,,ii  #aac? ,,congress  #a/ ,session    
,s4 #bcg  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #g1 #bjac ,ms4
 ,murk[ski 7= h]self1 ,mr4 ,johnson (   
,s\? ,dakota1 & ,mr4 ,begi*7 introduc$ !
 foll[+ bill2 :i* 0 read twice & ref]r$ 
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to        
reau?orize & ext5d ! ,fetal ,alcohol    
,syndrome prev5tion & s]vices program1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,advanc+ ,,fasd    
,rese>*1 ,prev5tion1 & ,s]vices ,act4   
#b4 ,f9d+s ,congress makes ! foll[+     
f9d+s3  7#a7 ,fetal ,alcohol ,spectrum  
,disord]s 7,,fasd7 are ! spectrum (     
s]i\s1 life-long disord]s caus$ by      
pr5atal exposure to alcohol1 :i* include
 ,fetal ,alcohol ,syndrome1             
,alcohol-,relat$ ,neurodevelopm5tal     
,disord]1 & ,alcohol-,relat$ ,bir?      
,defects4  7#b7 ,9 ! decades t h pass$  
s9ce ,fetal ,alcohol ,syndrome 0 fir/   
recogniz$ 9 ! ,unit$ ,/ates1 ?is fully  

prev5table condition has cont9u$ to     
affect ,am]ican *ildr5 & families4  7#c7
 ,pr5atal alcohol exposure c cause bra9 
damage t produces cognitive & behavioral
 impairm5ts4 ,pr5atal alcohol exposure c
 cause intellectual disabilities or l[  
,,iq & difficulties ) le>n+1 memory1    
att5tion1 & problem solv+4 ,x c also    
create problems ) executive function+ & 
adaptive behavior t impairs m5tal heal? 
& social int]action4 ,pr5atal alcohol   
exposure does n always result 9 bel[    
av]age ,,iq or visible bir? defects1 :i*
 makes ,fetal ,alcohol ,spectrum        
,disord]s difficult to id5tify1 lead+ to
 improp] treatm5t or d5ial ( support    
s]vices4  7#d7 ,pr5atal alcohol exposure
 also c cause gr[? ret>dation1 bir?     
defects involv+ ! he>t1 kidney1 vision &
 he>+1 & a *>act]i/ic patt]n ( facial   
abnormalities4 ,pr5atal alcohol exposure
 c also result 9 second>y behavioral    
*>act]i/ics t may include m5tal heal?   
disord]s & le>n+ & behavioral problems  
result+ 9 disrupt$ s*ool exp]i5ce1      

tr\ble ) ! law1 inc>c]ation1            
inappropriate sexual behavior1 alcohol  
or drug problems1 dep5d5t liv+1 &       
problems ) employm5t4  7#e7 ,accord+ to 
! ,sub/ance ,abuse & ,m5tal ,heal?      
,s]vices ,adm9i/ration1 m ?an #a 9 #e   
wom5 report dr9k+ alcohol 9 ! fir/      
trime/] ( pregnancy1 #a 9 #ad 9 ! second
 trime/]1 & #a 9 #bj 9 ! ?ird trime/]1  
ev5 ?\gh !re is no kn[n safe level (    
alcohol consumption dur+ pregnancy4     
7#f7 ,! incid5ce rate = all ,fetal      
,alcohol ,spectrum ,disord]s is e/imat$ 
9 a publication ( ! ,national ,in/itute 
on ,alcohol ,abuse & ,alcoholism to be  
ab\t #aj out ( #a1jjj bir?s 7#a p]c5t ( 
bir?s7 or #dj1jjj newborns ea* ye>4 ,x  
is e/imat$ t z _m z #b p] #a1jjj1 or #bj
 p]c5t ( alcohol expos$ newborns1 h     
,fetal ,alcohol ,syndrome1 ! mo/ s]i\s &
 id5tifiable ( ! ,fetal ,alcohol        
,spectrum ,disord]s4  7#g7 ,z measur$ by
 ! ,fetal ,alcohol ,syndrome            
,surveillance ,network1 a p>tn]%ip      
betwe5 ! ,c5t]s = ,disease ,control &   

,prev5tion & #e diff]5t ,/ates1         
preval5ce ( ,fetal ,alcohol ,spectrum   
,disord]s c be ev5 high] 9 c]ta9        
populations1 su* z ,am]ican ,indians &  
,alaska ,natives1 fo/] c>e *ildr51      
adoptive *ildr5 f ! ,unit$ ,/ates & f   
c\ntries :]e alcohol consumption is m   
preval5t1 & 9 c]ta9 areas1 su* z ^?     
*>act]iz$ by l[ socioeconomic /atus4    
7#h7 ,fetal ,alcohol ,spectrum ,disord]s
 pose extraord9>y f9ancial co/s to !    
,nation1 includ+ ! co/ ( specializ$     
heal? c>e1 education1 fo/] c>e1         
inc>c]ation1 job tra9+1 & g5]al support 
s]vices = individuals affect$ by ,fetal 
,alcohol ,spectrum ,disord]s4  7#i7     
,lifetime heal? co/s = an individual )  
,fetal ,alcohol ,syndrome ranges f      
#hfj1jjj to #d1jjj1jjj4 ,! co/ ( ,fetal 
,alcohol ,syndrome 9 ! ,unit$ ,/ates is 
e/imat$ to be at lea/ #f1jjj1jjj1jjj 9  
#bjjg4 ,total economic co/s w\ld be ev5 
high] = all ,fetal ,alcohol ,spectrum   
,disord]s4  7#aj7 ,!re is a great ne$ = 
rese>*1 surveillance1 prev5tion1        

treatm5t1 & support s]vices =           
individuals ) ,fetal ,alcohol ,spectrum 
,disord]s & _! families4  7#aa7 ,!      
,national ,in/itutes ( ,heal?1 9        
coord9ation ) o!r ,f$]al ag5cies1 !     
,int]ag5cy ,coord9at+ ,committee on     
,fetal ,alcohol ,syndrome1 & ! ,national
 ,task ,=ce on ,fetal ,alcohol ,syndrome
 & ,fetal ,alcohol ,effect1 has an      
opportunity to advance rese>* on ,fetal 
,alcohol ,spectrum ,disord]s 9 _m areas1
 includ+ ! foll[+3  7,a7 ,!             
id5tification ( ! me*anisms t produce ! 
cognitive & behavioral problems         
associat$ ) fetal alcohol exposure4     
7,b7 ,! id5tification ( a neurocognitive
 & neurobehavioral ph5otype = pr5atal   
alcohol-relat$ conditions o!r ?an ,fetal
 ,alcohol ,syndrome4  7,c7 ,!           
id5tification ( biological m>k]s t c be 
us$ to indicate fetal alcohol exposure4 
7,d7 ,! id5tification ( fetal & mat]nal 
risk factors t increase susceptibility  
to ,fetal ,alcohol ,spectrum ,disord]s4 
7,e7 ,! inve/igation ( behavioral &     

ph>maco!rapies = alcohol-dep5d5t wom5 to
 det]m9e new approa*es = su/a9+ recov]y4
  7,f7 ,! developm5t ( sci5tific-bas$   
ph>macologic & nutri5t augm5tation-bas$ 
pre- & po/-natal int]v5tions to         
antagonize or mitigate ! effects (      
pr5atal alcohol exposure4  7,g7 ,!      
developm5t ( neurocognitive int]v5tions 
to address deficits 9 neurocognitive    
function = individuals ) ,fetal ,alcohol
 ,spectrum ,disord]s4  7,h7 ,!          
developm5t ( /&>ds = measur+1 report+1 &
 analyz+ alcohol consumption patt]ns 9  
pregnant wom54  7,i7 ,! developm5t (    
enhanc$ te*nological approa*es = !      
diagnosis ( ,fetal ,alcohol ,spectrum   
,disord]s includ+ inve/igation ( pr5atal
 ultras\nd1 non-invasive imag+1         
?ree-dim5sional facial feature imag+ &  
_! application 9 telem$ic9e to aid 9    
remote diagnosis4  7,j7 ,! evaluation ( 
! role ( alcohol 9 ,sudd5 ,infant ,dea? 
,syndrome 7,,sids71 unexpla9$ /illbir?1 
& premature bir?4  7,k7 ,! collection & 
bank+ ( biomat]ials = future analyses to

 aid 9 ! id5tification ( g5etic & o!r   
biological & environm5tal risk factors  
contribut+ 9 ! developm5t ( ,fetal      
,alcohol ,spectrum ,disord]s4  7,l7 ,!  
id5tification ( b>ri]s to implem5t+     
alcohol scre5+ 9 prim>y c>e & ob/etric  
practice1 & explore ! acceptability (   
new scre5+ te*nologies1 su* z comput]   
assi/$ int]view+4  7,m7 ,! developm5t ( 
approa*es = select$ & indicat$          
prev5tion1 to decrease ! pot5tial =     
,,fasd bir?s among ! wom5 at greate/    
risk = ^! disord]s4  #c4 ,programs =    
fetal alcohol spectrum disord]s ,section
 #cii;,h ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bhj;f7 is am5d$--  7#a7
 by /rik+ ! section head+ & ins]t+ !    
foll[+3 ,,sec4 #cii;,h4 ,,programs ,,=  
,,fetal ,,alcohol ,,spectrum            
,,disord]s42  7#b7 by r$esignat+        
subsections 7a7 ?r\gh 7d7 z subsections 
7h7 ?r\gh 7k71 respectively2  7#c7 by   
ins]t+ aft] ! section head+1 ! foll[+3  
7a7 ,rese>* on ,,fas & relat$ disord]s  
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !

 ,director ( ! ,national ,in/itutes (   
,heal? & 9 coord9ation ) ! ,int]ag5cy   
,coord9at+ ,committee on ,fetal ,alcohol
 ,syndrome1 %all--  7,a7 e/abli% a      
rese>* ag5da = ,fetal ,alcohol ,spectrum
 ,disord]s2 &  7,b7 aw>d grants1        
contracts1 or coop]ative agreem5ts to   
public or private nonpr(it entities to  
pay all or "p ( c>ry+ out rese>* "u su* 
ag5da4  7#b7 ,types ( rese>* ,9 c>ry+   
out p>agraph 7#a71 ! ,secret>y1 act+    
?r\gh ! ,director ( ! ,national         
,in/itute ( ,alcohol ,abuse &           
,alcoholism1 %all cont9ue to conduct &  
exp& national & int]national rese>* 9   
coord9ation ) o!r ,f$]al ag5cies t      
includes--  7,a7 ! mo/ promis+ av5ues ( 
rese>* 9 ,fetal ,alcohol ,spectrum      
,disord] diagnosis1 int]v5tion1 &       
prev5tion2  7,b7 factors t may mitigate 
! effects ( fetal alcohol exposure2 &   
7,c7 o!r rese>* t ! ,director det]m9es  
to be appropriate4  7#c7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ to c>ry out ?is subsection1 

su* sums z may be necess>y = ea* (      
fiscal ye>s #bjad ?r\gh #bjah4  7b7     
,surveillance1 public heal? rese>*1 &   
prev5tion activities  7#a7 ,9 g5]al ,!  
,secret>y1 act+ ?r\gh ! ,director ( !   
,national ,c5t] on ,bir? ,defects &     
,developm5tal ,disabilities1 %all       
facilitate surveillance1 public heal?   
rese>*1 & prev5tion ( ,fetal ,alcohol   
,spectrum ,disord]s z provid$ = 9 ?is   
subsection4  7#b7 ,surveillance1 public 
heal? rese>*1 & prev5tion ,9 c>ry+ out  
?is subsection1 ! ,secret>y %all--  7,a7
 integrate into cl9ical practice ! /&>d 
case def9ition = diagnosis ( ,fetal     
,alcohol ,syndrome &1 9 collaboration ) 
! ,national ,in/itute on ,alcohol ,abuse
 & ,alcoholism1 ! ,c5t]s = ,disease     
,control & ,prev5tion1 rese>*]s1 &      
exp]ts 9 ! field1 develop a /&>d cl9ical
 case def9ition = diagno/ic guidel9es & 
crit]ia = pr5atal alcohol-relat$        
conditions o!r ?an ,fetal ,alcohol      
,syndrome2  7,b7 conduct appli$ public  
heal? prev5tion rese>* to id5tify       

evid5ce-bas$ /rategies = r$uc+          
alcohol-expos$ pregnancies 9 wom5 at    
high risk = alcohol-expos$ pregnancies2 
7,c7 dissem9ate & provide ! necess>y    
tra9+ & support to implem5t evid5ce-bas$
 /rategies develop$ "u subp>agraph 7,a7 
to--  7i7 hospitals1 f$]ally qualifi$   
heal? c5t]s1 outpati5t programs1 & o!r  
appropriate heal? c>e provid]s2  7ii7   
inc>c]ation1 deta9m5t facilities1 & o!r 
judicial sy/ems = juv5iles & adults2    
7iii7 educational sett+s2  7iv7 social  
"w & *ild welf>e (fices2  7v7 fo/] c>e  
provid]s & adoption ag5cies2  7vi7 ,/ate
 (fices & o!rs provid+ s]vices to       
individuals ) disabilities2  7vii7      
alcoholism treatm5t facilities2 &       
7viii7 o!r entities t ! ,secret>y       
det]m9es to be appropriate2  7,d7       
conduct activities relat$ to risk factor
 surveillance includ+ ! biannual        
monitor+ & report+ ( alcohol consumption
 among pregnant wom5 & wom5 ( *ild be>+ 
age2 &  7,e7 dissem9ate & evaluate brief
 behavioral int]v5tion /rategies aim$ at

 prev5t+ alcohol-expos$ pregnancies     
among wom5 ( *ildbe>+ age 9 special     
sett+s1 includ+ cl9ical prim>y heal?    
c5t]s1 outpati5t cl9ics1 & jail &       
recov]y campuses4  7#c7 ,au?orization ( 
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is subsection1 
su* sums z may be necess>y = ea* (      
fiscal ye>s #bjad ?r\gh #bjah4  7c7     
,build+ ,/ate ,,fasd sy/ems  7#a7 ,9    
g5]al ,! ,secret>y1 act+ ?r\gh !        
,adm9i/rator ( ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration1   
%all aw>d grants1 contracts1 or         
coop]ative agreem5ts to ,/ates = !      
purpose ( e/abli%+ or exp&+ /atewide    
programs ( surveillance1 prev5tion1 &   
cl9ical int]v5tion = individuals )      
,fetal ,alcohol ,spectrum ,disord]s4    
7#b7 ,eligibility ,to be eligible to    
receive a grant1 contract1 or coop]ative
 agreem5t "u p>agraph 7#a7 a ,/ate      
%all--  7,a7 prep>e & submit to !       
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  

,secret>y may reasonably require2  7,b7 
develop & implem5t a /atewide /rategic  
plan = prev5t+ ,fetal ,alcohol ,spectrum
 ,disord]s & cl9ical int]v5tion =       
individuals ) ,fetal ,alcohol ,spectrum 
,disord]s2  7,c7 consult ) public &     
private non-pr(it entities ) relevant   
exp]tise on ,fetal ,alcohol ,spectrum   
,disord]s )9 ! ,/ate1 includ+--  7i7    
p>5t-l$ gr\ps & o!r organizations t     
support & advocate = individuals )      
,fetal ,alcohol ,spectrum ,disord]s2 &  
7ii7 ,indian tribes & tribal            
organizations2 &  7,d7 designate an     
individual to s]ve z ! coord9ator ( !   
,/ate's ,fetal ,alcohol ,spectrum       
,disord]s program4  7#c7 ,/rategic plan 
,! /atewide /rategic plan prep>$ "u     
p>agraph 7#b77;,b7 %all include--  7,a7 
! id5tification ( exi/+ ,/ate programs &
 sy/ems t c\ld be us$ to id5tify & assi/
 individuals ) ,fetal ,alcohol ,spectrum
 ,disord]s & prev5t alcohol consumption 
dur+ pregnancy1 su* z--  7i7 programs = 
! developm5tally disabl$1 ! m5tally ill1

 & individuals ) alcohol dep5d5cy2  7ii7
 educational sett+s2  7iii7 inc>c]ation1
 det5tion c5t]s1 & judicial sy/ems =    
juv5iles & adults2  7iv7 *ild welf>e    
programs & social s]vice programs2 &    
7v7 o!r programs or sy/ems ! ,/ate      
det]m9es to be appropriate2  7,b7 !     
id5tification ( any b>ri]s = individuals
 ) ,fetal ,alcohol ,spectrum ,disord]s  
or wom5 at risk = alcohol consumption   
dur+ pregnancy to access ! programs     
id5tifi$ "u subp>agraph 7,a72 &  7,c7   
proposals to elim9ate b>ri]s to         
prev5tion & treatm5t programs &         
coord9ate ! activities ( su* programs4  
7#d7 ,use ( funds ,am\nts receiv$ "u a  
grant1 contract1 or coop]ative agreem5t 
"u p>agraph 7#a7 %all be us$ = #a or m (
 ! foll[+ activities3  7,a7 ,e/abli%+ a 
/atewide surveillance sy/em4  7,b7      
,collect+1 analyz+1 & int]pret+ data4   
7,c7 ,e/abli%+ a diagno/ic c5t]4  7,d7  
,develop+1 implem5t+1 & evaluat+        
population-bas$ & t>get$ prev5tion      
programs = ,fetal ,alcohol ,spectrum    

,disord]s1 includ+ public aw>5ess       
campaigns4  7,e7 ,ref]r+ individuals )  
,fetal ,alcohol ,spectrum ,disord]s to  
appropriate support s]vices4  7,f7      
,implem5t+ recomm5dations f relevant    
ag5cies & organizations on !            
id5tification & prev5tion ( ,fetal      
,alcohol ,spectrum ,disord]s1 & cl9ical 
int]v5tion = individuals ) ,fetal       
,alcohol ,spectrum ,disord]s4  7,g7     
,provid+ tra9+ to heal? c>e provid]s on 
! prev5tion1 id5tification1 & treatm5t (
 ,fetal ,alcohol ,spectrum ,disord]s4   
7,h7 ,dissem9at+ in=mation ab\t ,fetal  
,alcohol ,spectrum ,disord]s & !        
availability ( support s]vices to       
families ( individuals ) ,fetal ,alcohol
 ,spectrum ,disord]s4  7,i7 ,o!r        
activities det]m9$ appropriate by !     
,secret>y4  7#e7 ,multi-,/ate programs  
,! ,secret>y %all p]mit ! =mation (     
multi-,/ate ,fetal ,alcohol ,spectrum   
,disord]s programs "u ?is subsection4   
7#f7 ,o!r contracts & agreem5ts ,a ,/ate
 may c>ry out activities "u p>agraph    

7#d7 ?r\gh contracts or coop]ative      
agreem5ts ) public & private non-pr(it  
entities ) a demon/rat$ exp]tise 9      
,fetal ,alcohol ,spectrum ,disord]s4    
7#g7 ,au?orization ( appropriations ,!re
 are au?oriz$ to be appropriat$ to c>ry 
out ?is subsection1 su* sums z may be   
necess>y = fiscal ye>s #bjad ?r\gh      
#bjah4  7d7 ,promot+ community p>tn]%ips
  7#a7 ,9 g5]al ,! ,secret>y %all aw>d  
grants1 contracts1 or coop]ative        
agreem5ts to eligible entities to enable
 su* entities to e/abli%1 enhance1 or   
improve community p>tn]%ips = ! purpose 
( collaborat+ on common objectives &    
integrat+ ! s]vices available to        
individuals ) ,fetal ,alcohol ,spectrum 
,disord]s1 su* z surveillance1          
prev5tion1 treatm5t1 & provision (      
support s]vices4  7#b7 ,eligible        
entities ,to be eligible to receive a   
grant1 contract1 or coop]ative agreem5t 
"u p>agraph 7#a71 an entity %all--  7,a7
 be a public or private nonpr(it entity1
 includ+--  7i7 a heal? c>e provid] or  

heal? pr(essional2  7ii7 a prim>y or    
second>y s*ool2  7iii7 a social "w or   
*ild welf>e (fice2  7iv7 an inc>c]ation1
 deta9m5t facility1 or judicial sy/ems =
 juv5iles & adults2  7v7 a p>5t-l$ gr\p 
or o!r organization t supports &        
advocates = individuals ) ,fetal        
,alcohol ,spectrum ,disord]s2  7vi7 an  
,indian tribe or tribal organization2   
7vii7 any o!r entity ! ,secret>y        
det]m9es to be appropriate2 or  7viii7 a
 consortium ( any ( ! entities describ$ 
9 clauses 7i7 ?r\gh 7vii72 &  7,b7      
prep>e & submit to ! ,secret>y an       
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
reasonably require1 includ+ assurances t
 ! entity submitt+ ! application does1  
at ! "t ( application1 or w1 )9 a       
reasonable am\nt ( "t f ! date (        
application1 include sub/antive         
p>ticipation ( a broad range ( entities 
t "w ) or provide s]vices = individuals 
) ,fetal ,alcohol ,spectrum ,disord]s4  
7#c7 ,activities ,an eligible entity    

%all use am\nts receiv$ "u a grant1     
contract1 or coop]ative agreem5t "u ?is 
subsection %all c>ry out #a or m ( !    
foll[+ activities3  7,a7 ,integrat+     
,fetal ,alcohol ,spectrum ,disord]s     
s]vices into exi/+ programs & s]vices   
available 9 ! community4  7,b7 ,conduct+
 a ne$s assessm5t to id5tify s]vices t  
are n available 9 a community4  7,c7    
,develop+ & implem5t+ community-bas$    
initiatives to prev5t1 diagnose1 treat1 
& provide support s]vices to individuals
 ) ,fetal ,alcohol ,spectrum ,disord]s4 
7,d7 ,dissem9at+ in=mation ab\t ,fetal  
,alcohol ,spectrum ,disord]s & !        
availability ( support s]vices4  7,e7   
,develop+ & implem5t+ a community-wide  
public aw>5ess & outrea* campaign focus+
 on ! dang]s ( dr9k+ alcohol :ile       
pregnant4  7,f7 ,provid+ m5tor+ or o!r  
support to families ( individuals )     
,fetal ,alcohol ,spectrum ,disord]s4    
7,g7 ,o!r activities det]m9$ appropriate
 by ! ,secret>y4  7#d7 ,au?orization (  
appropriations ,!re are au?oriz$ to be  

appropriat$ to c>ry out ?is subsection1 
su* sums z may be necess>y = ea* (      
fiscal ye>s #bjad ?r\gh #bjah4  7e7     
,developm5t ( be/ practices  7#a7 ,9    
g5]al ,! ,secret>y1 9 coord9ation ) !   
,adm9i/rator ( ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration1   
%all aw>d grants to ,/ates1 ,indian     
tribes & tribal organizations1 &        
nongov]nm5tal organizations = !         
e/abli%m5t ( pilot projects to id5tify &
 implem5t be/ practices =--  7,a7       
educat+ *ildr5 ) fetal alcohol spectrum 
disord]s1 includ+--  7i7 activities &   
programs design$ specifically = !       
id5tification1 treatm5t1 & education (  
su* *ildr52 &  7ii7 curricula developm5t
 & cr$5tial+ ( tea*]s1 adm9i/rators1 &  
social work]s :o implem5t su* programs2 
7,b7 educat+ judges1 attorneys1         
probation (fic]s1 *ild advocates1 law   
en=cem5t (fic]s1 prison w>d5s1          
alt]native inc>c]ation adm9i/rators1 &  
inc>c]ation (ficials on h[ to treat &   
support individuals suff]+ f ,fetal     

,alcohol ,spectrum ,disord]s )9 !       
crim9al ju/ice sy/em1 includ+--  7i7    
programs design$ specifically = !       
id5tification1 treatm5t1 & education (  
^? ) ,fetal ,alcohol ,spectrum          
,disord]s2 &  7ii7 curricula developm5t 
& cr$5tial+ )9 ! ju/ice sy/em =         
individuals :o implem5t su* programs2 & 
7,c7 educat+ adoption or fo/] c>e ag5cy 
(ficials ab\t available & necess>y      
s]vices = *ildr5 ) ,fetal ,alcohol      
,spectrum ,disord]s1 includ+--  7i7     
programs design$ specifically = !       
id5tification1 treatm5t1 & education (  
^? ) ,fetal ,alcohol ,spectrum          
,disord]s2 &  7ii7 education & tra9+ =  
pot5tial p>5ts ( an adopt$ *ild ) ,fetal
 ,alcohol ,spectrum ,disord]s4  7#b7    
,application ,to be eligible = a grant  
"u p>agraph 7#a71 an entity %all prep>e 
& submit to ! ,secret>y an application  
at su* "t1 9 su* mann]1 & conta9+ su*   
in=mation z ! ,secret>y may reasonably  
require4  7#c7 ,au?orization (          
appropriations ,!re are au?oriz$ to be  

appropriat$ to c>ry out ?is subsection1 
su* sums z may be necess>y = ea* (      
fiscal ye>s #bjad ?r\gh #bjah4  7f7     
,transitional s]vices  7#a7 ,9 g5]al ,! 
,secret>y %all aw>d demon/ration grants1
 contracts1 & coop]ative agreem5ts to   
,/ates1 ,indian tribes & tribal         
organizations1 & nongov]nm5tal          
organizations = ! purpose ( e/abli%+    
integrat$ sy/ems = provid+ transitional 
s]vices = ^? affect$ by pr5atal alcohol 
exposure & evaluat+ _! effectiv5ess4    
7#b7 ,application ,to be eligible = a   
grant1 contract1 or coop]ative agreem5t 
"u p>agraph 7#a71 an entity %all prep>e 
& submit to ! ,secret>y an application  
at su* "t1 9 su* mann]1 & conta9+ su*   
in=mation z ! ,secret>y may reasonably  
require1 includ+ specific cr$5tials     
relat+ to education1 skills1 tra9+1 &   
cont9u+ educational requirem5ts relat+  
to ,fetal ,alcohol ,spectrum ,disord]s4 
7#c7 ,all[able uses ,an entity %all use 
am\nts receiv$ "u a grant1 contract1 or 
coop]ative agreem5t "u p>agraph 7#a7    

to--  7,a7 provide h\s+ assi/ance to1 or
 specializ$ h\s+ =1 adults ) ,fetal     
,alcohol ,spectrum ,disord]s2  7,b7     
provide vocational tra9+ & placem5t     
s]vices = adults ) ,fetal ,alcohol      
,spectrum ,disord]s2  7,c7 provide      
m$ication monitor+ s]vices = adults )   
,fetal ,alcohol ,spectrum ,disord]s2    
7,d7 provide tra9+ & support to         
organizations provid+ family s]vices or 
m5tal heal? programs & o!r organizations
 t "w ) adults ) ,fetal ,alcohol        
,spectrum ,disord]s2 &  7,e7 e/abli% &  
evaluate h\s+ models specially design$ =
 adults ) ,fetal ,alcohol ,spectrum     
,disord]s4  7#d7 ,au?orization (        
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is subsection1 
su* sums z may be necess>y = ea* (      
fiscal ye>s #bjad ?r\gh #bjah4  7g7     
,f$]ally qualifi$ heal? c5t] initiative 
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !
 ,adm9i/rator ( ! ,heal? ,res\rces &    
,s]vices ,adm9i/ration1 %all aw>d grants
 to f$]ally qualifi$ heal? c5t]s act+ 9 

collaboration ) ,/ates1 ,indian tribes1 
tribal organizations1 & nongov]nm5tal   
organizations1 = ! e/abli%m5t ( a #e-ye>
 demon/ration program to implem5t &     
evaluate a program to increase ! aw>5ess
 & id5tification ( ,fetal ,alcohol      
,spectrum ,disord]s 9 f$]ally qualifi$  
heal? c5t]s & to ref] affect$           
individuals to appropriate support      
s]vices4  7#b7 ,application ,to be      
eligible to receive a grant "u p>agraph 
7#a71 a f$]ally qualifi$ heal? c5t]1 or 
a ,/ate1 ,indian tribe1 tribal          
organization1 or nongov]nm5t            
organization ) a demon/rat$ record (    
implem5t+ ,fetal ,alcohol ,spectrum     
,disord]s programm+ 9 f$]ally qualifi$  
heal? c5t]s1 %all prep>e & submit to !  
,adm9i/rator an application at su* "t1 9
 su* mann]1 & conta9+ su* in=mation z ! 
,adm9i/rator may reasonably require4    
7#c7 ,activities ,a f$]ally qualifi$    
heal? c5t]1 or o!r eligible entity1 %all
 use am\nts receiv$ "u a grant "u       
p>agraph 7#a7 to--  7,a7 provide tra9+ =

 heal? c>e provid]s on id5tify+ &       
educat+ wom5 :o are at risk = alcohol   
consumption dur+ pregnancy2  7,b7       
provide tra9+ = heal? c>e provid]s on   
scre5+ *ildr5 = ,fetal ,alcohol         
,spectrum ,disord]s2  7,c7 educate heal?
 c>e provid]s & o!r relevant f$]ally    
qualifi$ heal? c5t] work]s on ! support 
s]vices available = ^? ) ,fetal ,alcohol
 ,spectrum ,disord]s & treatm5t s]vices 
available = wom5 at risk = alcohol      
consumption dur+ pregnancy2 &  7,d7     
implem5t a track+ sy/em t c id5tify !   
rates ( ,fetal ,alcohol ,spectrum       
,disord]s by racial1 e?nic1 & economic  
backgr\nds4  7#d7 ,selection (          
p>ticipants ,! ,adm9i/rator %all det]m9e
 ! numb] ( f$]ally qualifi$ heal? c5t]s 
t w p>ticipate 9 ! demon/ration program 
"u ?is subsection & %all select         
p>ticipants1 to ! ext5t practicable1 t  
are locat$ 9 diff]5t regions ( ! ,unit$ 
,/ates & t s]ve a racially & e?nically  
div]se population4  7#e7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 

appropriat$ to c>ry out ?is subsection1 
su* sums z may be necess>y = ea* (      
fiscal ye>s #bjad ?r\gh #bjah4  7#f7    
,report to congress ,n lat] ?an #a ye>  
aft] completion ( ! demon/ration program
 "u ?is subsection1 ! ,adm9i/rator %all 
prep>e & submit to ,congress a report on
 ! results ( ! demon/ration program1    
includ+--  7,a7 *anges 9 ! numb] ( wom5 
scre5$ = & id5tifi$ z at risk = alcohol 
consumption dur+ pregnancy2  7,b7 *anges
 9 ! numb] ( individuals id5tifi$ z hav+
 a ,fetal ,alcohol ,spectrum ,disord]2 &
  7,c7 *anges 9 ! numb] (               
alcohol-consum+ pregnant wom5 &         
individuals ) ,fetal ,alcohol ,spectrum 
,disord]s :o 7 ref]r$ to appropriate    
s]vices4  2  7#d7 9 subsection 7h77#a7  
7z s r$esignat$7--  7,a7 9 subp>agraph  
7,c71 by /rik+ & aft] ! semicolon2  7,b7
 9 subp>agraph 7,d71 by add+ & aft] !   
semicolon2 &  7,c7 by add+ at ! end !   
foll[+3  7,e7 national public s]vice    
ann\ncem5ts to raise public aw>5ess ( ! 
risks associat$ ) alcohol consumption   

dur+ pregnancy ) ! purpose ( r$uc+ !    
preval5ce ( ,fetal ,alcohol ,spectrum   
,disord]s1 t %all--  7i7 be develop$1   
conduct$1 & evaluat$ prior to broadca/  
by relevant ,f$]al ag5cies ) ! advice ( 
! ,int]ag5cy ,coord9at+ ,committee on   
,fetal ,alcohol ,syndrome tak+ into     
consid]ation ! exp]tise & exp]i5ce ( o!r
 relevant ,f$]al ag5cies2  7ii7 be      
broadca/ ?r\gh appropriate m$ia outlets1
 includ+ ! ,int]net1 television or      
radio1 9 a mann] int5d$ to rea* wom5 at 
risk ( alcohol consumption dur+         
pregnancy2 &  7iii7 be measur$ prior to 
broadca/ ( ! national public s]vice     
ann\ncem5ts to provide basel9e data t w 
be us$ to evaluate ! effectiv5ess ( !   
ann\ncem5ts4  2 &  7#e7 9 subsection 7k7
 7z s r$esignat$7--  7,a7 9 p>agraph    
7#a71 by /rik+ ,national ,task ,=ce on  
,fetal ,alcohol ,syndrome & ,fetal      
,alcohol ,effect & ins]t+ ,national     
,task ,=ce on ,fetal ,alcohol ,spectrum 
,disord]s2  7,b7 9 p>agraph 7#c7--  7i7 
9 subp>agraph 7,b71 by /rik+ & aft] !   

semicolon2  7ii7 9 subp>agraph 7,c71 by 
/rik+ ! p]iod & ins]t+ a semicolon2 &   
7iii7 by add+ at ! end ! foll[+3  7,d7  
explore ! feasibility ( :e!r ,fetal     
,alcohol ,syndrome & o!r pr5atal alcohol
 disord]s1 or a subset ( ^! disord]s1   
%\ld be includ$ 9 ! ,diagno/ic &        
,/ati/ic ,manual ( ,m5tal ,disord]s2 &  
7,e7 9 collaboration ) ! ,national      
,in/itute on ,alcohol ,abuse &          
,alcoholism1 ! ,c5t]s = ,disease        
,control & ,prev5tion1 rese>*]s1 &      
exp]ts 9 ! field1 develop a /&>d cl9ical
 case def9ition = diagno/ic guidel9e &  
crit]ia = pr5atal alcohol-relat$        
conditions o!r ?an ,fetal ,alcohol      
,syndrome4  2 &  7,c7 by /rik+ ,fetal   
,alcohol ,syndrome & ,fetal ,alcohol    
,effect ea* place t su* appe>s & ins]t+ 
,fetal ,alcohol ,spectrum ,disord]s4    
#d4 ,coord9ation among ,f$]al entities  
,"p ,o ( title ,,iii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhj;f et   
seq47 is am5d$ by add+ at ! end !       
foll[+3  #cii,k-#a4 ,coord9ation among  

,f$]al entities  7a7 ,int]ag5cy         
,coord9at+ ,committee on ,fetal ,alcohol
 ,syndrome ,! ,secret>y1 act+ ?r\gh !   
,director ( ! ,national ,in/itute on    
,alcohol ,abuse & ,alcoholism1 %all     
provide = ! cont9uation ( ! ,int]ag5cy  
,coord9at+ ,committee on ,fetal ,alcohol
 ,syndrome s t su* ,committee may--     
7#a7 coord9ate activities conduct$ by ! 
,f$]al ,gov]nm5t on ,fetal ,alcohol     
,spectrum ,disord]s1 includ+ conv5+     
meet+s1 e/abli%+ "w gr\ps1 %>+          
in=mation1 & facilitat+ & promot+       
collaborative projects among ,f$]al     
ag5cies2 &  7#b7 develop1 9 consultation
 ) ! ,national ,task ,=ce on ,fetal     
,alcohol ,spectrum ,disord]s1 priority  
areas = ye>s #bjac ?r\gh #bjag to guide 
,f$]al programs & activities relat$ to  
,fetal ,alcohol ,spectrum ,disord]s4    
7b7 ,coord9ation among ,f$]al entities  
7#a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! 
,unit$ ,/ates %all evaluate & make      
recomm5dations reg>d+ ! appropriate     
roles & responsibilities ( ,f$]al       

entities ) respect to programs &        
activities relat$ to ,fetal ,alcohol    
,spectrum ,disord]s4  7#b7 ,cov]$       
entities ,! ,f$]al entities "u p>agraph 
7#a7 %all include entities )9 !         
,national ,in/itutes ( ,heal?1 ! ,c5t]s 
= ,disease ,control & ,prev5tion1 !     
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration1 ! ,heal?        
,res\rces & ,s]vices ,adm9i/ration1 !   
,indian ,heal? ,s]vice1 ! ,ag5cy =      
,heal?c>e ,rese>* & ,quality1 !         
,int]ag5cy ,coord9at+ ,committee on     
,fetal ,alcohol ,syndrome1 ! ,national  
,task ,=ce on ,fetal ,alcohol ,spectrum 
,disord]s1 z well z ! ,(fice ( ,special 
,education & ,rehabilitative ,s]vices 9 
! ,dep>tm5t ( ,education & ! ,(fice (   
,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion
 9 ! ,dep>tm5t ( ,ju/ice4  7#c7         
,evaluation ,! evaluation conduct$ by ! 
,comptroll] ,g5]al "u p>agraph 7#a7 %all
 include--  7,a7 an assessm5t ( ! curr5t
 roles & responsibilities ( ,f$]al      
entities ) programs & activities relat$ 

to ,fetal ,alcohol ,spectrum ,disord]s2 
&  7,b7 an assessm5t ( :e!r !re is      
duplication 9 programs & activities1    
conflict+ roles & responsibilities1 or  
lack ( coord9ation among ,f$]al         
entities4  7#d7 ,recomm5dation ,!       
,comptroll] ,g5]al %all provide         
recomm5dations on ! appropriate roles & 
responsibilities ( ! ,f$]al entities    
describ$ 9 p>agraph 7#b7 9 ord] to      
maximize ! effectiv5ess ( ,f$]al        
programs & activities relat$ to ,fetal  
,alcohol ,spectrum ,disord]s4  7#e7     
,completion ,n lat] ?an #a ye> aft] !   
date ( enactm5t ( ! ,advanc+ ,,fasd     
,rese>*1 ,prev5tion1 & ,s]vices ,act1 ! 
,comptroll] ,g5]al %all complete !      
evaluation & submit to ,congress a      
report on ! f9d+s & recomm5dations made 
z a result ( ! evaluation4  4  #e4      
,s]vices = individuals ) ,fetal ,alcohol
 ,spectrum ,disord]s ,section #eai;,c7b7
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bij;bb-#be;c7b77 is am5d$--  
7#a7 9 p>agraph 7#aa71 by /rik+ & aft] !

 semicolon2  7#b7 by r$esignat+ p>agraph
 7#ab7 z p>agraph 7#ae72 &  7#c7 by     
ins]t+ aft] p>agraph 7#aa71 ! foll[+3   
7#ab7 provide respite c>e = c>etak]s (  
individuals ) ,fetal ,alcohol ,syndrome 
& o!r pr5atal alcohol-relat$ disord]s2  
7#ac7 recruit & tra9 m5tors =           
individuals ) ,fetal ,alcohol ,syndrome 
& o!r pr5atal alcohol-relat$ disord]s2  
7#ad7 provide educational & supportive  
s]vices to families ( individuals )     
,fetal ,alcohol ,spectrum ,disord]s2 &  
4  #f4 ,prev5tion1 int]v5tion1 & s]vices
 9 ! education sy/em  7a7 ,g5]al ,rule  
,! ,secret>y ( ,education %all be ! lead
 ,f$]al (ficial ) responsibility ov]    
education-relat$ issues ) respect to    
*ildr5 ) ,fetal ,alcohol ,spectrum      
,disord]s4  7b7 ,specific               
responsibilities ,! ,secret>y (         
,education %all direct ! ,(fice (       
,special ,education & ,rehabilitative   
,s]vices to--  7#a7 conduct & dissem9ate
 tra9+ on a nationwide ,fetal ,alcohol  
,spectrum ,disord]s surveillance        

campaign to local education ag5cies &   
e>ly *ildhood education provid]s 9      
collaboration ) ! ,national ,c5t] on    
,bir? ,defects & ,developm5tal          
,disabilities "u section #cii;,h7b7 ( ! 
,public ,heal? ,s]vice ,act 7z add$ by  
?is ,act72  7#b7 collect1 collate1 &    
dissem9ate 7?r\gh ! ,int]net ,web site (
 ! ,dep>tm5t ( ,education1 at           
tea*]-to-tea*] work%ops1 & ?r\gh o!r    
means7 evid5ce-bas$ practices t are     
effective 9 ! education & support (     
*ildr5 ) ,fetal ,alcohol ,syndrome      
,disord]s1 includ+ any special te*niques
 on h[ to assi/ *ildr5 ) ,fetal ,alcohol
 ,spectrum ,disord]s1 9 bo? special &   
traditional educational sett+s1 su*     
practices to incorporate in=mation      
conc]n+ ! id5tification1 behavioral     
supports1 tea*+1 & le>n+ associat$ )    
,fetal ,alcohol ,spectrum ,disord]s1    
to--  7,a7 education gr\ps su* z !      
,national ,association ( ,s*ool ,bo>ds1 
! ,national ,education ,association1 !  
,am]ican ,f$]ation ( ,tea*]s1 !         

,national ,association ( ,elem5t>y      
,s*ool ,pr9cipals1 & ! ,national        
,association ( ,second>y ,s*ool         
,pr9cipals2  7,b7 #ba/ ,c5tury          
,community ,le>n+ ,c5t] program grantees
 & o!r aft] s*ool program p]sonnel2 &   
7,c7 ,p>5t ,tea*] ,associations1 ,p>5t  
,in=mation & ,tra9+ ,c5t]s1 family aid  
programs1 & o!r appropriate education   
organizations2  7#c7 ensure t1 9        
adm9i/]+ ! ,individuals ) ,disabilities 
,education ,act1 p>5ts1 educators1 &    
advocates = *ildr5 ) disabilities are   
aw>e t *ildr5 ) ,fetal ,alcohol         
,spectrum ,disord]s h ! "r to access    
g5]al curriculum "u ! lea/ re/rictive   
environm5t2  7#d7 collaborate ) o!r     
,f$]al ag5cies to include ,fetal        
,alcohol ,spectrum ,disord]s-relat$     
in=mation or activities 9 programs      
relat$ to mat]nal heal?1 heal?          
education1 & sex education2  7#e7       
collaborate ) ! ,secret>y ( ,heal? &    
,human ,s]vices to ensure t ,fetal      
,alcohol ,spectrum ,disord]s prev5tion  

grants "u section #cii;,h ( ! ,public   
,heal? ,s]vice ,act include education   
conc]n+ ,fetal ,alcohol ,spectrum       
,disord]s 9 ! sexual & heal? education  
curricula ( s*ools2 &  7#f7 support     
ef=ts by pe] advisory networks (        
adolesc5ts 9 s*ools organiz$ to         
disc\rage ! use ( alcohol :ile pregnant 
or consid]+ gett+ pregnant4  #g4        
,prev5tion1 int]v5tion1 & s]vices 9 !   
ju/ice sy/em ,! ,attorney ,g5]al %all   
direct ! ,(fice ( ,juv5ile ,ju/ice &    
,del9qu5cy ,prev5tion to--  7#a7        
implem5t scre5+ proc$ures & conduct     
tra9+ on a nationwide ,fetal ,alcohol   
,spectrum ,disord]s surveillance        
campaign = ! ,dep>tm5t ( ,ju/ice 9      
collaboration ) ! ef=ts ( ! ,national   
,c5t] on ,bir? ,defects & ,developm5tal 
,disabilities "u section #cii;,h7b7 ( ! 
,public ,heal? ,s]vice ,act 7z add$ by  
?is ,act72  7#b7 introduce tra9+        
curricula on h[ to mo/ effectively      
id5tify & int]act ) individuals ) ,fetal
 ,alcohol ,spectrum ,disord]s 9 bo? !   

juv5ile & adult ju/ice sy/ems1 &        
inve/igate incorporat+ in=mation ab\t ! 
id5tification1 prev5tion1 & treatm5t ( !
 disord]s into ju/ice pr(essionals'     
cr$5tial+ requirem5ts2  7#c7 promote !  
track+ ( individuals ent]+ ! juv5ile    
ju/ice sy/em ) at-risk backgr\nds t     
indicates !m z high probability = hav+ a
 ,fetal ,alcohol ,spectrum ,disord]1    
especially ^? individuals ^: mo!rs h a  
record ( heavy or b+e dr9k+ dur+        
pregnancy z report$ by ! appropriate    
*ild protection ag5cy2  7#d7 educate    
judges1 attorneys1 probation (fic]s1    
*ild advocates1 law en=cem5t (fic]s1    
prison w>d5s1 alt]native inc>c]ation    
adm9i/rators1 & inc>c]ation (ficials on 
h[ to treat & support individuals suff]+
 f ,fetal ,alcohol ,spectrum ,disord]s  
)9 ! juv5ile & adult ju/ice sy/ems1     
includ+--  7,a7 programs design$        
specifically = ! id5tification1         
treatm5t1 & education ( su* *ildr52 &   
7,b7 curricula developm5t & cr$5tial+ ( 
tea*]s1 adm9i/rators1 & social work]s :o

 implem5t su* programs2  7#e7 conduct a 
/udy on ! inadequacies ( h[ ! curr5t    
sy/em processes *ildr5 ) c]ta9          
developm5tal delays & subsequ5tly       
implem5t alt]native me?ods ( inc>c]ation
 & treatm5t t are m effective = y\?     
(f5d]s id5tifi$ to h a ,fetal ,alcohol  
,spectrum ,disord]2 &  7#f7 collaborate 
) ,fetal ,alcohol ,spectrum ,disord]s   
pr(essionals & implem5t transition      
programs = juv5iles & adults ) ,fetal   
,alcohol ,spectrum ,disord]s :o are     
releas$ f inc>c]ation4  #h4             
,miscellane\s provisions  7a7           
,au?orization ( appropriations ,section 
#cii;,j ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bhj;f-#b7 is am5d$ by   
/rik+ ! "p & all t foll[s ?r\gh ! p]iod 
& ins]t+ subsections 7h7 ?r\gh 7k7 (    
section #cii;,h1 #bg1jjj1jjj = ea* (    
fiscal ye>s #bjad ?r\gh #bjah4  7b7     
,repeal ( sunset ,section #cii,k ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;f-#c7 is repeal$4