A major premise of this report is that access to the curriculum for students with low-incidence disabilities is greatly enhanced by universal design. Universal Design for Learning (UDL) is a particular framework that applies to education. More specifically, UDL is an approach that can guide curriculum reform. A universally-designed curriculum includes multiple means of representation (to allow various ways of acquiring information and knowledge), multiple means of expression (to allow alternatives for demonstrating knowledge), and multiple means of engagement (to challenge appropriately, to motivate, and to allow learners to express and participate in their interests). A number of current contrasting approaches to universal design will be described. We conclude with an explanation of UDL. This will allow the reader to keep UDL in mind while progressing through subsequent sections until UDL solutions for curriculum access are more closely examined in our conclusion.