We are once again seeing a new generation of service reform unfold for people with disabilities in New York State. These emerging services reflect a rich service history, changing expectations by individuals and families, and the unfortunate downturn in the economy. More changes are inevitable, especially since the economy has weakened, and will involve the movement away from congregate service settings toward individually directed purchasing of services. The weakened economy is forcing all government executives and providers to consider opportunities for less expensive services. Emerging areas for development include, but are not limited to at-home community-based day supports, more subsidized employment opportunities for individuals presently in day programs, individualized transportation services, streamlined case management, and innovative housing supports in partnerships with families.