This article uses data is from the 2018 CHRIL National Survey on Health Reform and Disability to compare and contrast American adults with intellectual disability (ID) and/or autism spectrum disorder (ASD) and those with other disabilities with regard to overall health, access to health care, and other aspects of community participation. Although people with ID and/or ASD and others with disabilities share many issues related to poorer health and access to care compared to the general population, adults with ID and/or ASD reported different experiences and outcomes than other people with disabilities. An examination of these differences provides insights into policy changes and targeted interventions that might improve overall health and community inclusion specifically for people with ID and/or ASD.