This report describes the nation's progress in advancing public policies to increase the inclusion, empowerment, and independence of people with disabilities of all ages consistent with the vision of the Americans with Disabilities Act of 1990. The report covers the period of November 1, 1998 through November 19, 1999. It reviews federal policy activities by major issue areas, noting progress where it has occurred and making further recommendations where necessary. Progress is evaluated in the following areas: (1) disability research; (2) civil rights; (3) education; (4) health care; (5) long-term services and supports; (6) youth; (7) immigrants and racial and ethnic minorities with disabilities; (8) social security work incentives and programs; (9) employment; (10) welfare-to-work; (11) housing; (12) transportation; (13) technology and telecommunications; and (14) international issues. The report concludes that current public policy results in an unemployment rate for people with disabilities exceeding 70 percent; that current policy favors institutional placements and segregated housing over independent living with appropriate support services; and that students with disabilities are not receiving special education in regular education environments. It urges solid leadership and commitment by enforcement agencies, as well as adequate investment to enforce civil rights laws, and the enactment of a strong Patient's Bill of Rights. (CR)