; (ii) provided consistent with written plans of care; and (iii) that meet the following requirements with respect to the setting in which the services are provided: (I) The services are provided to an individual in a setting that is in the community, which allows the individual to engage in community life, receive the services in the community, and have the same access to the community as an individual not receiving the services. (II) Multiple service settings are provided as options to the individual receiving the services. (III) The service setting optimizes individual initiative, autonomy, and independence. (IV) The service setting facilitates choice regarding services and supports, and choice regarding who provides the services. (B) Exclusions The following settings do not meet the requirements described in subparagraph (A)(iii): (i) A nursing facility. (ii) An institution for mental diseases. (iii) An intermediate care facility for individuals with intellectual disabilities. (3) Integrated employment The term integrated employment has the meaning given the term competitive integrated employment in subparagraphs (B) and (C) of section 7(5) of the Rehabilitation Act of 1973 ( 29 U.S.C. 705(5) ). (4) Secretary The term Secretary means the Secretary of Labor. (5) Special certificate The term special certificate means a special certificate issued under section 14(c) of the Fair Labor Standards Act of 1938 ( 29 U.S.C. 214(c) ). (6) State The term State means each of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, and the territory of Guam. 502. Authorization of appropriations There are authorized to be appropriated to carry out this Act, $300,000,000 for fiscal years 2020 through 2025.