,,ii #aafth ,,congress #ast ,session ,s4 #dbg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #g1 #bjai ,mr4 ,menendez 7for himself and ,mr4 ,enzi7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to enhance activities of the ,national ,institutes of ,health with respect to research on autism spectrum disorder and enhance programs 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 the ,,nih 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 in the first sentence1 by striking and toxicology and inserting toxicology1 and interventions to maximize outcomes for persons with autism spectrum disorder2 and 7,b7 by striking the second sentence and inserting the following3 ,such research shall investigate the causes 7including possible environmental causes71 diagnosis or rule out1 early and ongoing detection1 prevention1 services across the lifespan1 supports1 intervention1 and treatment of autism spectrum disorder1 including dissemination and implementation of clinical care1 supports1 interventions1 and treatments42 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#b7-- 7i7 in the second sentence1 by striking cause and all that follows through disorder and inserting causes1 diagnosis1 early and ongoing detection1 prevention1 and treatment of autism spectrum disorder across the lifespan2 and 7ii7 in the third sentence1 by striking neurobiology and all that follows through the period and inserting neurobiology1 genetics1 genomics1 psychopharmacology1 developmental psychology1 behavioral psychology1 and clinical psychology42 and 7,b7 in paragraph 7#c71 by adding at the end the following3 7,d7 ,reducing disparities ,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 backgrounds in decisions about awarding grants to applicants which meet the scientific criteria for funding under this section4 4 #c4 ,programs relating to autism 7a7 ,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 7b7 ,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 children with autism spectrum disorder and all that follows through disabilities2 and inserting individuals with autism spectrum disorder and other developmental disabilities across their lifespan22 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#b71 by inserting individuals with before autism spectrum disorder2 7,b7 by redesignating paragraphs 7#d7 through 7#f7 as paragraphs 7#e7 through 7#g71 respectively2 and 7,c7 by inserting after paragraph 7#c7 the following3 7#d7 promote evidence-based screening techniques and interventions for individuals with autism spectrum disorder and other developmental disabilities across their lifespan2 2 7#c7 in subsection 7c77#a71 in the matter preceding subparagraph 7,a71 by inserting across their lifespan before and their families2 7#d7 in subsection 7e7-- 7,a7 in paragraph 7#a7-- 7i7 in the matter preceding subparagraph 7,a71 by inserting across their lifespan before and ensure2 and 7ii7 in subparagraph 7,b77iv71 by inserting across their lifespan after other developmental disabilities2 7,b7 by redesignating paragraphs 7#b7 and 7#c7 as paragraphs 7#c7 and 7#d71 respectively2 and 7,c7 by inserting after paragraph 7#a7 the following3 7#b7 ,developmental-behavioral pediatrician training programs 7,a7 ,in general ,in making awards under this subsection1 the ,secretary may prioritize awards to applicants that are developmental-behavioral pediatrician training programs located in rural or underserved areas4 7,b7 ,definition of underserved area ,in this paragraph1 the term underserved area means-- 7i7 a health professional shortage area 7as defined in section #ccb7;a77#a77;,a772 and 7ii7 an urban or rural area designated by the ,secretary as an area with a shortage of personal health services as described in section #ccj7;b77#c77;,a774 2 7#e7 in subsection 7f71 by inserting across the lifespan of such individuals after other developmental disabilities2 and 7#f7 in subsection 7g71 by striking #bjai and inserting #bjbd4 7c7 ,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 across the lifespan of such individuals before the semicolon2 and 7,b7 in paragraph 7#e71 by inserting across the lifespan of such individuals before and the families2 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a77;,d71 by inserting 1 the ,department of ,labor1 the ,department of ,justice1 the ,department of ,housing and ,urban ,development1 after ,department of ,education2 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 7d7 ,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 ,autism ,,cares ,act of #bjad and inserting ,autism ,,cares ,act of #bjai2 and 7,b7 in paragraph 7#b7-- 7i7 in subparagraphs 7,a71 7,b71 7,d71 and 7,e71 by striking ,autism ,,cares ,act of #bjad each place it appears and inserting ,autism ,,cares ,act of #bjai2 7ii7 in subparagraph 7,g71 by striking age of the child and inserting age of the individual2 7iii7 in subparagraph 7,h71 by striking 2 and and inserting 22 7iv7 in subparagraph 7,i71 by striking the period and inserting 2 and2 and 7v7 by adding at the end the following3 7,j7 information on how ,states use home- and community-based services and other supports to ensure that individuals with autism spectrum disorder and other developmental disabilities are living1 working1 and participating in their community4 2 and 7#b7 in subsection 7b7-- 7,a7 in the heading1 by striking young adults and transitioning youth and inserting the health and well-,being of individuals with autism spectrum disorder across their lifespan2 7,b7 by amending paragraph 7#a7 to read as follows3 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 submit1 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 the health and well-being of individuals with autism spectrum disorder4 2 and 7,c7 in paragraph 7#b7-- 7i7 by amending subparagraph 7,a7 to read as follows3 7,a7 demographic factors associated with the health and well-being of individuals with autism spectrum disorder2 2 7ii7 in subparagraph 7,b71 by striking young adults and all that follows through the semicolon and inserting the health and well-being of individuals with autism spectrum disorder1 including an identification of existing ,federal laws1 regulations1 policies1 research1 and programs22 and 7iii7 by amending subparagraphs 7,c71 7,d71 and 7,e7 to read as follows3 7,c7 recommendations 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 related to public safety agencies or the criminal justice system for such individuals2 and 7,e7 recommendations that seek to improve health outcomes for such individuals1 including across their lifespan1 by addressing-- 7i7 screening and diagnosis of children and adults2 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 7e7 ,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