,,ii ,calendar ,no4 #ddd #aacth ,,congress #b;d ,session ,s4 #bddi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #i1 #bjad,mr4 ,menendez 7for himself1 ,mr4 ,enzi1 ,mr4 ,kirk1 ,mr4 ,franken1 ,ms4 ,klobuchar1 ,mr4 ,burr1 ,mr4 ,schumer1 ,mr4 ,blunt1 ,mr4 ,harkin1 ,mr4 ,moran1 and ,mr4 ,coons7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,june #bf1 #bjad,reported by ,mr4 ,harkin1 with an amendment,strike out all after the enacting clause and insert the part printed in italic ,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 ,autism ,collaboration1 ,accountability1 ,research1 ,education1 and ,support ,act of #bjad or the ,autism ,,cares ,act of #bjad4 #b4 ,national ,autism ,spectrum ,disorder ,initiative 7a7 ,in general ,the ,secretary of ,health and ,human ,services shall designate an existing official within the ,department of ,health and ,human ,services to oversee1 in consultation with the ,secretaries of ,defense and ,education1 national autism spectrum disorder research1 services1 and support activities4 7b7 ,duties ,the official designated under subsection 7a7 shall-- 7#a7 implement autism spectrum disorder activities1 taking into account the strategic plan developed by the ,interagency ,autism ,coordinating ,committee under section #cii;,,cc7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#b7;b772 and 7#b7 ensure that autism spectrum disorder activities of the ,department of ,health and ,human ,services and of other ,federal departments and agencies are not unnecessarily duplicative4 #c4 ,research program ,section #cii;,,aa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i7 is amended-- 7#a7 in subsection 7a77#a71 by inserting for children and adults after reporting of ,state epidemiological data2 7#b7 in subsection 7b77#a7-- 7,a7 by striking establishment of regional centers of excellence and inserting establishment or support of regional centers of excellence2 and 7,b7 by inserting for children and adults before the period at the end2 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 #d4 ,autism intervention ,section #cii;,,bb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#a7 is amended-- 7#a7 in subsection 7b77#a71 by inserting culturally competent after provide2 7#b7 in subsection 7c77#b77;,a77ii71 by inserting 7which may include respite care for caregivers of individuals with an autism spectrum disorder7 after services and supports2 7#c7 in subsection 7e77#a77;,b77v71 by inserting before the semicolon the following3 1 which may include collaborating with research centers or networks to provide training for providers of respite care 7as defined in section #bija72 7#d7 in subsection 7f71 by striking grants or contracts and all that follows through for individual with and inserting grants or contracts1 which may include grants or contracts to research centers or networks1 to determine the evidence-based practices for interventions to improve the physical and behavioral health of individuals with2 and 7#e7 in subsection 7g71 by striking #bjad and inserting #bjai4 #e4 ,interagency ,autism ,coordinating ,committee ,section #cii;,,cc of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#b7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 by striking and annually update2 and 7ii7 by striking intervention and inserting interventions1 including school and community-based interventions2 7,b7 by striking paragraph 7#b72 7,c7 by redesignating paragraph 7#a7 as paragraph 7#b71 and inserting before such redesignated paragraph the following3 7#a7 monitor autism spectrum disorder research1 and to the extent practicable services and support activities1 across all ,federal departments and agencies1 including coordination of ,federal activities with respect to autism spectrum disorder2 2 7,d7 in paragraph 7#c71 by striking recommendations to the ,director of ,,nih2 7,e7 in paragraph 7#d71 by inserting before the semicolon the following3 1 and the process by which public feedback can be better integrated into such decisions2 and 7,f7 by striking paragraphs 7#e7 and 7#f7 and inserting the following3 7#e7 develop a strategic plan for the conduct of1 and support for1 autism spectrum disorder research and services and supports for individuals with an autism spectrum disorder and the families of such individuals1 which shall include-- 7,a7 proposed budgetary requirements2 and 7,b7 recommendations to ensure that autism spectrum disorder research1 services1 and support activities of the ,department of ,health and ,human ,services and of other ,federal departments and agencies are not unnecessarily duplicative2 and 7#f7 submit to ,congress and the ,president-- 7,a7 an annual update on the summary of advances described in paragraph 7#b72 and 7,b7 an annual update to the strategic plan described in paragraph 7#e71 including any progress made in achieving the goals outlined in such strategic plan4 2 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a7-- 7i7 by striking the paragraph heading and matter preceding subparagraph 7,a7 and inserting the following3 7#a7 ,federal membership ,the ,committee shall be composed of the following ,federal members-- 2 7ii7 in subparagraph 7,c7-- 7,i7 by inserting 1 such as the ,administration for ,community ,living1 ,administration for ,children and ,families1 the ,centers for ,medicare ,medicaid ,services1 the ,food and ,drug ,administration1 and the ,health ,resources and ,services ,administration before the semicolon at the end2 and 7,,ii7 by adding at the end and2 7iii7 in subparagraph 7,d7-- 7,i7 by inserting and the ,department of ,defense after ,department of ,education2 and 7,,ii7 by striking at the end 2 and and inserting a period2 and 7iv7 by striking subparagraph 7,e72 7,b7 in paragraph 7#b7-- 7i7 in the paragraph heading1 by striking ,additional and inserting ,non-,federal2 7ii7 in the matter preceding subparagraph 7,a71 by striking ,not fewer than #f members of the ,committee1 or #a_/c of the total membership of the ,committee1 whichever is greater and inserting ,not more than #a_/b1 but not fewer than #a_/c1 of the total membership of the ,committee2 7iii7 in subparagraph 7,a71 by striking one such member shall be an individual and inserting two such members shall be individuals2 7iv7 in subparagraph 7,b71 by striking one such member shall be a parent or legal guardian and inserting two such members shall be parents or legal guardians2 and 7v7 in subparagraph 7,c71 by striking one such member shall be a representative and inserting two such members shall be representatives2 and 7,c7 by adding at the end the following3 7#c7 ,period of appointment2 vacancies 7,a7 ,period of appointment for non-,federal members ,non-,federal members shall serve for a term of #d years1 and may be reappointed for one or more additional #d-year term4 7,b7 ,vacancies ,a vacancy on the ,committee shall be filled in the manner in which the original appointment was made and shall not affect the powers or duties of the ,committee4 ,any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term4 ,a member may serve after the expiration of the member's term until a successor has been appointed4 2 7#c7 in subsection 7d7-- 7,a7 by striking paragraph 7#b72 and 7,b7 by redesignating paragraphs 7#c7 and 7#d7 as paragraphs 7#b7 and 7#c71 respectively2 and 7#d7 in subsection 7f71 by striking #bjad and inserting #bjai4 #f4 ,reports ,section #cii;,,dd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#c7 is amended-- 7#a7 in the section heading1 by striking ,report and inserting ,reports2 7#b7 in subsection 7b71 by redesignating paragraphs 7#a7 through 7#i7 as subparagraphs 7,a7 through 7,i71 respectively1 and realigning the margins accordingly2 7#c7 by redesignating subsections 7a7 and 7b7 as paragraphs 7#a7 and 7#b71 respectively1 and realigning the margins accordingly2 7#d7 by inserting after the section heading the following3 7a7 ,progress report 2 7#e7 in subsection 7a77#a7 7as so redesignated7-- 7,a7 by striking #b years after the date of enactment of the ,combating ,autism ,reauthorization ,act of #bjaa and inserting #d years after the date of enactment of the ,autism ,,cares ,act of #bjad2 7,b7 by inserting and the ,secretary of ,defense after the ,secretary of ,education2 and 7,c7 by inserting 1 and make publicly available1 including through posting on the ,internet ,web site of the ,department of ,health and ,human ,services1 after ,representatives2 7#f7 in subsection 7a77#b7 7as so redesignated7-- 7,a7 in subparagraph 7,a71 7as so redesignated71 by striking ,combating ,autism ,act of #bjjf and inserting the ,autism ,,cares ,act of #bjad2 7,b7 in subparagraph 7,b7 7as so redesignated71 by striking particular provision of ,combating ,autism ,act of #bjjf and inserting amendments made by the ,autism ,,cares ,act of #bjad2 7,c7 by striking subparagraph 7,c7 7as so redesignated71 and inserting the following3 7,c7 information on the incidence and prevalence of autism spectrum disorder1 including available information on the prevalence of autism spectrum disorder among children and adults1 and identification of any changes over time with respect to the incidence and prevalence of autism spectrum disorder2 2 7,d7 in subparagraph 7,d7 7as so redesignated71 by striking #f-year period beginning on the date of enactment of the ,combating ,autism ,act of #bjjf and inserting #d-year period beginning on the date of enactment of the ,autism ,,cares ,act of #bjad and1 as appropriate1 how this age varies across populations subgroups2 7,e7 in subparagraph 7,e7 7as so redesignated71 by striking #f-year period beginning on the date of enactment of the ,combating ,autism ,act of #bjjf and inserting #d-year period beginning on the date of enactment of the ,autism ,,cares ,act of #bjad and1 as appropriate1 how this age varies across populations subgroups2 7,f7 in subparagraph 7,f7 7as so redesignated71 by inserting and1 as appropriate1 how this average time varies across populations subgroups after disabilities2 7,g7 in subparagraph 7,g7 7as so redesignated7-- 7i7 by striking including by various subtypes1 and inserting including by severity level as practicable12 and 7ii7 by striking child may and inserting child or other factors1 such as demographic characteristics1 may2 and 7,h7 by striking subparagraph 7,i7 7as so redesignated71 and inserting the following3 7,i7 a description of the actions taken to implement and the progress made on implementation of the strategic plan developed by the ,interagency ,autism ,coordinating ,committee4 2 and 7#g7 by adding at the end the following new subsection3 7b7 ,report on young adults and transitioning youth 7#a7 ,in general ,not later than #b years after the date of enactment of the ,autism ,,cares ,act of #bjad1 the ,secretary of ,health and ,human ,services1 in coordination with the ,secretary of ,education and in collaboration with the ,secretary of ,transportation1 the ,secretary of ,labor1 the ,secretary of ,housing and ,urban ,development1 and the ,attorney ,general1 shall prepare and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report concerning young adults with autism spectrum disorder and the challenges related to the transition from existing school-based services to those services available during adulthood4 7#b7 ,contents ,the report submitted under paragraph 7#a7 shall contain-- 7,a7 an overview of policies and programs relevant to young adults with autism spectrum disorder relating to post-secondary school transitional services1 including an identification of existing ,federal laws1 regulations1 policies1 research1 and programs2 7,b7 demographic characteristics of youth transitioning from school-based to community-based supports2 7,c7 proposals on establishing best practices guidelines to ensure-- 7i7 interdisciplinary coordination between all relevant services providers receiving ,federal funding2 7ii7 coordination with transitioning youth and the family of such transitioning youth2 and 7iii7 the inclusion of the transitioning youth's ,individualized ,education ,program as prescribed in section #fad of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adad72 7,d7 comprehensive approaches to transitioning from existing school-based services to services available during adulthood1 including-- 7i7 services that increase access to1 and improve integration and completion of1 post-secondary education1 peer support1 vocational training 7as defined in section #ajc of the ,rehabilitation ,act of #aigc 7#bi ,u4,s4,c4 #gbc771 rehabilitation1 self-advocacy skills1 and competitive1 integrated employment2 7ii7 community-based behavioral supports and interventions2 7iii7 community-based integrated residential services1 housing1 and transportation2 7iv7 nutrition1 health and wellness1 recreational1 and social activities2 7v7 personal safety services for individuals with autism spectrum disorder related to public safety agencies or the criminal justice system2 and 7vi7 evidence-based approaches for coordination of resources and services once individuals have aged out of post-secondary education2 and 7,e7 proposals that seek to improve outcomes for adults with autism spectrum disorder making the transition from a school-based support system to adulthood by-- 7i7 increasing the effectiveness of programs that provide transition services2 7ii7 increasing the ability of relevant service providers to provide supports and services to underserved populations and regions2 7iii7 increasing the efficiency of service delivery to maximize resources and outcomes1 including with respect to the integration of and collaboration among services for transitioning youth2 7iv7 ensuring access to all services necessary to transitioning youth of all capabilities2 and 7v7 encouraging transitioning youth to utilize all available transition services to maximize independence1 equal opportunity1 full participation1 and self-sufficiency4 4 #g4 ,authorization of appropriations ,section #cii;,,ee of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#d7 is amended-- 7#a7 in subsection 7a71 by striking fiscal years #bjab through #bjad and inserting fiscal years #bjae through #bjai2 7#b7 in subsection 7b71 by striking fiscal years #bjaa through #bjad and inserting fiscal years #bjae through #bjai2 and 7#c7 in subsection 7c71 by striking #afa1jjj1jjj for each of fiscal years #bjaa through #bjad and inserting #aij1jjj1jjj for each of fiscal years #bjae through #bjai4 #a4 ,short title ,this ,act may be cited as the ,autism ,collaboration1 ,accountability1 ,research1 ,education1 and ,support ,act of #bjad or the ,autism ,,cares ,act of #bjad4 #b4 ,national ,autism ,spectrum ,disorder ,initiative 7a7 ,in general ,the ,secretary of ,health and ,human ,services shall designate an existing official within the ,department of ,health and ,human ,services to oversee1 in consultation with the ,secretaries of ,defense and ,education1 national autism spectrum disorder research1 services1 and support activities4 7b7 ,duties ,the official designated under subsection 7a7 shall-- 7#a7 implement autism spectrum disorder activities1 taking into account the strategic plan developed by the ,interagency ,autism ,coordinating ,committee under section #cii;,,cc7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#b7;b772 and 7#b7 ensure that autism spectrum disorder activities of the ,department of ,health and ,human ,services and of other ,federal departments and agencies are not unnecessarily duplicative4 #c4 ,research program ,section #cii;,,aa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i7 is amended-- 7#a7 in subsection 7a77#a71 by inserting for children and adults after reporting of ,state epidemiological data2 7#b7 in subsection 7b77#a7-- 7,a7 by striking establishment of regional centers of excellence and inserting establishment or support of regional centers of excellence2 and 7,b7 by inserting for children and adults before the period at the end2 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 #d4 ,autism intervention ,section #cii;,,bb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#a7 is amended-- 7#a7 in subsection 7b77#a71 by inserting culturally competent after provide2 7#b7 in subsection 7c77#b77;,a77ii71 by inserting 7which may include respite care for caregivers of individuals with an autism spectrum disorder7 after services and supports2 7#c7 in subsection 7e77#a77;,b77v71 by inserting before the semicolon the following3 1 which may include collaborating with research centers or networks to provide training for providers of respite care 7as defined in section #bija72 7#d7 in subsection 7f71 by striking grants or contracts and all that follows through for individuals with and inserting grants or contracts1 which may include grants or contracts to research centers or networks1 to determine the evidence-based practices for interventions to improve the physical and behavioral health of individuals with2 and 7#e7 in subsection 7g71 by striking #bjad and inserting #bjai4 #e4 ,interagency ,autism ,coordinating ,committee ,section #cii;,,cc of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#b7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 by striking and annually update2 and 7ii7 by striking intervention and inserting interventions1 including school and community-based interventions2 7,b7 by striking paragraph 7#b72 7,c7 by redesignating paragraph 7#a7 as paragraph 7#b71 and inserting before such redesignated paragraph the following3 7#a7 monitor autism spectrum disorder research1 and to the extent practicable services and support activities1 across all relevant ,federal departments and agencies1 including coordination of ,federal activities with respect to autism spectrum disorder2 2 7,d7 in paragraph 7#c71 by striking recommendations to the ,director of ,,nih2 7,e7 in paragraph 7#d71 by inserting before the semicolon the following3 1 and the process by which public feedback can be better integrated into such decisions2 and 7,f7 by striking paragraphs 7#e7 and 7#f7 and inserting the following3 7#e7 develop a strategic plan for the conduct of1 and support for1 autism spectrum disorder research1 including as practicable for services and supports for individuals with an autism spectrum disorder and the families of such individuals1 which shall include-- 7,a7 proposed budgetary requirements2 and 7,b7 recommendations to ensure that autism spectrum disorder research1 and services and support activities to the extent practicable1 of the ,department of ,health and ,human ,services and of other ,federal departments and agencies are not unnecessarily duplicative2 and 7#f7 submit to ,congress and the ,president-- 7,a7 an annual update on the summary of advances described in paragraph 7#b72 and 7,b7 an annual update to the strategic plan described in paragraph 7#e71 including any progress made in achieving the goals outlined in such strategic plan4 2 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a7-- 7i7 by striking the paragraph designation1 the heading1 and the matter preceding subparagraph 7,a7 and inserting the following3 7#a7 ,federal membership ,the ,committee shall be composed of the following ,federal members-- 2 7ii7 in subparagraph 7,c7-- 7,i7 by inserting 1 such as the ,administration for ,community ,living1 ,administration for ,children and ,families1 the ,centers for ,medicare ,medicaid ,services1 the ,food and ,drug ,administration1 and the ,health ,resources and ,services ,administration before the semicolon at the end2 and 7,,ii7 by adding at the end and2 7iii7 in subparagraph 7,d7-- 7,i7 by inserting and the ,department of ,defense after ,department of ,education2 and 7,,ii7 by striking at the end 2 and and inserting a period2 and 7iv7 by striking subparagraph 7,e72 7,b7 in paragraph 7#b7-- 7i7 in the paragraph heading1 by striking ,additional and inserting ,non-,federal2 7ii7 in the matter preceding subparagraph 7,a71 by striking ,not fewer than #f members of the ,committee1 or #a_/c of the total membership of the ,committee1 whichever is greater and inserting ,not more than 1 but not fewer than #a_/c1 of the total membership of the ,committee2 7iii7 in subparagraph 7,a71 by striking one such member shall be an individual and inserting two such members shall be individuals2 7iv7 in subparagraph 7,b71 by striking one such member shall be a parent or legal guardian and inserting two such members shall be parents or legal guardians2 and 7v7 in subparagraph 7,c71 by striking one such member shall be a representative and inserting two such members shall be representatives2 and 7,c7 by adding at the end the following3 7#c7 ,period of appointment2 vacancies 7,a7 ,period of appointment for non-,federal members ,non-,federal members shall serve for a term of #d years1 and may be reappointed for one or more additional #d-year terms4 7,b7 ,vacancies ,a vacancy on the ,committee shall be filled in the manner in which the original appointment was made and shall not affect the powers or duties of the ,committee4 ,any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term4 ,a member may serve after the expiration of the member's term until a successor has been appointed4 2 7#c7 in subsection 7d7-- 7,a7 by striking paragraph 7#b72 and 7,b7 by redesignating paragraphs 7#c7 and 7#d7 as paragraphs 7#b7 and 7#c71 respectively2 and 7#d7 in subsection 7f71 by striking #bjad and inserting #bjai4 #f4 ,reports ,section #cii;,,dd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#c7 is amended-- 7#a7 in the section heading1 by striking ,report and inserting ,reports2 7#b7 in subsection 7b71 by redesignating paragraphs 7#a7 through 7#i7 as subparagraphs 7,a7 through 7,i71 respectively1 and realigning the margins accordingly2 7#c7 by redesignating subsections 7a7 and 7b7 as paragraphs 7#a7 and 7#b71 respectively1 and realigning the margins accordingly2 7#d7 by inserting after the section heading the following3 7a7 ,progress report 2 7#e7 in subsection 7a77#a7 7as so redesignated7-- 7,a7 by striking #b years after the date of enactment of the ,combating ,autism ,reauthorization ,act of #bjaa and inserting #d years after the date of enactment of the ,autism ,,cares ,act of #bjad2 7,b7 by inserting and the ,secretary of ,defense after the ,secretary of ,education2 and 7,c7 by inserting 1 and make publicly available1 including through posting on the ,internet ,web site of the ,department of ,health and ,human ,services1 after ,representatives2 and 7#f7 in subsection 7a77#b7 7as so redesignated7-- 7,a7 in subparagraph 7,a71 7as so redesignated71 by striking ,combating ,autism ,act of #bjjf and inserting ,autism ,,cares ,act of #bjad2 7,b7 in subparagraph 7,b7 7as so redesignated71 by striking particular provisions of ,combating ,autism ,act of #bjjf and inserting amendments made by the ,autism ,,cares ,act of #bjad2 7,c7 by striking subparagraph 7,c7 7as so redesignated71 and inserting the following3 7,c7 information on the incidence and prevalence of autism spectrum disorder1 including available information on the prevalence of autism spectrum disorder among children and adults1 and identification of any changes over time with respect to the incidence and prevalence of autism spectrum disorder2 2 7,d7 in subparagraph 7,d7 7as so redesignated71 by striking #f-year period beginning on the date of enactment of the ,combating ,autism ,act of #bjjf and inserting #d-year period beginning on the date of enactment of the ,autism ,,cares ,act of #bjad and1 as appropriate1 how this age varies across population subgroups2 7,e7 in subparagraph 7,e7 7as so redesignated71 by striking #f-year period beginning on the date of enactment of the ,combating ,autism ,act of #bjjf and inserting #d-year period beginning on the date of enactment of the ,autism ,,cares ,act of #bjad and1 as appropriate1 how this age varies across population subgroups2 7,f7 in subparagraph 7,f7 7as so redesignated71 by inserting and1 as appropriate1 how such average time varies across population subgroups before the semicolon at the end2 7,g7 in subparagraph 7,g7 7as so redesignated7-- 7i7 by striking including by various subtypes1 and inserting including by severity level as practicable12 and 7ii7 by striking child may and inserting child or other factors1 such as demographic characteristics1 may2 and 7,h7 by striking subparagraph 7,i7 7as so redesignated71 and inserting the following3 7,i7 a description of the actions taken to implement and the progress made on implementation of the strategic plan developed by the ,interagency ,autism ,coordinating ,committee under section #cii;,,cc7b74 2 and 7#g7 by adding at the end the following new subsection3 7b7 ,report on young adults and transitioning youth 7#a7 ,in general ,not later than #b years after the date of enactment of the ,autism ,,cares ,act of #bjad1 the ,secretary of ,health and ,human ,services1 in coordination with the ,secretary of ,education and in collaboration with the ,secretary of ,transportation1 the ,secretary of ,labor1 the ,secretary of ,housing and ,urban ,development1 and the ,attorney ,general1 shall prepare and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report concerning young adults with autism spectrum disorder and the challenges related to the transition from existing school-based services to those services available during adulthood4 7#b7 ,contents ,the report submitted under paragraph 7#a7 shall contain-- 7,a7 demographic characteristics of youth transitioning from school-based to community-based supports2 7,b7 an overview of policies and programs relevant to young adults with autism spectrum disorder relating to post-secondary school transitional services1 including an identification of existing ,federal laws1 regulations1 policies1 research1 and programs2 7,c7 proposals on establishing best practices guidelines to ensure-- 7i7 interdisciplinary coordination between all relevant service providers receiving ,federal funding2 7ii7 coordination with transitioning youth and the family of such transitioning youth2 and 7iii7 inclusion of the individualized education program for the transitioning youth1 as prescribed in section #fad of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adad72 7,d7 comprehensive approaches to transitioning from existing school-based services to services available during adulthood1 including-- 7i7 services that increase access to1 and improve integration and completion of1 post-secondary education1 peer support1 vocational training 7as defined in section #ajc of the ,rehabilitation ,act of #aigc 7#bi ,u4,s4,c4 #gbc771 rehabilitation1 self-advocacy skills1 and competitive1 integrated employment2 7ii7 community-based behavioral supports and interventions2 7iii7 community-based integrated residential services1 housing1 and transportation2 7iv7 nutrition1 health and wellness1 recreational1 and social activities2 7v7 personal safety services for individuals with autism spectrum disorder related to public safety agencies or the criminal justice system2 and 7vi7 evidence-based approaches for coordination of resources and services once individuals have aged out of post-secondary education2 and 7,e7 proposals that seek to improve outcomes for adults with autism spectrum disorder making the transition from a school-based support system to adulthood by-- 7i7 increasing the effectiveness of programs that provide transition services2 7ii7 increasing the ability of the relevant service providers described in subparagraph 7,c7 to provide supports and services to underserved populations and regions2 7iii7 increasing the efficiency of service delivery to maximize resources and outcomes1 including with respect to the integration of and collaboration among services for transitioning youth2 7iv7 ensuring access to all services necessary to transitioning youth of all capabilities2 and 7v7 encouraging transitioning youth to utilize all available transition services to maximize independence1 equal opportunity1 full participation1 and self-sufficiency4 4 #g4 ,authorization of appropriations ,section #cii;,,ee of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#d7 is amended-- 7#a7 in subsection 7a71 by striking fiscal years #bjab through #bjad and inserting fiscal years #bjae through #bjai2 7#b7 in subsection 7b71 by striking fiscal years #bjaa through #bjad and inserting fiscal years #bjae through #bjai2 and 7#c7 in subsection 7c71 by striking #afa1jjj1jjj for each of fiscal years #bjaa through #bjad and inserting #aij1jjj1jjj for each of fiscal years #bjae through #bjai4 ,june #bf1 #bjad,reported with an amendment