NASDDDS projects are multi-state endeavors to improve services and supports through learning collaboratives. As Justice Louis Brandeis said, "states may, if its citizens choose, serve as a laboratory; and try novel social and economic experiments."

State I/DD agencies have always been the laboratory for new ideas including person-centered practices, family support services, supported employment services, and self-determination. To take new ideas to scale however, states must often redesign policies, develop new practices, and implement system-wide change initiatives.

Working together with the support of experts in the field, not only state-wide but nation-wide change is possible.