E Expanding and making permanent the region 10 medical assistance + (MA) alternative quality assurance human services licensing system for +persons with developmental disabilities, authorizing and providing for +participation by additional counties or for establishment in other counties of a new +system; changing the region 10 quality assurance commission to a statewide +and permanent commission, authorizing the commission to charge fees for +services and provide technical assistance to other counties, families, +providers and advocates interested in participating in a quality assurance system +and modifying certain duties; eliminating a certain commissioner of human+ services technical assistance and support or training requirement; +appropriating money to the commissioner for allocation to the commission for system +operating costs (ra, ja)