This research investigates access to sexuality for disabled people in Ontario. To understand sexual access, this research uses frameworks of disability justice and critical carceral studies to make explicit the pervasive and ongoing institutionalization of disabled people. Critically analyzing transinstitutionalization policy reveals surveillance, spatial regulation, and the criminalization of sex work as prohibitive barriers in disabled people's realization of their sexual desires. The City of Ottawa serves as a case study to interrogate the municipal regulation of sexuality through Minimum Separation Distance bylaws. The findings of this study illustrate the shared use of policy tools to invisibilize disabled people and sex workers through spatial regulation and segregation. These shared policy tools demonstrate the need for coalitional politics between sex workers and disabled people. The harms associated with transinstitutionalization and criminalization demand urgent action. Abolition responds to this urgency, demanding decriminalization, deinstitutionalization and decarceration.