The first two papers in the this session look at the effect of Supplemental Security Income and Social Security Disability Income on both employment and health-related outcomes, highlighting the ways in which program design can unintentionally distort incentives in the process of providing income security. The second and third papers both look at potential reform options. The second paper looks at an existing program, the Earned Income Tax Credit, as a potential vehicle for increasing employment of adults. The third paper looks at the effects of a Social Security Administration demonstration project targeting young adults who received disabilty benefits as children. The concluding paper provides a broader, comparative look at the disability policy reform process, highlighting the roles of political and institutional factors.