Census data for your State Plan
A consumer count means nothing without a population to compare it with. The American Community Survey gives every state and county a count of people with a disability. Here is how to use it.
What the Census measures
The American Community Survey asks six questions about difficulty with hearing, vision, thinking, walking, self-care and independent living. Anyone who answers yes to one is counted as having a disability. Table B18101 gives the result for the civilian noninstitutionalized population by sex and age for every state and county; the subject table S1810 gives the same with disability type. The pages here use B18101 from the 2019–2023 ACS 5-year estimates, the most recent release with county detail for every county.
Two caveats travel with every number.
- Noninstitutionalized. People in nursing homes, prisons, psychiatric hospitals and other group quarters are not counted. The population an Independent Living network most wants to reach, people in institutions who could live in the community, is outside the denominator. Reach computed on this base is overstated to that extent, and a state should say so.
- Estimates with margins. Five-year estimates are averages over 2019 to 2023 with a published margin of error. Small counties have wide margins. A change of a few hundred people in a small county is noise, not a trend.
Penetration rate: the measure the field already uses
At least one state plan compares its network's consumers served with the Census count of people with disabilities, county by county, to compute a penetration rate, and ranks counties by it to choose where to put effort. The arithmetic is simple.
- Get consumers served by county from every center, for the same twelve months, on the same definition of a consumer (a signed consumer service record or waiver, not an information and referral contact).
- Take the county's civilian noninstitutionalized population with a disability from the table on your state's page.
- Divide, and show the result per 10,000 people so the numbers are readable. A county with 400 consumers and 20,000 people with a disability is 200 per 10,000.
- Repeat each year. The change is the metric; the level is context.
The same figure at state level is on every state page, computed from the public center reports. In report year 2023 the median state reached 44.9 per 10,000; the lowest quarter of states fell below 26.3 and the highest quarter exceeded 71.3.
Choosing a threshold
Some plans define a served county as one where the network reaches a fixed share of the disability population, for example 3% or 5%. No state has met those figures, so they describe a funding aspiration rather than measure performance, and a plan that reports zero served counties year after year has no way to show progress.
Two alternatives keep the measure honest and still let a plan show movement.
- A percentile of peers. Set the target as a position among the states, for example reaching the national median, or the median of island and non-contiguous states for a network like that. The target moves with the field, and the plan can report the state's percentile each year.
- The state's own trend. Set a baseline from the first year of the plan and a target as a percentage improvement on it. This is the method most plans already use for other indicators.
Whichever is chosen, keep the geographic definition of unserved and underserved that the plan already has. Penetration rate is a second lens, not a replacement, and it is the only one that can see under-reach inside a county that a center nominally covers.
When a county hides a community
Counties are the smallest geography the Census publishes with a reliable disability count everywhere. Some counties fold together communities that an Independent Living network treats separately: islands, a reservation and the towns around it, a city and its rural hinterland. Three ways to see inside a county:
- County subdivisions (summary level 060) carry B18101 in the 5-year file, with wider margins.
- Public Use Microdata Areas let an analyst build a custom area from the microdata, at the cost of some statistical work.
- Ask the centers for finer geography in their county table. A center usually knows the town or island of every consumer even when the federal form only asks for the county.
Whatever is done, document the method and its margin of error on the plan's own page. A rough figure with its uncertainty stated is more useful than a precise-looking one without.
Your state
Each page below has the state's disability population by county and age, and draft indicator language with the state's own numbers filled in.
| State | Population | With a disability | Rate | Counties | Network reach per 10,000 |
|---|---|---|---|---|---|
| Alabama | 4,969,866 | 807,069 | 16.2% | 67 | 8.5 |
| Alaska | 704,133 | 92,451 | 13.1% | 30 | 170.7 |
| American Samoa | — | — | — | — | — |
| Arizona | 7,154,961 | 970,404 | 13.6% | 15 | 29.9 |
| Arkansas | 2,977,706 | 528,995 | 17.8% | 75 | 45.6 |
| California | 38,761,738 | 4,364,431 | 11.3% | 58 | 72.2 |
| Colorado | 5,713,803 | 638,686 | 11.2% | 64 | 46.8 |
| Connecticut | 3,555,703 | 429,568 | 12.1% | 9 | 43.8 |
| Delaware | 992,298 | 137,738 | 13.9% | 3 | 30.4 |
| District of Columbia | 663,014 | 72,611 | 11.0% | 1 | 97.0 |
| Florida | 21,591,588 | 2,924,178 | 13.5% | 67 | 52.7 |
| Georgia | 10,627,519 | 1,375,224 | 12.9% | 159 | 25.7 |
| Guam | — | — | — | — | — |
| Hawaii | 1,386,108 | 173,766 | 12.5% | 5 | 18.6 |
| Idaho | 1,866,785 | 257,204 | 13.8% | 44 | 52.8 |
| Illinois | 12,522,498 | 1,482,931 | 11.8% | 102 | 56.0 |
| Indiana | 6,714,911 | 927,862 | 13.8% | 92 | 20.5 |
| Iowa | 3,149,616 | 390,431 | 12.4% | 99 | 22.8 |
| Kansas | 2,875,799 | 386,716 | 13.4% | 105 | 131.7 |
| Kentucky | 4,429,333 | 784,920 | 17.7% | 120 | 7.9 |
| Louisiana | 4,523,071 | 729,316 | 16.1% | 64 | 36.8 |
| Maine | 1,359,807 | 212,043 | 15.6% | 16 | 154.7 |
| Maryland | 6,079,418 | 690,463 | 11.4% | 24 | 37.5 |
| Massachusetts | 6,926,890 | 835,832 | 12.1% | 14 | — |
| Michigan | 9,944,298 | 1,414,434 | 14.2% | 83 | 73.1 |
| Minnesota | 5,652,888 | 642,876 | 11.4% | 87 | — |
| Mississippi | 2,884,445 | 500,688 | 17.4% | 82 | 32.7 |
| Missouri | 6,062,789 | 886,543 | 14.6% | 115 | 51.8 |
| Montana | 1,088,176 | 156,093 | 14.3% | 56 | 154.8 |
| Nebraska | 1,937,542 | 235,106 | 12.1% | 93 | 59.0 |
| Nevada | 3,103,042 | 416,368 | 13.4% | 17 | 27.4 |
| New Hampshire | 1,371,503 | 178,623 | 13.0% | 10 | 82.0 |
| New Jersey | 9,174,408 | 975,308 | 10.6% | 21 | 53.9 |
| New Mexico | 2,077,871 | 346,122 | 16.7% | 33 | 66.2 |
| New York | 19,674,246 | 2,394,964 | 12.2% | 62 | 156.9 |
| North Carolina | 10,366,704 | 1,386,506 | 13.4% | 100 | 10.1 |
| North Dakota | 761,569 | 89,750 | 11.8% | 53 | 255.8 |
| Northern Mariana Islands | — | — | — | — | — |
| Ohio | 11,612,784 | 1,646,041 | 14.2% | 88 | 38.7 |
| Oklahoma | 3,906,785 | 656,264 | 16.8% | 77 | 10.2 |
| Oregon | 4,196,946 | 635,797 | 15.1% | 36 | 14.8 |
| Pennsylvania | 12,800,535 | 1,820,613 | 14.2% | 67 | 32.3 |
| Puerto Rico | 3,227,627 | 734,989 | 22.8% | 78 | 3.6 |
| Rhode Island | 1,078,696 | 146,643 | 13.6% | 5 | 38.7 |
| South Carolina | 5,113,158 | 738,495 | 14.4% | 46 | 29.1 |
| South Dakota | 879,723 | 106,698 | 12.1% | 66 | 124.6 |
| Tennessee | 6,888,125 | 1,034,275 | 15.0% | 95 | 26.3 |
| Texas | 29,157,945 | 3,491,298 | 12.0% | 254 | 21.1 |
| U.S. Virgin Islands | — | — | — | — | — |
| Utah | 3,304,468 | 339,979 | 10.3% | 29 | 325.3 |
| Vermont | 639,109 | 92,624 | 14.5% | 14 | 71.3 |
| Virginia | 8,429,141 | 1,032,353 | 12.2% | 133 | 44.9 |
| Washington | 7,623,297 | 1,010,563 | 13.3% | 39 | 12.9 |
| West Virginia | 1,750,730 | 334,044 | 19.1% | 55 | 33.0 |
| Wisconsin | 5,828,067 | 701,774 | 12.0% | 72 | 61.5 |
| Wyoming | 569,723 | 79,382 | 13.9% | 23 | 61.6 |