This policy position statement maintains that:

• The costs of Supported Independent Living (SIL) are an outsized contributor to National Disability Insurance Scheme (NDIS, Scheme) budget growth. This is impacting Specialist Disability Accommodation (SDA) determinations made by the National Disability Insurance Agency (NDIA, Agency).
• The cost effectiveness of SIL can be improved by maximising NDIS participants’ (participants) independence through accessible design and collaborative care or shared support models, thereby reducing the dependence on paid support staff.
• NDIA guidance encourages the involvement of participants, their family and carers in the decision-making process for their housing and housing related supports, but it is not a requirement and some current processes may unintentionally limit choice and control.
• There is a conflict of interest present with providers supplying both housing and housing related supports to participants. The NDIA should require the complete separation of these supports.
• To ensure a participant’s NDIS funding best meets their housing needs, their housing and housing related supports should be considered together.