,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #dfca  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #i1 #bjad ,mr4   
,smi? ( ,new ,j]sey 7= himself1 ,mr4    
,doyle1 ,mrs4 ,mc,morris ,rodg]s1 ,mr4  
,van ,holl51 ,mr4 ,sessions1 ,mr4 ,wolf1
 ,mr4 ,/iv]s1 ,mr4 ,meehan1 ,mr4 ,moran1
 ,mrs4 ,blackburn1 ,mr4 ,mill] (        
,florida1 ,mrs4 ,walorski1 ,mr4 ,l>son (
 ,connecticut1 ,ms4 ,jackson ,lee1 ,mr4 
,h>p]1 ,mr4 ,lance1 ,mr4 ,mead[s1 ,mr4  
,m>9o1 ,mr4 ,deut*1 ,mr4 ,rooney1 ,mr4  
,pompeo1 ,mr4 ,ad]holt1 ,mr4 ,ba*us1    
,mr4 ,gibson1 ,mrs4 ,mill] ( ,mi*igan1  
,mr4 ,"y ( ,alaska1 ,mr4 ,k+ ( ,new     
,york1 ,ms4 ,%ea-,port]1 ,ms4 ,de,lauro1
 ,mr4 ,murphy ( ,p5nsylvania1 ,mr4      
,fitzpatrick1 ,mr4 ,t]ry1 ,mr4 ,kelly ( 
,p5nsylvania1 ,mr4 ,yod]1 & ,mr4        
,ma!son7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,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 ! ,combat+ ,autism           
,reau?orization ,act ( #bjad4  #b4      
,reau?orization ( programs relat+ to    
autism  7a7 ,national ,autism ,spectrum 
,disord] ,initiative ,"p ,r ( title     
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bhj;i et seq47 is       
am5d$--  7#a7 by r$esignat+ sections    
#cii;,,aa ?r\gh #cii;,,ee z sections    
#cii;,,bb ?r\gh #cii;,,ff1 respectively2
 &  7#b7 by ins]t+ be=e section         
#cii;,,bb1 z r$esignat$1 ! foll[+3      
#cii;,,aa4 ,national ,autism ,spectrum  
,disord] ,initiative  7a7 ,e/abli%m5t ,=
 ! purposes describ$ 9 subsection 7b71 !
 ,secret>y %all designate an (ficial )9 
! ,dep>tm5t ( ,heal? & ,human ,s]vices  
to e/abli% & ov]see a ,national ,autism 
,spectrum ,disord] ,initiative 79 ?is   
section ref]r$ to z ! ,initiative74  7b7
 ,purposes ,! purposes ( ! ,initiative  
%all be--  7#a7 to implem5t a /rategic  
plan = ! conduct (1 & support =1 autism 
spectrum disord] rese>*1 tak+ into      
acc\nt ! /rategic plan develop$ by !    

,int]ag5cy ,autism ,coord9at+ ,committee
 "u section #cii;,,dd7b72 &  7#b7 to    
ensure t autism spectrum disord] rese>* 
programs & activities ( ! ,dep>tm5t (   
,heal? & ,human ,s]vices are n          
unnecess>ily duplicative ( o!r ,f$]al   
rese>* programs & activities4  4  7b7   
,developm5tal disabilities surveillance 
& rese>* program ,section #cii;,,bb ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;i71 z r$esignat$1 is     
am5d$--  7#a7 9 subsection 7a71 by      
ins]t+ = *ildr5 & adults aft] report+ ( 
,/ate epidemiological data2  7#b7 9     
subsection 7b77#a71 by /rik+ e/abli%m5t 
( regional c5t]s ( excell5ce & ins]t+   
e/abli%m5t or support ( regional c5t]s (
 excell5ce2  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  7c7 ,autism education1   
e>ly detection1 & int]v5tion ,section   
#cii;,,cc7g7 ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bhj;i-#a71 z       

r$esignat$1 is am5d$ by /rik+ #bjad &   
ins]t+ #bjai4  7d7 ,int]ag5cy ,autism   
,coord9at+ ,committee  7#a7 ,appo9tm5t (
 memb]s by congressional lead]s ,section
 #cii;,,dd7c77#a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bhj;i-#b7;c77#a771 z r$esignat$1 is    
am5d$--  7,a7 9 subp>agraph 7,d71 by    
/rik+ & at ! end2  7,b7 by r$esignat+   
subp>agraph 7,e7 z subp>agraph 7,i72 &  
7,c7 by ins]t+ aft] subp>agraph 7,d7 !  
foll[+3  7,e7 "o memb] appo9t$ by !     
,speak] ( ! ,h\se ( ,repres5tatives2    
7,f7 "o memb] appo9t$ by ! majority     
lead] ( ! ,s5ate2  7,g7 "o memb] appo9t$
 by ! m9ority lead] ( ! ,h\se (         
,repres5tatives2  7,h7 "o memb] appo9t$ 
by ! m9ority lead] ( ! ,s5ate2 &  4     
7#b7 ,prev5t+ duplication ,section      
#cii;,,dd7b7 ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bhj;i-#b7;b771 z   
r$esignat$1 is am5d$--  7,a7 9 p>agraph 
7#e71 by /rik+ & at ! end2  7,b7 by     
r$esignat+ p>agraph 7#f7 z p>agraph     
7#g72 &  7,c7 by ins]t+ aft] p>agraph   

7#e7 ! foll[+3  7#f7 include 9 su*      
/rategic plan recomm5dations to ensure t
 autism spectrum disord] rese>* programs
 & activities ( ! ,dep>tm5t ( ,heal? &  
,human ,s]vices are n unnecess>ily      
duplicative ( o!r ,f$]al rese>* programs
 & activities2 &  4  7#c7 ,ext5sion (   
sunset provision ,section #cii;,,dd7f7 (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bhj;i-#b71 z r$esignat$1 is  
am5d$ by /rik+ #bjad & ins]t+ #bjai4    
7e7 ,report to ,congress ,section       
#cii;,,ee ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bhj;i-#c71 z       
r$esignat$1 is am5d$--  7#a7 9          
subsection 7a71 by /rik+ ,combat+       
,autism ,reau?orization ,act ( #bjaa &  
ins]t+ ,combat+ ,autism ,reau?orization 
,act ( #bjad2 &  7#b7 9 subsection 7b7--
  7,a7 9 p>agraph 7#a71 by /rik+        
provisions ( ! ,combat+ ,autism ,act (  
#bjjf & ins]t+ provisions ( ?is "p1     
section #djd;,h1 & section #dji;,c2     
7,b7 9 p>agraph 7#b71 by /rik+          
provisions ( ,combat+ ,autism ,act (    

#bjjf & ins]t+ provisions ( ?is "p1     
section #djd;,h1 & section #dji;,c2     
7,c7 9 p>agraph 7#c71 by /rik+ ,combat+ 
,autism ,act ( #bjjf & ins]t+ ,combat+  
,autism ,reau?orization ,act ( #bjaa2   
7,d7 9 p>agraphs 7#d7 & 7#e71 by /rik+  
ov] ! #f-ye> p]iod beg9n+ on ea* place x
 appe>s & ins]t+ s9ce2  7,e7 9 p>agraph 
7#h71 by /rik+ & at ! end2  7,f7 9      
p>agraph 7#i71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7,g7 by add+ at ! end 
! foll[+3  7#aj7 a description ( !      
actions tak5 to implem5t1 & ! progress  
made on implem5tation1 ( ! /rategic plan
 develop$ by ! ,int]ag5cy ,autism       
,coord9at+ ,committee4  4  7f7          
,au?orization ( appropriations ,section 
#cii;,,ff ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bhj;i-#d71 z       
r$esignat$1 is am5d$--  7#a7 9          
subsection 7a7--  7,a7 by /rik+         
#cii;,,aa & ins]t+ #cii;,,bb2 &  7,b7 by
 /rik+ fiscal ye>s #bjab ?r\gh #bjad &  
ins]t+ fiscal ye>s #bjae ?r\gh #bjai2   
7#b7 9 subsection 7b7--  7,a7 by /rik+  

#cii;,,bb & ins]t+ #cii;,,cc2 &  7,b7 by
 /rik+ fiscal ye>s #bjaa ?r\gh #bjad &  
ins]t+ fiscal ye>s #bjae ?r\gh #bjai2 & 
7#c7 9 subsection 7c7--  7,a7 by /rik+  
#cii;,,cc & ins]t+ #cii;,,dd2 &  7,b7 by
 /rik+ #afa1jjj1jjj = ea* ( fiscal ye>s 
#bjaa ?r\gh #bjad & ins]t+ #aij1jjj1jjj 
= ea* ( fiscal ye>s #bjae ?r\gh #bjai4  
#c4 ,report to ,congress on demographics
 & ne$s ( adults ) autism spectrum      
disord]  7a7 ,9 g5]al ,n lat] ?an #bd   
mon?s aft] ! date ( enactm5t ( ?is ,act1
 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 
%all complete a /udy & submit to !      
,congress a report on ! demographics &  
ne$s1 if any1 ( individuals 9 ! ,unit$  
,/ates ) an autism spectrum disord] 79  
?is section ref]r$ to z ,,asd74  7b7    
,issues ,to ,be address$ ,! /udy &      
report "u subsection 7a7 %all--  7#a7   
address ! demographics ( individuals )  
,,asd mak+ ! transition f a s*ool-bas$  
support sy/em to adul?ood2  7#b7 address
 ! ne$s1 if any1 ( adults ) ,,asd )     
respect to--  7,a7 community            

integration2  7,b7 h\s+ & resid5tial    
supports2  7,c7 employm5t2  7,d7        
transportation2  7,e7 vocational tra9+ &
 rehabilitation2  7,f7 cont9u$          
education2  7,g7 heal? c>e & social     
s]vices2  7,h7 spee* !rapy2  7,i7 public
 safety2 &  7,j7 day habilitation       
activities1 includ+ ^? to provide a     
safe1 respectful1 & /imulat+ environm5t 
t all[s p>ticipants to become active    
memb]s ( _! community2  7#c7 provide an 
ov]view ( ,f$]al1 ,/ate1 & local        
gov]nm5t policies & programs1 & any     
available private 7includ+ private      
nonpr(it7 sector assi/ance1 = address+ !
 ne$s id5tifi$ 9 p>agraph 7#b72 &  7#d7 
provide policy recomm5dations to--  7,a7
 improve outcomes = adults ) ,,asd mak+ 
! transition f a s*ool-bas$ support     
sy/em to adul?ood2  7,b7 enhance !      
effectiv5ess ( ! policies1 programs1 &  
assi/ance describ$ 9 p>agraph 7#c72     
7,c7 ensure integration ( &             
collaboration among s]vices = address+ !
 ne$s ( adults ) ,,asd2 &  7,d7 enc\rage

 indep5d5t liv+1 equal opportunity1 full
 p>ticipation1 & economic               
self-suffici5cy4  7c7 ,survey  7#a7 ,9  
g5]al ,9 c>ry+ out ?is section1 !       
,comptroll] ,g5]al %all conduct a survey
 ( public & private sector /akehold]s   
on--  7,a7 ! ne$s1 if any1 ( adults )   
,,asd2  7,b7 ! s]vices & res\rces       
available = address+ su* ne$s2 &  7,c7 !
 effectiv5ess ( su* s]vices & res\rces4 
7#b7 ,/akehold]s ,! /akehold]s to be    
survey$ "u p>agraph 7#a7 include !      
foll[+3  7,a7 ,individuals f ! bus9ess  
community repres5t+ bo? l>ge & small    
bus9esses4  7,b7 ,in/itutions ( high]   
education1 community colleges1          
vocational s*ools1 & univ]sity c5t]s =  
excell5ce 9 developm5tal disabilities4  
7,c7 ,social s]vice provid]s1 includ+   
case managem5t exp]ts & heal? c>e       
provid]s4  7,d7 ,vocational             
rehabilitation exp]ts4  7,e7 ,/ate &    
local h\s+ dep>tm5ts & nonpr(it         
organizations t provide h\s+ s]vices =  
individuals ) disabilities4  7,f7       

,individuals ) ,,asd1 p>5ts (           
individuals ) ,,asd1 & repres5tatives f 
advocacy gr\ps t focus on individuals ) 
,,asd4  7,g7 ,(ficials or employees ( ! 
,f$]al ,gov]nm5t responsible = ov]see+  
disability s]vices at ea* ( ! foll[+    
dep>tm5ts & ag5cies3  7i7 ,! ,dep>tm5t (
 ,heal? & ,human ,s]vices1 includ+ !    
,adm9i/ration = ,*ildr5 & ,families1 !  
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 
! ,heal? ,res\rces & ,s]vices           
,adm9i/ration1 & ! ,adm9i/ration =      
,community ,liv+4  7ii7 ,! ,dep>tm5t (  
,education4  7iii7 ,! ,dep>tm5t ( ,h\s+ 
& ,urban ,developm5t4  7iv7 ,! ,dep>tm5t
 ( ,labor4  7v7 ,! ,dep>tm5t ( ,ju/ice4 
7vi7 ,! ,dep>tm5t ( ,transportation4    
7vii7 ,any o!r ,f$]al dep>tm5ts &       
ag5cies det]m9$ appropriate by !        
,comptroll] ,g5]al4