,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #daea  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bd1 #bjba,ms4  
,mc,collum 7= h]self & ,mr4 ,"y7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,education &
 ,labor1 = a p]iod to be subsequ5tly    
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,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   
,s]vices1 & ,prev5tion ,act or ! ,,fasd 
,respect ,act4  #b4 ,f9d+s ,congress    
f9ds z foll[s3 7#a7 ,fetal ,alcohol     
,spectrum ,disord]s 7ref]r$ to 9 ?is    
section z ,,fasd71 is a s]i\s & complex 
public heal? issue impact+ individuals1 
families1 & communities ?r\gh\t ! ,unit$
 ,/ates1 reg>dless ( race1 sex1 culture1

 or geography4 ,?is ,act provides an    
opportunity = our ,nation to explore    
/rategies to n only prev5t ! adv]se     
effects ( pr5atal alcohol exposure      
7ref]r$ to 9 ?is section z ,,pae7 b heal
 individual1 hi/orical1 & cultural      
traumas4  7#b7 ,exposure to alcohol has 
long-la/+ consequ5ces = a develop+      
fetus1 :i* may lead to a range (        
life-long physical1 m5tal1 social1 &    
emotional problems4 ,!re is no kn[n safe
 am\nt ( alcohol use dur+ pregnancy or  
:ile try+ to get pregnant4 ,!re is also 
no safe "t dur+ pregnancy to dr9k4 ,all 
types ( alcohol are equally h>mful1     
includ+ all w9es & be]4  7#c7 ,! mo/    
rec5t preval5ce /udy id5tifi$ z _m z #a 
9 #bj fir/ grad]s across ! c\ntry are   
affect$ by ,,pae4 ,giv5 t ne>ly #de     
p]c5t ( pregnancies are un9t5d$ & wom5  
(t5 don't "k t !y are pregnant until !y 
are #f weeks along or m1 x's easy to    
und]/& h[ a woman c\ld dr9k alcohol :ile
 expect+4 ,rese>* %[s t solely focus+ on
 individual wom5's behavior z ,,fasd    

prev5tion /rategy p]petuates /igma &    
blame on biological mo!rs1 individuals  
impact$ by ,,fasd1 & ! condition itself4
  7#d7 ,al?\gh rese>* %[s t ,:ite1      
college-educat$1 middle- to upp]-class  
wom5 are ! mo/ likely gr\p to dr9k dur+ 
pregnancy1 "o ( ! common misnom]s ab\t  
,,fasd is t x is an indig5\s issue4     
,cont9u$ surveillance1 /igmatization1 & 
/]eotyp+ ( ,indig5\s populations may    
contribute to ! misbelief t ,,fasd is   
ov]-repres5t$ 9 ^! communities4  7#e7 ,9
 _! rec5t l&m>k survey1 ,lay ( ! ,l&3   
,equality vs4 ,equity1 ! ,,fasd         
,*angemak]s1 compris$ ( "y adults )     
,,fasd1 docum5t$ ! social det]m9ants (  
heal? t lead to ! detrim5tal heal?      
disp>ities p ) ,,fasd (t5 endure1       
includ+ victimization result+ 9         
inc>c]ation1 homelessness1 r$uc$ access 
to heal? c>e1 vuln]abilities to sub/ance
 misuse1 & unemploym5t4  7#f7 ,! high]  
preval5ce ( ,,fasd 9 crim9al ju/ice &   
fo/] c>e sy/ems has be5 docum5t$4 ,ne>ly
 #a out ( #d *ildr5 9 juv5ile           

corrections has ,,fasd1 & preval5ce     
e/imates among *ildr5 9 ! fo/] c>e      
sy/ems range f #bc p]c5t to #fj p]c5t4  
,preval5ce 9 adult corrections ranges f 
#aa p]c5t to #be p]c5t4  7#g7 ,!        
,national ,academy ( ,m$ic9e            
recomm5dations = a broad ,f$]al response
 =m$ ! basis ( ! ,fetal ,alcohol        
,syndrome & ,fetal ,alcohol ,effect     
,prev5tion & ,s]vices ,act ( #aiih t    
au?oriz$ #bg1jjj1jjj = a ,national ,task
 ,=ce on ,fetal ,alcohol ,syndrome &    
grant programs at ! ,national ,in/itute 
on ,alcohol ,abuse & ,alcoholism1 !     
,c5t]s = ,disease ,control & ,prev5tion1
 & ! ,sub/ance ,abuse & ,m5tal ,heal?   
,s]vices ,adm9i/ration4  7#h7 ,9 #bjji1 
! ,national ,task ,=ce on ,fetal        
,alcohol ,syndrome report$ ,,fasd       
diagno/ic capacity & ,,fasd-in=m$       
s]vices insuffici5t 9 ! ,unit$ ,/ates1  
result+ 9 c\ntless individuals ) ,,fasd 
rema9+ unrecogniz$ or misdiagnos$4  7#i7
 ,despite ,,pae rema9+ ! lead+          
prev5table cause ( bir? defects &       

neurodevelopm5tal disabilities 9 !      
,unit$ ,/ates1 ! au?ority = ! ,national 
,task ,=ce on ,fetal ,alcohol ,syndrome 
expir$1 ,,samhsa fund+ = ,,fasd end$ 9  
#bjae1 & o!r ,f$]al & ,/ate             
,,fasd-relat$ fund+ decl9$4  7#aj7      
,,fasd is prev5table4 ,al?\gh !re is no 
cure = individuals impact$ by ,,fasd1   
rese>* %[s t int]v5tion s]vices &       
supports t include social1 environm5tal1
 & educational /rategies c prev5t       
subsequ5t trauma to ! individual1 !     
individual's c>egiv]s1 & society4  7#aa7
 ,build+ coord9at$ ,/ate & ,tribal      
,,fasd sy/ems ( c>e t (f] integrat$     
culturally appropriate s]vices &        
supports gr\nd$ 9 be/ practices c       
mitigate ! h>ms creat$ by hi/orical &   
cultural trauma4  #c4 ,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 "p-- 7#a7 ! t]m fetal 
alcohol spectrum disord]s or ,,fasd     
means diagnosable developm5tal          
disabilities ( a broad range (          
neurodevelopm5tal & physical effects t  
result f pr5atal exposure to alcohol4 ,!
 effects may include lifelong physical1 
m5tal1 behavioral1 social & le>n+       
disabilities1 & o!r problems t impact   
daily function+ 7su* z liv+ indep5d5tly 
or hold+ a job71 z well z ov]all heal? &
 well-be+2 &  7#b7 ! t]ms ,indian ,tribe
 & ,tribal organization h ! mean+s giv5 
! t]ms ,indian tribe & tribal           
organization 9 section #d ( ! ,indian   
,self-,det]m9ation & ,education         
,assi/ance ,act4  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?1 %all-- 7,a7 e/abli%
 a rese>* program = ,,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* rese>* program4  7#b7     
,types ( rese>* ,9 c>ry+ out p>agraph   
7#a71 ! ,secret>y1 act+ ?r\gh !         
,director ( ! ,national ,in/itute on    
,alcohol ,abuse & ,alcoholism 7ref]r$ to
 9 ?is section z ! ,director ( !        
,in/itute71 %all cont9ue to conduct &   
exp& national & int]national rese>* 9   
consultation ) o!r ,f$]al ag5cies &     
outside p>tn]s t includes-- 7,a7 ! mo/  
promis+ av5ues ( rese>* 9 ,,fasd        
diagnosis1 int]v5tion1 & prev5tion2     
7,b7 factors t may mitigate ! effects ( 
pr5atal alcohol & o!r sub/ance exposure 
includ+ culturally relevant factors &   
social det]m9ants ( heal?2 &  7,c7 o!r  
rese>* t ! ,director ( ! ,in/itute      
det]m9es to be appropriate ) respect to 
conditions t develop z a result (       
pr5atal alcohol & o!r sub/ance exposure4
  7#c7 ,au?orization ( appropriations   
,to c>ry out ?is subsection1 !re is     
au?oriz$ to be appropriat$ #cj1jjj1jjj =
 ea* ( fiscal ye>s #bjbb ?r\gh #bjbg4   
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>* &    
prev5tion ,9 c>ry+ out ?is subsection1 !
 ,secret>y %all-- 7,a7 integrate into   
surveillance practice an evid5ce-bas$   
/&>d case def9ition = fetal alcohol     
syndrome &1 9 collaboration ) o!r ,f$]al
 & outside p>tn]s1 support organizations
 ( appropriate m$ical & m5tal heal?     
pr(essionals 9 _! developm5t & ref9em5t 
( evid5ce-bas$ cl9ical diagno/ic        
guidel9es & crit]ia = all fetal alcohol 
spectrum disord]s2  7,b7 dissem9ate &   
provide ! necess>y tra9+ & support to   
appropriate m$ical & m5tal heal?        
pr(essionals on ! e>ly id5tification (  
*ildr5 ) pr5atal alcohol or o!r sub/ance
 exposure z su* *ildr5 may require ongo+

 developm5tal & behavioral surveillance 
by _! prim>y heal? c>e cl9ician :i*     
cont9ues ?r\gh\t _! lifetime to access  
ongo+ treatm5t & ref]ral problems2  7,c7
 support appli$ public heal? prev5tion  
rese>* to id5tify culturally appropriate
 or evid5ce-bas$ /rategies = r$uc+      
alcohol & o!r sub/ance expos$           
pregnancies 9 wom5 at high risk ( su*   
pregnancies2  7,d7 dissem9ate & provide 
! necess>y tra9+ & support to implem5t  
culturally appropriate or evid5ce-bas$  
/rategies develop$ "u subp>agraph 7,c7  
to-- 7i7 hospitals1 f$]ally qualifi$    
heal? c5t]s1 resid5tial & outpati5t     
sub/ance disord] treatm5t programs1 &   
o!r appropriate heal? c>e provid]s2     
7ii7 educational sett+s2  7iii7 social  
"w & *ild protection s]vice provid]s2   
7iv7 fo/] c>e provid]s & adoption       
ag5cies2  7v7 ,/ate or ,tribal (fices & 
o!r ag5cies provid+ s]vices to          
individuals ) disabilities2  7vi7 m5tal 
heal? treatm5t facilities2  7vii7       
,indian ,tribes & ,tribal organizations2

  7viii7 milit>y m$ical treatm5t        
facility describ$ 9 section #ajgc;d7c7 (
 title #aj1 ,unit$ ,/ates ,code1 &      
m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans   
,affairs2 &  7ix7 o!r entities t !      
,secret>y det]m9es to be appropriate2   
7,e7 conduct activities relat$ to risk  
factor surveillance2  7,f7 dissem9ate & 
evaluate brief behavioral int]v5tion    
/rategies & ref]rals aim$ at prev5t+    
alcohol & sub/ance-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,g7 docum5t ! ,,fasd
 liv$ exp]i5ce & incorporate !          
p]spectives ( individuals & _! family   
memb]s affect$ by ,,fasd & bir? mo!rs ( 
individuals ) ,,fasd 9 ! dissem9ation ( 
in=mation & res\rces2  7,h7 dissem9ate  
compreh5sive alcohol & pregnancy &      
,,fasd in=mation1 res\rces1 & s]vices to
 families & c>egiv]s1 pr(essionals1 & ! 
public ?r\gh an e/abli%$ national       

network ( affiliat$ ,,fasd organizations
 & ?r\gh organizations s]v+ m$ical1     
behavioral heal?1 addiction1 disability1
 education1 legal & o!r pr(essionals2 & 
7,i7 coord9ate ,,fasd activities )      
affiliat$ ,/ate1 ,tribal & local sy/ems 
& organizations ) respect to ! prev5tion
 ( alcohol & o!r sub/ance-expos$        
pregnancies4  7#c7 ,au?orization (      
appropriations ,to c>ry out ?is         
subsection1 !re is au?oriz$ to be       
appropriat$ #ac1jjj1jjj = ea* ( fiscal  
ye>s #bjbb ?r\gh #bjbg4  7d7 ,build+    
,/ate & ,tribal ,,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 & ,indian ,tribes = 
! purpose ( e/abli%+ ongo+ compreh5sive 
& coord9at$ ,/ate & ,tribal ,,fasd      
multidiscipl9>y1 div]se coalitions to-- 
7,a7 develop sy/ems ( c>e =-- 7i7 !     
prev5tion ( ,,fasd & o!r adv]se         
conditions z a result ( pr5atal sub/ance

 exposure2 &  7ii7 ! id5tification1     
treatm5t & support ( individuals )      
,,fasd or o!r adv]se conditions f       
pr5atal sub/ance exposure & support = _!
 families2  7,b7 provide lead]%ip &     
support 9 e/abli%+1 exp&+ or increas+   
,/ate & ,tribal sy/ems capacity 9       
address+ ,,fasd & o!r adv]se conditions 
z a result ( pr5atal sub/ance exposure2 
&  7,c7 update or develop implem5t+ &   
evaluat+ ,/ate & ,tribal ,,fasd /rategic
 plans to-- 7i7 e/abli% or exp& ,/ate & 
,tribal programs ( surveillance1 scre5+1
 assessm5t1 diagnosis1 prev5tion (      
,,fasd & o!r physical or                
neurodevelopm5tal disabilities f pr5atal
 sub/ance exposure2  7ii7 integrate     
programs relat$ to prev5tion ( ,,fasd & 
int]v5tions address+ ! adv]se effects ( 
pr5atal alcohol & o!r sub/ance exposure 
into exi/+ ,/ate & ,tribal coord9at$    
sy/ems ( c>e :i* focus on ! social      
det]m9ants ( heal?1 includ+ sy/emic     
racism1 access to ! ,m$ic>e program "u  
title ,,xviii ( ! ,social ,security ,act

 or to ! ,m$icaid program "u title ,,xix
 ( su* ,act1 mat]nal & e>ly *ildhood    
heal?1 economic security1 food & h\s+1  
education1 ju/ice & corrections1 m5tal  
heal?1 sub/ance use disord]1 *ild       
welf>e1 developm5tal disabilities1 &    
heal? c>e2  7iii7 id5tify               
across-!-lifetime issues = individuals &
 families relat$ to ,,fasd & o!r adv]se 
conditions relat$ to pr5atal sub/ance   
exposure1 includ+ hi/orical & cultural  
trauma1 *ild abuse & neglect1 m5tal     
heal? & sub/ance use disord]2 &  7iv7   
id5tify sy/emic & o!r b>ri]s to !       
integration ( pr5atal alcohol & sub/ance
 exposure scre5+1 assessm5t &           
id5tification ( ,,fasd into exi/+ sy/ems
 ( c>e = individuals & families4  7#b7  
,eligibility ,to be eligible to receive 
a grant1 contract1 or coop]ative        
agreem5t "u p>agraph 7#a71 a ,/ate1 an  
,indian ,tribe1 a ,tribal organization1 
or a ,/ate-,tribal collaborative 7ref]r$
 to 9 ?is p>agraph z an eligible entity7
 %all 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+-- 7,a7 evid5ce t !     
eligible entity designat$ 9 !           
application h or w h au?ority to        
implem5t programs describ$ 9 ?is        
subsection2  7,b7 evid5ce ( ! e/abli%m5t
 ( a ,/ate or ,tribal ,,fasd ,advisory  
,gr\p ( ,/ate ag5cies or ,tribal        
entities &1 if available1 a ,/ate       
affiliate ( ! ,national ,organization on
 ,fetal ,alcohol ,syndrome or simil>    
,tribal or /atewide ,,fasd advocacy     
organization1 to provide ! lead]%ip 9   
build+ ,/ate or ,tribal capacity 9      
address+ pr5atal alcohol & o!r sub/ance 
exposure1 includ+ ,,fasd prev5tion1     
id5tification1 & int]v5tion activities &
 programm+1 includ+-- 7i7 ! =mation ( a 
,,fasd advisory coalition ( div]se1     
public & private repres5tatives f       
multiple discipl9es t may include-- 7,i7
 ,/ate ag5cies or ,tribal entities t are
 responsible = heal?1 human s]vices1    
corrections1 education1 h\s+1           

developm5tal disabilities1 sub/ance use 
disord]1 *ild welf>e1 juv5ile & adult   
ju/ice sy/ems1 m5tal heal? & any o!r    
ag5cy relat$ to ! adv]se social impact (
 pr5atal alcohol & o!r sub/ance         
exposures2  7,,ii7 public & private     
sector /akehold]s1 includ+ individuals )
 ,,fasd & _! c>etak]s & entities t "w ) 
or provide s]vices or support =         
individuals ) ,,fasd & _! families1 su* 
z community-bas$ ag5cies1 law en=cem5t1 
! judici>y1 probation (fic]s1 m$ical &  
m5tal heal? provid]s1 sub/ance use      
disord] c\nselors1 educators1 *ild      
welf>e pr(essionals1 & o!r entities t   
address individual1 family1 community & 
society issues relat$ to pr5atal alcohol
 & o!r sub/ance exposure ?r\gh\t an     
individual's lifespan2 &  7ii7 !        
developm5t ( a ,/ate or ,tribal /rategic
 plan t-- 7,i7 conta9s recomm5dations1  
action /eps1 & deliv]ables = improv+    
social det]m9ants ( heal?2  7,,ii7      
recomm5ds actions = prev5tion ( ,,fasd &
 o!r conditions relat$ to pr5atal       

sub/ance exposure2  7,,iii7 integrates  
culturally appropriate be/ practices or 
evid5ce-bas$ practices on scre5+1       
id5tification & treatm5t into exi/+     
sy/ems ( c>e2  7,,iv7 provides =        
,,fasd-in=m$ cl9ical & !rapeutic        
int]v5tions2  7,v7 provides =           
,,fasd-in=m$ supports & s]vices =       
families & individuals ) ,,fasd & o!r   
conditions f pr5atal sub/ance exposure  
across _! lifetimes2  7,,vi7 id5tifies--
 7aa7 exi/+ ,,fasd or o!r programs      
relat$ to pr5atal sub/ance exposures 9 !
 ,/ate or ,indian ,tribe1 includ+--     
7,,aa7 ,,fasd prim>y1 second>y & t]ti>y 
prev5tion programs2 7,,bb7 pr5atal      
scre5+1 assessm5t or diagno/ic s]vices2 
& 7,,cc7 support & s]vice programs =    
individuals ) ,,fasd & _! families2 &   
7bb7 exi/+ ,/ate1 local1 & ,tribal      
programs1 sy/ems1 & fund+ /reams t c\ld 
be us$ to id5tify & assi/ individuals ) 
,,fasd & o!r conditions relat$ to       
sub/ance expos$ pregnancies1 & prev5t   
pr5atal exposure to alcohol & o!r h>mful

 sub/ances2  7cc7 b>ri]s to provid+     
,,fasd diagno/ic s]vices or programs to 
assi/ individuals ) ,,fasd or r$uc+     
alcohol & sub/ance expos$ pregnancies = 
wom5 at risk = alcohol or o!r sub/ance  
expos$ pregnancies1 & recomm5dations to 
r$uce or elim9ate su* b>ri]s2  7dd7     
b>ri]s to ,,fasd prev5tion1 scre5+1     
assessm5t1 id5tification1 & treatm5t    
programs & to ! provision ( ,,fasd-in=m$
 support s]vices & accommodations across
 ! lifespan1 & recomm5dations to r$uce  
or elim9ate su* b>ri]s2  7,,vii7        
integrates a public-private p>tn]%ip (  
,/ate1 ,tribal1 & local communities to  
develop a compreh5sive ,,fasd-in=m$ &   
engag$ sy/ems ( c>e approa* t addresses 
social det]m9ants ( heal?1 includ+      
sy/emic racism on heal? outcomes1       
economic security1 food & h\s+2         
education1 ju/ice1 & heal? c>e *all5ges 
exp]i5c$ by individuals :o h be5        
diagnos$ ) ,,fasd or o!r conditions z   
result ( pr5atal sub/ance exposure2     
7,,viii7 describes programs (           

surveillance1 scre5+1 assessm5t &       
diagnosis1 prev5tion1 cl9ical int]v5tion
 & !rapeutic & o!r supports & s]vices = 
individuals ) ,,fasd & _! families2     
7,,ix7 recognizes ! impact ( hi/orical1 
cultural1 & o!r trauma ( individuals 9 !
 design & application ( all programm+2 &
  7,x7 recognizes ! liv$ exp]i5ces (    
bir? mo!rs & ^? ) ,,fasd & _! families 9
 ! design & application ( all programm+4
  7#c7 ,re/rictions on & use ( funds    
,am\nts receiv$ "u a grant1 contract1 or
 coop]ative agreem5t "u ?is subsection  
%all be us$ = "o or m ( ! foll[+        
activities3 7,a7 ,e/abli%+ or increas+  
diagno/ic capacity 9 ! ,/ate or ,indian 
,tribe to meet ! e/imat$ preval5ce ne$s 
( ! ,/ate or ,indian ,tribe's ,,fasd    
population4  7,b7 ,provid+ educational &
 supportive s]vices to individuals )    
,,fasd & o!r conditions relat$ to       
pr5atal sub/ance exposure & _! families4
  7,c7 ,e/abli%+ a ,,fasd /atewide      
surveillance sy/em4  7,d7 ,includ+      
,,fasd in=mation 9 ,/ate m$ical & m5tal 

heal? c>e & education programs at s*ools
 ( high] education4  7,e7 ,collect+1    
analyz+1 & int]pret+ data4  7,f7        
,replicat+ culturally aw>e or be/       
practice ,,fasd prev5tion programs1     
includ+ case-managem5t models = pregnant
 or p>5t+ wom5 ) alcohol & o!r sub/ance 
use disord]s4  7,g7 ,tra9+ ( prim>y c>e 
& o!r provid]s 9 scre5+ = pr5atal       
alcohol & o!r sub/ance exposure 9       
pr5atal1 p$iatric1 e>ly *ildhood or o!r 
*ild or te5age *eckup sett+s4  7,h7     
,develop+1 implem5t+1 & evaluat+        
population-bas$ & t>get$ prev5tion      
programs = ,,fasd1 includ+ public       
aw>5ess campaigns4  7,i7 ,increas+      
capacity ( ! ,/ate or ,indian ,tribe to 
deliv] h\s+1 economic & food security   
s]vices to adults impact$ by ,,fasd or  
o!r conditions relat$ to pr5atal        
sub/ance exposure4  7,j7 ,ref]r+        
individuals ) ,,fasd & o!r conditions   
relat$ to pr5atal sub/ance exposure to  
appropriate ,,fasd-in=m$ support        
s]vices4  7,k7 ,provid+ = ,/ate &       

,tribal ,,fasd coord9ators4  7,l7       
,provid+ tra9+ to heal? c>e 7includ+    
m5tal heal? c>e7 provid]s on !          
prev5tion1 id5tification & treatm5t (   
,,fasd & o!r conditions relat$ to       
pr5atal sub/ance exposure across !      
lifespan4  7,m7 ,provid+ tra9+ to       
education1 ju/ice1 & social s]vice sy/em
 pr(essionals to become ,,fasd-in=m$ &  
,,fasd-engag$ 9 _! practices4  7,n7     
,includ+ ,,fasd 9 tra9+ = work=ce       
developm5t & disability accessibility4  
7,o7 ,support+ pe]-to-pe] c]tification  
programs = individuals ) ,,fasd4  7,p7  
,develop+ ,,fasd-in=m$ c]tification     
programs4  7,q7 ,dissem9at+ in=mation   
ab\t ,,fasd & o!r conditions relat$ to  
pr5atal sub/ance exposure & !           
availability ( support s]vices to       
families & individuals ) ,,fasd & o!r   
adv]se conditions relat$ to pr5atal     
sub/ance exposure4  7,r7 ,implem5t+     
recomm5dations f relevant ag5cies &     
organizations1 includ+ ! ,/ate or       
,tribal ,,fasd advisory gr\p1 on !      

id5tification & prev5tion ( ,,fasd1     
int]v5tion programs or s]vices =        
individuals ) ,,fasd & _! families4     
7,s7 ,o!r activities1 z ! ,secret>y     
det]m9es appropriate or z recomm5d$ by !
 ,national ,advisory ,c\ncil on ,,fasd  
"u section #cii;,h-#a4  7#d7 ,o!r       
contracts & agreem5ts ,a ,/ate may c>ry 
out activities "u p>agraph 7#c7 ?r\gh   
contracts or coop]ative agreem5ts )     
ano!r ,/ate or an ,indian ,tribe1 & )   
public1 private =-pr(it or nonpr(it     
entities ) a demon/rat$ exp]tise 9      
,,fasd & o!r conditions relat$ to       
pr5atal sub/ance exposure prev5tion1    
scre5+ & diagnosis1 or int]v5tion       
s]vices4  7#e7 ,report to ,congress ,n  
lat] ?an #b ye>s aft] ! date on :i*     
am\nts are fir/ appropriat$ "u p>agraph 
7#f71 ! ,secret>y %all prep>e & submit  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report t      
conta9s a description ( programs c>ri$  

out "u ?is section4 ,at a m9imum1 !     
report %all conta9-- 7,a7 in=mation     
conc]n+ ! numb] ( ,/ates receiv+ grants2
  7,b7 ,/ate & ,tribal ,,fasd diagno/ic 
capacity & b>ri]s to a*iev+ diagno/ic   
capacity bas$ on ,/ate ,,fasd           
surveillance data or ! mo/ rec5t e/imat$
 preval5ce ( ,,fasd 9 ! ,unit$ ,/ates2  
7,c7 in=mation conc]n+ sy/emic or o!r   
b>ri]s to scre5+ = pr5atal alcohol & o!r
 sub/ance exposure 9 exi/+ sy/ems ( c>e1
 includ+-- 7i7 ! *ild welf>e sy/em2     
7ii7 mat]nal & e>ly *ild heal? c>e &    
alcohol & o!r sub/ance use disord]      
treatm5t programs2  7iii7 prim>y or     
second>y education sy/ems2 &  7iv7      
juv5ile & adult sy/ems ( ju/ice2  7,d7  
in=mation conc]n+ exi/+ ,/ate1 ,tribal1 
local gov]nm5t or community programs &  
sy/ems ( c>e & fund+ /reams t c\ld be   
us$ to id5tify & assi/ individuals )    
,,fasd & o!r conditions relat$ to       
sub/ance expos$ pregnancies & ! degree  
to :i* su* programs are ,,fasd-in=m$ or 
to :i* !re are sy/emic or o!r b>ri]s    

prev5t+ _! use2 &  7,e7 in=mation       
conc]n+ exi/+ ,/ate1 ,tribal1 local     
gov]nm5t or community prim>y1 t]ti>y1 or
 second>y prev5tion programs on pr5atal 
exposure to alcohol & o!r h>mful pr5atal
 sub/ances4  7#f7 ,au?orization (       
appropriations  7,a7 ,9 g5]al ,to c>ry  
out ?is subsection1 !re is au?oriz$ to  
be appropriat$ #cb1jjj1jjj = ea* (      
fiscal ye>s #bjbb ?r\gh #bjbg4  7,b7    
,adm9i/rative & employm5t exp5ses ,( !  
am\nt appropriat$ = a fiscal ye> "u     
subp>agraph 7,a71 #ab1jjj1jjj %all be   
allocat$ to ,/ates & ,indian ,tribes =  
purposes ( cov]+ adm9i/rative co/s &    
support+ ! employm5t ( ,,fasd ,/ate &   
,tribal coord9ators4  7,c7 ,tribal set  
aside ,up to #bj p]c5t ( ! grants1      
contracts1 or coop]ative agreem5ts aw>d$
 "u ?is subsection %all be res]v$ =     
,indian ,tribes & ,tribal organizations4
  7e7 ,promot+ community p>tn]%ips  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 eligible entities to enable
 su* entities to e/abli%1 enhance1 or   
improve community p>tn]%ips = ! purpose 
( collaborat+ on common objectives &    
integrat+ culturally appropriate be/    
practice s]vices available to           
individuals ) ,,fasd & o!r conditions   
relat$ to pr5atal sub/ance exposure su* 
z surveillance1 scre5+1 assessm5t1      
diagnosis1 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 an entity %all-- 7,a7 
be a public or private nonpr(it entity t
 is-- 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       
protection s]vice provid]2  7iv7 an     
inc>c]ation facility1 or ,/ate or local 
judicial sy/em = juv5iles & adults2  7v7
 an ,,fasd organization1 p>5t-l$ gr\p1  
or o!r organization t supports &        
advocates = individuals ) ,,fasd & _!   

families2  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 provide evid5ce (   
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[+ activities 
relat+ to ,,fasd & o!r conditions relat$
 to pr5atal sub/ance exposure3 7,a7     
,integrat+ ,,fasd-in=m$ & culturally    
appropriate practices into exi/+        

programs & s]vices available 9 !        
community4  7,b7 ,conduct+ a ne$s       
assessm5t to id5tify s]vices t are n    
available 9 a community4  7,c7 ,develop+
 & implem5t+ culturally appropriate1    
community-bas$ initiatives to prev5t    
,,fasd1 & to scre51 assess1 diagnose1   
treat1 & provide ,,fasd-in=m$ 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 individuals )  
,,fasd & _! families4  7,g7 ,o!r        
activities1 z ! ,secret>y det]m9es      
appropriate1 or 9 consid]ation (        
recomm5dations f ! ,national ,advisory  
,c\ncil on ,,fasd e/abli%$ "u section   
#cii;,h-#a4  7#d7 ,au?orization (       
appropriations ,to c>ry out ?is         
subsection1 !re is au?oriz$ to be       
appropriat$ #e1jjj1jjj = ea* ( fiscal   

ye>s #bjbb ?r\gh #bjbg4  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          
culturally appropriate be/ practices =--
 7,a7 provid+ int]v5tion & education (  
*ildr5 ) ,,fasd1 includ+-- 7i7          
activities & programs design$           
specifically = ! id5tification1         
treatm5t1 & education ( su* *ildr52 &   
7ii7 curricula developm5t & cred5tial+ (
 tea*]s1 adm9i/rators1 & social work]s  
:o implem5t su* programs & provide      
*ildhood int]v5tions2  7,b7 educat+     
pr(essionals )9 ! *ild welf>e1 juv5ile &
 adult crim9al ju/ice sy/ems1 includ+   
judges1 attorneys1 probation (fic]s1    
social work]s1 *ild advocates1 m$ical & 
m5tal heal? pr(essionals1 sub/ance abuse

 pr(essionals1 law en=cem5t (fic]s1     
prison w>d5s or o!r inc>c]ation         
adm9i/rators1 & adm9i/rators (          
developm5tal disability1 m5tal heal? &  
alt]native inc>c]ation facilities on h[ 
to scre51 assess1 id5tify1 treat &      
support individuals ) ,,fasd or simil>  
conditions relat$ to pr5atal sub/ance   
exposure )9 ^! sy/ems1 includ+-- 7i7    
programs design$ specifically = !       
id5tification1 assessm5t1 treatm5t1 &   
education ( individuals ) ,,fasd2 &     
7ii7 curricula developm5t & cred5tial+  
)9 ! adult & juv5ile 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+1 assessm5t &      
id5tification1 treatm5t1 & education (  
individuals ) ,,fasd2 &  7ii7 on-go+ &  
consi/5t education & tra9+ = pot5tial   
adoptive or fo/] p>5ts ( a *ild )       
,,fasd2  7,d7 educat+ heal? & m5tal     

heal? & sub/ance use 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$5tial+ )9 ! heal? &     
m5tal heal? & sub/ance abuse sy/ems =   
individuals :o implem5t su* programs2 & 
7,e7 id5tify+ & implem5t+ culturally    
appropriate be/ practice models = r$uc+ 
alcohol & o!r sub/ance expos$           
pregnancies 9 wom5 at high risk ( su*   
pregnancies4  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 require4  7#c7            
,au?orization ( appropriations ,to c>ry 
out ?is subsection1 !re is au?oriz$ to  
be appropriat$ #e1jjj1jjj = ea* ( fiscal
 ye>s #bjbb ?r\gh #bjbg4  7g7           
,transitional s]vices  7#a7 ,9 g5]al ,! 
,secret>y1 9 coord9ation ) !            

,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration & ! ,adm9i/rator 
( ! ,adm9i/ration = ,community ,liv+1   
%all aw>d demon/ration grants1          
contracts1 & coop]ative agreem5ts to    
,/ates & local units ( gov]nm5t1 ,indian
 ,tribes & ,tribal organizations1 &     
nongov]nm5tal organizations = ! purpose 
( e/abli%+ integrat$ sy/ems = provid+   
culturally appropriate be/ practice     
transitional s]vices = adults affect$ by
 pr5atal alcohol or sub/ance 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         
,,fasd-in=m$ vocational tra9+ & placem5t
 s]vices = adults ) ,,fasd4  7,c7       
,provide m$ication monitor+ s]vices =   
adults ) ,,fasd4  7,d7 ,provide         
,,fasd-in=m$ 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 ,recruit1 tra9
 & provide m5tors = individuals )       
,,fasd4  7,g7 ,o!r s]vices or programs1 
z ! ,secret>y det]m9es appropriate4     
7#d7 ,au?orization ( appropriations ,to 
c>ry out ?is subsection1 !re is au?oriz$
 to be appropriat$ #e1jjj1jjj = ea* (   
fiscal ye>s #bjbb ?r\gh #bjbg4  7h7     
,s]vices = individuals ) fetal alcohol  
spectrum disord]s  7#a7 ,9 g5]al ,!     
,secret>y1 9 coord9ation ! ,assi/ant    
,secret>y = ,m5tal ,heal? & ,sub/ance   

,use1 %all make aw>ds ( grants1         
coop]ative agreem5ts1 or contracts to   
public & nonpr(it private entities1     
includ+ ,indian tribes & tribal         
organizations1 to provide ,,fasd-in=m$  
culturally appropriate s]vices to       
individuals ) ,,fasd4  7#b7 ,use ( funds
 ,an aw>d "u p>agraph 7#a7 may1 subject 
to p>agraph 7#d71 be us$ to-- 7,a7 scre5
 & te/ individuals to det]m9e ! type &  
level ( s]vices ne$$2  7,b7 develop a   
,,fasd-in=m$ compreh5sive plan = provid+
 s]vices to ! individuals2  7,c7 provide
 ,,fasd-in=m$ m5tal heal? c\nsel+2  7,d7
 provide ,,fasd-in=m$ sub/ance abuse    
prev5tion s]vices & treatm5t1 if ne$$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 ,,fasd-in=m$    
vocational s]vices2  7,g7 provide       
,,fasd-in=m$ heal? c\nsel+2  7,h7       

provide ,,fasd-in=m$ h\s+ assi/ance2    
7,i7 conduct ,,fasd-in=m$ p>5t+ skills  
tra9+2  7,j7 develop & implem5t ov]all  
,,fasd-in=m$ case managem5t2  7,k7      
provide supportive s]vices = families ( 
individuals ) ,,fasd2  7,l7 provide     
respite c>e = c>etak]s ( individuals )  
,,fasd2  7,m7 recruit1 tra9 & provide   
m5tors = individuals ) ,,fasd2  7,n7    
provide ,,fasd-in=m$ educational &      
supportive s]vices to families (        
individuals ) ,,fasd2 &  7,o7 provide   
o!r s]vices & programs1 to ! ext5t      
au?oriz$ by ! ,secret>y aft]            
consid]ation ( recomm5dations made by ! 
,national ,advisory ,c\ncil on ,,fasd4  
7#c7 ,requirem5ts ,to be eligible to    
receive an aw>d "u p>agraph 7#a71 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 
h a qualifi$ /aff ( m$ical1 m5tal heal? 
or o!r pr(essionals ) a hi/ory ( work+ )
 individuals ) ,,fasd2  7,d7 provide    
assurance t ! s]vices w be provid$ 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
  7#d7 ,relation%ip to paym5ts "u o!r   
programs ,an aw>d may be made "u        
p>agraph 7#a7 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 or ,tribal heal?    
b5efits programs2 or  7,b7 by an entity 

t provides heal? s]vices on a prepaid   
basis4  7#e7 ,duration ( aw>ds ,)       
respect to any aw>d "u p>agraph 7#a71 ! 
p]iod dur+ :i* paym5ts "u su* aw>d are  
made to ! recipi5t may n exce$ #e ye>s4 
7#f7 ,evaluation ,! ,secret>y %all      
evaluate ea* project c>ri$ out "u       
p>agraph 7#a7 & %all dissem9ate ! f9d+s 
) respect to ea* su* evaluation to      
appropriate public & private entities1  
includ+ ! ,national ,advisory ,c\ncil on
 ,,fasd4  7#g7 ,fund+  7,a7             
,au?orization ( appropriations ,= !     
purpose ( c>ry+ out ?is subsection1 !re 
is au?oriz$ to be appropriat$           
#aj1jjj1jjj = ea* fiscal ye>s #bjbb     
?r\gh #bjbg4  7,b7 ,allocation ,( !     
am\nts appropriat$ "u subp>agraph 7,a7 =
 a fiscal ye>1 n m ?an #cjj1jjj %all1 = 
! purposes relat+ to ,,fasd1 be made    
available = collaborative1 coord9at$    
int]ag5cy ef=ts ) ! ,national ,in/itute 
on ,alcohol ,abuse & ,alcoholism1       
,national ,in/itute on ,m5tal ,heal?1 ! 
,eunice ,k5n$y ,%riv] ,national         

,in/itute ( ,*ild ,heal? & ,human       
,developm5t1 ! ,heal? ,res\rces &       
,s]vices ,adm9i/ration1 ! ,ag5cy =      
,heal?c>e ,rese>* & ,quality1 !         
,adm9i/ration = ,community ,liv+1 !     
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,dep>tm5t ( ,education1 ! ,dep>tm5t (
 ,ju/ice1 & o!r ag5cies1 z det]m9$ by ! 
,secret>y4 ,int]ag5cy collaborative     
ef=ts may include-- 7i7 ! evaluation (  
exi/+ programs = efficacy2  7ii7 !      
developm5t ( new evid5ce-bas$ or be/    
practice programs = prev5tion ( pr5atal 
alcohol & o!r sub/ance exposure1 &      
int]v5tions = individuals ) ,,fasd & _! 
families2  7iii7 ! facilitation (       
translation & transition ( exi/+        
evid5ce-bas$1 be/ practices or          
culturally appropriate prev5tion &      
int]v5tion programs into g5]al &        
community practice2 &  7iv7 engag+ 9    
,tribal consultation to ensure t ,indian
 ,tribes & ,tribal organizations are    
able to develop culturally appropriate  
s]vices & int]v5tions = pr5atal alcohol 

& o!r sub/ance exposure1 & int]v5tions =
 individuals ) ,,fasd & o!r conditions  
relat$ to pr5atal sub/ance exposure & _!
 families4  4  #d4 ,national ,advisory  
,c\ncil on ,,fsad ,"p ,o ( title ,,iii (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bhj;f et seq471 z am5d$ by   
section #b1 is fur!r am5d$ by ins]t+    
aft] section #cci;,h ! foll[+3          
#cii;,h-#a4 ,national ,advisory ,c\ncil 
on ,,fasd  7a7 ,9 g5]al ,! ,secret>y    
%all e/abli% an advisory c\ncil to be   
kn[n z ! ,national ,advisory ,c\ncil on 
,,fasd 7ref]r$ to 9 ?is section z !     
,c\ncil7 to fo/] coord9ation &          
coop]ation among all ,f$]al & non-,f$]al
 memb]s & _! con/itu5cies t conduct or  
support ,,fasd & o!r conditions relat$  
to pr5atal sub/ance exposure rese>*1    
programs1 & surveillance1 & o!rwise meet
 ! g5]al ne$s ( populations actually or 
pot5tially impact$ by ,,fasd & o!r      
conditions relat$ to pr5atal sub/ance   
exposure4  7b7 ,memb]%ip ,! ,c\ncil %all
 be compos$ ( #bc memb]s z describ$ 9   

p>agraphs 7#a7 & 7#b74 7#a7 ,f$]al      
memb]%ip ,memb]s ( ! ,c\ncil %all       
include repres5tatives ( ! foll[+ ,f$]al
 ag5cies3 7,a7 ,! ,national ,in/itute on
 ,alcohol ,abuse & ,alcoholism4  7,b7 ,!
 ,national ,in/itute on ,drug ,abuse4   
7,c7 ,! ,c5t]s = ,disease ,control &    
,prev5tion4  7,d7 ,! ,heal? ,res\rces & 
,s]vices ,adm9i/ration4  7,e7 ,!        
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,ag5cy4  7,f7 ,! ,(fice (      
,special ,education & ,rehabilitative   
,s]vices4  7,g7 ,! ,(fice ( ,ju/ice     
,programs4  7,h7 ,! ,indian ,heal?      
,s]vice4  7,i7 ,! ,int]ag5cy ,coord9at+ 
,committee on ,fetal ,alcohol ,spectrum 
,disord]s4  7,j7 ,! ,ag5cy = ,heal?c>e  
,rese>* & ,quality4  7#b7 ,non-,f$]al   
memb]s ,additional non-,f$]al public &  
private sector memb]s ( ! ,c\ncil %all  
be nom9at$ by ! ,int]ag5cy ,coord9at+   
,committee on ,fetal ,alcohol ,spectrum 
,disord]s & appo9t$ by ! ,secret>y1 &   
%all be /aff$ by ! ,(fice ( ! ,assi/ant 
,secret>y = ,plann+ & ,evaluation ( !   

,dep>tm5t ( ,heal? & ,human ,s]vice4    
,su* memb]s %all include-- 7,a7 at lea/ 
"o individual ) ,,fasd or a p>5t or     
legal gu>dian ( an individual ) ,,fasd2 
7,b7 at lea/ "o individual or a p>5t or 
legal gu>dian ( an individual ) a       
condition relat$ to pr5atal sub/ance    
exposure2  7,c7 at lea/ "o bir? "m ( an 
individual ) ,,fasd2  7,d7 at lea/ "o   
repres5tative f ! ,,fasd ,/udy ,gr\p ( !
 ,rese>* ,society on ,alcoholism2  7,e7 
at lea/ "o repres5tative ( ! ,national  
,organization on ,fetal ,alcohol        
,syndrome2  7,f7 at lea/ "o             
repres5tative ( a lead+ /atewide        
advocacy & s]vice organization =        
individuals ) ,,fasd & _! families2     
7,g7 at lea/ "o repres5tative ( ! ,,fasd
 ,c5t] = ,excell5ce e/abli%$ "u section 
#cii;,h-#c2  7,h7 at lea/ #b            
repres5tatives f ,/ate or ,tribal       
advisory gr\ps receiv+ an aw>d "u       
section #cii;,h7d72 &  7,i7             
repres5tatives ) int]e/ & exp]tise 9    
,,fasd f ! private sector (             

p$iatricians1 ob/etricians &            
gynecologi/s1 sub/ance abuse & m5tal    
heal? c>e provid]s1 family & juv5ile    
c\rt judges & ju/ice & corrections      
programm+ & s]vices1 or special         
education & social "w pr(essionals4     
7#c7 ,appo9tm5t tim+ ,! memb]s ( !      
,c\ncil describ$ 9 p>agraph 7#b7 %all be
 appo9t$ by ! ,secret>y n lat] ?an #f   
mon?s aft] ! date ( enactm5t ( !        
,advanc+ ,,fasd ,rese>*1 ,s]vices1 &    
,prev5tion ,act4  7c7 ,functions ,!     
,c\ncil %all-- 7#a7 advise ,f$]al1      
,/ate1 ,tribal & local programs & rese>*
 conc]n+ ,,fasd & o!r conditions relat$ 
to pr5atal sub/ance exposure1 includ+   
programs & rese>* conc]n+ education &   
public aw>5ess = relevant s]vice        
provid]s1 r$uc+ ! incid5ce ( pr5atal    
alcohol & o!r sub/ance exposure 9       
pregnancies1 m$ical & m5tal diagnosis1  
int]v5tions = wom5 at-risk ( giv+ bir? )
 ,,fasd & b5eficial s]vices & supports =
 individuals ) ,,fasd & _! families2    
7#b7 coord9ate its ef=ts ) ! ,int]ag5cy 

,committee on ,fetal ,alcohol ,spectrum 
,disord]s2  7#c7 develop a summ>y (     
advances 9 ,,fasd rese>* relat$ to      
prev5tion1 treatm5t1 scre5+1 diagnosis1 
& int]v5tions2  7#d7 make recomm5dations
 = ! ,,fasd rese>* program to !         
,director ( ! ,national ,in/itute (     
,alcohol ,abuse & ,alcoholism2  7#e7    
review ! #bjji report ( ! ,national     
,task ,=ce on ,,fas entitl$1 ,a ,call to
 ,action & o!r reports on ,,fasd & !    
adv]se impact ( pr5atal sub/ance        
exposure2  7#f7 develop a summ>y (      
advances 9 practice & programs relevant 
to ,,fasd prev5tion1 treatm5t1 e>ly     
scre5+1 diagnosis1 & int]v5tions2  7#g7 
make recomm5dations on a national ag5da 
to r$uce ! preval5ce & ! associat$      
impact ( ,,fasd & o!r conditions relat$ 
to pr5atal sub/ance exposure & improve !
 quality ( life ( individuals & families
 impact$ by ,,fasd or ! adv]se effects (
 pr5atal sub/ance exposure1 includ+--   
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$]al dep>tm5ts & ag5cies1 are n  
unnecess>ily duplicative2  7,c7         
id5tification ( exi/+ ,f$]al programs t 
c\ld be us$ to id5tify & assi/          
individuals ) ,,fasd & o!r conditions   
relat$ to sub/ance expos$ pregnancies2  
7,d7 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,e7    
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,f7      
id5tification ( curr5t diagno/ic me?ods 
& practices = ! id5tification ( ,,fasd &
 id5tify gaps or b>ri]s = a*iev+        
diagno/ic capacity ?r\gh\t ! ,unit$     
,/ates bas$ on curr5t e/imat$ preval5ce 

( ,,fasd2  7,g7 recomm5dations = rese>* 
or o!r measures to increase diagno/ic   
capacity to meet ! ne$s ( ! e/imat$     
numb] ( individuals ) ,,fasd2  7,h7     
id5tification & enhancem5t ( culturally 
appropriate or be/ practice approa*es & 
models ( c>e to r$uce ! incid5ce (      
,,fasd2 &  7,i7 id5tification &         
enhancem5t ( be/ practice approa*es &   
models ( c>e to increase support & treat
 individuals ) ,,fasd1 & to make        
recomm5dations = a broad model          
compreh5sive community approa* to !     
ov]all problem ( pr5atal alcohol & o!r  
h>mful sub/ance exposure4  7d7 ,report  
to ,congress & ! ,presid5t ,! ,c\ncil   
%all submit to ,congress & to !         
,presid5t-- 7#a7 an update on ! summ>y (
 advances describ$ 9 p>agraphs 7#c7 &   
7#f7 ( subsection 7c71 n lat] ?an #b    
ye>s aft] ! date ( enactm5t ( ! ,advanc+
 ,,fasd ,rese>*1 ,s]vices1 & ,prev5tion 
,act2  7#b7 an update to ! national     
ag5da describ$ 9 subsection 7c77#g71    
includ+ any progress made 9 a*iev+ !    

objectives outl9$ 9 su* ag5da1 n lat]   
?an #d ye>s aft] ! date ( enactm5t ( su*
 ,act2 &  7#c7 a f9al report t provides 
a summ>y ( advances describ$ 9 p>agraphs
 7#c7 & 7#f7 ( subsection 7c71 & an     
update to ! national ag5da describ$ 9   
subsection 7c77#g71 n lat] ?an ,septemb]
 #cj1 #bjbg4  7e7 ,au?orization (       
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#b1jjj1jjj = ea* ( fiscal ye>s #bjbb    
?r\gh #bjbg4  4  #e4 ,int]ag5cy         
coord9at+ committee on fetal alcohol    
spectrum disord]s ,subp>t #ad ( "p ,c ( 
title ,,iv ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bhen et seq47 is   
am5d$ by add+ at ! end ! foll[+3        
#dfd,k4 ,int]ag5cy coord9at+ committee  
on fetal alcohol spectrum disord]s  7a7 
,9 g5]al ,! ,director ( ! ,in/itute %all
 provide = ! cont9uation ( ! ,int]ag5cy 
,coord9at+ ,committee on ,fetal ,alcohol
 ,spectrum ,disord]s 7ref]r$ to 9 ?is   
section z ! ,committee7 s t su*         
,committee may-- 7#a7 coord9ate         

activities conduct$ by ! ,f$]al         
,gov]nm5t on ,,fasd1 includ+ conv5+     
meet+s1 e/abli%+ "w gr\ps1 %>+          
in=mation1 & facilitat+ & promot+       
collaborative projects among ,f$]al     
ag5cies1 ! ,national ,advisory ,c\ncil  
on ,,fasd e/abli%$ "u section           
#cii;,h-#a1 & outside p>tn]s2  7#b7     
support organizations ( appropriate     
m$ical & m5tal heal? pr(essionals 9 _!  
developm5t & ref9em5t ( evid5ce-bas$    
cl9ical diagno/ic guidel9es & crit]ia = 
all fetal alcohol spectrum disord]s 9   
collaboration ) o!r ,f$]al & outside    
p>tn]s1 &  7#c7 develop priority areas  
consid]+ recomm5dations f ! ,national   
,advisory ,c\ncil on ,,fasd4  7b7       
,memb]%ip ,memb]s ( ! ,committee %all   
include repres5tatives ( ! foll[+ ,f$]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 ,! ,(fice 
( ! ,assi/ant ,secret>y = ,plann+ &     

,evaluation4  7#e7 ,! ,(fice ( ,juv5ile 
,ju/ice & ,del9qu5cy ,prev5tion4  7#f7  
,(fice ( ,ju/ice ,programs ( ! ,dep>tm5t
 ( ,ju/ice4  7#g7 ,! ,sub/ance ,abuse & 
,m5tal ,heal? ,s]vices ,adm9i/ration4   
7#h7 ,! ,(fice ( ,special ,education &  
,rehabilitation ,s]vices4  7#i7 ,!      
,national ,in/itute on ,drug ,abuse4    
7#aj7 ,! ,national ,in/itute ( ,m5tal   
,heal?4  7#aa7 ,! ,indian ,heal?        
,s]vice4  7#ab7 ,! ,eunice ,k5n$y ,%riv]
 ,national ,in/itute ( ,*ild ,heal? &   
,human ,developm5t4  7#ac7 ,o!r ,f$]al  
ag5cies ) responsibilities relat$ to    
,,fasd prev5tion or treatm5t or t       
int]act ) individuals ) ,,fasd1 includ+ 
education & correctional sy/ems1 alcohol
 & sub/ance use disord] prev5tion &     
treatm5t programs1 mat]nal heal?1 !     
,m$ic>e & ,m$icaid programs "u titles   
,,xviii & ,,xix1 respectively1 ( !      
,social ,security ,act1 *ild heal? &    
welf>e1 rehabilitative s]vices1 & labor 
& h\s+ grant or entitlem5t programs4    
7c7 ,au?orization ( appropriations ,!re 

are au?oriz$ to be appropriat$ to c>ry  
out ?is section #a1jjj1jjj = ea* (      
fiscal ye>s #bjbb ?r\gh #bjbg4  4  #f4  
,,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 #d1 is fur!r  
am5d$ by ins]t+ aft] section #cci;,h-#b 
! foll[+3  #cii;,h-#b4 ,,fasd c5t] =    
excell5ce  7a7 ,9 g5]al ,! ,secret>y1   
act+ ?r\gh ! ,adm9i/rator ( ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration1 & 9 
consultation ) ! ,assi/ant ,secret>y =  
,m5tal ,heal? & ,sub/ance ,use1 !       
,director ( ! ,c5t]s = ,disease         
,control1 & ! ,*air ( ! ,int]ag5cy      
,coord9at+ ,committee on ,fetal ,alcohol
 ,spectrum ,disord]s1 %all aw>d up to #d
 grants1 coop]ative agreem5ts1 or       
contracts to public or nonpr(it entities
 ) demon/rat$ exp]tise 9 ,,fasd         
prev5tion1 id5tification1 & int]v5tion  
s]vices & o!r adv]se conditions relat$  
to pr5atal sub/ance exposure4 ,su* aw>ds
 %all be = ! purposes ( e/abli%+ a      

,,fasd ,c5t] = ,excell5ce to build      
local1 ,tribal1 ,/ate1 & national       
capacities to prev5t ! occurr5ce (      
,,fasd & o!r adv]se conditions relat$ to
 exposure to sub/ances1 & to respond to 
! ne$s ( individuals ) ,,fasd & _!      
families by c>ry+ out ! programs        
describ$ 9 subsection 7b74  7b7         
,programs ,an entity receiv+ an aw>d "u 
subsection 7a7 may use su* aw>d = any ( 
! foll[+ programs3 7#a7 ,increas+ ,,fasd
 diagno/ic capacity ,initiat+ or exp&+  
diagno/ic capacity ( ,,fasd by increas+ 
scre5+1 assessm5t1 id5tification1 &     
diagnosis 9 sett+s su* z cl9ical        
practices1 educational sett+s1 *ild     
welf>e1 & juv5ile out-(-home placem5t   
facilities & adult correctional sy/ems4 
7#b7 ,public aw>5ess ,develop+ &        
support+ national public aw>5ess &      
outrea* activities1 includ+ ! use ( all 
types ( m$ia & public outrea*1 & !      
=mation ( a div]se speak]s bureau to    
raise public aw>5ess ( ! risks associat$
 ) alcohol consumption dur+ pregnancy ) 

! purpose ( r$uc+ ! preval5ce ( ,,fasd &
 improv+ ! quality ( life = ^? liv+ )   
,,fasd & _! families4  7#c7 ,res\rces & 
tra9+  7,a7 ,cle>+h\se ,act+ z a        
cle>+h\se = res\rces on ,,fasd          
prev5tion1 id5tification1 & culturally  
aw>e be/ practices1 includ+ ! ma9t5ance 
( a national data-bas$ directory on     
,,fasd-specific s]vices 9 ,/ates1       
,indian ,tribes1 & local communities4   
7,b7 ,int]net-bas$ c5t] ,provid+ an     
int]net-bas$ c5t] t dissem9ates ongo+   
rese>* & res\rce developm5t on ,,fasd 9 
adm9i/]+ sy/ems ( c>e = individuals )   
,,fasd across _! lifespan4  7,c7        
,int]v5tion s]vices & be/ practices     
,increas+ aw>5ess & und]/&+ ( efficaci\s
 ,,fasd scre5+ tools & culturally       
appropriate int]v5tion s]vices & be/    
practices by-- 7i7 ma9ta9+ a div]se     
national speak]s bureau2 &  7ii7        
conduct+ national1 regional1 ,/ate1     
,tribal1 or pe] cross-,/ate web9>s1     
work%ops1 or conf]5ces = tra9+ community
 lead]s1 m$ical & m5tal heal? & sub/ance

 abuse pr(essionals1 education &        
disability pr(essionals1 families1 law  
en=cem5t p]sonnel1 judges1 individuals  
work+ 9 f9ancial assi/ance programs1    
social s]vice p]sonnel1 *ild welf>e     
pr(essionals1 & o!r s]vice provid]s4    
7,d7 ,build+ capacity ,build+ capacity =
 ,/ate1 ,tribal1 & local affiliates     
d$icat$ to ,,fasd aw>5ess1 prev5tion1 & 
id5tification & family & individual     
support programs & s]vices4  7#d7       
,te*nical assi/ance ,provid+ te*nical   
assi/ance to-- 7,a7 communities =       
replicat+ & adapt+ exempl>y compreh5sive
 sy/ems ( c>e = individuals ) ,,fasd    
develop$ "u section #cii;,h7d7 & =      
replicat+ & adapt+ culturally           
appropriate be/ or model projects ( c>e 
develop$ "u section #cii;,h7f72  7,b7   
,/ates & ,indian ,tribes 9 develop+     
/atewide or ,tribal ,,fasd /rategic     
plans1 e/abli%+ or exp&+ /atewide       
programs ( surveillance1 scre5+ &       
diagnosis1 prev5tion1 & cl9ical         
int]v5tion1 & support = individuals )   

,,fasd & _! families "u section         
#cii;,h7d72 &  7,c7 ,indian ,tribes &   
,tribal organizations 9 engag+ 9 tribal 
consultation to ensure t su* ,tribes &  
,tribal organizations are able to       
develop culturally appropriate s]vices &
 int]v5tions = individuals ) ,,fasd &   
o!r conditions relat$ to pr5atal        
sub/ance exposure & _! families4  7#e7  
,o!r functions ,c>ry+ out o!r functions1
 to ! ext5t au?oriz$ by ! ,secret>y1    
aft] consid]ation ( recomm5dations ( !  
,national ,advisory ,c\ncil on ,,fasd4  
7c7 ,application ,to be eligible = a    
grant1 contract1 or coop]ative agreem5t 
"u ?is section1 an entity %all submit to
 ! ,secret>y an application at su* "t1 9
 su* mann]1 & conta9+ su* in=mation z ! 
,secret>y may require1 includ+ specific 
cr$5tials relat+ to ,,fasd exp]tise &   
exp]i5ce relevant to ! application's    
propos$ activity1 includ+ developm5t (  
,,fasd public aw>5ess activities &      
res\rces2 ,,fasd res\rce developm5t1    
dissem9ation1 & tra9+2 coord9ation (    

,,fasd-in=m$ s]vices1 te*nical          
assi/ance1 adm9i/ration ( ,,fasd p>tn]  
networks1 & o!r ,,fasd-specific         
exp]tise4  7d7 ,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-- 7#a7 ,,fasd     
prev5tion activities2  7#b7 ,,fasd      
scre5+ & id5tification2  7#c7 ,,fasd    
res\rce1 developm5t1 dissem9ation1 tra9+
 & te*nical assi/ance1 adm9i/ration &   
support ( ,,fasd p>tn] networks2 &  7#d7
 int]v5tion s]vices4  7e7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ to c>ry out ?is section     
#h1jjj1jjj = ea* ( fiscal ye>s #bjbb    
?r\gh #bjbg4  4  #g4 ,dep>tm5t (        
,education & ,dep>tm5t ( ,ju/ice        
programs  7a7 ,prev5tion1 id5tification1
 int]v5tion1 & s]vices 9 ! education    
sy/em  7#a7 ,g5]al rule ,! ,secret>y (  
,education %all address education-relat$
 issues ) respect to *ildr5 ) ,,fasd1 9 

accordance ) ?is subsection4  7#b7      
,specific responsibilities ,! ,secret>y 
( ,education %all direct ! ,(fice (     
,special ,education & ,rehabilitative   
,s]vices to-- 7,a7 support ! developm5t1
 collection1 & dissem9ation 7?r\gh !    
int]net website ( ! ,dep>tm5t (         
,education1 at tea*]-to-tea*] work%ops1 
?r\gh 9-s]vice tra9+s1 & ?r\gh o!r      
means7 ( culturally appropriate be/     
practices t are ,,fasd-in=m$ 9 !        
education & support ( *ildr5 ) ,,fasd   
7includ+ any special te*niques on h[ to 
assi/ ^! *ildr5 9 bo? special &         
traditional educational sett+s1 &       
includ+ su* practices t incorporate     
in=mation conc]n+ ! id5tification1      
behavioral supports1 tea*+1 & le>n+     
associat$ ) ,,fasd7 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        

,pr9cipals & national gr\ps ( special   
education tea*]s2  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 p>5t education 
organizations2  7,b7 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 
) ,,fasd h ! "r to access g5]al         
curriculum "u ! lea/ re/rictive         
environm5t2  7,c7 collaborate ) o!r     
,f$]al ag5cies to include in=mation or  
activities relat+ to pr5atal alcohol &  
o!r h>mful sub/ance exposure 9 programs 
relat$ to mat]nal heal? & heal?         
education2 &  7,d7 support ef=ts by pe] 
advisory networks ( adolesc5ts 9 s*ools 
to disc\rage ! use ( alcohol & o!r      

h>mful sub/ances :ile pregnant or :5    
consid]+ gett+ pregnant4  7#c7          
,def9ition ,= purposes ( ?is subsection1
 ! t]m ,,fasd has ! mean+ giv5 su* t]m 9
 section #cii;,h7a7 ( ! ,public ,heal?  
,s]vice ,act1 z add$ by section #c4     
7#d7 ,au?orization ( appropriations ,!re
 are au?oriz$ to be appropriat$ to c>ry 
out ?is subsection #e1jjj1jjj = ea* (   
fiscal ye>s #bjbb ?r\gh #bjbg4  7b7     
,prev5tion1 id5tification1 int]v5tion & 
s]vices 9 ! ju/ice sy/em  7#a7 ,9 g5]al 
,! ,attorney ,g5]al %all address        
ju/ice-relat$ issues ) respect to y\? & 
adults ) ,,fasd & o!r neurodevelopm5tal 
conditions z a result ( pr5atal sub/ance
 exposure1 9 accordance ) ?is           
subsection4  7#b7 ,requirem5ts ,!       
,attorney ,g5]al1 act+ ?r\gh ! ,(fice ( 
,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion
 & ! ,bureau ( ,ju/ice ,initiatives1    
%all-- 7,a7 develop scre5+ & assessm5t  
proc$ures & conduct tra9+s on           
demon/ration ,,fasd surveillance        
projects 9 adult & juv5ile correction   

facilities 9 collaboration ) ! ,national
 ,c5t] on ,bir? ,defects & ,developm5tal
 ,disabilities & assi/ance f appropriate
 m$ical & m5tal heal? pr(essionals2     
7,b7 provide culturally appropriate     
support & te*nical assi/ance to ju/ice  
sy/ems pr(essionals 9 develop+ tra9+    
curricula on h[ to mo/ effectively      
id5tify & int]act ) individuals ) ,,fasd
 or simil> neurodevelopm5tal disord]s 9 
! adult & juv5ile ju/ice sy/ems1 & su*  
support may include provid+ in=mation   
ab\t ! prev5tion1 assessm5t1            
id5tification & treatm5t ( ^! disord]s  
into ju/ice pr(essionals' cred5tial+ or 
cont9u+ education requirem5ts2  7,c7    
provide culturally appropriate te*nical 
assi/ance to adult & juv5ile sy/ems 9   
address+ ! integration ( pr5atal alcohol
 & sub/ance exposure hi/ory into exi/+  
validat$ scre5+ & assessm5t in/rum5ts2  
7,d7 provide culturally appropriate     
te*nical assi/ance & support on !       
education ( ju/ice sy/em pr(essionals1  
includ+ judges1 attorneys1 probation    

(fic]s1 *ild advocates1 law en=cem5t    
(fic]s1 prison w>d5s & o!r inc>c]ation  
(ficials1 m$ical & m5tal heal?          
pr(essionals1 & adm9i/rators (          
developm5tal disability1 m5tal heal? &  
alt]native inc>c]ation facilities on h[ 
to scre51 assess1 id5tify1 treat1       
respond & support individuals ) ,,fasd &
 o!r conditions z a result ( sub/ance   
exposure )9 ! ju/ice sy/ems1 includ+--  
7i7 programs design$ specifically = !   
id5tification1 assessm5t1 treatm5t1 &   
education ( ^? ) ,,fasd2  7ii7 curricula
 developm5t & cred5tial+ ( tea*]s1      
adm9i/rators1 & social work]s :o        
implem5t su* programs2 &  7iii7 h[      
,,fasd & o!r neurodevelopm5tal disord]s 
impact an individual's int]action ) law 
en=cem5t & :e!r div]sion>y s5t5c+       
options are m appropriate = su*         
individuals2  7,e7 conduct a /udy on !  
practices & proc$ures )9 ! crim9al      
ju/ice sy/em = id5tify+ & treatm5t (    
juv5ile & adult (f5d]s )                
neurodevelopm5tal disabilities1 su* z   

,,fasd1 ! impact ( ,,fasd on (f5d]s'    
cognitive skills & adaptive function+1 &
 id5tify alt]native culturally          
appropriate me?ods ( treatm5t &         
inc>c]ation t h be5 demon/rat$ to be m  
effective = su* (f5d]s2 &  7,f7         
collaborate ) pr(essionals ) ,,fasd     
exp]tise & implem5t ,,fasd-in=m$        
transition programs = adults & juv5iles 
) ,,fasd :o are releas$ f adult &       
juv5ile correctional facilities4  7#c7  
,access = ,,bop inmates ,! ,attorney    
,g5]al %all direct ! ,re5try ,s]vices   
,division at ! ,bureau ( ,prisons to    
ensure t ea* inmate ) ,,fasd or a simil>
 neurodevelopm5tal disord] :o is 9 !    
cu/ody ( ! ,bureau ( ,prisons h access  
to ,,fasd-in=m$ culturally appropriate  
s]vices ^u re-entry1 includ+ programs1  
res\rces1 & activities = adults )       
,,fasd1 to facilitate ! successful      
re9tegration into _! communities ^u     
release4  7#d7 ,au?orization (          
appropriations ,= ! purpose ( c>ry+ out 
?is subsection1 !re are au?oriz$ to be  

appropriat$ #b1jjj1jjj = ea* ( fiscal   
ye>s #bjbb ?r\gh #bjbg4  7c7 ,def9ition 
,= purposes ( ?is section1 ! t]m ,,fasd 
has ! mean+ giv5 su* t]m 9 section      
#cii;,h7a7 ( ! ,public ,heal? ,s]vice   
,act1 z am5d$ by section #c4