I 

113TH CONGRESS 

2D SESSION H. R. 4631 

To reauthorize certain provisions of the Public Health Service Act relating 

to autism, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 9, 2014 

Mr. SMITH of New Jersey (for himself, Mr. DOYLE, Mrs. MCMORRIS RODGERS, Mr. VAN HOLLEN, Mr. SESSIONS, Mr. WOLF, Mr. STIVERS, Mr. 

MEEHAN, Mr. MORAN, Mrs. BLACKBURN, Mr. MILLER of Florida, Mrs. 

WALORSKI, Mr. LARSON of Connecticut, Ms. JACKSON LEE, Mr. HARPER, Mr. LANCE, Mr. MEADOWS, Mr. MARINO, Mr. DEUTCH, Mr. ROONEY, Mr. POMPEO, Mr. ADERHOLT, Mr. BACHUS, Mr. GIBSON, Mrs. 

MILLER of Michigan, Mr. YOUNG of Alaska, Mr. KING of New York, Ms. 

SHEA-PORTER, Ms. DELAURO, Mr. MURPHY of Pennsylvania, Mr. 

FITZPATRICK, Mr. TERRY, Mr. KELLY of Pennsylvania, Mr. YODER, and 

Mr. MATHESON) introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

A BILL 

To reauthorize certain provisions of the Public Health 

Service Act relating to autism, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Combating Autism Re5 authorization Act of 2014’’. 


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1 SEC. 2. REAUTHORIZATION OF PROGRAMS RELATING TO 

2 AUTISM. 

3 (a) NATIONAL AUTISM SPECTRUM DISORDER INITIA4 TIVE.—Part R of title III of the Public Health Service 

5 Act (42 U.S.C. 280i et seq.) is amended— 

6 (1) by redesignating sections 399AA through 

7 399EE as sections 399BB through 399FF, respec8 tively; and 

9 (2) by inserting before section 399BB, as redes10 ignated, the following: 

11 ‘‘SEC. 399AA. NATIONAL AUTISM SPECTRUM DISORDER INI12 TIATIVE. 

13 ‘‘(a) ESTABLISHMENT.—For the purposes described 

14 in subsection (b), the Secretary shall designate an official 

15 within the Department of Health and Human Services to 

16 establish and oversee a National Autism Spectrum Dis17 order Initiative (in this section referred to as the ‘Initia18 tive’). 

19 ‘‘(b) PURPOSES.—The purposes of the Initiative shall 

20 be— 

21 ‘‘(1) to implement a strategic plan for the con22 duct of, and support for, autism spectrum disorder 

23 research, taking into account the strategic plan de24 veloped by the Interagency Autism Coordinating 

25 Committee under section 399DD(b); and 


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1 ‘‘(2) to ensure that autism spectrum disorder 

2 research programs and activities of the Department 

3 of Health and Human Services are not unnecessarily 

4 duplicative of other Federal research programs and 

5 activities.’’. 

6 (b) DEVELOPMENTAL DISABILITIES SURVEILLANCE

7 AND RESEARCH PROGRAM.—Section 399BB of the Public 

8 Health Service Act (42 U.S.C. 280i), as redesignated, is 

9 amended— 

10 (1) in subsection (a), by inserting ‘‘for children 

11 and adults’’ after ‘‘reporting of State epidemiological 

12 data’’; 

13 (2) in subsection (b)(1), by striking ‘‘establish14 ment of regional centers of excellence’’ and inserting 

15 ‘‘establishment or support of regional centers of ex16 cellence’’; 

17 (3) in subsection (b)(2), by striking ‘‘center to 

18 be established’’ and inserting ‘‘center to be estab19 lished or supported’’; and 

20 (4) in subsection (e), by striking ‘‘2014’’ and 

21 inserting ‘‘2019’’. 

22 (c) AUTISM EDUCATION, EARLY DETECTION, AND

23 INTERVENTION.—Section 399CC(g) of the Public Health 

24 Service Act (42 U.S.C. 280i–1), as redesignated, is 

25 amended by striking ‘‘2014’’ and inserting ‘‘2019’’. 


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1 (d) INTERAGENCY AUTISM COORDINATING COM2 MITTEE.— 

3 (1) APPOINTMENT OF MEMBERS BY CONGRES4 SIONAL LEADERS.—Section 399DD(c)(1) of the 

5 Public Health Service Act (42 U.S.C. 280i–2(c)(1)), 

6 as redesignated, is amended— 

7 (A) in subparagraph (D), by striking 

8 ‘‘and’’ at the end; 

9 (B) by redesignating subparagraph (E) as 

10 subparagraph (I); and 

11 (C) by inserting after subparagraph (D) 

12 the following: 

13 ‘‘(E) one member appointed by the Speak14 er of the House of Representatives; 

15 ‘‘(F) one member appointed by the major16 ity leader of the Senate; 

17 ‘‘(G) one member appointed by the minor18 ity leader of the House of Representatives; 

19 ‘‘(H) one member appointed by the minor20 ity leader of the Senate; and’’. 

21 (2) PREVENTING DUPLICATION.—Section 

22 399DD(b) of the Public Health Service Act (42 

23 U.S.C. 280i–2(b)), as redesignated, is amended— 

24 (A) in paragraph (5), by striking ‘‘and’’ at 

25 the end; 


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1 (B) by redesignating paragraph (6) as 

2 paragraph (7); and 

3 (C) by inserting after paragraph (5) the 

4 following: 

5 ‘‘(6) include in such strategic plan rec6 ommendations to ensure that autism spectrum dis7 order research programs and activities of the De8 partment of Health and Human Services are not un9 necessarily duplicative of other Federal research pro10 grams and activities; and’’. 

11 (3) EXTENSION OF SUNSET PROVISION.—Sec12 tion 399DD(f) of the Public Health Service Act (42 

13 U.S.C. 280i–2), as redesignated, is amended by 

14 striking ‘‘2014’’ and inserting ‘‘2019’’. 

15 (e) REPORT TO CONGRESS.—Section 399EE of the 

16 Public Health Service Act (42 U.S.C. 280i–3), as redesig17 nated, is amended— 

18 (1) in subsection (a), by striking ‘‘Combating 

19 Autism Reauthorization Act of 2011’’ and inserting 

20 ‘‘Combating Autism Reauthorization Act of 2014’’; 

21 and 

22 (2) in subsection (b)— 

23 (A) in paragraph (1), by striking ‘‘provi24 sions of the Combating Autism Act of 2006’’ 


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1 and inserting ‘‘provisions of this part, section 

2 404H, and section 409C’’; 

3 (B) in paragraph (2), by striking ‘‘provi4 sions of Combating Autism Act of 2006’’ and 

5 inserting ‘‘provisions of this part, section 404H, 

6 and section 409C’’; 

7 (C) in paragraph (3), by striking ‘‘Com8 bating Autism Act of 2006’’ and inserting 

9 ‘‘Combating Autism Reauthorization Act of 

10 2011’’; 

11 (D) in paragraphs (4) and (5), by striking 

12 ‘‘over the 6-year period beginning on’’ each 

13 place it appears and inserting ‘‘since’’; 

14 (E) in paragraph (8), by striking ‘‘and’’ at 

15 the end; 

16 (F) in paragraph (9), by striking the pe17 riod at the end and inserting ‘‘; and’’; and 

18 (G) by adding at the end the following: 

19 ‘‘(10) a description of the actions taken to im20 plement, and the progress made on implementation, 

21 of the strategic plan developed by the Interagency 

22 Autism Coordinating Committee.’’. 

23 (f) AUTHORIZATION OF APPROPRIATIONS.—Section 

24 399FF of the Public Health Service Act (42 U.S.C. 280i– 

25 4), as redesignated, is amended— 


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1 (1) in subsection (a)— 

2 (A) by striking ‘‘399AA’’ and inserting 

3 ‘‘399BB’’; and 

4 (B) by striking ‘‘fiscal years 2012 through 

5 2014’’ and inserting ‘‘fiscal years 2015 through 

6 2019’’; 

7 (2) in subsection (b)— 

8 (A) by striking ‘‘399BB’’ and inserting 

9 ‘‘399CC’’; and 

10 (B) by striking ‘‘fiscal years 2011 through 

11 2014’’ and inserting ‘‘fiscal years 2015 through 

12 2019’’; and 

13 (3) in subsection (c)— 

14 (A) by striking ‘‘399CC’’ and inserting 

15 ‘‘399DD’’; and 

16 (B) by striking ‘‘$161,000,000 for each of 

17 fiscal years 2011 through 2014’’ and inserting 

18 ‘‘$190,000,000 for each of fiscal years 2015 

19 through 2019’’. 

20 SEC. 3. REPORT TO CONGRESS ON DEMOGRAPHICS AND 

21 NEEDS OF ADULTS WITH AUTISM SPECTRUM 

22 DISORDER. 

23 (a) IN GENERAL.—Not later than 24 months after 

24 the date of enactment of this Act, the Comptroller General 

25 of the United States shall complete a study and submit 


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1 to the Congress a report on the demographics and needs, 

2 if any, of individuals in the United States with an autism 

3 spectrum disorder (in this section referred to as ‘‘ASD’’). 

4 (b) ISSUES TO BE ADDRESSED.—The study and re5 port under subsection (a) shall— 

6 (1) address the demographics of individuals 

7 with ASD making the transition from a school-based 

8 support system to adulthood; 

9 (2) address the needs, if any, of adults with 

10 ASD with respect to— 

11 (A) community integration; 

12 (B) housing and residential supports; 

13 (C) employment; 

14 (D) transportation; 

15 (E) vocational training and rehabilitation; 

16 (F) continued education; 

17 (G) health care and social services; 

18 (H) speech therapy; 

19 (I) public safety; and 

20 (J) day habilitation activities, including 

21 those to provide a safe, respectful, and stimu22 lating environment that allows participants to 

23 become active members of their community; 

24 (3) provide an overview of Federal, State, and 

25 local government policies and programs, and any 


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1 available private (including private nonprofit) sector 

2 assistance, for addressing the needs identified in 

3 paragraph (2); and 

4 (4) provide policy recommendations to— 

5 (A) improve outcomes for adults with ASD 

6 making the transition from a school-based sup7 port system to adulthood; 

8 (B) enhance the effectiveness of the poli9 cies, programs, and assistance described in 

10 paragraph (3); 

11 (C) ensure integration of and collaboration 

12 among services for addressing the needs of 

13 adults with ASD; and 

14 (D) encourage independent living, equal 

15 opportunity, full participation, and economic 

16 self-sufficiency. 

17 (c) SURVEY.— 

18 (1) IN GENERAL.—In carrying out this section, 

19 the Comptroller General shall conduct a survey of 

20 public and private sector stakeholders on— 

21 (A) the needs, if any, of adults with ASD; 

22 (B) the services and resources available for 

23 addressing such needs; and 

24 (C) the effectiveness of such services and 

25 resources. 


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1 (2) STAKEHOLDERS.—The stakeholders to be 

2 surveyed under paragraph (1) include the following: 

3 (A) Individuals from the business commu4 nity representing both large and small busi5 nesses. 

6 (B) Institutions of higher education, com7 munity colleges, vocational schools, and univer8 sity centers for excellence in developmental dis9 abilities. 

10 (C) Social service providers, including case 

11 management experts and health care providers. 

12 (D) Vocational rehabilitation experts. 

13 (E) State and local housing departments 

14 and nonprofit organizations that provide hous15 ing services for individuals with disabilities. 

16 (F) Individuals with ASD, parents of indi17 viduals with ASD, and representatives from ad18 vocacy groups that focus on individuals with 

19 ASD. 

20 (G) Officials or employees of the Federal 

21 Government responsible for overseeing disability 

22 services at each of the following departments 

23 and agencies: 

24 (i) The Department of Health and 

25 Human Services, including the AdministraVerDate Mar 15 2010 22:03 May 16, 2014 Jkt 039200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H4631.IH H4631

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1 tion for Children and Families, the Centers 

2 for Disease Control and Prevention, the 

3 Centers for Medicare & Medicaid Services, 

4 the Health Resources and Services Admin5 istration, and the Administration for Com6 munity Living. 

7 (ii) The Department of Education. 

8 (iii) The Department of Housing and 

9 Urban Development. 

10 (iv) The Department of Labor. 

11 (v) The Department of Justice. 

12 (vi) The Department of Transpor13 tation. 

14 (vii) Any other Federal departments 

15 and agencies determined appropriate by 

16 the Comptroller General. 

Æ 


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