,,ib  ,union ,cal5d> ,no4 #cfe  #aac?   
,,congress  #b;d ,session  ,h4 ,r4 #dfca
  ,report ,no4 #aac-dij  ,,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  ,june #bc1 #bjad ,additional  
sponsors3 ,mr4 ,roe ( ,t5nessee1 ,ms4   
,j5k9s1 ,mr4 ,mc,govern1 ,mr4 ,israel1  

,ms4 ,slaught]1 ,mr4 ,v>gas1 ,mr4 ,david
 ,scott ( ,georgia1 ,mr4 ,grimm1 ,mr4   
,=t5b]ry1 ,mr4 ,bi%op ( ,georgia1 ,ms4  
,norton1 ,ms4 ,roybal-,all>d1 ,mr4      
,ellison1 ,mr4 ,c>son ( ,indiana1 ,mr4  
,s*ock1 ,mr4 ,da9es1 ,mr4 ,quigley1     
,mrs4 ,capito1 ,mr4 ,huffman1 ,mr4      
,fattah1 ,mr4 ,mc,intyre1 ,mr4 ,lip9ski1
 ,mr4 ,pet]son1 ,mr4 ,bilirakis1 ,mr4   
,%imkus1 ,mr4 ,roskam1 ,mr4 ,burgess1   
,mr4 ,g]la*1 ,ms4 ,s*w>tz1 ,mr4 ,hold+1 
,mrs4 ,c>olyn ,b4 ,maloney ( ,new ,york1
 ,mr4 ,braley ( ,i[a1 ,mr4 ,s*iff1 ,ms4 
,kaptur1 ,mr4 ,griff9 ( ,arkansas1 ,mr4 
,heck ( ,nevada1 ,mr4 ,mc,keon1 ,mrs4   
,mc,carthy ( ,new ,york1 ,mr4 ,c>ney1   
,mr4 ,wel*1 ,ms4 ,e/y1 ,ms4 ,e%oo1 ,mr4 
,k5n$y1 ,mr4 ,s5s5br5n]1 ,mr4 ,joyce1   
,mr4 ,kl9e1 ,mr4 ,walz1 ,mrs4 ,bu/os1   
,mr4 ,holt1 ,mr4 ,b>letta1 ,ms4 ,bass1 &
 ,ms4 ,duckwor?  ,june #bc1 #bjad       
,report$ ) an am5dm5t1 committ$ to !    
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$ ,/rike out
 all aft] ! enact+ clause & ins]t ! "p  

pr9t$ 9 italic ,= text ( introduc$ bill1
 see copy ( bill z introduc$ on ,may #i1
 #bjad  ,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 ! ,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 ,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>* & s]vices & supports =   
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]vices1 & support activities ( !      
,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 1 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[] 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$71 by /rik+ #f-ye> p]iod    
beg9n+ on ! date ( enactm5t ( ! ,combat+
 ,autism ,act ( #bjjf & ins]t+ #d-ye>   
p]iod beg9n+ on ! date ( enactm5t ( !   
,autism ,,c>es ,act ( #bjad &1 z        
appropriate1 h[ ?is age v>ies across    
populations subgr\ps2  7,e7 9           
subp>agraph 7,e7 7z s r$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 populations subgr\ps2  7,f7

 9 subp>agraph 7,f7 7z s r$esignat$71 by
 ins]t+ &1 z appropriate1 on h[ su*     
av]age "t v>ies across populations      
subgr\ps be=e ! semicolon at ! end2     
7,g7 9 subp>agraph 7,g7 7z s            
r$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>y1 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$--  7#a7 9 subsection 7a71 by   
/rik+ fiscal ye>s #bjab ?r\gh #bjad &   
ins]t+ fiscal ye>s #bjae ?r\gh #bjai2   
7#b7 9 subsection 7b71 by /rik+ fiscal  
ye>s #bjaa ?r\gh #bjad & ins]t+ fiscal  
ye>s #bjae ?r\gh #bjai2 &  7#c7 9       
subsection 7c71 by /rik+ #afa1jjj1jjj = 
ea* ( fiscal ye>s #bjaa ?r\gh #bjad &   
ins]t+ #aij1jjj1jjj = ea* ( fiscal ye>s 
#bjae ?r\gh #bjai4  ,june #bc1 #bjad    
,report$ ) an am5dm5t1 committ$ to !    
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$