The document discusses how federal agencies like the Administration for Community Living (ACL), Centers for Disease Control and Prevention (CDC), and Health Resources and Services Administration (HRSA) influence state-level discussions and the role of Developmental Disabilities (DD) Councils in shaping state actions. It provides an overview of each agency's mission and priorities and poses discussion questions for DD Councils around collaborating with these agencies on issues like aging services, health data, obesity prevention, maternal/child health programs, and healthcare transitions. The document aims to facilitate conversations between federal agencies and DD Councils on aligning efforts to support individuals with intellectual and developmental disabilities.