On February 28, 2019, the Louisiana Department of Health (LDH) released an initial implementation plan to end overuse of nursing homes for people with serious mental illness (SMI). This is the first phase of an implementation plan resulting from a DOJ review that ended in December 2016. Following this review, the DOJ claimed that Louisiana was unnecessarily relying on nursing facilities to serve people with serious mental illness. The Americans with Disabilities Act (ADA) requires these individuals receive services in the most integrated setting appropriate to their needs. Based on assessments, this may mean in a setting that is less . . .