In 1993, Stephen Gold represented Helen L. in a Pennsylvania case, "Helen L. v. Desario." The Pennsylvania case challenged the state's referral system which previously focused on providing attendant care services in a nursing home environment rather than the preferred method of providing services directly in the community.
L. C. and E. W. from Georgia later filed a similar suit and Stephen Gold represented them. Referred to as the "Olmstead Decision," the landmark case was settled by the U.S. Supreme Court on June 22, 1999. The decision calls for states to provide services in the most integrated setting.