A bill to amend title XX of the Social Security Act to increase Federal payments to States for services which will assist in removing people from institutions, including the provision of alternative housing, sheltered employment, and similar services.

Amends title XX (Grants to States for Services) of the Social Security Act to: (1) increase Federal payments to States for services directed toward the goal of preventing or reducing inappropriate institutional care; and (2) authorize appropriations for alternative housing, sheltered employment, and related items directed toward such goal.