(7/3/2012) NSCLC comments on proposed federal regulations to define when Medicaid home and community-based (HCBS) funding can be used and when, on the other hand, a setting is excessively institutional. NSCLC advocates for strong consumer protections, including requirements for single-occupancy rooms, privacy, attached bathrooms, choice in schedules and activities, and integration within the community. Settings would share property with a facility only in certain situations. Comments include both a discussion of the relevant issues, and recommended revisions to regulatory language.