Texas has traditionally provided services to people with intellectual and developmental disabilities through a network of "state schools." Part of the 2003 reorganization of Texas health and human services was a push to have more of this care delivered in private group homes as opposed to state-run facilities, but not much progress has been made. We look at the issue this week with The Honorable Arlene Wohlgemuth, Executive Director and Director of the Center for Health Care Policy at the Texas Public Policy Foundation.