Advocates filed more lawsuits against states consistent with the Olmstead decision.

The Department of Health and Human Services principles for state compliance with the ADA included:

• Develop and implement a comprehensive, effectively working plan
• Provide an opportunity for the public, including people with disabilities to be integral participants in the plan
• Take steps to prevent or correct unjustified institutionalization
• Ensure the availability of community-integrated services
• Afford people with disabilities the opportunity to make informed choices
• Take steps to ensure quality assurance in the delivery of community-based services