failed to provide services to people with disabilities in the most integrated setting. Specifically, OCR is working with all involved parties to build comprehensive, effectively working plans for serving qualified persons with disabilities in the most integrated settings appropriate.

  • Developing, as part of the complaint review and litigation process, baseline data to be used for training OCR Regional Office (RO) staff.

  • Collaborating with the Department of Housing and Urban Development to identify ways in which affordable, accessible housing can be made more readily available to individuals with disabilities.

  • Planning four regional training events to bring states and advocates together.

  • Reviewing litigation and settlements in order to gain familiarity with the internal landscapes within different states.

  • Working with state governments and local advocates in the development of Olmstead planning coalitions in over 25 states, with work in additional states planned.

  • Compiling a compendium of Olmstead expert consultants for each state, as an outcome of OCR's use of consultants to review states' Olmstead plans.

  • Developing OCR's in-house capacity to work on Olmstead and home and community-based services (HCBS) issues by hiring experts and ensuring that the central office has knowledgeable staff that the ROs can work with.

  • Designating an individual to serve as the Olmstead Coordinator in each of the ten OCR regions.

  • Participating as a member of the Department-wide Olmstead Working Group, OCR is involved in a number of areas, including the State Medicaid Director's letters and the development of technical assistance documents related to Olmstead or HCBS.

  • Discussing with the Robert Wood Johnson Foundation coordination in providing technical assistance in development of Olmstead plans, waiver development/expansion, and issues of state financing for HCBS. Of particular interest is developing synergies in the areas of: nursing home transition grants, system change grants, and Substance Abuse and Mental Health Services Administration grants/technical assistance efforts.

Contact Information:

Claudia Schlosberg, Senior Civil Rights Analyst, Office of Civil Rights, Department of Health and Human Services, H.H. Humphrey Building, Room 515F, 200 Independence Avenue, S.W., Washington, DC 20201, (202)619-1750

View full report


"olmstead.pdf" (pdf, 523.11Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®