This study investigated the efficacy of a package of accommodations for poor readers in Grade 7. Students with and without word reading disabilities were randomly assigned to take an experimental version of a high-stakes reading comprehension test in 1 of 3 formats: (a) standard administration, (b) read aloud accommodations with 1-day administration, or (c) read aloud accommodations with 2-day administration. The significant condition effect and nonsignificant group by condition interaction suggested that accommodations helped both poor and average readers. However, the accommodation effect in average readers stemmed from low performance in the nonaccommodated experimental condition that was not apparent when the same students previously took the state-administered test. The 2-day administration was more effective than the 1-day administration. (Contains 3 tables and 2 figures.)