Download the slides here. Presented at APSE 2016. Ever wonder how state systems are working to achieve new levels of integrated employment outcomes? While states have worked to build supports for more than five decades to meet the needs of their constituents, a different playing field has emerged in recent years. This is a result of new regulations, requests from advocates and families, shifting expectations and fluctuating state budgets. A powerful, key tool for state systems to navigate this new world are the particular services offered. Via a facilitated discussion with representatives from three states, this lively discussion centered on how states are managing the range of large and small changes needed to update the employment and employment related service definitions that are offered, the direct connection between employment and other full life outcomes, and prioritization of employment within the service system. This double-length sessions, part of this year’s new Different States – Common Issues Series, allowed audience members to compare, contrast, and learn from the different approaches states are taking.