#aah? ,,congress  #b;d ,session  ,h4 ,r4
 #gbac  ,,an ,,act  ,to am5d ! ,public  
,heal? ,s]vice ,act to enhance &        
reau?orize activities & programs relat+ 
to autism spectrum disord]1 & = o!r     
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,autism ,collaboration1    
,acc\ntability1 ,rese>*1 ,education1 &  
,support ,act ( #bjbd or ! ,autism      
,,c>es ,act ( #bjbd4  #b4 ,national     
,in/itutes ( ,heal? activities  7a7     
,expansion ( activities ,section        
#dji;,c7a77#a7 ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4             
#bhd;g7a77#a77 is am5d$--  7#a7 by /rik+
 7 %all1 subject to ! availability &    
ins]t+ ! foll[+3 71 9 consultation )    
relevant ,f$]al dep>tm5ts & ag5cies1 z  
appropriate1 %all--  7,a7 subject to !  
availability  2  7#b7 by /rik+ basic &  
cl9ical rese>* 9 fields includ+ pa?ology
 & ins]t+ ! foll[+3  basic & cl9ical    
rese>*-- 7i7 9 fields1 su* z pa?ology  2
  7#c7 by /rik+ toxicology1 &           
int]v5tions & ins]t+ ! foll[+3          

toxicology1 psy*iatry1 psy*ology1       
developm5tal behavioral p$iatrics1      
audiology1 & g]ontology2 &  7ii7 on     
int]v5tions  2  7#d7 by /rik+ disord]4  
,su* rese>* %all inve/igate & ins]t+ !  
foll[+3  disord]2 & 7,b7 ensure t rese>*
 ref]r$ to 9 subp>agraph 7,a7--  7i7    
inve/igates  2  7#e7 by /rik+ prev5tion1
 s]vices across ! lifespan1 supports1   
int]v5tion1 & treatm5t ( autism spectrum
 disord] & ins]t+ prev5tion1 s]vices &  
supports across ! lifespan1 int]v5tion1 
& treatm5t ( autism spectrum disord] &  
co-occurr+ conditions2 &  7#f7 by /rik+ 
treatm5ts4 & ins]t+ ! foll[+3 treatm5ts2
  7ii7 exam9es supports = c>egiv]s2 &   
7iii7 reflects ! entire population (    
individuals ) autism spectrum disord]1  
includ+ ^? individuals ) co-occurr+     
conditions & ! full range ( ne$s =      
supports & s]vices1 includ+ su* supports
 & s]vices to ensure ! safety1 & promote
 ! well-be+1 ( su* individuals4  4  7b7 
,c5t]s ( excell5ce ,section #dji;,c7b7 (
 ! ,public ,heal? ,s]vice ,act 7#db     

,u4,s4,c4 #bhd;g7b77 is am5d$-- 7#a7 9  
p>agraph 7#b7--  7,a7 by /rik+ includ+ !
 fields ( & ins]t+ 9 fields su* z2 &    
7,b7 by /rik+ behavioral psy*ology1 &   
cl9ical psy*ology & ins]t+ behavioral   
psy*ology1 cl9ical psy*ology1 &         
g]ontology2  7#b7 9 p>agraph 7#e77;,a71 
by /rik+ five & ins]t+ sev52 &  7#c7 9  
p>agraph 7#e77;,b71 by /rik+ p]iod ( n  
to exce$ & ins]t+ p]iod n to exce$4  7c7
 ,public input ,section #dji;,c7d7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhd;g7d77 is am5d$ to read z 
foll[s3  7d7 ,public input  7#a7 ,9     
g5]al ,! ,director %all "u subsection   
7a77#a7 provide = means ?r\gh :i* !     
public c obta9 in=mation on ! exi/+ &   
plann$ programs & activities ( !        
,national ,in/itutes ( ,heal? ) respect 
to autism spectrum disord] & ?r\gh :i* !
 ,director c receive comm5ts f ! public 
reg>d+ su* programs & activities4  7#b7 
,guidance ,! ,director may provide      
guidance to c5t]s "u subsection 7b77#a7 
on /rategies1 activities1 &             

opportunities to promote engagem5t )1 & 
solicit input f1 individuals ) autism   
spectrum disord] & _! family memb]s1    
gu>dians1 advocates or au?oriz$         
repres5tatives1 provid]s1 or o!r        
appropriate individuals to in=m !       
activities ( ! c5t]4 ,su* /rategies1    
activities1 & opportunities %\ld consid]
 includ+1 z appropriate1 individuals1   
family memb]s1 & c>egiv]s ( individuals 
) autism spectrum disord] :o repres5t ! 
entire population ( individuals ) autism
 spectrum disord]1 includ+ ^?           
individuals ) co-occurr+ conditions & ! 
full range ( ne$s = supports & s]vices1 
includ+ su* supports & s]vices to ensure
 ! safety1 & promote ! well-be+1 ( su*  
individuals1 to in=m ! activities ( !   
c5t]4  4  7d7 ,budget e/imate ,section  
#dji;,c ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bhd;g7 is am5d$ by add+ 
at ! end ! foll[+3  7e7 ,budget e/imate 
,= ea* ( fiscal ye>s #bjbf ?r\gh #bjbi1 
! ,director %all prep>e & submit1       
directly to ! ,presid5t = review &      

transmittal to ,congress1 an annual     
budget e/imate = ! initiatives ( !      
,national ,in/itutes ( ,heal? pursuant  
to ! /rategic plan develop$ "u section  
#cii;,,cc7b77#e7 & updat$ "u section    
#cii;,,cc7b77#f77;,b71 aft] reasonable  
opportunity = comm5t 7b )\t *ange7 by ! 
,secret>y & ! ,int]ag5cy ,autism        
,coord9at+ ,committee e/abli%$ "u       
section #cii;,,cc4  4  #c4 ,programs    
relat+ to autism  7a7 ,developm5tal     
disabilities surveillance & rese>*      
program ,section #cii;,,aa ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;i7 is am5d$--  7#a7 9 subsection   
7a77#c71 by /rik+ an ,indian tribe1 or a
 tribal organization & ins]t+ an ,indian
 ,tribe1 or a ,tribal organization2     
7#b7 9 subsection 7b77#a71 by ins]t+    
across ! lifespan be=e ! p]iod at ! end2
  7#c7 9 subsection 7d77#a7-- 7,a7 9 !  
p>agraph head+1 by /rik+ tribe2 tribal &
 ins]t+ ,tribe2 ,tribal2  7,b7 by /rik+ 
tribe & ins]t+ ,tribe2 &  7,c7 by /rik+ 
tribal & ins]t+ ,tribal2 &  7#d7 9      

subsection 7e71 by /rik+ #bjbd & ins]t+ 
#bjbi4  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$--  7#a7 9 subsection 7b77#a71 by  
/rik+ culturally compet5t in=mation &   
ins]t+ culturally & l+ui/ically         
appropriate in=mation2  7#b7 9          
subsection 7b77#b7--  7,a7 by /rik+     
promote rese>* & ins]t+ promote rese>*1 
:i* may include rese>* t takes a        
community-bas$ approa*12 &  7,b7 by     
/rik+ scre5+ tools ea* place x appe>s & 
ins]t+ scre5+ & diagno/ic tools2  7#c7 9
 subsection 7b77#c71 by /rik+ at high]  
risk & ins]t+ at increas$ likelihood2   
7#d7 9 subsection 7b77#d71 by ins]t+ 1  
:i* may give consid]ation to !          
p]spectives ( p>5ts & gu>dians be=e !   
semicolon at ! end2  7#e7 9 subsection  
7b77#g71 by /rik+ at high] risk & ins]t+
 at increas$ likelihood2  7#f7 9        
subsection 7c77#a71 by /rik+ culturally 
compet5t in=mation & ins]t+ culturally &

 l+ui/ically appropriate in=mation2     
7#g7 9 subsection 7c77#b77;,a77ii71 by  
/rik+ culturally compet5t in=mation &   
ins]t+ culturally & l+ui/ically         
appropriate in=mation2  7#h7 by am5d+   
p>agraph 7#a7 ( subsection 7e7 to read z
 foll[s3  7#i7 9 subsection 7e77#a7--   
7,a7 9 ! matt] prec$+ subp>agraph 7,a71 
by ins]t+ 1 & /r5g!n ! capacity (1 aft] 
exp&2 &  7,b7 9 subp>agraph 7,a7-- 7i7  
by /rik+ exp& exi/+ or develop new &    
ins]t+ exp& & /r5g!n ! capacity ( exi/+1
 or1 9 ,/ates t d n h su* a program1    
develop new12 &  7ii7 by /rik+ ,act7 9  
,/ates t d n h su* a program & ins]t+   
,act72  7,c7 9 subp>agraph 7,b77v71 by  
ins]t+ or o!r provid]s1 z applicable    
be=e ! semicolon at ! end2 &  7,d7 by   
am5d+ subp>agraph 7,c7 to read z foll[s3
  7,c7 program sites--  7i7 provide     
culturally & l+ui/ically appropriate    
s]vices2  7ii7 take a multidiscipl9>y   
approa* & h exp]i5ce work+ ) und]s]v$   
populations2 &  7iii7 id5tify           
opportunities to p>tn] ) community-bas$ 

organizations to exp& ! capacity (      
communities to s]ve individuals ) autism
 spectrum disord] or o!r developm5tal   
disabilities4  2  7#aj7 9 subsection    
7e77#b71 by add+ at ! end ! foll[+ new  
subp>agraph3  7,c7 ,report ,n lat] ?an  
#b ye>s aft] ! date ( ! enactm5t ( !    
,autism ,,c>es ,act ( #bjbd1 ! ,secret>y
 %all submit to ! ,committee on ,en]gy &
 ,comm]ce ( ! ,h\se ( ,repres5tatives & 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate a report t
 exam9es ! ne$ =1 & feasibility (1 exp&+
 ! developm5tal-behavioral p$iatrician  
tra9+ programs describ$ 9 subp>agraph   
7,a74  2  7#aa7 by am5d+ subsection 7f7 
to read z foll[s3  7f7 ,int]v5tion ,!   
,secret>y %all promote rese>* ?r\gh     
grants or contracts1 :i* may include    
grants or contracts to rese>* c5t]s or  
networks1 to-- 7#a7 develop & evaluate  
evid5ce-bas$ practices & int]v5tions to 
improve outcomes = individuals ) autism 
spectrum disord] or o!r developm5tal    
disabilities by address+ physical &     

behavioral heal? & communication ne$s ( 
su* individuals across ! lifespan2  7#b7
 develop guidel9es = su* evid5ce-bas$   
practices & int]v5tions2 &  7#c7        
dissem9ate in=mation relat$ to su*      
evid5ce-bas$ practices & int]v5tions &  
guidel9es4  2 &  7#ab7 9 subsection 7g71
 by /rik+ #bjbd & ins]t+ #bjbi4  7c7    
,int]ag5cy ,autism ,coord9at+ ,committee
 ,section #cii;,,cc ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bhj;i-#b7  
is am5d$--  7#a7 9 subsection 7b7-- 7,a7
 9 ! matt] prec$+ p>agraph 7#a71 by     
ins]t+ 1 on a regul> basis aft] %all2   
7,b7 9 p>agraph 7#b71 by /rik+ develop a
 summ>y & ins]t+ summ>ize2 &  7,c7 by   
/rik+ p>agraphs 7#e7 & 7#f7 & ins]t+ !  
foll[+3  7#e7 develop a /rategic plan = 
! conduct (1 & support =1 autism        
spectrum disord] rese>*1 z describ$ 9   
section #dji;,c7a77#a71 :i* %all        
include-- 7,a7 propos$ budget>y         
requirem5ts2 &  7,b7 recomm5dations to  
ensure t autism spectrum disord] rese>*1
 & s]vices & support activities to !    

ext5t practicable1 ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices & ( o!r ,f$]al 
dep>tm5ts & ag5cies are n unnecess>ily  
duplicative2 &  7#f7 submit to !        
,congress & ! ,presid5t--  7,a7 an      
annual update on ! summ>y ( advances    
describ$ 9 p>agraph 7#b72 &  7,b7 a     
bi5nial update on ! /rategic plan       
describ$ 9 p>agraph 7#e71 includ+       
progress made 9 a*iev+ ! goals outl9$ 9 
su* /rategic plan & any specific        
measures tak5 pursuant to su* /rategic  
plan4  2 &  7#b7 9 subsection 7f71 by   
/rik+ #bjbd & ins]t+ #bjbi4  7d7        
,reports to ,congress ,section #cii;,,dd
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bhj;i-#c7 is am5d$--  7#a7 by
 /rik+ #bjai ea* place x appe>s & ins]t+
 #bjbd2 &  7#b7 9 subsection 7a71 by    
am5d+ p>agraph 7#a7 to read z foll[s3   
7#a7 ,9 g5]al ,n lat] ?an #d ye>s aft]  
,septemb] #cj1 #bjbd1 ! ,secret>y1 9    
consultation ) o!r relevant ,f$]al      
dep>tm5ts & ag5cies1 %all prep>e &      
submit to ! ,committee on ,heal?1       

,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives1 & 
make publicly available1 includ+ ?r\gh  
po/+ on ! website ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 a progress report on
 activities relat$ to autism spectrum   
disord] & o!r developm5tal disabilities4
 ,su* report %all include activities &  
rese>* relat$ to ! entire population (  
individuals ) autism spectrum disord]1  
includ+ ^? individuals ) co-occurr+     
conditions & ! full range ( ne$s =      
supports & s]vices1 includ+ su* supports
 & s]vices to ensure ! safety1 & promote
 ! well-be+1 ( su* individuals4  2  7#c7
 9 subsection 7b7--  7,a7 9 ! head+ (   
subsection 7b71 by /rik+ ,heal? &       
,well-,be+ & ins]t+ ,m5tal ,heal? ,ne$s2
  7,b7 9 p>agraph 7#a71 by /rik+ heal? &
 well-be+ & ins]t+ m5tal heal? ne$s2 &  
7,c7 by am5d+ p>agraph 7#b7 to read z   
foll[s3  7#b7 ,cont5ts ,! report        
submitt$ "u p>agraph 7#a7 %all conta9-- 
7,a7 an ov]view ( policies & programs   

relevant to ! m5tal heal? ( individuals 
) autism spectrum disord] across _!     
lifespan1 includ+ an id5tification (    
exi/+ ,f$]al laws1 regulations1         
policies1 rese>*1 & programs2 &  7,b7   
recomm5dations to improve m5tal heal?   
outcomes & address relat$ disp>ities 9  
m5tal heal? c>e = individuals ) autism  
spectrum disord]1 includ+ prev5tion1 c>e
 coord9ation1 & community-bas$ s]vices4 
2  7#d7 by add+ at ! end ! foll[+3  7c7 
,update on "y adults & y\? transition+  
to adul?ood ,n lat] ?an #b ye>s aft] !  
date ( enactm5t ( ! ,autism ,,c>es ,act 
( #bjbd1 ! ,secret>y1 9 coord9ation )   
o!r relevant ,f$]al dep>tm5ts & ag5cies1
 z appropriate1 %all prep>e & submit to 
! ,committee on ,en]gy & ,comm]ce ( !   
,h\se ( ,repres5tatives & ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate an update to !      
report requir$ pursuant to subsection   
7b7 ( ?is section1 z add$ by section #f 
( ! ,autism ,c>es ,act ( #bjad 7,public 
,law #aac-aeg71 & 9 effect be=e ! date (

 enactm5t ( ! ,autism ,,c>es ,act (     
#bjai 7,public ,law #aaf-fj71 conc]n+ "y
 adults ) autism spectrum disord] & !   
*all5ges relat$ to ! transition f exi/+ 
s*ool-bas$ s]vices to ^? s]vices        
available dur+ adul?ood4  4  7e7        
,au?orization ( appropriations ,section 
#cii;,,ee ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bhj;i-#d7 is       
am5d$-- 7#a7 9 subsection 7a71 by /rik+ 
#bc1ajj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd & ins]t+ #bh1ajj1jjj = ea* (
 fiscal ye>s #bjbe ?r\gh #bjbi2  7#b7 9 
subsection 7b71 by /rik+ #ej1eii1jjj =  
ea* ( fiscal ye>s #bjbj ?r\gh #bjbd &   
ins]t+ #ef1cdd1jjj = ea* ( fiscal ye>s  
#bjbe ?r\gh #bjbi2 &  7#c7 9 subsection 
7c71 by /rik+ !re are au?oriz$ to be    
appropriat$ #bif1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbd & ins]t+ !re is  
au?oriz$ to be appropriat$ #cjf1jjj1jjj 
= ea* ( fiscal ye>s #bjbe ?r\gh #bjbi4  
#d4 ,te*nical assi/ance to improve      
access to communication tools  7a7 ,9   
g5]al ,! ,secret>y ( ,heal? & ,human    

,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 may1 at ! reque/ ( a ,/ate1  
,indian ,tribe1 ,tribal organization1   
locality1 or t]ritory1 provide tra9+ &  
te*nical assi/ance to su* jurisdiction  
on ! mann] 9 :i* ,f$]al fund+ adm9i/]$  
by ! ,secret>y may be us$ to provide    
individuals ) autism spectrum disord] & 
o!r developm5tal disabilities ) access  
to evid5ce-bas$ s]vices1 tools1 &       
te*nologies t support communication     
ne$s4  7b7 ,annual report ,! ,secret>y  
%all annually prep>e & submit to !      
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report        
summ>iz+ any te*nical assi/ance provid$ 
by ! ,secret>y 9 ! prec$+ fiscal ye> "u 
subsection 7a7 & any advancem5ts 9 !    
developm5t or evaluation ( su*          
evid5ce-bas$ s]vices1 tools1 &          
te*nologies4  ,pass$ ! ,h\se (          
,repres5tatives ,septemb] #ah1          
#bjbd4;,cl]k4