118 STAT. 2745 PUBLIC LAW 108–446—DEC. 3, 2004 ‘‘(B) are provided at no cost except where Federal or State law provides for a system of payments by families, including a schedule of sliding fees; ‘‘(C) are designed to meet the developmental needs of an infant or toddler with a disability, as identified by the individualized family service plan team, in any 1 or more of the following areas: ‘‘(i) physical development; ‘‘(ii) cognitive development; ‘‘(iii) communication development; ‘‘(iv) social or emotional development; or ‘‘(v) adaptive development; ‘‘(D) meet the standards of the State in which the services are provided, including the requirements of this part; ‘‘(E) include— ‘‘(i) family training, counseling, and home visits; ‘‘(ii) special instruction; ‘‘(iii) speech language pathology and audiology services, and sign language and cued language services; ‘‘(iv) occupational therapy; ‘‘(v) physical therapy; ‘‘(vi) psychological services; ‘‘(vii) service coordination services; ‘‘(viii) medical services only for diagnostic or evaluation purposes; ‘‘(ix) early identification, screening, and assess ment services; ‘‘(x) health services necessary to enable the infant or toddler to benefit from the other early intervention services; ‘‘(xi) social work services; ‘‘(xii) vision services; ‘‘(xiii) assistive technology devices and assistive technology services; and ‘‘(xiv) transportation and related costs that are necessary to enable an infant or toddler and the infant’s or toddler’s family to receive another service described in this paragraph; ‘‘(F) are provided by qualified personnel, including— ‘‘(i) special educators; ‘‘(ii) speech language pathologists and audiologists; ‘‘(iii) occupational therapists; ‘‘(iv) physical therapists; ‘‘(v) psychologists; ‘‘(vi) social workers; ‘‘(vii) nurses; ‘‘(viii) registered dietitians; ‘‘(ix) family therapists; ‘‘(x) vision specialists, including ophthalmologists and optometrists; ‘‘(xi) orientation and mobility specialists; and ‘‘(xii) pediatricians and other physicians; ‘‘(G) to the maximum extent appropriate, are provided in natural environments, including the home, and commu nity settings in which children without disabilities partici pate; and
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