,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #djhf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bc1 #bjbe,mr4  
,m9 7= himself1 ,ms4 ,m5g1 ,mr4         
,fitzpatrick1 ,mr4 ,cuell>1 ,mr4 ,bacon1
 ,ms4 ,salaz>1 ,mr4 ,correa1 ,mr4       
,valadao1 ,mr4 ,kri%namoor?i1 ,mr4      
,got!im]1 ,ms4 ,malliotakis1 ,ms4       
,norton1 ,mrs4 ,mc,iver1 ,mr4 ,coh51    
,mrs4 ,hayes1 ,mr4 ,mannion1 ,mr4 ,k5n$y
 ( ,new ,york1 ,mr4 ,tonko1 ,mr4        
,khanna1 ,ms4 ,mc,bride1 ,mr4 ,rask91   
,ms4 ,budz9ski1 & ,mr4 ,g>cia (         
,cali=nia7 introduc$ ! 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 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 ( #bjbe4  #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/ration 7ref]r$ to 9 ?is 
,act z ! ,secret>y71 %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]s1 = !   
purposes (--  7#a7 improv+ ! well-be+ ( 
*ildr5 ) autism spectrum disord] or     
ano!r developm5tal disability or        
developm5tal delay & _! c>egiv]s2 &     
7#b7 tea*+ family c>egiv]s 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 ,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]s2  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 )-- 7i7 community-bas$      
organizations2  7ii7 ,/ate & local e>ly 
int]v5tion provid]s2  7iii7 ,/ate plans 
7or waiv]s ( su* plans7 "u ! ,m$icaid   
program "u title ,,xix ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif et  
seq472  7iv7 ,/ate ,directors ( ,head   
,/>t ,collaboration 7z describ$ 9       
section #fdb;,b ( ! ,head ,/>t ,act 7#db
 ,u4,s4,c4 #ihcg;b772  7v7 s*ools2 &    
7vi7 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   
7e74  7c7 ,r$uc+ disp>ities ,9 aw>d+    
grants "u ?is section1 ! ,secret>y may  
consid] ! ext5t to :i* an eligible      
entity c deliv] evid5ce-bas$1 culturally
 compet5t & l+ui/ically appropriate     
in=mation to family c>egiv]s f div]se   
racial1 e?nic1 geographic1 or l+ui/ic   
backgr\nds4  7d7 ,use ( funds ,!        
recipi5t ( a grant "u ?is section %all  
use funds receiv$ ?r\gh ! grant-- 7#a7  
to provide1 at no co/ to p>ticipants--  
7,a7 evid5ce-bas$ c>egiv] skills tra9+  
to family c>egiv]s2 &  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 *all5g+ behaviors2
 &  7v7 cop+ & self-c>e /rategies =     
family c>egiv]s2 &  7#b7 to e/abli% &   
ma9ta9 a /akehold] implem5tation        
committee "u subsection 7e74  7e7       
,/akehold] implem5tation committee  7#a7

 ,9 g5]al ,an eligible entity %all      
e/abli% & ma9ta9 a /akehold]            
implem5tation committee ref]r$ to 9     
subsection 7d77#b7 to advise on ensur+ t
 ! tra9+ provid$ pursuant to ! grant is 
accessible & culturally appropriate &   
l+ui/ically appropriate4  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]s1 includ+ 
auti/ic c>egiv]s & o!r c>egiv]s )       
disabilities4  7,b7 ,p$iatric heal? c>e 
& e>ly int]v5tion provid]s1 includ+     
developm5tal behavioral p$iatricians1 ) 
exp]tise provid+ s]vices to *ildr5 )    
autism spectrum disord] or o!r          
developm5tal disabilities & delays4     
7,c7 ,educators or relat$ s]vice        
pr(essionals1 includ+ *ild c>e provid]s1
 ) exp]i5ce s]v+ *ildr5 ) autism        
spectrum disord] or o!r developm5tal    
disabilities & delays4  7,d7            

,repres5tatives ( local organizations   
famili> ) ! cultural values & priorities
 ( individuals 9 ! local community4     
7,e7 ,local gov]nm5t (ficials4  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 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$icaid program "u title ,,xix ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 or private heal?         
insurance2  7#b7 s]vices provid$ "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 ,activities ( 
! secret>y ,! ,secret>y1 act+ ?r\gh !   
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %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$ically und]s]v$    
communities 7z def9$ 9 section          
#gii;,b7#f7 ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #biep7#f7771 :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 (--  7,a7 !           
communication1 social engagem5t1 & daily
 liv+ skills ( *ildr5 ) autism spectrum 

disord] or o!r developm5tal disabilities
 & delays2 &  7,b7 ! ext5t to :i* family
 c>egiv]s see improvem5ts 9 !           
communication1 social engagem5t1 & daily
 liv+ skills ( su* *ildr52 &  7#c7      
conv5e at lea/ "o national or regional  
meet+ ( su* grant recipi5ts to discuss  
be/ practices4  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 !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives & ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate1 a report on !      
implem5tation ( ?is section4 ,su* report
 %all include--  7,a7 h[ _m grants h be5
 aw>d$2  7,b7 ! "n & location ( ! grant 
recipi5ts2  7,c7 ! communities s]v$ by !
 grants2  7,d7 a description ( ! k9d (  
activities to be c>ri$ out ) ! grants2  
7,e7 an analysis1 conduct$ by !         
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 bas$ on !       
evaluation "u subsection 7h77#b71 ( !   

effectiv5ess ( su* grants ) respect to--
 7i7 ! communication1 social engagem5t1 
& daily liv+ skills ( *ildr5 ) autism   
spectrum disord] or o!r developm5tal    
disabilities & delays2 &  7ii7 ! ext5t  
to :i* family c>egiv]s see improvem5ts 9
 ! communication1 social engagem5t1 &   
daily liv+ skills ( su* *ildr52 &  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 ! ,committee on
 ,en]gy & ,comm]ce ( ! ,h\se (          
,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate1 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  ,developm5tal   

delay  ,! t]m developm5tal delay has !  
mean+ giv5 su* t]m 9 section #fcb7c7 ( !
 ,individuals ) ,disabilities ,education
 ,act 7#bj ,u4,s4,c4 #adcb7c774  7#b7   
,developm5tal disability ,! t]m         
developm5tal disability has ! mean+ giv5
 su* t]m 9 section #ajb7h77;,a7 ( !     
,developm5tal ,disabilities ,assi/ance &
 ,bill ( ,rights ,act ( #bjjj 7#db      
,u4,s4,c4 #aejjb74  7#c7 ,eligible      
entity ,! t]m eligible entity means an  
entity t--  7,a7 is-- 7i7 a nonpr(it or 
o!r community-bas$ organization2  7ii7 a
 ,f$]ally qualifi$ heal? c5t]2  7iii7 an
 accr$it$ academic m$ical c5t]2  7iv7 a 
heal? sy/em2 or  7v7 a collaboration or 
consortium ( #b or m entities li/$ 9    
clauses 7i7 ?r\gh 7iv72  7,b7 has at    
lea/ #c ye>s ( demon/rat$ exp]i5ce-- 7i7
 deliv]+ culturally appropriate &       
l+ui/ically appropriate s]vices = *ildr5
 ) autism spectrum disord] or o!r       
developm5tal disabilities or            
developm5tal delays1 z well z           
collaborat+ directly ) _! families1     

includ+ 9 m$ically und]s]v$ communities2
  7ii7 provid+ s]vices to su* *ildr51 z 
well z collaborat+ directly ) _!        
families2  7iii7 provid+ individual     
c>egiv] coa*+ to c>egiv]s ( su* *ildr52 
&  7iv7 work+ ) self-advocates or adults
 ) autism spectrum disord] or o!r       
developm5tal disabilities or            
developm5tal delays2  7,c7 c demon/rate 
! ability to access res\rces f &        
collaborate )--  7i7 heal? c>e provid]s2
  7ii7 alli$ heal? pr(essionals2  7iii7 
educators1 includ+ *ildc>e provid]s2    
7iv7 social work]s2 &  7v7 direct c>e   
pr(essionals2 &  7,d7 has prior         
demon/rat$ exp]i5ce deliv]+ m5tal heal? 
s]vices t address bo? developm5tal      
disabilities & "o or m cooccurr+ m5tal  
heal? conditions1 includ+ depression1   
anxiety1 &                              
att5tion-deficit_/hyp]activity disord]  
7,,adhd7  7#d7 ,family c>egiv] ,! 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 ano!r        
developm5tal disability or developm5tal 
delay4  7#e7 ,f$]ally qualifi$ heal?    
c5t] ,! 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  7k7        
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjbf ?r\gh #bjcj4