Advocates for people with disabilities praised initial federal efforts at the start of the pandemic such as expanding food access through the Supplemental Nutrition Assistance Program (SNAP). But they worry efforts since then have fallen short. In addition, support programs are subject to closures or limited access for safety reasons. The U.S. Department of Health and Human Services Office of Civil Rights issued guidance to Indian Health Service facilities for serving the needs of individuals with disabilities. We’ll discuss what that guidance means and whether it’s working for Native people with disabilities.