,,ii  #aai? ,,congress  #a/ ,session    
,s4 #aci  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #af1 #bjbe,ms4 
,murk[ski 7= h]self1 ,ms4 ,klobu*>1 ,mr4
 ,k+1 ,ms4 ,hirono1 ,mr4 ,moran1 ,ms4   
,baldw91 ,ms4 ,cantwell1 & ,mr4 ,cram]7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to reau?orize & ext5d !    
,fetal ,alcohol ,spectrum ,disord]s     
,prev5tion & ,s]vices program1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,advanc+ ,,fasd ,rese>*1   
,s]vices & ,prev5tion ,act or ! ,,fasd  
,respect ,act4  #b4 ,support =          
individuals & families impact$ by fetal 
alcohol spectrum disord]  7a7 ,9 g5]al  
,"p ,o ( title ,,iii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhj;f et   
seq47 is am5d$-- 7#a7 by am5d+ ! "p     
head+ to read z foll[s3 ,fetal ,alcohol 
,spectrum ,disord]s ,prev5tion &        
,s]vices ,program2  7#b7 9 section      

#cii;,h 7#db ,u4,s4,c4 #bhj;f7-- 7,a7 9 
! section head+1 by /rik+ ,e/abli%m5t ( 
fetal alcohol syndrome prev5tion &      
ins]t+ ,fetal alcohol spectrum disord]s 
prev5tion1 int]v5tion12  7,b7 by /rik+  
,fetal ,alcohol ,syndrome & ,fetal      
,alcohol ,effect ea* place x appe>s &   
ins]t+ ,,fasd2  7,c7 9 subsection 7a7-- 
7i7 by am5d+ ! head+ to read z foll[s3  
,9 g5]al2  7ii7 9 ! matt] prec$+        
p>agraph 7#a7-- 7,i7 by ins]t+ or       
cont9ue activities to support aft] %all 
e/abli%2  7,,ii7 by /rik+ ,,fasd 7z     
am5d$ by subp>agraph 7,b77 & ins]t+     
fetal alcohol spectrum disord]s 7ref]r$ 
to 9 ?is section z ,,fasd72  7,,iii7 by 
/rik+ prev5tion1 int]v5tion & ins]t+    
aw>5ess1 prev5tion1 id5tification1      
int]v5tion12 &  7,,iv7 by /rik+ t %all &
 ins]t+ 1 :i* may2  7iii7 9 p>agraph    
7#a7-- 7,i7 9 subp>agraph 7,a7-- 7aa7 by
 /rik+ m$ical s*ools & ins]t+ heal?     
pr(essions s*ools2 &  7bb7 by ins]t+    
infants1 aft] provision ( s]vices =2 &  
7,,ii7 9 subp>agraph 7,d71 by /rik+     

m$ical & m5tal & ins]t+ ag5cies provid+2
  7iv7 9 p>agraph 7#b7-- 7,i7 9 ! matt] 
prec$+ subp>agraph 7,a71 by /rik+ a     
prev5tion & diagnosis program to support
 cl9ical /udies1 demon/rations & o!r    
rese>* z appropriate & ins]t+ support+ &
 conduct+ rese>* on ,,fasd1 z           
appropriate1 includ+2  7,,ii7 9         
subp>agraph 7,b7-- 7aa7 by /rik+        
prev5tion s]vices & int]v5tions =       
pregnant1 alcohol-dep5d5t wom5 & ins]t+ 
culturally & l+ui/ically appropriate    
evid5ce-bas$ or evid5ce-in=m$           
int]v5tions & appropriate societal      
supports = prev5t+ pr5atal alcohol      
exposure1 :i* may co-occur ) exposure to
 o!r sub/ances2 &  7bb7 by /rik+ 2 & &  
ins]t+ a semicolon2  7v7 by /rik+       
p>agraph 7#c7 & ins]t+ ! foll[+3  7#c7  
integrat+ into surveillance a case      
def9ition = ,,fasd &1 9 collaboration ) 
o!r ,f$]al & outside p>tn]s1 support+   
organizations ( appropriate m$ical &    
m5tal heal? pr(essionals 9 _! developm5t
 & ref9em5t ( evid5ce-bas$ cl9ical      

diagno/ic guidel9es & crit]ia = all     
,,fasd2 &  7#d7 build+ ,/ate & ,tribal  
capacity = ! id5tification1 treatm5t1 & 
support ( individuals ) ,,fasd & _!     
families1 :i* may include-- 7,a7 utiliz+
 & adapt+ exi/+ ,f$]al1 ,/ate1 or       
,tribal programs to include ,,fasd      
id5tification & ,,fasd-in=m$ support2   
7,b7 develop+ & exp&+ scre5+ & diagno/ic
 capacity = ,,fasd2  7,c7 develop+1     
implem5t+1 & evaluat+ t>get$            
,,fasd-in=m$ int]v5tion programs =      
,,fasd2  7,d7 increas+ aw>5ess ( ,,fasd2
  7,e7 provid+ tra9+ ) respect to ,,fasd
 = pr(essionals across relevant sectors2
 &  7,f7 dissem9at+ in=mation ab\t      
,,fasd & support s]vices to affect$     
individuals & _! families4  2  7,d7 9   
subsection 7b7-- 7i7 by /rik+ describ$ 9
 section #cii;,i2  7ii7 by /rik+ ,!     
,secret>y & ins]t+ ! foll[+3  7#a7 ,9   
g5]al ,! ,secret>y  2 &  7iii7 by add+  
at ! end ! foll[+3  7#b7 ,eligible      
entities ,to be eligible to receive a   
grant1 or ent] into a coop]ative        

agreem5t or contract1 "u ?is section1 an
 entity %all-- 7,a7 be a ,/ate1 ,indian 
,tribe or ,tribal organization1 local   
gov]nm5t1 sci5tific or academic         
in/itution1 or nonpr(it organization2 & 
7,b7 prep>e & submit to ! ,secret>y an  
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require1 includ+ a description ( !      
activities t ! entity int5ds to c>ry out
 us+ am\nts receiv$ "u ?is section4     
7#c7 ,additional application cont5ts ,! 
,secret>y may require t an eligible     
entity include 9 ! application submitt$ 
"u p>agraph 7#b77;,b7-- 7,a7 a          
designation ( an individual to s]ve z a 
,,fasd ,/ate or ,tribal coord9ator (    
activities su* eligible entity proposes 
to c>ry out ?r\gh a grant1 coop]ative   
agreem5t1 or contract "u ?is section2 & 
7,b7 a description ( an advisory        
committee ! entity w e/abli% to provide 
guidance = ! entity on develop+ &       
implem5t+ a /atewide or ,tribal /rategic
 plan to prev5t ,,fasd & provide = !    

id5tification1 treatm5t1 & support (    
individuals ) ,,fasd & _! families4  2 &
  7,e7 by /rik+ subsections 7c7 & 7d72 &
  7,f7 by add+ at ! end ! foll[+3  7c7  
,def9ition ( ,,fasd-,in=m$ ,= purposes (
 ?is section1 ! t]m ,,fasd-in=m$1 )     
respect to support or an int]v5tion     
program1 means t su* support or         
int]v5tion program uses culturally &    
l+ui/ically in=m$ evid5ce-bas$ or       
practice-bas$ int]v5tions & appropriate 
societal supports to support an improv$ 
quality ( life = an individual ) ,,fasd 
& ! family ( su* individual4  2 &  7#c7 
by /rik+ sections #cii;,i1 #cii;,j1 &   
#cii,k 7#db ,u4,s4,c4 #bhj;f-#a1        
#bhj;f-#b1 #bhj;f-#c7 & ins]t+ ! foll[+3
  #cii;,i4 ,fetal alcohol spectrum      
disord]s ,c5t]s = ,excell5ce  7a7 ,9    
g5]al ,! ,secret>y %all1 z appropriate1 
aw>d grants1 coop]ative agreem5ts1 or   
contracts to public or nonpr(it private 
entities ) demon/rat$ exp]tise 9 !      
prev5tion (1 id5tification (1 &         
int]v5tion s]vices ) respect to1 fetal  

alcohol spectrum disord]s 7ref]r$ to 9  
?is section z ,,fasd7 & o!r relat$      
adv]se conditions4 ,su* aw>ds %all be = 
! purposes ( e/abli%+ ,fetal ,alcohol   
,spectrum ,disord]s ,c5t]s = ,excell5ce 
to build local1 ,tribal1 ,/ate1 &       
nationwide capacities to prev5t !       
occurr5ce ( ,,fasd & o!r relat$ adv]se  
conditions1 & to respond to ! ne$s (    
individuals ) ,,fasd & _! families by   
c>ry+ out ! programs describ$ 9         
subsection 7b74  7b7 ,programs ,an      
entity receiv+ an aw>d "u subsection 7a7
 may use su* aw>d = ! foll[+ purposes3  
7#a7 ,initiat+ or exp&+ diagno/ic       
capacity = ,,fasd by increas+ scre5+1   
assessm5t1 id5tification1 & diagnosis4  
7#b7 ,develop+ & support+ public aw>5ess
 & outrea* activities1 includ+ ! use ( a
 range ( m$ia & public outrea*1 to raise
 public aw>5ess ( ! risks associat$ )   
alcohol consumption dur+ pregnancy1 ) ! 
goals ( r$uc+ ! preval5ce ( ,,fasd &    
improv+ ! developm5tal1 heal? 7includ+  
m5tal heal?71 & educational outcomes (  

individuals ) ,,fasd & support+ families
 c>+ = individuals ) ,,fasd4  7#c7 ,act+
 z a cle>+h\se = evid5ce-bas$ res\rces  
on ,,fasd prev5tion1 id5tification1 &   
culturally & l+ui/ically appropriate be/
 practices1 includ+ ! ma9t5ance ( a     
national data-bas$ directory on         
,,fasd-specific s]vices 9 ,/ates1       
,indian ,tribes1 & local communities1 & 
dissem9at+ ongo+ rese>* & develop+      
res\rces on ,,fasd to help in=m sy/ems (
 c>e = individuals ) ,,fasd across _!   
lifespan4  7#d7 ,increas+ aw>5ess &     
und]/&+ ( efficaci\s1 evid5ce-bas$      
scre5+ tools & culturally & l+ui/ically 
appropriate evid5ce-bas$ int]v5tion     
s]vices & be/ practices1 :i* may include
 by conduct+ nationwide1 regional1      
,/ate1 ,tribal1 or pe] cross-,/ate      
web9>s1 work%ops1 or conf]5ces = tra9+  
community lead]s1 m$ical & m5tal heal? &
 sub/ance use disord] pr(essionals1     
education & disability pr(essionals1    
families1 law en=cem5t p]sonnel1 judges1
 individuals work+ 9 f9ancial assi/ance 

programs1 social s]vice p]sonnel1 *ild  
welf>e pr(essionals1 & o!r s]vice       
provid]s4  7#e7 ,improv+ capacity =     
,/ate1 ,tribal1 & local affiliates      
d$icat$ to ,,fasd aw>5ess1 prev5tion1 & 
id5tification & family & individual     
support programs & s]vices4  7#f7       
,provid+ te*nical assi/ance to recipi5ts
 ( grants1 coop]ative agreem5ts1 or     
contracts "u section #cii;,h1 z         
appropriate4  7#g7 ,c>ry+ out o!r       
functions1 z appropriate4  7c7          
,application ,to be eligible = a grant1 
contract1 or coop]ative agreem5t "u ?is 
section1 an entity %all submit to !     
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7d7             
,subcontract+ ,a public or private      
nonpr(it entity may c>ry out ! foll[+   
activities requir$ "u ?is section ?r\gh 
contracts or coop]ative agreem5ts ) o!r 
public & private nonpr(it entities )    
demon/rat$ exp]tise 9 ,,fasd3 7#a7      
,prev5tion activities4  7#b7 ,scre5+ &  

id5tification4  7#c7 ,res\rce developm5t
 & dissem9ation1 tra9+ & te*nical       
assi/ance1 adm9i/ration1 & support (    
,,fasd p>tn] networks4  7#d7 ,int]v5tion
 & treatm5t s]vices4  #cii;,j4          
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is "p su* sums z may be necess>y = ea* 
( fiscal ye>s #bjbe ?r\gh #bjbi4  4  7b7
 ,report ,n lat] ?an #d ye>s aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vices %all submit to 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report on !   
ef=ts ( ! ,dep>tm5t ( ,heal? & ,human   
,s]vices to advance public aw>5ess (1 & 
facilitate ! id5tification ( be/        
practices relat$ to1 fetal alcohol      
spectrum disord]s id5tification1        
prev5tion1 treatm5t1 & support4  7c7    
,te*nical am5dm5t ,section #eai;,d ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb-#be;d7 is repeal$4