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1 "(14) Mobile nonambulatory' means unable to walk 2 independently or without assistance, but able to move from 3 place to place with the use of devices such as walkers, 4 crutches, wheel chairs, wheeled platforms, and so forth. 5 “(15) Nonambulatory' means unable to walk inde6 pendently, without assistance.

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"(16) Nonmobile' means unable to move from place to 8 place.

9 "(17) Normalization principle' means the principle of 10 letting the mentally retarded 'obtain an existence as close to 11 the normal as possible,' making available to them 'patterns 12 and conditions of everyday life which are as close as possible 13 to the norms and patterns of the mainstream of society.' 14 Specifically, 'the use of means that are as culturally normative 15 as possible to elicit and maintain behavior that is as culturally 16 normative as possible.'

17 "(18) Public financial support programs' include, but 18 are not limited to, services for crippled children; aid to the 19 disabled, old age, survivors, and disability insurance, and 20 other benefits available under the Social Security Act;

21 and benefits administered by the Veterans' Administration.

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"(19) 'Resident' means the general term used in the

23 standards to refer to an individual who receives service from

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a residential facility, whether or not such individual is actu

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1 ally in residence in the facility. The term thus includes in2 dividuals who are being considered for residence in a fa3 cility, individuals who were formerly in residence in a facility, 4 and individuals who are receiving services other than domicili

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ary from a facility. (A residential facility, on the other hand,

may use the term 'resident' to refer only to those individuals

7 actually in residence, and may thus distinguish between

8 resident and nonresident recipients of its services.)

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"(20) 'Resident-living' means pertaining to residential

or domiciliary services provided by a facility.

“(21) 'Residential facility' means a facility that provides twenty-four-hour programing services, including residential

or domiciliary services, directed to enhancing the health, wel14 fare, and development of individuals classified as mentally 15 retarded. While the facility must provide twenty-four-hour

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programing for residents, in accordance with their needs, it 17 need not itself operate any programs or services other than

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residential or domiciliary. For fuller definition, in terms of "(22) Rhythm of life' means relating to the normal20 ization principle, under which making available to the men

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tally retarded 'patterns and conditions of everyday life which

are as close as possible to the norms and patterns of the main

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1 stream of society' means providing a normal rhythm of the

2 day (in respect to arising, getting dressed, participating in

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play and work activities, eating meals, retiring, and so forth),

4 normal rhythm of the week (differentiation of daily activities

5 and schedules), and normal rhythm of the year.

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"(23) 'Surrogate' means an individual who functions in

7 lieu of a resident's parents or family.

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"(24) "Time out' means time out from positive rein9 forcement. A behavior modification procedure in which, 10 contingent upon the emission of undesired behavior, the 11 resident is removed froin the situation in which positive re12 inforcement is available.".

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SEC. 4. (a) Section 1 of the Public Health Service 14 Act is amended by striking out "titles I to X" and inserting 15 in lieu thereof "titles I, II, and XII".

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(b) The Act of July 1, 1944 (58 Stat. 682) is further 17 amended by renumbering title XI (as in effect prior to the 18 date of enactment of this Act) as title XII and by renum19 bering sections 1101 through 1114 (as in effect prior to 20 such date) and references thereto sections 1201 through 21 1214 respectively.

31-151 O 74 Pt. 1 - 24

93D CONGRESS 1ST SESSION

H. R. 5552

IN THE HOUSE OF REPRESENTATIVES

MARCH 13, 1973

Mr. WALDIE introduced the following bill; which was referred to the Committee on Interstate and Foreign Commerce

A BILL

To assist the States in developing a plan for the provision of comprehensive services to persons affected by mental retardation and other developmental disabilities originating in childhood, to assist the States in the provision of such services in accordance with such plan, to assist in the construction of facilities to provide the services needed to carry out such plan, and for other purposes.

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Be it enacted by the Senate and House of Representa

2 tives of the United States of America in Congress assembled,

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SHORT TITLE

SECTION 1. This Act may be cited as the "Develop

5 mental Disabilities Services and Facilities Construction Act

6 of 1969."

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1 TITLE I-GRANTS FOR PLANNING, PROVISION OF

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SERVICES, AND CONSTRUCTION OF FACILI

TIES FOR PERSONS WITH DEVELOPMENTAL
DISABILITIES

SEC. 101. Part C of the Mental Retardation Facilities 6 Construction Act, as amended, is amended by striking out 7 sections 131 through 137 and substituting the following: 8 "PART C-GRANTS FOR PLANNING, PROVISION OF SERVICES, AND CONSTRUCTION OF FACILITIES FOR PER

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SONS WITH DEVELOPMENTAL DISABILITIES

"DECLARATION OF PURPOSE

"SEC. 130. The purpose of this part is—

"(a) to make grants to assist the several States in developing and implementing a comprehensive and continuing plan for meeting the current and future needs for services to persons affected by developmental disabilities; and

"(b) to make grants to assist public and nonprofit agencies in the construction of facilities for the provision of services to persons affected by developmental disabilities.

"AUTHORIZATION OF APPROPRIATIONS

"SEC. 131. In order to make the grants to carry out the

24 provisions of section 130, there are authorized to be appro

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priated $250,000,000 for the fiscal year ending June 30,

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