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The Developmental Disabilities Assistance and Bill of Rights Act reauthorized all formula grants to state Developmental Disabilities Councils to address federal priority areas (employment, community living, child development, system coordination and community education) and an optional state selected priority area; University Affiliated Facilities (later University Affiliated Programs); and authorized the establishment of state protection and advocacy systems to protect the rights of people with developmental disabilities.

The 1993 Amendments recognize that "disability is a natural part of the human experience that does not diminish the right of individuals with developmental disabilities to enjoy the opportunity to live independently, enjoy self-determination, make choices, contribute to society, and experience full integration and inclusion in the economic, political, social, cultural, and educational mainstream of American society" (Section 101). State Developmental Disabilities Councils are required to conduct "systemic change, capacity building, and advocacy activities" (Section 124).


The Omnibus Budget Reconciliation Act authorized the home and community-based waiver program. This waiver program "waived" federal requirements so that states could provide personal care and other services to individuals who would require institutional care in a Title XIX facility if these services were not available.