,,ii #aaf? ,,congress #a/ ,session ,s4 #dbg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #g1 #bjai ,mr4 ,m55dez 7= himself & ,mr4 ,enzi7 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 enhance activities ( ! ,national ,in/itutes ( ,heal? ) respect to rese>* on autism spectrum disord] & enhance programs 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$-- 7#a7 9 subsection 7a77#a7-- 7,a7 9 ! fir/ s5t5ce1 by /rik+ & toxicology & ins]t+ toxicology1 & int]v5tions to maximize outcomes = p]sons ) autism spectrum disord]2 & 7,b7 by /rik+ ! second s5t5ce & ins]t+ ! foll[+3 ,su* rese>* %all inve/igate ! causes 7includ+ possible environm5tal causes71 diagnosis or rule out1 e>ly & ongo+ detection1 prev5tion1 s]vices across ! lifespan1 supports1 int]v5tion1 & treatm5t ( autism spectrum disord]1 includ+ dissem9ation & implem5tation ( cl9ical c>e1 supports1 int]v5tions1 & treatm5ts42 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 ! second s5t5ce1 by /rik+ cause & all t foll[s ?r\gh disord] & ins]t+ causes1 diagnosis1 e>ly & ongo+ detection1 prev5tion1 & treatm5t ( autism spectrum disord] across ! lifespan2 & 7ii7 9 ! ?ird s5t5ce1 by /rik+ neurobiology & all t foll[s ?r\gh ! p]iod & ins]t+ neurobiology1 g5etics1 g5omics1 psy*oph>macology1 developm5tal psy*ology1 behavioral psy*ology1 & cl9ical psy*ology42 & 7,b7 9 p>agraph 7#c71 by add+ at ! end ! foll[+3 7,d7 ,r$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;,,aa7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;i7e77 is am5d$ 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$-- 7#a7 9 subsection 7a77#a71 by /rik+ *ildr5 ) autism spectrum disord] & all t foll[s ?r\gh disabilities2 & ins]t+ individuals ) autism spectrum disord] & o!r developm5tal disabilities across _! lifespan22 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b71 by ins]t+ individuals ) be=e autism spectrum disord]2 7,b7 by r$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 7c77#a71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ across _! lifespan be=e & _! families2 7#d7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! matt] prec$+ 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 z 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$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b71 by ins]t+ across ! lifespan ( su* individuals be=e ! semicolon2 & 7,b7 9 p>agraph 7#e71 by ins]t+ across ! lifespan ( su* individuals be=e & ! families2 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a77;,d71 by ins]t+ 1 ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ,ju/ice1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 aft] ,dep>tm5t ( ,education2 & 7,b7 9 p>agraph 7#c77;,a71 by /rik+ "o or m additional #d-ye> t]ms & ins]t+ "o additional #d-ye> t]m2 & 7#c7 9 subsection 7f71 by /rik+ #bjai & ins]t+ #bjbd4 7d7 ,reports to ,congress ,section #cii;,,dd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#c7 is am5d$-- 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$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4