(D) establish a process to fund necessary 
home modifications so that individuals with 
LTSS disabilities can live independently; and 
(E) ensure, and assure the Administrator 
and the Attorney General, that funds and pro-
grams implemented or overseen by the public 
entity or in the public entity’s jurisdiction are 
targeted toward affordable, accessible, inte-
grated housing for individuals with an LTSS 
disability who have the lowest income levels in 
the jurisdiction as a priority over any other de-
velopment until capacity barriers for such hous-
ing are removed or unmet needs for such hous-
ing have been met. 
(7) 
DESIGNATION
OF
RESPONSIBLE
EM-
PLOYEE.—The regulations issued under this section 
shall require each public entity and LTSS insurance 
provider to designate at least one employee to co-
ordinate the entity’s or provider’s efforts to comply 
with and carry out the entity or provider’s respon-
sibilities under this Act, including the investigation 
of any complaint communicated to the entity or pro-
vider that alleges a violation of this Act. Each public 
entity and LTSS insurance provider shall make 
available to all interested individuals the name, of-
VerDate Sep 11 2014 
20:34 May 19, 2017
Jkt 069200
PO 00000
Frm 00031
Fmt 6652
Sfmt 6201
E:\BILLS\H2472.IH
H2472
sradovich on DSK3GMQ082PROD with BILLS
fice address, and telephone number of the employee 
designated pursuant to this paragraph. 
(8) GRIEVANCE PROCEDURES.—The regulations 
issued under this section shall require public entities 
and LTSS insurance providers to adopt and publish 
grievance procedures providing for prompt and equi-
table resolution of complaints alleging a violation of 
this Act. 
(9) PROVISION OF SERVICE BY OTHERS.—The 
regulations issued under this section shall require 
each public entity submitting a self-evaluation under 
paragraph (5) to identify, as part of the transition 
plan described in paragraph (10), any other entity 
that is, or acts as, an agent, subcontractor, or other 
instrumentality of the public entity with regards to 
a service, support, policy, or practice described in 
such plan or self-evaluation. 
(10) TRANSITION
PLANS.—The regulations 
issued under this section shall require each public 
entity, not later than 42 months after the date of 
enactment of this Act, to submit to the Adminis-
trator, and begin implementing, a transition plan for 
carrying out this Act that establishes the achieve-
ment of the requirements of this Act, as soon as 
practicable, but in no event later than 12 years after 
VerDate Sep 11 2014 
20:34 May 19, 2017
Jkt 069200
PO 00000
Frm 00032
Fmt 6652
Sfmt 6201
E:\BILLS\H2472.IH
H2472
sradovich on DSK3GMQ082PROD with BILLS
the date of enactment of this Act. The transition 
plan shall— 
(A) establish measurable objectives to ad-
dress the barriers to community living identified 
in the self-evaluation under paragraph (5); 
(B) establish specific annual targets for 
the transition of individuals with LTSS disabil-
ities, and shifts in funding, from institutional 
settings to integrated community-based services 
and supports, and related programs; and 
(C) describe the manner in which the pub-
lic entity has obtained or plans to obtain nec-
essary funding and resources needed for imple-
mentation of the plan (regardless of whether 
the entity began carrying out the objectives of 
this Act prior to the date of enactment of this 
Act). 
(11) ANNUAL REPORTING.— 
(A) IN GENERAL.—The regulations issued 
under this section shall establish annual report-
ing requirements for each public entity covered 
by this section. 
(B) PROGRESS ON OBJECTIVES AND TAR-
GETS.—The regulations issued under this sec-
tion shall require each public entity that has 
VerDate Sep 11 2014 
20:34 May 19, 2017
Jkt 069200
PO 00000
Frm 00033
Fmt 6652
Sfmt 6201
E:\BILLS\H2472.IH
H2472
sradovich on DSK3GMQ082PROD with BILLS
submitted a transition plan to submit to the 
Administrator an annual report on the progress 
the public entity has made during the previous 
year in meeting the measurable objectives and 
specific annual targets described in subpara-
graphs (A) and (B) of paragraph (10). 
(12) OTHER
PROVISIONS.—The regulations 
issued under this section shall include such other 
provisions and requirements as the Attorney General 
and the Secretary of Health and Human Services 
determine are necessary to carry out the objectives 
of this Act. 
(c) REVIEW OF TRANSITION PLANS.— 
(1) GENERAL RULE.—The Administrator shall 
review a transition plan submitted in accordance 
with subsection (b)(10) for the purpose of deter-
mining whether such plan meets the requirements of 
this Act, including the regulations issued under this 
section. 
(2) DISAPPROVAL.—If the Administrator deter-
mines that a transition plan reviewed under this 
subsection fails to meet the requirements of this Act, 
the Administrator shall disapprove the transition 
plan and notify the public entity that submitted the 
VerDate Sep 11 2014 
20:34 May 19, 2017
Jkt 069200
PO 00000
Frm 00034
Fmt 6652
Sfmt 6201
E:\BILLS\H2472.IH
H2472
sradovich on DSK3GMQ082PROD with BILLS
transition plan of, and the reasons for, such dis-
approval. 
(3) MODIFICATION OF DISAPPROVED PLAN.— 
Not later than 90 days after the date of disapproval 
of a transition plan under this subsection, the public 
entity that submitted the transition plan shall mod-
ify the transition plan to meet the requirements of 
this section and shall submit to the Administrator, 
and commence implementation of, such modified 
transition plan. 
(4) INCENTIVES.— 
(A) DETERMINATION.—For 10 years after 
the issuance of the regulations described in sub-
section (a), the Secretary of Health and Human 
Services shall annually determine whether each 
State, or each other public entity in the State, 
is complying with the transition plan or modi-
fied transition plan the State or other public 
entity submitted, and obtained approval for, 
under this section. Notwithstanding any other 
provision of law, if the Secretary of Health and 
Human Services determines under this subpara-
graph that the State or other public entity is 
complying with the corresponding transition 
VerDate Sep 11 2014 
20:34 May 19, 2017
Jkt 069200
PO 00000
Frm 00035
Fmt 6652
Sfmt 6201
E:\BILLS\H2472.IH
H2472
sradovich on DSK3GMQ082PROD with BILLS