Several studies suggest that people suffering from ill health or disabilities have a lower propensity to vote. Using six rounds of the European Social Survey, we examine whether the effect of health or functional disabilities on electoral participation is less or more pronounced in countries which utilize a wider range of facilitation instruments, such as advance or postal voting, proxy voting and voting outside the polling stations. Our findings show that with the exception of proxy voting, voter facilitation instruments not only have insignificant main effects but also a negative interaction effect with poor health/functional ability (FA). As a result, voter facilitation intensifies the health-related differences but not by activating those who are more active to begin with, as suggested in previous studies. The endogeneity argument thus seems most warranted explanation for our findings: countries with low turnout among people with impaired FA or health are more likely to adapt facilitation practices.