dren with autism spectrum disorder or other devel-
opmental delays and disabilities from diverse racial, 
ethnic, geographic, or linguistic backgrounds. 
(e) USE OF FUNDS.—The recipient of a grant under 
this section shall use the grant to provide— 
(1) evidence-based caregiver skills training to 
caregivers of children with autism spectrum dis-
orders or other developmental delays and disabilities; 
and 
(2) such training in areas related to children’s 
learning and development, including— 
(A) communication skills; 
(B) social engagement; 
(C) daily living skills; and 
(D) caregiver response strategies to ag-
gressive behavior. 
(f) REQUIREMENTS.— 
(1) NUMBER OF RECIPIENTS AND STATES.— 
The Secretary shall award grants under subsection 
(a) to not fewer than 25 eligible entities in not fewer 
than 15 States. 
(2) AMOUNT.—The total amount of each grant 
awarded under subsection (a) shall be not less than 
$500,000 over a 5-year period. 
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(g) SUPPLEMENT NOT SUPPLANT.—Amounts made 
available to carry out this section shall be in addition to 
amounts made available to provide for— 
(1) behavioral, medical, habilitative, and other 
services covered by the Medicaid program or private 
health insurance; 
(2) services provided under the Individuals with 
Disabilities Education Act (20 U.S.C. 1400 et seq.); 
or 
(3) adaptations of a training program using evi-
dence-based approaches to serve children of different 
ages, communities, and underrepresented groups. 
(h) CAREGIVER SKILLS TRAINING NATIONAL TECH-
NICAL ASSISTANCE
AND EVALUATION CENTER.—The 
Secretary, acting through the Administrator of the Health 
Resources and Services Administration, shall establish and 
operate a center, to be known as the Caregiver Skills 
Training National Technical Assistance and Evaluation 
Center, to— 
(1) assist recipients of grants under subsection 
(a) in the implementation of caregiver skills training 
programs using lessons learned from other evi-
denced-based activities or caregiver programs con-
ducted or supported by the Health Resources and 
Services Administration; 
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(2) assist such grant recipients in ensuring 
their programs assist medically underserved commu-
nities, when possible; 
(3) assist such grant recipients in developing 
plans for achieving sustainability of their programs; 
(4) collect and report on the effectiveness of 
practices adopted pursuant to grants under sub-
section (a); 
(5) conduct an annual evaluation of activities 
funded through grants under subsection (a), in con-
sultation with the grant recipients, including evalua-
tion of the effectiveness of such grants at improving 
health outcomes and quality of life for children with 
autism spectrum disorder or other developmental 
delays and disabilities and their family caregivers; 
(6) convene national or regional meetings of 
such grant recipients to discuss best practices; and 
(7) provide other assistance as needed to im-
prove or carry out the program under this section. 
(i) REPORTS.— 
(1) INITIAL REPORT.—Not later than 6 months 
after awarding the first grant under subsection (a), 
the Secretary shall submit to the Committees on Ap-
propriations of the House of Representatives and the 
Senate, and to other appropriate congressional com-
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