Title II, SEC. 2602. PERFORMANCE REVIEW OF THE LONG-TERM CARE PROGRAMS. (a) In General. The Secretary of Health and Human Services shall prepare and submit to the Congress (1) an interim report, not later than the end of the seventh full calendar year beginning after the date of the enactment of this Act, and (2) a final report, not later than two years after the date of the interim report, evaluating the effectiveness of the programs established and amendments made by this subtitle (and including at a minimum the elements specified in subsection (b)). (b) Elements of Assessment. The evaluations to be made, and included in the reports required pursuant to subsection (a), include at least the following: (1) State service delivery programs. An evaluation of States' effectiveness in meeting the needs for home and community-based services (including personal assistance services) of individuals with disabilities (including individuals who do, and who do not, meet the eligibility criteria for the service program under part 1, individuals of different ages, type and degree of disability, and income levels, members of minority groups, and individuals residing in rural areas). (2) Service access. An evaluation of the degree of (and obstacles to) access of individuals with disabilities to needed home and community-based services and to inpatient services. (3) Quality. An evaluation of the quality of long-term care services available. (4) Private insurance. An evaluation of the performance of the private sector in offering affordable long-term care insurance that provides adequate protection against the costs of long-term care, and of the effectiveness of Federal standards and State enforcement, pursuant to part 3, in adequately protecting long-term care insurance consumers. (5) Cost issues. An evaluation of the effectiveness of amendments made by this subtitle in containing the costs of long-term care, and in limiting the share of such costs borne by individuals with lower incomes. (6) Service coordination and integration. An evaluation of the effectiveness of the programs established or amended under this subtitle in achieving coordination and integration of long-term care services, and of such services with acute care services and social services, and in ensuring provision of services in the least restrictive setting possible.