Texas Disability Atlas State of Support
How Texas supports people with IDD
State of Support grades every state on services for people with intellectual and developmental disabilities, on public data. Texas gets an F and ranks 49th of 51.

The numbers behind the grade
- 1,036: People with IDD on Texas interest lists, per 100,000 residents (2025, KFF)
- 5.7%: Adults in IDD day and job services who are in community jobs (2023, ICI)
- 3%: Caregiving families supported by the state IDD agency (2023, State of the States)
- 49.8%: Direct care aide pay as a share of the Texas median wage (2025, BLS)
Texas next to its neighbors
Overall grade, rank of 51, and the grade in each area. Compare every state.
| State | Overall | Access to services | Community living | Family support | Real work | Direct support workforce | Quality of life | State investment | Transparency |
|---|---|---|---|---|---|---|---|---|---|
| Texas | F rank 49 | F | D | C+ | F | F | F | F | F |
| New Mexico | B rank 14 | A+ | B+ | C+ | D+ | C | F | B+ | C- |
| Oklahoma | D+ rank 37 | D | D+ | B | A- | F | D | D+ | C |
| Louisiana | D- rank 46 | C- | F | A- | D | D- | D+ | C- | B |
| Arkansas | F rank 50 | F | F | F | F | F | D+ | D+ | C- |
State of Support compares places. It is not advice on where to live. Grades: The ConnectIDD Standard 1.1, baseline locked 24 September 2026.
How Texas supports people with disabilities, in one place. Grades come from public data. They describe the state system, not any one provider.
Support grade
Rank 49 of 51 for services to people with intellectual and developmental disabilities.
See all eight grades
- Access to servicesF
- Community livingD
- Family supportC+
- Real workF
- Direct support workforceF
- Quality of lifeF
- State investmentF
- TransparencyF
Funding
of 51 on Medicaid waiverA Medicaid program that pays for support at home and in the community. Many have a waiting list, so apply early. funding, scored 51.5 out of 100. Spending, waiting lists, programs, and rates.
Schools
Special education support and school funding, graded state by state, on SPED Atlas.
Every state, side by side
The full State of Support: all 51 grades, maps, and compare any states.
State of Schools
How Texas grades on special education and school support, on SPED Atlas.
What you can do
Sign up for every interest list that fits, and tell your state representative what the wait means for your family.