,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bhgi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ah1 #bjai,ms4
 ,murk[ski 7= h]self & ,ms4 ,klobu*>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 ,spectrum ,disord]s     
,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       
,programs = fetal alcohol spectrum      
disord]s  7a7 ,9 g5]al ,"p ,o ( title   
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bhj;f et seq47 is am5d$ 
by /rik+ section #cii;,h & ins]t+ !     
foll[+3  #cii;,h4 ,programs = fetal     
alcohol spectrum disord]s  7a7          
,def9ition ,9 ?is "p1 ! t]ms fetal      
alcohol spectrum disord]s & ,,fasd mean 
! range ( effects t c occur 9 an        
individual :o is pr5atally expos$ to    

alcohol4 ,su* effects may include       
physical1 m5tal1 behavioral1 & le>n+    
disabilities1 ) possible lifelong       
implications4  7b7 ,rese>* on fetal     
alcohol spectrum disord]s & relat$      
conditions  7#a7 ,9 g5]al ,! ,secret>y1 
act+ ?r\gh ! ,director ( ! ,national    
,in/itutes ( ,heal? & 9 coord9ation ) ! 
,int]ag5cy ,coord9at+ ,committee on     
,fetal ,alcohol ,spectrum ,disord]s "u  
section #cii;,h-#a1 %all--  7,a7 e/abli%
 a rese>* ag5da = ,,fasd2 &  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 & 
,alcoholism 7ref]r$ to 9 ?is "p z !     
,director ( ! ,in/itute71 %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 ,,fasd        

diagnosis1 int]v5tion1 & prev5tion2     
7,b7 factors t may mitigate ! effects ( 
fetal alcohol exposure2 &  7,c7 o!r     
rese>* t ! ,director ( ! ,in/itute      
det]m9es to be appropriate ) respect to 
conditions t develop z a result ( 9-ut]o
 sub/ance exposure4  7c7 ,surveillance1 
public heal? rese>*1 & prev5tion        
activities  7#a7 ,9 g5]al ,! ,secret>y1 
act+ ?r\gh ! ,director ( ! ,national    
,c5t] on ,bir? ,defects & ,developm5tal 
,disabilities ( ! ,c5t]s = ,disease     
,control & ,prev5tion1 %all facilitate  
surveillance1 public heal? rese>*1 &    
prev5tion ( ,,fasd 9 accordance ) ?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 !       
evid5ce-bas$ /&>d case def9ition =      
diagnosis ( fetal alcohol syndrome &1 9 
collaboration ) ! ,director ( !         
,in/itute1 ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 !       
,int]ag5cy ,coord9at+ ,committee on     

,fetal ,alcohol ,spectrum ,disord]s     
e/abli%$ "u section #cii;,h-#a1         
rese>*]s1 & o!r exp]ts 9 ! field1       
develop /&>d1 evid5ce-bas$ cl9ical      
diagno/ic guidel9es1 & crit]ia = all o!r
 fetal alcohol spectrum disord]s2  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,b7 to--  7i7 hospitals1   
,f$]ally-qualifi$ heal? c5t]s1          
resid5tial & outpati5t sub/ance use     
treatm5t programs1 & o!r appropriate    
heal? c>e provid]s2  7ii7 educational   
sett+s2  7iii7 social "w & *ild welf>e  
(fices2  7iv7 fo/] c>e provid]s &       
adoption ag5cies2  7v7 ,/ate (fices &   
o!r ag5cies provid+ s]vices to          
individuals ) disabilities2  7vi7 m5tal 
heal? treatm5t facilities2 &  7vii7 o!r 
entities t ! ,secret>y det]m9es to be   

appropriate2  7,d7 conduct activities   
relat$ to risk factor surveillance1     
includ+ ! biannual monitor+ & report+ ( 
alcohol consumption among pregnant wom5 
& wom5 ( *ildbe>+ age2  7,e7 dissem9ate 
& evaluate brief behavioral int]v5tion  
/rategies & ref]rals aim$ at prev5t+    
alcohol-expos$ pregnancies among wom5 ( 
*ildbe>+ age 9 special sett+s1 includ+  
cl9ical prim>y heal? c5t]s1 outpati5t   
cl9ics1 *ild welf>e ag5cies1 &          
correctional facilities & recov]y       
campuses2  7,f7 dissem9ate compreh5sive 
alcohol & pregnancy & ,,fasd in=mation1 
res\rces1 & s]vices to families &       
c>egiv]s1 pr(essionals1 & ! public2 &   
7,g7 coord9ate ) affiliat$ ,/ate & local
 sy/ems & organizations on activities ) 
respect to ! prev5tion ( ,,fasd & relat$
 conditions = pregnant mo!rs4  7d7      
,build+ ,/ate ,,fasd sy/ems  7#a7 ,9    
g5]al ,! ,secret>y1 act+ ?r\gh !        
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all aw>d       
grants1 contracts1 or coop]ative        

agreem5ts to ,/ates = ! purpose (       
develop+ & implem5t+ a /atewide ,,fasd  
/rategic plan1 e/abli%+ or exp&+        
/atewide programs ( surveillance1 scre5+
 & diagnosis1 prev5tion1 & cl9ical      
int]v5tion & support = individuals )    
,,fasd & _! families4  7#b7 ,eligibility
 ,to be eligible to receive a grant1    
contract1 or coop]ative agreem5t "u     
p>agraph 7#a71 a ,/ate %all prep>e &    
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require4 ,! 
application %all include--  7,a7 evid5ce
 ( ! e/abli%m5t ( a ,/ate advisory gr\p 
compos$ ( ,/ate ag5cies1 local          
gov]nm5tal entities1 & ,indian ,tribes &
 ,tribal organizations2 &  7,b7 private 
sector /akehold]s ^: purpose is to      
develop a /atewide /rategic plan & make 
recomm5dations = ! prev5tion ( ,,fasd1  
scre5+ & diagnosis1 & cl9ical int]v5tion
 & support = individuals ) ,,fasd & _!  
families4  7#c7 ,/rategic plan ,!       
/atewide /rategic plan requir$ "u       

p>agraph 7#a7 %all include-- 7,a7       
id5tification ( exi/+ ,/ate & local     
programs & sy/ems t c\ld be us$ to      
id5tify & assi/ individuals ) ,,fasd1   
relat$ conditions1 & prev5t alcohol     
consumption dur+ pregnancy2  7,b7       
id5tification ( b>ri]s to access to     
,,fasd diagno/ic s]vices or to programs 
to assi/ individuals ) ,,fasd or wom5 at
 risk = sub/ance abuse & alcohol-expos$ 
pregnancies2 &  7,c7 proposals to       
elim9ate b>ri]s to prev5tion & treatm5t 
programs4  7#d7 ,re/rictions on & use ( 
funds ,am\nts receiv$ "u a grant1       
contract1 or coop]ative agreem5t "u     
p>agraph 7#a7 %all be us$ = "o or m ( ! 
foll[+ activities3  7,a7 ,provid+       
educational & supportive s]vices to     
families ( individuals & families )     
,,fasd4  7,b7 ,e/abli%+ a /atewide      
surveillance sy/em4  7,c7 ,includ+      
,,fasd education 9 ,/ate1 m$ical1 &     
heal? c>e 7includ+ m5tal heal? c>e7     
univ]sity programs4  7,d7 ,collect+1    
analyz+1 & int]pret+ data4  7,e7        

,develop+1 implem5t+1 & evaluat+        
population-bas$ & t>get$ prev5tion      
programs = ,,fasd1 includ+ public       
aw>5ess campaigns4  7,f7 ,ref]r+        
individuals ) ,,fasd to appropriate     
support s]vices4  7,g7 ,implem5t+       
recomm5dations f relevant ag5cies &     
organizations1 includ+ ! ,/ate advisory 
gr\p1 on ! id5tification & prev5tion (  
,,fasd1 & int]v5tion programs or s]vices
 = individuals ) ,,fasd4  7,h7 ,provid+ 
tra9+ to heal? c>e 7includ+ m5tal heal? 
c>e7 provid]s on ! prev5tion1           
id5tification1 & treatm5t ( ,,fasd4     
7,i7 ,dissem9at+ in=mation ab\t ,,fasd &
 ! availability ( support s]vices to    
families & individuals ) ,,fasd4  7,j7  
,o!r activities1 z ! ,secret>y det]m9es 
appropriate4  7#e7 ,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 nonpr(it entities ) a  
demon/rat$ exp]tise 9 ,,fasd prev5tion &
 int]v5tion s]vices4  7e7 ,promot+      

community p>tn]%ips  7#a7 ,9 g5]al ,!   
,secret>y1 act+ ?r\gh ! ,adm9i/rator (  
,heal? & ,res\rce ,s]vices &            
,adm9i/ration1 %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 ) ,,fasd su* z surveillance1
 scre5+1 prev5tion1 treatm5t1 & support 
s]vices4  7#b7 ,eligible entities ,to be
 eligible to receive a grant1 contract1 
or coop]ative agreem5t "u p>agraph 7#a71
 a entity %all--  7,a7 be a public or   
private nonpr(it entity1 :i* may be--   
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/em = juv5iles &
 adults2  7v7 an ,,fasd organization1   
p>5t-l$ gr\p1 or o!r organization t     
supports & advocates = individuals )    

,,fasd2  7vi7 an ,indian ,tribe or      
,tribal organization2  7vii7 an e>ly    
*ildhood int]v5tion facility2  7viii7   
any o!r entity ! ,secret>y det]m9es to  
be appropriate2 or  7ix7 a consortium ( 
any ( ! entities describ$ 9 clauses 7i7 
?r\gh 7viii72 &  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 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 
) ,,fasd4  7#c7 ,activities ,an eligible
 entity %all use am\nts receiv$ "u a    
grant1 contract1 or coop]ative agreem5t 
"u ?is subsection to c>ry out "o or m ( 
! foll[+ activities3  7,a7 ,integrat+   
,,fasd 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   
scre51 diagnose1 treat1 & provide       
support s]vices to individuals ) ,,fasd 
& _! families4  7,d7 ,dissem9at+        
in=mation ab\t ,,fasd & ! 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 ) ,,fasd4  7,g7  
,o!r activities1 z ! ,secret>y det]m9es 
appropriate4  7f7 ,developm5t ( be/     
practices & models ( c>e  7#a7 ,9 g5]al 
,! ,secret>y1 9 coord9ation ) !         
,adm9i/rator ( ,heal? ,res\rces ,s]vices
 ,adm9i/ration1 %all aw>d grants to     
,/ates1 ,indian ,tribes & ,tribal       
organizations1 nongov]nm5tal            
organizations1 & in/itutions ( high]    
education = ! e/abli%m5t ( pilot        
projects to id5tify & implem5t be/      
practices =--  7,a7 provid+ e>ly        
*ildhood int]v5tion or educat+ *ildr5 ) 

,,fasd1 includ+-- 7i7 activities &      
programs design$ specifically = !       
id5tification1 treatm5t1 & education (  
su* *ildr52 &  7ii7 curricula developm5t
 & cr$5tial+ ( tea*]s1 adm9i/rators1 &  
social work]s :o implem5t su* programs &
 provide e>ly *ildhood int]v5tion2  7,b7
 educat+ judges1 attorneys1 probation   
(fic]s1 social work]s1 *ild advocates1  
law en=cem5t (fic]s1 prison w>d5s1      
alt]native inc>c]ation adm9i/rators1 &  
inc>c]ation (ficials on h[ to scre51    
id5tify1 treat1 & support individuals ) 
,,fasd )9 ! *ild welf>e1 juv5ile1 &     
crim9al ju/ice sy/ems1 includ+--  7i7   
programs design$ specifically = !       
id5tification1 treatm5t1 & education (  
individuals ) ,,fasd2 &  7ii7 curricula 
developm5t & cr$5tial+ )9 ! ju/ice &    
*ild welf>e sy/ems = individuals :o     
implem5t su* programs2  7,c7 educat+    
adoption or fo/] c>e ag5cy (ficials ab\t
 available & necess>y s]vices = *ildr5 )
 ,,fasd1 includ+--  7i7 programs design$
 specifically = scre5+ & id5tification1 

treatm5t1 & education ( individuals )   
,,fasd2 &  7ii7 education & tra9+ =     
pot5tial adoptive or fo/] p>5ts ( a *ild
 ) ,,fasd2 &  7,d7 educat+ heal? & m5tal
 heal?1 & sub/ance use1 provid]s ab\t   
available & necess>y s]vices = *ildr5 ) 
,,fasd1 includ+--  7i7 programs design$ 
specifically = scre5+ & id5tification1 &
 bo? heal? & m5tal heal? treatm5t1 (    
individuals ) ,,fasd2 &  7ii7 curricula 
developm5t & cr$5tial+ )9 ! heal? &     
m5tal heal? & sub/ance abuse sy/ems =   
individuals :o implem5t su* programs4   
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  7g7 ,transitional  
s]vices  7#a7 ,9 g5]al ,! ,secret>y1 9  
coord9ation ) ! ,adm9i/rator ( ! ,heal? 
,res\rces & ,s]vices ,adm9i/ration1 %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 = adults affect$ by
 pr5atal alcohol exposure & evaluat+ !  
effectiv5ess ( su* s]vices4  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$5tials     
relat+ to education1 skills1 tra9+1 &   
cont9u+ educational requirem5ts relat+  
to ,,fasd4  7#c7 ,all[able uses ,an     
entity %all use am\nts receiv$ "u a     
grant1 contract1 or coop]ative agreem5t 
"u p>agraph 7#a7 to c>ry out "o or m ( !
 foll[+ activities3  7,a7 ,provide h\s+ 
assi/ance to1 or specializ$ h\s+ =1     
adults ) ,,fasd4  7,b7 ,provide         
vocational tra9+ & placem5t s]vices =   
adults ) ,,fasd4  7,c7 ,provide         
m$ication monitor+ s]vices = adults )   
,,fasd4  7,d7 ,provide tra9+ & support  

to organizations provid+ family s]vices 
or m5tal heal? programs & o!r           
organizations t "w ) adults ) ,,fasd4   
7,e7 ,e/abli% & evaluate h\s+ models    
specially design$ = adults ) ,,fasd4    
7,f7 ,o!r s]vices or programs1 z !      
,secret>y det]m9es appropriate4  7h7    
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section1 su* sums z may be necess>y 
= ea* ( fiscal ye>s #bjbj ?r\gh #bjbe4  
4  7b7 ,s]vices = individuals ) ,fetal  
,alcohol ,spectrum ,disord]s ,subp>t #b 
( "p ,b ( title ,v ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ba 
et seq47 is am5d$ by ins]t+ aft] section
 #eai;,b ! foll[+3  #eai;,c4 ,s]vices = 
individuals ) fetal alcohol syndrome    
7a7 ,9 g5]al ,! ,secret>y may make aw>ds
 ( grants1 coop]ative agreem5ts1 or     
contracts to public & nonpr(it private  
entities1 includ+ ,indian tribes &      
tribal organizations1 to provide s]vices
 to individuals diagnos$ ) fetal alcohol
 syndrome or alcohol-relat$ bir?        

defects4  7b7 ,use ( funds ,an aw>d "u  
subsection 7a7 may1 subject to          
subsection 7d71 be us$ to-- 7#a7 scre5 &
 te/ individuals to det]m9e ! type &    
level ( s]vices ne$$2  7#b7 develop a   
compreh5sive plan = provid+ s]vices to !
 individual2  7#c7 provide m5tal heal?  
c\nsel+2  7#d7 provide sub/ance abuse   
prev5tion s]vices & treatm5t1 if ne$$2  
7#e7 coord9ate s]vices ) o!r social     
programs includ+ social s]vices1 ju/ice 
sy/em1 educational s]vices1 heal?       
s]vices1 m5tal heal? & sub/ance abuse   
s]vices1 f9ancial assi/ance programs1   
vocational s]vices & h\s+ assi/ance     
programs2  7#f7 provide vocational      
s]vices2  7#g7 provide heal? c\nsel+2   
7#h7 provide h\s+ assi/ance2  7#i7 p>5t+
 skills tra9+2  7#aj7 ov]all case       
managem5t2  7#aa7 supportive s]vices =  
families ( individuals ) ,fetal ,alcohol
 ,syndrome & o!r pr5atal alcohol-relat$ 
disord]s2  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 &  
7#ae7 provide o!r s]vices & programs1 to
 ! ext5t au?oriz$ by ! ,secret>y aft]   
consid]ation ( recomm5dations made by ! 
,int]ag5cy ,coord9at+ ,committee on     
,fetal ,alcohol ,spectrum ,disord]s4    
7c7 ,requirem5ts ,to be eligible to     
receive an aw>d "u subsection 7a71 an   
applicant %all-- 7#a7 demon/rate t !    
program w be "p ( a coord9at$1          
compreh5sive sy/em ( c>e = su*          
individuals2  7#b7 demon/rate an        
e/abli%$ communication ) o!r social     
programs 9 ! community includ+ social   
s]vices1 ju/ice sy/em1 f9ancial         
assi/ance programs1 heal? s]vices1      
educational s]vices1 m5tal heal? &      
sub/ance abuse s]vices1 vocational      
s]vices & h\s+ assi/ance s]vices2  7#c7 
%[ a hi/ory ( work+ ) individuals )     

fetal alcohol syndrome or alcohol-relat$
 bir? defects2  7#d7 provide assurance t
 ! s]vices w be provid$ 9 a culturally &
 l+ui/ically appropriate mann]2 &  7#e7 
provide assurance t at ! end ( ! #e-ye> 
aw>d p]iod1 o!r me*anisms w be id5tifi$ 
to meet ! ne$s ( ! individuals &        
families s]v$ "u su* aw>d4  7d7         
,relation%ip to paym5ts "u o!r programs 
,an aw>d may be made "u subsection 7a7  
only if ! applicant involv$ agrees t !  
aw>d w n be exp5d$ to pay ! exp5ses (   
provid+ any s]vice "u ?is section to an 
individual to ! ext5t t paym5t has be5  
made1 or c reasonably be expect$ to be  
made1 ) respect to su* exp5ses--  7#a7  
"u any ,/ate comp5sation program1 "u an 
insurance policy1 or "u any ,f$]al or   
,/ate heal? b5efits program2 or  7#b7 by
 an entity t provides heal? s]vices on a
 prepaid basis4  7e7 ,duration ( aw>ds  
,) respect to an aw>d "u subsection 7a71
 ! p]iod dur+ :i* paym5ts "u su* aw>d   
are made to ! recipi5t may n exce$ #e   
ye>s4  7f7 ,evaluation ,! ,secret>y %all

 evaluate ea* project c>ri$ out "u      
subsection 7a7 & %all dissem9ate ! f9d+s
 ) respect to ea* su* evaluation to     
appropriate public & private entities4  
7g7 ,fund+  7#a7 ,au?orization (        
appropriations ,= ! purpose ( c>ry+ out 
?is section1 !re are au?oriz$ to be     
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbj ?r\gh #bjbe4   
7#b7 ,allocation ,( ! am\nts appropriat$
 "u p>agraph 7#a7 = a fiscal ye>1 n less
 ?an #cjj1jjj %all1 = purposes relat+ to
 fetal alcohol syndrome & alcohol-relat$
 bir? defects1 be made available =      
collaborative1 coord9at$ int]ag5cy ef=ts
 ) ! ,national ,in/itute on ,alcohol    
,abuse & ,alcoholism1 ! ,eunice ,k5n$y  
,%riv] ,national ,in/itute ( ,*ild      
,heal? & ,human ,developm5t1 ! ,heal?   
,res\rces & ,s]vices ,adm9i/ration1 !   
,ag5cy = ,heal?c>e ,rese>* & ,quality1 !
 ,c5t]s = ,disease ,control &           
,prev5tion1 ! ,dep>tm5t ( ,education1 & 
! ,dep>tm5t ( ,ju/ice4  4  7c7          
,prev5tion1 int]v5tion1 & s]vices 9 !   

education sy/em  7#a7 ,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  7#b7 ,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 educational ag5cies 7z def9$ 9 
section #haja ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ghja77 & 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 am5d$ by 
subsection 7a772  7,b7 collect1 collate1
 & dissem9ate 7?r\gh ! int]net website (
 ! ,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]s
 7includ+ any special te*niques on h[ to
 assi/ *ildr5 ) fetal alcohol spectrum  
disord]s 9 bo? special & traditional    
educational sett+s1 & includ+ su*       
practices t incorporate in=mation       
conc]n+ ! id5tification1 behavioral     
supports1 tea*+1 & le>n+ associat$ )    
fetal alcohol spectrum disord]s7 to--   
7i7 education gr\ps su* z ! ,national   
,association ( ,s*ool ,bo>ds1 !         
,national ,education ,association1 !    
,am]ican ,f$]ation ( ,tea*]s1 !         
,national ,association ( ,elem5t>y      
,s*ool ,pr9cipals1 & ! ,national        
,association ( ,second>y ,s*ool         
,pr9cipals2  7ii7 recipi5ts ( a grant "u
 ! #ba/ ,c5tury ,community ,le>n+ ,c5t] 
program e/abli%$ "u "p ,b ( title ,,iv (
 ! ,elem5t>y & ,second>y ,education ,act
 ( #aife 7#bj ,u4,s4,c4 #gaga et seq47 &
 o!r aft] s*ool program p]sonnel2 &     
7iii7 ,p>5t ,tea*] ,associations1 ,p>5t 
,in=mation & ,tra9+ ,c5t]s1 & o!r       

appropriate education organizations2    
7,c7 ensure t1 9 adm9i/]+ ! ,individuals
 ) ,disabilities ,education ,act 7#bj   
,u4,s4,c4 #adjj et seq471 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$]al ag5cies to include        
in=mation or activities relat+ to fetal 
alcohol spectrum disord]s 9 programs    
relat$ 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 7z am5d$ by         
subsection 7a77 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 
to disc\rage ! use ( alcohol :ile       

pregnant or consid]+ gett+ pregnant4    
7#c7 ,def9ition ,= purposes ( ?is       
subsection1 ! t]m fetal alcohol spectrum
 disord]s has ! mean+ giv5 su* t]m 9    
section #cii;,h7a7 ( ! ,public ,heal?   
,s]vice ,act1 z am5d$ by subsection 7a74
  7d7 ,prev5tion1 int]v5tion1 & s]vices 
9 ! ju/ice sy/em ,! ,attorney ,g5]al    
%all direct ! ,(fice ( ,juv5ile ,ju/ice 
& ,del9qu5cy ,prev5tion to--  7#a7      
develop scre5+ proc$ures = juv5iles :o  
violate laws z describ$ 9 section #ejca 
( title #ah1 ,unit$ ,/ates ,code1       
juv5iles ) *ronic truancy1 & o!r        
individuals1 & 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 am5d$ by subsection    
7a772  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 treat1 respond to1 &  
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 &
 cred5tial+ ( tea*]s1 adm9i/rators1 &   

social work]s :o implem5t su* programs2 
&  7,c7 h[ fetal alcohol spectrum       
disord]s impact an individual's         
int]action ) law en=cem5t & :e!r        
div]sion>y s5t5c+ options or            
fetal-alcohol-spectrum-disord]-in=m$    
int]v5tions & programs = su* individuals
 are appropriate2  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  7e7 ,sunset    
provision ,section #cii,k ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;f-#c7 is am5d$-- 7#a7 by /rik+     
,national ,task ,=ce h be5 appo9t$ "u   
section #cii;,h7d77#a7 & ins]t+         
,int]ag5cy ,coord9at+ ,committee on     

,fetal ,alcohol ,spectrum ,disord]s "u  
section #cii;,h-#a7;c72 &  7#b7 by add+ 
at ! end ! foll[+3 ,n lat] ?an ! date t 
is #d ye>s aft] all su* memb]s h be5    
appo9t$1 ! ,secret>y %all issue to      
,congress recomm5dations on :e!r !      
programs "u ?is "p %\ld be ext5d$44  #c4
 ,int]ag5cy coord9at+ committee on fetal
 alcohol spectrum disord]s ,"p ,o (     
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bhj;,f et seq471 z 
am5d$ by section #b7;a71 is fur!r am5d$ 
by ins]t+ aft] section #cii;,h ! foll[+3
  #cii;,h-#a4 ,int]ag5cy coord9at+      
committee on fetal alcohol spectrum     
disord]s  7a7 ,9 g5]al ,! ,secret>y1    
act+ ?r\gh ! ,director ( ! ,national    
,in/itute ( ,alcohol ,abuse &           
,alcoholism1 %all ma9ta9 ! ,int]ag5cy   
,coord9at+ ,committee on ,fetal ,alcohol
 ,spectrum ,disord]s 7ref]r$ to 9 ?is   
section z ! ,committee7 ) bo? ,f$]al &  
non-,f$]al memb]s & a *airp]son appo9t$ 
by ! ,director1 to coord9ate & recomm5d 
ef=ts )9 ! ,dep>tm5t ( ,heal? & ,human  

,s]vices & o!r relevant ,f$]al dep>tm5ts
 & ag5cies conc]n+ ,,fasd4  7b7         
,responsibilities ,9 c>ry+ out its      
duties "u ?is section1 ! ,committee     
%all-- 7#a7 monitor ,,fasd rese>* &     
s]vices &1 to ! ext5t practicable1      
s]vices & support activities across all 
relevant ,f$]al dep>tm5ts & ag5cies1    
includ+ coord9ation ( ,f$]al activities 
) respect to ,,fasd2  7#b7 develop a    
summ>y ( advances 9 ,,fasd rese>* relat$
 to prev5tion1 treatm5t1 e>ly scre5+1   
diagnosis1 & int]v5tions2  7#c7 make    
recomm5dations = ! ,,fasd rese>* ag5da  
to ! ,director ( ! ,national ,in/itute (
 ,alcohol ,abuse & ,alcoholism1 z       
describ$ 9 section #cii;,h7b77#a77;,a72 
7#d7 review ! #bjji report ( ! ,national
 ,task ,=ce on ,,fas entitl$1 ,a ,call  
to ,action1 & o!r reports on ,,fasd &   
make recomm5dations on a national       
/rategic plan to r$uce ! preval5ce & !  
associat$ impact ( ,,fasd & improve !   
quality ( life = individuals liv+ )     
,,fasd1 :i* %all include--  7,a7 propos$

 ,f$]al budget>y requirem5ts = ,,fasd   
rese>* & relat$ s]vices & support       
activities = individuals ) ,,fasd2  7,b7
 recomm5dations to ensure t ,,fasd      
rese>*1 & s]vices & support activities  
to ! ext5t practicable1 ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices & ( o!r ,f$]al 
dep>tm5ts & ag5cies are n unnecess>ily  
duplicative2  7,c7 id5tification ( gaps 
or b>ri]s = individuals liv+ )1 or      
impact$ by1 ,,fasd 9 access+ diagno/ic1 
e>ly int]v5tion1 & support s]vices2     
7,d7 id5tification ( prev5tion          
/rategies1 includ+ education campaigns &
 options1 su* z product w>n+s & o!r     
me*anisms to raise aw>5ess ( ! risks    
associat$ ) pr5atal alcohol consumption2
  7,e7 id5tification ( be/ practice     
approa*es to r$uce ! incid5ce ( ,,fasd2 
&  7,f7 id5tification ( be/ practice    
approa*es & models ( c>e to increase    
support & treat individuals ) ,,fasd1 & 
_! families2 &  7#e7 submit to ,congress
 & ! ,presid5t-- 7,a7 an update on !    
summ>y ( advances describ$ 9 p>agraph   

7#c71 "o ye> aft] ! date ( enactm5t ( ! 
,advanc+ ,,fasd ,rese>*1 ,prev5tion1 &  
,s]vices ,act2  7,b7 an update to !     
national /rategic plan describ$ 9       
p>agraph 7#d71 includ+ any progress made
 9 a*iev+ ! objectives outl9$ 9 su*     
/rategic plan1 "o ye> aft] ! date (     
enactm5t ( ! ,advanc+ ,,fasd ,rese>*1   
,prev5tion1 & ,s]vices ,act2 &  7,c7 a  
f9al report t provides a summ>y (       
advances describ$ 9 p>agraph 7#c7 & an  
update to ! national /rategic plan      
describ$ 9 p>agraph 7#d71 n lat] ?an    
,septemb] #cj1 #bjbe4  7c7 ,memb]%ip ,! 
,committee %all be compos$ (            
repres5tatives z describ$ 9 p>agraphs   
7#a7 & 7#b74 7#a7 ,f$]al memb]%ip       
,memb]s ( ! ,committee %all include     
repres5tatives ( ! foll[+ ,f$]al        
ag5cies3  7,a7 ,! ,national ,in/itute on
 ,alcohol ,abuse & ,alcoholism4  7,b7 ,!
 ,c5t]s = ,disease ,control &           
,prev5tion4  7,c7 ,! ,heal? ,res\rces & 
,s]vices ,adm9i/ration4  7,d7 ,o!r      
ag5cies ) responsibilities = ,,fasd1    

sub/ance use prev5tion & treatm5t1      
mat]nal heal?1 *ild heal? & welf>e1 &   
rehabilitative s]vices1 :i* may include 
,f$]al ag5cies t int]act ) individuals )
 ,,fasd 9 ! educational & correctional  
sy/ems4  7#b7 ,non-,f$]al memb]s        
,additional non-,f$]al public & private 
sector memb]s ( ! ,committee %all be    
appo9t$ by ! ,director ( ! ,national    
,in/itute on ,alcohol ,abuse &          
,alcoholism1 includ+--  7,a7 "o         
individual ) ,,fasd or a p>5t or legal  
gu>dian ( an individual ) ,,fasd2  7,b7 
"o repres5tative ( ! ,national          
,organization on ,fetal ,alcohol        
,syndrome & "o repres5tative ( a lead+  
/atewide advocacy & s]vice organization 
= individuals ) ,,fasd2  7,c7 "o        
repres5tative ( ! ,,fasd ,c5t] (        
,excell5ce e/abli%$ "u section          
#cii;,h-#b1 & "o repres5tative ( a ,/ate
 advisory gr\p engag$ 9 build+ a ,/ate  
,,fasd sy/em pursuant to section        
#cii;,h7d72 &  7,d7 multiple individuals
 ) exp]tise on ,,fasd :o w s]ve z       

repres5tatives ( private sector         
organizations t engage on ,,fasd issues 
on behalf ( p$iatricians1 ob/etricians &
 gynecologi/s1 m5tal heal? c>e provid]s1
 family c\rt judges1 juv5ile judges &   
ju/ice programm+ & s]vices1 & special   
education & social "w pr(essionals4  7d7
 ,au?orization ( appropriations ,!re are
 au?oriz$ to be appropriat$ to c>ry out 
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbj ?r\gh #bjbe4  4
  #d4 ,,fasd ,c5t] ,( ,excell5ce  7a7 ,9
 g5]al ,"p ,o ( title ,,iii ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;f et seq471 z am5d$ by section #c1 
is fur!r am5d$ by ins]t+ aft] section   
#cii;,h-#a ! foll[+3  #cii;,h-#b4 ,,fasd
 ,c5t] ( ,excell5ce  7a7 ,9 g5]al ,!    
,secret>y1 9 consultation ) ! ,assi/ant 
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 ! ,adm9i/rator ( ! ,heal? ,rese>* 
& ,s]vices ,adm9i/ration1 & ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 %all make an aw>d ( a grant1
 coop]ative agreem5t1 or contract to a  

public or nonpr(it entity ) demon/rat$  
exp]tise 9 ,,fasd aw>5ess1 prev5tion &  
int]v5tion s]vices4 ,su* aw>d %all be = 
! purpose ( e/abli%+ an ,,fasd ,c5t] (  
,excell5ce to build local1 ,/ate1 &     
national capacities to prev5t !         
occurr5ce ( ,,fasd1 includ+ disord]s &  
bir? defects relat$ to comb9$ abuse (   
alcohol & o!r sub/ances1 & to respond to
 ! ne$s ( individuals & _! families t   
c>ry out ! foll[+3  7#a7 ,initiat+ or   
exp&+ diagno/ic capacity ( ,,fasd by    
increas+ scre5+1 id5tification1 &       
diagnosis ( individuals ) ,,fasd 9      
cl9ical practices1 educational sett+s1  
*ild welf>e1 & juv5ile & correctional   
sy/ems4  7#b7 ,provid+ an int]net-bas$  
res\rce c5t] t dissem9ates ongo+        
te*nical assi/ance1 res\rce developm5t1 
& pe] & cross-,/ate tra9+ on ,,fasd4    
7#c7 ,conduct+ m$ia outrea* & m$ia tra9+
 to raise public aw>5ess ( ! risks      
associat$ ) alcohol consumption dur+    
pregnancy ) ! purpose ( r$uc+ !         
preval5ce ( ,,fasd4  7#d7 ,act+ z a     

cle>+h\se on ,,fasd prev5tion &         
int]v5tion practices & s]vices & ma9ta9+
 a national res\rce directory4  7#e7    
,develop+ & dissem9at+ in=mation &      
res\rces = tra9+ community lead]s1 m5tal
 heal? & sub/ance abuse pr(essionals1   
families1 law en=cem5t p]sonnel1 judges1
 heal? pr(essionals1 p]sons work+ 9     
f9ancial assi/ance programs1 social     
s]vice p]sonnel1 *ild welf>e            
pr(essionals1 & o!r s]vice provid]s on !
 implications ( ,,fasd & ! e>ly         
id5tification ( & ref]ral = su*         
conditions4  7#f7 ,build+ capacity =    
,/ate & local affiliates d$icat$ to     
,,fasd aw>5ess & prev5tion ef=ts4  7#g7 
,support+ a speak]s bureau & o!r public 
aw>5ess activities1 includ+ social m$ia1
 = enhanc$ ,,fasd aw>5ess & prev5tion   
ef=ts4  7#h7 ,provid+ te*nical assi/ance
 to communities = replicat+ exempl>y    
compreh5sive sy/ems ( c>e = individuals 
) ,,fasd develop$ "u section #cii;,h7e74
  7#i7 ,provid+ te*nical assi/ance to   
communities = replicat+ be/ practice    

pilot projects develop$ "u section      
#cii;,h7f74  7#aj7 ,provid+ te*nical    
assi/ance to ,/ates 9 develop+ /atewide 
,,fasd /rategic plans1 e/abli%+ or exp&+
 /atewide programs ( surveillance1      
scre5+ & diagnosis1 prev5tion1 & cl9ical
 int]v5tion & support = individuals )   
,,fasd & _! families "u section         
#cii;,h7d74  7#aa7 ,develop+ a          
compreh5sive ,,fasd database ( cl9ics   
across ! ,unit$ ,/ates1 9 accordance )  
applicable privacy requirem5ts4  7#ab7  
,c>ry+ out o!r functions1 to ! ext5t    
au?oriz$ by ! ,secret>y1 aft]           
consid]ation ( recomm5dations ( !       
,int]ag5cy ,coord9at+ ,committee on     
,fetal ,alcohol ,spectrum ,disord]s 9 ! 
national /rategic plan "u section       
#cii;,h-#a7;b77#d74  7b7 ,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$5tials relat+ to    
,,fasd res\rce developm5t &             
dissem9ation1 c>e coord9ation & !       
coord9ation ( cl9ical s]vices1 te*nical 
assi/ance1 adm9i/ration ( p>tn]         
networks1 & o!r su* ,,fasd-specific     
exp]tise4  7c7 ,subcontract+ ,a public  
or private nonpr(it may c>ry out !      
activities "u subsection 7a7 ?r\gh      
contracts or coop]ative agreem5ts ) o!r 
public & private nonpr(it entities )    
demon/rat$ exp]tise 9 ,,fasd prev5tion &
 int]v5tion s]vices4  7d7 ,au?orization 
( appropriations ,!re are au?oriz$ to be
 appropriat$ to c>ry out ?is section su*
 sums z may be necess>y = ea* ( fiscal  
ye>s #bjbj ?r\gh #bjbe4  4  7b7 ,con=m+ 
am5dm5t ,section #eai;,d ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;bb-#be;d7 is repeal$4  #e4         
,au?orization ( appropriations ,section 
#cii;,j ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bhj;f-#b7 is am5d$--    
7#a7 9 subsection 7a71 by /rik+         
#bg1jjj1jjj = ea* ( ! fiscal ye>s #aiii 

?r\gh #bjjc & ins]t+ #db1jjj1jjj =      
fiscal ye> #bjba & su* sums z may be    
necess>y = ea* ( fiscal ye>s #bjbb ?r\gh
 #bjbe2 &  7#b7 by am5d+ subsection 7b71
 to read z foll[s3  7b7 ,int]ag5cy      
coord9at+ committee on fetal alcohol    
spectrum disord]s ,f am\nts appropriat$ 
= a fiscal ye> "u subsection 7a71 !     
,secret>y may use n to exce$ #b1jjj1jjj 
( su* am\nts = ! op]ations ( !          
,int]ag5cy ,coord9at+ ,committee on     
,fetal ,alcohol ,spectrum ,disord]s "u  
section #cii;,h-#a4  4