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 ROD-
GERS, 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. HAR-
PER, Mr. LANCE, Mr. MEADOWS, Mr. MARINO, Mr. DEUTCH, Mr. ROO-
NEY, 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Combating Autism Re-
authorization Act of 2014’’. 
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SEC. 2. REAUTHORIZATION OF PROGRAMS RELATING TO 
AUTISM. 
(a) NATIONAL AUTISM SPECTRUM DISORDER INITIA-
TIVE.—Part R of title III of the Public Health Service 
Act (42 U.S.C. 280i et seq.) is amended— 
(1) by redesignating sections 399AA through 
399EE as sections 399BB through 399FF, respec-
tively; and 
(2) by inserting before section 399BB, as redes-
ignated, the following: 
‘‘SEC. 399AA. NATIONAL AUTISM SPECTRUM DISORDER INI-
TIATIVE. 
‘‘(a) ESTABLISHMENT.—For the purposes described 
in subsection (b), the Secretary shall designate an official 
within the Department of Health and Human Services to 
establish and oversee a National Autism Spectrum Dis-
order Initiative (in this section referred to as the ‘Initia-
tive’). 
‘‘(b) PURPOSES.—The purposes of the Initiative shall 
be— 
‘‘(1) to implement a strategic plan for the con-
duct of, and support for, autism spectrum disorder 
research, taking into account the strategic plan de-
veloped by the Interagency Autism Coordinating 
Committee under section 399DD(b); and 
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‘‘(2) to ensure that autism spectrum disorder 
research programs and activities of the Department 
of Health and Human Services are not unnecessarily 
duplicative of other Federal research programs and 
activities.’’. 
(b) DEVELOPMENTAL DISABILITIES SURVEILLANCE 
AND RESEARCH PROGRAM.—Section 399BB of the Public 
Health Service Act (42 U.S.C. 280i), as redesignated, is 
amended— 
(1) in subsection (a), by inserting ‘‘for children 
and adults’’ after ‘‘reporting of State epidemiological 
data’’; 
(2) in subsection (b)(1), by striking ‘‘establish-
ment of regional centers of excellence’’ and inserting 
‘‘establishment or support of regional centers of ex-
cellence’’; 
(3) in subsection (b)(2), by striking ‘‘center to 
be established’’ and inserting ‘‘center to be estab-
lished or supported’’; and 
(4) in subsection (e), by striking ‘‘2014’’ and 
inserting ‘‘2019’’. 
(c) AUTISM EDUCATION, EARLY DETECTION, AND 
INTERVENTION.—Section 399CC(g) of the Public Health 
Service Act (42 U.S.C. 280i–1), as redesignated, is 
amended by striking ‘‘2014’’ and inserting ‘‘2019’’. 
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(d) INTERAGENCY AUTISM COORDINATING COM-
MITTEE.— 
(1) APPOINTMENT OF MEMBERS BY CONGRES-
SIONAL
LEADERS.—Section 399DD(c)(1) of the 
Public Health Service Act (42 U.S.C. 280i–2(c)(1)), 
as redesignated, is amended— 
(A) in subparagraph (D), by striking 
‘‘and’’ at the end; 
(B) by redesignating subparagraph (E) as 
subparagraph (I); and 
(C) by inserting after subparagraph (D) 
the following: 
‘‘(E) one member appointed by the Speak-
er of the House of Representatives; 
‘‘(F) one member appointed by the major-
ity leader of the Senate; 
‘‘(G) one member appointed by the minor-
ity leader of the House of Representatives; 
‘‘(H) one member appointed by the minor-
ity leader of the Senate; and’’. 
(2) 
PREVENTING
DUPLICATION.—Section 
399DD(b) of the Public Health Service Act (42 
U.S.C. 280i–2(b)), as redesignated, is amended— 
(A) in paragraph (5), by striking ‘‘and’’ at 
the end; 
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(B) by redesignating paragraph (6) as 
paragraph (7); and 
(C) by inserting after paragraph (5) the 
following: 
‘‘(6) include in such strategic plan rec-
ommendations to ensure that autism spectrum dis-
order research programs and activities of the De-
partment of Health and Human Services are not un-
necessarily duplicative of other Federal research pro-
grams and activities; and’’. 
(3) EXTENSION OF SUNSET PROVISION.—Sec-
tion 399DD(f) of the Public Health Service Act (42 
U.S.C. 280i–2), as redesignated, is amended by 
striking ‘‘2014’’ and inserting ‘‘2019’’. 
(e) REPORT TO CONGRESS.—Section 399EE of the 
Public Health Service Act (42 U.S.C. 280i–3), as redesig-
nated, is amended— 
(1) in subsection (a), by striking ‘‘Combating 
Autism Reauthorization Act of 2011’’ and inserting 
‘‘Combating Autism Reauthorization Act of 2014’’; 
and 
(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘provi-
sions of the Combating Autism Act of 2006’’ 
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and inserting ‘‘provisions of this part, section 
404H, and section 409C’’; 
(B) in paragraph (2), by striking ‘‘provi-
sions of Combating Autism Act of 2006’’ and 
inserting ‘‘provisions of this part, section 404H, 
and section 409C’’; 
(C) in paragraph (3), by striking ‘‘Com-
bating Autism Act of 2006’’ and inserting 
‘‘Combating Autism Reauthorization Act of 
2011’’; 
(D) in paragraphs (4) and (5), by striking 
‘‘over the 6-year period beginning on’’ each 
place it appears and inserting ‘‘since’’; 
(E) in paragraph (8), by striking ‘‘and’’ at 
the end; 
(F) in paragraph (9), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(G) by adding at the end the following: 
‘‘(10) a description of the actions taken to im-
plement, and the progress made on implementation, 
of the strategic plan developed by the Interagency 
Autism Coordinating Committee.’’. 
(f) AUTHORIZATION OF APPROPRIATIONS.—Section 
399FF of the Public Health Service Act (42 U.S.C. 280i– 
4), as redesignated, is amended— 
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(1) in subsection (a)— 
(A) by striking ‘‘399AA’’ and inserting 
‘‘399BB’’; and 
(B) by striking ‘‘fiscal years 2012 through 
2014’’ and inserting ‘‘fiscal years 2015 through 
2019’’; 
(2) in subsection (b)— 
(A) by striking ‘‘399BB’’ and inserting 
‘‘399CC’’; and 
(B) by striking ‘‘fiscal years 2011 through 
2014’’ and inserting ‘‘fiscal years 2015 through 
2019’’; and 
(3) in subsection (c)— 
(A) by striking ‘‘399CC’’ and inserting 
‘‘399DD’’; and 
(B) by striking ‘‘$161,000,000 for each of 
fiscal years 2011 through 2014’’ and inserting 
‘‘$190,000,000 for each of fiscal years 2015 
through 2019’’. 
SEC. 3. REPORT TO CONGRESS ON DEMOGRAPHICS AND 
NEEDS OF ADULTS WITH AUTISM SPECTRUM 
DISORDER. 
(a) IN GENERAL.—Not later than 24 months after 
the date of enactment of this Act, the Comptroller General 
of the United States shall complete a study and submit 
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to the Congress a report on the demographics and needs, 
if any, of individuals in the United States with an autism 
spectrum disorder (in this section referred to as ‘‘ASD’’). 
(b) ISSUES TO BE ADDRESSED.—The study and re-
port under subsection (a) shall— 
(1) address the demographics of individuals 
with ASD making the transition from a school-based 
support system to adulthood; 
(2) address the needs, if any, of adults with 
ASD with respect to— 
(A) community integration; 
(B) housing and residential supports; 
(C) employment; 
(D) transportation; 
(E) vocational training and rehabilitation; 
(F) continued education; 
(G) health care and social services; 
(H) speech therapy; 
(I) public safety; and 
(J) day habilitation activities, including 
those to provide a safe, respectful, and stimu-
lating environment that allows participants to 
become active members of their community; 
(3) provide an overview of Federal, State, and 
local government policies and programs, and any 
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available private (including private nonprofit) sector 
assistance, for addressing the needs identified in 
paragraph (2); and 
(4) provide policy recommendations to— 
(A) improve outcomes for adults with ASD 
making the transition from a school-based sup-
port system to adulthood; 
(B) enhance the effectiveness of the poli-
cies, programs, and assistance described in 
paragraph (3); 
(C) ensure integration of and collaboration 
among services for addressing the needs of 
adults with ASD; and 
(D) encourage independent living, equal 
opportunity, full participation, and economic 
self-sufficiency. 
(c) SURVEY.— 
(1) IN GENERAL.—In carrying out this section, 
the Comptroller General shall conduct a survey of 
public and private sector stakeholders on— 
(A) the needs, if any, of adults with ASD; 
(B) the services and resources available for 
addressing such needs; and 
(C) the effectiveness of such services and 
resources. 
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(2) STAKEHOLDERS.—The stakeholders to be 
surveyed under paragraph (1) include the following: 
(A) Individuals from the business commu-
nity representing both large and small busi-
nesses. 
(B) Institutions of higher education, com-
munity colleges, vocational schools, and univer-
sity centers for excellence in developmental dis-
abilities. 
(C) Social service providers, including case 
management experts and health care providers. 
(D) Vocational rehabilitation experts. 
(E) State and local housing departments 
and nonprofit organizations that provide hous-
ing services for individuals with disabilities. 
(F) Individuals with ASD, parents of indi-
viduals with ASD, and representatives from ad-
vocacy groups that focus on individuals with 
ASD. 
(G) Officials or employees of the Federal 
Government responsible for overseeing disability 
services at each of the following departments 
and agencies: 
(i) The Department of Health and 
Human Services, including the Administra-
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tion for Children and Families, the Centers 
for Disease Control and Prevention, the 
Centers for Medicare & Medicaid Services, 
the Health Resources and Services Admin-
istration, and the Administration for Com-
munity Living. 
(ii) The Department of Education. 
(iii) The Department of Housing and 
Urban Development. 
(iv) The Department of Labor. 
(v) The Department of Justice. 
(vi) The Department of Transpor-
tation. 
(vii) Any other Federal departments 
and agencies determined appropriate by 
the Comptroller General. 
Æ 
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