,,ib ,union ,cal5d> ,no4 #eah #aah?     
,,congress  #b;d ,session  ,h4 ,r4 #gbac
 ,report ,no4 #aah-fbj ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,febru>y #a1      
#bjbd,mr4 ,smi? ( ,new ,j]sey 7= himself
 & ,mr4 ,cuell>7 introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,july #cj1           
#bjbd;,additional sponsors3 ,mr4 ,c>t] (
 ,georgia1 ,mrs4 ,d+ell1 ,mr4 ,mol9>o1  
,ms4 ,ku/]1 ,mr4 ,fitzpatrick1 ,mr4     
,m\lton1 ,mr4 ,kean ( ,new ,j]sey1 ,mr4 
,soto1 ,mr4 ,kiley1 ,mr4 ,got!im]1 ,mr4 
,davis ( ,nor? ,c>ol9a1 ,ms4 ,matsui1   
,mr4 ,/aub]1 ,ms4 ,cl>ke ( ,new ,york1  
,mr4 ,bacon1 ,ms4 ,spanb]g]1 ,mr4 ,h>d] 
( ,cali=nia1 ,ms4 ,tlaib1 ,mr4 ,moore ( 
,utah1 ,ms4 ,slotk91 ,ms4 ,om>1 ,mr4    
,joyce ( ,p5nsylvania1 ,mr4 ,kim ( ,new 
,j]sey1 ,ms4 ,blunt ,ro*e/]1 ,ms4       
,kaptur1 ,ms4 ,salaz>1 ,ms4 ,t5ney1 ,mr4
 ,h>ris1 ,mr4 ,van ,drew1 ,mrs4 ,mill] (
 ,we/ ,virg9ia1 ,mr4 ,graves (          
,l\isiana1 ,mr4 ,l>son ( ,connecticut1  
,ms4 ,wat]s1 ,ms4 ,sewell1 ,mr4 ,suozzi1

 ,mr4 ,panetta1 ,mrs4 ,peltola1 ,mr4    
,ryan1 ,mr4 ,lawl]1 ,mr4 ,pappas1 ,ms4  
,adams1 ,mr4 ,kelly ( ,p5nsylvania1 ,mr4
 ,van ,ord51 ,mr4 ,neguse1 ,ms4 ,/ev5s1 
,ms4 ,budz9ski1 ,mr4 ,bilirakis1 ,ms4   
,p+ree1 ,ms4 ,tokuda1 ,ms4 ,pett]s51    
,mr4 ,c\rtney1 ,mr4 ,l&sman1 ,mr4       
,jackson ( ,ill9ois1 ,mr4 ,?ompson (    
,p5nsylvania1 ,mr4 ,pocan1 ,mr4         
,s*neid]1 ,ms4 ,lee ( ,nevada1 ,mr4     
,williams ( ,new ,york1 ,mr4 ,meus]1 &  
,mr4 ,cr[  ,july #cj1 #bjbd,report$ )   
am5dm5ts1 committ$ to ! ,committee ( !  
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be printed,strike out all aft] 
! enact+ clause & ins]t ! "p pr9t$ 9    
italic,for text ( introduc$ bill1 see   
copy ( bill z introduc$ on ,febru>y #a1 
#bjbd  ,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 autism _/ reau?orize c]ta9    
programs ) respect to autism spectrum   

disord]81 & = 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 ,p>agraph 
7#a7 ( section #dji;,c7a7 ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhd;g7a77 is am5d$ to read z foll[s3   
7#a7 ,expansion ( activities ,!         
,director ( ,,nih 79 ?is section ref]r$ 
to z ! ,director71 9 coord9ation &      
consultation ) ! ,adm9i/rator ( !       
,adm9i/ration = ,community ,liv+1 & o!r 
ag5cies z appropriate1 %all-- 7,a7      
subject to ! availability (             
appropriations1 exp&1 int5sify1 &       
coord9ate ! activities ( ! ,national    
,in/itutes ( ,heal? ) respect to rese>* 
on autism spectrum disord]1 includ+--   
7i7 basic & cl9ical rese>* 9 fields     
includ+ pa?ology1 developm5tal          
neurobiology1 g5etics1 epig5etics1      
ph>macology1 nutrition1 immunology1     

neuroimmunology1 neurobehavioral        
developm5t1 endocr9ology1 ga/ro5t]ology1
 toxicology1 spee*1 language & he>+     
sci5ce1 psy*iatry1 psy*ology1           
developm5tal behavioral p$iatrics1 &    
g]ontology2 &  7ii7 rese>* on           
int]v5tions to maximize outcomes =      
individuals ) autism spectrum disord]2 &
  7,b7 ensure t rese>* ref]r$ to 9      
subp>agraph 7,a7-- 7i7 inve/igates !    
causes 7includ+ possible environm5tal   
causes71 diagnosis or rul+ out1 e>ly &  
ongo+ detection1 prev5tion1 int]v5tion1 
s]vices1 supports across ! lifespan =   
auti/ic individuals & c>egiv]s1 &       
treatm5t = autism spectrum disord] &    
co-occurr+ conditions1 includ+          
dissem9ation & implem5tation ( cl9ical  
c>e1 supports1 int]v5tions1 & treatm5ts2
 &  7ii7 reflects ! entire population ( 
individuals ) autism spectrum disord]1  
includ+ ! full range ( cognitive1       
communicative1 behavioral1 & adaptive   
function+1 z well z co-occurr+          
conditions & ne$s = support & s]vices1  

includ+ c>e necess>y = physical safety4 
4  7b7 ,c5t]s ( excell5ce ,section      
#dji;,c7b7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bhd;g7b77 is       
am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 by  
/rik+ prev5tion1 & treatm5t & ins]t+    
prev5tion1 s]vices1 & treatm5t2  7,b7 by
 /rik+ includ+ ! fields & ins]t+ includ+
 9 ! fields2 &  7,c7 by /rik+ behavioral
 psy*ology1 & cl9ical psy*ology & ins]t+
 behavioral psy*ology1 cl9ical          
psy*ology1 & g]ontology2  7#b7 9        
p>agraph 7#e77;,a71 by /rik+ n less ?an 
five c5t]s & ins]t+ n few] ?an six      
c5t]s2 &  7#c7 9 p>agraph 7#e77;,b71 by 
/rik+ p]iod ( n to exce$ & 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
 ,opportunities ,su* public input       
opportunities may include enc\rag+ !    
c5t]s "u subsection 7b77#a7 to e/abli%  
an ext]nal advisory bo>d or adopt+ a    
compreh5sive plan to ensure individuals 
) v>i\s backgr\nds & p]spectives are    
repres5t$1 among o!r activities4 ,su*   
opportunities %\ld consid] includ+1 z   
appropriate1 individuals1 family memb]s1
 & c>egiv]s ( individuals ) autism      
spectrum disord] :o repres5t ! entire   
population ( individuals ) autism       
spectrum disord]1 includ+ ! full range (
 cognitive1 communicative1 behavioral1 &
 adaptive function+1 to bett] in=m      
rese>* f9d+s & future /udies4  4  #c4   
,programs relat+ to autism  7a7         
,developm5tal disabilities surveillance 
& rese>* program ,section #cii;,,aa ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;i7 is am5d$-- 7#a7 9     
subsection 7b77#a71 by /rik+ & causes & 

ins]t+ causes1 & life c\rse2 &  7#b7 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$-- 7#a7 9 subsection 7a77#b71 by   
/rik+ subsequ5t int]v5tions & ins]t+    
subsequ5t int]v5tions & s]vices2  7#b7 9
 subsection 7b77#a71 by /rik+ culturally
 compet5t in=mation & ins]t+ culturally 
& l+ui/ically responsive in=mation2     
7#c7 9 subsection 7b77#b7-- 7,a7 by     
/rik+ promote rese>* & ins]t+ promote   
rese>*1 :i* may include community-bas$  
p>ticipatory rese>*12 &  7,b7 by /rik+  
scre5+ tools ea* place x appe>s & ins]t+
 scre5+ & diagno/ic tools2  7#d7 9      
subsection 7b77#c71 by /rik+ at high]   
risk & ins]t+ at increas$ likelihood2   
7#e7 9 subsection 7b77#d71 by ins]t+ 1  
:i* may include su* individuals utiliz+ 
p>5ts & gu>dians tra9$ to provide       
int]v5tions1 s]vices1 & supports be=e ! 
semicolon at ! end2  7#f7 9 subsection  

7c77#a71 by /rik+ culturally compet5t   
in=mation & ins]t+ culturally &         
l+ui/ically responsive in=mation2  7#g7 
9 subsection 7c77#b77;,a77ii7-- 7,a7 by 
/rik+ advocates1 & ins]t+ advocates1    
self-advocates12 &  7,b7 by /rik+       
culturally compet5t in=mation & ins]t+  
culturally & l+ui/ically responsive     
in=mation2  7#h7 by am5d+ p>agraph 7#a7 
( subsection 7e7 to read z foll[s3  7#a7
 ,tra9+ ,! ,secret>y1 9 coord9ation )   
activities conduct$ "u title ,v ( !     
,social ,security ,act1 %all1 subject to
 ! availability ( appropriations1 /r5g!n
 ! capacity ( exi/+ tra9+ programs &    
exp& exi/+ int]discipl9>y tra9+         
opportunities or opportunities to       
increase ! numb] ( programs t address ! 
heal? & well-be+ ( individuals :o h or  
are at increas$ likelihood = autism     
spectrum disord] & o!r neurodevelopm5tal
 disabilities across _! lifespan4       
,activities "u ! prec$+ s5t5ce %all     
include-- 7,a7 aw>d+ competitive grants 
or coop]ative agreem5ts to public or    

nonpr(it ag5cies1 includ+ in/itutions ( 
high] education1 to exp& exi/+ or       
develop new mat]nal & *ild heal?        
int]discipl9>y lead]%ip education 9     
neurodevelopm5tal & relat$ disabilities 
programs 7simil> to ! programs develop$ 
"u section #eja7;a77#b7 ( ! ,social     
,security ,act7 9 ,/ates t d n h su* a  
program2  7,b7 ensur+ t tra9ees "u su*  
tra9+ programs-- 7i7 receive an         
appropriate balance ( academic1 cl9ical1
 & community opportunities2  7ii7 are   
culturally & l+ui/ically responsive2    
7iii7 are f v>i\s backgr\nds2  7iv7     
demon/rate a capacity to evaluate1      
diagnose or rule out1 develop1 & provide
 evid5ce-bas$ int]v5tions & programs to 
individuals ) autism spectrum disord] & 
o!r developm5tal disabilities across _! 
lifespan2 &  7v7 demon/rate an ability  
to use a p]son- & family-c5t]$ approa*1 
:i* may include collaborat+ ) rese>*    
c5t]s or networks to provide tra9+ =    
provid]s ( respite c>e 7z def9$ 9       
section #bija72  7,c7 ensur+ t program  

sites provide culturally & l+ui/ically  
responsive s]vices2 &  7,d7 enc\rag+    
tra9+ programs to p>tn] ) appropriate   
entities to build community capacity4  2
  7#i7 9 subsection 7e77#b71 by add+ at 
! end ! foll[+ new subp>agraph3  7,c7   
,report ,n lat] ?an #b ye>s aft]        
,septemb] #cj1 #bjbd1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all prep>e &  
submit to ! ,committee on ,en]gy &      
,comm]ce ( ! ,h\se ( ,repres5tatives & !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate a report  
exam9+ h[ to increase ! numb] (         
developm5tal-behavioral p$iatricians1   
includ+ ?r\gh ! developm5tal behavioral 
p$iatrician tra9+ program4  2  7#aj7 9  
subsection 7f7-- 7,a7 by /rik+ promote  
rese>* & ins]t+ promote rese>*1 includ+ 
community-bas$ p>ticipatory rese>*12    
7,b7 by /rik+ physical & behavioral     
heal? ( individuals & ins]t+ physical & 
behavioral heal?1 & communication ne$s1 
( individuals2 &  7,c7 by /rik+         
dissem9ate in=mation relat$ to su*      

rese>* & guidel9es & ins]t+ dissem9ate  
in=mation relat+ to su* rese>* &        
guidel9es to improve ! quality ( life & 
long-t]m outcomes2 &  7#aa7 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 p>agraph 7#b71  
by /rik+ develop a summ>y & ins]t+      
develop & update a summ>y2  7,b7 9      
p>agraphs 7#c7 & 7#d71 by /rik+ make    
recomm5dations & ins]t+ make & update   
recomm5dations2 &  7,c7 by /rik+        
p>agraphs 7#e7 & 7#f7 & ins]t+ ! foll[+3
  7#e7 develop & update a /rategic plan 
= ! conduct (1 & support =1 autism      
spectrum disord] rese>*1 includ+ z      
practicable = s]vices & supports1 =     
individuals ) an autism spectrum disord]
 across ! lifespan ( su* individuals & !
 families ( su* individuals1 & across ! 
entire population ( individuals ) autism
 spectrum disord]1 includ+ ! full range 

( cognitive1 communicative1 behavioral1 
& adaptive function+1 z well z          
co-occurr+ conditions & ne$s = support &
 s]vices1 includ+ c>e necess>y =        
physical safety1 :i* su* plan %all      
include propos$ budget>y requirem5ts &  
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 ea* update to ! 
/rategic plan describ$ 9 p>agraph 7#e71 
includ+ any /eps t h already be5 tak5 to
 implem5t ! recomm5dations 9 su* updat$ 
/rategic plan & progress made 9 a*iev+ !
 goals outl9$ 9 su* updat$ /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$-- 7#a7 by 
/rik+ ,autism ,,c>es ,act ( #bjai ea*   
place x appe>s & ins]t+ ,autism ,,c>es  
,act ( #bjbd2  7#b7 9 subsection 7a71 by
 am5d+ p>agraph 7#a7 to read z foll[s3  
7#a7 ,9 g5]al ,n lat] ?an #d ye>s aft]  
,septemb] #cj1 #bjbd1 ! ,secret>y1 9    
consultation & coord9ation ) o!r ,f$]al 
dep>tm5ts & ag5cies t s]ve individuals )
 autism spectrum disord]1 %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 ! int]net 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+ ! full range (
 cognitive1 communicative1 behavioral1 &
 adaptive function+1 z well z co-occurr+

 conditions & ne$s = support & s]vices1 
includ+ c>e necess>y = physical safety4 
2 &  7#c7 by add+ at ! end ! foll[+3    
7c7 ,update on "y adults & y\?          
transition+ to adul?ood ,n lat] ?an #b  
ye>s aft] ! date ( enactm5t ( ! ,autism 
,,c>es ,act ( #bjbd1 ! ,secret>y1 9     
coord9ation ) o!r ,f$]al dep>tm5ts &    
ag5cies t s]ve individuals ) autism     
spectrum disord]1 %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 section #f ( 
! ,autism ,c>es ,act ( #bjad 7,public   
,law #aac-aeg7 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  7d7           
,pr(essional judgm5t budget ,= ea*      
fiscal ye> ?r\gh fiscal ye> #bjbi1 !    
,director ( ! ,national ,in/itutes (    
,heal?1 9 coord9ation ) o!r relevant    

ag5cies1 z appropriate1 %all prep>e &   
submit1 directly to ! ,presid5t = review
 & transmittal to ,congress1 aft]       
reasonable opportunity = comm5t1 b )\t  
*ange1 by ! ,secret>y & ! ,int]ag5cy    
,autism ,coord9at+ ,committee e/abli%$  
"u section #cii;,,cc7a71 an annual      
budget e/imate = c>ry+ out ! /rategic   
plan develop$ & updat$ "u section       
#cii;,,cc7b77#e74  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$ #cda1jjj1jjj 

= ea* ( fiscal ye>s #bjbe ?r\gh #bjbi4  
,am5d ! title s z to read3 ,a bill to   
am5d ! ,public ,heal? ,s]vice ,act to   
enhance & reau?orize activities &       
programs relat+ to autism spectrum      
disord]1 & = o!r purposes44 ,july #cj1  
#bjbd,report$ ) am5dm5ts1 committ$ to ! 
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$