,,ii  #aah? ,,congress  #a/ ,session    
,s4 #accc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bg1 #bjbc,mr4  
,m55dez 7= himself & ,ms4 ,coll9s7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,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 family 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 ( #bjbc4  #b4 ,c>egiv]   
,skills ,tra9+ ,pilot ,program  7a7     
,au?orization ,! ,secret>y %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 family c>egiv]s (      

*ildr5 ) autism spectrum disord] or o!r 
developm5tal disabilities or delays1 = !
 purposes (-- 7#a7 improv+ ! well-be+ ( 
*ildr5 & _! c>egiv]s2 &  7#b7 tea*+     
c>egiv]s ( su* *ildr5 evid5c$-bas$      
int]v5tion /rategies to promote-- 7,a7  
improvem5t 9 ! well-be+ ( su* *ildr5 &  
_! c>egiv]s2 &  7,b7 ! great] inclusion 
( su* *ildr5 9 family & community life4 
7b7 ,eligibility ,to be eligible to     
receive a grant "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    
family c>egiv]s ( *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 ,/ate ,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*  
program2 &  7,e7 e/abli%+ & ma9ta9+ a   
/akehold] implem5tation committee "u    
subsection 7f74  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]+       
culturally compet5t s]vices = *ildr5 )  
autism spectrum disord] or o!r          
developm5tal delays or disabilities1 z  
well z collaborat+ directly ) _!        
families1 includ+ 9 m$ically und]s]v$   
communities2  7ii7 provid+ s]vices to   
*ildr5 ) autism spectrum disord] or o!r 
developm5tal delays or disabilities1 z  
well z collaborat+ directly ) _!        
families2  7iii7 provid+ individual     
c>egiv] coa*+ to c>egiv]s ( *ildr5 )    
autism spectrum disord] or o!r          
developm5tal delays or disabilities2 &  
7iv7 work+ ) self-advocates or adults ) 
autism spectrum disord] or o!r          
developm5tal delays or 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 or 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$1  
culturally compet5t c>egiv] skills tra9+
 programs = *ildr5 ) autism spectrum    
disord] or o!r developm5tal delays or   
disabilities f div]se racial1 e?nic1    
geographic1 or l+ui/ic backgr\nds4  7e7 
,use ( funds ,! recipi5t ( a grant "u   
?is section %all use ! grant-- 7#a7 to  
provide1 at no or m9imal co/ to         
p>ticipants-- 7,a7 evid5ce-bas$ c>egiv] 
skills tra9+ to family c>egiv]s ( *ildr5
 ) autism spectrum disord] or o!r       
developm5tal delays or disabilities2 &  
7,b7 su* tra9+ 9 areas relat$ to        
*ildr5's le>n+ & developm5t1 includ+--  
7i7 communication skills2  7ii7 social  
engagem5t2  7iii7 daily liv+ skills2 &  
7iv7 c>egiv] response /rategies to sev]e
 & *all5g+ behaviors2 &  7#b7 to e/abli%
 & ma9ta9 a /akehold] implem5tation     

committee "u subsection 7f74  7f7       
,/akehold] implem5tation committee  7#a7
 ,9 g5]al ,z a condition on receipt ( a 
grant "u ?is section1 an eligible entity
 %all agree to use ! grant to e/abli% & 
ma9ta9 a /akehold] implem5tation        
committee to advise on ensur+ t ! tra9+ 
provid$ pursuant to ! grant is          
accessible & culturally relevant4  7#b7 
,composition ,! memb]s ( ! /akehold]    
implem5tation committee %all all be f ! 
local community s]v$ pursuant to ! grant
 7or ! relevant metropolitan /ati/ical  
area7 & %all include1 at a m9imum1 !    
foll[+3 7,a7 ,family c>egiv]s ( *ildr5 )
 autism or o!r developm5tal             
disabilities1 includ+ auti/ic c>egiv]s &
 o!r c>egiv]s ) disabilities4  7,b7     
,p$iatric heal? c>e & e>ly int]v5tion   
provid]s ) exp]i5ce provid+ s]vices to  
*ildr5 ) autism or o!r developm5tal     
delays or disabilities4  7,c7 ,educators
 ) exp]i5ce work+ ) *ildr5 ) autism or  
o!r developm5tal delays or disabilities4
  7,d7 ,repres5tatives ( local          

organizations famili> ) ! cultural      
values & priorities ( individuals 9 !   
local community4  7,e7 ,local gov]nm5t  
(ficials4  7g7 ,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  7h7 ,supplem5t n supplant       
,am\nts receiv$ ?r\gh a grant "u ?is    
section %all be us$ to supplem5t1 n     
supplant1 o!r am\nts receiv$ 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  7i7 ,activities ( 
! ,secret>y ,! ,secret>y %all-- 7#a7    

assi/ recipi5ts ( grants "u subsection  
7a7 9-- 7,a7 ! 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 ensur+ ! programs (
 ! recipi5ts assi/ m$ically und]s]v$    
communities1 :5 possible2 &  7,c7       
develop+ plans = a*iev+ su/a9ability ( !
 programs ( ! recipi5ts2  7#b7 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 or disabilities & _! family      
c>egiv]s2 &  7#c7 conv5e at lea/ "o     
national or regional meet+ ( su* grant  
recipi5ts to discuss be/ practices4  7j7
 ,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 !
 ,secret>y1 bas$ on ! evaluation "u     
subsection 7i77#b71 ( ! effectiv5ess (  
su* grants at improv+ heal? outcomes &  
quality ( life = *ildr5 ) autism or o!r 
developm5tal delays or disabilities & _!
 family c>egiv]s2 &  7,f7 be/ practices 
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  
7k7 ,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]vices1 act+ ?r\gh !           
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration4  7l7            
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #aj1jjj1jjj = ea* ( fiscal  

ye>s #bjbd ?r\gh #bjbh4