,i #aafth ,,congress #ast ,session ,h4 ,r4 #ajeh ,,in ,,the ,,house ,,of ,,representatives ,february #g1 #bjai,mr4 ,smith of ,new ,jersey 7for himself and ,mr4 ,michael ,f4 ,doyle of ,pennsylvania7 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 ,autism ,collaboration1 ,accountability1 ,research1 ,education1 and ,support ,act of #bjai or the ,autism ,,cares ,act of #bjai4 #b4 ,expansion1 intensification1 and coordination of activities of ,national ,institutes of ,health with respect to research on autism spectrum disorder ,section #dji;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhd;g7 is amended-- 7#a7 in subsection 7a77#a7-- 7,a7 by inserting after and toxicology the following3 1 and interventions to maximize outcomes for persons with autism spectrum disorder2 7,b7 by inserting after early the following3 and ongoing2 and 7,c7 by inserting after treatment of autism spectrum disorder the following3 1 including dissemination and implementation of clinical care1 supports1 intervention1 and treatment2 and 7#b7 in subsection 7b7-- 7,a7 by amending paragraph 7#b7 to read as follows3 7#b7 ,research ,each center under paragraph 7#a7 shall conduct basic and clinical research into autism spectrum disorder4 ,such research should include investigations into the causes1 diagnosis1 and early and ongoing detection1 prevention1 and treatment of autism spectrum disorder across the lifespan4 ,the centers1 as a group1 shall conduct research including in the fields of developmental neurobiology1 genetics1 psychopharmacology1 genomics1 and developmental1 behavioral1 and clinical psychology4 2 and 7,b7 in paragraph 7#c71 by adding at the end the following new subparagraph3 7,d7 ,reducing disparities ,in awarding grants to applicants which meet the scientific criteria for funding under this section1 the ,director may consider1 as appropriate1 the extent to which a center can demonstrate availability and access to clinical services for youth and adults from diverse racial1 ethnic1 geographic1 or linguistic backgrounds4 4 #c4 ,developmental disabilities surveillance and research program ,section #cii;,,aa7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i7e77 is amended by striking #bjai and inserting #bjbd4 #d4 ,autism education1 early detection1 and intervention ,section #cii;,,bb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#a7 is amended-- 7#a7 in subsection 7a77#a71 by striking for children and inserting for individuals2 7#b7 in subsection 7b7-- 7,a7 by redesignating paragraphs 7#d7 through 7#f7 as paragraphs 7#e7 through 7#g71 respectively2 and 7,b7 by inserting after paragraph 7#c7 the following new paragraph3 7#d7 promote evidence-based screening techniques and interventions for individuals with autism spectrum disorder across their lifespans2 2 7#c7 in subsection 7c77#a71 in the matter preceding subparagraph 7,a71 by inserting after needs of individuals with autism spectrum disorder or other developmental disabilities the following3 across the lifespan of such individuals2 7#d7 in subsection 7e71 by adding at the end the following new paragraph3 7#d7 ,prioritization 7,a7 ,in general ,in awarding grants and agreements under paragraphs 7#a7 and 7#b71 the ,secretary may prioritize awards to training programs described in paragraph 7#a7 that are developmental-behavioral pediatrician training programs located in rural areas or underserved areas4 7,b7 ,underserved area defined ,in this paragraph1 the term underserved area means-- 7i7 an area described in section #ccb7;a77#a77;,a72 and 7ii7 a medically underserved population 7as defined in section #ccj7;b77#c77;,a774 2 7#e7 in subsection 7f71 by inserting after individuals with autism spectrum disorder or other developmental disabilities the following3 across the lifespan of such individuals2 and 7#f7 in subsection 7g71 by striking #bjai and inserting #bjbd4 #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#b71 by inserting after services and supports for individuals with autism spectrum disorder the following3 across the lifespan of such individuals2 and 7,b7 in paragraph 7#e71 by inserting after individuals with an autism spectrum disorder the following3 across the lifespan of such individuals2 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a77;,d71 by inserting after the ,department of ,education the following3 1 the ,department of ,labor1 the ,department of ,justice1 the ,department of ,housing and ,urban ,development12 and 7,b7 in paragraph 7#c77;,a71 by striking one or more additional #d-year terms and inserting one additional #d-year term2 and 7#c7 in subsection 7f71 by striking #bjai and inserting #bjbd4 #f4 ,reports to ,congress ,section #cii;,,dd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;i-#c7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a71 by striking of #bjad and inserting of #bjai2 and 7,b7 in paragraph 7#b7-- 7i7 by striking of #bjad each place it appears and inserting of #bjai2 7ii7 in subparagraph 7,g71 striking age of the child and inserting age of the individual2 7iii7 in subparagraph 7,h71 by striking and at the end2 7iv7 in subparagraph 7,i71 by striking the period at the end and inserting 2 and2 and 7v7 by adding at the end the following new subparagraph3 7,j7 information on how ,states use home and community-based services and other supports to ensure that individuals with autism spectrum disorder or other developmental disabilities are living1 working1 and participating in the community4 2 and 7#b7 by amending subsection 7b7 to read as follows3 7b7 ,report on health and well-,being of individuals with autism spectrum disorder 7#a7 ,in general ,not later than #b years after the date of enactment of the ,autism ,,cares ,act of #bjai1 the ,secretary shall prepare and submit to the ,committee on ,health1 ,education1 ,labor and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report concerning the health and well-being of individuals with autism spectrum disorder4 7#b7 ,contents ,the report submitted under paragraph 7#a7 shall contain-- 7,a7 demographic factors associated with the health and well-being of individuals with autism spectrum disorder2 7,b7 an overview of policies and programs relevant to the health and well-being of individuals with autism spectrum disorder1 including an identification of existing ,federal laws1 regulations1 policies1 research1 and programs2 7,c7 proposals on establishing best practices guidelines to ensure interdisciplinary coordination between all relevant service providers receiving ,federal funding2 7,d7 comprehensive approaches to improving health outcomes and well-being for individuals with autism spectrum disorder1 including-- 7i7 community-based behavioral supports and interventions2 7ii7 nutrition1 recreational1 and social activities2 and 7iii7 personal safety services for individuals with autism spectrum disorder related to public safety agencies or the criminal justice system2 and 7,e7 recommendations that seek to improve health outcomes for individuals with autism spectrum disorder by addressing-- 7i7 screening and diagnosis of individuals of all ages2 7ii7 behavioral and other therapeutic approaches2 7iii7 primary and preventative care2 7iv7 communication challenges2 7v7 aggression1 self-injury1 elopement1 and other behavioral issues2 7vi7 emergency room visits and acute care hospitalization2 7vii7 treatment for co-occurring physical and mental health conditions2 7viii7 premature mortality2 7ix7 medical practitioner training2 and 7x7 caregiver mental health4 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 #bb1jjj1jjj for each of fiscal years #bjae through #bjai and inserting #bc1ajj1jjj for each of fiscal years #bjbj through #bjbd2 7#b7 in subsection 7b71 by striking #dh1jjj1jjj for each of fiscal years #bjae through #bjai and inserting #ej1eii1jjj for each of fiscal years #bjbj through #bjbd2 and 7#c7 in subsection 7c71 by striking there is authorized to be appropriated #aij1jjj1jjj for each of fiscal years #bjae through #bjai and inserting there are authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbj through #bjbd4