The reauthorization of the Individuals with Disabilities Education Improvement Act and the No Child Left Behind Act requires that students with extensive support needs have access to, participate in, and make progress on the general curriculum along with their grade-level general education peers. This article suggests that the terms used in this legislation have been interpreted differently across educational personnel, parents, advocates, and researchers, and that these differing interpretations have resulted in confusion and controversy related to services for this set of students. The purpose of this article was to initiate a discussion about the role of context when conceptualizing access to the general curriculum for students with extensive support needs related to communication, physical, and intellectual disabilities. It begins by discussing the federal mandate and regulations related to access to the general curriculum. It then presents differing interpretations of the concept of access to the general curriculum for students with extensive support needs, components that comprise access, and the impact of those interpretations on services. Next, it suggests an approach to conceptualizing educational services to guide policy makers, educators, and researchers as they develop, implement, and study effective practices that facilitate access to the general curriculum for students with extensive support needs. The article concludes with the suggestion that researchers, administrators, policy makers, and stakeholders must develop and hold a common understanding of the construct access to the general curriculum that is based on findings of the extant research; and that for all students, including students with extensive support needs, general education contexts are critical to accessing the general curriculum.