Requires the department of social and health services to: (1) Ensure that each resident's individual habilitation plan includes a plan for discharge to the community;

(2) Maximize federal funding for transitioning clients through the roads to community living grant;

(3) Limit the ability of a state-operated living alternative to reject referred clients;

(4) Employ the quality assurance process currently in use by the department to monitor the adjustment of residents who leave a residential habilitation center;

(5) Study and make recommendations on developing and building a federally qualified health center for residents and other individuals with developmental disabilities who live in the community;

(6) Consult with federally qualified health centers and members and representatives of the developmental disabled community; and

(7) Complete an appraisal of the charitable, educational, penal, and reform institutions land on the Fircrest School campus.

Prohibits the department of social and health services from permitting a new admission to Fircrest School to the intermediate care facility or the nursing facility unless the admission is for the provision of short-term respite or crisis stabilization services.

Requires the intermediate care facility at Fircrest School to cease operation by December 31, 2022.

Requires the nursing facility portion of Fircrest School to continue to operate until the census of permanent residents has reached sixteen persons.

Requires Fircrest School to cease to operate as a residential habilitation center when certain conditions are met.

Requires the developmental disabilities administration, when determining which of its clients who receives an annual developmental disabilities assessment are at highest risk of abuse or neglect, to include in its consideration, whether the client has moved from a residential habilitation center to the community.

Requires revenue generated from Fircrest School properties, when the school ceases to operate, and revenue generated with the next phase of the Fircrest School master plan process identified in the 2017-2019 omnibus capital appropriations act to be deposited into the developmental disabilities community trust account.

Requires expenditures from the developmental disabilities community trust account to be used to provide supported living, state-operated living alternatives, and other community-based residential services supporting people with developmental disabilities.