; or (ii) for a deluxe, luxury, or immaterial feature of the equipment or device, as determined by the Secretary. (C) Service and modification of durable equipment and assistive technology devices under such paragraph may include training of the eligible dependent and immediate family members of the eligible dependent on the use of the equipment or device. (4) (A) Adaptations to the private residence and vehicle of the eligible dependent under paragraph (1)(J) may be provided if such adaptations— (i) are determined to be medically necessary by the provider responsible for the care of the eligible dependent with respect to the qualifying condition; and (ii) are necessary to assist in— (I) the reduction of the disabling effects of the qualifying condition; or (II) maintenance of the present func­tion­al­i­ty of the eligible dependent. (B) With respect to a vehicle, adaptations may be provided under such paragraph if the vehicle is the primary means of transportation of the eligible dependent. . 5. Additional requirements in Office of Special Needs annual report Section 1781c(g)(2) of title 10, United States Code, is amended— (1) by redesignating subparagraph (C) as subparagraph (D); and (2) by inserting after subparagraph (B) the following new subparagraph (C): (C) With respect to the Extended Care Health Option program under section 1079(d) of this title— (i) the utilization rates of services under such program by eligible dependents (as such term is defined in such section) during the prior year; (ii) a description of gaps in such services, as ascertained by the Secretary from information provided by families of eligible dependents; (iii) an assessment of factors that prevent knowledge of and access to such program, including a discussion of actions the Secretary may take to address these factors