To help the regional economy become more competitive by putting in place the building blocks for self-sustaining economic development, while continuing to provide special assistance to the Region's most distressed counties. This program focuses on activities which support ARC's mission to create opportunities for self-sustaining economic development and improved quality of life in the region. Activities funded must advance ARC's strategic plan. Specific program goals are: (1) Appalachian residents will have the skills and knowledge necessary to compete in the world economy in the 21st century; (2) Appalachian communities will have the physical infrastructure necessary for self-sustaining economic development and improved quality of life; (3) The people of Appalachia will have the vision and capacity to mobilize and work together for sustained economic progress and improvement of their communities; (4) Appalachian residents will have access to financial and technical resources to help build dynamic and self-sustaining local economies; and (5) Appalachian residents will have access to affordable, quality health care. Specific objectives were developed for each goal. Grants are made either directly by the Commission or grants may supplement other Federal grants.