#aac? ,,congress  #b;d ,session  ,h4 ,r4
 #dfca  ,,an ,,act  ,to reau?orize c]ta9
 provisions ( ! ,public ,heal? ,s]vice  
,act relat+ to autism1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,autism ,collaboration1             
,acc\ntability1 ,rese>*1 ,education1 &  
,support ,act ( #bjad or ! ,autism      
,,c>es ,act ( #bjad4  #b4 ,national     
,autism ,spectrum ,disord] ,initiative  
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices %all designate an exi/+ 
(ficial )9 ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices to ov]see1 9 consultation ) ! 
,secret>ies ( ,def5se & ,education1     
national autism spectrum disord] rese>*1
 s]vices1 & support activities4  7b7    
,duties ,! (ficial designat$ "u         
subsection 7a7 %all--  7#a7 implem5t    
autism spectrum disord] activities1 tak+
 into acc\nt ! /rategic plan develop$ by
 ! ,int]ag5cy ,autism ,coord9at+        
,committee "u section #cii;,,cc7b7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;i-#b7;b772 &  7#b7 ensure

 t autism spectrum disord] activities ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices &
 ( o!r ,f$]al dep>tm5ts & ag5cies are n 
unnecess>ily duplicative4  #c4 ,rese>*  
program ,section #cii;,,aa ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;i7 is am5d$--  7#a7 9 subsection   
7a77#a71 by ins]t+ = *ildr5 & adults    
aft] report+ ( ,/ate epidemiological    
data2  7#b7 9 subsection 7b77#a7--  7,a7
 by /rik+ e/abli%m5t ( regional c5t]s ( 
excell5ce & ins]t+ e/abli%m5t or support
 ( regional c5t]s ( excell5ce2 &  7,b7  
by ins]t+ = *ildr5 & adults be=e ! p]iod
 at ! end2  7#c7 9 subsection 7b77#b71  
by /rik+ c5t] to be e/abli%$ & ins]t+   
c5t] to be e/abli%$ or support$2 &  7#d7
 9 subsection 7e71 by /rik+ #bjad &     
ins]t+ #bjai4  #d4 ,autism int]v5tion   
,section #cii;,,bb ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#a7  
is am5d$--  7#a7 9 subsection 7b77#a71  
by ins]t+ culturally compet5t aft]      
provide2  7#b7 9 subsection             
7c77#b77;,a77ii71 by ins]t+ 7:i* may    

include respite c>e = c>egiv]s (        
individuals ) an autism spectrum        
disord]7 aft] s]vices & supports2  7#c7 
9 subsection 7e77#a77;,b77v71 by ins]t+ 
be=e ! semicolon ! foll[+3 1 :i* may    
include collaborat+ ) rese>* c5t]s or   
networks to provide tra9+ = provid]s (  
respite c>e 7z def9$ 9 section #bija72  
7#d7 9 subsection 7f71 by /rik+ grants  
or contracts & all t foll[s ?r\gh =     
individuals ) & ins]t+ grants or        
contracts1 :i* may include grants or    
contracts to rese>* c5t]s or networks1  
to det]m9e ! evid5ce-bas$ practices =   
int]v5tions to improve ! physical &     
behavioral heal? ( individuals )2 &     
7#e7 9 subsection 7g71 by /rik+ #bjad & 
ins]t+ #bjai4  #e4 ,int]ag5cy ,autism   
,coord9at+ ,committee ,section #cii;,,cc
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bhj;i-#b7 is am5d$--  7#a7 9 
subsection 7b7--  7,a7 9 p>agraph 7#a7--
  7i7 by /rik+ & annually update2 &     
7ii7 by /rik+ int]v5tion & ins]t+       
int]v5tions1 includ+ s*ool &            

community-bas$ int]v5tions2  7,b7 by    
/rik+ p>agraph 7#b72  7,c7 by r$esignat+
 p>agraph 7#a7 z p>agraph 7#b71 & ins]t+
 be=e su* r$esignat$ p>agraph ! foll[+3 
7#a7 monitor autism spectrum disord]    
rese>*1 & to ! ext5t practicable s]vices
 & support activities1 across all       
relevant ,f$]al dep>tm5ts & ag5cies1    
includ+ coord9ation ( ,f$]al activities 
) respect to autism spectrum disord]2  2
  7,d7 9 p>agraph 7#c71 by /rik+        
recomm5dations to ! ,director ( ,,nih2  
7,e7 9 p>agraph 7#d71 by ins]t+ be=e !  
semicolon ! foll[+3 1 & ! process by :i*
 public fe$back c be bett] integrat$    
into su* decisions2 &  7,f7 by /rik+    
p>agraphs 7#e7 & 7#f7 & ins]t+ ! foll[+3
  7#e7 develop a /rategic plan = !      
conduct (1 & support =1 autism spectrum 
disord] rese>*1 includ+ z practicable = 
s]vices & supports1 = individuals ) an  
autism spectrum disord] & ! families (  
su* individuals1 :i* %all include--     
7,a7 propos$ budget>y requirem5ts2 &    
7,b7 recomm5dations to ensure t autism  

spectrum disord] rese>*1 & s]vices &    
support activities to ! ext5t           
practicable1 ( ! ,dep>tm5t ( ,heal? &   
,human ,s]vices & ( o!r ,f$]al dep>tm5ts
 & ag5cies are n unnecess>ily           
duplicative2 &  7#f7 submit to ,congress
 & ! ,presid5t--  7,a7 an annual update 
on ! summ>y ( advances describ$ 9       
p>agraph 7#b72 &  7,b7 an annual update 
to ! /rategic plan describ$ 9 p>agraph  
7#e71 includ+ any progress made 9 a*iev+
 ! goals outl9$ 9 su* /rategic plan4  2 
7#b7 9 subsection 7c7--  7,a7 9 p>agraph
 7#a7--  7i7 by /rik+ ! p>agraph        
designation1 ! head+1 & ! matt] prec$+  
subp>agraph 7,a7 & ins]t+ ! foll[+3     
7#a7 ,f$]al memb]%ip ,! ,committee %all 
be compos$ ( ! foll[+ ,f$]al memb]s--  2
  7ii7 9 subp>agraph 7,c7--  7,i7 by    
ins]t+ 1 su* z ! ,adm9i/ration =        
,community ,liv+1 ,adm9i/ration =       
,*ildr5 & ,families1 ! ,c5t]s = ,m$ic>e 
,m$icaid ,s]vices1 ! ,food & ,drug      
,adm9i/ration1 & ! ,heal? ,res\rces &   
,s]vices ,adm9i/ration be=e ! semicolon 

at ! end2 &  7,,ii7 by add+ at ! end &2 
7iii7 9 subp>agraph 7,d7--  7,i7 by     
ins]t+ & ! ,dep>tm5t ( ,def5se aft]     
,dep>tm5t ( ,education2 &  7,,ii7 by    
/rik+ at ! end 2 & & ins]t+ a p]iod2 &  
7iv7 by /rik+ subp>agraph 7,e72  7,b7 9 
p>agraph 7#b7--  7i7 9 ! p>agraph head+1
 by /rik+ ,additional & ins]t+          
,non-,f$]al2  7ii7 9 ! matt] prec$+     
subp>agraph 7,a71 by /rik+ ,n few] ?an  
#f memb]s ( ! ,committee1 or #a_/c ( !  
total memb]%ip ( ! ,committee1 :i*ev] is
 great] & ins]t+ ,n m ?an #a_/b1 b n    
few] ?an #a_/c1 ( ! total memb]%ip ( !  
,committee2  7iii7 9 subp>agraph 7,a71  
by /rik+ "o su* memb] %all be an        
individual & ins]t+ two su* memb]s %all 
be individuals2  7iv7 9 subp>agraph     
7,b71 by /rik+ "o su* memb] %all be a   
p>5t or legal gu>dian & ins]t+ two su*  
memb]s %all be p>5ts or legal gu>dians2 
&  7v7 9 subp>agraph 7,c71 by /rik+ "o  
su* memb] %all be a repres5tative &     
ins]t+ two su* memb]s %all be           
repres5tatives2 &  7,c7 by add+ at ! end

 ! foll[+3  7#c7 ,p]iod ( appo9tm5t2    
vacancies  7,a7 ,p]iod ( appo9tm5t =    
,non-,f$]al memb]s ,non-,f$]al memb]s   
%all s]ve = a t]m ( #d ye>s1 & may be   
reappo9t$ = "o or m additional #d-ye>   
t]ms4  7,b7 ,vacancies ,a vacancy on !  
,committee %all be fill$ 9 ! mann] 9 :i*
 ! orig9al appo9tm5t 0 made & %all n    
affect ! p[]s or duties ( ! ,committee4 
,any memb] appo9t$ to fill a vacancy =  
an unexpir$ t]m %all be appo9t$ = !     
rema9d] ( su* t]m4 ,a memb] may s]ve    
aft] ! expiration ( ! memb]'s t]m until 
a successor has be5 appo9t$4  2  7#c7 9 
subsection 7d7--  7,a7 by /rik+ p>agraph
 7#b72 &  7,b7 by r$esignat+ p>agraphs  
7#c7 & 7#d7 z p>agraphs 7#b7 & 7#c71    
respectively2 &  7#d7 9 subsection 7f71 
by /rik+ #bjad & ins]t+ #bjai4  #f4     
,reports ,section #cii;,,dd ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;i-#c7 is am5d$--  7#a7 9 ! section 
head+1 by /rik+ ,report & ins]t+        
,reports2  7#b7 9 subsection 7b71 by    
r$esignat+ p>agraphs 7#a7 ?r\gh 7#i7 z  

subp>agraphs 7,a7 ?r\gh 7,i71           
respectively1 & realign+ ! m>g9s        
accord+ly2  7#c7 by r$esignat+          
subsections 7a7 & 7b7 z p>agraphs 7#a7 &
 7#b71 respectively1 & realign+ ! m>g9s 
accord+ly2  7#d7 by ins]t+ aft] !       
section head+ ! foll[+3  7a7 ,progress  
report  2  7#e7 9 subsection 7a77#a7 7z 
s r$esignat$7--  7,a7 by /rik+ #b ye>s  
aft] ! date ( enactm5t ( ! ,combat+     
,autism ,reau?orization ,act ( #bjaa &  
ins]t+ #d ye>s aft] ! date ( enactm5t ( 
! ,autism ,,c>es ,act ( #bjad2  7,b7 by 
ins]t+ & ! ,secret>y ( ,def5se aft] !   
,secret>y ( ,education2 &  7,c7 by      
ins]t+ 1 & make publicly available1     
includ+ ?r\gh po/+ on ! ,int]net ,web   
site ( ! ,dep>tm5t ( ,heal? & ,human    
,s]vices1 aft] ,repres5tatives2 &  7#f7 
9 subsection 7a77#b7 7z s r$esignat$7-- 
7,a7 9 subp>agraph 7,a71 7z s           
r$esignat$71 by /rik+ ,combat+ ,autism  
,act ( #bjjf & ins]t+ ,autism ,,c>es    
,act ( #bjad2  7,b7 9 subp>agraph 7,b7  
7z s r$esignat$71 by /rik+ p>ticul>     

provisions ( ,combat+ ,autism ,act (    
#bjjf & ins]t+ am5dm5ts made by !       
,autism ,,c>es ,act ( #bjad2  7,c7 by   
/rik+ subp>agraph 7,c7 7z s r$esignat$71
 & ins]t+ ! foll[+3  7,c7 in=mation on !
 incid5ce & preval5ce ( autism spectrum 
disord]1 includ+ available in=mation on 
! preval5ce ( autism spectrum disord]   
among *ildr5 & adults1 & id5tification (
 any *anges ov] "t ) respect to !       
incid5ce & preval5ce ( autism spectrum  
disord]2  2  7,d7 9 subp>agraph 7,d7 7z 
s r$esignat$71 by /rik+ #f-ye> p]iod    
beg9n+ on ! date ( enactm5t ( ! ,combat+
 ,autism ,act ( #bjjf & ins]t+ #d-ye>   
p]iod beg9n+ on ! date ( enactm5t ( !   
,autism ,,c>es ,act ( #bjad &1 z        
appropriate1 h[ ?is age v>ies across    
population subgr\ps2  7,e7 9 subp>agraph
 7,e7 7z s r$esignat$71 by /rik+ #f-ye> 
p]iod beg9n+ on ! date ( enactm5t ( !   
,combat+ ,autism ,act ( #bjjf & ins]t+  
#d-ye> p]iod beg9n+ on ! date ( enactm5t
 ( ! ,autism ,,c>es ,act ( #bjad &1 z   
appropriate1 h[ ?is age v>ies across    

population subgr\ps2  7,f7 9 subp>agraph
 7,f7 7z s r$esignat$71 by ins]t+ &1 z  
appropriate1 on h[ su* av]age "t v>ies  
across population subgr\ps be=e !       
semicolon at ! end2  7,g7 9 subp>agraph 
7,g7 7z s r$esignat$7--  7i7 by /rik+   
includ+ by v>i\s subtypes1 & ins]t+     
includ+ by sev]ity level z practicable12
 &  7ii7 by /rik+ *ild may & ins]t+ *ild
 or o!r factors1 su* z demographic      
*>act]i/ics1 may2 &  7,h7 by /rik+      
subp>agraph 7,i7 7z s r$esignat$71 &    
ins]t+ ! foll[+3  7,i7 a description ( !
 actions tak5 to implem5t & ! progress  
made on implem5tation ( ! /rategic plan 
develop$ by ! ,int]ag5cy ,autism        
,coord9at+ ,committee "u section        
#cii;,,cc7b74  2 &  7#g7 by add+ at !   
end ! foll[+ new subsection3  7b7       
,report on "y adults & transition+ y\?  
7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ! ,autism ,,c>es ,act
 ( #bjad1 ! ,secret>y ( ,heal? & ,human 
,s]vices1 9 coord9ation ) ! ,secret>y ( 
,education & 9 collaboration ) !        

,secret>y ( ,transportation1 ! ,secret>y
 ( ,labor1 ! ,secret>y ( ,h\s+ & ,urban 
,developm5t1 & ! ,attorney ,g5]al1 %all 
prep>e & submit to ! ,committee on      
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives1 a 
report conc]n+ "y adults ) autism       
spectrum disord] & ! *all5ges relat$ to 
! transition f exi/+ s*ool-bas$ s]vices 
to ^? s]vices available dur+ adul?ood4  
7#b7 ,cont5ts ,! report submitt$ "u     
p>agraph 7#a7 %all conta9--  7,a7       
demographic *>act]i/ics ( y\?           
transition+ f s*ool-bas$ to             
community-bas$ supports2  7,b7 an       
ov]view ( policies & programs relevant  
to "y adults ) autism spectrum disord]  
relat+ to po/-second>y s*ool            
transitional s]vices1 includ+ an        
id5tification ( exi/+ ,f$]al laws1      
regulations1 policies1 rese>*1 &        
programs2  7,c7 proposals on e/abli%+   
be/ practices guidel9es to ensure--  7i7
 int]discipl9>y coord9ation betwe5 all  

relevant s]vice provid]s receiv+ ,f$]al 
fund+2  7ii7 coord9ation ) transition+  
y\? & ! family ( su* transition+ y\?2 & 
7iii7 inclusion ( ! individualiz$       
education program = ! transition+ y\?1 z
 prescrib$ 9 section #fad ( !           
,individuals ) ,disabilities ,education 
,act 7#bj ,u4,s4,c4 #adad72  7,d7       
compreh5sive approa*es to transition+ f 
exi/+ s*ool-bas$ s]vices to ^? s]vices  
available dur+ adul?ood1 includ+--  7i7 
s]vices t increase access to1 & improve 
integration & completion (1 po/-second>y
 education1 pe] support1 vocational     
tra9+ 7z def9$ 9 section #ajc ( !       
,rehabilitation ,act ( #aigc 7#bi       
,u4,s4,c4 #gbc771 rehabilitation1       
self-advocacy skills1 & competitive1    
integrat$ employm5t2  7ii7              
community-bas$ behavioral supports &    
int]v5tions2  7iii7 community-bas$      
integrat$ resid5tial s]vices1 h\s+1 &   
transportation2  7iv7 nutrition1 heal? &
 wellness1 recreational1 & social       
activities2  7v7 p]sonal safety s]vices 

= individuals ) autism spectrum disord] 
relat$ to public safety ag5cies or !    
crim9al ju/ice sy/em2 &  7vi7           
evid5ce-bas$ approa*es = coord9ation (  
res\rces & s]vices once individuals h   
ag$ out ( po/-second>y education2 &     
7,e7 proposals t seek to improve        
outcomes = adults ) autism spectrum     
disord] mak+ ! transition f a s*ool-bas$
 support sy/em to adul?ood by--  7i7    
increas+ ! effectiv5ess ( programs t    
provide transition s]vices2  7ii7       
increas+ ! ability ( ! relevant s]vice  
provid]s describ$ 9 subp>agraph 7,c7 to 
provide supports & s]vices to und]s]v$  
populations & regions2  7iii7 increas+ !
 effici5cy ( s]vice deliv]y to maximize 
res\rces & outcomes1 includ+ ) respect  
to ! integration ( & collaboration among
 s]vices = transition+ y\?2  7iv7 ensur+
 access to all s]vices necess>y to      
transition+ y\? ( all capabilities2 &   
7v7 enc\rag+ transition+ y\? to utilize 
all available transition s]vices to     
maximize indep5d5ce1 equal opportunity1 

full p>ticipation1 & self-suffici5cy4  4
  #g4 ,au?orization ( appropriations    
,section #cii;,,ee ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#d7  
is am5d$--  7#a7 9 subsection 7a71 by   
/rik+ fiscal ye>s #bjab ?r\gh #bjad &   
ins]t+ fiscal ye>s #bjae ?r\gh #bjai2   
7#b7 9 subsection 7b71 by /rik+ fiscal  
ye>s #bjaa ?r\gh #bjad & ins]t+ fiscal  
ye>s #bjae ?r\gh #bjai2 &  7#c7 9       
subsection 7c71 by /rik+ #afa1jjj1jjj = 
ea* ( fiscal ye>s #bjaa ?r\gh #bjad &   
ins]t+ #aij1jjj1jjj = ea* ( fiscal ye>s 
#bjae ?r\gh #bjai4  ,pass$ ! ,h\se (    
,repres5tatives ,june #bd1 #bjad4;,cl]k4