In 1995, Stakeholders (persons with developmental disabilities, family members, legal representatives, advocates, support providers, county and state representatives) from the eleven counties in Region 10 Minnesota held a meeting to discuss the service system for persons with developmental disabilities. A priority for the Stakeholders was to assure quality of services to persons with developmental disabilities despite whatever changes were made at the state or federal level. The Stakeholders worked with area legislators to develop and pass legislation that would allow counties to participate in an alternative licensing system that would focus on quality outcomes of support providers versus minimal licensing requirements. Presently,Two out of the eleven Region 10 counties are currently participating in the process. Counties participating in the process include Houston and Olmsted Counties.