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This article looks briefly at the trends in nursing facility placements of persons with IDD that parallel the legislative, administrative and judicial requirements related to the placement of persons with IDD in nursing facilities. The statistics reported were gathered by Residential Information Systems Project (RISP) funded by the Administration on Developmental Disabilities. RISP is a voluntary program to which states report annually data on a range of service use variables. Since 1988 these reports have included the number of people with IDD living in nursing facilities. In June 1988 states reported an estimated 42,164 people with IDD lived in U.S. nursing homes. This number declined to 34,011 in 1998 and to 29,021 in 2007. More strikingly, the number of persons with IDD living in nursing facilities as a proportion of the combined to total of persons with IDD living in nursing facilities and receiving non-family based residential supports for persons with IDD declined from 16% in 1988 to 10% in 1998 and 7% in 2007.