1991 
‘‘(II) coordinating the activities of 
the comprehensive statewide program 
of technology-related assistance among 
public and private entities, including 
coordinating efforts related to entering 
into interagency agreements and main-
taining 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 mean-
ingful participation by individuals 
with disabilities and their family 
members, guardians, advocates, or au-
thorized representatives, and other ap-
propriate individuals, with respect to 
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 implementing 
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1992 
entity shall carry out responsibilities under this 
Act through a subcontract or another adminis-
trative 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 redesignate 
the lead agency of a State, if the Gov-
ernor shows to the Secretary, in ac-
cordance 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 Sec-
retary in accordance with subsection 
(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 require the 
Governor of a State to change the lead agen-
cy or implementing entity of the State to an 
agency other than the lead agency or imple-
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1993 
menting 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— 
‘‘(I) individuals with disabilities 
who use assistive technology or the 
family members or guardians of the in-
dividuals; 
‘‘(II) a representative of the des-
ignated State agency, as defined in sec-
tion 7 of the Rehabilitation Act of 
1973 (29 U.S.C. 705); 
‘‘(III) a representative of the des-
ignated State agency for individuals 
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1994 
who are blind or that provides assist-
ance or services to adults who are blind 
(within the meaning of section 101 of 
that Act (29 U.S.C. 721)), if such 
agency is separate from the agency de-
scribed in subclause (II); 
‘‘(IV) a representative of a State 
center for independent living described 
in part C of title VII of the Rehabilita-
tion 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 estab-
lished under section 101 of the Work-
force Innovation and Opportunity Act 
(29 U.S.C. 3111); 
‘‘(VI) a representative of the State 
educational agency, as defined in sec-
tion 8101 of the Elementary and Sec-
ondary Education Act of 1965 (20 
U.S.C. 7801); 
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1995 
‘‘(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; 
‘‘(bb) such program is sepa-
rate from the State assistive tech-
nology program supported under 
subsection (e)(2); and 
‘‘(cc) the program described 
in item (aa) is operated by a non-
profit entity; 
‘‘(VIII) a representative of 1 or 
more of— 
‘‘(aa) the agency responsible 
for administering the State Med-
icaid program under title XIX of 
the Social Security Act (42 U.S.C. 
1396 et seq.); 
‘‘(bb) the designated State 
agency for purposes of section 124 
of the Developmental Disabilities 
Assistance and Bill of Rights Act 
of 2000 (42 U.S.C. 15024); 
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1996 
‘‘(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 or-
ganization that receives assistance 
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 Dis-
abilities Education, Research, and 
Service designated under section 
151(a) of the Developmental Dis-
abilities Assistance and Bill of 
Rights Act of 2000 (42 U.S.C. 
15061(a)); 
‘‘(ff) the State protection and 
advocacy system established in ac-
cordance with section 143 of the 
Developmental Disabilities Assist-
ance and Bill of Rights Act of 
2000 (42 U.S.C. 15043); or 
‘‘(gg) the State Council on 
Developmental Disabilities estab-
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1997 
lished under section 125 of the De-
velopmental Disabilities Assist-
ance and Bill of Rights Act of 
2000 (42 U.S.C. 15025); and 
‘‘(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 advi-
sory 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 majority 
membership requirement established in 
subclause (I). 
‘‘(iii) REPRESENTATION.—The advi-
sory council shall be geographically rep-
resentative of the State and reflect the diver-
sity of the State with respect to race, eth-
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1998 
nicity, 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 de-
fined in section 9817(a)(2) of the American 
Rescue Plan Act of 2021 (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 advi-
sory council shall receive no compensation for 
their service on the advisory council, but shall be 
reimbursed for reasonable and necessary expenses 
actually incurred in the performance of official 
duties for the advisory council. 
‘‘(D) IMPACT
ON
EXISTING
STATUTES, 
RULES, OR
POLICIES.—Nothing in this para-
graph shall be construed to affect State statutes, 
rules, or official policies relating to advisory 
bodies for State assistive technology programs or 
require changes to governing bodies of incor-
porated agencies that carry out State assistive 
technology programs. 
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1999 
‘‘(d) APPLICATION.— 
‘‘(1) IN GENERAL.—Any State that desires to re-
ceive a grant under this section shall submit an ap-
plication to the Secretary, at such time, in such man-
ner, 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-
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 established in 
accordance with subsection (c)(2). 
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2000 
‘‘(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 comprehensive statewide program 
that provides assistive technology activities de-
scribed in subsection (e) (unless excluded by the 
State pursuant to subsection (e)(5)); 
‘‘(B) a description of how the State will al-
locate and utilize grant funds to implement the 
activities described in subparagraph (A), includ-
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NODE
2001 
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 individ-
uals 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 Re-
habilitation Act of 1973 (29 U.S.C. 720 et 
seq.); 
‘‘(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 instruction for indi-
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NODE
2002 
viduals with disabilities receiving assistive 
technology under this section; 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 EN-
TITIES.—The application shall describe how various 
public and private entities, including individuals 
with disabilities and their families, were involved in 
the development of the application, including the 
measurable goals and timeline described in paragraph 
(3)(C) and the description of how the goals will be 
quantifiably measured described in paragraph (3)(D), 
and will be involved in the implementation of the ac-
tivities to be carried out through the grant, includ-
ing— 
‘‘(A) in cases determined to be appropriate 
by the State, a description of the nature and ex-
tent of resources that will be committed by public 
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NODE
2003 
and private partners to assist in accomplishing 
identified goals; and 
‘‘(B) a description of the mechanisms estab-
lished to ensure coordination of activities and 
collaboration between the implementing entity, if 
any, and the State. 
‘‘(5) ASSURANCES.—The application shall in-
clude assurances that— 
‘‘(A) the State will annually collect data re-
lated to the required activities implemented by 
the State under this section in order to prepare 
the progress reports required under subsection 
(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, in-
cluding the provision of assistive technology 
devices and assistive technology services; 
‘‘(C) the lead agency will control and ad-
minister the funds received through the grant; 
‘‘(D) the State will adopt such fiscal control 
and accounting procedures as may be necessary 
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NODE
2004 
to ensure proper disbursement of and accounting 
for the funds received through the grant; 
‘‘(E) the physical facility of the lead agency 
and implementing entity, if any, meets the re-
quirements of the Americans with Disabilities 
Act of 1990 (42 U.S.C. 12101 et seq.) regarding 
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 (29 U.S.C. 794d); and 
‘‘(H) the State will— 
‘‘(i) prepare reports to the Secretary in 
such form and containing such information 
as the Secretary may require to carry out 
the Secretary’s functions under this Act; 
and 
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NODE
2005 
‘‘(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 (5), 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 de-
scribed 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 OTHER NON-FEDERAL FI-
NANCIAL SUPPORT.—A State receiving a grant 
under this section shall not be required to use 
grant funds to carry out the category of activi-
ties described in subparagraph (A), (B), (C), or 
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NODE
2006 
(D) of paragraph (2) in that State if, for such 
category of activities, financial support is pro-
vided in that State— 
‘‘(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 expended 
for such category of activities, in the ab-
sence 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 serv-
ices (which shall not include direct payment for 
such a device or service for an individual with 
a disability but may include support and ad-
ministration of a program to provide such pay-
ment), including development of systems to pro-
vide and pay for such devices and services, for 
targeted individuals and entities described in 
section 3(16)(A), including— 
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NODE
2007 
‘‘(i) support for the development of sys-
tems for the purchase, lease, or other acqui-
sition of, or payment for, assistive tech-
nology devices and assistive technology serv-
ices; 
‘‘(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 PROGRAMS.— 
The State shall directly, or in collaboration with 
public or private entities, carry out assistive 
technology device reutilization programs that 
provide for the exchange, repair, recycling, or 
other reutilization of assistive technology devices, 
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NODE
2008 
which may include redistribution through device 
sales, loans, rentals, or donations. 
‘‘(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 assistive tech-
nology devices to individuals, employers, public 
agencies, or others seeking to meet the needs of 
targeted individuals and entities, including oth-
ers seeking to comply with the Individuals with 
Disabilities Education Act (20 U.S.C. 1400 et 
seq.), the Americans with Disabilities 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 di-
rectly, or in collaboration with public and 
private entities, such as one-stop partners, 
as defined in section 3 of the Workforce In-
novation and Opportunity Act (29 U.S.C. 
3102), demonstrate a variety of assistive 
technology devices and assistive technology 
services (including assisting individuals in 
making informed choices regarding, and 
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NODE
2009 
providing experiences with, the devices and 
services), using personnel who are familiar 
with such devices and services and their ap-
plications. 
‘‘(ii) 
COMPREHENSIVE
INFORMA-
TION.—The State shall directly, or through 
referrals, provide to individuals, to the ex-
tent practicable, comprehensive information 
about State and local assistive technology 
venders, providers, and repair services. 
‘‘(3) STATE LEADERSHIP ACTIVITIES.— 
‘‘(A) EDUCATIONAL ACTIVITIES AND TECH-
NICAL ASSISTANCE.— 
‘‘(i) IN GENERAL.—The State shall, di-
rectly or through the provision of support to 
public or private entities with demonstrated 
expertise in collaborating with public or 
private agencies that serve individuals with 
disabilities, develop and disseminate train-
ing materials, conduct educational activi-
ties, and provide technical assistance, for 
individuals statewide, including representa-
tives of State and local educational agen-
cies, State vocational rehabilitation pro-
grams, other State and local agencies, early 
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NODE
2010 
intervention programs, adult service pro-
grams, hospitals and other health care fa-
cilities, institutions of higher education, 
and businesses. 
‘‘(ii) 
AUTHORIZED
ACTIVITIES.—In 
carrying out activities under clause (i), the 
State shall carry out activities that enhance 
the knowledge, skills, and competencies of 
individuals from local settings described in 
such clause, which may include— 
‘‘(I) raising awareness and pro-
viding instruction on the benefits of as-
sistive technology and the Federal, 
State, and private funding sources 
available to assist targeted individuals 
and entities in acquiring assistive 
technology; 
‘‘(II) skills development in assess-
ing the need for assistive technology de-
vices and assistive technology services; 
‘‘(III) instruction to ensure the 
appropriate application and use of as-
sistive technology devices, assistive 
technology services, and accessible in-
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2011 
formation and communication tech-
nology for e-government functions; 
‘‘(IV) instruction in the impor-
tance of multiple approaches to assess-
ment and implementation necessary to 
meet the individualized needs of indi-
viduals with disabilities; and 
‘‘(V) technical instruction 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 provision of 
support to public or private entities) de-
velop and disseminate educational mate-
rials, conduct educational activities, facili-
tate access to assistive technology, and pro-
vide technical assistance, to assist— 
‘‘(I) students with disabilities, 
within the meaning of the Individuals 
with Disabilities Education Act (20 
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2012 
U.S.C. 1400 et seq.), that receive tran-
sition 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 designed 
to provide information to targeted individ-
uals and entities relating to the avail-
ability, benefits, appropriateness, and costs 
of assistive technology devices and assistive 
technology services, including— 
‘‘(I) the development of procedures 
for providing direct communication be-
tween providers of assistive technology 
and targeted individuals and entities, 
which may include partnerships with 
entities in the statewide and local 
workforce development systems estab-
lished under the Workforce Innovation 
and Opportunity Act (29 U.S.C. 3101 
et seq.), State vocational rehabilitation 
programs, public and private employ-
ers, centers for independent living de-
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2013 
scribed in part C of title VII of the Re-
habilitation Act of 1973 (29 U.S.C. 
796f et seq.), Aging and Disability Re-
source Centers (as defined in section 
102 of the Older Americans Act of 
1965 (42 U.S.C. 3002)), or elementary 
schools and secondary schools (as de-
fined in section 8101 of the Elemen-
tary 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 efforts related to assistive tech-
nology; and 
‘‘(III) the distribution of mate-
rials to appropriate public and private 
agencies that provide social, medical, 
educational, employment, housing, and 
transportation services to individuals 
with disabilities. 
‘‘(ii) STATEWIDE
INFORMATION
AND 
REFERRAL SYSTEM.— 
‘‘(I) IN
GENERAL.—The State 
shall directly, or in collaboration with 
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NODE
2014 
public or private entities (including 
nonprofit organizations), provide for 
the continuation and enhancement of a 
statewide information and referral sys-
tem designed to meet the needs of tar-
geted individuals and entities. 
‘‘(II) CONTENT.—The system shall 
deliver information on assistive tech-
nology devices, assistive technology 
services (with specific data regarding 
provider availability within the State), 
and the availability of resources, in-
cluding funding through public and 
private sources, to obtain assistive 
technology devices and assistive tech-
nology services. The system shall also 
deliver information on the benefits of 
assistive technology devices and assist-
ive technology services with respect to 
enhancing the capacity of individuals 
with disabilities to perform activities 
of daily living. 
‘‘(C) 
COORDINATION
AND
COLLABORA-
TION.—The State shall coordinate activities de-
scribed in paragraph (2) and this paragraph, 
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NODE
2015 
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 available 
through a grant to a State under this section 
shall not be used for direct payment for an as-
sistive technology device for an individual with 
a disability. 
‘‘(B) 
FEDERAL
PARTNER
COLLABORA-
TION.—In order to coordinate efforts regarding 
the availability of funding to access and acquire 
assistive technology through device demonstra-
tion, loan, reuse, and State financing activities, 
a State receiving a grant under this section shall 
ensure that the lead agency or implementing en-
tity is conducting outreach to and, as appro-
priate, collaborating with, other State agencies 
that receive Federal funding for assistive tech-
nology, including— 
‘‘(i) the State educational agency re-
ceiving assistance under the Individuals 
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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 assist-
ance 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 
under a grant awarded under this section to 
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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 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 col-
lection as required by law, including data collection 
required for preparation of the reports described in 
paragraph (2). 
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‘‘(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 Secretary 
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 assistance 
given to consumers of the State financing 
activities described in subsection (e)(2)(A) 
(which shall be classified by type of assistive 
technology device or assistive technology 
service financed through the State financing 
activities, and geographic distribution with-
in the State), including— 
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‘‘(I) the number of applications 
for assistance received; 
‘‘(II) the number of applica-
tions— 
‘‘(aa) approved; 
‘‘(bb) denied; or 
‘‘(cc) withdrawn; 
‘‘(III) the number, percentage, 
and dollar amount of defaults for the 
financing activities; 
‘‘(IV) the range and average inter-
est rate for the financing activities; 
‘‘(V) the range and average in-
come of approved applicants for the fi-
nancing activities; and 
‘‘(VI) 
the 
types 
and 
dollar 
amounts of assistive technology fi-
nanced; 
‘‘(iii) the number, type, and length of 
time of loans of assistive technology devices 
provided to individuals with disabilities, 
employers, public agencies, or public accom-
modations through the device loan program 
described in subsection (e)(2)(C), and an 
analysis of the types of such devices pro-
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vided through the program, and how each 
device benefitted the individual who received 
such device; 
‘‘(iv) the number, type, estimated 
value, and scope of assistive technology de-
vices exchanged, repaired, recycled, or reuti-
lized (including redistributed through device 
sales, loans, rentals, or donations) through 
the device reutilization program described 
in subsection (e)(2)(B), and an analysis of 
the individuals with disabilities who have 
benefited from the device reutilization pro-
gram; 
‘‘(v) the number and type of device 
demonstrations 
and 
referrals 
provided 
under subsection (e)(2)(D), and an analysis 
of individuals with disabilities who have 
benefited from the demonstrations and refer-
rals; 
‘‘(vi)(I) the number and general char-
acteristics of individuals who participated 
in educational activities under subsection 
(e)(3)(A) (such as individuals with disabil-
ities, parents, educators, employers, pro-
viders of employment services, health care 
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workers, counselors, other service providers, 
or venders) and the topics of such edu-
cational activities; and 
‘‘(II) to the extent practicable, the geo-
graphic distribution of individuals who 
participated in the educational activities; 
‘‘(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 improvement 
initiatives carried out by the State as a re-
sult of activities funded under this section, 
including a description of any written poli-
cies, practices, and procedures that the 
State has developed and implemented re-
garding access to, provision of, and funding 
for, assistive technology devices, and assist-
ive technology services, in the contexts of 
education, health care, employment, commu-
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nity living, and accessible information and 
communication technology, including e-gov-
ernment; 
‘‘(x) the source of leveraged funding or 
other contributed resources, including re-
sources 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 enabling 
such systems to assist in the acquisition, utilization, 
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or maintenance of assistive technology devices or as-
sistive technology services for individuals with dis-
abilities. 
‘‘(2) GENERAL AUTHORITIES.—In providing the 
assistance described under paragraph (1), protection 
and advocacy systems shall have the same general au-
thorities as the systems 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 avail-
able to carry out this section under section 9(b)(2)(B), 
such sums as may be necessary to carry out para-
graph (4). 
‘‘(2) POPULATION
BASIS.—From the amounts 
appropriated to carry out this section for a fiscal 
year that remain after the reservation required under 
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 remaining amounts 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 sys-
tem serving the American Indian consortium to 
provide services in accordance with this section. 
‘‘(B) AMOUNT OF GRANTS.—The amount of 
a grant under subparagraph (A) shall be the 
same as the amount provided under paragraph 
(3)(A). 
‘‘(5) ADJUSTMENTS.—For each fiscal year for 
which the total amount appropriated under section 
9(b)(2)(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 for the 
preceding fiscal year, the Secretary shall increase 
each of the minimum grant amounts described in sub-
paragraphs (A) and (B) of paragraph (3) and para-
graph (4)(B) by a percentage equal to the percentage 
increase in the total amount appropriated under sec-
tion 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 sec-
tion, the total amount of the grant made for such system 
under this section, unless the system provides otherwise for 
payment of the grant amount. 
‘‘(d) CARRYOVER; PROGRAM INCOME.— 
‘‘(1) CARRYOVER.—Any amount paid to a pro-
tection and advocacy 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 a protection and ad-
vocacy system for a fiscal year shall— 
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‘‘(A) remain available to the protection and 
advocacy system for 5 additional fiscal years 
after the year in which such amount was paid 
to the protection and advocacy system and be 
considered an addition to the grant; and 
‘‘(B) only be used to improve the awareness 
of individuals with disabilities about the accessi-
bility of assistive technology and assist such in-
dividuals in the acquisition, utilization, or 
maintenance of assistive technology devices or as-
sistive technology services. 
‘‘(e) REPORT TO SECRETARY.—A protection and advo-
cacy system that receives a grant under this section shall 
annually prepare and submit to the Secretary a report that 
contains documentation of the progress of the protection 
and advocacy system 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; 
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‘‘(3) engaging in formal representation for indi-
viduals with disabilities to secure systems change, and 
in advocacy activities to secure assistive technology 
devices and assistive technology services for individ-
uals with disabilities; 
‘‘(4) developing and implementing strategies to 
enhance the long-term abilities of individuals with 
disabilities and their family members, guardians, ad-
vocates, and authorized representatives to advocate the 
provision of assistive technology devices and assistive 
technology services to which the individuals with dis-
abilities are entitled under law other than this Act; 
‘‘(5) 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 
‘‘(6) 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.— 
A protection and advocacy system that receives a grant 
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under this section shall prepare and submit to the lead 
agency of the State designated under section 4(c)(1) the re-
port described in subsection (e) and quarterly updates con-
cerning the activities described in such subsection. 
‘‘(g) COORDINATION.—On making a grant under this 
section to a protection and advocacy system 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, collaboration, and promoting outcomes between 
the lead agency and the protection and advocacy system 
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 REPORT-
ING ENTITY.—The term ‘qualified data collection and 
reporting entity’ means an entity with demonstrated 
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 instruction and technical assistance; 
and 
‘‘(B) assist such recipients with data collec-
tion and data requirements. 
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‘‘(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 in— 
‘‘(A) working with protection and advocacy 
systems established in accordance with section 
143 of the Developmental Disabilities Assistance 
and Bill of Rights Act of 2000 (42 U.S.C. 
15043); and 
‘‘(B) providing technical assistance to pro-
tection and advocacy agencies. 
‘‘(3) QUALIFIED
TECHNICAL
ASSISTANCE
PRO-
VIDER.—The term ‘qualified technical assistance pro-
vider’ means an entity with demonstrated expertise in 
assistive technology and that has (directly or through 
grant or contract)— 
‘‘(A) experience and expertise in admin-
istering programs, including developing, imple-
menting, and administering all of the activities 
described in section 4(e); and 
‘‘(B) documented experience in and knowl-
edge about— 
‘‘(i) assistive technology device loan 
and demonstration; 
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under subsection (b)(1), a description of such en-
tity’s plan for complying with the requirements 
described in subsection (d)(1)(B). 
‘‘(D) 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. 
‘‘(E) Such other information as the Sec-
retary may require. 
‘‘(2) INPUT.—In developing grants, contracts, or 
cooperative agreements under this section, the Sec-
retary shall consider the input of the recipients of 
grants under sections 4 and 5 and other individuals 
the Secretary determines to be appropriate, espe-
cially— 
‘‘(A) individuals with disabilities who use 
assistive technology and understand the barriers 
to the acquisition of such technology and assist-
ive technology services; 
‘‘(B) family members, guardians, advocates, 
and authorized representatives of such individ-
uals; 
‘‘(C) relevant employees from Federal de-
partments and agencies, other than the Depart-
ment of Health and Human Services; 
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‘‘(D) representatives of businesses; and 
‘‘(E) venders and public and private re-
searchers and developers. 
‘‘(d) AUTHORIZED ACTIVITIES.— 
‘‘(1) USE OF FUNDS FOR ASSISTIVE TECHNOLOGY 
TECHNICAL ASSISTANCE.— 
‘‘(A) TECHNICAL ASSISTANCE EFFORTS.—A 
qualified technical assistance provider or quali-
fied protection and advocacy system technical as-
sistance provider receiving a grant, contract, or 
cooperative agreement under subsection (b)(1) 
shall support a technical assistance program for 
States or protection and advocacy systems receiv-
ing a grant under section 4 or 5, respectively, 
that— 
‘‘(i) addresses State-specific informa-
tion requests concerning assistive technology 
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 as-
sistive technology devices and assistive 
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technology services for individuals with 
disabilities; 
‘‘(II) model State and local laws, 
regulations, policies, practices, proce-
dures, and organizational structures, 
that facilitate, and overcome barriers 
to, funding for, and access to, assistive 
technology devices and assistive tech-
nology 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 devices 
and assistive technology services for in-
dividuals with disabilities, and re-
quests for assistance in developing cor-
rective action plans; 
‘‘(IV) policies, practices, proce-
dures, regulations, or judicial decisions 
related to access to and acquisition of 
assistive technology devices and assist-
ive technology services for individuals 
with disabilities; 
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‘‘(V) effective approaches to the 
development 
of 
consumer-controlled 
systems that increase access to, funding 
for, and awareness of, assistive tech-
nology devices and assistive technology 
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— 
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‘‘(aa) annually providing a 
forum for exchanging information 
concerning, and promoting pro-
gram and policy improvements 
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 
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among State assistive technology 
programs; 
‘‘(ee) developing or main-
taining an accessible, national, 
and public website that includes 
information, tools, and resources 
on assistive technology devices 
and assistive technology services 
and links to State assistive tech-
nology 
programs, 
appropriate 
Federal departments and agencies, 
and private resources; 
‘‘(ff) developing a resource 
that connects individuals from a 
State with the State assistive tech-
nology program in their State; 
‘‘(gg) providing access to ex-
perts in the State-level activities 
described 
in 
section 
4(e)(2) 
through site visits, teleconferences, 
and other means, to ensure access 
to information for entities that 
are carrying out new programs or 
programs that are not making 
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progress in achieving the objec-
tives 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 
activities among State assistive 
technology programs. 
‘‘(B) COLLABORATION.—In developing and 
providing technical assistance under this para-
graph, a qualified technical assistance provider 
or qualified protection and advocacy system 
technical assistance provider receiving a grant, 
contract, or cooperative agreement under sub-
section (b)(1) shall— 
‘‘(i) collaborate with— 
‘‘(I) organizations representing 
individuals with disabilities; 
‘‘(II) national organizations rep-
resenting State assistive technology 
programs; 
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assistance provider receiving a grant, contract, or co-
operative agreement under subsection (b)(2) shall as-
sist States or protection and advocacy systems receiv-
ing a grant under section 4 or 5, respectively, to de-
velop and implement effective and accessible data col-
lection 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 technology; 
‘‘(C) in the case of systems that will serve 
States receiving grants under section 4— 
‘‘(i) measure the outcomes of all activi-
ties 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. 
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‘‘SEC. 7. PROJECTS OF NATIONAL SIGNIFICANCE. 
‘‘(a) DEFINITION OF PROJECT OF NATIONAL SIGNIFI-
CANCE.—In this section, the term ‘project of national sig-
nificance’— 
‘‘(1) means a project that— 
‘‘(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 re-
ceiving grants under the Money Follows the Per-
son Rebalancing Demonstration under section 
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 agencies 
on aging, as such term is defined in section 102 
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of the Older Americans Act of 1965 (42 U.S.C. 
3002), which may include collaboration on emer-
gency preparedness, safety equipment, or assist-
ive technology toolkits; 
‘‘(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 need-
ed as a youth matures; 
‘‘(E) increase access to and acquisition of 
assistive technology addressing the needs of aging 
individuals and aging caregivers in the commu-
nity; 
‘‘(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 funding 
provided by the Community Development Finan-
cial Institutions Fund that supports acquisition 
of assistive technology; and 
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‘‘(H) increase awareness of and access to as-
sistive technology, such as through models de-
scribed in subclauses (I) through (IV) of section 
4(e)(2)(A)(iii) and other Federally funded dis-
ability programs. 
‘‘(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 nonprofit entities to enable the entities to carry out 
projects of national significance. 
‘‘(c) APPLICATION.—A public or private nonprofit en-
tity desiring a grant under this section shall submit an ap-
plication to the Secretary at such time, in such manner, 
and containing a description of the project of national sig-
nificance the entity proposes to carry out under this section. 
‘‘(d) AWARD PREFERENCE.—For each grant award pe-
riod, the Secretary may give preference for 1 or more cat-
egories of projects of national significance described in sub-
paragraphs (A) through (H) of subsection (a)(2). 
‘‘(e) MINIMUM FUNDING LEVEL REQUIRED.—The Sec-
retary may only award grants, contracts, or cooperative 
agreements under this section if the amount made available 
under section 9 to carry out sections 4, 5, and 6 is equal 
to or greater than $49,000,000. 
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‘‘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 of the Department of 
Health and Human Services (referred to in this sec-
tion as the ‘Administrator’) shall be responsible for 
the administration of this Act. 
‘‘(2) COLLABORATION.—The Administrator shall 
consult with the Office of Special Education Pro-
grams of the Department of Education, the Rehabili-
tation Services Administration of the Department of 
Education, the Office of Disability Employment Pol-
icy of the Department of Labor, and other appro-
priate Federal entities in the administration of this 
Act. 
‘‘(3) ADMINISTRATION.— 
‘‘(A) IN GENERAL.—In administering this 
Act, the Administrator shall ensure that pro-
grams funded under this Act will address— 
‘‘(i) the needs of individuals with all 
types of disabilities and across the lifespan; 
and 
‘‘(ii) the use of assistive technology in 
all potential environments, including em-
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ployment, education, and community liv-
ing. 
‘‘(B) FUNDING LIMITATIONS.—For each fis-
cal year, not more than 1⁄2 of 1 percent of the 
total funding appropriated for this Act shall be 
used by the Administrator to support the admin-
istration 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 pro-
grams 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 re-
quire States to provide relevant information, includ-
ing the information required under subsection (d). 
‘‘(c) CORRECTIVE ACTION AND SANCTIONS.— 
‘‘(1) CORRECTIVE ACTION.—If the Secretary de-
termines that an entity that receives a grant under 
this Act fails to substantially comply with the appli-
cable requirements of this Act, or to make substantial 
progress toward achieving the measurable goals de-
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scribed in subsection (b)(1) with respect to the grant 
program, the Secretary shall assist the entity, through 
technical assistance funded under section 6 or other 
means, within 90 days after such determination, 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 actions se-
lected by the Secretary: 
‘‘(A) Partial or complete termination of 
funding under the grant program, until the enti-
ty develops and complies with such a plan. 
‘‘(B) Ineligibility to participate in the 
grant program in the following fiscal year. 
‘‘(C) Reduction in the amount of funding 
that may be used for indirect costs under section 
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 applica-
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ble requirements of this Act, or have not made sub-
stantial progress toward achieving the measurable 
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 notify the public, by posting 
on an easily accessible portion of the internet 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 of such notifi-
cation, 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, Edu-
cation, Labor, and Pensions of the Senate, and the 
Committee on Education and Labor of the House of 
Representatives a report on the activities funded 
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under this Act to improve the access of assistive tech-
nology devices and assistive technology services to in-
dividuals with disabilities. 
‘‘(2) CONTENTS.—Each report described in para-
graph (1) 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 measurable 
goals established in State applications under sec-
tion 4(d)(3)(C). 
‘‘(e) CONSTRUCTION.—Nothing in this section shall be 
construed to affect the enforcement authority of the Sec-
retary, 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. 
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‘‘SEC. 9. AUTHORIZATION OF APPROPRIATIONS; RESERVA-
TIONS AND DISTRIBUTION OF FUNDS. 
‘‘(a) IN GENERAL.—There are authorized to be appro-
priated 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.— 
Subject to subsection (c), for each fiscal year for which funds 
are made available under subsection (a) to carry out this 
Act, the Secretary shall— 
‘‘(1) reserve an amount equal to 3 percent of the 
funds made available for each such fiscal year to 
carry out paragraphs (1) and (2) of section 6(b); and 
‘‘(2) from the amounts remaining after making 
the reservation under paragraph (1)— 
‘‘(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 made 
available under subsection (a) exceeds $49,000,000 the Sec-
retary may— 
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‘‘(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. 5403. EFFECTIVE DATE. 
This title, and the amendments made by this title, 
shall take effect on the day that is 6 months after the date 
of enactment of this Act. 
TITLE LV—FOREIGN AFFAIRS 
MATTERS 
TITLE LV—FOREIGN AFFAIRS MATTERS 
Subtitle A—Taiwan Enhanced Resilience Act 
Sec. 5501. Short title. 
PART 1—IMPLEMENTATION OF AN ENHANCED DEFENSE PARTNERSHIP 
BETWEEN THE UNITED STATES AND TAIWAN 
Sec. 5502. Modernizing Taiwan’s security capabilities to deter and, if necessary, 
defeat aggression by the People’s Republic of China. 
Sec. 5503. Increase in annual regional contingency stockpile additions and sup-
port for Taiwan. 
Sec. 5504. International military education and training cooperation with Tai-
wan. 
Sec. 5505. Additional authorities to support Taiwan. 
Sec. 5506. Multi-year plan to fulfill defensive requirements of military forces of 
Taiwan. 
Sec. 5507. Fast-tracking sales to Taiwan under Foreign Military Sales program. 
Sec. 5508. Arms exports delivery solutions for Taiwan and United States allies 
in the Indo-Pacific. 
Sec. 5509. Assessment of Taiwan’s needs for civilian defense and resilience. 
Sec. 5510. Annual report on Taiwan defensive military capabilities and intel-
ligence support. 
Sec. 5511. Findings and statement of policy. 
Sec. 5512. Sense of Congress on Taiwan defense relations. 
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PART 2—COUNTERING PEOPLE’S REPUBLIC OF CHINA’S COERCION AND 
INFLUENCE CAMPAIGNS 
Sec. 5513. Strategy to respond to influence and information operations targeting 
Taiwan. 
Sec. 5514. Task force to counter economic coercion by the People’s Republic of 
China. 
Sec. 5515. China censorship monitor and action group. 
PART 3—INCLUSION OF TAIWAN IN INTERNATIONAL ORGANIZATIONS 
Sec. 5516. Findings. 
Sec. 5517. Sense of Congress on Taiwan’s meaningful participation in the inter-
national community. 
Sec. 5518. Strategy to support Taiwan’s meaningful participation in inter-
national organizations. 
Sec. 5519. Meaningful participation of Taiwan in the International Civil Avia-
tion Organization. 
PART 4—MISCELLANEOUS PROVISIONS 
Sec. 5520. Report on Taiwan Travel Act. 
Sec. 5521. Amendments to the Taiwan Allies International Protection and En-
hancement Initiative (Taipei) Act of 2019. 
Sec. 5522. Report on role of People’s Republic of China’s nuclear threat in esca-
lation dynamics. 
Sec. 5523. Report analyzing the impact of Russia’s war against Ukraine on the 
objectives of the People’s Republic of China with respect to Tai-
wan. 
Sec. 5524. Expanding United States-Taiwan development cooperation. 
Sec. 5525. Sense of congress on expanding United States economic relations with 
Taiwan. 
PART 5—SUPPORTING UNITED STATES EDUCATIONAL AND EXCHANGE 
PROGRAMS WITH TAIWAN 
Sec. 5526. Short title. 
Sec. 5527. Findings. 
Sec. 5528. Purposes. 
Sec. 5529. Definitions. 
Sec. 5530. Taiwan Fellowship Program. 
Sec. 5531. Reports and audits. 
Sec. 5532. Taiwan fellows on detail from government service. 
Sec. 5533. Funding. 
Sec. 5534. Study and report. 
Sec. 5535. Supporting United States educational and exchange programs with 
Taiwan. 
PART 6—UNITED STATES-TAIWAN PUBLIC HEALTH PROTECTION 
Sec. 5536. Short title. 
Sec. 5537. Definitions. 
Sec. 5538. Study on an infectious disease monitoring center. 
PART 7—RULES OF CONSTRUCTION 
Sec. 5539. Rule of construction. 
Sec. 5540. Rule of construction regarding the use of military force. 
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Subtitle B—United States-Ecuador Partnership Act of 2022 
Sec. 5541. Short title. 
Sec. 5542. Sense of Congress. 
Sec. 5543. Facilitating economic and commercial ties. 
Sec. 5544. Promoting inclusive economic development. 
Sec. 5545. Combating illicit economies, corruption, and negative foreign influ-
ence. 
Sec. 5546. Strengthening democratic governance. 
Sec. 5547. Fostering conservation and stewardship. 
Sec. 5548. Authorization to transfer excess Coast Guard vessels. 
Sec. 5549. Reporting requirements. 
Sec. 5550. Sunset. 
Subtitle C—FENTANYL Results Act 
Sec. 5551. Short title. 
Sec. 5552. Prioritization of efforts of the Department of State to combat inter-
national trafficking in covered synthetic drugs. 
Sec. 5553. Program to provide assistance to build the capacity of foreign law en-
forcement agencies with respect to covered synthetic drugs. 
Sec. 5554. Exchange program on demand reduction matters relating to illicit use 
of covered synthetic drugs. 
Sec. 5555. Amendments to international narcotics control program. 
Sec. 5556. Sense of Congress. 
Sec. 5557. Rule of construction. 
Sec. 5558. Definitions. 
Subtitle D—International Pandemic Preparedness 
Sec. 5559. Short title. 
Sec. 5560. Definitions. 
Sec. 5561. Enhancing the United States’ international response to pandemics. 
Sec. 5562. International pandemic prevention and preparedness. 
Sec. 5563. Financial Intermediary Fund for Pandemic Prevention, Preparedness, 
and Response. 
Sec. 5564. General provisions. 
Sec. 5565. Sunset. 
Sec. 5566. Rule of construction. 
Subtitle E—Burma Act of 2022 
Sec. 5567. Short title. 
Sec. 5568. Definitions. 
PART 1—MATTERS RELATING TO THE CONFLICT IN BURMA 
Sec. 5569. Statement of policy. 
PART 2—SANCTIONS AND POLICY COORDINATION WITH RESPECT TO BURMA 
Sec. 5570. Definitions. 
Sec. 5571. Imposition of sanctions with respect to human rights abuses and per-
petration of a coup in Burma. 
Sec. 5572. Sanctions and policy coordination for Burma. 
Sec. 5573. Support for greater United Nations action with respect to Burma. 
Sec. 5574. Sunset. 
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PART 3—AUTHORIZATIONS OF APPROPRIATIONS FOR ASSISTANCE FOR BURMA 
Sec. 5575. General authorization of appropriations. 
Sec. 5576. Limitations. 
Sec. 5577. Appropriate congressional committees defined. 
PART 4—EFFORTS AGAINST HUMAN RIGHTS ABUSES 
Sec. 5578. Authorization to provide technical assistance for efforts against human 
rights abuses. 
PART 5—SANCTIONS EXCEPTION RELATING TO IMPORTATION OF GOODS 
Sec. 5579. Sanctions exception relating to importation of goods. 
Subtitle F—Promotion of Freedom of Information and Countering of 
Censorship and Surveillance in North Korea 
Sec. 5580. Short title. 
Sec. 5581. Findings; sense of Congress. 
Sec. 5582. Statement of policy. 
Sec. 5583. United States strategy to combat North Korea’s repressive information 
environment. 
Sec. 5584. Promoting freedom of information and countering censorship and sur-
veillance in North Korea. 
Subtitle G—Other Matters 
Sec. 5585. Congressional notification for rewards paid using cryptocurrencies. 
Sec. 5586. Secure access to sanitation facilities for women and girls. 
Sec. 5587. Reauthorization of the Tropical Forest and Coral Reef Conservation 
Act of 1998. 
Sec. 5588. Global Food Security Reauthorization Act of 2022. 
Sec. 5589. Extension and modification of certain export controls. 
Sec. 5590. Imposition of sanctions with respect to the sale, supply, or transfer of 
gold to or from Russia. 
Sec. 5591. Renegotiation of Compacts of Free Association. 
Sec. 5592. Secretary of State assistance for prisoners in Islamic Republic of Iran. 
Sec. 5593. Iran Nuclear Weapons Capability and Terrorism Monitoring Act of 
2022. 
Subtitle H—Reports 
Sec. 5594. Modification to peacekeeping operations report. 
Sec. 5595. Report on Indo-Pacific region. 
Sec. 5596. Report on humanitarian situation and food security in Lebanon. 
Sec. 5597. Statement of policy and report on engaging with Niger. 
Sec. 5598. Report on bilateral security and law enforcement cooperation with 
Mexico. 
Sec. 5599. Report on Chinese support to Russia with respect to its unprovoked 
invasion of and full-scale war against Ukraine. 
Sec. 5599A. Feasibility study on United States support for and participation in 
the international counterterrorism academy in Coˆte d’Ivoire. 
Sec. 5599B. Consultations on reuniting Korean Americans with family members 
in North Korea. 
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Subtitle I—Sense of Congress Provisions 
Sec. 5599C. Sense of Congress regarding the status of China. 
Sec. 5599D. Sense of Congress regarding Israel. 
Sec. 5599E. Sense of Congress relating to the NATO Parliamentary Assembly. 
Sec. 5599F. Condemning detention and indictment of Russian opposition leader 
Vladimir Vladimirovich Kara-Murza. 
Sec. 5599G. Sense of Congress regarding development of nuclear weapons by Iran. 
Subtitle A—Taiwan Enhanced 
Resilience Act 
SEC. 5501. SHORT TITLE. 
This subtitle may be cited as the ‘‘Taiwan Enhanced 
Resilience Act’’. 
PART 1—IMPLEMENTATION OF AN ENHANCED 
DEFENSE 
PARTNERSHIP 
BETWEEN 
THE 
UNITED STATES AND TAIWAN 
SEC. 5502. MODERNIZING TAIWAN’S SECURITY CAPABILI-
TIES TO DETER AND, IF NECESSARY, DEFEAT 
AGGRESSION BY THE PEOPLE’S REPUBLIC OF 
CHINA. 
(a) APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED.—In this section, the term ‘‘appropriate congres-
sional committees’’ means— 
(1) the Committee on Foreign Relations of the 
Senate; 
(2) the Committee on Armed Services of the Sen-
ate; 
(3) the Committee on Appropriations of the Sen-
ate; 
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(4) the Committee on Foreign Affairs of the 
House of Representatives; 
(5) the Committee on Armed Services of the 
House of Representatives; and 
(6) the Committee on Appropriations of the 
House of Representatives. 
(b) TAIWAN SECURITY PROGRAMS.—The Secretary of 
State, in consultation with the Secretary of Defense, shall 
use the authorities under this section to strengthen the 
United States-Taiwan defense relationship, and to support 
the acceleration of the modernization of Taiwan’s defense 
capabilities, consistent with the Taiwan Relations Act 
(Public Law 96–8). 
(c) PURPOSE.—In addition to the purposes otherwise 
authorized for Foreign Military Financing programs under 
the Arms Export Control Act (22 U.S.C. 2751 et seq.), a 
purpose of the Foreign Military Financing Program should 
be to provide assistance, including equipment, training, 
and other support, to build the civilian and defensive mili-
tary capabilities of Taiwan— 
(1) to accelerate the modernization of capabili-
ties that will enable Taiwan to delay, degrade, and 
deny attempts by People’s Liberation Army forces— 
(A) to conduct coercive or grey zone activi-
ties; 
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(B) to blockade Taiwan; or 
(C) to secure a lodgment on any islands ad-
ministered by Taiwan and expand or otherwise 
use such lodgment to seize control of a popu-
lation center or other key territory in Taiwan; 
and 
(2) to prevent the People’s Republic of China 
from decapitating, seizing control of, or otherwise 
neutralizing or rendering ineffective Taiwan’s civil-
ian and defense leadership. 
(d) REGIONAL CONTINGENCY STOCKPILE.—Of the 
amounts authorized to be appropriated pursuant to sub-
section (h), not more than $100,000,000 may be used during 
each of the fiscal years 2023 through 2032 to maintain a 
stockpile (if established pursuant to section 5503(b)), in ac-
cordance with section 514 of the Foreign Assistance Act of 
1961 (22 U.S.C. 2321h). 
(e) AVAILABILITY OF FUNDS.— 
(1) ANNUAL
SPENDING
PLAN.—Not later than 
March 1, 2023, and annually thereafter, the Secretary 
of State, in coordination with the Secretary of De-
fense, shall submit a plan to the appropriate congres-
sional committees describing how amounts authorized 
to be appropriated pursuant to subsection (h), if 
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made available, would be used to achieve the purpose 
described in subsection (c). 
(2) CERTIFICATION.— 
(A) IN GENERAL.—Amounts authorized to 
be appropriated for each fiscal year pursuant to 
subsection (h) are authorized to be made avail-
able after the Secretary of State, in coordination 
with the Secretary of Defense, certifies not less 
than annually to the appropriate committees of 
Congress that Taiwan has increased its defense 
spending relative to Taiwan’s defense spending 
in its prior fiscal year, which includes support 
for an asymmetric strategy, excepting accounts 
in Taiwan’s defense budget related to personnel 
expenditures, (other than military training and 
education and any funding related to the All-Out 
Defense Mobilization Agency). 
(B) WAIVER.—The Secretary of State may 
waive the certification requirement under sub-
paragraph (A) if the Secretary, in consultation 
with the Secretary of Defense, certifies to the ap-
propriate congressional committees that for any 
given year— 
(i) Taiwan is unable to increase its de-
fense spending relative to its defense spend-
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ing in its prior fiscal year due to severe 
hardship; and 
(ii) making available the amounts au-
thorized under subparagraph (A) is in the 
national interests of the United States. 
(3) REMAINING FUNDS.—Amounts authorized to 
be appropriated for a fiscal year pursuant to sub-
section (h) that are not obligated and expended dur-
ing such fiscal year shall be added to the amount that 
may be used for Foreign Military Financing to Tai-
wan in the subsequent fiscal year. 
(f) ANNUAL REPORT ON ADVANCING THE DEFENSE OF 
TAIWAN.— 
(1) INITIAL
REPORT.—Concurrently with the 
first certification required under subsection (e)(2), the 
Secretary of State and the Secretary of Defense shall 
jointly submit a report to the appropriate congres-
sional committees that describes steps taken to en-
hance the United States-Taiwan defense relationship 
and Taiwan’s modernization of its defense capabili-
ties. 
(2) MATTERS TO BE INCLUDED.—Each report re-
quired under paragraph (1) shall include— 
(A) an assessment of the commitment of 
Taiwan to implement a military strategy that 
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will deter and, if necessary, defeat military ag-
gression by the People’s Republic of China, in-
cluding the steps that Taiwan has taken and the 
steps that Taiwan has not taken towards such 
implementation; 
(B) an assessment of the efforts of Taiwan 
to acquire and employ within its forces counter-
intervention capabilities, including— 
(i) long-range precision fires; 
(ii) integrated air and missile defense 
systems; 
(iii) anti-ship cruise missiles; 
(iv) land-attack cruise missiles; 
(v) coastal defense; 
(vi) anti-armor; 
(vii) 
undersea 
warfare, 
including 
manned and unmanned systems; 
(viii) survivable swarming maritime 
assets; 
(ix) manned and unmanned aerial sys-
tems; 
(x) mining and countermining capa-
bilities; 
(xi) intelligence, surveillance, and re-
connaissance capabilities; 
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(xii) command and control systems; 
(xiii) defensive cybersecurity capabili-
ties; and 
(xiv) any other defense capabilities 
that the United States determines, includ-
ing jointly with Taiwan, are crucial to the 
defense of Taiwan, consistent with the joint 
consultative mechanism with Taiwan cre-
ated pursuant to section 5506; 
(C) an evaluation of the balance between 
conventional and counter intervention capabili-
ties in the defense force of Taiwan as of the date 
on which the report is submitted; 
(D) an assessment of steps taken by Taiwan 
to enhance the overall readiness of its defense 
forces, including— 
(i) the extent to which Taiwan is re-
quiring and providing regular and relevant 
training to such forces; 
(ii) the extent to which such training 
is realistic to the security environment that 
Taiwan faces; and 
(iii) the sufficiency of the financial 
and budgetary resources Taiwan is putting 
toward readiness of such forces; 
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(E) an assessment of steps taken by Taiwan 
to ensure that the Taiwan’s reserve forces and 
All-Out Defense Mobilization Agency can recruit, 
train, equip, and mobilize its forces; 
(F) an evaluation of— 
(i) the severity of manpower shortages 
in the military of Taiwan, including in the 
reserve forces; 
(ii) the impact of such shortages in the 
event of a conflict scenario; and 
(iii) the efforts made by Taiwan to ad-
dress such shortages; 
(G) an assessment of the efforts made by 
Taiwan to boost its civilian defenses, including 
any informational campaigns to raise awareness 
among the population of Taiwan of the risks 
Taiwan faces; 
(H) an assessment of the efforts made by 
Taiwan to secure its critical infrastructure, in-
cluding in transportation, telecommunications 
networks, satellite communications, and energy; 
(I) an assessment of the efforts made by 
Taiwan to enhance its cybersecurity, including 
the security and survivability of official civilian 
and military networks; 
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(J) an assessment of the efforts made by 
Taiwan to improve the image and prestige of its 
defense forces among the population of Taiwan; 
(K) an assessment of any significant gaps 
in any of the matters described in subparagraphs 
(A) through (J) with respect to which the United 
States assesses that additional action is needed; 
(L) a description of cooperative efforts be-
tween the United States and Taiwan on the mat-
ters described in subparagraphs (A) through (K); 
and 
(M) a description of any challenge in Tai-
wan to— 
(i) implement the matters described in 
subparagraphs (A) through (J); or 
(ii) United States support or engage-
ment with regard to such matters. 
(3) SUBSEQUENT REPORTS.—Concurrently with 
subsequent certifications required under subsection 
(e)(2), the Secretary of State and the Secretary of De-
fense shall jointly submit updates to the initial report 
required under paragraph (1) that provides a descrip-
tion of changes and developments that occurred in the 
prior year. 
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(4) FORM.—The reports required under para-
graphs (1) and (3) shall be submitted in an unclassi-
fied form, but may contain a classified annex. 
(5) SHARING OF SUMMARY.—The Secretary of 
State and the Secretary of Defense shall jointly share 
any unclassified portions of the reports, pursuant to 
paragraph (4), with Taiwan, as appropriate. 
(g) FOREIGN MILITARY FINANCING LOAN AND LOAN 
GUARANTEE AUTHORITY.— 
(1) DIRECT LOANS.— 
(A) IN GENERAL.—Notwithstanding section 
23(c)(1) of the Arms Export Control Act (22 
U.S.C. 2763), during fiscal years 2023 through 
2027, the Secretary of State is authorized to 
make direct loans available for Taiwan pursuant 
to section 23 of such Act. 
(B) MAXIMUM OBLIGATIONS.—Gross obliga-
tions for the principal amounts of loans author-
ized under subparagraph (A) may not exceed 
$2,000,000,000. 
(C) SOURCE OF FUNDS.— 
(i) DEFINED TERM.—In this subpara-
graph, the term ‘‘cost’’— 
(I) has the meaning given such 
term in section 502(5) of the Congres-
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sional Budget Act of 1974 (2 U.S.C. 
661a(5)); 
(II) shall include the cost of modi-
fying a loan authorized under sub-
paragraph (A); and 
(III) may include the costs of sell-
ing, 
reducing, 
or 
cancelling 
any 
amounts owed to the United States or 
to any agency of the United States. 
(ii) IN GENERAL.—Amounts authorized 
to be appropriated pursuant to subsection 
(g) may be made available to pay for the 
cost of loans authorized under subparagraph 
(A). 
(D) FEES AUTHORIZED.— 
(i) IN GENERAL.—The Government of 
the United States may charge processing 
and origination fees for a loan made pursu-
ant to subparagraph (A), not to exceed the 
cost to the Government of making such loan, 
which shall be collected from borrowers 
through a financing account (as defined in 
section 502(7) of the Congressional Budget 
Act of 1974 (2 U.S.C. 661a(7)). 
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(ii) LIMITATION ON FEE PAYMENTS.— 
Amounts made available under any appro-
priations Act for any fiscal year may not 
be used to pay any fees associated with a 
loan authorized under subparagraph (A). 
(E) REPAYMENT.—Loans made pursuant to 
subparagraph (A) shall be repaid not later than 
12 years after the loan is received by the bor-
rower, including a grace period of not more than 
1 year on repayment of principal. 
(F) INTEREST.— 
(i) IN GENERAL.—Notwithstanding sec-
tion 23(c)(1) of the Arms Export Control 
Act (22 U.S.C. 2763(c)(1)), interest for 
loans made pursuant to subparagraph (A) 
may be charged at a rate determined by the 
Secretary of State, except that such rate 
may not be less than the prevailing interest 
rate on marketable Treasury securities of 
similar maturity. 
(ii) TREATMENT
OF
LOAN
AMOUNTS 
USED TO PAY INTEREST.—Amounts made 
available under this paragraph for interest 
costs shall not be considered assistance for 
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the purposes of any statutory limitation on 
assistance to a country. 
(2) LOAN GUARANTEES.— 
(A) IN GENERAL.—Amounts authorized to 
be appropriated pursuant to subsection (g) may 
be made available for the costs of loan guarantees 
for Taiwan under section 24 of the Arms Export 
Control Act (22 U.S.C. 2764) for Taiwan to sub-
sidize gross obligations for the principal amount 
of commercial loans and total loan principal, 
any part of which may be guaranteed, not to ex-
ceed $2,000,000,000. 
(B) MAXIMUM AMOUNTS.—A loan guarantee 
authorized under subparagraph (A)— 
(i) may not guarantee a loan that ex-
ceeds $2,000,000,000; and 
(ii) may not exceed 80 percent of the 
loan principal with respect to any single 
borrower. 
(C) SUBORDINATION.—Any loan guaranteed 
pursuant to subparagraph (A) may not be subor-
dinated to— 
(i) another debt contracted by the bor-
rower; or 
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(ii) any other claims against the bor-
rower in the case of default. 
(D) REPAYMENT.—Repayment in United 
States dollars of any loan guaranteed under this 
paragraph shall be required not later than 12 
years after the loan agreement is signed. 
(E) FEES.—Notwithstanding section 24 of 
the Arms Export Control Act (22 U.S.C. 2764), 
the Government of the United States may charge 
processing and origination fees for a loan guar-
antee authorized under subparagraph (A), not to 
exceed the cost to the Government of such loan 
guarantee, which shall be collected from bor-
rowers, or from third parties on behalf of such 
borrowers, through a financing account (as de-
fined in section 502(7) of the Congressional 
Budget Act of 1974 (2 U.S.C. 661a(7)). 
(F) TREATMENTS OF LOAN GUARANTEES.— 
Amounts made available under this paragraph 
for the costs of loan guarantees authorized under 
subparagraph (A) shall not be considered assist-
ance for the purposes of any statutory limitation 
on assistance to a country. 
(3) NOTIFICATION REQUIREMENT.—Amounts au-
thorized to be appropriated to carry out this sub-
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section may not be expended without prior notifica-
tion of the appropriate committees of Congress. 
(h) AUTHORIZATION OF APPROPRIATIONS.— 
(1) AUTHORIZATION
OF
APPROPRIATIONS.—In 
addition to amounts otherwise authorized to be ap-
propriated for Foreign Military Financing, there is 
authorized to be appropriated to the Department of 
State for Taiwan Foreign Military Finance grant as-
sistance up to $2,000,000,000 for each of the fiscal 
years 2023 through 2027. 
(2) TRAINING AND EDUCATION.—Of the amounts 
authorized to be appropriated under paragraph (1), 
the Secretary of State should use not less than 
$2,000,000 per fiscal year for one or more blanket 
order Foreign Military Financing training programs 
related to the defense needs of Taiwan. 
(3) DIRECT
COMMERCIAL
CONTRACTING.—The 
Secretary of State may use amounts authorized to be 
appropriated under paragraph (1) for the procure-
ment of defense articles, defense services, or design 
and construction services that are not sold by the 
United States Government under the Arms Export 
Control Act (22 U.S.C. 2751 et seq.). 
(4) PROCUREMENT IN TAIWAN.—Of the amounts 
authorized to be appropriated for Foreign Military 
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Financing and made available for Taiwan, not more 
than 15 percent of the amount made available for 
each fiscal year may be available for the procurement 
by Taiwan in Taiwan of defense articles and defense 
services, including research and development, as 
agreed by the United States and Taiwan. 
(i) SUNSET PROVISION.—Assistance may not be pro-
vided under this section after September 30, 2032. 
SEC. 5503. INCREASE IN ANNUAL REGIONAL CONTINGENCY 
STOCKPILE ADDITIONS AND SUPPORT FOR 
TAIWAN. 
(a) IN GENERAL.—Section 514(b)(2)(A) of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2321h(b)(2)(A)) is 
amended by striking ‘‘$200,000,000’’ and all that follows 
and inserting ‘‘$500,000,000 for any of the fiscal years 
2023, 2024, or 2025.’’. 
(b) ESTABLISHMENT.—Subject to section 514 of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2321h), the 
President may establish a regional contingency stockpile for 
Taiwan that consists of munitions and other appropriate 
defense articles. 
(c) INCLUSION OF TAIWAN AMONG OTHER ALLIES EL-
IGIBLE FOR DEFENSE ARTICLES.—Chapter 2 of part II of 
the Foreign Assistance Act of 1961 (22 U.S.C. 2311 et seq.) 
is amended— 
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(1) in section 514(c)(2) (22 U.S.C. 2321h(c)(2)), 
by inserting ‘‘Taiwan,’’ after ‘‘Thailand,’’; and 
(2) in section 516(c)(2) (22 U.S.C. 2321j(c)(2)), 
by inserting ‘‘to Taiwan,’’ after ‘‘major non-NATO 
allies on such southern and southeastern flank,’’. 
(d) ANNUAL BRIEFING.—Not later than 1 year after 
the date of enactment of this Act, and annually thereafter 
for 7 years, the President shall provide a briefing to the 
appropriate committees of Congress regarding the status of 
a regional contingency stockpile established under sub-
section (b). 
SEC. 5504. INTERNATIONAL MILITARY EDUCATION AND 
TRAINING COOPERATION WITH TAIWAN. 
(a) IN GENERAL.—The Secretary of State and the Sec-
retary of Defense shall establish or expand a comprehensive 
training program with Taiwan designed to— 
(1) enhance interoperability and capabilities for 
joint operations between the United States and Tai-
wan; 
(2) enhance rapport and deepen partnership be-
tween the militaries of the United States and Taiwan, 
and foster understanding of the United States among 
individuals in Taiwan; 
(3) improve Taiwan’s defense capabilities; and 
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(4) train future leaders of Taiwan, promote pro-
fessional military education, civilian control of the 
military, and protection of human rights. 
(b) ELEMENTS.—The training program required by 
subsection (a) should prioritize relevant and realistic train-
ing, including as necessary joint United States-Taiwan 
contingency tabletop exercises, war games, full-scale mili-
tary exercises, and an enduring rotational United States 
military presence that assists Taiwan in maintaining force 
readiness and utilizing United States defense articles and 
services transferred from the United States to Taiwan. 
(c) AUTHORIZATION OF PARTICIPATION OF TAIWAN IN 
THE INTERNATIONAL MILITARY EDUCATION AND TRAINING 
PROGRAM.—The Secretary of State is authorized to provide 
training and education to relevant entities in Taiwan 
through the International Military Education and Train-
ing program authorized under chapter 5 of part II of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2347 et seq). 
SEC. 5505. ADDITIONAL AUTHORITIES TO SUPPORT TAI-
WAN. 
(a) DRAWDOWN AUTHORITY.—Section 506(a) of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2318(a)) is 
amended by adding at the end the following paragraph: 
‘‘(3) In addition to amounts already specified in this 
section, the President may direct the drawdown of defense 
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articles from the stocks of the Department of Defense, de-
fense services of the Department of Defense, and military 
education and training, of an aggregate value of not to ex-
ceed $1,000,000,000 per fiscal year, to be provided to Tai-
wan.’’. 
(b) EMERGENCY AUTHORITY.—Section 552(c) of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2348a(c)) is 
amended by adding at the end the following: ‘‘In addition 
to the aggregate value of $25,000,000 authorized in para-
graph (2) of the preceding sentence, the President may di-
rect the drawdown of commodities and services from the in-
ventory and resources of any agency of the United States 
Government for the purposes of providing necessary and 
immediate assistance to Taiwan of a value not to exceed 
$25,000,000 in any fiscal year.’’. 
(c) USE OF SPECIAL DEFENSE ACQUISITION FUND.— 
The Secretary of Defense, in consultation with the Secretary 
of State, shall seek to utilize the Special Defense Acquisition 
Fund established under chapter 5 of the Arms Export Con-
trol Act (22 U.S.C. 2795 et seq.) to expedite the procurement 
and delivery of defense articles and defense services for the 
purpose of assisting and supporting the armed forces of Tai-
wan. 
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SEC. 5506. MULTI-YEAR PLAN TO FULFILL DEFENSIVE RE-
QUIREMENTS OF MILITARY FORCES OF TAI-
WAN. 
(a) MULTI-YEAR PLAN.—Not later than 180 days after 
the date of the enactment of this Act, the Secretary of De-
fense and the Secretary of State, in consultation with the 
Director of National Intelligence, shall engage for the pur-
poses of establishing a joint consultative mechanism with 
appropriate officials of Taiwan to develop and implement 
a multi-year plan to provide for the acquisition of appro-
priate defensive capabilities by Taiwan and to engage with 
Taiwan in a series of combined training, exercises, and 
planning activities consistent with the Taiwan Relations 
Act (Public Law 96–8; 22 U.S.C. 3301 et seq.). 
(b) ELEMENTS.—The plan required by subsection (a) 
shall include the following: 
(1) An identification of the defensive military 
capability gaps and capacity shortfalls of Taiwan 
that are required to— 
(A) allow Taiwan to respond effectively to 
aggression by the People’s Liberation Army or 
other actors from the People’s Republic of China; 
and 
(B) advance a strategy of denial, reduce the 
threat of conflict, thwart an invasion, and miti-
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(A) the Foreign Military Financing, For-
eign Military Sales, and Direct Commercial 
Sales programs of the Department of State; 
(B) Department of Defense security assist-
ance authorized by chapter 16 of title 10, United 
States Code; 
(C) Department of State training and edu-
cation programs authorized by chapter 5 of part 
II of the Foreign Assistance Act of 1961 (22 
U.S.C. 2347 et seq.); 
(D) section 506 of the Foreign Assistance 
Act of 1961 (22 U.S.C. 2318); 
(E) the provision of excess defense articles 
pursuant to the requirements of the Arms Export 
Control Act (22 U.S.C. 2751 et seq.); or 
(F) any other authority available to the 
Secretary of Defense or the Secretary of State. 
(7) A description of United States or Taiwan en-
gagement with other countries that could assist in ad-
dressing in a sufficient and timely manner the capa-
bility gaps and capacity shortfalls identified pursu-
ant to paragraph (1). 
(8) An identification of opportunities to build 
interoperability, combined readiness, joint planning 
capability, and shared situational awareness between 
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the United States, Taiwan, and other foreign partners 
and allies, as appropriate, through combined train-
ing, exercises, and planning events, including— 
(A) table-top exercises and wargames that 
allow operational commands to improve joint 
and combined planning for contingencies involv-
ing a well-equipped adversary in a counter- 
intervention campaign; 
(B) joint and combined exercises that test 
the feasibility of counter-intervention strategies, 
develop interoperability across services, and de-
velop the lethality and survivability of combined 
forces against a well-equipped adversary; 
(C) logistics exercises that test the feasibility 
of expeditionary logistics in an extended cam-
paign with a well-equipped adversary; 
(D) service-to-service exercise programs that 
build functional mission skills for addressing 
challenges posed by a well-equipped adversary in 
a counter-intervention campaign; and 
(E) any other combined training, exercises, 
or planning with Taiwan’s military forces that 
the Secretary of Defense and Secretary of State 
consider relevant. 
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(9) An identification of options for the United 
States to use, to the maximum extent practicable, ex-
isting authorities or programs to expedite military 
assistance to Taiwan in the event of a crisis or con-
flict, including— 
(A) a list of defense articles of the United 
States that may be transferred to Taiwan during 
a crisis or conflict; 
(B) a list of authorities that may be used 
to provide expedited military assistance to Tai-
wan during a crisis or conflict; 
(C) an assessment of methods that could be 
used to deliver such assistance to Taiwan during 
a crisis or conflict, including— 
(i) the feasibility of employing such 
methods in different scenarios; and 
(ii) recommendations for improving 
the ability of the Armed Forces to deliver 
such assistance to Taiwan; and 
(D) an assessment of any challenges in pro-
viding such assistance to Taiwan in the event of 
a crisis or conflict and recommendations for ad-
dressing such challenges. 
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(c) RECURRENCE.—The joint consultative mechanism 
required in subsection (a) shall convene on a recurring basis 
and not less than annually. 
SEC. 5507. FAST-TRACKING SALES TO TAIWAN UNDER FOR-
EIGN MILITARY SALES PROGRAM. 
(a) PRECLEARANCE OF CERTAIN FOREIGN MILITARY 
SALES ITEMS.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, and annually 
thereafter, the Secretary of State, in coordination 
with the Secretary of Defense, and in conjunction 
with coordinating entities such as the National Dis-
closure Policy Committee, the Arms Transfer and 
Technology Release Senior Steering Group, and other 
appropriate entities, shall compile a list of available 
and emerging military platforms, technologies, and 
equipment that are pre-cleared and prioritized for 
sale and release to Taiwan through the Foreign Mili-
tary Sales program. 
(2) RULES OF CONSTRUCTION.— 
(A) SELECTION OF ITEMS.—The list com-
piled pursuant to paragraph (1) shall not be 
construed as limiting the type, timing, or quan-
tity of items that may be requested by, or sold 
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to, Taiwan under the Foreign Military Sales 
program. 
(B) NOTIFICATIONS REQUIRED.—Nothing in 
this Act may be construed to supersede congres-
sional notification requirements under the Arms 
Export Control Act (22 U.S.C. 2751 et. seq.). 
(b) PRIORITIZED PROCESSING OF FOREIGN MILITARY 
SALES REQUESTS FROM TAIWAN.— 
(1) REQUIREMENT.—The Secretary of State and 
the Secretary of Defense shall prioritize and expedite 
the processing of requests from Taiwan under the For-
eign Military Sales program, and may not delay the 
processing of requests for bundling purposes. 
(2) DURATION.—The requirement under para-
graph (1) shall continue until the Secretary of State 
determines and certifies to the Committee on Foreign 
Relations of the Senate and the Committee on Foreign 
Affairs of the House of Representatives that the threat 
to Taiwan has significantly abated. 
(c) INTERAGENCY POLICY.—The Secretary of State 
and the Secretary of Defense shall jointly review and update 
interagency policies and implementation guidance related 
to Foreign Military Sales requests from Taiwan, including 
incorporating the preclearance provisions of this section. 
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SEC. 5508. ARMS EXPORTS DELIVERY SOLUTIONS FOR TAI-
WAN AND UNITED STATES ALLIES IN THE 
INDO-PACIFIC. 
(a) APPROPRIATE COMMITTEES OF CONGRESS DE-
FINED.—In this section, the term ‘‘appropriate committees 
of Congress’’ means— 
(1) the Committee on Foreign Relations and the 
Committee on Armed Services of the Senate; and 
(2) the Committee on Foreign Affairs and the 
Committee on Armed Services of the House of Rep-
resentatives. 
(b) REPORT REQUIRED.—Not later than March 1, 
2023, and annually thereafter for a period of 5 years, the 
Secretary of State, in coordination with the Secretary of 
Defense, shall transmit to the appropriate committees of 
Congress a report with respect to the transfer of all defense 
articles or defense services that have yet to be completed 
pursuant to the authorities provided by— 
(1) section 3, 21, or 36 of the Arms Export Con-
trol Act (22 U.S.C. 2753, 2761, or 2776); or 
(2) section 516(c)(2) of the Foreign Assistance 
Act of 1961 (22 U.S.C. 2321j(c)(2)). 
(c) ELEMENTS.—The report required by subsection (b) 
shall include the following elements: 
(1) A list of all approved transfers of defense ar-
ticles and services authorized by Congress pursuant to 
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sections 25 and 36 of the Arms Export Control Act 
(22 U.S.C. 2765, 2776) with a total value of 
$25,000,000 or more, to Taiwan, Japan, South 
Korea, Australia, the Philippines, Thailand, or New 
Zealand, that have not been fully delivered by the 
start of the fiscal year in which the report is being 
submitted. 
(2) The estimated start and end dates of delivery 
for each approved and incomplete transfer listed pur-
suant to paragraph (1), including additional details 
and dates for any transfers that involve multiple 
tranches of deliveries. 
(3) With respect to each approved and incom-
plete transfer listed pursuant to paragraph (1), a de-
tailed description of— 
(A) any changes in the delivery dates of de-
fense articles or services relative to the dates an-
ticipated at the time of congressional approval of 
the transfer, including specific reasons for any 
delays related to the United States Government, 
defense suppliers, or a foreign partner; 
(B) the feasibility and advisability of pro-
viding the partner subject to such delayed deliv-
ery with an interim capability or solution, in-
cluding drawing from United States stocks, and 
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the mechanisms under consideration for doing so 
as well as any challenges to implementing such 
a capability or solution; 
(C) authorities, appropriations, or waiver 
requests that Congress could provide to improve 
delivery timelines or authorize the provision of 
interim capabilities or solutions identified pur-
suant to subparagraph (B); and 
(D) a description of which countries are 
ahead of Taiwan for delivery of each item listed 
pursuant to paragraph (1). 
(4) A description of ongoing interagency efforts 
to support attainment of operational capability of the 
corresponding defense articles and services once deliv-
ered, including advance training with United States 
or armed forces of partner countries on the systems to 
be received. The description of any such training shall 
also include an identification of the training imple-
menter. 
(5) If a transfer listed pursuant to paragraph 
(1) has been terminated prior to the date of the sub-
mission of the report for any reason— 
(A) the case information for such transfer, 
including the date of congressional notification, 
delivery date of the Letter of Offer and Accept-
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ance (LOA), final signature of the LOA, and in-
formation pertaining to delays in delivering 
LOAs for signature; 
(B) a description of the reasons for which 
the transfer is no longer in effect; and 
(C) the impact this termination will have 
on the intended end-user and the consequent im-
plications for regional security, including the 
impact on deterrence of military action by coun-
tries hostile to the United States, the military 
balance in the Taiwan Strait, and other factors. 
(6) A separate description of the actions the 
United States is taking to expedite and prioritize de-
liveries of defense articles and services to Taiwan, in-
cluding— 
(A) a description of what actions the De-
partment of State and the Department of Defense 
have taken or are planning to take to prioritize 
Taiwan’s Foreign Military Sales cases; 
(B) current procedures or mechanisms for 
determining that a Foreign Military Sales case 
for Taiwan should be prioritized above a sale to 
another country of the same or similar item; and 
(C) whether the United States intends to di-
vert defense articles from United States stocks to 
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provide an interim capability or solution with 
respect to any delayed deliveries to Taiwan and 
the plan, if applicable, to replenish any such di-
verted stocks. 
(7) A description of other actions already under-
taken by or currently under consideration by the De-
partment of State and the Department of Defense to 
improve delivery timelines for the transfers listed pur-
suant to paragraph (1). 
(d) FORM.—The report required by subsection (b) shall 
be submitted in unclassified form but may include a classi-
fied annex. 
SEC. 5509. ASSESSMENT OF TAIWAN’S NEEDS FOR CIVILIAN 
DEFENSE AND RESILIENCE. 
(a) ASSESSMENT REQUIRED.—Not later than 120 
days after the date of enactment of this Act, the Secretary 
of State and the Secretary of Defense, in coordination with 
the Director of National Intelligence, shall submit a written 
assessment, with a classified annex, of Taiwan’s needs in 
the areas of civilian defense and resilience to— 
(1) the Committee on Foreign Relations, the 
Committee on Armed Services, and Select Committee 
on Intelligence of the Senate; and 
(2) the Committee on Foreign Affairs, the Com-
mittee on Armed Services, and the Permanent Select 
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Committee on Intelligence of the House of Representa-
tives. 
(b) MATTERS TO BE INCLUDED.—The assessment re-
quired under subsection (a) shall— 
(1) analyze the potential role of Taiwan’s public 
and civilian assets in defending against various sce-
narios for foreign militaries to coerce or conduct mili-
tary aggression against Taiwan; 
(2) carefully analyze Taiwan’s needs for enhanc-
ing its defensive capabilities through the support of 
civilians and civilian sectors, including— 
(A) greater utilization of Taiwan’s high 
tech labor force; 
(B) the creation of clear structures and lo-
gistics support for civilian defense role alloca-
tion; 
(C) recruitment and skills training for Tai-
wan’s defense and civilian sectors; and 
(D) other defense needs and considerations 
at the provincial, city, and neighborhood levels; 
(3) analyze Taiwan’s needs for enhancing resil-
iency among its people and in key economic sectors; 
(4) identify opportunities for Taiwan to enhance 
communications at all levels to strengthen trust and 
understanding between the military, other government 
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