,i #aacth ,,congress #b;d ,session ,h4 ,r4 #dfca ,,in ,,the ,,house ,,of ,,representatives ,may #i1 #bjad ,mr4 ,smith of ,new ,jersey 7for himself1 ,mr4 ,doyle1 ,mrs4 ,mc,morris ,rodgers1 ,mr4 ,van ,hollen1 ,mr4 ,sessions1 ,mr4 ,wolf1 ,mr4 ,stivers1 ,mr4 ,meehan1 ,mr4 ,moran1 ,mrs4 ,blackburn1 ,mr4 ,miller of ,florida1 ,mrs4 ,walorski1 ,mr4 ,larson of ,connecticut1 ,ms4 ,jackson ,lee1 ,mr4 ,harper1 ,mr4 ,lance1 ,mr4 ,meadows1 ,mr4 ,marino1 ,mr4 ,deutch1 ,mr4 ,rooney1 ,mr4 ,pompeo1 ,mr4 ,aderholt1 ,mr4 ,bachus1 ,mr4 ,gibson1 ,mrs4 ,miller of ,michigan1 ,mr4 ,young of ,alaska1 ,mr4 ,king of ,new ,york1 ,ms4 ,shea-,porter1 ,ms4 ,de,lauro1 ,mr4 ,murphy of ,pennsylvania1 ,mr4 ,fitzpatrick1 ,mr4 ,terry1 ,mr4 ,kelly of ,pennsylvania1 ,mr4 ,yoder1 and ,mr4 ,matheson7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to reauthorize certain provisions of the ,public ,health ,service ,act relating to autism1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,combating ,autism ,reauthorization ,act of #bjad4 #b4 ,reauthorization of programs relating to autism 7a7 ,national ,autism ,spectrum ,disorder ,initiative ,part ,r of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i et seq47 is amended-- 7#a7 by redesignating sections #cii;,,aa through #cii;,,ee as sections #cii;,,bb through #cii;,,ff1 respectively2 and 7#b7 by inserting before section #cii;,,bb1 as redesignated1 the following3 #cii;,,aa4 ,national ,autism ,spectrum ,disorder ,initiative 7a7 ,establishment ,for the purposes described in subsection 7b71 the ,secretary shall designate an official within the ,department of ,health and ,human ,services to establish and oversee a ,national ,autism ,spectrum ,disorder ,initiative 7in this section referred to as the ,initiative74 7b7 ,purposes ,the purposes of the ,initiative shall be-- 7#a7 to implement a strategic plan for the conduct of1 and support for1 autism spectrum disorder research1 taking into account the strategic plan developed by the ,interagency ,autism ,coordinating ,committee under section #cii;,,dd7b72 and 7#b7 to ensure that autism spectrum disorder research programs and activities of the ,department of ,health and ,human ,services are not unnecessarily duplicative of other ,federal research programs and activities4 4 7b7 ,developmental disabilities surveillance and research program ,section #cii;,,bb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i71 as redesignated1 is amended-- 7#a7 in subsection 7a71 by inserting for children and adults after reporting of ,state epidemiological data2 7#b7 in subsection 7b77#a71 by striking establishment of regional centers of excellence and inserting establishment or support of regional centers of excellence2 7#c7 in subsection 7b77#b71 by striking center to be established and inserting center to be established or supported2 and 7#d7 in subsection 7e71 by striking #bjad and inserting #bjai4 7c7 ,autism education1 early detection1 and intervention ,section #cii;,,cc7g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#a71 as redesignated1 is amended by striking #bjad and inserting #bjai4 7d7 ,interagency ,autism ,coordinating ,committee 7#a7 ,appointment of members by congressional leaders ,section #cii;,,dd7c77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#b7;c77#a771 as redesignated1 is amended-- 7,a7 in subparagraph 7,d71 by striking and at the end2 7,b7 by redesignating subparagraph 7,e7 as subparagraph 7,i72 and 7,c7 by inserting after subparagraph 7,d7 the following3 7,e7 one member appointed by the ,speaker of the ,house of ,representatives2 7,f7 one member appointed by the majority leader of the ,senate2 7,g7 one member appointed by the minority leader of the ,house of ,representatives2 7,h7 one member appointed by the minority leader of the ,senate2 and 4 7#b7 ,preventing duplication ,section #cii;,,dd7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#b7;b771 as redesignated1 is amended-- 7,a7 in paragraph 7#e71 by striking and at the end2 7,b7 by redesignating paragraph 7#f7 as paragraph 7#g72 and 7,c7 by inserting after paragraph 7#e7 the following3 7#f7 include in such strategic plan recommendations to ensure that autism spectrum disorder research programs and activities of the ,department of ,health and ,human ,services are not unnecessarily duplicative of other ,federal research programs and activities2 and 4 7#c7 ,extension of sunset provision ,section #cii;,,dd7f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#b71 as redesignated1 is amended by striking #bjad and inserting #bjai4 7e7 ,report to ,congress ,section #cii;,,ee of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#c71 as redesignated1 is amended-- 7#a7 in subsection 7a71 by striking ,combating ,autism ,reauthorization ,act of #bjaa and inserting ,combating ,autism ,reauthorization ,act of #bjad2 and 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by striking provisions of the ,combating ,autism ,act of #bjjf and inserting provisions of this part1 section #djd;,h1 and section #dji;,c2 7,b7 in paragraph 7#b71 by striking provisions of ,combating ,autism ,act of #bjjf and inserting provisions of this part1 section #djd;,h1 and section #dji;,c2 7,c7 in paragraph 7#c71 by striking ,combating ,autism ,act of #bjjf and inserting ,combating ,autism ,reauthorization ,act of #bjaa2 7,d7 in paragraphs 7#d7 and 7#e71 by striking over the #f-year period beginning on each place it appears and inserting since2 7,e7 in paragraph 7#h71 by striking and at the end2 7,f7 in paragraph 7#i71 by striking the period at the end and inserting 2 and2 and 7,g7 by adding at the end the following3 7#aj7 a description of the actions taken to implement1 and the progress made on implementation1 of the strategic plan developed by the ,interagency ,autism ,coordinating ,committee4 4 7f7 ,authorization of appropriations ,section #cii;,,ff of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#d71 as redesignated1 is amended-- 7#a7 in subsection 7a7-- 7,a7 by striking #cii;,,aa and inserting #cii;,,bb2 and 7,b7 by striking fiscal years #bjab through #bjad and inserting fiscal years #bjae through #bjai2 7#b7 in subsection 7b7-- 7,a7 by striking #cii;,,bb and inserting #cii;,,cc2 and 7,b7 by striking fiscal years #bjaa through #bjad and inserting fiscal years #bjae through #bjai2 and 7#c7 in subsection 7c7-- 7,a7 by striking #cii;,,cc and inserting #cii;,,dd2 and 7,b7 by striking #afa1jjj1jjj for each of fiscal years #bjaa through #bjad and inserting #aij1jjj1jjj for each of fiscal years #bjae through #bjai4 #c4 ,report to ,congress on demographics and needs of adults with autism spectrum disorder 7a7 ,in general ,not later than #bd months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall complete a study and submit to the ,congress a report on the demographics and needs1 if any1 of individuals in the ,united ,states with an autism spectrum disorder 7in this section referred to as ,,asd74 7b7 ,issues ,to ,be addressed ,the study and report under subsection 7a7 shall-- 7#a7 address the demographics of individuals with ,,asd making the transition from a school-based support system to adulthood2 7#b7 address the needs1 if any1 of adults with ,,asd with respect to-- 7,a7 community integration2 7,b7 housing and residential supports2 7,c7 employment2 7,d7 transportation2 7,e7 vocational training and rehabilitation2 7,f7 continued education2 7,g7 health care and social services2 7,h7 speech therapy2 7,i7 public safety2 and 7,j7 day habilitation activities1 including those to provide a safe1 respectful1 and stimulating environment that allows participants to become active members of their community2 7#c7 provide an overview of ,federal1 ,state1 and local government policies and programs1 and any available private 7including private nonprofit7 sector assistance1 for addressing the needs identified in paragraph 7#b72 and 7#d7 provide policy recommendations to-- 7,a7 improve outcomes for adults with ,,asd making the transition from a school-based support system to adulthood2 7,b7 enhance the effectiveness of the policies1 programs1 and assistance described in paragraph 7#c72 7,c7 ensure integration of and collaboration among services for addressing the needs of adults with ,,asd2 and 7,d7 encourage independent living1 equal opportunity1 full participation1 and economic self-sufficiency4 7c7 ,survey 7#a7 ,in general ,in carrying out this section1 the ,comptroller ,general shall conduct a survey of public and private sector stakeholders on-- 7,a7 the needs1 if any1 of adults with ,,asd2 7,b7 the services and resources available for addressing such needs2 and 7,c7 the effectiveness of such services and resources4 7#b7 ,stakeholders ,the stakeholders to be surveyed under paragraph 7#a7 include the following3 7,a7 ,individuals from the business community representing both large and small businesses4 7,b7 ,institutions of higher education1 community colleges1 vocational schools1 and university centers for excellence in developmental disabilities4 7,c7 ,social service providers1 including case management experts and health care providers4 7,d7 ,vocational rehabilitation experts4 7,e7 ,state and local housing departments and nonprofit organizations that provide housing services for individuals with disabilities4 7,f7 ,individuals with ,,asd1 parents of individuals with ,,asd1 and representatives from advocacy groups that focus on individuals with ,,asd4 7,g7 ,officials or employees of the ,federal ,government responsible for overseeing disability services at each of the following departments and agencies3 7i7 ,the ,department of ,health and ,human ,services1 including the ,administration for ,children and ,families1 the ,centers for ,disease ,control and ,prevention1 the ,centers for ,medicare ,medicaid ,services1 the ,health ,resources and ,services ,administration1 and the ,administration for ,community ,living4 7ii7 ,the ,department of ,education4 7iii7 ,the ,department of ,housing and ,urban ,development4 7iv7 ,the ,department of ,labor4 7v7 ,the ,department of ,justice4 7vi7 ,the ,department of ,transportation4 7vii7 ,any other ,federal departments and agencies determined appropriate by the ,comptroller ,general4