,,ii  #aahth ,,congress  #b;d ,session  
,s4 #dgfb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bd1     
#bjbd,mr4 ,lujn 7for himself and ,ms4   
,collins7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,public ,health ,service ,act 
to reauthorize programs and research    
relating to autism1 and for other       
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,autism             
,collaboration1 ,accountability1        
,research1 ,education1 and ,support ,act
 of #bjbd or the ,autism ,,cares ,act of
 #bjbd4  #b4 ,programs relating to      
autism  7a7 ,developmental disabilities 
surveillance and research program       
,section #cii;,,aa of the ,public       
,health ,service ,act 7#db ,u4,s4,c4    
#bhj;i7 is amended-- 7#a7 in subsection 
7a77#c71 by striking tribe1 or a tribal 
and inserting ,tribe1 or a ,tribal2     
7#b7 in subsection 7d77#a7-- 7,a7 in the

 paragraph heading1 by striking tribe2  
tribal and inserting ,tribe2 ,tribal2   
7,b7 by striking tribe and inserting    
,tribe2 and  7,c7 by striking tribal and
 inserting ,tribal2 and  7#c7 in        
subsection 7e71 by striking #bjbd and   
inserting #bjbi4  7b7 ,autism education1
 early detection1 and intervention      
,section #cii;,,bb of the ,public       
,health ,service ,act 7#db ,u4,s4,c4    
#bhj;i-#a7 is amended-- 7#a7 in         
subsections 7b77#a7 and 7c71 by striking
 culturally competent each place it     
appears and inserting culturally and    
linguistically appropriate2  7#b7 in    
subsection 7b7-- 7,a7 in paragraph 7#b71
 by striking screening each place it    
appears and inserting screening and     
diagnostic2  7,b7 in paragraph 7#c71 by 
striking higher risk and inserting      
increased likelihood2 and  7,c7 in      
paragraph 7#g71 by striking higher risk 
and inserting increased likelihood2     
7#c7 in subsection 7e77#b71 by adding at
 the end the following3  7,c7 ,report   

,not later than #b years after the date 
of enactment of the ,autism ,,cares ,act
 of #bjbd1 the ,secretary shall submit  
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions of the
 ,senate and the ,committee on ,energy  
and ,commerce of the ,house of          
,representatives a report that examines 
the need for developmental-behavioral   
pediatricians and the feasibility of    
expanding the developmental-behavioral  
pediatrician training programs described
 in subparagraph 7,a74  2  7#d7 by      
amending subsection 7f7 to read as      
follows3  7f7 ,intervention ,the        
,secretary shall promote research1      
through grants or contracts1 which may  
include grants or contracts to research 
centers or networks1 to-- 7#a7 develop  
and evaluate evidence-based practices   
and interventions to improve outcomes   
for individuals with autism spectrum    
disorder or other developmental         
disabilities by addressing physical and 
behavioral health and communication     

needs of such individuals across the    
lifespan2  7#b7 develop guidelines for  
such evidence-based interventions2 and  
7#c7 disseminate information related to 
such evidence-based practices and       
interventions and guidelines4  2 and    
7#e7 in subsection 7g71 by striking     
#bjbd and inserting #bjbi4  7c7         
,interagency autism coordinating        
committee ,section #cii;,,cc of the     
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bhj;i-#b7 is amended-- 7#a7  
in subsection 7b7-- 7,a7 in paragraph   
7#b71 by striking develop a summary of  
and inserting summarize1 on an annual   
basis12  7,b7 in paragraph 7#e77;,a71 by
 striking proposed budgetary            
requirements and inserting a            
professional judgment of anticipated    
budgetary needs2 and  7,c7 in paragraph 
7#f77;,b71 by striking an annual and    
inserting a biennial2 and  7#b7 in      
subsection 7f71 by striking #bjbd and   
inserting #bjbi4  7d7 ,reports to       
,congress ,section #cii;,,dd of the     

,public ,health ,service ,act 7#db      
,u4,s4,c4 #bhj;i-#c7 is amended-- 7#a7  
by striking #bjai each place it appears 
and inserting #bjbd2  7#b7 in subsection
 7a77#a7-- 7,a7 in the paragraph        
heading1 by striking ,in ,general and   
inserting ,in general2  7,b7 by striking
 ,health1 ,education1 ,labor1 and       
,pensions ,committee of the ,senate and 
the ,energy and ,commerce ,committee and
 inserting ,committee on ,health1       
,education1 ,labor1 and ,pensions of the
 ,senate and the ,committee on ,energy  
and ,commerce2 and  7,c7 by striking    
,internet ,web site and inserting       
website2 and  7#c7 by adding at the end 
the following3  7c7 ,update on young    
adults and youth transitioning to       
adulthood ,not later than #b years after
 the date of enactment of the ,autism   
,,cares ,act of #bjbd1 the ,secretary1  
in coordination with other ,federal     
departments and agencies that serve     
individuals with autism spectrum        
disorder1 shall prepare and submit to   

the ,committee on ,health1 ,education1  
,labor1 and ,pensions of the ,senate and
 the ,committee on ,energy and ,commerce
 of the ,house of ,representatives an   
update to the report required pursuant  
to subsection 7b7 of this section1 as   
added by section #f of the ,autism      
,,cares ,act of #bjad and in effect     
before the date of enactment of the     
,autism ,,cares ,act of #bjai1          
concerning young adults with autism     
spectrum disorder and the challenges    
related to the transition from existing 
school-based services to services       
available during adulthood4  4  7e7     
,authorization of appropriations        
,section #cii;,,ee of the ,public       
,health ,service ,act 7#db ,u4,s4,c4    
#bhj;i-#d7 is amended-- 7#a7 in         
subsection 7a71 by striking #bc1ajj1jjj 
for each of fiscal years #bjbj through  
#bjbd and inserting #bh1ajj1jjj for each
 of fiscal years #bjbe through #bjbi2   
7#b7 in subsection 7b71 by striking     
#ej1eii1jjj for each of fiscal years    

#bjbj through #bjbd and inserting       
#ef1cdd1jjj for each of fiscal years    
#bjbe through #bjbi2 and  7#c7 in       
subsection 7c71 by striking #bif1jjj1jjj
 for each of fiscal years #bjbj through 
#bjbd and inserting #cjf1jjj1jjj for    
each of fiscal years #bjbe through      
#bjbi4  #c4 ,expansion1 intensification1
 and coordination of activities of      
,national ,institutes of ,health with   
respect to research on autism spectrum  
disorder ,section #dji;,c of the ,public
 ,health ,service ,act 7#db ,u4,s4,c4   
#bhd;g7 is amended-- 7#a7 in subsection 
7a7-- 7,a7 in paragraph 7#a7-- 7i7 by   
striking including pathology and        
inserting such as pathology2 and  7ii7  
by inserting psychiatry1 psychology1    
gerontology1 developmental behavioral   
pediatrics1 audiology1 after            
toxicology12 and  7,b7 by adding at the 
end the following3  7#d7 ,considerations
 ,in carrying out this section1 the     
,director shall take into consideration 
the various needs of individuals with   

autism spectrum disorder with respect to
 services and supports and addressing   
co-occurring conditions4  2 and  7#b7 in
 subsection 7b7-- 7,a7 in paragraph     
7#b71 by inserting gerontology1 after   
behavioral psychology12 and  7,b7 in    
paragraph 7#e77;,b71 by striking period 
of and inserting period4  #d4 ,technical
 assistance to improve access to        
communication tools  7a7 ,in general    
,the ,secretary of ,health and ,human   
,services 7referred to in this section  
as the ,secretary7 may1 at the request  
of a ,state1 ,indian ,tribe or ,tribal  
organization1 locality1 or territory1   
provide training and technical          
assistance to such jurisdiction on the  
manner in which ,federal funding        
administered by the ,secretary may be   
used to provide individuals with autism 
spectrum disorder and other             
developmental disabilities with access  
to evidence-based services1 tools1 and  
technologies that support communication 
needs4  7b7 ,annual report ,the         

,secretary shall annually prepare and   
submit to the ,committee on ,health1    
,education1 ,labor1 and ,pensions of the
 ,senate and the ,committee on          
,education and the ,workforce and the   
,committee on ,energy and ,commerce of  
the ,house of ,representatives a report 
summarizing any technical assistance    
provided by the ,secretary in the       
preceding fiscal year under subsection  
7a7 and any advancements in the         
development or evaluation of such       
evidence-based services1 tools1 and     
technologies4