The United States Department of Justice (DOJ) issued a letter of findings to Mississippi in which it found the state, in violation of the integration mandate of the Americans with Disabilities Act (ADA), unnecessarily institutionalizes people with mental illness or developmental disability in public and private facilities. Mississippi operates six large and ten small (10-person) intermediate care facilities for persons with intellectual disabilities (ICFs/ID) for over 1,900 individuals. The state also licenses 689 private ICF/ID beds and spends approximately 68% of its developmental disabilities budget on institutional services. Mississippi has a 1,900-person waiting list for community-based services. DOJ recommended that the state develop community-based services for people who could live in, and who choose to live in, more integrated settings.