This report describes individual state projects under the Technology-Related Assistance for Individuals with Disabilities Act (Tech Act) that are addressing the needs and barriers identified by citizens with disabilities. Systems change activities are described under the following topics: (1) changes through policy and legislation; (2) changes through practice; (3) creating/modifying organizational structures to increase access to, availability of, and funding for assistive technology (AT); and (4) collaborative efforts with protection and advocacy agencies and other state and community agencies and groups to minimize barriers that prevent a person from acquiring AT. Changes include: alteration of Medicaid and Medicare policies; improving access to AT available through private insurance; low interest loan programs; statewide telecommunication equipment distribution programs; lemon laws for wheelchairs and other AT; ensuring compliance with federal regulations related to the Americans with Disabilities Act and other laws; inserting AT into local school technology plans; developing guidelines that help clarify and modify local school district procedures for providing AT; and including AT in the early intervention service available to families and children. A chart illustrating the Tech Act activities to achieve change in the different states is provided, as well as a list of funded projects. (CR)