We leverage nationally representative data and statewide data from Washington to investigate trends in occupational career and technical education (CTE) participation for students with and without disabilities. Consistent with prior work, we document declines in occupational CTE participation since the early 2000s, and provide the first empirical evidence that students with disabilities disproportionately contributed to this decline. But we also show that occupational CTE participation has stabilized for all students in the past decade in Washington, and that participation by students with disabilities in applied science, technology, engineering, mathematics, and medicine (applied STEMM) CTE courses has increased since the early 2000s. These trends are encouraging given prior evidence linking applied STEMM-CTE participation to better long-term outcomes for students with disabilities.