Many states are reevaluating the access to vaccines for disabled people – those with co-morbidities that place them at higher risk of death. Those with intellectual and developmental disabilities also should be included in the list of high-risk diagnoses used to determine vaccine priority. These individuals face alarmingly higher complication and mortality rates from COVID-19, with mortality rates up to 15 percent. Current vaccine allocation frameworks prioritize groups at similar risk for severe complications and death, but prioritizing these individuals should be made explicit throughout all relevant guidance and state executive orders. Additionally, those who live with or provide care to people with IDD should be included in the same phase of vaccine allocation.