H. R. 4631—3 
‘‘(B) an annual update to the strategic plan described 
in paragraph (5), including any progress made in achieving 
the goals outlined in such strategic plan.’’; 
(2) in subsection (c)— 
(A) in paragraph (1)— 
(i) by striking the paragraph designation, the 
heading, and the matter preceding subparagraph (A) 
and inserting the following: 
‘‘(1) FEDERAL MEMBERSHIP.—The Committee shall be com-
posed of the following Federal members—’’; 
(ii) in subparagraph (C)— 
(I) by inserting ‘‘, such as the Administration 
for Community Living, Administration for Chil-
dren and Families, the Centers for Medicare & 
Medicaid Services, the Food and Drug Administra-
tion, and the Health Resources and Services 
Administration’’ before the semicolon at the end; 
and 
(II) by adding at the end ‘‘and’’; 
(iii) in subparagraph (D)— 
(I) by inserting ‘‘and the Department of 
Defense’’ after ‘‘Department of Education’’; and 
(II) by striking at the end ‘‘; and’’ and inserting 
a period; and 
(iv) by striking subparagraph (E); 
(B) in paragraph (2)— 
(i) in the paragraph heading, by striking ‘‘ADDI-
TIONAL’’ and inserting ‘‘NON-FEDERAL’’; 
(ii) in the matter preceding subparagraph (A), by 
striking ‘‘Not fewer than 6 members of the Committee, 
or 1⁄3 of the total membership of the Committee, which-
ever is greater’’ and inserting ‘‘Not more than 1⁄2, but 
not fewer than 1⁄3, of the total membership of the 
Committee’’; 
(iii) in subparagraph (A), by striking ‘‘one such 
member shall be an individual’’ and inserting ‘‘two 
such members shall be individuals’’; 
(iv) in subparagraph (B), by striking ‘‘one such 
member shall be a parent or legal guardian’’ and 
inserting ‘‘two such members shall be parents or legal 
guardians’’; and 
(v) in subparagraph (C), by striking ‘‘one such 
member shall be a representative’’ and inserting ‘‘two 
such members shall be representatives’’; and 
(C) by adding at the end the following: 
‘‘(3) PERIOD OF APPOINTMENT; VACANCIES.— 
‘‘(A) PERIOD OF APPOINTMENT FOR NON-FEDERAL MEM-
BERS.—Non-Federal members shall serve for a term of 4 
years, and may be reappointed for one or more additional 
4-year terms. 
‘‘(B) VACANCIES.—A vacancy on the Committee shall 
be filled in the manner in which the original appointment 
was made and shall not affect the powers or duties of 
the Committee. Any member appointed to fill a vacancy 
for an unexpired term shall be appointed for the remainder 
of such term. A member may serve after the expiration
H. R. 4631—4 
of the member’s term until a successor has been 
appointed.’’; 
(3) in subsection (d)— 
(A) by striking paragraph (2); and 
(B) by redesignating paragraphs (3) and (4) as para-
graphs (2) and (3), respectively; and 
(4) in subsection (f), by striking ‘‘2014’’ and inserting ‘‘2019’’. 
SEC. 6. REPORTS. 
Section 399DD of the Public Health Service Act (42 U.S.C. 
280i–3) is amended— 
(1) in the section heading, by striking ‘‘REPORT’’ and 
inserting ‘‘REPORTS’’; 
(2) in subsection (b), by redesignating paragraphs (1) 
through (9) as subparagraphs (A) through (I), respectively, and 
realigning the margins accordingly; 
(3) by redesignating subsections (a) and (b) as paragraphs 
(1) and (2), respectively, and realigning the margins accordingly; 
(4) by inserting after the section heading the following: 
‘‘(a) PROGRESS REPORT.—’’; 
(5) in subsection (a)(1) (as so redesignated)— 
(A) by striking ‘‘2 years after the date of enactment 
of the Combating Autism Reauthorization Act of 2011’’ 
and inserting ‘‘4 years after the date of enactment of the 
Autism CARES Act of 2014’’; 
(B) by inserting ‘‘and the Secretary of Defense’’ after 
‘‘the Secretary of Education’’; and 
(C) by inserting ‘‘, and make publicly available, 
including through posting on the Internet Web site of the 
Department of Health and Human Services,’’ after ‘‘Rep-
resentatives’’; and 
(6) in subsection (a)(2) (as so redesignated)— 
(A) in subparagraph (A), (as so redesignated), by 
striking ‘‘Combating Autism Act of 2006’’ and inserting 
‘‘Autism CARES Act of 2014’’; 
(B) in subparagraph (B) (as so redesignated), by 
striking ‘‘particular provisions of Combating Autism Act 
of 2006’’ and inserting ‘‘amendments made by the Autism 
CARES Act of 2014’’; 
(C) by striking subparagraph (C) (as so redesignated), 
and inserting the following: 
‘‘(C) information on the incidence and prevalence of 
autism spectrum disorder, including available information 
on the prevalence of autism spectrum disorder among chil-
dren and adults, and identification of any changes over 
time with respect to the incidence and prevalence of autism 
spectrum disorder;’’; 
(D) in subparagraph (D) (as so redesignated), by 
striking ‘‘6-year period beginning on the date of enactment 
of the Combating Autism Act of 2006’’ and inserting ‘‘4- 
year period beginning on the date of enactment of the 
Autism CARES Act of 2014 and, as appropriate, how this 
age varies across population subgroups’’; 
(E) in subparagraph (E) (as so redesignated), by 
striking ‘‘6-year period beginning on the date of enactment 
of the Combating Autism Act of 2006’’ and inserting ‘‘4- 
year period beginning on the date of enactment of the
H. R. 4631—5 
Autism CARES Act of 2014 and, as appropriate, how this 
age varies across population subgroups’’; 
(F) in subparagraph (F) (as so redesignated), by 
inserting ‘‘and, as appropriate, on how such average time 
varies across population subgroups’’ before the semicolon 
at the end; 
(G) in subparagraph (G) (as so redesignated)— 
(i) by striking ‘‘including by various subtypes,’’ and 
inserting ‘‘including by severity level as practicable,’’; 
and 
(ii) by striking ‘‘child may’’ and inserting ‘‘child 
or other factors, such as demographic characteristics, 
may’’; and 
(H) by striking subparagraph (I) (as so redesignated), 
and inserting the following: 
‘‘(I) a description of the actions taken to implement 
and the progress made on implementation of the strategic 
plan developed by the Interagency Autism Coordinating 
Committee under section 399CC(b).’’; and 
(7) by adding at the end the following new subsection: 
‘‘(b) REPORT ON YOUNG ADULTS AND TRANSITIONING YOUTH.— 
‘‘(1) IN GENERAL.—Not later than 2 years after the date 
of enactment of the Autism CARES Act of 2014, the Secretary 
of Health and Human Services, in coordination with the Sec-
retary of Education and in collaboration with the Secretary 
of Transportation, the Secretary of Labor, the Secretary of 
Housing and Urban Development, and the Attorney General, 
shall prepare and submit to the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate and the Committee 
on Energy and Commerce of the House of Representatives, 
a report concerning young adults with autism spectrum disorder 
and the challenges related to the transition from existing 
school-based services to those services available during adult-
hood. 
‘‘(2) CONTENTS.—The report submitted under paragraph 
(1) shall contain— 
‘‘(A) demographic characteristics of youth transitioning 
from school-based to community-based supports; 
‘‘(B) an overview of policies and programs relevant 
to young adults with autism spectrum disorder relating 
to post-secondary school transitional services, including an 
identification of existing Federal laws, regulations, policies, 
research, and programs; 
‘‘(C) proposals on establishing best practices guidelines 
to ensure— 
‘‘(i) interdisciplinary coordination between all rel-
evant service providers receiving Federal funding; 
‘‘(ii) coordination with transitioning youth and the 
family of such transitioning youth; and 
‘‘(iii) inclusion of the individualized education pro-
gram for the transitioning youth, as prescribed in sec-
tion 614 of the Individuals with Disabilities Education 
Act (20 U.S.C. 1414); 
‘‘(D) comprehensive approaches to transitioning from 
existing school-based services to those services available 
during adulthood, including—
H. R. 4631—6 
‘‘(i) services that increase access to, and improve 
integration and completion of, post-secondary edu-
cation, peer support, vocational training (as defined 
in section 103 of the Rehabilitation Act of 1973 (29 
U.S.C. 723)), rehabilitation, self-advocacy skills, and 
competitive, integrated employment; 
‘‘(ii) community-based behavioral supports and 
interventions; 
‘‘(iii) community-based integrated residential serv-
ices, housing, and transportation; 
‘‘(iv) nutrition, health and wellness, recreational, 
and social activities; 
‘‘(v) personal safety services for individuals with 
autism spectrum disorder related to public safety agen-
cies or the criminal justice system; and 
‘‘(vi) evidence-based approaches for coordination of 
resources and services once individuals have aged out 
of post-secondary education; and 
‘‘(E) proposals that seek to improve outcomes for adults 
with autism spectrum disorder making the transition from 
a school-based support system to adulthood by— 
‘‘(i) increasing the effectiveness of programs that 
provide transition services; 
‘‘(ii) increasing the ability of the relevant service 
providers described in subparagraph (C) to provide 
supports and services to underserved populations and 
regions; 
‘‘(iii) increasing the efficiency of service delivery 
to maximize resources and outcomes, including with 
respect to the integration of and collaboration among 
services for transitioning youth; 
‘‘(iv) ensuring access to all services necessary to 
transitioning youth of all capabilities; and 
‘‘(v) encouraging transitioning youth to utilize all 
available transition services to maximize independence, 
equal opportunity, full participation, and self-suffi-
ciency.’’. 
SEC. 7. AUTHORIZATION OF APPROPRIATIONS. 
Section 399EE of the Public Health Service Act (42 U.S.C. 
280i–4) is amended— 
(1) in subsection (a), by striking ‘‘fiscal years 2012 through 
2014’’ and inserting ‘‘fiscal years 2015 through 2019’’; 
(2) in subsection (b), by striking ‘‘fiscal years 2011 through 
2014’’ and inserting ‘‘fiscal years 2015 through 2019’’; and
H. R. 4631—7 
(3) in subsection (c), 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’’. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.