At the national level, integrated employment has become an important policy priority. Greater expectations are being placed on those charged with delivering employment supports, and disability systems are responding. However, the promise of integrated employment has yet to be realized for individuals with intellectual and developmental disabilities (IDD). The number of individuals supported in integrated employment by state IDD agencies has remained the same since 2000, participation in non-work services has grown rapidly, and promising practices for employment supports identified in the research are not widely implemented. What are the state-level strategies that can change this trajectory? This brief: Describes the national landscape regarding employment policy and outcomes for people with IDD; Introduces a new line of research that considers state employment systems' policies and practices and their relationship to individual outcomes; and defines policies and practices of high-performing state employment systems. [This report was prepared by ThinkWork! at the Institute for Community Inclusion at UMass Boston and the Rehabilitation Research and Training Center on Advancing Employment for Individuals with Intellectual and Developmental Disabilities (RRTC), a project of ThinkWork!.]