; technical assistance. Sec. 306. Authorization of appropriations. TITLE IV—Evaluation Sec. 401. Evaluation of impact on access to HCBS. 2. Definitions In this Act: (1) Demographics The term demographics means information relating to the races, ethnicities, genders, sexual orientations, gender identities, geographic locations, incomes, primary languages, types of service setting, and disability types represented within a particular group of individuals. (2) Private duty nursing The term private duty nursing means nursing services that are sufficient to meet the needs of an individual who requires more individualized and continuous care than is available from a visiting nurse or routinely provided by the nursing staff of a hospital or skilled nursing facility, and includes services provided to an individual in the individual's own home by a registered nurse or licensed practical nurse under the direction of a physician. (3) Secretary Except as otherwise provided, the term Secretary means the Secretary of Health and Human Services. I Requiring and expanding access to HCBS coverage under Medicaid 101. Purpose It is the purpose of this title to require coverage of home and community-based services (in this section referred to as HCBS ) under a State plan (or waiver of such plan) under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ) for the following reasons: (1) To eliminate waiting lists for HCBS, which delay access to necessary services and civil rights for people with disabilities and older adults. (2) To build on decades of progress in serving people with disabilities and older adults via HCBS. (3) To fulfill the purposes of the Medicaid program to provide medical assistance for those whose income and resources are insufficient to meet the costs of necessary medical services, and to provide rehabilitation, long-term services and supports, and other services to help such families and individuals attain or retain capability for independence or self-care. (4) To ensure that people with all kinds of