The Home and Community-Based Services (HCBS) Settings Rule promulgated by the Centers for Medicare and Medicaid Services (CMS) in 2014 affects a variety of programs that people with IDD depend on – from residential services to social activities to employment. Federal funding for those services is in jeopardy if the state fails to comply with the rule. Even with a deadline extension to March 2022, California is considerably behind in the required assessment and heightened scrutiny procedures, leaving programs little time to resolve any identified compliance issues. In the meantime, programs find themselves subject to inconsistent assumptions and interpretations by regional centers, advocates, and policymakers. CDSA is an active voice in the HCBS implementation process, serving as an advocate for our members, and helping guide the state toward compliance to safeguard service continuity for people with IDD.