National Assistive Technology Act Data System

Annual Progress Report - Full Report

Hawaii 2019

General Information

Statewide AT Program (Information to be listed in national State AT Program Directory)

State AT Program Title:
Assistive Technology Resource Centers of Hawaii
State AT Program Title:
State AT Program URL
http://www.atrc.org
Mailing Address:
200 N Vineyard Blvd, Suite 430
City:
Honolulu
State:
HI
Zip Code:
96817
Program Email:
barbara@atrc.org
Phone:
8085327110
TTY:

Lead Agency

Agency Name:
Hawaii Division of Vocational Rehabilitation
Mailing Address:
1010 Richard Street #217
City:
Honolulu
State:
HI
Zip Code:
96813
Program URL:
http://humanservices.hawaii.gov/vocationalrehab

Implementing Entity

Name of Implementing Agency:
Assistive Technology Resource Centers of Hawaii
Mailing Address:
200 N Vineyard Blvd, Suite 430
City
Honolulu
State:
HI
Zip Code:
96817
Program URL:
http://www.atrc.org

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Fischlowitz-Leong, Barbara
Title:
Executive Director
Phone:
8085327112
E-mail:
barbara@atrc.org
Program Director at Lead Agency (last, first):
Bates, Maureen
Title:
Vocational Rehabilitation Administrator
Phone:
8085869741
E-mail:
Mbates@dhs.hawaii.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Fischlowitz-Leong, Barbara
Title:
Executive Director
Phone:
8085327112
E-mail:
barbara@atrc.org

Person Responsible for completing this form if other than Program Director

Name (last, first):
Title:
Phone:
E-mail:

Certifying Representative

Name (last, first):
Cain, Iva-Starr
Title:
Assistant Administrator
Phone:
8085869240
E-mail:
icain@dhs.hawaii.gov

State Financing

Did your approved state plan for this reporting period include any State Financing? Yes
Did your approved state plan for this reporting period include conducting a Financial Loan Program? Yes

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 00 00 00
Approved Not made 00 00 00
Rejected 00 00 00
Total 00 00 00

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $0 Highest Income: $0

Average Income
Sum of Incomes Loans Made Average Annual Income
$0 00 $0

Number and Percentage of Loans Made to Applicants by Income Range
Income Ranges Total
$15,000
or Less
$15,001-
$30,000
$30,001-
$45,000
$45,001-
$60,000
$60,001-
$75,000
$75,001
or More
Number of Loans 00 00 00 00 00 00 00
Percentage of Loans 0% 0% 0% 0% 0% 0% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 00 0%
Partnership Loans
Without interest buy-down or loan guarantee 00 0%
With interest buy-down only 00 0%
With loan guarantee only 00 0%
With both interest buy-down and loan guarantee 00 0%
Total 00 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 00 $0
Partnership Loans 00 $0
Total 00 $0

4. Interest Rates

Interest Rates
Lowest 0%
Highest 0%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
00 00 0%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 00
2.1% to 4.0% 00
4.1% to 6.0% 00
6.1% to 8.0% 00
8.1% - 10.0% 00
10.1%-12.0% 00
12.1%-14.0% 00
14.1% + 00
Total 00

5. Types and Dollar Amounts of AT Financed

Types and Dollar Amounts of AT Financed
Type of AT Number of Devices Financed Dollar Value of Loans
Vision 00 $0
Hearing 00 $0
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 00 $0
Daily living 00 $0
Environmental adaptations 00 $0
Vehicle modification and transportation 00 $0
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 00 $0

6. Defaults

Defaults
Number Loans in default 00
Net loss for loans in default $0

B. State Financing Activities that provide consumers with resources and services that result in the acquisition of AT devices and services

1. Overview of Activities Performed

How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan? 00


C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost

1. Overview of Activities Performed

How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan? 00

D. Anecdote

Impact Area

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 00 00 00 00
2. AT was only available through the AT program. 00 00 00 00
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 00 00 00 00
5. None of the above 00 00 00 00
6. Subtotal 00 00 00 00
7. Nonrespondent 00 00 00 00
8. Total 00 00 00 00
9. Performance on this measure NaN% NaN% NaN%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 00 NaN%
Satisfied 00 NaN%
Satisfied somewhat 00 NaN%
Not at all satisfied 00 NaN%
Nonrespondent 00 NaN%
Total Surveyed 00
Response rate % NaN%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 00
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 35
C. Total 35

Performance Measure
D. Device Exchange - Excluded from Performance Measure 00
E. Reassignment/Refurbishment and Repair and Open Ended Loans - Excluded from Performance Measure because AT is provided to or on behalf of an entity that has an obligation to provide the AT such as schools under IDEA or VR agencies/clients 00
F. Number of Individuals Included in Performance Measures 35

If a number is reported in E you must provide a description of the reason the individuals are excluded from the performance measure:

B. Device Exchange Activities

Device Exchange
Type of AT Device Number of Devices Exchanged Total Estimated Current Purchase Price Total Price for Which Device(s) Were Exchanged Savings to Consumers
Vision 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 00 $0 $0 $0
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 00 $0 $0 $0

C. Device Refurbish/Repair - Reassignment and/or Open Ended Loan Activities

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device Number of Devices Reassigned/Refurbished and Repaired Total Estimated Current Purchase Price Total Price for Which Device(s) Were Sold Savings to Consumers
Vision 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 00 $0 $0 $0
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 35 $7,000 $0 $7,000
Recreation, Sports and Leisure 00 $0 $0 $0
Total 35 $7,000 $0 $7,000

D. Anecdote

ATRC provides supports and services to all Hawaiian Islands. A young boy with autism living on the island of Hawai‘i received a refurbished tablet through ATRC’s Technology Redistribution Program. The primary purpose for the tablet was to navigate his daily schedule and to serve as a token economy for behavioral self-monitoring. He also uses his tablet to navigate his school environment.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 15 09 11 35
2. AT was only available through the AT program. 00 00 00 00
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 15 09 11 35
5. None of the above 00 00 00 00
6. Subtotal 15 09 11 35
7. Nonrespondent 00 00 00 00
8. Total 15 09 11 35
9. Performance on this measure 100% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 29 82.86%
Satisfied 06 17.14%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 35
Response rate % 100%

G. Notes:

Each "device" is counted as a group of the reuse items marked for a single recipient.

Device Loan

A. Short-Term Device Loans by Type of Purpose

Loans By Purpose
Primary Purpose of Short-Term Device Loan Number
Assist in decision-making (device trial or evaluation) 35
Serve as loaner during service repair or while waiting for funding 03
Provide an accommodation on a short-term basis for a time-limited event/situation 00
Conduct training, self-education or other professional development activity 00
Total 38

B. Short-Term Device Loan by Type of Borrower

LOANS By Borrower Type
Type of Individual or Entity Number of Device Borrowers
Individuals with Disabilities 20
Family Members, Guardians, and Authorized Representatives 10
Representative of Education 02
Representative of Employment 00
Representatives of Health, Allied Health, and Rehabilitation 01
Representatives of Community Living 01
Representatives of Technology 04
Total 38

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 42

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number
Vision 07
Hearing 04
Speech Communication 11
Learning, Cognition and Developmental 00
Mobility, Seating and Positioning 00
Daily Living 05
Environmental Adaptations 00
Vehicle Modification and Transportation 00
Computers and Related 11
Recreation, Sports and Leisure 00
Total 38

E. Anecdote

A mother borrowed an iPad with Tobii Dynavox speech case in order to trial an augmentative and alternative communication (AAC) program for use with her 4-year-old son on the autism spectrum. Despite having both speech and behavior therapies, this mother felt that her son was being left behind and not receiving the most helpful intervention. After trialing the AAC device, she stated "I've been telling the SLP and the doctor what we were using for my son wasn't working. I borrowed a device from ATRC to try out and show them. They finally listened. Now my son will get the training he needs. Thank you so much."

Impact Area

F. Access Performance Measures

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 05 03 11 19
Decided that an AT device/ service will not meet needs 00 00 08 08
Subtotal 05 03 19 27
Have not made a decision 02 00 05 07
Subtotal 07 03 24 34
Nonrespondent 00 01 00 01
Total 07 04 24 35
Performance on this measure 71.43% 100% 79.17%

G. Acquisition Performance Measures

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 00 00 00 00
2. AT was only available through the AT program. 01 01 01 03
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 01 01 01 03
5. None of the above 00 00 00 00
6. Subtotal 01 01 01 03
7. Nonrespondent 00 00 00 00
8. Total 01 01 01 03
9. Performance on this measure 100% 100% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 31 81.58%
Satisfied 05 13.16%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 02 5.26%
Total Surveyed 38
Response rate % 94.74%

I. Notes:

(in response to validation warnings: The number of borrowers is roughly equal to the number of devices loaned. Please ensure that devices being loaned are grouped together on loans going out to one borrower.) Each "device" is counted as a group of the device loans items marked for a single recipient.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 190
Hearing 45
Speech Communication 65
Learning, Cognition and Developmental 41
Mobility, Seating and Positioning 12
Daily Living 12
Environmental Adaptations 05
Vehicle Modification and Transportation 00
Computers and Related 55
Recreation, Sports and Leisure 00
Total # of Devices Demonstrated 425

B. Types of Participants

Demonstrations by Participant Type
Type of Participant Number of Participants in Device Demonstrations
Individuals with Disabilities 352
Family Members, Guardians, and Authorized Representatives 175
Representatives of Education 61
Representatives of Employment 33
Health, Allied Health, Rehabilitation 59
Representative of Community Living 51
Representative of Technology 09
Total 740

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 128
Service Provider 313
Vendor 76
Repair Service 07
Others 00
Total 524

D. Anecdote

ATRC took home-automation device kits to the neighbor islands for education and demonstration purposes. ATRC was hosted by a variety of organizations on each island. We collaborated with Full Life Hawai‘i, Aloha Independent Living, Maui Economic Opportunity, Department of Vocational Rehabilitation (Kaua‘i Branch), and the Squeaky Wheels Hawai‘i on Hawai‘i Island. Also, Aloha Independent Living, Maui Independent Living Center, and the Maui Wheelers were collaborators on the island of Maui. These organizations have allowed ATRC to set up a voice-activated kit in their facilities on an indefinite basis to demonstrate to interested individuals.

picture of demonstration
Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 114 52 223 389
Decided that an AT device/ service will not meet needs 06 02 09 17
Subtotal 120 54 232 406
Have not made a decision 06 03 05 14
Subtotal 126 57 237 420
Nonrespondent 01 01 03 05
Total 127 58 240 425
Performance on this measure 94.49% 93.1% 96.67%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 655 88.51%
Satisfied 67 9.05%
Satisfied somewhat 07 0.95%
Not at all satisfied 00 0%
Nonrespondent 11 1.49%
Total 740
Response rate % 98.51%

G. Notes:

Overall Performance Measures

Overall Acquisition Performance Measure

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 15 09 11 35
2. AT was only available through the AT program. 01 01 01 03
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 16 10 12 38
5. None of the above 00 00 00 00
6. Subtotal 16 10 12 38
7. Nonrespondent 00 00 00 00
8. Total 16 10 12 38
9. Performance on this measure 100% 100% 100% 100%
ACL Performance Measure 85%
Met/Not Met Met

Overall Access Performance Measure

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 119 55 234 408
Decided that an AT device/ service will not meet needs 06 02 17 25
Subtotal 125 57 251 433
Have not made a decision 08 03 10 21
Subtotal 133 60 261 454
Nonrespondent 01 02 03 06
Total 134 62 264 460
Performance on this measure 93.28% 93.44% 95.08% 94.34%
ACL Performance Measure 90%
Met/Not Met Met

Overall Satisfaction Rating

Customer Rating of Services Percent ACL Target Met/Not Met
Highly satisfied and satisfied 99.12% 95% Met
Response Rate 98.40% 90% Met

Training

A. Training Participants: Number and Types of Participants; Geographical Distribution

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 257
Family Members, Guardians and Authorized Representatives 175
Representatives of Education 77
Representatives of Employment 27
Rep Health, Allied Health, and Rehabilitation 122
Representatives of Community Living 24
Representatives of Technology 02
Unable to Categorize 00
TOTAL 684

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
573 111 00 684

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 54
AT Funding/Policy/ Practice 00
Combination of any/all of the above 577
Information Technology/Telecommunication Access 06
Transition 47
Total 684

B. Description of Training Activities

Describe innovative one high-impact assistance training activity conducted during the reporting period:

ATRC held an in-person training activity for a group of State of Hawai‘i Department of Education autism education assistants (EA). We detailed specific AT solutions that they could propose to their treatment teams and instructed the EAs in device use. Resources were also provided for their future reference. Evaluations were completed by all participants.

Breifly describe one training activity related to transition conducted during the reporting period:

ATRC participated in events, each titled Footsteps to Transition Fair, on the islands of O‘ahu and Kaua‘i. These events were hosted by the Department of Education for middle and high school students with special needs and their family, loved ones and caregivers to assist in critical details of making a life transition and explore a range of opportunities for adult life. It is an expansive event that proved a great opportunity to meet families with a variety of needs. Trainings were provided to small groups based on their specific concern, and appropriate AT devices and services were shared.

Breifly describe one training activity related to Information and Communication Technology accessibility:

Several training activities were offered to groups of students from the University of Hawai‘i—Manoa, Brigham Young University–Hawai‘i, and Kapi‘olani Community College. While their majors varied, one constant lesson was the critical need for computing and technology to be accessible. We reviewed easy ways to incorporate accessibility into the work they were already doing, as well as taught them what they should look for in order to keep IT accessible.

D. IT/Telecommunications Training Performance Measure

IT/Telecommunications Training Performance Measure
Outcome/Result From IT/Telecommunications Training Received Number
IT and Telecommunications Procurement or Dev Policies 00
Training or Technique Assistance will be developed or implemented 00
No known outcome at this time 06
Nonrespondent 00
Total 06
Performance Measure Percentage 0%
ACL Target Percentage 70%
Met/Not Met Not Met

E. Notes:

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 53%
Employment 12%
Health, Allied Health, Rehabilitation 18%
Community Living 16%
Technology (IT, Telecom, AT) 1%
Total 100%

B. Description of Technical Assistance

Describe Innovative one high-impact assistance activity that is not related to transition:

ATRC conducted three workshops across two islands on voice activated devices for persons with mobility challenges as part of our obligation to the grant received from the Christopher & Dana Reeve Foundation. The interest in this technology was significant. Attendance included professionals and community members, all of whom were excited about the direction in which this technology is moving.

Breifly describe one technical assistance activity related to transition conducted during the reporting period:

School teachers received technical assistance by ATRC on apps and software that improve and aid students with reading and writing difficulties such as dyslexia. ATRC provided quality technical assistance by demonstrating the various features of the Apple iPad and PC/Mac computers. They were supplied handouts with a wealth of different apps available to them depending on the students' needs such as word processing, text-to-speech, sentence structures, and other supports. They received an in-depth demonstration on how to activate built-in features like Apple dictation, text-replacements, Safari Reader, and text-to-speech. The outcome of this particular technical assistance activity was that these professional educators were able to transfer their knowledge to the students so that they could read/create documents quicker with greater proficiency and productivity.

C. Notes:

Public Awareness

Public Awareness Activities

Public Awareness Narratives

Describe in detail at least one and no more than two innovative or high-impact public awareness activities conducted during this reporting period. Highlight the content/focus of the awareness information shared, the mechanism used to disseminate or communicate the awareness information, the numbers and/or types of individuals reached, and positive outcomes resulting from the activity. If quantative numbers are available regarding the reach of the activity, please provide those: however, quantative data is not required.

1. ATRC had a segment on statewide KITV news in January 2019. The focus of the program was assistive technology for seniors and people with disabilities. It included several key components on our organization, featuring a client working alongside ATRC staff to address the client’s vision needs. It also highlighted a number of other AT devices and services, including our home-automation program. Our executive director discussed the value of AT and personal independence, as well as advocacy relating to the availability of AT. This segment was on television in three separate broadcasts—once in the evening news, once in the morning, and once midday. The information was also disseminated through an article on the news program’s website and the segment continues to be available on YouTube. Across the platforms, it was viewed in total by an estimated 10,000 individuals. From this public awareness activity, we received a number of new inquiries, as well as contact from previous clients and community partners.

2.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 1,023 302 1,325
Family Members, Guardians and Authorized Representatives 707 104 811
Representative of Education 374 23 397
Representative of Employment 133 61 194
Representative of Health, Allied Health, and Rehabilitation 151 47 198
Representative of Community Living 229 51 280
Representative of Technology 39 12 51
Unable to Categorize 00 00 00
Total 2,656 600 3,256

Notes:

State Improvement Outcomes

State improvement outcomes are not required. You may report up to two MAJOR state improvement outcomes for this reporting period. How many will you be reporting? 02

A. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.

The Division of Vocational Rehabilitation (DVR) partnered with ATRC to fulfill its obligations to the Workforce Innovation and Opportunity Act. ATRC participated with DVR to provide four individuals with disabilities, a workplace experience for 2 months.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)

ATRC's employees actively participate in the Aging and Disability Resource Centers (ADRC) and the Disability and Communications Access Board (DCAB) strategizing ways to promote partnerships with employers in the private sector so that together they can plan, develop, and make possible the fulfillment of the dreams for individuals with disabilities to live an independent and self-sufficient life. Resources: adrc@doh.hawaii.gov and http://health.hawaii.gov/dcab/


3. What was the primary area of impact for this state improvement outcome?

Employment


B. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.

ATRC's program manager is an appointed member of the Disability and Communications Access Board (DCAB). One of the Board's primary functions is to serve as a public advocate of persons with disabilities by providing advice and recommendation on legislation, rules, procedures, and plans relating to persons with disabilities and their civil rights or service needs.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)

ATRC and Disability Communication Access Board (DCAB) amended the definition of "service animal" in Section 347-2.5, Hawaii Revised Statutes, to match the federal definition, in accordance with the Americans with Disabilities Act. www.health.hawaii.gov/dcab/


3. What was the primary area of impact for this state improvement outcome?

Community Living

Additional And Leveraged Funds

Additional and Leveraged Funds

Did you have Additional and Leveraged Funding to Report? Yes

A. Leveraged Funding for State Plan Activities

State Plan Activities
Fund Source Amount Use of Funds
Private$11,250Training
Private$11,250Public Awareness, I&A
Amount: $22,500

B. Leveraged Funding for Activities Not in State Plan (data not previously reported in other activity sections)

Non-State Plan Activities
Fund Source Amount Use of Funds Individuals Served Other Outcome
State Appropriations$319,500State Financing38Employment and higher education
Federal$1,180,500State Financing102445Employment, education, community living
Amount: $1,500,000Individuals Served: 102483

C. Describe any unique issues with your data in this section (e.g., the reason why you were unable to report the number of individuals served with additional or leveraged funds).


Center for Assistive Technology Act Data Assistance . Saved: Mon Mar 09 2020 08:38:13 GMT-0500 (Central Daylight Time)


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This FY19 State AT Program Annual Progress Report was exported from the National Assistive Technology Act Data System (NATADS). NATADS was developed with partial support from the Center for Assistive Technology Act Data Assistance.