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Assistive technology (AT) is a tool to help people gain, maintain, or regain independence. AT funding options in the United States are varied. One fairly unique option is last-resort state funding, which is available in just a few states. In this case study, we explore the kinds of AT that were purchased from a state AT fund over a five-year period and for whom the AT was purchased. The case study followed a three-phase community-based participatory research process that included initial interviews with key stakeholders, compiling the data into a usable form, and follow-up interviews with key stakeholders to seek their analysis and opinions related to the data. Overall, patterns in the results were generally expected, or at least didn’t cause alarm. The data suggest that AT providers are becoming more proficient at finding ways to provide more devices and services to their clients, they are likely becoming increasingly effective at providing services to their clients without having to purchase them, they are successful in finding funding for the less expensive devices or are reusing devices that have already been purchased, and that community outreach programs are successful in increasing fund usage by ethnic minority populations. General implications of these findings are presented with the goal of improving functional outcomes for AT users.