106 STAT. 4588 PUBLIC LAW 102-573—OCT. 29,1992

"(f) The Secretary shall establish not more than 24 dem-
onstration projects under this section. The Secretary may not estab-
lish a greater number of demonstration projects under this section
in one service area than in any other service area until there
is an equal number of such demonstration projects established
with respect to all service areas from which the Secretary receives
applications during the application period (as determined by the
Secretary) which meet the criteria issued pursuant to subsection
(c).

Reports. "(g) The Secretary shall submit to the President, for inclusion

in the report which is required to be submitted under section
801 for fiscal year 1999, a report on the findings and conclusions
derived from the demonstration projects conducted under this sec-
tion, together with legislative recommendations.

"(h) For the purposes of this section, the following definitions
shall apply:

"(1) The term *home- and community-based services' means
one or more of the following:

"(A) Homemaker/home health aide services.
"(B) Chore services.
"(C) Personal care services.

"(D) Nursing care services provided outside of a nursing
facility by, or under the supervision of, a registered nurse.
"(E) Kespite care.

"(F) Training for family members in managing a func-
tionally disabled individual.
"(G) Adult day care.

"(H) Such other home- and community-based services
as the Secretary may approve.

"(2) The term 'functionally disabled' means an individual
who is determined to require home- and commiinity-based serv-
ices based on an assessment that uses criteria (including, at
the discretion of the tribe or tribal organization, activities of
daily living) developed by the tribe or tribal organization,
"(i) There are authorized to be appropriated for each of the
fiscal years 1993, 1994, 1995, 1996, and 1997 such sums as may
be necessary to carry out this section. Such sums shall remain
available until expended.".

SEC. 810. SHARED SERVICES DEMONSTRATION PROJECTS.

Title VIII of the Act (as redesignated by subsections (a) and
(b) of section 701 and amended by section 809 of this Act) is
amended by adding at the end the following new section:

"SHARED SERVICES DEMONSTRATION PROJECT

25 use 1680/. «SEC. 822. (a) The Secretary, acting through the Service and

notwithstanding any other provision of law, is authorized to enter
into contracts with Indian tribes or tribal organizations to establish
not more than 6 shared services demonstration projects for the
delivery of long-term care to Indians. Such projects shall provide
for the sharing of staff or other services between a Service facility
and a nursing facility owned and operated (directly or by contract)
by such Indian tribe or tribal organization.

"(b) A contract entered into pursuant to subsection (a)—

"(1) may, at the request of the Indian tribe or tribal

organization, delegate to such tribe or tribal organization such