; (II) are portable and honored across care settings; and (III) address key medical decisions consistent with the patient’s goals of care; and (ii) is guided by a coalition of stakeholders, such as patient advocacy groups and representatives from across the continuum of health care services, disability rights advocates, senior advocates, emergency medical services, long-term care, medical associations, hospitals, home health, hospice, palliative care, nursing associations, the State agency responsible for senior and disability services, faith-based groups, and the State department of health. (e) Authorization of appropriations (1) In general There are authorized to be appropriated to the Secretary, for purposes of awarding grants under this section, $50,000,000 for the period of fiscal years 2018 through 2022. (2) Limitation None of the funds appropriated under paragraph (1) shall be used to— (A) develop a model advance directive; (B) develop or employ a dollars-per-quality adjusted life year (or similar measure that discounts the value of a life because of an individual's disability)