During the decade since the Olmstead decision, a number of states have settled lawsuits or entered into consent decrees in response to lawsuits filed under Title II of the Americans with Disabilities Act (ADA) which focused on the determination that individuals with disabilities are entitled to receive services and live in the most integrated settings appropriate for their care. State governments, in particular state mental health authorities, have assumed the responsibility for leading many of these efforts in collaboration with other state agency partners. The development and initiation of the implementation plans to respond to settlements and lawsuits vary by state. However, each state must grapple with policies to support service provision and delivery, assuring access to affordable housing, housing development, financing strategies, quality assurance and improvement strategies, data collection, monitoring, outcome assessment and management to assure that the implementation plans that are developed meet the requirements of the settlement or consent decree, and most importantly meet the needs of the class members who are the recipients of these efforts. How are these challenges being addressed and met? This session will provide an overview of work being performed by states to address consent decrees and settlements and will provide detailed information with regard to the experiences of three states (Delaware, Georgia, and New Jersey) that are grappling with these issues.