Rehabilitation Reform

The State Community Integration Index (SCII) Data Analysis

SCII 2026 Data Report

This page presents the findings of the State Community Integration Index (SCII) for 2026 — the first year of publication. The SCII assesses all 50 states on their commitment to disability community integration across six policy domains, producing a composite score out of 100 and a tier classification from Leading to Critical. All 50 states are now assessed and ranked. This page is a living document. It will be updated as federal data sources release new figures and as Lived Reality Survey responses are collected from advocates, professionals, and people with disabilities across the country.

All scores reflect the most current publicly available data as of the date noted in each state profile. Data sources, scoring methodology, and known limitations are documented in full on the SCII Methodology Page

2026 NATIONAL SNAPSHOT

Before examining individual states, the aggregate picture tells a story of its own.

All 50 states assessed show a clear stratification across four tiers:

All 50 States — Complete 2026 Rankings

All 50 U.S. states are now assessed and ranked. Click any state to view its full profile, scoring breakdown, policy analysis, and strategic recommendations. Browse all SCII State Profiles in the SCII State Profiles category.

Tier 1: Leading (77–84)

These four states represent the national model for disability community integration, with strong institutional diversion, robust HCBS infrastructure, and exceptional Olmstead alignment.

StateScoreTier
Vermont84Tier 1
Oregon81Tier 1
Maryland79Tier 1
Washington77Tier 1

Tier 2: Progressing (57–76)

Fifteen states demonstrate meaningful infrastructure with documented gaps. These states show strong progress on key dimensions and are well-positioned for strategic reform.

StateScoreTier
Minnesota74Tier 2
New Jersey71Tier 2
Rhode Island70Tier 2
Delaware69Tier 2
Colorado68Tier 2
Hawaii67Tier 2
New Hampshire67Tier 2
Virginia66Tier 2
Michigan64Tier 2
Wisconsin63Tier 2
Pennsylvania63Tier 2
California62Tier 2
Massachusetts62Tier 2
Ohio61Tier 2
Illinois61Tier 2

Tier 3: Lagging (45–56)

Nineteen states carry significant structural deficits that require active reform. These states show pockets of progress but face systemic barriers to community integration.

StateScoreTier
Georgia58Tier 3
North Carolina58Tier 3
Nebraska57Tier 3
Utah57Tier 3
New York57Tier 3
Alaska56Tier 3
Idaho56Tier 3
New Mexico56Tier 3
North Dakota56Tier 3
Montana55Tier 3
Iowa54Tier 3
Connecticut53Tier 3
Maine53Tier 3
Nevada52Tier 3
Wyoming50Tier 3
Arizona50Tier 3
Missouri48Tier 3
South Dakota47Tier 3
Kansas45Tier 3

Tier 4: Critical (27–44)

Twelve states rank in the critical category, facing systemic barriers, underdeveloped HCBS infrastructure, and active DOJ matters. These states require urgent federal engagement and intensive reform.

StateScoreTier
Florida44Tier 4
Indiana43Tier 4
Oklahoma42Tier 4
Tennessee41Tier 4
West Virginia39Tier 4
South Carolina38Tier 4
Texas36Tier 4
Alabama36Tier 4
Louisiana35Tier 4
Arkansas35Tier 4
Kentucky33Tier 4
Mississippi27Tier 4

Next: Explore Individual State Profiles

Click any state above to view its complete profile, including detailed scoring breakdown, policy analysis by domain, strategic recommendations, and DOJ status. State profiles are updated as new data becomes available and as the Lived Reality Survey collects responses from advocates, professionals, and people with disabilities. Visit the SCII State Profiles category to browse all state profiles.