More than 10 years have passed since the employment provisions of the Americans with Disabilities Act of 1990 (ADA) came into effect for employers of 15 or more employees. Americans with disabilities continue to be more unemployed and underemployed than their nondisabled peers. Small businesses, with fewer than 500 employees, continue to be the most rapidly growing part of our national economy and therefore a potential source of employment for American job seekers with disabilities. A Cornell University survey of human resource professionals examined how employers of different sizes are complying with the ADA. The authors point to needed ADA and accommodation services that rehabilitation counselors can provide to employers.