By 1965, community care was in its infancy, serving 1,545 people. However, access to community care would soon explode.
While it cost less to serve people in private facilities, the state still paid only for services delivered through state hospitals.
Public pressure mounted to have the state pay for a portion of the expense of caring for people living in private facilities. The result was a reimbursement system that capped parent payments at $10 a month. The remainder of the cost was shared by counties and the state.