On college campuses today, approximately one in eleven students has a disability—three times the number reported in 1978. What accounts for such a change over the last quarter century? For starters, federal laws prohibiting discrimination against students with disabilities by institutions of higher education have taken hold. The Rehabilitation Act of 1973 requires that programs receiving federal financial assistance (which most colleges and universities do) must not discriminate against otherwise qualified individuals with disabilities. Yet, in spite of almost 30 years of judicial and federal agency interpretation, the issues facing colleges and universities with respect to students with disabilities have become even increasingly complex.