Abstract
To what extent have states implemented supported employment in a manner consistent with the Rehabilitation Act? Why is there such a variation across states in supported employment outcomes? Why have some states developed progressive systems of supported employment, while others maintain more restrictive policies and practices? This article highlights the values and principles embodies in the Rehabilitation Act and explores the extent to which state supported employment policies and practices reflect the spirit of the law. Examples of state policies and practices that exemplify the key values of the Rehabilitation Act are discussed, and challenges and choices faced by states are presented in the context of systems change.