‘‘(I) from 50 percent of the por-
tion, allot to each State an equal 
amount; and 
‘‘(II) from 50 percent of the por-
tion, allot to each State an amount 
that bears the same relationship to 
such 50 percent as the population of 
the State bears to the population of 
all States, 
until each State has received an allotment 
of not less than $450,000 under clause (i) 
and this clause; and 
‘‘(iv) from the remainder of the funds 
after the Secretary makes the allotments 
described in clause (iii), the Secretary 
shall— 
‘‘(I) from 80 percent of the re-
mainder allot to each State an 
amount that bears the same relation-
ship to such 80 percent as the popu-
lation of the State bears to the popu-
lation of all States; and 
‘‘(II) from 20 percent of the re-
mainder, allot to each State an equal 
amount. 
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‘‘(3) AVAILABILITY OF FUNDS; CARRYOVER.— 
Amounts made available for a fiscal year under this 
section that remains unobligated at the end of such 
fiscal year shall remain available for obligation dur-
ing the subsequent fiscal year. 
‘‘(c) LEAD AGENCY, IMPLEMENTING ENTITY, AND 
ADVISORY COUNCIL.— 
‘‘(1) LEAD AGENCY AND IMPLEMENTING ENTI-
TY.— 
‘‘(A) LEAD AGENCY.— 
‘‘(i) IN GENERAL.—The Governor of a 
State shall designate a public agency as a 
lead agency— 
‘‘(I) to control and administer 
the funds made available through the 
grant awarded to the State under this 
section; and 
‘‘(II) to submit the application 
described in subsection (d) on behalf 
of the State, to ensure conformance 
with Federal and State accounting re-
quirements. 
‘‘(ii) DUTIES.—The duties of the lead 
agency shall include— 
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‘‘(I) preparing the application de-
scribed in subsection (d) and carrying 
out State activities described in that 
application, including making pro-
grammatic and resource allocation de-
cisions necessary to implement the 
comprehensive statewide program of 
technology-related assistance; 
‘‘(II) coordinating the activities 
of the comprehensive statewide pro-
gram of technology-related assistance 
among public and private entities, in-
cluding coordinating efforts related to 
entering into interagency agreements, 
and maintaining and evaluating the 
program; and 
‘‘(III) coordinating efforts, in a 
way that acknowledges the demo-
graphic characteristics of individuals, 
related to the active, timely, and 
meaningful participation by individ-
uals with disabilities and their family 
members, guardians, advocates, or au-
thorized representatives, and other ap-
propriate individuals, with respect to 
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activities carried out through the 
grant. 
‘‘(B) IMPLEMENTING ENTITY.—The Gov-
ernor may designate an agency, office, or other 
entity to carry out State activities under this 
section (referred to in this section as the ‘imple-
menting entity’), if such implementing entity is 
different from the lead agency. The imple-
menting entity shall carry out responsibilities 
under this Act through a subcontract or an-
other administrative agreement with the lead 
agency. 
‘‘(C) CHANGE IN AGENCY OR ENTITY.— 
‘‘(i) IN GENERAL.—On obtaining the 
approval of the Secretary— 
‘‘(I) the Governor may redesig-
nate the lead agency of a State if the 
Governor shows to the Secretary, in 
accordance with subsection (d)(2)(B), 
good cause why the agency designated 
as the lead agency should not serve as 
that agency; and 
‘‘(II) the Governor may redesig-
nate the implementing entity of a 
State if the Governor shows to the 
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Secretary, in accordance with sub-
section (d)(2)(B), good cause why the 
entity designated as the implementing 
entity should not serve as that entity. 
‘‘(ii) 
CONSTRUCTION.—Nothing 
in 
this paragraph shall be construed to re-
quire the Governor of a State to change 
the lead agency or implementing entity of 
the State to an agency other than the lead 
agency or implementing entity of such 
State as of the date of enactment of the 
21st Century Assistive Technology Act. 
‘‘(2) ADVISORY COUNCIL.— 
‘‘(A) IN GENERAL.—There shall be estab-
lished an advisory council to provide consumer- 
responsive, consumer-driven advice to the State 
for planning, implementation, and evaluation of 
the activities carried out through the grant, in-
cluding setting the measurable goals described 
in subsection (d)(3)(C). 
‘‘(B) COMPOSITION
AND
REPRESENTA-
TION.— 
‘‘(i) 
COMPOSITION.—The 
advisory 
council shall be composed of the following: 
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‘‘(I) Individuals with disabilities 
who use assistive technology or the 
family members or guardians of the 
individuals. 
‘‘(II) A representative of the des-
ignated State agency, as defined in 
section 7 of the Rehabilitation Act of 
1973 (29 U.S.C. 705). 
‘‘(III) A representative of the 
designated State agency for individ-
uals who are blind (within the mean-
ing of section 101 of that Act (29 
U.S.C. 721)), if such agency is sepa-
rate from the agency described in sub-
clause (II). 
‘‘(IV) A representative of a State 
center for independent living described 
in part C of title VII of the Rehabili-
tation Act of 1973 (29 U.S.C. 796f et 
seq.) or the Statewide Independent 
Living Council established under sec-
tion 705 of such Act (29 U.S.C. 
796d). 
‘‘(V) A representative of the 
State workforce development board es-
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tablished under section 101 of the 
Workforce Innovation and Oppor-
tunity Act (29 U.S.C. 3111). 
‘‘(VI) A representative of the 
State educational agency, as defined 
in section 8101 of the Elementary and 
Secondary Education Act of 1965 (20 
U.S.C. 7801). 
‘‘(VII) A representative of an al-
ternative financing program for assist-
ive technology if— 
‘‘(aa) there is an alternative 
financing program for assistive 
technology in the State; and 
‘‘(bb) such program is sepa-
rate from the State assistive 
technology 
program 
supported 
under subsection (e)(2). 
‘‘(VIII) A representative of 1 or 
more of the following: 
‘‘(aa) The agency respon-
sible for administering the State 
Medicaid program under title 
XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.). 
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‘‘(bb) The designated State 
agency for purposes of section 
124 of the Developmental Dis-
abilities Assistance and Bill of 
Rights Act of 2000 (42 U.S.C. 
15024). 
‘‘(cc) The State agency des-
ignated under section 305(a)(1) 
of the Older Americans Act of 
1965 (42 U.S.C. 3025(a)(1)) or 
an organization that receives as-
sistance under such Act (42 
U.S.C. 3001 et seq.). 
‘‘(dd) An organization rep-
resenting disabled veterans. 
‘‘(ee) A University Center 
for Excellence in Developmental 
Disabilities Education, Research, 
and Service designated under 
section 151(a) of the Develop-
mental 
Disabilities 
Assistance 
and Bill of Rights Act of 2000 
(42 U.S.C. 15061(a)). 
‘‘(ff) The State protection 
and advocacy system established 
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in accordance with section 143 of 
the Developmental Disabilities 
Assistance and Bill of Rights Act 
of 2000 (42 U.S.C. 15043). 
‘‘(gg) The State Council on 
Developmental Disabilities estab-
lished under section 125 of the 
Developmental Disabilities As-
sistance and Bill of Rights Act of 
2000 (42 U.S.C. 15025). 
‘‘(IX) Representatives of other 
State agencies, public agencies, or pri-
vate organizations, as determined by 
the State. 
‘‘(ii) MAJORITY.— 
‘‘(I) IN GENERAL.—Not less than 
51 percent of the members of the ad-
visory council shall be members ap-
pointed under clause (i)(I), a majority 
of whom shall be individuals with dis-
abilities. 
‘‘(II) 
REPRESENTATIVES
OF 
AGENCIES.—Members 
appointed 
under subclauses (II) through (IX) of 
clause (i) shall not count toward the 
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majority membership requirement es-
tablished in subclause (I). 
‘‘(iii) REPRESENTATION.—The advi-
sory council shall be geographically rep-
resentative of the State and reflect the di-
versity of the State with respect to race, 
ethnicity, age, and types of disabilities, and 
users of types of services that an individual 
with a disability may receive, including 
home and community based services (as 
defined in section 9817(a)(2) of the Amer-
ican Rescue Plan Act (42 U.S.C. 1396d 
note)), vocational rehabilitation services (as 
defined in section 7 of the Rehabilitation 
Act of 1973 (29 U.S.C. 705)), and services 
through the Individuals with Disabilities 
Education Act (20 U.S.C. 1400 et seq.). 
‘‘(C) EXPENSES.—The members of the ad-
visory council shall receive no compensation for 
their service on the advisory council, but shall 
be reimbursed for reasonable and necessary ex-
penses actually incurred in the performance of 
official duties for the advisory council. 
‘‘(D) IMPACT
ON
EXISTING
STATUTES, 
RULES, OR
POLICIES.—Nothing in this para-
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graph shall be construed to affect State stat-
utes, rules, or official policies relating to advi-
sory bodies for State assistive technology pro-
grams or require changes to governing bodies of 
incorporated agencies that carry out State as-
sistive technology programs. 
‘‘(d) APPLICATION.— 
‘‘(1) IN GENERAL.—Any State that desires to 
receive a grant under this section shall submit an 
application to the Secretary at such time, in such 
manner, and containing such information as the Sec-
retary may require. 
‘‘(2) LEAD AGENCY AND IMPLEMENTING ENTI-
TY.— 
‘‘(A) IN GENERAL.—The application shall 
contain— 
‘‘(i) information identifying and de-
scribing the lead agency referred to in sub-
section (c)(1)(A); 
‘‘(ii) information identifying and de-
scribing the implementing entity referred 
to in subsection (c)(1)(B), if the Governor 
of the State designates such an entity; and 
‘‘(iii) a description of how individuals 
with disabilities were involved in the devel-
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opment of the application and will be in-
volved in the implementation of the activi-
ties to be carried out through the grant 
and through the advisory council estab-
lished in accordance with subsection (c)(2). 
‘‘(B) CHANGE IN LEAD AGENCY OR IMPLE-
MENTING ENTITY.—In any case where— 
‘‘(i) the Governor requests to redesig-
nate a lead agency, the Governor shall in-
clude in, or amend, the application to re-
quest the redesignation and provide a writ-
ten description of the rationale for the re-
quested change; or 
‘‘(ii) the Governor requests to redesig-
nate an implementing entity, the Governor 
shall include in, or amend, the application 
to request the redesignation and provide a 
written description of the rationale for the 
requested change. 
‘‘(3) STATE PLAN.—The application under this 
subsection shall include a State plan for assistive 
technology consisting of— 
‘‘(A) a description of how the State will 
carry out a statewide continuum of integrated 
assistive technology activities described in sub-
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section (e) (unless excluded by the State pursu-
ant to subsection (e)(6)); 
‘‘(B) a description of how the State will al-
locate and utilize grant funds to implement the 
activities described in subparagraph (A), includ-
ing describing proposed budget allocations and 
planned procedures for tracking expenditures 
for the activities; 
‘‘(C) measurable goals, and a timeline for 
meeting the goals, that the State has set for ad-
dressing the assistive technology needs of indi-
viduals with disabilities in the State related 
to— 
‘‘(i) education, including goals involv-
ing the provision of assistive technology to 
individuals with disabilities who receive 
services under the Individuals with Disabil-
ities Education Act (20 U.S.C. 1400 et 
seq.); 
‘‘(ii) employment, including goals in-
volving the State vocational rehabilitation 
program carried out under title I of the 
Rehabilitation Act of 1973 (29 U.S.C. 720 
et seq.); 
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‘‘(iii) access to teleassistive technology 
to aid in the access of health care services, 
including mental health and substance use 
disorder services; 
‘‘(iv) accessible information and com-
munication technology education for indi-
viduals with disabilities receiving assistive 
technology; and 
‘‘(v) community living; 
‘‘(D) information describing how the State 
will quantifiably measure the goals, in a manner 
consistent with the data submitted through the 
progress reports under subsection (f), to deter-
mine whether the goals have been achieved; and 
‘‘(E) a description of any activities de-
scribed in subsection (e) that the State will sup-
port with State or other non-Federal funds. 
‘‘(4) INVOLVEMENT OF PUBLIC AND PRIVATE 
ENTITIES.—The application shall describe how var-
ious public and private entities were involved in the 
development of the application and will be involved 
in the implementation of the activities to be carried 
out through the grant, including— 
‘‘(A) in cases determined to be appropriate 
by the State, a description of the nature and 
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extent of resources that will be committed by 
public and private partners to assist in accom-
plishing identified goals; and 
‘‘(B) a description of the mechanisms es-
tablished to ensure coordination of activities 
and collaboration between the implementing en-
tity, if any, and the State. 
‘‘(5) ASSURANCES.—The application shall in-
clude assurances that— 
‘‘(A) the State will annually collect data 
related to the required activities implemented 
by the State under this section in order to pre-
pare the progress reports required under sub-
section (f); 
‘‘(B) funds received through the grant— 
‘‘(i) will be expended in accordance 
with this section; and 
‘‘(ii) will be used to supplement, and 
not supplant, funds available from other 
sources for technology-related assistance, 
including the provision of assistive tech-
nology devices and assistive technology 
services; 
‘‘(C) the lead agency will control and ad-
minister the funds received through the grant; 
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‘‘(D) the State will adopt such fiscal con-
trol and accounting procedures as may be nec-
essary to ensure proper disbursement of and ac-
counting for the funds received through the 
grant; 
‘‘(E) the physical facility of the lead agen-
cy and implementing entity, if any, meets the 
requirements of the Americans with Disabilities 
Act of 1990 (42 U.S.C. 12101 et seq.) regard-
ing accessibility for individuals with disabilities; 
‘‘(F) a public agency or an individual with 
a disability holds title to any property pur-
chased with funds received under the grant and 
administers that property; 
‘‘(G) activities carried out in the State that 
are authorized under this Act, and supported by 
Federal funds received under this Act, will com-
ply with the standards established by the Archi-
tectural and Transportation Barriers Compli-
ance Board under section 508 of the Rehabilita-
tion Act of 1973 (20 U.S.C. 794d); and 
‘‘(H) the State will— 
‘‘(i) prepare reports to the Secretary 
in such form and containing such informa-
tion as the Secretary may require to carry 
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out the Secretary’s functions under this 
Act; and 
‘‘(ii) keep such records and allow ac-
cess to such records as the Secretary may 
require to ensure the correctness and 
verification of information provided to the 
Secretary under this subparagraph. 
‘‘(e) USE OF FUNDS.— 
‘‘(1) REQUIRED ACTIVITIES.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B) and paragraph (6), any State 
that receives a grant under this section shall— 
‘‘(i) use a portion of not more than 40 
percent of the funds made available 
through the grant to carry out all activities 
described in paragraph (3), of which not 
less than 5 percent of such portion shall be 
available for activities described in para-
graph (3)(A)(iii); and 
‘‘(ii) use a portion of the funds made 
available through the grant to carry out all 
of the activities described in paragraph (2). 
‘‘(B) STATE OR NON-FEDERAL FINANCIAL 
SUPPORT.—A State receiving a grant under this 
section shall not be required to use grant funds 
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to carry out the category of activities described 
in subparagraph (A), (B), (C), or (D) of para-
graph (2) in that State if, for such category of 
activities, financial support is provided— 
‘‘(i) from State or other non-Federal 
resources or entities; and 
‘‘(ii) in an amount that is comparable 
to, or greater than, the amount of the por-
tion of the funds made available through 
the grant that the State would have ex-
pended for such category of activities, in 
the absence of this subparagraph. 
‘‘(2) STATE-LEVEL ACTIVITIES.— 
‘‘(A) STATE FINANCING ACTIVITIES.—The 
State shall support State financing activities to 
increase access to, and funding for, assistive 
technology devices and assistive technology 
services (which shall not include direct payment 
for such a device or service for an individual 
with a disability but may include support and 
administration of a program to provide such 
payment), including development of systems to 
provide and pay for such devices and services, 
for targeted individuals and entities described 
in section 3(16)(A), including— 
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‘‘(i) support for the development of 
systems for the purchase, lease, or other 
acquisition of, or payment for, assistive 
technology devices and assistive technology 
services; 
‘‘(ii) another mechanism that is ap-
proved by the Secretary; or 
‘‘(iii) support for the development of a 
State-financed or privately financed alter-
native financing program engaged in the 
provision of assistive technology devices, 
such as— 
‘‘(I) a low-interest loan fund; 
‘‘(II) an interest buy-down pro-
gram; 
‘‘(III) a revolving loan fund; or 
‘‘(IV) a loan guarantee or insur-
ance program. 
‘‘(B) 
DEVICE
REUTILIZATION
PRO-
GRAMS.—The State shall directly, or in collabo-
ration with public or private entities, carry out 
assistive technology device reutilization pro-
grams that provide for the exchange, repair, re-
cycling, or other reutilization of assistive tech-
nology devices, which may include redistribution 
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through device sales, loans, rentals, or dona-
tions. 
‘‘(C) 
DEVICE
LOAN
PROGRAMS.—The 
State shall directly, or in collaboration with 
public or private entities, carry out device loan 
programs that provide short-term loans of as-
sistive technology devices to individuals, employ-
ers, public agencies, or others seeking to meet 
the needs of targeted individuals and entities, 
including others seeking to comply with the In-
dividuals with Disabilities Education Act (20 
U.S.C. 1400 et seq.), the Americans with Dis-
abilities Act of 1990 (42 U.S.C. 12101 et seq.), 
and section 504 of the Rehabilitation Act of 
1973 (29 U.S.C. 794). 
‘‘(D) DEVICE DEMONSTRATIONS.— 
‘‘(i) IN
GENERAL.—The State shall 
directly, or in collaboration with public and 
private entities, such as one-stop partners, 
as defined in section 3 of the Workforce 
Innovation 
and 
Opportunity 
Act 
(29 
U.S.C. 3102), demonstrate a variety of as-
sistive technology devices and assistive 
technology services (including assisting in-
dividuals in making informed choices re-
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garding, and providing experiences with, 
the devices and services), using personnel 
who are familiar with such devices and 
services and their applications. 
‘‘(ii) 
COMPREHENSIVE
INFORMA-
TION.—The State shall directly, or through 
referrals, provide to individuals, to the ex-
tent practicable, comprehensive informa-
tion about State and local assistive tech-
nology venders, providers, and repair serv-
ices. 
‘‘(3) STATE LEADERSHIP ACTIVITIES.— 
‘‘(A) EDUCATION AND TECHNICAL ASSIST-
ANCE.— 
‘‘(i) IN GENERAL.—The State shall, 
directly or through the provision of support 
to public or private entities with dem-
onstrated expertise in collaborating with 
public or private agencies that serve indi-
viduals with disabilities, develop and dis-
seminate education materials, conduct edu-
cation, and provide technical assistance, 
for individuals statewide, including rep-
resentatives of State and local educational 
agencies, State vocational rehabilitation 
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programs, other State and local agencies, 
early intervention programs, adult service 
programs, hospitals and other health care 
facilities, institutions of higher education, 
and businesses. 
‘‘(ii) AUTHORIZED
ACTIVITIES.—In 
carrying out activities under clause (i), the 
State shall carry out activities that en-
hance the knowledge, skills, and com-
petencies of individuals from local settings 
described in such clause, which may in-
clude— 
‘‘(I) general awareness education 
on the benefits of assistive technology 
and the Federal, State, and private 
funding sources available to assist tar-
geted individuals and entities in ac-
quiring assistive technology; 
‘‘(II) 
skills-development 
edu-
cation in assessing the need for assist-
ive technology devices and assistive 
technology services; 
‘‘(III) education to ensure the 
appropriate application and use of as-
sistive technology devices, assistive 
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technology services, and accessible in-
formation and communication tech-
nology for e-government functions; 
‘‘(IV) education in the impor-
tance of multiple approaches to as-
sessment and implementation nec-
essary to meet the individualized 
needs of individuals with disabilities; 
and 
‘‘(V) technical education on inte-
grating assistive technology into the 
development and implementation of 
service plans, including any education, 
health, discharge, Olmstead, employ-
ment, or other plan required under 
Federal or State law. 
‘‘(iii) TRANSITION ASSISTANCE TO IN-
DIVIDUALS
WITH
DISABILITIES.—The 
State shall (directly or through the provi-
sion of support to public or private enti-
ties), develop and disseminate education 
materials, conduct education, facilitate ac-
cess to assistive technology, and provide 
technical assistance, to assist— 
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‘‘(I) students with disabilities, 
within the meaning of the Individuals 
with Disabilities Education Act (20 
U.S.C. 1400 et seq.), that receive 
transition services; and 
‘‘(II) adults who are individuals 
with 
disabilities 
maintaining 
or 
transitioning to community living. 
‘‘(B) PUBLIC-AWARENESS ACTIVITIES.— 
‘‘(i) IN
GENERAL.—The State shall 
conduct public-awareness activities de-
signed to provide information to targeted 
individuals and entities relating to the 
availability, benefits, appropriateness, and 
costs of assistive technology devices and 
assistive technology services, including— 
‘‘(I) the development of proce-
dures for providing direct communica-
tion between providers of assistive 
technology and targeted individuals 
and entities, which may include part-
nerships with entities in the statewide 
and local workforce development sys-
tems established under the Workforce 
Innovation and Opportunity Act (29 
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U.S.C. 3101 et seq.), State vocational 
rehabilitation programs, public and 
private employers, the centers for 
independent living described in part C 
of title VII of the Rehabilitation Act 
of 1973 (29 U.S.C. 796f et seq.), 
Aging and Disability Resources Cen-
ters (as defined in section 102 of the 
Older Americans Act of 1965 (42 
U.S.C. 3002)), or elementary schools 
and secondary schools (as defined in 
section 8101 of the Elementary and 
Secondary Education Act of 1965 (20 
U.S.C. 7801)); 
‘‘(II) the development and dis-
semination to targeted individuals and 
entities, of information about State ef-
forts related to assistive technology; 
and 
‘‘(III) the distribution of mate-
rials to appropriate public and private 
agencies that provide social, medical, 
educational, 
employment, 
housing, 
and transportation services to individ-
uals with disabilities. 
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‘‘(ii) STATEWIDE
INFORMATION
AND 
REFERRAL SYSTEM.— 
‘‘(I) IN
GENERAL.—The State 
shall directly, or in collaboration with 
public or private entities, provide for 
the continuation and enhancement of 
a statewide information and referral 
system designed to meet the needs of 
targeted individuals and entities. 
‘‘(II) 
CONTENT.—The 
system 
shall deliver information on assistive 
technology devices, assistive tech-
nology services (with specific data re-
garding provider availability within 
the State), and the availability of re-
sources, including funding through 
public and private sources, to obtain 
assistive technology devices and assist-
ive technology services. The system 
shall also deliver information on the 
benefits of assistive technology devices 
and assistive technology services with 
respect to enhancing the capacity of 
individuals with disabilities to perform 
activities of daily living. 
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‘‘(C) COORDINATION
AND
COLLABORA-
TION.—The State shall coordinate activities de-
scribed in paragraph (2) and this paragraph 
among public and private entities that are re-
sponsible for policies, procedures, or funding for 
the provision of assistive technology devices and 
assistive technology services to improve access 
to such devices and services in the State. 
‘‘(4) FUNDING RULES.— 
‘‘(A) PROHIBITION.—Funds made avail-
able through a grant to a State under this sec-
tion shall not be used for direct payment for an 
assistive technology device for an individual 
with a disability. 
‘‘(B) FEDERAL
PARTNER
COLLABORA-
TION.—In order to coordinate the availability of 
funding to access and acquire assistive tech-
nology through device demonstration, loan, 
reuse, and State financing activities, a State re-
ceiving a grant under this section shall ensure 
that the lead agency or implementing entity is 
conducting outreach to and, as appropriate, col-
laborating with, other State agencies that re-
ceive Federal funding for assistive technology, 
including— 
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‘‘(i) the State educational agency re-
ceiving assistance under the Individuals 
with Disabilities Education Act (20 U.S.C. 
1400 et seq.); 
‘‘(ii) the State vocational rehabilita-
tion agency receiving assistance under title 
I of the Rehabilitation Act of 1973 (29 
U.S.C. 720 et seq.); 
‘‘(iii) the agency responsible for ad-
ministering the State Medicaid program 
under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.); 
‘‘(iv) the State agency receiving as-
sistance under the Older Americans Act of 
1965 (42 U.S.C. 3001 et seq.); and 
‘‘(v) any other agency in a State that 
funds assistive technology. 
‘‘(C) INDIRECT COSTS.—Not more than 10 
percent of the funds made available through a 
grant to a State under this section may be used 
for indirect costs. 
‘‘(5) STATE FLEXIBILITY.— 
‘‘(A) IN GENERAL.—Notwithstanding para-
graph (1)(A) and subject to subparagraph (B), 
a State may use funds that the State receives 
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under a grant awarded under this section to 
carry out any 2 or more of the activities de-
scribed in paragraph (2). 
‘‘(B) 
SPECIAL
RULE.—Notwithstanding 
paragraph (1)(A), any State that exercises its 
authority under subparagraph (A)— 
‘‘(i) shall carry out each of the re-
quired activities described in paragraph 
(3); and 
‘‘(ii) shall use not more than 30 per-
cent of the funds made available through 
the grant to carry out such activities. 
‘‘(6) ASSISTIVE TECHNOLOGY DEVICE DISPOSI-
TION.—Notwithstanding other equipment disposition 
policy under Federal law, an assistive technology de-
vice purchased to be used in activities authorized 
under this section may be reutilized to the maximum 
extent possible and then donated to a public agency, 
private nonprofit agency, or an individual with a dis-
ability in need of such device. 
‘‘(f) ANNUAL PROGRESS REPORTS.— 
‘‘(1) DATA COLLECTION.—Each State receiving 
a grant under this section shall participate in data 
collection as required by law, including data collec-
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tion required for preparation of the reports de-
scribed in paragraph (2). 
‘‘(2) REPORTS.— 
‘‘(A) IN GENERAL.—Each State shall pre-
pare and submit to the Secretary an annual 
progress report on the activities carried out by 
the State in accordance with subsection (e), in-
cluding activities funded by State or other non- 
Federal sources under subsection (e)(1)(B) at 
such time, and in such manner, as the Sec-
retary may require. 
‘‘(B) CONTENTS.—The report shall include 
data collected pursuant to this section. The re-
port shall document, with respect to activities 
carried out under this section in the State— 
‘‘(i) the type of State financing activi-
ties described in subsection (e)(2)(A) used 
by the State; 
‘‘(ii) the amount and type of assist-
ance given to consumers of the State fi-
nancing activities described in subsection 
(e)(2)(A) (which shall be classified by type 
of assistive technology device or assistive 
technology service financed through the 
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ents, educators, employers, providers of 
employment services, health care workers, 
counselors, other service providers, or ven-
dors) and the topics of such education; and 
‘‘(II) to the extent practicable, the ge-
ographic distribution of individuals who 
participated in the education; 
‘‘(vii) the frequency of provision and 
nature of technical assistance provided to 
State and local agencies and other entities; 
‘‘(viii) the number of individuals as-
sisted through the statewide information 
and referral system described in subsection 
(e)(3)(B)(ii) and descriptions of the public 
awareness 
activities 
under 
subsection 
(e)(3)(B); 
‘‘(ix) the outcomes of any improve-
ment initiatives carried out by the State as 
a result of activities funded under this sec-
tion, including a description of any written 
policies, practices, and procedures that the 
State has developed and implemented re-
garding access to, provision of, and fund-
ing for, assistive technology devices, and 
assistive technology services, in the con-
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texts of education, health care, employ-
ment, community living, and accessible in-
formation and communication technology, 
including e-government; 
‘‘(x) the source of leveraged funding 
or other contributed resources, including 
resources provided through subcontracts or 
other collaborative resource-sharing agree-
ments, from and with public and private 
entities to carry out State activities de-
scribed in subsection (e)(3)(C), the number 
of individuals served with the contributed 
resources for which information is not re-
ported under clauses (i) through (ix) or 
clause (xi), and other outcomes accom-
plished as a result of such activities carried 
out with the contributed resources; and 
‘‘(xi) the level of customer satisfaction 
with the services provided. 
‘‘SEC. 5. GRANTS FOR PROTECTION AND ADVOCACY SERV-
ICES RELATED TO ASSISTIVE TECHNOLOGY. 
‘‘(a) GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary shall make 
grants under subsection (b) to protection and advo-
cacy systems in each State for the purpose of ena-
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bling such systems to assist in the acquisition, utili-
zation, or maintenance of assistive technology de-
vices or assistive technology services for individuals 
with disabilities. 
‘‘(2) GENERAL
AUTHORITIES.—In providing 
such assistance, protection and advocacy systems 
shall have the same general authorities as the sys-
tems are afforded under subtitle C of title I of the 
Developmental Disabilities Assistance and Bill of 
Rights Act of 2000 (42 U.S.C. 15041 et seq.). 
‘‘(b) RESERVATION; DISTRIBUTION.— 
‘‘(1) RESERVATION.—For each fiscal year, the 
Secretary shall reserve, from the amounts made 
available to carry out this section under section 
9(b)(3)(B), such sums as may be necessary to carry 
out paragraph (4). 
‘‘(2) POPULATION BASIS.—From the funds ap-
propriated for this section for a fiscal year and re-
maining after the reservation required by paragraph 
(1) has been made, the Secretary shall make a grant 
to a protection and advocacy system within each 
State in an amount bearing the same ratio to the re-
maining funds as the population of the State bears 
to the population of all States. 
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‘‘(3) MINIMUMS.—Subject to the availability of 
appropriations and paragraph (5), the amount of a 
grant to a protection and advocacy system under 
paragraph (2) for a fiscal year shall— 
‘‘(A) in the case of a protection and advo-
cacy system located in American Samoa, Guam, 
the United States Virgin Islands, or the Com-
monwealth of the Northern Mariana Islands, 
not be less than $30,000; and 
‘‘(B) in the case of a protection and advo-
cacy system located in a State not described in 
subparagraph (A), not be less than $50,000. 
‘‘(4) PAYMENT TO THE SYSTEM SERVING THE 
AMERICAN INDIAN CONSORTIUM.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
make grants to the protection and advocacy 
system serving the American Indian Consortium 
to provide services in accordance with this sec-
tion. 
‘‘(B) AMOUNT OF GRANTS.—The amount 
of such grants shall be the same as the amount 
provided under paragraph (3)(A). 
‘‘(5) ADJUSTMENTS.—For each fiscal year in 
which the total amount appropriated under section 
9(b)(3)(B) to carry out this section is $8,000,000 or 
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more and such appropriated amount exceeds the 
total amount appropriated to carry out this section 
in the preceding fiscal year, the Secretary shall in-
crease each of the minimum grant amounts de-
scribed in subparagraphs (A) and (B) of paragraph 
(3) by a percentage equal to the percentage increase 
in the total amount appropriated under section 9 to 
carry out this section for the preceding fiscal year 
and such total amount for the fiscal year for which 
the determination is being made. 
‘‘(c) DIRECT PAYMENT.—Notwithstanding any other 
provision of law, the Secretary shall pay directly to any 
protection and advocacy system that complies with this 
section, the total amount of the grant made for such sys-
tem under this section, unless the system provides other-
wise for payment of the grant amount. 
‘‘(d) CARRYOVER; PROGRAM INCOME.— 
‘‘(1) CARRYOVER.—Any amount paid to an eli-
gible system for a fiscal year under this section that 
remains unobligated at the end of such fiscal year 
shall remain available to such system for obligation 
during the subsequent fiscal year. 
‘‘(2) PROGRAM INCOME.—Program income gen-
erated from any amount paid to an eligible system 
for a fiscal year shall— 
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‘‘(A) remain available to the eligible system 
for 5 additional fiscal years after the year in 
which such amount was paid to an eligible sys-
tem and be considered an addition to the grant; 
and 
‘‘(B) only be used to improve the aware-
ness of individuals with disabilities about the 
accessibility of assistive technology and assist 
such individuals in the acquisition, utilization, 
or maintenance of assistive technology devices 
or assistive technology services. 
‘‘(e) REPORT TO SECRETARY.—An entity that re-
ceives a grant under this section shall annually prepare 
and submit to the Secretary a report that contains docu-
mentation of the progress of the entity in— 
‘‘(1) conducting consumer-responsive activities, 
including activities that will lead to increased access 
for individuals with disabilities to funding for assist-
ive technology devices and assistive technology serv-
ices; 
‘‘(2) engaging in informal advocacy to assist in 
securing assistive technology devices and assistive 
technology services for individuals with disabilities; 
‘‘(3) engaging in formal representation for indi-
viduals with disabilities to secure systems change, 
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and in advocacy activities to secure assistive tech-
nology devices and assistive technology services for 
individuals with disabilities; 
‘‘(4) coordinating activities with protection and 
advocacy services funded through sources other than 
this Act, and coordinating activities with the capac-
ity building and advocacy activities carried out by 
the lead agency; and 
‘‘(5) effectively allocating funds made available 
under this section to improve the awareness of indi-
viduals with disabilities about the accessibility of as-
sistive technology and assist such individuals in the 
acquisition, utilization, or maintenance of assistive 
technology devices or assistive technology services. 
‘‘(f) REPORTS AND UPDATES TO STATE AGENCIES.— 
An entity that receives a grant under this section shall 
prepare and submit to the lead agency of the State des-
ignated under section 4(c)(1) the report described in sub-
section (e) and quarterly updates concerning the activities 
described in such subsection. 
‘‘(g) COORDINATION.—On making a grant under this 
section to an entity in a State, the Secretary shall solicit 
and consider the opinions of the lead agency of the State 
with respect to efforts at coordination of activities, collabo-
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ration, and promoting outcomes between the lead agency 
and the entity that receives the grant under this section. 
‘‘SEC. 6. TECHNICAL ASSISTANCE AND DATA COLLECTION 
SUPPORT. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) QUALIFIED DATA COLLECTION AND RE-
PORTING ENTITY.—The term ‘qualified data collec-
tion and reporting entity’ means an entity with dem-
onstrated expertise in data collection and reporting 
as described in section 4(f)(2)(B), in order to— 
‘‘(A) provide recipients of grants under 
this Act with education and technical assist-
ance; and 
‘‘(B) assist such recipients with data col-
lection and data requirements. 
‘‘(2) QUALIFIED PROTECTION AND ADVOCACY 
SYSTEM
TECHNICAL
ASSISTANCE
PROVIDER.—The 
term ‘qualified protection and advocacy system tech-
nical assistance provider’ means an entity that has 
experience— 
‘‘(A) working with protection and advocacy 
systems established in accordance with section 
143 of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000 (42 U.S.C. 
15043); and 
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‘‘(B) providing technical assistance to pro-
tection and advocacy agencies. 
‘‘(3) QUALIFIED TECHNICAL ASSISTANCE PRO-
VIDER.—The term ‘qualified technical assistance 
provider’ means an entity with demonstrated exper-
tise in assistive technology and that has (directly or 
through grants or contracts)— 
‘‘(A) experience and expertise admin-
istering programs, including developing, imple-
menting, and administering activities described 
in section 4(e); and 
‘‘(B) documented experience and knowl-
edge about— 
‘‘(i) assistive technology device loan 
and demonstration; 
‘‘(ii) assistive technology device reuse; 
‘‘(iii) 
financial 
loans 
and 
micro-
lending, including the activities of alter-
native financing programs for assistive 
technology; and 
‘‘(iv) State leadership activities. 
‘‘(b) TECHNICAL ASSISTANCE AND DATA COLLEC-
TION SUPPORT AUTHORIZED.— 
‘‘(1) SUPPORT
FOR
ASSISTIVE
TECHNOLOGY 
EDUCATION
AND
TECHNICAL
ASSISTANCE.—From 
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amounts made available under section 9(b)(1), the 
Secretary shall award, on a competitive basis— 
‘‘(A) 1 grant, contract, or cooperative 
agreement to a qualified technical assistance 
provider to support activities described in sub-
section (d)(1) for States receiving grants under 
section 4; and 
‘‘(B) 1 grant, contract, or cooperative 
agreement to a qualified protection and advo-
cacy system technical assistance provider to 
support activities described in subsection (d)(1) 
for protection and advocacy systems receiving 
grants under section 5. 
‘‘(2) SUPPORT FOR DATA COLLECTION AND RE-
PORTING ASSISTANCE.—From amounts made avail-
able under section 9(b)(1), the Secretary shall 
award, on a competitive basis— 
‘‘(A) 1 grant, contract, or cooperative 
agreement to a qualified data collection and re-
porting entity to enable the qualified data col-
lection and reporting entity to carry out the ac-
tivities described in subsection (d)(2) for States 
receiving grants under section 4; and 
‘‘(B) 1 grant, contract, or cooperative 
agreement to a qualified protection and advo-
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cacy system technical assistance provider to en-
able the eligible protection and advocacy system 
to carry out the activities described in sub-
section (d)(2) for protection and advocacy sys-
tems receiving grants under section 5. 
‘‘(c) APPLICATION.— 
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant, contract, or cooperative agreement under this 
section, an entity shall submit an application to the 
Secretary at such time and in such manner as the 
Secretary may require, and containing the following 
information: 
‘‘(A) Information upon which the Secretary 
shall consider the input described in paragraph 
(2). 
‘‘(B) A description of the activities such 
entity will carry out with the grant, contract, or 
cooperative agreement under subsection (d). 
‘‘(C) A description of the expertise such 
entity has to carry out such activities. 
‘‘(D) In the case of an entity applying to 
receive a grant, contract, or cooperative agree-
ment under subsection (b)(1), a description of 
such entity’s plan for complying with the re-
quirements described in subsection (d)(1)(B). 
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‘‘(E) A description of such entity’s plan to 
comply with all relevant State and Federal 
laws, regulations, and policies with respect to 
data privacy and security. 
‘‘(2) INPUT.—In awarding grants, contracts, or 
cooperative agreements under this section and in re-
viewing the activities proposed under the applica-
tions described in paragraph (1), the Secretary shall 
consider the input of the recipients of grants under 
sections 4 and 5, and other individuals the Secretary 
determines to be appropriate, especially— 
‘‘(A) individuals with disabilities who use 
assistive technology and understand the bar-
riers to the acquisition of such technology and 
assistive technology services; 
‘‘(B) family members, guardians, advo-
cates, and authorized representatives of such 
individuals; 
‘‘(C) relevant employees from Federal de-
partments and agencies, other than the Depart-
ment of Health and Human Services; 
‘‘(D) representatives of businesses; and 
‘‘(E) venders and public and private re-
searchers and developers. 
‘‘(d) AUTHORIZED ACTIVITIES.— 
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‘‘(1) USE
OF
FUNDS
FOR
ASSISTIVE
TECH-
NOLOGY TECHNICAL ASSISTANCE.— 
‘‘(A) TECHNICAL ASSISTANCE EFFORTS.— 
A qualified technical assistance provider or 
qualified protection and advocacy system tech-
nical assistance provider receiving a grant, con-
tract, or cooperative agreement under sub-
section (b)(1) shall support a technical assist-
ance program for States or protection and ad-
vocacy systems receiving a grant under section 
4 or 5, respectively, that— 
‘‘(i) addresses State-specific informa-
tion requests concerning assistive tech-
nology from entities funded under this Act 
and public entities not funded under this 
Act, including— 
‘‘(I) effective approaches to Fed-
eral-State coordination of programs 
for individuals with disabilities related 
to improving funding for or access to 
assistive technology devices and assist-
ive technology services for individuals 
with disabilities; 
‘‘(II) model State and local laws, 
regulations, policies, practices, proce-
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dures, and organizational structures 
that facilitate, and overcome barriers 
to, funding for, and access to, assist-
ive technology devices and assistive 
technology services; 
‘‘(III) effective approaches to de-
veloping, 
implementing, 
evaluating, 
and sustaining activities described in 
section 4 or 5, as the case may be, 
and related to improving acquisition 
and access to assistive technology de-
vices and assistive technology services 
for individuals with disabilities, and 
requests for assistance in developing 
corrective action plans; 
‘‘(IV) examples of policies, prac-
tices, procedures, regulations, or judi-
cial decisions related to access to and 
acquisition of assistive technology de-
vices and assistive technology services 
for individuals with disabilities; 
‘‘(V) effective approaches to the 
development of consumer-controlled 
systems that increase access to, fund-
ing for, and awareness of, assistive 
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technology devices and assistive tech-
nology services; and 
‘‘(VI) other requests for informa-
tion and technical assistance from en-
tities funded under this Act; and 
‘‘(ii) in the case of a program that 
will serve States receiving grants under 
section 4— 
‘‘(I) assists targeted individuals 
and entities by disseminating informa-
tion and responding to requests relat-
ing to assistive technology by pro-
viding referrals to recipients of grants 
under section 4 or other public or pri-
vate resources; and 
‘‘(II) provides State-specific, re-
gional, and national technical assist-
ance concerning assistive technology 
to entities funded under this Act and 
public and private entities not funded 
under this Act, including— 
‘‘(aa) annually providing a 
forum for exchanging information 
concerning, and promoting pro-
gram and policy improvements 
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in, required activities of the State 
assistive technology programs; 
‘‘(bb) facilitating onsite and 
electronic 
information 
sharing 
using 
state-of-the-art 
internet 
technologies such as real-time on-
line discussions, multipoint video 
conferencing, 
and 
web-based 
audio or video broadcasts, on 
emerging topics that affect State 
assistive technology programs; 
‘‘(cc) convening experts from 
State assistive technology pro-
grams to discuss and make rec-
ommendations with regard to na-
tional emerging issues of impor-
tance to individuals with assistive 
technology needs; 
‘‘(dd) sharing best practice 
and 
evidence-based 
practices 
among and between State assist-
ive technology programs; 
‘‘(ee) maintaining an acces-
sible website that includes links 
to State assistive technology pro-
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grams, appropriate Federal de-
partments and agencies, and pri-
vate resources; 
‘‘(ff) developing a resource 
that connects individuals from a 
State with the State assistive 
technology 
program 
in 
their 
State; 
‘‘(gg) providing access to ex-
perts in the state-level activities 
described 
in 
section 
4(e)(2) 
through 
site 
visits, 
telecon-
ferences, and other means, to en-
sure access to information for en-
tities that are carrying out new 
programs or programs that are 
not making progress in achieving 
the objectives of the programs; 
and 
‘‘(hh) supporting and coordi-
nating activities designed to re-
duce the financial costs of pur-
chasing assistive technology for 
the activities described in section 
4(e), and reducing duplication of 
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activities among State assistive 
technology programs. 
‘‘(B) COLLABORATION.—In developing and 
providing technical assistance under this para-
graph, an entity receiving funds under sub-
section (b)(1) shall— 
‘‘(i) collaborate with— 
‘‘(I) organizations representing 
individuals with disabilities; 
‘‘(II) national organizations rep-
resenting State assistive technology 
programs; 
‘‘(III) organizations representing 
State officials and agencies engaged 
in the delivery of assistive technology; 
‘‘(IV) other technical assistance 
providers; 
‘‘(V) providers of State financing 
activities, including alternative financ-
ing programs for assistive technology; 
‘‘(VI) providers of device loans, 
device demonstrations, and device re-
utilization; and 
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‘‘(VII) any other organizations 
determined appropriate by the pro-
vider or the Secretary; and 
‘‘(ii) in the case of a qualified tech-
nical assistance provider, include activities 
identified as priorities by State advisory 
councils and lead agencies and imple-
menting entities for grants under section 
4. 
‘‘(2) USE
OF
FUNDS
FOR
ASSISTIVE
TECH-
NOLOGY DATA COLLECTION AND REPORTING ASSIST-
ANCE.—A qualified data collection and reporting en-
tity or a qualified protection and advocacy system 
technical assistance provider receiving a grant, con-
tract, or cooperative agreement under subsection 
(b)(2) shall assist States or protection and advocacy 
systems receiving a grant under section 4 or 5, re-
spectively, to develop and implement effective and 
accessible data collection and reporting systems 
that— 
‘‘(A) focus on quantitative and qualitative 
data elements; 
‘‘(B) help measure the impact of the activi-
ties to individuals who need assistive tech-
nology; 
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‘‘(C) in the case of systems that will serve 
States receiving grants under section 4— 
‘‘(i) measure the outcomes of all ac-
tivities described in section 4(e) and the 
progress of the States toward achieving the 
measurable goals described in section 
4(d)(3)(C); and 
‘‘(ii) provide States with the necessary 
information required under this Act or by 
the Secretary for reports described in sec-
tion 4(f)(2); and 
‘‘(D) are in full compliance with all rel-
evant State and Federal laws, regulations, and 
policies with respect to data privacy and secu-
rity. 
‘‘(e) LIMITATION.—No entity may receive a grant, 
contract, or cooperative agreement under this section if 
the entity is currently receiving a grant, contract, or coop-
erative agreement under this section. 
‘‘SEC. 7. PROJECTS OF NATIONAL SIGNIFICANCE. 
‘‘(a) DEFINITION OF PROJECT OF NATIONAL SIG-
NIFICANCE.—In this section the term ‘project of national 
significance’— 
‘‘(1) means a project that— 
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‘‘(A) increases access to, and acquisition 
of, assistive technology; and 
‘‘(B) creates opportunities for individuals 
with disabilities to directly and fully contribute 
to, and participate in, all facets of education, 
employment, community living, and recreational 
activities; and 
‘‘(2) may— 
‘‘(A) develop and expand partnerships be-
tween State Medicaid agencies and recipients of 
grants under section 4 to reutilize durable med-
ical equipment; 
‘‘(B) increase collaboration between the re-
cipients of grants under section 4 and States 
receiving grants under the Money Follows the 
Person Rebalancing Demonstration under sec-
tion 6071 of the Deficit Reduction Act of 2005 
(42 U.S.C. 1396a note); 
‘‘(C) increase collaboration between recipi-
ents of grants under section 4 and area agen-
cies on aging, as such term is defined in section 
102 of the Older Americans Act of 1965 (42 
U.S.C. 3002), which may include collaboration 
on emergency preparedness, safety equipment, 
or assistive technology toolkits; 
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‘‘(D) provide aid to assist youth with dis-
abilities to transition from school to adult life, 
especially in— 
‘‘(i) finding employment and postsec-
ondary education opportunities; and 
‘‘(ii) upgrading and changing any as-
sistive technology devices that may be 
needed as a youth matures; 
‘‘(E) increase access to and acquisition of 
assistive technology addressing the needs of 
aging individuals and aging caregivers in the 
community; 
‘‘(F) increase effective and efficient use of 
assistive technology as part of early intervention 
for infants and toddlers with disabilities from 
birth to age 3; 
‘‘(G) increase awareness of and access to 
the Disability Funds-Financial Assistance fund-
ing provided by the Community Development 
Financial Institutions Fund that supports ac-
quisition of assistive technology; and 
‘‘(H) increase awareness of and access to 
other federally funded disability programs or in-
crease knowledge of assistive technology. 
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‘‘(b) PROJECTS AUTHORIZED.—If funds are available 
pursuant to section 9(c) to carry out this section for a 
fiscal year, the Secretary may award, on a competitive 
basis, grants, contracts, and cooperative agreements to 
public or private entities to enable the entities to carry 
out projects of national significance. 
‘‘(c) APPLICATION.—A public or private entity desir-
ing a grant under this section shall submit an application 
to the Secretary at such time and in such manner as the 
Secretary may require, and containing a description of the 
project the public or private entity proposes to carry out 
under this section. 
‘‘(d) AWARD BASIS.— 
‘‘(1) PRIORITY.—In awarding grants under this 
section, the Secretary shall give priority to an entity 
funded under section 4 or 5 for the most recent 
award period. 
‘‘(2) PREFERENCE.—For each grant award pe-
riod, the Secretary may give preference for 1 or 
more categories of projects of national significance 
described in subparagraphs (A) through (H) of sub-
section (a)(2). 
‘‘(e) MINIMUM FUNDING LEVEL REQUIRED.—The 
Secretary may only award grants, contracts, or coopera-
tive agreements under this section if the amount made 
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available under section 9 to carry out sections 4, 5, and 
6 is equal to or greater than $49,000,000. 
‘‘SEC. 8. ADMINISTRATIVE PROVISIONS. 
‘‘(a) GENERAL ADMINISTRATION.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of law, the Administrator of the Adminis-
tration for Community Living shall be responsible 
for the administration of this Act. 
‘‘(2) COLLABORATION.—The Administrator of 
the Administration for Community Living shall con-
sult with the Office of Special Education Programs 
of the Department of Education, the Rehabilitation 
Services Administration of the Department of Edu-
cation, the Office of Disability Employment Policy of 
the Department of Labor, the National Institute on 
Disability, Independent Living, and Rehabilitation 
Research, and other appropriate Federal entities in 
the administration of this Act. 
‘‘(3) ADMINISTRATION.— 
‘‘(A) IN GENERAL.—In administering this 
Act, the Administrator of the Administration 
for Community Living shall ensure that pro-
grams funded under this Act will address— 
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‘‘(i) the needs of individuals with all 
types of disabilities and across the life 
span; and 
‘‘(ii) the use of assistive technology in 
all potential environments, including em-
ployment, education, and community liv-
ing. 
‘‘(B) FUNDING
LIMITATIONS.—For each 
fiscal year, not more than 1/2 of 1 percent of 
the total funding appropriated for this Act shall 
be used by the Administrator of the Adminis-
tration for Community Living to support the 
administration of this Act. 
‘‘(b) REVIEW OF PARTICIPATING ENTITIES.— 
‘‘(1) IN GENERAL.—The Secretary shall assess 
the extent to which entities that receive grants under 
this Act are complying with the applicable require-
ments of this Act and achieving measurable goals 
that are consistent with the requirements of the 
grant programs under which the entities received the 
grants. 
‘‘(2) PROVISION OF INFORMATION.—To assist 
the Secretary in carrying out the responsibilities of 
the Secretary under this section, the Secretary may 
require States to provide relevant information, in-
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cluding the information required under subsection 
(d). 
‘‘(c) CORRECTIVE ACTION AND SANCTIONS.— 
‘‘(1) CORRECTIVE
ACTION.—If the Secretary 
determines that an entity that receives a grant 
under this Act fails to substantially comply with the 
applicable requirements of this Act, or to make sub-
stantial progress toward achieving the measurable 
goals described in subsection (b)(1) with respect to 
the grant program, the Secretary shall assist the en-
tity, through technical assistance funded under sec-
tion 6 or other means, within 90 days after such de-
termination, to develop a corrective action plan. 
‘‘(2) SANCTIONS.—If the entity fails to develop 
and comply with a corrective action plan described 
in paragraph (1) during a fiscal year, the entity 
shall be subject to 1 of the following corrective ac-
tions selected by the Secretary: 
‘‘(A) Partial or complete termination of 
funding under the grant program, until the en-
tity develops and complies with such a plan. 
‘‘(B) Ineligibility to participate in the 
grant program in the following fiscal year. 
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‘‘(C) Reduction in the amount of funding 
that may be used for indirect costs under sec-
tion 4 for the following fiscal year. 
‘‘(D) Required redesignation of the lead 
agency designated under section 4(c)(1) or an 
entity responsible for administering the grant 
program. 
‘‘(3) APPEALS
PROCEDURES.—The Secretary 
shall establish appeals procedures for entities that 
are determined to be in noncompliance with the ap-
plicable requirements of this Act, or have not made 
substantial progress toward achieving the measur-
able goals described in subsection (b)(1). 
‘‘(4) SECRETARIAL ACTION.—As part of the an-
nual report required under subsection (d), the Sec-
retary shall describe each such action taken under 
paragraph (1) or (2) and the outcomes of each such 
action. 
‘‘(5) PUBLIC
NOTIFICATION.—Not later than 
30 days after taking an action under paragraph (1) 
or (2), the Secretary shall provide the public, by 
posting on an easily accessible portion of the inter-
net website of the Department of Health and 
Human Services, notification of each action taken by 
the Secretary under paragraph (1) or (2). As a part 
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of such notification, the Secretary shall describe 
each such action taken under paragraph (1) or (2) 
and the outcomes of each such action. 
‘‘(d) ANNUAL REPORT TO CONGRESS.— 
‘‘(1) IN GENERAL.—Not later than December 
31 of each year, the Secretary shall prepare and 
submit to the President, the Committee on Health, 
Education, Labor, and Pensions of the Senate, and 
the Committee on Education and Labor of the 
House of Representatives a report on the activities 
funded under this Act to improve the access of as-
sistive technology devices and assistive technology 
services to individuals with disabilities. 
‘‘(2) CONTENTS.—Such report shall include— 
‘‘(A) a compilation and summary of the in-
formation provided by the States in annual 
progress reports submitted under section 4(f); 
and 
‘‘(B) a summary of the State applications 
described in section 4(d) and an analysis of the 
progress of the States in meeting the measur-
able goals established in State applications 
under section 4(d)(3)(C). 
‘‘(e) CONSTRUCTION.—Nothing in this section shall 
be construed to affect the enforcement authority of the 
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Secretary, another Federal officer, or a court under any 
other applicable law. 
‘‘(f) EFFECT ON OTHER ASSISTANCE.—This Act may 
not be construed as authorizing a Federal or State agency 
to reduce medical or other assistance available, or to alter 
eligibility for a benefit or service, under any other Federal 
law. 
‘‘SEC. 9. AUTHORIZATION OF APPROPRIATIONS; RESERVA-
TIONS AND DISTRIBUTION OF FUNDS. 
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated to carry out this Act— 
‘‘(1) $44,000,000 for fiscal year 2023; 
‘‘(2) $45,980,000 for fiscal year 2024; 
‘‘(3) $48,049,100 for fiscal year 2025; 
‘‘(4) $50,211,310 for fiscal year 2026; and 
‘‘(5) $52,470,819 for fiscal year 2027. 
‘‘(b) 
RESERVATIONS
AND
DISTRIBUTION
OF 
FUNDS.—Of the funds made available under subsection 
(a) to carry out this Act and subject to subsection (c), 
the Secretary shall— 
‘‘(1) reserve an amount equal to 3 percent of 
such available funds to carry out paragraphs (1) and 
(2) of section 6(b); and 
‘‘(2) of the amounts remaining after the res-
ervation under paragraph (1)— 
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‘‘(A) use 85.5 percent of such amounts to 
carry out section 4; and 
‘‘(B) use 14.5 percent of such amounts to 
carry out section 5. 
‘‘(c) LIMIT FOR PROJECTS OF NATIONAL SIGNIFI-
CANCE.—For any fiscal year for which the amount of 
funds made available under subsection (a) exceeds 
$49,000,000, the Secretary may— 
‘‘(1) reserve for section 7, an amount of such 
available funds that does not exceed the lesser of— 
‘‘(A) the excess amount made available; or 
‘‘(B) $2,000,000; and 
‘‘(2) make the reservation under paragraph (1) 
before carrying out subsection (b).’’. 
SEC. 3. EFFECTIVE DATE. 
This Act, and the amendments made by this Act, 
shall take effect on the day that is 6 months after the 
date of enactment of this Act. 
Æ 
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