The Ticket to Work and Work Incentives Improvement Act, P.L. 106-170, pointed out that individuals with disabilities have greater opportunities than ever for employment. This has come about through the passage of the Americans with Disabilities Act in 1990, advancements in public understanding of disability, and innovations in medical treatment, rehabilitation, and assistive technology. Yet, at the time that the law was passed, less than one-half of one percent of Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) beneficiaries ever left the benefit rolls and returned to work. The financial disincentives to work and earn income coupled with the lack of employment training and placement opportunities were – and remain – significant barriers for achieving self-support.