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services, incidental to the determination of eligibility for and the nature and scope of services to be provided;

(B) counseling, guidance, and placement services for handicapped individuals, including follow-up, followalong, and other postemployment services necessary to assist such individuals to maintain their employment and services designed to help handicapped individuals secure services from other agencies, when needed services are not available under this Act;

(C) training services for handicapped individuals, which shall include personal and vocational adjustment, books, and other training materials;

(D) reader services for the blind and interpreter services for the deaf: And provided further, That in determining whether an individual is blind, there shall be an examination by a physician skilled in the diseases of the

eye and/or by an optometrist, whichever the individual may select; and

(E) recruitment and training services for handi

capped individuals to provide them with new employ

21 ment opportunities in the fields of rehabilitation, health,

welfare, public safety, and law enforcement, and other

appropriate service employment.

24 (2) Such term also includes, after full consideration of

25 eligibility for any similar benefit by way of pension, com

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1 pensation, and insurance, the following services and goods 2 provided to, or for the benefit of, a handicapped individual—

(A) physical restoration services, including, but not limited to, (i) corrective surgery or therapeutic treat

ment necessary to correct or substantially modify a physical or mental condition which is stable or slowly progressive and constitutes a substantial barrier to employment, but is of such nature that such correction or

modification may reasonably be expected to eliminate or substantially reduce the handicap within a reasonable length of time, (ii) necessary hospitalization in connection with surgery or treatment, (iii) prosthetic and orthotic devices, (iv) eye glasses and visual services as prescribed by a physician skilled in the diseases of the eye or by an optometrist, (v) special services, artificial kidneys, and supplies necessary for the treatment of individuals suffering from end stage renal disease;

(B) maintenance, not exceeding the estimated cost

of subsistence, during rehabilitation;

(C) occupational licenses, tools, equipment, and initial stocks and supplies;

(D) transportation in connection with the render

ing of any other vocational rehabilitation service;

(E) any other goods and services necessary to render a handicapped individual employable; and

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(F) services to the families of handicapped individuals when such services will contribute substantially

to the rehabilitation of such individuals.

(3) Such term includes the following services and goods 5 provided for the benefit of groups of individuals—

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(A) in the case of any type of small business operated by the severely handicapped the operation of which can be improved by management services and supervision provided by the State agency, the provision of such services and supervision, alone or together with the acquisition by the State agency of vending stands or

other equipment and initial stocks and supplies; and (B) the construction or establishment of public or other nonprofit rehabilitation facilities and the provision of other facilities and services which promise to contribute substantially to the rehabilitation of a group of

individuals but which are not related directly to the rehabilitation plan of any one handicapped individual.

(b) The term "handicapped individual" means any in20 dividual who (1) has a physical or mental disability which 21 constitutes a handicap to employment and (2) can reasonably 22 be expected to benefit from rehabilitation services. Nothing 23 in the preceding provisions of this subsection or in subsection 24 (a) shall be construed to exclude from "vocational rehabilita25 tion services" any goods or services provided to an individual

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1 who is under a physical or mental disability and who has a 2 substantial handicap to employment, during the period, not 3 in excess of eighteen months in the case of any individual 4 who has a severe handicap, or twelve months in the case of an 5 individual suffering from end stage renal disease, or six 6 months in the case of an individual with any other disability, 7 determined (in accordance with regulations of the Secretary) 8 to be necessary for, and which are provided for the purpose 9 of, ascertaining whether it may reasonably be expected that 10 such individual will be rendered fit to engage in a gainful 11 occupation through the provision of goods and services de12 scribed in subsection (a), but only if the goods or services 13 provided to him during such period would constitute “voca14 tional rehabilitation services" if his disability were of such a 15 nature that he would be a "handicapped individual" under 16 such preceding provisions of this subsection.

17 (c) The term "rehabilitation facility" means a facility 18 which is operated for the primary purpose of providing voca19 tional rehabilitation services to, or gainful employment for, 20 handicapped individuals, or for providing evaluation and 21 work adjustment services for disadvantaged individuals, and 22 which provides singly or in combination one or more of the 23 following services for handicapped individuals: (1) Com24 prehensive rehabilitation services which shall include, under 25. one management, medical, psychological, social, and voca

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1 tional services, (2) testing, fitting, or training in the use 2 of prosthetic and orthotic devices, (3) prevocational condi3 tioning or recreational therapy, (4) physical and occupa4 tional therapy, (5) speech and hearing therapy, (6) psy5 chological and social services, (7) evaluation, (8) personal 6 and work adjustment, (9) vocational training (in combina7 tion with other rehabilitation services), (10) evaluation or 8 control of special disabilities, and (11) extended employ9 ment for the severely handicapped who cannot be readily 10 absorbed in the competitive labor market; but all medical 11 and related health services must be prescribed by, or under 12 the formal supervision of, persons licensed to practice medi13 cine or surgery in the State.

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(d) The term "nonprofit", when used with respect to a 15 rehabilitation facility, means a rehabilitation facility owned 16 and operated by a corporation or association, no part of the 17 net earnings of which inures, or may lawfully inure, to the 18 benefit of any private shareholder or individual and the income of which is exempt from taxation under section 501 20 (c) (3) of the Internal Revenue Code of 1954.

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(e) Establishment of a rehabilitation facility means (1)

22 the expansion, remodeling, or alteration of existing buildings 23 necessary to adapt them to rehabilitation facility purposes or 24 to increase their effectiveness for such purposes (subject, 25 however, to such limitations as the Secretary may, by regu