H. R. 7776—867 
‘‘(B) increase the ability of individuals with disabilities 
to secure and maintain possession of assistive technology 
devices as such individuals make the transition between 
services offered by educational or human service agencies 
or between settings of daily living (for example, between 
home and work); 
‘‘(C) increase the capacity of public agencies and private 
entities to provide and pay for assistive technology devices 
and assistive technology services on a statewide basis for 
individuals with disabilities; 
‘‘(D) increase the involvement of individuals with 
disabilities and, if appropriate, their family members, 
guardians, advocates, and authorized representatives, in 
decisions related to the provision of assistive technology 
devices and assistive technology services; 
‘‘(E) increase and promote coordination among and 
between State and local agencies and private entities (such 
as managed care providers), that are involved in carrying 
out activities under this Act; 
‘‘(F) increase the awareness and facilitate the change 
of laws, regulations, policies, practices, procedures, and 
organizational structures that facilitate the availability or 
provision of assistive technology devices and assistive tech-
nology services; and 
‘‘(G) increase awareness and knowledge of the benefits 
of assistive technology devices and assistive technology 
services among targeted individuals and entities and the 
general population; and 
‘‘(2) to provide States and protection and advocacy systems 
with financial assistance that supports programs designed to 
maximize the ability of individuals with disabilities and their 
family members, guardians, advocates, and authorized rep-
resentatives to obtain assistive technology devices and assistive 
technology services. 
‘‘SEC. 3. DEFINITIONS. 
‘‘In this Act: 
‘‘(1) ADULT SERVICE PROGRAM.—The term ‘adult service pro-
gram’ means a program that provides services to, or is otherwise 
substantially involved with the major life functions of, individ-
uals with disabilities. Such term includes— 
‘‘(A) a program providing residential, supportive, or 
employment-related services, to individuals with disabil-
ities; 
‘‘(B) a program carried out by a center for independent 
living, such as a center described in part C of title VII 
of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.); 
‘‘(C) a program carried out by an employment support 
agency connected to adult vocational rehabilitation, such 
as a one-stop partner, as defined in section 3 of the 
Workforce Innovation and Opportunity Act (29 U.S.C. 
3102); and 
‘‘(D) a program carried out by another organization 
or vender licensed or registered by the designated State 
agency, as defined in section 7 of the Rehabilitation Act 
of 1973 (29 U.S.C. 705).
H. R. 7776—868 
‘‘(2) AMERICAN INDIAN CONSORTIUM.—The term ‘American 
Indian consortium’ means an entity that is an American Indian 
Consortium (as defined in section 102 of the Developmental 
Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C. 
15002)), and that is established to provide protection and 
advocacy services for purposes of receiving funding under sub-
title C of title I of such Act (42 U.S.C. 15041 et seq.). 
‘‘(3) ASSISTIVE
TECHNOLOGY.—The term ‘assistive tech-
nology’ means technology designed to be utilized in an assistive 
technology device or assistive technology service. 
‘‘(4) ASSISTIVE TECHNOLOGY DEVICE.—The term ‘assistive 
technology device’ means any item, piece of equipment, or 
product system, whether acquired commercially, modified, or 
customized, that is used to increase, maintain, or improve 
functional capabilities of individuals with disabilities. 
‘‘(5) ASSISTIVE TECHNOLOGY SERVICE.—The term ‘assistive 
technology service’ means any service that directly assists an 
individual with a disability in the selection, acquisition, or 
use of an assistive technology device. Such term includes— 
‘‘(A) the evaluation of the assistive technology needs 
of an individual with a disability, including a functional 
evaluation of the impact of the provision of appropriate 
assistive technology devices and services to the individual 
in the customary environment of the individual; 
‘‘(B) a service consisting of purchasing, leasing, or 
otherwise providing for the acquisition of assistive tech-
nology devices by individuals with disabilities; 
‘‘(C) a service consisting of selecting, designing, fitting, 
customizing, adapting, applying, maintaining, repairing, 
replacing, or donating assistive technology devices; 
‘‘(D) coordination and use of necessary therapies, inter-
ventions, or services with assistive technology devices, such 
as therapies, interventions, or services associated with edu-
cation and rehabilitation plans and programs; 
‘‘(E) instruction or technical assistance for an indi-
vidual with a disability or, where appropriate, the family 
members, guardians, advocates, or authorized representa-
tives of such an individual; 
‘‘(F) instruction or technical assistance for professionals 
(including individuals providing education and rehabilita-
tion services and entities that manufacture or sell assistive 
technology devices), employers, providers of employment 
and training services, or other individuals who provide 
services to, employ, or are otherwise substantially involved 
in the major life functions of individuals with disabilities; 
and 
‘‘(G) a service consisting of expanding the availability 
of access to technology, including electronic and information 
technology, to individuals with disabilities. 
‘‘(6) CAPACITY BUILDING AND ADVOCACY ACTIVITIES.—The 
term ‘capacity building and advocacy activities’ means efforts 
that— 
‘‘(A) result in laws, regulations, policies, practices, 
procedures, or organizational structures that promote con-
sumer-responsive programs or entities; and
H. R. 7776—869 
‘‘(B) facilitate and increase access to, provision of, and 
funding for assistive technology devices and assistive tech-
nology services, in order to empower individuals with 
disabilities to achieve greater independence, productivity, 
and integration and inclusion within the community and 
the workforce. 
‘‘(7) COMPREHENSIVE STATEWIDE PROGRAM OF TECHNOLOGY- 
RELATED ASSISTANCE.—The term ‘comprehensive statewide pro-
gram of technology-related assistance’ means a consumer- 
responsive program of technology-related assistance for individ-
uals with disabilities that— 
‘‘(A) is implemented by a State; 
‘‘(B) is equally available to all individuals with disabil-
ities residing in the State, regardless of their type of dis-
ability, age, income level, or location of residence in the 
State, or the type of assistive technology device or assistive 
technology service required; and 
‘‘(C) incorporates all the activities described in section 
4(e) (unless excluded pursuant to section 4(e)(5)). 
‘‘(8) CONSUMER-RESPONSIVE.—The term ‘consumer-respon-
sive’— 
‘‘(A) with regard to policies, means that the policies 
are consistent with the principles of— 
‘‘(i) respect for individual dignity, personal respon-
sibility, self-determination, and pursuit of meaningful 
careers, based on informed choice, of individuals with 
disabilities; 
‘‘(ii) respect for the privacy, rights, and equal 
access (including the use of accessible formats) of such 
individuals; 
‘‘(iii) inclusion, integration, and full participation 
of such individuals in society; 
‘‘(iv) support for the involvement in decisions of 
a family member, a guardian, an advocate, or an 
authorized representative, if an individual with a dis-
ability requests, desires, or needs such involvement; 
and 
‘‘(v) support for individual and systems advocacy 
and community involvement; and 
‘‘(B) with respect to an entity, program, or activity, 
means that the entity, program, or activity— 
‘‘(i) is easily accessible to, and usable by, individ-
uals with disabilities and, when appropriate, their 
family members, guardians, advocates, or authorized 
representatives; 
‘‘(ii) responds to the needs of individuals with 
disabilities in a timely and appropriate manner; and 
‘‘(iii) facilitates the full and meaningful participa-
tion of individuals with disabilities and their family 
members, guardians, advocates, and authorized rep-
resentatives, in— 
‘‘(I) decisions relating to the provision of 
assistive technology devices and assistive tech-
nology services to such individuals; and 
‘‘(II) decisions related to the maintenance, 
improvement, and evaluation of the comprehensive
H. R. 7776—870 
statewide program of technology-related assist-
ance, including decisions that affect capacity 
building and advocacy activities. 
‘‘(9) DISABILITY.—The term ‘disability’ has the meaning 
given the term under section 3 of the Americans with Disabil-
ities Act of 1990 (42 U.S.C. 12102). 
‘‘(10) INDIVIDUAL WITH A DISABILITY.—The term ‘individual 
with a disability’ means any individual— 
‘‘(A) who has a disability; and 
‘‘(B) who is or would be enabled by an assistive tech-
nology device or an assistive technology service to minimize 
deterioration in functioning, to maintain a level of func-
tioning, or to achieve a greater level of functioning in 
any major life activity. 
‘‘(11) INSTITUTION
OF
HIGHER
EDUCATION.—The term 
‘institution of higher education’ has the meaning given such 
term in section 101(a) of the Higher Education Act of 1965 
(20 U.S.C. 1001(a)), and includes a community college receiving 
funding under the Tribally Controlled Colleges and Universities 
Assistance Act of 1978 (25 U.S.C. 1801 et seq.). 
‘‘(12) PROTECTION
AND
ADVOCACY
SERVICES.—The term 
‘protection and advocacy services’ means services that— 
‘‘(A) are described in subtitle C of title I of the Develop-
mental Disabilities Assistance and Bill of Rights Act of 
2000 (42 U.S.C. 15041 et seq.), the Protection and Advocacy 
for Individuals with Mental Illness Act (42 U.S.C. 10801 
et seq.), or section 509 of the Rehabilitation Act of 1973 
(29 U.S.C. 794e); and 
‘‘(B) assist individuals with disabilities with respect 
to assistive technology devices and assistive technology 
services. 
‘‘(13) SECRETARY.—The term ‘Secretary’ means the Sec-
retary of Health and Human Services, acting through the 
Administrator of the Administration for Community Living. 
‘‘(14) STATE.— 
‘‘(A) IN GENERAL.—Except as provided in subparagraph 
(B), the term ‘State’ means each of the 50 States of the 
United States, the District of Columbia, the Commonwealth 
of Puerto Rico, the United States Virgin Islands, Guam, 
American Samoa, and the Commonwealth of the Northern 
Mariana Islands. 
‘‘(B) OUTLYING AREAS.—In section 4(b): 
‘‘(i) OUTLYING
AREA.—The term ‘outlying area’ 
means the United States Virgin Islands, Guam, Amer-
ican Samoa, and the Commonwealth of the Northern 
Mariana Islands. 
‘‘(ii) STATE.—The term ‘State’ does not include the 
United States Virgin Islands, Guam, American Samoa, 
and the Commonwealth of the Northern Mariana 
Islands. 
‘‘(15) STATE ASSISTIVE TECHNOLOGY PROGRAM.—The term 
‘State assistive technology program’ means a program author-
ized under section 4. 
‘‘(16) TARGETED INDIVIDUALS AND ENTITIES.—The term ‘tar-
geted individuals and entities’ means— 
‘‘(A) individuals with disabilities and their family mem-
bers, guardians, advocates, and authorized representatives;
H. R. 7776—871 
‘‘(B) underrepresented populations; 
‘‘(C) individuals who work for public or private entities 
(including centers for independent living described in part 
C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 
796f et seq.), insurers, or managed care providers) that 
have contact with, or provide services to, individuals with 
disabilities; 
‘‘(D) educators and related services personnel, including 
personnel in elementary, secondary, and postsecondary 
schools, and in vocational and early intervention programs; 
‘‘(E) technology experts (including web designers and 
procurement officials); 
‘‘(F) health, allied health, and rehabilitation profes-
sionals, and employees of hospitals, skilled nursing, inter-
mediate care, and assisted living facilities (including dis-
charge planners); 
‘‘(G) employers, especially small business employers, 
and providers of employment and training services; 
‘‘(H) entities that manufacture or sell assistive tech-
nology devices; 
‘‘(I) entities that carry out community programs 
designed to develop essential community services in rural 
and urban areas; and 
‘‘(J) 
other 
appropriate 
individuals 
and 
entities, 
including public and private entities involved in housing 
and transportation, as determined for a State by the State. 
‘‘(17) UNDERREPRESENTED POPULATION.—The term ‘under-
represented population’ means a population that is typically 
underrepresented in service provision, and includes populations 
such as individuals who have low-incidence disabilities, racial 
and ethnic minorities, low income individuals, homeless individ-
uals (including children and youth), children in foster care, 
individuals with limited English proficiency, individuals living 
in institutions seeking to transition to the community from 
institutional settings, youth with disabilities aging into adult-
hood, older individuals, or individuals living in rural areas. 
‘‘(18) UNIVERSAL
DESIGN.—The term ‘universal design’ 
means a concept or philosophy for designing and delivering 
products and services that are usable by people with the widest 
possible range of functional capabilities, which include products 
and services that are directly accessible (without requiring 
assistive technologies) and products and services that are inter-
operable with assistive technologies. 
‘‘SEC. 4. GRANTS FOR STATE ASSISTIVE TECHNOLOGY PROGRAMS. 
‘‘(a) GRANTS TO STATES.—The Secretary shall award grants 
under subsection (b) to States to maintain a comprehensive state-
wide program of assistive technology-related assistance described 
in subsection (e) through State assistive technology programs that 
are designed to— 
‘‘(1) maximize the ability of individuals with disabilities 
across the human lifespan and across the wide array of disabil-
ities, and their family members, guardians, advocates, and 
authorized representatives, to obtain assistive technology; and 
‘‘(2) increase access to assistive technology. 
‘‘(b) AMOUNT OF FINANCIAL ASSISTANCE.—
H. R. 7776—874 
related assistance among public and private enti-
ties, including coordinating efforts related to 
entering 
into 
interagency 
agreements 
and 
maintaining and evaluating the program; and 
‘‘(III) coordinating efforts, in a way that 
acknowledges the demographic characteristics of 
individuals, related to the active, timely, and 
meaningful participation by individuals with 
disabilities and their family members, guardians, 
advocates, or authorized representatives, and other 
appropriate individuals, with respect to activities 
carried out through the grant. 
‘‘(B) IMPLEMENTING ENTITY.—The Governor may des-
ignate an agency, office, or other entity to carry out State 
activities under this section (referred to in this section 
as the ‘implementing entity’), if such implementing entity 
is different from the lead agency. The implementing entity 
shall carry out responsibilities under this Act through a 
subcontract or another administrative agreement with the 
lead agency. 
‘‘(C) CHANGE IN AGENCY OR ENTITY.— 
‘‘(i) IN
GENERAL.—On obtaining the approval of 
the Secretary— 
‘‘(I) the Governor may redesignate the lead 
agency of a State, if the Governor shows to the 
Secretary, in accordance with subsection (d)(2)(B), 
good cause why the agency designated as the lead 
agency should not serve as that agency; and 
‘‘(II) the Governor may redesignate the imple-
menting entity of a State, if the Governor shows 
to the Secretary 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 agency or implementing entity of 
the State to an agency other than the lead agency 
or implementing entity of such State as of the date 
of enactment of the ‘21st Century Assistive Technology 
Act’. 
‘‘(2) ADVISORY COUNCIL.— 
‘‘(A) IN
GENERAL.—There shall be established 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, including setting the measurable goals described 
in subsection (d)(3)(C). 
‘‘(B) COMPOSITION AND REPRESENTATION.— 
‘‘(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 individuals; 
‘‘(II) a representative of the designated State 
agency, as defined in section 7 of the Rehabilitation 
Act of 1973 (29 U.S.C. 705);
H. R. 7776—875 
‘‘(III) a representative of the designated State 
agency for individuals who are blind or that pro-
vides assistance 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 described in subclause (II); 
‘‘(IV) a representative of a State center for 
independent living described in part C of title VII 
of the Rehabilitation Act of 1973 (29 U.S.C. 796f 
et seq.), or the Statewide Independent Living 
Council established under section 705 of such Act 
(29 U.S.C. 796d); 
‘‘(V) a representative of the State workforce 
development board established under section 101 
of the Workforce Innovation and Opportunity Act 
(29 U.S.C. 3111); 
‘‘(VI) a representative of the State educational 
agency, as defined in section 8101 of the 
Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7801); 
‘‘(VII) a representative of an alternative 
financing program for assistive technology if— 
‘‘(aa) there is an alternative financing pro-
gram for assistive technology in the State; 
‘‘(bb) such program is separate from the 
State assistive technology program supported 
under subsection (e)(2); and 
‘‘(cc) the program described in item (aa) 
is operated by a nonprofit entity; 
‘‘(VIII) a representative of 1 or more of— 
‘‘(aa) the agency responsible for admin-
istering the State Medicaid program under 
title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.); 
‘‘(bb) the designated State agency for pur-
poses of section 124 of the Developmental 
Disabilities Assistance and Bill of Rights Act 
of 2000 (42 U.S.C. 15024); 
‘‘(cc) the State agency designated under 
section 305(a)(1) of the Older Americans Act 
of 1965 (42 U.S.C. 3025(a)(1)), or an organiza-
tion that receives assistance under such Act 
(42 U.S.C. 3001 et seq.); 
‘‘(dd) an organization representing dis-
abled veterans; 
‘‘(ee) a University Center for Excellence 
in 
Developmental 
Disabilities 
Education, 
Research, and Service designated under sec-
tion 151(a) of the Developmental Disabilities 
Assistance and Bill of Rights Act of 2000 (42 
U.S.C. 15061(a)); 
‘‘(ff) the State protection and advocacy 
system established in accordance with section 
143 of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000 (42 U.S.C. 
15043); or
H. R. 7776—876 
‘‘(gg) the State Council on Developmental 
Disabilities established under section 125 of 
the Developmental Disabilities Assistance and 
Bill of Rights Act of 2000 (42 U.S.C. 15025); 
and 
‘‘(IX) representatives of other State agencies, 
public agencies, or private organizations, as deter-
mined by the State. 
‘‘(ii) MAJORITY.— 
‘‘(I) IN GENERAL.—Not less than 51 percent 
of the members of the advisory council shall be 
members appointed under clause (i)(I), a majority 
of whom shall be individuals with disabilities. 
‘‘(II) REPRESENTATIVES
OF
AGENCIES.—Mem-
bers appointed under subclauses (II) through (IX) 
of clause (i) shall not count toward the majority 
membership requirement established in subclause 
(I). 
‘‘(iii) REPRESENTATION.—The advisory council shall 
be geographically representative of the State and 
reflect the diversity of the State with respect to race, 
ethnicity, age, and types of disabilities, and users of 
types of services that an individual with a disability 
may receive, including home and community-based 
services (as defined in section 9817(a)(2) of the Amer-
ican Rescue Plan Act 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 advisory 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 perform-
ance of official duties for the advisory council. 
‘‘(D) IMPACT ON EXISTING STATUTES, RULES, OR POLI-
CIES.—Nothing in this paragraph 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 incorporated 
agencies that carry out State assistive technology pro-
grams. 
‘‘(d) APPLICATION.— 
‘‘(1) IN GENERAL.—Any State that desires to receive a grant 
under this section shall submit an application to the Secretary, 
at such time, in such manner, and containing such information 
as the Secretary may require. 
‘‘(2) LEAD AGENCY AND IMPLEMENTING ENTITY.— 
‘‘(A) IN GENERAL.—The application shall contain— 
‘‘(i) information identifying and describing the lead 
agency referred to in subsection (c)(1)(A); 
‘‘(ii) information identifying and describing the 
implementing entity referred to in subsection (c)(1)(B), 
if the Governor of the State designates such an entity; 
and
H. R. 7776—877 
‘‘(iii) a description of how individuals with disabil-
ities were involved in the development of the applica-
tion and will be involved in the implementation of 
the activities to be carried out through the grant and 
through the advisory council established in accordance 
with subsection (c)(2). 
‘‘(B) CHANGE
IN
LEAD
AGENCY
OR
IMPLEMENTING 
ENTITY.—In any case where— 
‘‘(i) the Governor requests to redesignate a lead 
agency, 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; or 
‘‘(ii) the Governor requests to redesignate an imple-
menting 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 described in subsection (e) (unless 
excluded by the State pursuant to subsection (e)(5)); 
‘‘(B) a description of how the State will allocate and 
utilize grant funds to implement the activities described 
in subparagraph (A), including describing proposed budget 
allocations and planned procedures for tracking expendi-
tures for the activities; 
‘‘(C) measurable goals, and a timeline for meeting the 
goals, that the State has set for addressing the assistive 
technology needs of individuals with disabilities in the 
State related to— 
‘‘(i) education, including goals involving the provi-
sion of assistive technology to individuals with disabil-
ities who receive services under the Individuals with 
Disabilities Education Act (20 U.S.C. 1400 et seq.); 
‘‘(ii) employment, including goals involving the 
State vocational rehabilitation program carried out 
under title I of the Rehabilitation 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 communication 
technology instruction for individuals with disabilities 
receiving assistive technology under this section; and 
‘‘(v) community living; 
‘‘(D) information describing how the State will quantifi-
ably measure the goals, in a manner consistent with the 
data submitted through the progress reports under sub-
section (f), to determine whether the goals have been 
achieved; and 
‘‘(E) a description of any activities described in sub-
section (e) that the State will support with State or other 
non-Federal funds.
H. R. 7776—878 
‘‘(4) INVOLVEMENT OF PUBLIC AND PRIVATE ENTITIES.—The 
application shall describe how various public and private enti-
ties, 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 meas-
ured described in paragraph (3)(D), and will be involved in 
the implementation of the activities to be carried out through 
the grant, including— 
‘‘(A) in cases determined to be appropriate by the State, 
a description of the nature and extent of resources that 
will be committed by public and private partners to assist 
in accomplishing identified goals; and 
‘‘(B) a description of the mechanisms established to 
ensure coordination of activities and collaboration between 
the implementing entity, if any, and the State. 
‘‘(5) ASSURANCES.—The application shall include assurances 
that— 
‘‘(A) the State will annually collect data related 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 sec-
tion; and 
‘‘(ii) will be used to supplement, and not supplant, 
funds available from other sources for technology- 
related assistance, including the provision of assistive 
technology devices and assistive technology services; 
‘‘(C) the lead agency will control and administer the 
funds received through the grant; 
‘‘(D) the State will adopt such fiscal control and 
accounting procedures as may be necessary to ensure 
proper disbursement of and accounting for the funds 
received through the grant; 
‘‘(E) the physical facility of the lead agency and imple-
menting entity, if any, meets the requirements of the 
Americans with Disabilities Act of 1990 (42 U.S.C. 12101 
et seq.) regarding accessibility for individuals with disabil-
ities; 
‘‘(F) a public agency or an individual with a disability 
holds title to any property purchased with funds received 
under the grant and administers that property; 
‘‘(G) activities carried out in the State that are author-
ized under this Act, and supported by Federal funds 
received under this Act, will comply with the standards 
established by the Architectural and Transportation Bar-
riers Compliance 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 
‘‘(ii) keep such records and allow access to such 
records as the Secretary may require to ensure the
H. R. 7776—880 
programs that provide for the exchange, repair, recycling, 
or other reutilization of assistive technology devices, 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 technology devices to individuals, employers, 
public agencies, or others seeking to meet the needs of 
targeted individuals and entities, including others 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 directly, or in 
collaboration with public and private entities, such 
as one-stop partners, as defined in section 3 of the 
Workforce Innovation and Opportunity Act (29 U.S.C. 
3102), demonstrate a variety of assistive technology 
devices and assistive technology services (including 
assisting individuals in making informed choices 
regarding, and providing experiences with, the devices 
and services), using personnel who are familiar with 
such devices and services and their applications. 
‘‘(ii) COMPREHENSIVE
INFORMATION.—The State 
shall directly, or through referrals, provide to individ-
uals, to the extent practicable, comprehensive informa-
tion about State and local assistive technology venders, 
providers, and repair services. 
‘‘(3) STATE LEADERSHIP ACTIVITIES.— 
‘‘(A) EDUCATIONAL ACTIVITIES AND TECHNICAL ASSIST-
ANCE.— 
‘‘(i) IN
GENERAL.—The State shall, directly 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 training 
materials, conduct educational activities, and provide 
technical 
assistance, 
for 
individuals 
statewide, 
including representatives of State and local educational 
agencies, State vocational rehabilitation programs, 
other State and local agencies, early intervention pro-
grams, adult service programs, hospitals and other 
health care facilities, institutions of higher education, 
and businesses. 
‘‘(ii) AUTHORIZED
ACTIVITIES.—In carrying out 
activities under clause (i), the State shall carry out 
activities that enhance the knowledge, skills, and com-
petencies of individuals from local settings described 
in such clause, which may include— 
‘‘(I) raising awareness and providing instruc-
tion on the benefits of assistive technology and 
the Federal, State, and private funding sources 
available to assist targeted individuals and entities 
in acquiring assistive technology;
H. R. 7776—881 
‘‘(II) skills development in assessing the need 
for assistive technology devices and assistive tech-
nology services; 
‘‘(III) instruction to ensure the appropriate 
application and use of assistive technology devices, 
assistive 
technology 
services, 
and 
accessible 
information and communication technology for e- 
government functions; 
‘‘(IV) instruction in the importance of multiple 
approaches to assessment and implementation nec-
essary to meet the individualized needs of individ-
uals with disabilities; and 
‘‘(V) 
technical 
instruction 
on 
integrating 
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 INDIVIDUALS WITH 
DISABILITIES.—The State shall (directly or through the 
provision of support to public or private entities) 
develop and disseminate educational materials, con-
duct educational activities, facilitate access to assistive 
technology, and provide technical assistance, to 
assist— 
‘‘(I) students with disabilities, within the 
meaning of the Individuals with Disabilities Edu-
cation Act (20 U.S.C. 1400 et seq.), that receive 
transition services; and 
‘‘(II) adults who are individuals with disabil-
ities 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 individuals and entities relating to the 
availability, benefits, appropriateness, and costs of 
assistive technology devices and assistive technology 
services, including— 
‘‘(I) the development of procedures for pro-
viding direct communication between providers of 
assistive technology and targeted individuals and 
entities, which may include partnerships with enti-
ties in the statewide and local workforce develop-
ment systems established under the Workforce 
Innovation and Opportunity Act (29 U.S.C. 3101 
et seq.), State vocational rehabilitation programs, 
public and private employers, centers for inde-
pendent living described in part C of title VII 
of the Rehabilitation Act of 1973 (29 U.S.C. 796f 
et seq.), Aging and Disability Resource 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 defined in section 
8101 of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 7801));
H. R. 7776—882 
‘‘(II) the development and dissemination, to 
targeted individuals and entities, of information 
about State efforts related to assistive technology; 
and 
‘‘(III) the distribution of materials to appro-
priate 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 public or private entities 
(including nonprofit organizations), provide for the 
continuation and enhancement of a statewide 
information and referral system designed to meet 
the needs of targeted individuals and entities. 
‘‘(II) CONTENT.—The system shall deliver 
information 
on 
assistive 
technology 
devices, 
assistive technology services (with specific data 
regarding provider availability within the State), 
and the availability of resources, including 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 assistive technology services with 
respect to enhancing the capacity of individuals 
with disabilities to perform activities of daily 
living. 
‘‘(C) COORDINATION AND COLLABORATION.—The State 
shall coordinate activities described in paragraph (2) and 
this paragraph, among public and private entities that 
are responsible for policies, procedures, or funding for the 
provision of assistive technology devices and assistive tech-
nology services to improve access to such devices and serv-
ices 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 assistive technology device for an 
individual with a disability. 
‘‘(B) FEDERAL PARTNER COLLABORATION.—In order to 
coordinate efforts regarding the availability of funding to 
access and acquire assistive technology through device dem-
onstration, loan, reuse, and State financing activities, a 
State receiving a grant under this section shall ensure 
that the lead agency or implementing entity is conducting 
outreach to and, as appropriate, collaborating with, other 
State agencies that receive Federal funding for assistive 
technology, including— 
‘‘(i) the State educational agency receiving assist-
ance under the Individuals with Disabilities Education 
Act (20 U.S.C. 1400 et seq.); 
‘‘(ii) the State vocational rehabilitation agency 
receiving assistance under title I of the Rehabilitation 
Act of 1973 (29 U.S.C. 720 et seq.);
H. R. 7776—883 
‘‘(iii) the agency responsible for administering the 
State Medicaid program under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.); 
‘‘(iv) the State agency receiving assistance 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 paragraph (1)(A) 
and subject to subparagraph (B), a State may use funds 
that the State receives under a grant awarded under this 
section to carry out any 2 or more of the activities described 
in paragraph (2). 
‘‘(B) 
SPECIAL
RULE.—Notwithstanding 
paragraph 
(1)(A), any State that exercises its authority under subpara-
graph (A)— 
‘‘(i) shall carry out each of the required activities 
described in paragraph (3); and 
‘‘(ii) shall use not more than 30 percent of the 
funds made available through the grant to carry out 
such activities. 
‘‘(6) ASSISTIVE TECHNOLOGY DEVICE DISPOSITION.—Notwith-
standing other equipment disposition policy under Federal law, 
an assistive technology device 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 disability in need of 
such device. 
‘‘(f) ANNUAL PROGRESS REPORTS.— 
‘‘(1) DATA COLLECTION.—Each State receiving a grant under 
this section shall participate in data collection as required 
by law, including data collection required for preparation of 
the reports described in paragraph (2). 
‘‘(2) REPORTS.— 
‘‘(A) IN GENERAL.—Each State shall prepare and submit 
to the Secretary an annual progress report on the activities 
carried out by the State in accordance with subsection 
(e), including activities funded by State or other non-Fed-
eral 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 col-
lected pursuant to this section. The report shall document, 
with respect to activities carried out under this section 
in the State— 
‘‘(i) the type of State financing activities 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 tech-
nology service financed through the State financing 
activities, and geographic distribution within the 
State), including—
H. R. 7776—884 
‘‘(I) the number of applications for assistance 
received; 
‘‘(II) the number of applications— 
‘‘(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 interest rate for 
the financing activities; 
‘‘(V) the range and average income of approved 
applicants for the financing activities; and 
‘‘(VI) the types and dollar amounts of assistive 
technology financed; 
‘‘(iii) the number, type, and length of time of loans 
of assistive technology devices provided to individuals 
with disabilities, employers, public agencies, or public 
accommodations through the device loan program 
described in subsection (e)(2)(C), and an analysis of 
the types of such devices provided through the pro-
gram, and how each device benefitted the individual 
who received such device; 
‘‘(iv) the number, type, estimated value, and scope 
of assistive technology devices exchanged, repaired, 
recycled, or reutilized (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 reutili-
zation program; 
‘‘(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 referrals; 
‘‘(vi)(I) the number and general characteristics of 
individuals who participated in educational activities 
under subsection (e)(3)(A) (such as individuals with 
disabilities, parents, educators, employers, providers 
of employment services, health care workers, coun-
selors, other service providers, or venders) and the 
topics of such educational activities; and 
‘‘(II) to the extent practicable, the geographic dis-
tribution of individuals who participated in the edu-
cational activities; 
‘‘(vii) the frequency of provision and nature of tech-
nical assistance provided to State and local agencies 
and other entities; 
‘‘(viii) the number of individuals assisted 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 result of activities funded 
under this section, including a description of any writ-
ten policies, practices, and procedures that the State 
has developed and implemented regarding access to,
H. R. 7776—885 
provision of, and funding for, assistive technology 
devices, and assistive technology services, in the con-
texts of education, health care, employment, commu-
nity living, and accessible information and communica-
tion technology, including e-government; 
‘‘(x) the source of leveraged funding or other 
contributed resources, including resources provided 
through subcontracts or other collaborative resource- 
sharing agreements, from and with public and private 
entities to carry out State activities described in sub-
section (e)(3)(C), the number of individuals served with 
the contributed resources for which information is not 
reported under clauses (i) through (ix) or clause (xi), 
and other outcomes accomplished 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 SERVICES 
RELATED TO ASSISTIVE TECHNOLOGY. 
‘‘(a) GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary shall make grants under 
subsection (b) to protection and advocacy systems in each State 
for the purpose of enabling such systems to assist in the acquisi-
tion, utilization, or maintenance of assistive technology devices 
or assistive technology services for individuals with disabilities. 
‘‘(2) GENERAL AUTHORITIES.—In providing the assistance 
described under paragraph (1), protection and advocacy systems 
shall have the same general authorities as the systems are 
afforded under subtitle C of title I of the Developmental Disabil-
ities Assistance and Bill of Rights Act of 2000 (42 U.S.C. 
15041 et seq.). 
‘‘(b) RESERVATION; DISTRIBUTION.— 
‘‘(1) RESERVATION.—For each fiscal year, the Secretary shall 
reserve, from the amounts made available to carry out this 
section under section 9(b)(2)(B), such sums as may be necessary 
to carry out paragraph (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. 
‘‘(3) MINIMUMS.—Subject to the availability of appropria-
tions 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 advocacy system 
located in American Samoa, Guam, the United States 
Virgin Islands, or the Commonwealth of the Northern Mar-
iana Islands, not be less than $30,000; and 
‘‘(B) in the case of a protection and advocacy system 
located in a State not described in subparagraph (A), not 
be less than $50,000.
H. R. 7776—886 
‘‘(4) PAYMENT
TO
THE
SYSTEM
SERVING
THE
AMERICAN 
INDIAN CONSORTIUM.— 
‘‘(A) IN GENERAL.—The Secretary shall make grants 
to the protection and advocacy system serving the American 
Indian consortium to provide services in accordance with 
this 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 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 subparagraphs 
(A) and (B) of paragraph (3) and paragraph (4)(B) by a percent-
age equal to the percentage increase in the total amount appro-
priated under section 9 to carry out this section for the pre-
ceding fiscal year and such total amount for the fiscal year 
for which the determination is being made. 
‘‘(c) DIRECT PAYMENT.—Notwithstanding any other provision 
of law, the Secretary shall pay directly to any protection and 
advocacy system that complies with this section, the total amount 
of the grant made for such 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 protection 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 generated from 
any amount paid to a protection and advocacy system for a 
fiscal year shall— 
‘‘(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 individ-
uals with disabilities about the accessibility of assistive 
technology and assist such individuals in the acquisition, 
utilization, or maintenance of assistive technology devices 
or assistive technology services. 
‘‘(e) REPORT TO SECRETARY.—A protection and advocacy 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 assistive technology devices and 
assistive technology services; 
‘‘(2) engaging in informal advocacy to assist in securing 
assistive technology devices and assistive technology services 
for individuals with disabilities; 
‘‘(3) engaging in formal representation for individuals with 
disabilities to secure systems change, and in advocacy activities
H. R. 7776—887 
to secure assistive technology devices and assistive technology 
services for individuals with disabilities; 
‘‘(4) developing and implementing strategies to enhance 
the long-term abilities of individuals with disabilities and their 
family members, guardians, advocates, and authorized rep-
resentatives to advocate the provision of assistive technology 
devices and assistive technology services to which the individ-
uals with disabilities are entitled under law other than this 
Act; 
‘‘(5) coordinating activities with protection and advocacy 
services funded through sources other than this Act, and coordi-
nating activities with the capacity building and advocacy activi-
ties carried out by the lead agency; and 
‘‘(6) effectively allocating funds made available under this 
section to improve the awareness of individuals with disabilities 
about the accessibility of assistive technology and assist such 
individuals in the acquisition, utilization, or maintenance of 
assistive technology devices or assistive technology services. 
‘‘(f) REPORTS AND UPDATES TO STATE AGENCIES.—A protection 
and advocacy system that receives a grant under this section shall 
prepare and submit to the lead agency of the State designated 
under section 4(c)(1) the report described in subsection (e) and 
quarterly updates concerning the activities described in such sub-
section. 
‘‘(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, collabora-
tion, 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 REPORTING 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 collection and 
data requirements. 
‘‘(2) QUALIFIED PROTECTION AND ADVOCACY SYSTEM TECH-
NICAL
ASSISTANCE
PROVIDER.—The term ‘qualified protection 
and advocacy system technical assistance provider’ means an 
entity that has experience in— 
‘‘(A) working with protection and advocacy systems 
established in accordance with section 143 of the Develop-
mental Disabilities Assistance and Bill of Rights Act of 
2000 (42 U.S.C. 15043); and 
‘‘(B) providing technical assistance to protection and 
advocacy agencies. 
‘‘(3) QUALIFIED
TECHNICAL
ASSISTANCE
PROVIDER.—The 
term ‘qualified technical assistance provider’ means an entity 
with demonstrated expertise in assistive technology and that 
has (directly or through grant or contract)—
H. R. 7776—888 
‘‘(A) experience and expertise in administering pro-
grams, including developing, implementing, and admin-
istering all of the activities described in section 4(e); and 
‘‘(B) documented experience in and knowledge about— 
‘‘(i) assistive technology device loan and dem-
onstration; 
‘‘(ii) assistive technology device reuse; 
‘‘(iii) financial loans and microlending, including 
the activities of alternative financing programs for 
assistive technology; and 
‘‘(iv) State leadership activities. 
‘‘(b) TECHNICAL ASSISTANCE AND DATA COLLECTION SUPPORT 
AUTHORIZED.— 
‘‘(1) SUPPORT
FOR
ASSISTIVE
TECHNOLOGY
EDUCATIONAL 
ACTIVITIES AND TECHNICAL ASSISTANCE.—From amounts made 
available under section 9(b)(1), the Secretary shall award, on 
a competitive basis, grants, contracts, or cooperative agree-
ments— 
‘‘(A) to qualified technical assistance providers to sup-
port activities described in subsection (d)(1) for States 
receiving grants under section 4; and 
‘‘(B) to qualified protection and advocacy system tech-
nical assistance providers to support activities described 
in subsection (d)(1) for protection and advocacy systems 
receiving grants under section 5. 
‘‘(2) SUPPORT FOR DATA COLLECTION AND REPORTING ASSIST-
ANCE.—From amounts made available under section 9(b)(1), 
the Secretary shall award, on a competitive basis, grants, con-
tracts, or cooperative agreements— 
‘‘(A) to qualified data collection and reporting entities, 
to enable the qualified data collection and reporting entities 
to carry out the activities described in subsection (d)(2) 
for States receiving grants under section 4; and 
‘‘(B) to qualified protection and advocacy system tech-
nical assistance providers, to enable the providers to carry 
out the activities described in subsection (d)(2) for protec-
tion and advocacy systems receiving grants under section 
5. 
‘‘(c) APPLICATION.— 
‘‘(1) IN GENERAL.—To be eligible to receive a grant, contract, 
or cooperative agreement under this section, an entity shall 
submit an application to the Secretary at such time, in such 
manner, and containing the following information: 
‘‘(A) A description of the activities such entity will 
carry out with the grant, contract, or cooperative agreement 
under subsection (d). 
‘‘(B) A description of the expertise such entity has 
to carry out such activities. 
‘‘(C) In the case of an entity applying to receive a 
grant, contract, or cooperative agreement under subsection 
(b)(1), a description of such entity’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 poli-
cies with respect to data privacy and security. 
‘‘(E) Such other information as the Secretary may 
require.
H. R. 7776—889 
‘‘(2) INPUT.—In developing grants, contracts, or cooperative 
agreements under this section, the Secretary shall consider 
the input of the recipients of grants under sections 4 and 
5 and other individuals the Secretary determines to be appro-
priate, especially— 
‘‘(A) individuals with disabilities who use assistive 
technology and understand the barriers to the acquisition 
of such technology and assistive technology services; 
‘‘(B) family members, guardians, advocates, and 
authorized representatives of such individuals; 
‘‘(C) relevant employees from Federal departments and 
agencies, other than the Department of Health and Human 
Services; 
‘‘(D) representatives of businesses; and 
‘‘(E) venders and public and private researchers and 
developers. 
‘‘(d) AUTHORIZED ACTIVITIES.— 
‘‘(1) USE OF FUNDS FOR ASSISTIVE TECHNOLOGY TECHNICAL 
ASSISTANCE.— 
‘‘(A) TECHNICAL
ASSISTANCE
EFFORTS.—A qualified 
technical assistance provider or qualified protection and 
advocacy system technical assistance 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 receiving a grant 
under section 4 or 5, respectively, that— 
‘‘(i) addresses State-specific information requests 
concerning assistive technology from entities funded 
under this Act and public entities not funded under 
this Act, including— 
‘‘(I) effective approaches to Federal-State 
coordination of programs for individuals with 
disabilities related to improving funding for or 
access to assistive technology devices and assistive 
technology services for individuals with disabil-
ities; 
‘‘(II) model State and local laws, regulations, 
policies, practices, procedures, and organizational 
structures, that facilitate, and overcome barriers 
to, funding for, and access to, assistive technology 
devices and assistive technology services; 
‘‘(III) effective approaches to developing, imple-
menting, 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 tech-
nology services for individuals with disabilities, 
and requests for assistance in developing corrective 
action plans; 
‘‘(IV) policies, practices, procedures, regula-
tions, or judicial decisions related to access to and 
acquisition of assistive technology devices and 
assistive technology services for individuals with 
disabilities; 
‘‘(V) effective approaches to the development 
of consumer-controlled systems that increase 
access to, funding for, and awareness of, assistive
H. R. 7776—892 
‘‘(D) are in full compliance with all relevant State 
and Federal laws, regulations, and policies with respect 
to data privacy and security. 
‘‘SEC. 7. PROJECTS OF NATIONAL SIGNIFICANCE. 
‘‘(a) DEFINITION OF PROJECT OF NATIONAL SIGNIFICANCE.—In 
this section, the term ‘project of national significance’— 
‘‘(1) means a project that— 
‘‘(A) increases access to, and acquisition of, assistive 
technology; and 
‘‘(B) creates opportunities for individuals with disabil-
ities 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 between State 
Medicaid agencies and recipients of grants under section 
4 to reutilize durable medical equipment; 
‘‘(B) increase collaboration between the recipients of 
grants under section 4 and States receiving grants under 
the Money Follows the Person Rebalancing Demonstration 
under section 6071 of the Deficit Reduction Act of 2005 
(42 U.S.C. 1396a note); 
‘‘(C) increase collaboration between recipients of grants 
under section 4 and area agencies on aging, as such term 
is defined in section 102 of the Older Americans Act of 
1965 (42 U.S.C. 3002), which may include collaboration 
on emergency preparedness, safety equipment, or assistive 
technology toolkits; 
‘‘(D) provide aid to assist youth with disabilities to 
transition from school to adult life, especially in— 
‘‘(i) finding employment and postsecondary edu-
cation opportunities; and 
‘‘(ii) upgrading and changing any assistive tech-
nology devices that may be needed as a youth matures; 
‘‘(E) increase access to and acquisition of assistive tech-
nology addressing the needs of aging individuals and aging 
caregivers in the community; 
‘‘(F) increase effective and efficient use of assistive 
technology as part of early intervention for infants and 
toddlers with disabilities from birth to age 3; 
‘‘(G) increase awareness of and access to the Disability 
Funds-Financial Assistance funding provided by the 
Community Development Financial Institutions Fund that 
supports acquisition of assistive technology; and 
‘‘(H) increase awareness of and access to assistive tech-
nology, such as through models described in subclauses 
(I) through (IV) of section 4(e)(2)(A)(iii) and other Federally 
funded disability 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 coopera-
tive 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 entity desiring 
a grant under this section shall submit an application to the Sec-
retary at such time, in such manner, and containing a description
H. R. 7776—893 
of the project of national significance the entity proposes to carry 
out under this section. 
‘‘(d) AWARD PREFERENCE.—For each grant award period, the 
Secretary may give preference for 1 or more categories of projects 
of national significance described in subparagraphs (A) through 
(H) of subsection (a)(2). 
‘‘(e) MINIMUM FUNDING LEVEL REQUIRED.—The Secretary 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. 
‘‘SEC. 8. ADMINISTRATIVE PROVISIONS. 
‘‘(a) GENERAL ADMINISTRATION.— 
‘‘(1) IN GENERAL.—Notwithstanding any other provision of 
law, the Administrator of the Administration for Community 
Living of the Department of Health and Human Services 
(referred to in this section as the ‘Administrator’) shall be 
responsible for the administration of this Act. 
‘‘(2) COLLABORATION.—The Administrator shall consult 
with the Office of Special Education Programs of the Depart-
ment of Education, the Rehabilitation Services Administration 
of the Department of Education, the Office of Disability Employ-
ment Policy of the Department of Labor, and other appropriate 
Federal entities in the administration of this Act. 
‘‘(3) ADMINISTRATION.— 
‘‘(A) IN
GENERAL.—In administering this Act, the 
Administrator shall ensure that programs 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 employment, education, and 
community living. 
‘‘(B) FUNDING LIMITATIONS.—For each fiscal year, not 
more than 1⁄2 of 1 percent of the total funding appropriated 
for this Act shall be used by the Administrator to support 
the administration of this Act. 
‘‘(b) REVIEW OF PARTICIPATING ENTITIES.— 
‘‘(1) IN GENERAL.—The Secretary shall assess the extent 
to which entities that receive grants under this Act are com-
plying with the applicable requirements of this Act and 
achieving measurable goals that are consistent with the require-
ments of the grant programs under which the entities received 
the grants. 
‘‘(2) PROVISION OF INFORMATION.—To assist the Secretary 
in carrying out the responsibilities of the Secretary under this 
section, the Secretary may require States to provide relevant 
information, including the information required under sub-
section (d). 
‘‘(c) CORRECTIVE ACTION AND SANCTIONS.— 
‘‘(1) CORRECTIVE ACTION.—If the Secretary determines that 
an entity that receives a grant under this Act fails to substan-
tially comply with the applicable requirements of this Act, 
or to make substantial progress toward achieving the measur-
able goals described 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,
H. R. 7776—894 
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 selected by the Secretary: 
‘‘(A) Partial or complete termination of funding under 
the grant program, until the entity 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 des-
ignated 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 applicable requirements of this Act, 
or have not made substantial progress toward achieving the 
measurable goals described in subsection (b)(1). 
‘‘(4) SECRETARIAL ACTION.—As part of the annual report 
required under subsection (d), the Secretary 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 notification, 
the Secretary shall describe each such action taken under para-
graph (1) or (2) and the outcomes of each such action. 
‘‘(d) ANNUAL REPORT TO CONGRESS.— 
‘‘(1) IN GENERAL.—Not later than December 31 of each 
year, the Secretary shall prepare and submit to the President, 
the Committee on Health, Education, Labor, and Pensions of 
the Senate, and the Committee on Education and Labor of 
the House of Representatives a report on the activities funded 
under this Act to improve the access of assistive technology 
devices and assistive technology services to individuals with 
disabilities. 
‘‘(2) CONTENTS.—Each report described in paragraph (1) 
shall include— 
‘‘(A) a compilation and summary of the information 
provided by the States in annual progress reports sub-
mitted 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 section 4(d)(3)(C). 
‘‘(e) CONSTRUCTION.—Nothing in this section shall be construed 
to affect the enforcement authority of the Secretary, another Federal 
officer, or a court under any other applicable law. 
‘‘(f) EFFECT ON OTHER ASSISTANCE.—This Act may not be con-
strued as authorizing a Federal or State agency to reduce medical
H. R. 7776—895 
or other assistance available, or to alter eligibility for a benefit 
or service, under any other Federal law. 
‘‘SEC. 9. AUTHORIZATION OF APPROPRIATIONS; RESERVATIONS AND 
DISTRIBUTION OF FUNDS. 
‘‘(a) IN GENERAL.—There are authorized to be appropriated 
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 avail-
able 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 reserva-
tion 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 SIGNIFICANCE.—For any 
fiscal year for which the amount made available under subsection 
(a) exceeds $49,000,000 the Secretary may— 
‘‘(1) reserve for section 7, an amount of such available 
funds that does not exceed the lesser of— 
‘‘(A) the excess amount made available; or 
‘‘(B) $2,000,000; and 
‘‘(2) make the reservation under paragraph (1) before car-
rying 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, de-
feat aggression by the People’s Republic of China. 
Sec. 5503. Increase in annual regional contingency stockpile additions and support 
for Taiwan. 
Sec. 5504. International military education and training cooperation with Taiwan. 
Sec. 5505. Additional authorities to support Taiwan. 
Sec. 5506. Multi-year plan to fulfill defensive requirements of military forces of Tai-
wan. 
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.