Between 0.5 and 3% of adults have Intellectual Disabilities (ID) (Boyd, 1997; Crawford, 2008; Statistics Canada, 2008). Within British Columbia (BC) and beyond, there is growing recognition that the healthcare needs of aging adults with ID will not be met by the current system (Janicki et al., 2002; Ouellette-Kuntz, 2007; Temkin, 2009). This study grew out of previous research about the healthcare needs of aging adults with ID in BC (Baumbusch & Phinney, 09/10). The study brings together researchers, Community Living organizations, healthcare providers and recipients of care to examine the implementation of healthcare policy into practice. In BC, Health Services for Community Living (HSCL) is a provincial policy, introduced following the closure of institutions for adults with ID, which specifically addresses the healthcare needs of this population. The aim of this study is to increase understanding of potential policy-practice gaps in the implementation of HSCL and other relevant policies. We will collect data through policy analysis, focus groups, and key informant interviews. In order to gain urban and rural perspectives, data will be collected in the three health authorities. The focus groups and interviews will explore the translation of policies into practice. Findings from this research will generate new knowledge about healthcare for aging adults with ID and will lead to recommendations for policy and service renewal in this area.