H. R. 4631 
One Hundred Thirteenth Congress 
of the 
United States of America 
AT THE SECOND SESSION 
Begun and held at the City of Washington on Friday, 
the third day of January, two thousand and fourteen 
An Act 
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 Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Autism Collaboration, Account-
ability, Research, Education, and Support Act of 2014’’ or the 
‘‘Autism CARES Act of 2014’’. 
SEC. 2. NATIONAL AUTISM SPECTRUM DISORDER INITIATIVE. 
(a) IN GENERAL.—The Secretary of Health and Human Services 
shall designate an existing official within the Department of Health 
and Human Services to oversee, in consultation with the Secretaries 
of Defense and Education, national autism spectrum disorder 
research, services, and support activities. 
(b) DUTIES.—The official designated under subsection (a) shall— 
(1) implement autism spectrum disorder activities, taking 
into account the strategic plan developed by the Interagency 
Autism Coordinating Committee under section 399CC(b) of the 
Public Health Service Act (42 U.S.C. 280i–2(b)); and 
(2) ensure that autism spectrum disorder activities of the 
Department of Health and Human Services and of other Federal 
departments and agencies are not unnecessarily duplicative. 
SEC. 3. RESEARCH PROGRAM. 
Section 399AA of the Public Health Service Act (42 U.S.C. 
280i) is amended— 
(1) in subsection (a)(1), by inserting ‘‘for children and 
adults’’ after ‘‘reporting of State epidemiological data’’; 
(2) in subsection (b)(1)— 
(A) by striking ‘‘establishment of regional centers of 
excellence’’ and inserting ‘‘establishment or support of 
regional centers of excellence’’; and 
(B) by inserting ‘‘for children and adults’’ before the 
period at the end; 
(3) in subsection (b)(2), by striking ‘‘center to be estab-
lished’’ and inserting ‘‘center to be established or supported’’; 
and 
(4) in subsection (e), by striking ‘‘2014’’ and inserting 
‘‘2019’’. 
SEC. 4. AUTISM INTERVENTION. 
Section 399BB of the Public Health Service Act (42 U.S.C. 
280i–1) is amended—
H. R. 4631—2 
(1) in subsection (b)(1), by inserting ‘‘culturally competent’’ 
after ‘‘provide’’; 
(2) in subsection (c)(2)(A)(ii), by inserting ‘‘(which may 
include respite care for caregivers of individuals with an autism 
spectrum disorder)’’ after ‘‘services and supports’’; 
(3) in subsection (e)(1)(B)(v), by inserting before the semi-
colon the following: ‘‘, which may include collaborating with 
research centers or networks to provide training for providers 
of respite care (as defined in section 2901)’’; 
(4) in subsection (f), by striking ‘‘grants or contracts’’ and 
all that follows through ‘‘for individuals with’’ and inserting 
‘‘grants or contracts, which may include grants or contracts 
to research centers or networks, to determine the evidence- 
based practices for interventions to improve the physical and 
behavioral health of individuals with’’; and 
(5) in subsection (g), by striking ‘‘2014’’ and inserting 
‘‘2019’’. 
SEC. 5. INTERAGENCY AUTISM COORDINATING COMMITTEE. 
Section 399CC of the Public Health Service Act (42 U.S.C. 
280i–2) is amended— 
(1) in subsection (b)— 
(A) in paragraph (1)— 
(i) by striking ‘‘and annually update’’; and 
(ii) by striking ‘‘intervention’’ and inserting ‘‘inter-
ventions, including school and community-based inter-
ventions’’; 
(B) by striking paragraph (2); 
(C) by redesignating paragraph (1) as paragraph (2), 
and inserting before such redesignated paragraph the fol-
lowing: 
‘‘(1) monitor autism spectrum disorder research, and to 
the extent practicable services and support activities, across 
all relevant Federal departments and agencies, including 
coordination of Federal activities with respect to autism spec-
trum disorder;’’; 
(D) in paragraph (3), by striking ‘‘recommendations 
to the Director of NIH’’; 
(E) in paragraph (4), by inserting before the semicolon 
the following: ‘‘, and the process by which public feedback 
can be better integrated into such decisions’’; and 
(F) by striking paragraphs (5) and (6) and inserting 
the following: 
‘‘(5) develop a strategic plan for the conduct of, and support 
for, autism spectrum disorder research, including as practicable 
for services and supports, for individuals with an autism spec-
trum disorder and the families of such individuals, which shall 
include— 
‘‘(A) proposed budgetary requirements; and 
‘‘(B) recommendations to ensure that autism spectrum 
disorder research, and services and support activities to 
the extent practicable, of the Department of Health and 
Human Services and of other Federal departments and 
agencies are not unnecessarily duplicative; and 
‘‘(6) submit to Congress and the President— 
‘‘(A) an annual update on the summary of advances 
described in paragraph (2); and