; (2) in paragraph (83), by striking the period and inserting ; and ; and (3) by inserting after paragraph (83) the following new paragraph: (84) in the case of any individual with respect to whom there has been a determination that the individual requires the level of care provided in a nursing facility, an intermediate care facility for the mentally retarded, an institution for mental diseases, or any other similarly restrictive or institutional setting— (A) provide the individual with the choice and opportunity to receive such care in a home and community-based setting, including rehabilitative services, assistance and support in accomplishing activities of daily living, instrumental activities of daily living, and health-related tasks, and assistance in acquiring, maintaining, or enhancing skills necessary to accomplish such activities, tasks, or services; (B) ensure that each such individual has an equal opportunity (when compared to the receipt and availability of nursing facility services) to receive care in a home and community-based setting, if the individual so chooses, by ensuring that the provision of such care in a home and community-based setting is widely available on a Statewide basis for all such individuals within the State