(ii) in subparagraph (C)(ii)(IV) by 
striking ‘‘the mentally ill and the mentally 
retarded’’ and inserting ‘‘individuals with 
mental illnesses or intellectual disabilities’’; 
and 
(C) in subsection (e)(7)— 
(i) in subparagraph (A)(i) by striking 
‘‘mentally ill and mentally retarded individ-
uals’’ and inserting ‘‘individuals with men-
tal illnesses or intellectual disabilities’’; 
(ii) in subparagraph (B)— 
(I) by striking ‘‘State mental re-
tardation’’ and inserting ‘‘State intel-
lectual’’ each place it appears; 
(II) in clause (ii)— 
(aa) in the clause heading 
by 
striking 
‘‘MENTALLY
RE-
TARDED RESIDENTS’’ and insert-
ing ‘‘RESIDENTS
WITH
INTEL-
LECTUAL DISABILITIES’’; 
(bb) in the matter preceding 
clause (I) by striking ‘‘is men-
tally retarded’’ and inserting 
‘‘has an intellectual disability’’; 
and 
VerDate Sep 11 2014 
05:26 May 19, 2023
Jkt 039200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H3111.IH
H3111
kjohnson on DSK79L0C42PROD with BILLS
(cc) in subclause (II) by 
striking 
‘‘mental 
retardation’’ 
and inserting ‘‘an intellectual dis-
ability’’; and 
(III) in clause (iii) by striking 
‘‘mentally ill or mentally retarded 
resident’’ and inserting ‘‘resident who 
has a mental illness or intellectual dis-
ability’’; 
(iii) in subparagraph (C) by striking 
‘‘mental retardation’’ and inserting ‘‘intel-
lectual disability’’ in each place it appears; 
(iv) in subparagraph (E)— 
(I) by striking ‘‘are mentally re-
tarded or mentally ill’’ and inserting 
‘‘have an intellectual disability or 
mental illness’’; and 
(II) by striking ‘‘mental retarda-
tion’’ and inserting ‘‘intellectual dis-
ability’’; and 
(v) in subparagraph (G)— 
(I) in clause (i) by inserting ‘‘or 
have a ‘mental illness’ ’’ after ‘‘ ‘men-
tally ill’ ’’; and 
VerDate Sep 11 2014 
05:26 May 19, 2023
Jkt 039200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H3111.IH
H3111
kjohnson on DSK79L0C42PROD with BILLS
(II) in clause (ii) by striking ‘‘be 
‘mentally retarded’ if the individual is 
mentally retarded or a person with’’ 
and inserting ‘‘have an ‘intellectual 
disability’ if the individual has an in-
tellectual disability or’’; and 
(7) in the section heading of section 1922 by 
striking ‘‘THE MENTALLY RETARDED’’ and insert-
ing ‘‘INDIVIDUALS
WITH
INTELLECTUAL
DIS-
ABILITIES’’. 
(o) PAYMENTS TO STATES.—Section 2002(a)(2)(A) 
of the Social Security Act (42 U.S.C. 1397a(a)(2)(A)) is 
amended by striking ‘‘the mentally retarded’’ and insert-
ing ‘‘individuals with intellectual disabilities’’. 
(p) MISCELLANEOUS PROVISIONS.—Section 12(d)(5) 
of the Richard B. Russell National School Lunch Act (42 
U.S.C. 1760(d)(5)) is amended by striking ‘‘the mentally 
retarded’’ and inserting ‘‘individuals with intellectual dis-
abilities’’. 
(q) CHILD NUTRITION DEFINITIONS.—Section 15(3) 
of the Child Nutrition Act of 1966 (42 U.S.C. 1784(3)) 
is amended by striking ‘‘the mentally retarded’’ and in-
serting ‘‘individuals with intellectual disabilities’’. 
VerDate Sep 11 2014 
05:26 May 19, 2023
Jkt 039200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H3111.IH
H3111
kjohnson on DSK79L0C42PROD with BILLS
(r) INSTITUTIONALIZED PERSONS DEFINITIONS.— 
Section 2(1)(B) of the Civil Rights of Institutionalized 
Persons Act (42 U.S.C. 1997(1)(B)) is amended— 
(1) in clause (i) by striking ‘‘disabled, or re-
tarded, or chronically ill or handicapped’’ and insert-
ing ‘‘physically or intellectually disabled, or chron-
ically ill’’; and 
(2) in clause (iv)(III) by striking ‘‘mentally ill 
or disabled, mentally retarded, or chronically ill or 
handicapped’’ and inserting ‘‘mentally ill, physically 
or intellectually disabled, or chronically ill’’. 
(s) PROGRAMS FOR INDIVIDUALS WITH DEVELOP-
MENTAL DISABILITIES.—Title I of the Developmental 
Disabilities Assistance and Bill of Rights Act of 2000 (42 
U.S.C. 15001 et seq.) is amended— 
(1) by striking ‘‘Intermediate Care Facility 
(Mental Retardation)’’ and inserting ‘‘intermediate 
care facility for individuals with intellectual disabil-
ities’’ each place it appears; 
(2) in section 109(a)(4)(B)(i) by striking ‘‘the 
mentally retarded’’ and inserting ‘‘individuals with 
intellectual disabilities’’; and 
(3) in section 125(c)(7)(F)(i) by striking ‘‘In-
termediate Care Facilities (Mental Retardation)’’ 
VerDate Sep 11 2014 
05:26 May 19, 2023
Jkt 039200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H3111.IH
H3111
kjohnson on DSK79L0C42PROD with BILLS
and inserting ‘‘intermediate care facilities for indi-
viduals with intellectual disabilities’’. 
SEC. 3. REGULATIONS. 
For the purposes of a regulation issued to carry out 
a provision amended by this Act— 
(1) before the regulation is amended to carry 
out this Act— 
(A) a reference in the regulation to ‘‘men-
tal retardation’’ shall be considered to be a ref-
erence to ‘‘an intellectual disability’’; and 
(B) a reference in the regulation to ‘‘the 
mentally retarded’’, or ‘‘individuals who are 
mentally retarded’’, shall be considered to be a 
reference to ‘‘individuals with intellectual dis-
abilities’’; and 
(2) in amending a regulation to carry out this 
Act, a Federal agency shall ensure that the regula-
tion clearly states— 
(A) that ‘‘an intellectual disability’’ was 
formerly termed ‘‘mental retardation’’; and 
(B) that ‘‘individuals with intellectual dis-
abilities’’ were formerly termed ‘‘the mentally 
retarded’’ or ‘‘individuals who are mentally re-
tarded’’. 
VerDate Sep 11 2014 
05:26 May 19, 2023
Jkt 039200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H3111.IH
H3111
kjohnson on DSK79L0C42PROD with BILLS