Vocational Rehab Portability
Disability doesn’t stop at a state line. A worker, a student, or a family should not have to turn down an employment or education opportunity just because they can’t take their state’s disability support with them. This report lays out four administrative actions the U.S. Departments of Education and Health and Human Services can take so Vocational Rehabilitation, Medicaid, and HCBS waiver supports follow the individual across state lines.
Read the Report
Why VR Portability Matters
Disability doesn’t stop at a state line. Opportunity shouldn’t either. Able Americans is calling for portable Vocational Rehabilitation supports so people with disabilities can pursue education, careers, and greater independence wherever opportunity leads.
Vocational Rehabilitation (VR) helps people with disabilities prepare for, find, and keep jobs, with services like education, training, transportation, assistive technology, and job coaching. Inclusive postsecondary education, apprenticeships, internships, and specialized workforce programs increasingly draw students across state lines — but state-administered supports often do not travel with them.
While students without disabilities routinely choose the program that best fits their ambitions, students with disabilities too often begin with a different question: whether the services they rely on will follow them. Federal rules already prohibit states from effectively barring necessary out-of-state VR services. What is missing is a clear framework that makes those protections work in practice.
Four Administrative Actions for Education and HHS
Issue Joint ED–HHS/CMS Guidance
Clarify how state VR agencies, Medicaid agencies, developmental-disability agencies, and colleges coordinate services across state lines, paired with a model interstate agreement covering fiscal responsibility, provider payment, records sharing, and continuity of services. A temporary relocation should never, by itself, close a VR case or trigger a duplicate eligibility determination.
Make the IPE a Portability Passport
Publish a model interstate addendum to the Individualized Plan for Employment that names the employment goal, approved program, lead agencies, services, providers, and payment responsibilities before the person moves, with states accepting verified eligibility and existing assessments to the maximum extent allowed.
Create an “ABLE Backpack”
Establish a national ABLE–VR partnership so state VR agencies can offer optional ABLE accounts as a payment tool for approved supports that travel with the individual, and exempt VR payments made under an approved plan from the annual ABLE contribution limit. Participation stays voluntary, and ABLE accounts supplement, never replace, public agencies’ responsibilities.
Utilize Fintech for Program Integrity
Give participants more direct control over approved funds through restricted accounts or digital wallets with spending rules built in, so dollars go only to authorized purposes while agencies get real-time data and a clearer audit trail than traditional reimbursement systems.
A state line should not determine whether a person with a disability can attend the right college, pursue specialized training, accept an apprenticeship, or take the right job. Through joint guidance, interstate agreements, portable employment plans, stronger use of ABLE accounts, and modern payment technology, Education and HHS can make portability the expectation rather than the exception.
Nina moved to Washington, DC, to pursue a career in disability policy. Her supports didn’t follow. Watch Nina’s story on Faces of the Disability Crisis.
