,i #aai? ,,congress #b;d ,session ,h4 ,r4 #idja ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #bc1 #bjbf,mr4 ,coh5 7= himself1 ,mr4 ,bacon1 ,ms4 ,b>ragn1 ,ms4 ,budz9ski1 ,mr4 ,ca/ro ( ,texas1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,craig1 ,ms4 ,davids ( ,kansas1 ,ms4 ,dean ( ,p5nsylvania1 ,mr4 ,fitzpatrick1 ,mr4 ,gold5 ( ,ma9e1 ,mr4 ,goldman ( ,new ,york1 ,mr4 ,got!im]1 ,mrs4 ,hayes1 ,mr4 ,hors=d1 ,ms4 ,hoyle ( ,oregon1 ,mr4 ,jackson ( ,ill9ois1 ,mr4 ,johnson ( ,georgia1 ,mr4 ,l>son ( ,connecticut1 ,mr4 ,lyn*1 ,mrs4 ,mc,bath1 ,ms4 ,mc,bride1 ,ms4 ,mc,clellan1 ,ms4 ,mc,collum1 ,ms4 ,moore ( ,wiscons91 ,mr4 ,morelle1 ,mr4 ,m\lton1 ,mr4 ,mull91 ,mr4 ,neal1 ,mr4 ,panetta1 ,ms4 ,p+ree1 ,ms4 ,sal9as1 ,ms4 ,s*olt51 ,ms4 ,simon1 ,mr4 ,smi? ( ,wa%+ton1 ,mr4 ,soto1 ,ms4 ,/ansbury1 ,ms4 ,/rickl&1 ,mr4 ,?ompson ( ,mississippi1 ,mr4 ,tonko1 ,ms4 ,und]wood1 ,mrs4 ,d+ell1 ,mr4 ,van ,drew1 ,mr4 ,van ,ord51 ,mr4 ,v>gas1 ,ms4 ,wass]man ,s*ultz1 ,mrs4 ,watson ,coleman1 ,ms4 ,williams ( ,georgia1 & ,ms4 ,wilson ( ,florida7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ! ,judici>y1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to prohibit discrim9ation aga9/ individuals ) disabilities :o ne$ long-t]m s]vices & supports1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,latonya ,reeves ,fre$om ,act ( #bjbf4 #b4 ,purposes ,! purposes ( ?is ,act are-- 7#a7 to cl>ify & /r5g!n ! integration m&ate ( ! ,am]icans ) ,disabilities ,act ( #aiij1 held by ! ,supreme ,c\rt 9 ,olm/ead v4 ,l4,c41 #ebg ,u4,s4 #eha 7#aiii7 9 a mann] t accel]ates & improves ,/ate compliance2 7#b7 to affirm t e individual :o is eligible = long-t]m s]vices & supports has a f$]ally protect$ "r to be integrat$ into t individual's community & receive community-bas$ long-t]m s]vices & supports2 7#c7 to ensure t ,/ates & ,,ltss insurance provid]s provide long-t]m s]vices & supports to individuals ) disabilities 9 a mann] t all[s individuals ) disabilities to live 9 ! mo/ integrat$ sett+1 includ+ ! individual's own home2 7#d7 to ensure t individuals ) disabilities h maximum control ov] ! s]vices & supports t all[ !m to live 9 ! community2 7#e7 to ensure t long-t]m s]vices & supports are provid$ 9 a mann] t all[s individuals ) disabilities to lead an indep5d5t life2 7#f7 to e/abli% a compreh5sive plann+ requirem5t t includes en=ceable1 measurable objectives t are design$ to transition individuals ) all types ( disabilities at all ages out ( in/itutions & into ! mo/ integrat$ sett+1 if !y *oose t transition2 & 7#g7 to id5tify & address disp>ities 9 ! provision ( community-bas$ long-t]m s]vices & supports4 #c4 ,def9itions & rule 7a7 ,def9itions ,9 ?is ,act3 7#a7 ,activities ( daily liv+ ,! t]m activities ( daily liv+ has ! mean+ giv5 ! t]m 9 section #dda4eje ( title #db1 ,code ( ,f$]al ,regulations 7or a successor regulation74 7#b7 ,adm9i/rator ,! t]m ,adm9i/rator means-- 7,a7 ! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+2 or 7,b7 ano!r designee ( ! ,secret>y ( ,heal? & ,human ,s]vices4 7#c7 ,community-bas$2 s]vices or supports ,! t]m community-bas$1 :5 us$ 9 ref]5ce to s]vices or supports1 means s]vices or supports t are provid$ to an individual ) an ,,ltss disability to enable t individual to live 9 ! community & lead an indep5d5t life1 & t are deliv]$ 9 :i*ev] sett+ ! individual ) an ,,ltss disability has *os5 out ( ! foll[+ sett+s ) ! foll[+ qualities3 7,a7 ,9 ! case ( a dwell+ or a nonresid5tial sett+ 7su* z a sett+ 9 :i* an individual ) an ,,ltss disability receives day s]vices & support$ employm5t71 a dwell+ or sett+-- 7i7 t1 z a matt] ( infra/ructure1 environm5t1 am5ities1 location1 s]vices1 & features1 is integrat$ into ! great] community & supports1 = ea* individual ) an ,,ltss disability :o receives s]vices or supports at ! sett+-- 7,i7 full access to ! great] community 7includ+ access to opportunities to seek employm5t & "w 9 competitive integrat$ sett+s1 engage 9 community life1 control p]sonal res\rces1 & receive s]vices 9 ! community72 & 7,,ii7 access to ! great] community to ! same ext5t z access to ! community is enjoy$ by an individual :o is n receiv+ long-t]m s]vices or supports2 7ii7 t ! individual has select$ z a mean+ful *oice f among nonresid5tial sett+ options1 includ+ nondisability-specific sett+s2 7iii7 9 :i* an individual has rights to privacy1 dignity1 & respect1 & fre$om f co]cion & re/ra9t2 7iv7 t1 z a matt] ( infra/ructure1 environm5t1 am5ities1 location1 s]vices1 & features1 optimizes1 b does n regim5t1 individual initiative1 autonomy1 & indep5d5ce 9 mak+ life *oices1 includ+ *oices ab\t daily activities1 physical environm5t1 & p]sons ) :om ! individual int]acts2 & 7v7 t1 z a matt] ( infra/ructure1 environm5t1 am5ities1 location1 s]vices1 & features1 facilitates individual *oice reg>d+ ! provision ( s]vices & supports1 & :o provides ^? s]vices & supports4 7,b7 ,9 ! case ( a dwell+1 a dwell+-- 7i7 t is own$ by an individual ) an ,,ltss disability or ! individual's family memb]2 7ii7 t is leas$ to ! individual ) an ,,ltss disability "u an individual lease1 t has lockable access & egress1 & t includes liv+1 sleep+1 ba?+1 & cook+ areas ov] :i* an individual ) an ,,ltss disability or ! individual's family memb] has doma9 & control2 or 7iii7 t is a gr\p or %>$ resid5ce-- 7,i7 9 :i* no m ?an #d unrelat$ individuals ) an ,,ltss disability reside2 7,,ii7 = :i* ea* individual ) an ,,ltss disability liv+ at ! resid5ce owns1 r5ts1 or occupies ! resid5ce "u a legally en=ceable agreem5t "u :i* ! individual has1 at a m9imum1 ! same responsibilities & protections z t5ants h "u applicable l&lord-t5ant law2 7,,iii7 9 :i* ea* individual ) an ,,ltss disability liv+ at ! resid5ce-- 7aa7 has privacy 9 ! individual's sleep+ unit1 includ+ a lockable entrance door controll$ by ! individual2 7bb7 %>es a sleep+ unit only if su* individual & ! individual %>+ ! unit *oose to d s1 & if individuals 9 ! resid5ce s *oose1 !y also h a *oice ( roommates )9 ! resid5ce2 7cc7 has ! fre$om to furni% & decorate ! individual's sleep+ or liv+ unit z p]mitt$ "u ! lease or o!r agreem5t2 7dd7 has ! fre$om & support to control ! individual's own s*$ules & activities2 & 7ee7 is able to h visitors ( ! individual's *oos+ at any "t2 & 7,,iv7 t is physically accessible to ! individual ) an ,,ltss disability liv+ at ! resid5ce4 7#d7 ,community-bas$2 sett+ ,! t]m community-bas$1 :5 us$ 9 ref]5ce to a sett+1 means a sett+ describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#c74 7#e7 ,dwell+ ,! t]m dwell+ has ! mean+ giv5 ! t]m 9 section #hjb ( ! ,fair ,h\s+ ,act 7#db ,u4,s4,c4 #cfjb74 7#f7 ,heal?-relat$ tasks ,! t]m heal?-relat$ tasks means specific nonacute tasks1 typically regulat$ by ,/ates z m$ical or nurs+ tasks t an individual ) a disability may require to live 9 ! community1 includ+-- 7,a7 adm9i/ration ( m$ication2 7,b7 assi/ance ) use1 op]ation1 & ma9t5ance ( a v5tilator2 & 7,c7 ma9t5ance & use ( a ga/ro/omy tube1 a ca!t]1 or a /able o/omy4 7#g7 ,individual ) a disability ,! t]m individual ) a disability means an individual :o is a p]son ) a disability1 z def9$ 9 section #c ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abajb74 7#h7 ,individual ) an ,,ltss disability ,! t]m individual ) an ,,ltss disability means an individual ) a disability :o-- 7,a7 9 ord] to live 9 ! community & lead an indep5d5t life requires assi/ance 9 accompli%+-- 7i7 activities ( daily liv+2 7ii7 in/rum5tal activities ( daily liv+2 7iii7 heal?-relat$ tasks2 or 7iv7 o!r functions1 tasks1 or activities relat$ to an activity or task describ$ 9 clause 7i71 7ii71 or 7iii72 & 7,b7 7i7 is curr5tly 9 an in/itutional placem5t2 or 7ii7 is at risk ( in/itutionalization if ! individual does n receive community-bas$ long-t]m s]vices & supports4 7#i7 ,in/itution2 in/itutionalization 7,a7 ,in/itution ,! t]m in/itution means-- 7i7 a skill$ nurs+ facility 7z def9$ 9 section #ahai7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#c7;a7772 7ii7 a nurs+ facility 7z def9$ 9 section #aiai7;a7 ( su* ,act 7#db ,u4,s4,c4 #acifr7a7772 7iii7 a long-t]m c>e hospital 7z describ$ 9 section #ahhf7;d77#a77;,b77iv7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77#a77;,b77iv7772 7iv7 a facility describ$ 9 section #aije7;d7 ( su* ,act 7#db ,u4,s4,c4 #acif;d7d772 7v7 an in/itution :i* is a psy*iatric hospital 7z def9$ 9 section #ahfa7;f7 ( su* ,act 7#db ,u4,s4,c4 #aciex7f777 or t provides 9-pati5t psy*iatric s]vices 9 a resid5tial sett+ specifi$ by ! ,secret>y2 7vi7 an in/itution describ$ 9 section #aije7;i7 ( su* ,act 7#db ,u4,s4,c4 #acif;d7i772 & 7vii7 any congregate sett+ t is n community-bas$ or t has ! effect ( isolat+ individuals ) disabilities f ! community4 7,b7 ,in/itutionalization ,! t]m in/itutionalization1 us$ ) respect to an individual ) an ,,ltss disability1 ref]s to ! individual liv+ or receiv+ s]vices or supports 9 a sett+ t is n community-bas$4 7#aj7 ,in/rum5tal activities ( daily liv+ ,! t]m in/rum5tal activities ( daily liv+ means "o or m activities relat$ to liv+ indep5d5tly 9 ! community1 includ+ activities relat$ to-- 7,a7 nutrition1 su* z prep>+ meals or special diets1 monitor+ to prev5t *ok+ or aspiration1 or assi/+ ) special ut5sils2 7,b7 h\sehold *ores & environm5tal ma9t5ance tasks2 7,c7 communication & int]p]sonal skills1 su* z-- 7i7 us+ ! telephone or o!r communications devices2 7ii7 =m+ & ma9ta9+ int]p]sonal relation%ips2 or 7iii7 secur+ opportunities to p>ticipate 9 gr\p support or pe]-to-pe] support arrangem5ts2 7,d7 travel & community p>ticipation1 su* z %opp+1 arrang+ appo9tm5ts1 or mov+ ar\nd ! community2 7,e7 c>e ( o!rs1 su* z rais+ *ildr51 tak+ c>e ( pets1 or select+ c>egiv]s2 or 7,f7 managem5t ( p]sonal prop]ty & p]sonal safety1 su* z-- 7i7 tak+ m$ication2 7ii7 h&l+ or manag+ money2 or 7iii7 respond+ to em]g5t situations or uns*$ul$ ne$s requir+ an imm$iate response4 7#aa7 ,long-t]m s]vice or support 7,a7 ,9 g5]al ,! t]ms long-t]m s]vice or support & ,,ltss mean assi/ance1 equipm5t1 te*nology1 or o!r support1 provid$ to an individual ) a disability 9 accompli%+1 acquir+ ! means or ability to accompli%1 ma9ta9+1 or enhanc+-- 7i7 activities ( daily liv+2 7ii7 in/rum5tal activities ( daily liv+2 7iii7 heal?-relat$ tasks2 or 7iv7 o!r functions1 tasks1 or activities relat$ to an activity or task describ$ 9 clause 7i71 7ii71 or 7iii74 7,b7 ,assi/ance ,9 subp>agraph 7,a71 ! t]m assi/ance includes support provid$ to an individual by ano!r p]son due to confusion1 dem5tia1 behavioral symptoms1 or cognitive1 intellectual1 m5tal1 or emotional disabilities1 includ+ support to-- 7i7 help ! individual id5tify & set goals1 communicate ne$s1 ov]come fe>s1 & manage transitions2 7ii7 help ! individual ) executive function+1 decisionmak+1 self-expression1 & problem solv+2 7iii7 provide reassurance to ! individual2 & 7iv7 help ! individual ) ori5tation1 memory1 & o!r activities relat$ to indep5d5t liv+4 7#ab7 ,,ltss insurance provid] ,! t]m ,,ltss insurance provid] means a public or private entity t-- 7,a7 provides funds = long-t]m s]vices & supports2 & 7,b7 is engag$ 9 comm]ce or 9 an indu/ry or activity affect+ comm]ce4 7#ac7 ,public entity 7,a7 ,9 g5]al ,! t]m public entity means an entity t-- 7i7 provides or funds in/itutional placem5ts = individuals ) ,,ltss disabilities2 & 7ii7 is-- 7,i7 a ,/ate or local gov]nm5t2 or 7,,ii7 any dep>tm5t1 ag5cy1 entity adm9i/]+ a special purpose di/rict1 or o!r in/rum5tality1 ( a ,/ate or local gov]nm5t4 7,b7 ,int]/ate comm]ce ,= purposes ( subp>agraph 7,a71 a public entity %all be consid]$ to be a p]son engag$ 9 comm]ce or 9 an indu/ry or activity affect+ comm]ce4 7b7 ,rule ( con/ruction ,no?+ 9 subsection 7a7 or any o!r provision ( ?is section %all be con/ru$ to preclude an individual ) a disability f receiv+ community-bas$ s]vices & supports 9 an integrat$ community sett+ su* z a groc]y /ore1 retail e/abli%m5t1 re/aurant1 bank1 p>k1 conc]t v5ue1 !at]1 or workplace4 #d4 ,discrim9ation 7a7 ,9 g5]al ,no public entity or ,,ltss insurance provid] %all d5y an individual ) an ,,ltss disability :o is eligible = in/itutional placem5t1 or o!rwise discrim9ate aga9/ t individual 9 ! provision (1 community-bas$ long-t]m s]vices & supports t enable ! individual to live 9 ! community & lead an indep5d5t life4 7b7 ,specific prohibitions ,= purposes ( ?is ,act1 discrim9ation by a public entity or ,,ltss insurance provid] includes-- 7#a7 ! imposition or application ( eligibility crit]ia or ano!r policy t prev5ts or t5ds to prev5t an individual ) an ,,ltss disability1 or any class ( individuals ) ,,ltss disabilities1 f receiv+ a community-bas$ long-t]m s]vice or support2 7#b7 ! imposition or application ( a policy or o!r me*anism1 su* z a s]vice or co/ cap1 t prev5t or t5ds to prev5t an individual ) an ,,ltss disability1 or any class ( individuals ) ,,ltss disabilities1 f receiv+ a community-bas$ long-t]m s]vice or support2 7#c7 a failure to provide a specific community-bas$ long-t]m s]vice or support or a type ( community-bas$ long-t]m s]vice or support ne$$ = an individual ) an ,,ltss disability1 or any class ( individuals ) ,,ltss disabilities2 7#d7 ! imposition or application ( a policy1 rule1 regulation1 or re/riction t int]f]es ) ! opportunity = an individual ) an ,,ltss disability1 or any class ( individuals ) ,,ltss disabilities1 to live 9 ! community & lead an indep5d5t life1 :i* may include a requirem5t t an individual ) an ,,ltss disability receive a s]vice or support 7su* z day s]vices or employm5t s]vices7 9 a congregate or disability-specific sett+2 7#e7 ! imposition or application ( a wait+ li/ or o!r me*anism t delays or re/ricts access ( an individual ) an ,,ltss disability to a community-bas$ long-t]m s]vice or support2 7#f7 a failure to e/abli% an adequate rate or o!r paym5t /ructure t is necess>y to ensure ! availability ( a work=ce suffici5t to support an individual ) an ,,ltss disability 9 liv+ 9 ! community & lead+ an indep5d5t life2 7#g7 a failure to provide community-bas$ s]vices & supports1 on an int]mitt5t1 %ort-t]m1 or em]g5t basis1 t assi/ an individual ) an ,,ltss disability to live 9 ! community & lead an indep5d5t life2 7#h7 ! imposition or application ( a policy1 su* z a requirem5t t an individual utilize in=mal support1 t re/ricts1 limits1 or delays ! ability ( an individual ) an ,,ltss disability to secure a community-bas$ long-t]m s]vice or support to live 9 ! community or lead an indep5d5t life2 7#i7 a failure to implem5t a =mal proc$ure & a me*anism to ensure t-- 7,a7 individuals ) ,,ltss disabilities are (f]$ ! alt]native ( community-bas$ long-t]m s]vices & supports prior to in/itutionalization2 & 7,b7 if select$ by an individual ) an ,,ltss disability1 ! community-bas$ long-t]m s]vices & supports describ$ 9 subp>agraph 7,a7 are provid$2 7#aj7 a failure to ensure t ea* in/itutionaliz$ individual ) an ,,ltss disability is regul>ly notifi$ ( ! alt]native ( community-bas$ long-t]m s]vices & supports & t ^? community-bas$ long-t]m s]vices & supports are provid$ if ! individual ) an ,,ltss disability selects su* s]vices & supports2 7#aa7 a failure to make a reasonable modification 9 a policy1 practice1 or proc$ure1 :5 su* modification is necess>y to all[ an individual ) an ,,ltss disability to receive a community-bas$ long-t]m s]vice or support2 & 7#ab7 a failure to ensure t an individual ) an ,,ltss disability has access to af=dable1 accessible1 & integrat$ h\s+1 t all[s ! individual to live 9 ! community & lead an indep5d5t life1 includ+ access to an option to live 9 h\s+ :]e ! receipt ( ,,ltss is n ti$ to t5ancy4 7c7 ,con/ruction ,no?+ 9 ?is section-- 7#a7 %all be con/ru$-- 7,a7 to prev5t a public entity or ,,ltss insurance provid] f provid+ community-bas$ long-t]m s]vices & supports at a level t is great] ?an ! level t is requir$ by ?is section2 7,b7 to limit ! rights ( an individual ) a disability "u any provision ( law o!r ?an ?is section2 7,c7 to require t an individual ) an ,,ltss disability live or receive s]vices or supports 9 a m integrat$ sett+ if ! individual *ooses a less integrat$ sett+2 or 7,d7 to e/abli% a "r = an individual ) an ,,ltss disability to rema9 9 a specific in/itution2 7#b7 %all be con/ru$ to affect ! scope ( obligations impos$ by any o!r provision ( law2 or 7#c7 %all be con/ru$ to prohibit a public entity or ,,ltss insurance provid] f us+ manag$ c>e te*niques1 z long z ! use ( su* te*niques does n h ! effect ( discrim9at+ aga9/ an individual 9 ! provision ( community-bas$ long-t]m s]vices & supports1 z prohibit$ by ?is ,act4 #e4 ,adm9i/ration 7a7 ,au?ority & responsibility 7#a7 ,dep>tm5t ( ,ju/ice ,! ,attorney ,g5]al %all inve/igate & take en=cem5t action = violations ( ?is ,act4 7#b7 ,dep>tm5t ( ,heal? & ,human ,s]vices ,! ,secret>y ( ,heal? & ,human ,s]vices1 ?r\gh ! ,adm9i/rator1 %all-- 7,a7 review1 & approve or disapprove1 transition plans submitt$ by public entities1 "u section #f7;b77#aj72 7,b7 e/abli% a task =ce to id5tify socio-demographic1 geographic1 & o!r factors t are b>ri]s t prev5t individuals ) ,,ltss disabilities f receiv+ community-bas$ long-t]m s]vices & supports or f be+ able to *oose alt]natives 9 ! community to in/itutionalization & id5tify o!r disp>ities 9 ! availability & provision ( community-bas$ long-t]m s]vices & supports1 :i* task =ce %all be responsible =-- 7i7 ov]see+ /udies reg>d+ ! nature & ext5t ( ^? b>ri]s & disp>ities & ! impact t ^? b>ri]s & disp>ities h on ! in/itutionalization ( individuals ) ,,ltss disabilities2 & 7ii7 submitt+ to ,congress n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act a report on ! nature & ext5t ( ^? b>ri]s & disp>ities1 includ+ a description ( legislative or executive action to address ! b>ri]s & disp>ities2 & 7,c7 ref] in=mation on violations ( ?is ,act to ! ,attorney ,g5]al = inve/igation & en=cem5t action "u ?is ,act4 7b7 ,coop]ation ( executive dep>tm5ts & ag5cies ,ea* ,f$]al ag5cy &1 9 p>ticul>1 ea* ,f$]al ag5cy cov]$ by ,executive ,ord] #acbag 7#ff ,f$4 ,reg4 #ccaee2 relat+ to community-bas$ alt]natives = individuals ) disabilities71 %all c>ry out programs & activities relat+ to ! in/itutionalization ( individuals ) ,,ltss disabilities & ! provision ( community-bas$ long-t]m s]vices & supports = individuals ) ,,ltss disabilities 9 accordance ) ?is ,act & %all coop]ate ) ! ,attorney ,g5]al & ! ,adm9i/rator to fur!r ! purposes ( ?is ,act4 #f4 ,regulations 7a7 ,issuance ( regulations ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all issue1 9 accordance ) section #eec ( title #e1 ,unit$ ,/ates ,code1 f9al regulations to c>ry out ?is ,act1 :i* %all include ! regulations describ$ 9 subsection 7b74 7b7 ,requir$ cont5ts ( regulations 7#a7 ,protect$ individuals ,! regulations %all require ea* public entity & ,,ltss insurance provid] to (f]1 &1 if accept$1 provide community-bas$ long-t]m s]vices & supports z requir$ "u ?is ,act to any individual ) an ,,ltss disability :o w\ld o!rwise qualify = in/itutional placem5t provid$ or fund$ by ! public entity or ,,ltss insurance provid]4 7#b7 ,s]vices to be provid$ ,! regulations issu$ "u ?is section %all require ea* public entity & ,,ltss insurance provid] to provide ! ,attorney ,g5]al & ! ,adm9i/rator 7= purposes ( enabl+ ! ,attorney ,g5]al to consult ) ! ,adm9i/rator7 ) an assurance t ! public entity or ,,ltss insurance provid]-- 7,a7 ensures t individuals ) ,,ltss disabilities receive assi/ance ?r\gh h&s-on assi/ance1 tra9+1 cue+1 & safety monitor+1 includ+ access to backup sy/ems1 )-- 7i7 activities ( daily liv+2 7ii7 in/rum5tal activities ( daily liv+2 7iii7 heal?-relat$ tasks2 or 7iv7 o!r functions1 tasks1 or activities relat$ to an activity or task describ$ 9 clause 7i71 7ii71 or 7iii72 7,b7 coord9ates1 conducts1 p]=ms1 provides1 or funds dis*>ge plann+ f acute & rehabilitation facilities1 & o!r in/itutions1 to promote individuals ) ,,ltss disabilities liv+ 9 ! mo/ integrat$ sett+ *os5 by ! individuals2 7,c7 issues1 conducts1 p]=ms1 provides1 or funds policies & programs to promote self-direction & ! provision ( consum]-direct$ s]vices & supports = all populations ( individuals ) ,,ltss disabilities s]v$2 7,d7 issues1 conducts1 p]=ms1 provides1 or funds policies & programs to support in=mal c>egiv]s :o provide s]vices = individuals ) ,,ltss disabilities2 & 7,e7 ensures t individuals ) all types ( ,,ltss disabilities are able to live 9 ! community & lead an indep5d5t life1 includ+ ensur+ t ! individuals h maximum control ov] ! s]vices & supports t ! individuals receive1 *oose ! sett+ 9 :i* ! individuals receive ^? s]vices & supports1 & ex]cise control & direction ov] _! own lives4 7#c7 ,public p>ticipation 7,a7 ,9 g5]al ,! regulations issu$ "u ?is section %all require ea* public entity & ,,ltss insurance provid] to c>ry out a public p>ticipation process t involves hold+ a public he>+1 provid+ an opportunity = public comm5t1 & consult+ ) individuals ) ,,ltss disabilities1 9 prep>+ ! public entity or ,,ltss insurance provid]'s self-evaluation "u p>agraph 7#e7 & transition plan "u p>agraph 7#aj74 7,b7 ,process ,9 c>ry+ out a public p>ticipation process "u subp>agraph 7,a71 a public entity or ,,ltss insurance provid] %all ensure t ! process meets ! requirem5ts ( subp>agraphs 7,a7 & 7,c7 ( section #aaae7;d77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae7;d77#b771 except t-- 7i7 ! ref]5ce to at ! ,/ate level %all be disreg>d$2 & 7ii7 ! ref]5ce to an application %all be consid]$ to be a ref]5ce to ! self-evaluation or plan involv$4 7#d7 ,additional s]vices & supports ,! regulations issu$ "u ?is section %all e/abli% circum/ances "u :i* a public entity or ,,ltss insurance provid] %all provide community-bas$ long-t]m s]vices & supports "u ?is section beyond ! level ( community-bas$ long-t]m s]vices & supports :i* w\ld o!rwise be requir$ "u ?is subsection4 7#e7 ,self-evaluation 7,a7 ,9 g5]al ,! regulations issu$ "u ?is section %all require ea* public entity & ea* ,,ltss insurance provid]1 n lat] ?an #cf mon?s aft] ! date ( enactm5t ( ?is ,act1 to evaluate curr5t s]vices1 policies1 & practices1 & ! effects !re(1 t d n or may n meet ! requirem5ts ( ?is ,act &1 to ! ext5t modification ( any su* s]vices1 policies1 & practices is requir$ to meet ! requirem5ts ( ?is ,act1 make ! necess>y modifications4 ,! self-evaluation %all include-- 7i7 collection ( basel9e in=mation1 includ+ ! numb]s ( individuals ) ,,ltss disabilities 9 v>i\s in/itutional & community-bas$ sett+s s]v$ by ! public entity or ,,ltss insurance provid]1 includ+ demographic data t-- 7,i7 specifies :e!r ! individuals are wom51 vet]ans1 or memb]s ( a racial & e?nic m9ority gr\p1 z def9$ 9 section #agjg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f72 & 7,,ii7 is disaggregat$ by race 9 a mann] t captures all ! racial gr\ps specifi$ 9 ! ,am]ican ,community ,survey conduct$ by ! ,bureau ( ! ,c5sus2 7ii7 a review ( community capacity1 9 communities s]v$ by ! public entity or ,,ltss insurance provid]1 9 provid+ community-bas$ long-t]m s]vices & supports2 7iii7 an assessm5t ( ! availability ( accessible1 af=dable transportation & :e!r transportation b>ri]s prev5t individuals s]v$ by ! public entity or ,,ltss insurance provid] f receiv+ long-t]m s]vices & supports 9 ! community2 7iv7 id5tification ( improvem5ts ne$$ to ensure t all community-bas$ long-t]m s]vices & supports provid$ by ! public entity or ,,ltss insurance provid] to individuals ) ,,ltss disabilities are compreh5sive1 are accessible1 are n duplicative ( exi/+ 7z ( ! date ( ! id5tification7 s]vices & supports1 meet ! ne$s ( p]sons :o are likely to require assi/ance 9 ord] to live1 or lead a life1 z describ$ 9 section #d7;a71 & are culturally compet5t1 high-quality s]vices & supports1 :i* may include id5tify+ sy/em improvem5ts t create an option to self-direct receipt ( su* s]vices & supports = all populations ( su* individuals s]v$2 7v7 a review ( fund+ s\rces = community-bas$ long-t]m s]vices & supports & an analysis ( h[ ^? fund+ s\rces c\ld be organiz$ into a fair1 coh]5t sy/em t af=ds individuals reasonable & timely access to culturally compet5t1 community-bas$ long-t]m s]vices & supports2 & 7vi7 a review ( all ag5ts1 subcontractors1 or o!r in/rum5talities fund$ by ! public entity or ,,ltss insurance provid] to au?orize or provide ,,ltss1 to ensure t ! ag5ts1 subcontractors1 or o!r in/rum5talities comply ) ?is ,act4 7,b7 ,additional requirem5ts ,public entities & ,,ltss insurance provid]s %all-- 7i7 provide ! self-evaluation describ$ 9 subp>agraph 7,a7 to ! ,attorney ,g5]al2 7ii7 make ! self-evaluation describ$ 9 subp>agraph 7,a7 available on ! public int]net website ( ! entity2 & 7iii7 keep ! self-evaluation describ$ 9 subp>agraph 7,a7 on file1 & may be requir$ to produce su* self-evaluation 9 ! ev5t ( a review1 inve/igation1 or action describ$ 9 section #h4 7#f7 ,h\s+ ,! regulations issu$ "u ?is section %all require a public entity & require an ,,ltss insurance provid]1 :o funds or provides h\s+ & h\s+ s]vices to review & improve community capacity 9 provid+ af=dable1 accessible1 & integrat$ h\s+1 includ+ conduct+ an evaluation ( available units1 unmet ne$1 & o!r id5tifiable b>ri]s to ! provision ( t h\s+4 ,9 c>ry+ out t improvem5t1 ! public entity or ,,ltss insurance provid] %all-- 7,a7 ensure1 & assure ! ,attorney ,g5]al & ! ,adm9i/rator t !re is1 suffici5t availability ( af=dable1 accessible1 & integrat$ h\s+ 9 a sett+ t is n a disability-specific resid5tial sett+ or a sett+ :]e s]vices are ti$ to t5ancy1 9 ord] to provide individuals ) ,,ltss disabilities a mean+ful *oice 9 _! h\s+2 7,b7 e/abli% relation%ips ) ,/ate & local h\s+ au?orities 9 ord] to address ! ne$ = af=dable1 accessible1 & integrat$ h\s+2 7,c7 e/abli%1 :]e ne$$1 necess>y pref]5ces & set-asides 9 h\s+ programs = individuals ) ,,ltss disabilities :o are transition+ f or avoid+ in/itutional placem5t2 7,d7 e/abli% a process to fund necess>y home modifications s t individuals ) ,,ltss disabilities c live indep5d5tly2 & 7,e7 ensure1 & assure ! ,attorney ,g5]al & ! ,adm9i/rator1 t funds & programs implem5t$ or ov]se5 by ! public entity or ,,ltss insurance provid] are t>get$ t[>d af=dable1 accessible1 integrat$ h\s+ = individuals ) an ,,ltss disability :o h ! l[e/ income levels z a priority ov] any o!r developm5t until capacity b>ri]s = su* h\s+ are remov$ or unmet ne$s = su* h\s+ h be5 met4 7#g7 ,designation ( responsible employee ,! regulations issu$ "u ?is section %all require ea* public entity & ,,ltss insurance provid] to designate at lea/ "o employee to coord9ate ! entity's or provid]'s ef=ts to comply ) & c>ry out ! entity or provid]'s responsibilities "u ?is ,act1 includ+ ! inve/igation ( any compla9t communicat$ to ! entity or provid] t alleges a violation ( ?is ,act4 ,ea* public entity & ,,ltss insurance provid] %all make available to all int]e/$ individuals ! "n1 (fice address1 & telephone numb] ( ! employee designat$ pursuant to ?is p>agraph4 7#h7 ,grievance proc$ures ,! regulations issu$ "u ?is section %all require public entities & ,,ltss insurance provid]s to adopt & publi% grievance proc$ures provid+ = prompt & equitable resolution ( compla9ts alleg+ a violation ( ?is ,act4 7#i7 ,provision ( s]vice by o!rs ,! regulations issu$ "u ?is section %all require ea* public entity or ,,ltss insurance provid] submitt+ a self-evaluation "u p>agraph 7#e7 to id5tify1 z "p ( ! transition plan describ$ 9 p>agraph 7#aj71 any o!r entity t is1 or acts z1 an ag5t1 subcontractor1 or o!r in/rum5tality ( ! public entity or ,,ltss insurance provid] ) reg>ds to a s]vice1 support1 policy1 or practice describ$ 9 su* plan or self-evaluation4 7#aj7 ,transition plans ,! regulations issu$ "u ?is section %all require ea* public entity1 & ea* ,,ltss insurance provid]1 t is n able to demon/rate full compliance ) ?is ,act ?r\gh its self-evaluation1 n lat] ?an #ed mon?s aft] ! date ( enactm5t ( ?is ,act4 ,! regulations %all require t public entity or ,,ltss insurance provid] to submit to ! ,adm9i/rator &1 on approval by ! ,adm9i/rator1 beg9 implem5t+ a transition plan = c>ry+ out ?is ,act t e/abli%es ! a*ievem5t ( ! requirem5ts ( ?is ,act1 z soon z practicable1 b 9 no ev5t lat] ?an #ab ye>s aft] ! date ( enactm5t ( ?is ,act4 ,! transition plan %all-- 7,a7 e/abli% measurable objectives to address ! b>ri]s to community liv+ id5tifi$ 9 ! self-evaluation "u p>agraph 7#e72 7,b7 e/abli% specific annual t>gets = ! transition ( individuals ) ,,ltss disabilities1 & %ifts 9 fund+1 f in/itutional sett+s to integrat$ community-bas$ s]vices & supports1 & relat$ programs2 7,c7 describe specific ef=ts to support individuals ) ,,ltss disabilities to avoid unwant$ in/itutionalization ?r\gh ! provision ( ,,ltss2 7,d7 describe ! mann] 9 :i* ! public entity or ,,ltss insurance provid] has obta9$ or plans to obta9 necess>y fund+ & res\rces ne$$ = implem5tation ( ! plan 7reg>dless ( :e!r ! entity or provid] began c>ry+ out ! objectives ( ?is ,act prior to ! date ( enactm5t ( ?is ,act72 & 7,e7 describe ! /eps tak5 to ensure t ! transition plan addresses ! ne$s ( individuals f all sociodemographic & geographic backgr\nds4 7#aa7 ,annual report+ 7,a7 ,9 g5]al ,! regulations issu$ "u ?is section %all e/abli% annual report+ requirem5ts = ea* public entity or ,,ltss insurance provid] cov]$ by ?is section4 7,b7 ,progress on objectives1 t>gets1 & ef=ts ,! regulations issu$ "u ?is section %all require ea* public entity or ,,ltss insurance provid] t has submitt$ a transition plan1 to make publicly available on ! entity's website an annual report on ! progress ! public entity or ,,ltss insurance provid] has made dur+ ! previ\s ye> 9 meet+ ! measurable objectives1 specific annual t>gets1 & specific ef=ts describ$ 9 p>agraph 7#aj74 7c7 ,review ( transition plans 7#a7 ,g5]al rule ,! ,adm9i/rator %all review a transition plan submitt$ 9 accordance ) subsection 7b77#aj71 n lat] ?an #ij days aft] receiv+ ! plan1 = ! purpose ( det]m9+ :e!r su* plan meets ! requirem5ts ( ?is ,act1 includ+ ! regulations issu$ "u ?is section4 7#b7 ,disapproval ,if ! ,adm9i/rator det]m9es t a transition plan review$ "u ?is subsection fails to meet ! requirem5ts ( ?is ,act1 ! ,adm9i/rator %all disapprove ! transition plan & notify ! public entity or ,,ltss insurance provid] t submitt$ ! transition plan (1 & ! reasons =1 su* disapproval4 7#c7 ,modification ( disapprov$ plan ,n lat] ?an #ij days aft] ! date ( disapproval ( a transition plan "u ?is subsection1 ! public entity or ,,ltss insurance provid] t submitt$ ! transition plan %all modify ! transition plan to meet ! requirem5ts ( ?is section & %all submit ! modifi$ plan to ! ,adm9i/rator4 ,n lat] ?an #ij days aft] receiv+ ! modifi$ plan1 ! ,adm9i/rator %all review ! plan &1 on approval by ! ,adm9i/rator1 ! public entity or ,,ltss insurance provid] %all beg9 implem5t+ ! plan4 7d7 ,rule ( con/ruction ,no?+ 9 subsection 7b77#aj7 or 7c7 or any o!r provision ( ?is ,act %all be con/ru$ to limit ! rights1 protections1 or requirem5ts ( any o!r ,f$]al law1 relat+ to integration ( individuals ) disabilities into ! community & enabl+ ^? individuals to live 9 ! mo/ integrat$ sett+4 #g4 ,exemptions = religi\s organizations ,?is ,act %all n prohibit a religi\s organization1 association1 or society f giv+ pref]5ce 9 provid+ community-bas$ long-t]m s]vices & supports to individuals ( a p>ticul> religion connect$ ) ! beliefs ( su* organization1 association1 or society4 #h4 ,en=cem5t 7a7 ,civil action 7#a7 ,9 g5]al ,a civil action = prev5tive relief1 includ+ an application = a p]man5t or tempor>y injunction1 re/ra9+ ord]1 or o!r ord]1 may be in/itut$ by an individual describ$ 9 p>agraph 7#b7 9 an appropriate di/rict c\rt ( ! ,unit$ ,/ates n e>li] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,aggriev$ individual 7,a7 ,9 g5]al ,?is ,act provides ! rem$ies & proc$ures set =? 9 ?is section to any individual :o is be+ subject$ to a violation ( ?is ,act1 or :o has reasonable gr\nds = believ+ t su* individual is ab\t to be subject$ to su* a violation4 7,b7 ,/&+ ,an individual ) a disability 7includ+ an individual act+ on _! behalf7 %all h /&+ to in/itute a civil action "u ?is subsection if ! individual makes a prima facie %[+ t ! individual ) a disability-- 7i7 is an individual ) an ,,ltss disability2 & 7ii7 is be+ subject$ to1 or has ! reasonable gr\nds describ$ 9 subp>agraph 7,a7 conc]n+1 su* a violation 7includ+ a violation7 ( section #d7;b77#aa74 7#c7 ,appo9tm5t ( attorney2 no fees1 co/s1 or security ,^u application by ! pla9tiff describ$ 9 p>agraph 7#b7 & 9 su* circum/ances z ! c\rt may det]m9e to be j1 ! c\rt may appo9t an attorney = ! pla9tiff & may au?orize ! comm5cem5t ( su* civil action )\t ! paym5t ( fees1 co/s1 or security4 7#d7 ,futile ge/ure n requir$ ,no?+ 9 ?is section %all require an individual ) an ,,ltss disability to engage 9 a futile ge/ure if su* p]son has actual notice t a public entity or ,,ltss insurance provid] does n int5d to comply ) ! provisions ( ?is ,act4 7b7 ,damages & injunctive relief ,if ! c\rt f9ds t a violation ( ?is ,act has occurr$ or is ab\t to occur1 ! c\rt may aw>d to ! pla9tiff-- 7#a7 actual & punitive damages2 7#b7 imm$iate injunctive relief to prev5t in/itutionalization2 7#c7 z ! c\rt det]m9es to be appropriate1 any p]man5t or tempor>y injunction 7includ+ an ord] to imm$iately provide or ma9ta9 community-bas$ long-t]m s]vices or supports = an individual to prev5t in/itutionalization or fur!r in/itutionalization71 tempor>y re/ra9+ ord]1 or o!r ord] 7includ+ an ord] enjo9+ ! def5dant f engag+ 9 a practice t violates ?is ,act or ord]+ su* affirmative action z may be appropriate72 & 7#d7 9 an appropriate case1 injunctive relief to require ! modification ( a policy1 practice1 or proc$ure1 or ! provision ( an alt]native me?od ( provid+ ,,ltss1 to ! ext5t requir$ by ?is ,act4 7c7 ,attorney's fees2 liability ( ,unit$ ,/ates = co/s ,9 any action comm5c$ pursuant to ?is ,act1 ! c\rt1 9 its discretion1 may all[ ! p>ty br++ a claim or c\nt]claim "u ?is ,act1 o!r ?an ! ,unit$ ,/ates1 a reasonable attorney's fee z "p ( ! co/s1 & ! ,unit$ ,/ates %all be liable = co/s to ! same ext5t z a private p]son4 7d7 ,en=cem5t by attorney g5]al 7#a7 ,d5ial ( rights 7,a7 ,duty to inve/igate ,! ,attorney ,g5]al %all inve/igate alleg$ violations ( ?is ,act1 & %all und]take p]iodic reviews ( ! compliance ( public entities & ,,ltss insurance provid]s "u ?is ,act4 7,b7 ,pot5tial violation ,! ,attorney ,g5]al may comm5ce a civil action 9 any appropriate ,f$]al di/rict c\rt if ! ,attorney ,g5]al has reasonable cause to believe t-- 7i7 any public entity or ,,ltss insurance provid]1 includ+ a gr\p ( public entities or ,,ltss insurance provid]s1 is engag$ 9 a patt]n or practice ( violations ( ?is ,act2 or 7ii7 any individual1 includ+ a gr\p1 has be5 subject$ to a violation ( ?is ,act & ! violation raises an issue ( g5]al public importance4 7#b7 ,au?ority ( c\rt ,9 a civil action "u p>agraph 7#a77;,b71 ! c\rt-- 7,a7 may grant any equitable relief t su* c\rt consid]s to be appropriate1 includ+1 to ! ext5t requir$ by ?is ,act-- 7i7 grant+ tempor>y1 prelim9>y1 or p]man5t relief2 & 7ii7 requir+ ! modification ( a policy1 practice1 or proc$ure1 or ! provision ( an alt]native me?od ( provid+ ,,ltss2 7,b7 may aw>d su* o!r relief z ! c\rt consid]s to be appropriate1 includ+ damages to individuals describ$ 9 subsection 7a77#b71 :5 reque/$ by ! ,attorney ,g5]al2 & 7,c7 may1 to v9dicate ! public int]e/1 assess a civil p5alty aga9/ ! public entity or ,,ltss insurance provid] 9 an am\nt-- 7i7 n exce$+ #ajj1jjj = a fir/ violation2 & 7ii7 n exce$+ #bjj1jjj = any subsequ5t violation4 7#c7 ,s+le violation ,= purposes ( p>agraph 7#b77;,c71 9 det]m9+ :e!r a fir/ or subsequ5t violation has occurr$1 a det]m9ation 9 a s+le action1 by judgm5t or settlem5t1 t ! public entity or ,,ltss insurance provid] has engag$ 9 m ?an "o violation ( ?is ,act %all be c\nt$ z a s+le violation4 #i4 ,con/ruction ,= purposes ( con/ru+ ?is ,act-- 7#a7 section #d7;b77#aa7 %all be con/ru$ 9 a mann] t takes into acc\nt its simil>ities ) section #cjb7;b77#b77;,a77ii7 ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abahb7;b77#b77;,a77ii772 7#b7 ! fir/ s5t5ce ( section #f7;b77#e77;,a7 %all be con/ru$ 9 a mann] t takes into acc\nt its simil>ities ) section #ce4aje7;a7 ( title #bh1 ,code ( ,f$]al ,regulations 7z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act72 7#c7 section #g %all be con/ru$ 9 a mann] t takes into acc\nt its simil>ities ) section #hjg7;a7 ( ! ,civil ,rights ,act ( #aifh 7#db ,u4,s4,c4 #cfjg7;a772 7#d7 section #h7;a77#b7 %all be con/ru$ 9 a mann] t takes into acc\nt its simil>ities ) section #cjh7;a77#a7 ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abahh7;a77#a772 & 7#e7 section #h7;d77#a77;,b7 %all be con/ru$ 9 a mann] t takes into acc\nt its simil>ities ) section #cjh7;b77#a77;,b7 ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abahh7;b77#a77;,b774