,,ib ,union ,cal5d> ,no4 #acg #aaf? ,,congress #a/ ,session ,h4 ,r4 #ajeh ,report ,no4 #aaf-agg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #g1 #bjai ,mr4 ,smi? ( ,new ,j]sey 7= himself & ,mr4 ,mi*ael ,f4 ,doyle ( ,p5nsylvania7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,july #bc1 #bjai ,additional sponsors3 ,mr4 ,fitzpatrick1 ,mr4 ,br5dan ,f4 ,boyle ( ,p5nsylvania1 ,mr4 ,sean ,patrick ,maloney ( ,new ,york1 ,mr4 ,pet]son1 ,mr4 ,san ,nicolas1 ,mr4 ,payne1 ,mr4 ,s]rano1 ,mr4 ,deut*1 ,mr4 ,c>son ( ,indiana1 ,mr4 ,k+ ( ,new ,york1 ,mr4 ,got!im]1 ,mr4 ,lip9ski1 ,ms4 ,norton1 ,mr4 ,y>mu?1 ,mr4 ,mc,govern1 ,mr4 ,ha/+s1 ,mr4 ,br9disi1 ,mr4 ,m\lton1 ,ms4 ,slotk91 ,mr4 ,meeks1 ,mr4 ,kim1 ,mr4 ,wel*1 ,mrs4 ,walorski1 ,mr4 ,s*iff1 ,ms4 ,l(gr51 ,mr4 ,ryan1 ,ms4 ,matsui1 ,ms4 ,wat]s1 ,mr4 ,k5n$y1 ,ms4 ,ku/] ( ,new ,hamp%ire1 ,mrs4 ,davis ( ,cali=nia1 ,mr4 ,rose ( ,new ,york1 ,mr4 ,pocan1 ,mr4 ,rupp]sb]g]1 ,mrs4 ,hayes1 ,mr4 ,m>*ant1 ,mr4 ,/iv]s1 ,mr4 ,kelly ( ,p5nsylvania1 ,mr4 ,/aub]1 ,mr4 ,sires1 ,ms4 ,spanb]g]1 ,mr4 ,"y1 ,mr4 ,cox ( ,cali=nia1 ,mr4 ,g>ca ( ,ill9ois1 ,mr4 ,gold51 ,mr4 ,res*5?al]1 ,mr4 ,rask91 ,ms4 ,br[nley ( ,cali=nia1 ,ms4 ,%]rill1 ,ms4 ,wild1 ,ms4 ,judy ,*u ( ,cali=nia1 ,mr4 ,david ,p4 ,roe ( ,t5nessee1 ,mr4 ,br[n ( ,m>yl&1 ,mr4 ,mc,kinley1 ,mr4 ,cole1 ,mr4 ,lev9 ( ,mi*igan1 ,mr4 ,clay1 ,ms4 ,muc>sel-,p[ell1 ,mr4 ,c\rtney1 ,mr4 ,lamborn1 ,ms4 ,haal&1 ,mr4 ,correa1 ,mr4 ,coop]1 ,ms4 ,cl>ke ( ,new ,york1 ,mrs4 ,rodg]s ( ,wa%+ton1 ,mr4 ,de,fazio1 ,mr4 ,grijalva1 ,mrs4 ,watson ,coleman1 ,ms4 ,ca/or ( ,florida1 ,mr4 ,blum5au]1 ,mr4 ,connolly1 ,ms4 ,scanlon1 ,mr4 ,morelle1 ,miss ,rice ( ,new ,york1 ,ms4 ,johnson ( ,texas1 ,ms4 ,ocasio-,cortez1 ,mr4 ,/ew>t1 ,mr4 ,hors=d1 ,mr4 ,bo/1 ,ms4 ,/efanik1 ,mr4 ,co/a1 ,ms4 ,p+ree1 ,mr4 ,mal9[ski1 ,mrs4 ,beatty1 ,mr4 ,swalwell ( ,cali=nia1 ,mrs4 ,lee ( ,nevada1 ,mrs4 ,axne1 ,mr4 ,lamb1 ,mr4 ,?ompson ( ,mississippi1 ,mr4 ,loebsack1 ,ms4 ,de,lauro1 ,mr4 ,rodney ,davis ( ,ill9ois1 ,mr4 ,gallego1 ,mr4 ,%imkus1 ,ms4 ,pressley1 ,ms4 ,titus1 ,mr4 ,joyce ( ,ohio1 ,mr4 ,*abot1 ,miss ,gonzlez-,coln ( ,pu]to ,rico1 ,mr4 ,l>son ( ,connecticut1 ,mr4 ,joyce ( ,p5nsylvania1 ,ms4 ,jackson ,lee1 ,ms4 ,craig1 ,mr4 ,hurd ( ,texas1 ,ms4 ,f9k5au]1 ,ms4 ,cl>k ( ,massa*usetts1 ,mrs4 ,d+ell1 ,mrs4 ,kirkpatrick1 ,mr4 ,lujn1 ,ms4 ,blunt ,ro*e/]1 ,mr4 ,butt]field1 ,mrs4 ,mill]1 ,mr4 ,heck1 ,mr4 ,h>d] ( ,cali=nia1 ,mr4 ,r\da1 ,mrs4 ,lawr5ce1 ,mr4 ,gre5 ( ,texas1 ,mr4 ,coll9s ( ,new ,york1 ,mr4 ,s*weik]t1 ,mr4 ,gian=te1 ,mr4 ,engel1 ,mr4 ,crd5as1 ,mr4 ,trone1 ,mr4 ,posey1 ,ms4 ,lee ( ,cali=nia1 ,mrs4 ,trahan1 ,mr4 ,ru%1 ,mr4 ,latta1 ,mr4 ,upton1 ,mr4 ,mc,eachin1 ,mr4 ,soto1 ,mr4 ,suozzi1 ,mr4 ,c>t] ( ,georgia1 ,mr4 ,spano1 ,mr4 ,tonko1 ,mr4 ,emm]1 ,mr4 ,lawson ( ,florida1 ,mr4 ,cisn]os1 ,mr4 ,c>bajal1 ,mr4 ,o',hall]an1 ,ms4 ,om>1 ,mrs4 ,brooks ( ,indiana1 ,mr4 ,/eube1 ,mr4 ,t$ ,lieu ( ,cali=nia1 ,ms4 ,roybal-,all>d1 ,mr4 ,phillips1 ,ms4 ,fudge1 ,ms4 ,mc,collum1 ,mr4 ,gu?rie1 ,mr4 ,pappas1 ,mr4 ,?ompson ( ,p5nsylvania1 ,ms4 ,und]wood1 ,mr4 ,huffman1 ,ms4 ,kaptur1 ,mr4 ,m>%all1 ,mr4 ,b>r1 ,ms4 ,wexton1 ,ms4 ,wass]man ,s*ultz1 ,ms4 ,s*ak[sky1 ,mr4 ,wald51 ,mr4 ,johnson ( ,s\? ,dakota1 ,mr4 ,himes1 ,mrs4 ,l[ey1 ,mr4 ,zeld91 ,mr4 ,van ,drew1 ,mr4 ,neguse1 ,mr4 ,hag$orn1 ,ms4 ,h]r]a ,beutl]1 ,mr4 ,quigley1 ,mr4 ,sablan1 ,mr4 ,gonzalez ( ,ohio1 & ,ms4 ,k5dra ,s4 ,horn ( ,oklahoma ,july #bc1 #bjai ,report$ ) am5dm5ts1 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 ,febru>y #g1 #bjai ,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 ( #bjai or ! ,autism ,,c>es ,act ( #bjai4 #b4 ,expansion1 int5sification1 & coord9ation ( activities ( ! ,,nih ) respect to rese>* on autism spectrum disord] ,section #dji;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhd;g7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 9 ! fir/ s5t5ce1 by /rik+ & toxicology & ins]t+ toxicology1 & int]v5tions to maximize outcomes = individuals ) autism spectrum disord]2 & 7,b7 by /rik+ ! second s5t5ce & ins]t+ ! foll[+3 ,su* rese>* %all inve/igate ! causes 7includ+ possible environm5tal causes71 diagnosis or rul+ out1 e>ly & ongo+ detection1 prev5tion1 s]vices across ! lifespan1 supports1 int]v5tion1 & treatm5t ( autism spectrum disord]1 includ+ dissem9ation & implem5tation ( cl9ical c>e1 supports1 int]v5tions1 & treatm5ts42 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 ! second s5t5ce1 by /rik+ cause & all t foll[s ?r\gh disord] & ins]t+ causes1 diagnosis1 e>ly & ongo+ detection1 prev5tion1 & treatm5t ( autism spectrum disord] across ! lifespan2 & 7ii7 9 ! ?ird s5t5ce1 by /rik+ neurobiology & all t foll[s ?r\gh ! p]iod & ins]t+ neurobiology1 g5etics1 g5omics1 psy*oph>macology1 developm5tal psy*ology1 behavioral psy*ology1 & cl9ical psy*ology42 & 7,b7 9 p>agraph 7#c71 by add+ at ! end ! foll[+3 7,d7 ,r$uc+ disp>ities ,! ,director may consid]1 z appropriate1 ! ext5t to :i* a c5t] c demon/rate availability & access to cl9ical s]vices = y\? & adults f div]se racial1 e?nic1 geographic1 or l+ui/ic backgr\nds 9 decisions ab\t aw>d+ grants to applicants :i* meet ! sci5tific crit]ia = fund+ "u ?is section4 4 #c4 ,programs relat+ to autism 7a7 ,developm5tal disabilities surveillance & rese>* program ,section #cii;,,aa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;i7 is am5d$-- 7#a7 9 subsection 7a77#a71 by /rik+ adults on autism spectrum disord] & ins]t+ adults ) autism spectrum disord]2 7#b7 9 subsection 7a77#b7-- 7,a7 by /rik+ ,/ate & local public heal? (ficials & ins]t+ ,/ate1 local1 & ,tribal public heal? (ficials2 7,b7 by /rik+ or o!r developm5tal disabilities & ins]t+ & o!r developm5tal disabilities2 7#c7 9 subsection 7a77#c71 by /rik+ a univ]sity1 or any o!r educational in/itution & ins]t+ a univ]sity1 any o!r educational in/itution1 an ,indian tribe1 or a tribal organization2 7#d7 9 subsection 7b77#b77;,a71 by /rik+ relevant ,/ate & local public heal? (ficials1 private sector developm5tal disability rese>*]s1 & advocates = individuals ) developm5tal disabilities & ins]t+ ,/ate1 local1 & ,tribal public heal? (ficials1 private sector developm5tal disability rese>*]s1 advocates = individuals ) autism spectrum disord]1 & advocates = individuals ) o!r developm5tal disabilities2 7#e7 9 subsection 7d7-- 7,a7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z p>agraphs 7#b7 & 7#c71 respectively2 & 7,b7 by ins]t+ be=e p>agraph 7#b71 z s r$esignat$1 ! foll[+ new p>agraph3 7#a7 ,indian tribe2 tribal organization ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 2 & 7#f7 9 subsection 7e71 by /rik+ #bjai & ins]t+ #bjbd4 7b7 ,autism education1 e>ly detection1 & int]v5tion ,section #cii;,,bb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#a7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 by /rik+ individuals ) autism spectrum disord] or o!r developm5tal disabilities & ins]t+ individuals ) autism spectrum disord] & o!r developm5tal disabilities2 & 7,b7 by /rik+ *ildr5 ) autism spectrum disord] & all t foll[s ?r\gh disabilities2 & ins]t+ individuals ) autism spectrum disord] & o!r developm5tal disabilities across _! lifespan22 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b71 by ins]t+ individuals ) be=e autism spectrum disord]2 7,b7 by r$esignat+ p>agraphs 7#d7 ?r\gh 7#f7 z p>agraphs 7#e7 ?r\gh 7#g71 respectively2 & 7,c7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 promote evid5ce-bas$ scre5+ te*niques & int]v5tions = individuals ) autism spectrum disord] & o!r developm5tal disabilities across _! lifespan2 2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ! ne$s ( individuals ) autism spectrum disord] or o!r developm5tal disabilities & _! families & ins]t+ ! ne$s ( individuals ) autism spectrum disord] & o!r developm5tal disabilities across _! lifespan & ! ne$s ( _! families2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a77ii71 by /rik+ c>egiv]s ( individuals ) an autism spectrum disord] & ins]t+ c>egiv]s ( individuals ) autism spectrum disord] or o!r developm5tal disabilities2 7ii7 9 subp>agraph 7,b77i77,,ii71 by ins]t+ autism spectrum disord] & aft] individuals )2 & 7iii7 9 subp>agraph 7,b77ii71 by ins]t+ autism spectrum disord] & aft] individuals )2 7#d7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ across _! lifespan be=e & ensure2 & 7ii7 9 subp>agraph 7,b77iv71 by ins]t+ across _! lifespan aft] o!r developm5tal disabilities2 7,b7 by r$esignat+ p>agraphs 7#b7 & 7#c7 z p>agraphs 7#c7 & 7#d71 respectively2 & 7,c7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 ,developm5tal-behavioral p$iatrician tra9+ programs 7,a7 ,9 g5]al ,9 mak+ aw>ds "u ?is subsection1 ! ,secret>y may prioritize aw>ds to applicants t are developm5tal-behavioral p$iatrician tra9+ programs locat$ 9 rural or und]s]v$ areas4 7,b7 ,def9ition ( und]s]v$ area ,9 ?is p>agraph1 ! t]m und]s]v$ area means-- 7i7 a heal? pr(essional %ortage area 7z def9$ 9 section #ccb7;a77#a77;,a772 & 7ii7 an urban or rural area designat$ by ! ,secret>y z an area ) a %ortage ( p]sonal heal? s]vices 7z describ$ 9 section #ccj7;b77#c77;,a774 2 7#e7 9 subsection 7f71 by ins]t+ across ! lifespan ( su* individuals aft] o!r developm5tal disabilities2 & 7#f7 9 subsection 7g71 by /rik+ #bjai & ins]t+ #bjbd4 7c7 ,int]ag5cy autism coord9at+ committee ,section #cii;,,cc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#b7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b71 by ins]t+ across ! lifespan ( su* individuals be=e ! semicolon2 & 7,b7 9 p>agraph 7#e71 by ins]t+ across ! lifespan ( su* individuals be=e & ! families2 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a77;,d71 by ins]t+ 1 ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ,ju/ice1 ! ,dep>tm5t ( ,vet]ans ,affairs1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 aft] ,dep>tm5t ( ,education2 7,b7 9 subp>agraphs 7,a71 7,b71 & 7,c7 ( p>agraph 7#b71 by /rik+ at lea/ two su* memb]s ea* place x appe>s & ins]t+ at lea/ ?ree su* memb]s2 7,c7 9 p>agraph 7#c77;,a71 by /rik+ "o or m additional #d-ye> t]ms & ins]t+ "o additional #d-ye> t]m2 & 7#c7 9 subsection 7f71 by /rik+ #bjai & ins]t+ #bjbd4 7d7 ,reports to ,congress ,section #cii;,,dd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#c7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a71 by /rik+ ,autism ,,c>es ,act ( #bjad & ins]t+ ,autism ,,c>es ,act ( #bjai2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraphs 7,a71 7,b71 7,d71 & 7,e71 by /rik+ ,autism ,,c>es ,act ( #bjad ea* place x appe>s & ins]t+ ,autism ,,c>es ,act ( #bjai2 7ii7 9 subp>agraph 7,g71 by /rik+ age ( ! *ild & ins]t+ age ( ! individual2 7iii7 9 subp>agraph 7,h71 by /rik+ 2 & & ins]t+ 22 7iv7 9 subp>agraph 7,i71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7v7 by add+ at ! end ! foll[+3 7,j7 in=mation on h[ ,/ates use home- & community-bas$ s]vices & o!r supports to ensure t individuals ) autism spectrum disord] & o!r developm5tal disabilities are liv+1 work+1 & p>ticipat+ 9 _! community4 2 & 7#b7 9 subsection 7b7-- 7,a7 9 ! head+1 by /rik+ "y adults & transition+ y\? & ins]t+ ! heal? & well-,be+ ( individuals ) autism spectrum disord] across _! lifespan2 7,b7 by am5d+ p>agraph 7#a7 to read z foll[s3 7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,autism ,,c>es ,act ( #bjai1 ! ,secret>y %all prep>e & submit1 to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report conc]n+ ! heal? & well-be+ ( individuals ) autism spectrum disord]4 2 & 7,c7 9 p>agraph 7#b7-- 7i7 by am5d+ subp>agraph 7,a7 to read z foll[s3 7,a7 demographic factors associat$ ) ! heal? & well-be+ ( individuals ) autism spectrum disord]2 2 7ii7 9 subp>agraph 7,b71 by /rik+ "y adults & all t foll[s ?r\gh ! semicolon & ins]t+ ! heal? & well-be+ ( individuals ) autism spectrum disord]1 includ+ an id5tification ( exi/+ ,f$]al laws1 regulations1 policies1 rese>*1 & programs22 & 7iii7 by am5d+ subp>agraphs 7,c71 7,d71 & 7,e7 to read z foll[s3 7,c7 recomm5dations on e/abli%+ be/ practices guidel9es to ensure int]discipl9>y coord9ation betwe5 all relevant s]vice provid]s receiv+ ,f$]al fund+2 7,d7 compreh5sive approa*es to improv+ heal? outcomes & well-be+ = individuals ) autism spectrum disord]1 includ+-- 7i7 community-bas$ behavioral supports & int]v5tions2 7ii7 nutrition1 recreational1 & social activities2 & 7iii7 p]sonal safety s]vices relat$ to public safety ag5cies or ! crim9al ju/ice sy/em = su* individuals2 & 7,e7 recomm5dations t seek to improve heal? outcomes = su* individuals1 includ+ across _! lifespan1 by address+-- 7i7 scre5+ & diagnosis ( *ildr5 & adults2 7ii7 behavioral & o!r !rapeutic approa*es2 7iii7 prim>y & prev5tative c>e2 7iv7 communication *all5ges2 7v7 aggression1 self-injury1 elopem5t1 & o!r behavioral issues2 7vi7 em]g5cy room visits & acute c>e hospitalization2 7vii7 treatm5t = co-occurr+ physical & m5tal heal? conditions2 7viii7 premature mortality2 7ix7 m$ical practition] tra9+2 & 7x7 c>egiv] m5tal heal?4 4 7e7 ,au?orization ( appropriations ,section #cii;,,ee ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#d7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #bb1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai & ins]t+ #bc1ajj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd2 7#b7 9 subsection 7b71 by /rik+ #dh1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai & ins]t+ #ej1eii1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd2 & 7#c7 9 subsection 7c71 by /rik+ !re is au?oriz$ to be appropriat$ #aij1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai & ins]t+ !re are au?oriz$ to be appropriat$ #bif1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 ,am5d ! title s z to read3 ,a bill to am5d ! ,public ,heal? ,s]vice ,act to enhance activities ( ! ,national ,in/itutes ( ,heal? ) respect to rese>* on autism spectrum disord] & enhance programs relat+ to autism1 & = o!r purposes44 ,july #bc1 #bjai ,report$ ) am5dm5ts1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be pr9t$