,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #fghc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ah1         
#bjbb,ms4 ,m5g 7= h]self1 ,mr4 ,mi*ael  
,f4 ,doyle ( ,p5nsylvania1 ,mr4         
,fitzpatrick1 ,ms4 ,wild1 ,mr4 ,suozzi1 
,mr4 ,veasey1 ,mr4 ,rask91 ,mr4 ,bacon1 
,ms4 ,dean1 ,mr4 ,grijalva1 ,mr4 ,pocan1
 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,lee (  
,cali=nia1 ,ms4 ,tlaib1 ,mrs4 ,axne1    
,ms4 ,moore ( ,wiscons91 ,ms4 ,matsui1  
,mr4 ,deut*1 ,ms4 ,velzquez1 ,mrs4      
,hayes1 & ,ms4 ,craig7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to au?orize ! ,secret>y (      
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 to aw>d grants =
 provid+ evid5ce-bas$ c>egiv] skills    
tra9+ to c>egiv]s ( *ildr5 ) autism     
spectrum disord] or o!r developm5tal    
disabilities or delays1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,autism ,family ,c>egiv]s  

,act ( #bjbb4  #b4 ,c>egiv] ,skills     
,tra9+ ,pilot ,program  7a7             
,au?orization ,! ,secret>y ( ,heal? &   
,human ,s]vices1 act+ ?r\gh !           
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all c>ry out a 
program1 to be kn[n z ! ,c>egiv] ,skills
 ,tra9+ ,pilot ,program1 "u :i* !       
,secret>y %all aw>d grants to eligible  
entities to provide evid5ce-bas$ c>egiv]
 skills tra9+ to c>egiv]s1 includ+      
family c>egiv]s1 ( *ildr5 ) autism      
spectrum disord] or o!r developm5tal    
disabilities or delays1 = ! purposes (--
 7#a7 improv+ ! heal? outcomes & quality
 ( life ( su* *ildr5 & _! c>egiv]s2 &   
7#b7 tea*+ c>egiv]s ( su* *ildr5        
evid5c$-bas$ int]v5tion /rategies to    
promote-- 7,a7 improvem5t 9 ! m5tal &   
physical well-be+ ( su* *ildr5 & _!     
c>egiv]s2 &  7,b7 ! great] inclusion (  
su* *ildr5 9 family & community life4   
7b7 ,eligibility ,to be eligible to     
receive an aw>d "u subsection 7a71 an   
entity %all be-- 7#a7 a nonpr(it or o!r 

community-bas$ organization2  7#b7 a    
,f$]ally qualifi$ heal? c5t]2  7#c7 an  
academic heal? c5t]2  7#d7 a heal?      
sy/em2 or  7#e7 a collaboration or      
consortium ( #b or m entities li/$ 9    
p>agraphs 7#a7 ?r\gh 7#d74  7c7         
,application ,to seek a grant "u ?is    
section1 an eligible entity %all submit 
to ! ,secret>y an application t         
includes-- 7#a7 a description (-- 7,a7 !
 applicant's exp]i5ce deliv]+           
evid5ce-bas$ c>egiv] skills tra9+ to    
c>egiv]s1 includ+ family c>egiv]s1 (    
*ildr5 ) autism spectrum disord] or o!r 
developm5tal disabilities or delays2    
7,b7 ! activities t ! applicant proposes
 to c>ry out ?r\gh ! grant2 &  7,c7 h[  
su* activities w a*ieve ! purposes      
describ$ 9 subsection 7a72 &  7#b7 a    
plan =-- 7,a7 coord9ation )             
community-bas$ organizations1 ,/ate &   
local e>ly int]v5tion provid]s1 ,m$icaid
 sy/ems1 s*ools1 & o!r provid]s ( e>ly  
int]v5+ s]vices2  7,b7 collaboration )  
heal? c>e payors 7includ+ public &      

private insurance71 ,/ate dep>tm5ts (   
insurance1 heal? plans1 & o!r relevant  
payors2  7,c7 exp&+ ! skills tra9+      
program propos$ to be c>ri$ out ?r\gh ! 
grant2 &  7,d7 a*iev+ su/a9ability ( su*
 program4  7d7 ,selection ( grantees    
7#a7 ,selection crit]ia ,9 aw>d+ a grant
 to an eligible entity or a             
collaboration or consortium ( #b or m   
entities describ$ 9 subsection 7b71 !   
,secret>y %all require at lea/ "o ( !   
recipi5ts to-- 7,a7 h at lea/ #c ye>s ( 
demon/rat$ exp]i5ce-- 7i7 deliv]+       
evid5ce-bas$1 culturally compet5t       
c>egiv]s skills tra9+ programs describ$ 
9 subsection 7a71 includ+ 9 m$ically    
und]s]v$ communities2  7ii7 provid+     
s]vices to *ildr5 ) autism spectrum     
disord] or o!r developm5tal delays &    
disabilities1 z well z collaborat+      
directly ) _! families2  7iii7 provid+  
individual c>egiv] coa*+ z "p ( skills  
tra9+ to c>egiv]s ( *ildr5 ) autism     
spectrum disord] or o!r developm5tal    
delays & disabilities2 &  7iv7 work+ )  

self-advocates or adults ) autism       
spectrum disord] or o!r developm5tal    
delays & disabilities2 &  7,b7          
demon/rate ! ability to access res\rces 
f & collaborate )-- 7i7 heal? c>e       
provid]s2  7ii7 alli$ heal?             
pr(essionals2  7iii7 educators2  7iv7   
social work]s2 &  7v7 nonpr(essional    
family c>egiv]s :o assi/ ) daily liv+ & 
developm5tal activities1 includ+ =      
*ildr5 ) autism spectrum disord] or o!r 
developm5tal delays & disabilities4     
7#b7 ,r$uc+ disp>ities ,9 aw>d+ grants  
"u ?is section1 ! ,secret>y may consid]1
 z appropriate1 ! ext5t to :i* an       
eligible entity c deliv] evid5ce-bas$1  
culturally compet5t c>egiv]s skills     
tra9+ programs = *ildr5 ) autism        
spectrum disord] or o!r developm5tal    
delays & disabilities f div]se racial1  
e?nic1 geographic1 or l+ui/ic           
backgr\nds4  7e7 ,use ( funds ,!        
recipi5t ( a grant "u ?is section %all  
use ! grant to provide-- 7#a7           
evid5ce-bas$ c>egiv] skills tra9+ to    

c>egiv]s ( *ildr5 ) autism spectrum     
disord]s or o!r developm5tal delays &   
disabilities2 &  7#b7 su* tra9+ 9 areas 
relat$ to *ildr5's le>n+ & developm5t1  
includ+-- 7,a7 communication skills2    
7,b7 social engagem5t2  7,c7 daily liv+ 
skills2 &  7,d7 c>egiv] response        
/rategies to aggressive behavior4  7f7  
,requirem5ts  7#a7 ,numb] ( recipi5ts & 
,/ates ,! ,secret>y %all aw>d grants "u 
subsection 7a7 to n few] ?an #be        
eligible entities 9 n few] ?an #ae      
,/ates4  7#b7 ,am\nt ,! total am\nt (   
ea* grant aw>d$ "u subsection 7a7 %all  
be n less ?an #ejj1jjj ov] a #e-ye>     
p]iod4  7g7 ,supplem5t n supplant       
,am\nts made available to c>ry out ?is  
section %all be 9 addition to am\nts    
made available to provide =-- 7#a7      
behavioral1 m$ical1 habilitative1 & o!r 
s]vices cov]$ by ! ,m$icaid program or  
private heal? insurance2  7#b7 s]vices  
provid$ "u ! ,individuals )             
,disabilities ,education ,act 7#bj      
,u4,s4,c4 #adjj et seq472 or  7#c7      

adaptations ( a tra9+ program us+       
evid5ce-bas$ approa*es to s]ve *ildr5 ( 
diff]5t ages1 communities1 &            
und]repres5t$ gr\ps4  7h7 ,c>egiv]      
,skills ,tra9+ ,national ,te*nical      
,assi/ance & ,evaluation ,c5t] ,!       
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 %all e/abli% & op]ate a  
c5t]1 to be kn[n z ! ,c>egiv] ,skills   
,tra9+ ,national ,te*nical ,assi/ance & 
,evaluation ,c5t]1 to-- 7#a7 assi/      
recipi5ts ( grants "u subsection 7a7 9 !
 implem5tation ( c>egiv] skills tra9+   
programs us+ lessons le>n$ f o!r        
evid5c$-bas$ activities or c>egiv]      
programs conduct$ or support$ by !      
,heal? ,res\rces & ,s]vices             
,adm9i/ration2  7#b7 assi/ su* grant    
recipi5ts 9 ensur+ _! programs assi/    
m$ically und]s]v$ communities1 :5       
possible2  7#c7 assi/ su* grant         
recipi5ts 9 develop+ plans = a*iev+     
su/a9ability ( _! programs2  7#d7       
collect & report on ! effectiv5ess (    

practices adopt$ pursuant to grants "u  
subsection 7a72  7#e7 conduct an annual 
evaluation ( activities fund$ ?r\gh     
grants "u subsection 7a71 9 consultation
 ) ! grant recipi5ts1 includ+ evaluation
 ( ! effectiv5ess ( su* grants at       
improv+ heal? outcomes & quality ( life 
= *ildr5 ) autism spectrum disord] or   
o!r developm5tal delays & disabilities &
 _! family c>egiv]s2  7#f7 conv5e       
national or regional meet+s ( su* grant 
recipi5ts to discuss be/ practices2 &   
7#g7 provide o!r assi/ance z ne$$ to    
improve or c>ry out ! program "u ?is    
section4  7i7 ,reports  7#a7 ,initial   
report ,n lat] ?an #f mon?s aft] aw>d+ !
 fir/ grant "u subsection 7a71 !        
,secret>y %all submit to ! ,committees  
on ,appropriations ( ! ,h\se (          
,repres5tatives & ! ,s5ate1 & to o!r    
appropriate congressional committees1 a 
report on ! implem5tation ( ?is section4
 ,su* report %all include-- 7,a7 h[ _m  
grants h be5 aw>d$2  7,b7 ! "n &        
location ( ! grant recipi5ts2  7,c7 !   

communities impact$ by ! grants2  7,d7 a
 description ( ! k9d ( activities to be 
c>ri$ out ) ! grants2  7,e7 an analysis1
 conduct$ by ! ,c>egiv] ,skills ,tra9+  
,national ,te*nical ,assi/ance &        
,evaluation ,c5t] 9 consultation ) !    
recipi5ts ( grants "u subsection 7a71 ( 
! effectiv5ess ( su* grants at improv+  
heal? outcomes & quality ( life = *ildr5
 ) autism or o!r developm5tal           
disabilities or delays & _! family      
c>egiv]s2 &  7,f7 be/ practices1        
develop$ 9 consultation ) ! ,c>egiv]    
,skills ,tra9+ ,national ,te*nical      
,assi/ance & ,evaluation ,c5t]1 to      
increase access to c>egiv] skills tra9+ 
programs describ$ 9 subsection 7a7 9    
m$ically und]s]v$ communities4  7#b7    
,f9al report ,n lat] ?an ! end ( fiscal 
ye> #bjbg1 ! ,secret>y %all submit to ! 
,committees on ,appropriations ( ! ,h\se
 ( ,repres5tatives & ! ,s5ate1 & to o!r 
appropriate congressional committees1 a 
f9al report on ! implem5tation ( ?is    
section1 includ+-- 7,a7 ! in=mation1    

analysis1 & be/ practices li/$ 9        
subp>agraphs 7,a7 ?r\gh 7,f7 ( p>agraph 
7#a72 &  7,b7 recomm5dations on h[ to   
exp& & ext5d ! program "u ?is section4  
7j7 ,def9itions ,9 ?is section3 7#a7 ,! 
t]m family c>egiv] means an adult family
 memb] or o!r individual :o has a       
significant relation%ip )1 & :o provides
 a broad range ( assi/ance to1 a *ild   
betwe5 ! ages ( #j & #i diagnos$ )      
autism spectrum disord] or o!r          
developm5tal disabilities or delays4    
7#b7 ,! t]m ,f$]ally qualifi$ heal? c5t]
 has ! mean+ giv5 ! t]m 9 section       
#ahfa7;aa7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #aciex7aa774  7#c7 ,! t]m
 ,secret>y means ! ,secret>y ( ,heal? & 
,human ,s]vices4  7k7 ,au?orization (   
appropriations  7#a7 ,9 g5]al ,to c>ry  
out ?is section1 !re is au?oriz$ to be  
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjbc ?r\gh #bjbg4  7#b7           
,allocation = ,c5t] ,( ! am\nt au?oriz$ 
by p>agraph 7#a7 to be appropriat$ to   
c>ry out ?is section = a fiscal ye>1    

#dej1jjj %all be = e/abli%+ or op]at+ ! 
,c>egiv] ,skills ,tra9+ ,national       
,te*nical ,assi/ance & ,evaluation      
,c5t]4