Category: SCII State Profiles
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SCII 2026 State Profile: California
California scores 62/100 (Tier 2, Progressing) in the 2026 SCII: full elimination of subminimum wage and civil rights protections beyond the ADA floor, set against a dormant general Olmstead Plan and the nation’s largest chronically homeless population with disabilities.
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SCII 2026 State Profile: Louisiana
Louisiana scores 35/100 (Tier 4, Critical) in the 2026 SCII: a full state psychiatric hospital, a decade of frozen HCBS rebalancing, and the Fifth Circuit’s 2023 reversal of Olmstead protections — the same ruling that lowered Texas and Mississippi’s scores.
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SCII 2026 State Profile: Idaho
Idaho scores 56/100 (Tier 3, Lagging) in the 2026 SCII: a top-quartile HCBS spending ratio undercut by a live January 2025 DOJ finding that the state is violating the ADA, and jails that ProPublica found likely hold more people with serious mental illness than its entire state hospital system.
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SCII 2026 State Profile: Hawaii
Hawaii scores 67/100 (Tier 2, Progressing) in the 2026 SCII: a zero-waitlist HCBS system and full elimination of subminimum wage, offset by one of the nation’s highest chronic homelessness burdens and a state psychiatric hospital that admits only forensic patients.
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SCII 2026 State Profile: Iowa
Iowa scores 54/100 (Tier 3, Lagging) in the 2026 SCII: dead last nationally in state psychiatric beds per capita, yet one of the only states in this dataset to have actually closed an institution — Glenwood Resource Center — under a DOJ consent decree.
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SCII 2026 State Profile: Alaska
Alaska scores 56/100 (Tier 3, Lagging) in the 2026 State Community Integration Index: one of the most HCBS-oriented long-term-care systems in the country, an early (2018) elimination of subminimum wage, and a 14-year wait on its only rationed waiver.
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SCII 2026 State Profile: Alabama
Category: SCII State Profiles Tags: Alabama, Disability Policy, Community Integration, Olmstead, HCBS, Disability Rights, SCII 2026, State Profile, Independent Living, HCBS Settings Rule, Wyatt v. Stickney, Mental Health, IDD Services, Policy Analysis Introduction Alabama ranks fourteenth in the 2026 State Community Integration Index, sharing the Tier 4 Critical designation with…
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SCII 2026 State Profile: Mississippi
Category: SCII State Profiles Tags: Mississippi, Disability Policy, Community Integration, Olmstead, HCBS, Disability Rights, SCII 2026, State Profile, Independent Living, Fifth Circuit, DOJ Settlement, Mental Health, IDD Services, Policy Analysis, Judicial Narrowing Introduction Mississippi ranks fifteenth and last in the 2026 State Community Integration Index pilot phase, with a score…
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SCII 2026 State Profile: Texas
Category: SCII State Profiles Tags: Texas, Disability Policy, Community Integration, Olmstead, HCBS, Disability Rights, SCII 2026, State Profile, Independent Living, State Supported Living Centers, HCBS Interest List, Mental Health, IDD Services, Policy Analysis Introduction Texas ranks thirteenth in the 2026 State Community Integration Index, sharing the Tier 4 Critical designation…
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SCII 2026 State Profile: Tennessee
Category: SCII State Profiles Tags: Tennessee, Disability Policy, Community Integration, Olmstead, HCBS, Disability Rights, SCII 2026, State Profile, Independent Living, DD Waitlist, Mental Health, IDD Services, Policy Analysis, Reentry Services Introduction Tennessee ranks twelfth in the 2026 State Community Integration Index, occupying a position that reflects one of the most…