As a result of a 1997 change in federal law, this on-going 5-year study evaluated the effects of elimination of some prior regulations on the employment choices of 854 Wyoming adults in the Medicaid Home and Community-Based Service Waiver program. The study examined who worked, who wanted to work, the average hours worked, the average percentage of work time spent in integrated settings, and the average dollars earned. It also examined the number of people in day habilitation, the average hours in day habilitation, and the average time people spent in integrated settings in the community. Early outcomes of this study indicate that the choice of each person about whether they want to work or not has had a great impact on activities chosen. Additionally, most of the people chose a lot of activity. The outcome of percentage of work integration is a function of a set of statistically significant personal characteristics of the people served and services they have chosen and used. The percentage of hours worked and dollars earned is related to the employment situation of each of Wyoming's counties. (DB)