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and requested guidance about who is qualified to provide these services.

Discussion: We have clarified in the definition of vision

services in new §303.13(b)(17) that evaluations and

assessments of visual functioning include the diagnosis and appraisal of specific visual disorders, delays, and abilities that affect early childhood development. We also agree that reference to independent living applies to older children and have deleted the reference, which was in

proposed §303.13(b)(14)(iii), to “independent living skills


Regarding commenters’ concerns that vision services

are limited to “training” services and not skills, we note

that the purpose of providing training to a child in

specific vision areas is to improve the child’s skills in

those areas. The definition of vision services provides discretion and flexibility for each IFSP Team to identify those vision services necessary to meet the unique needs of

an infant or toddler with a disability and the child’s

family. Therefore, we have not made the changes recommended by the commenter.

Maintaining separate definitions for special instruction and vision services aligns with sections 632(4) (E)(ii) and (4)(E)(xii) of the Act, regarding the types of