Act of 2000 ( 42 U.S.C. 15041 et seq.). (II) The term protection and advocacy system means a protection and advocacy system established under subtitle C of title I of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 ( 42 U.S.C. 15041 et seq.). (III) The term State means the several States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands. . (b) Expansion of periodic onsite review requirements Section 205(j)(6)(A) of the Social Security Act ( 42 U.S.C. 405(j)(6)(A) ) is amended— (1) in clause (ii), by striking or