; and (6) ensuring that sponsors of children with special medical needs receive Office of Refugee Resettlement support in accessing appropriate medical care. 243. Individuals attaining 18 years of age (a) Presumption of release on recognizance (1) In general If an individual in the custody of the Secretary of Health and Human Services is not released to a sponsor before the individual attains the age of 18 years, there shall be a presumption that the individual shall be released on an order of recognizance. (2) Rebuttal The Secretary of Homeland Security shall bear the burden of proof, by clear and convincing evidence, in overcoming the presumption under paragraph (1) and in demonstrating that such an individual is not eligible to be released on an order of recognizance. (3) Alternatives to detention (A) In general In the case of an individual aging out of the custody of the Secretary who is not eligible to be released on an order of recognizance, the individual shall be eligible to participate in noncustodial alternatives to detention programs provided by the Department of Health and Human Services, including placement with an individual, an organizational sponsor, or a supervised group home with supportive services to facilitate access to educational and occupational opportunities. (B) Placement preferences The categories of placements available to an individual described in subparagraph (A) shall be the following, in order of preference: (i) The least restrictive family-based setting, including long-term foster care. (ii) An independent living program. (iii) A childcare facility that meets the particular needs of the individual. (4) Continuation of services The Director shall ensure that an individual released on an order of recognizance under this subsection is provided with— (A) continued access to counseling, case management, legal counsel, and other support services during the pendency of the individual’s immigration proceedings