An August 1964 study showed that half of the state's more than 6,350 residents were assigned jobs in institutions, raising the issue of "institutional peonage."
Institutional peonage is work, servitude or slavery in exchange for protection.
By law, a person with mental retardation could earn no more than $1 a month. Replacing institutionalized residents with civil service employees would require more than 900 additional positions at a cost of $2.4 million.
Keeping pace with Minnesota's accelerating efforts, federal programs also were expanding. In 1968, a federally-funded planning effort recommended:
- Mandatory PKU testing,
- Behavior modification,
- More sheltered workshops and day programs,
- Additional federal funds for education in state-run institutions.
Mandatory PKU testing began in 1968 with 171,066 tests run over an 18-month period. Overall, 11 newborns were diagnosed with disabilities.
The first state program office was created in November 1971.
Headed by Ardo Wrobel, the office was responsible for designing, organizing, and executing state programs. Counties would continue to implement the programs locally and care for the people impacted by them.
A break-through program called Project EDGE was introduced in 1969 at the University of Minnesota. The program was created to teach children aged three to five years of age with Down Syndrome.
Led by Professor John Rynders of the University of Minnesota, Project EDGE — which stood for Expanding Developmental Growth through Education — was federally funded.