I 
113TH CONGRESS 
2D SESSION 
H. R. 4010 
To provide for enhanced treatment, support, services, and research for 
individuals with autism spectrum disorders and their families. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 6, 2014 
Mr. CARTWRIGHT introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To provide for enhanced treatment, support, services, and 
research for individuals with autism spectrum disorders 
and their families. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Autism Services and Workforce Acceleration Act of 
2014’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Parental rights rule of construction. 
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Sec. 4. Definitions; technical amendment to the Public Health Service Act. 
Sec. 5. Autism Care Programs Demonstration Project. 
Sec. 6. Planning and demonstration grants for services for transitioning youth 
and adults. 
Sec. 7. Multimedia campaign. 
Sec. 8. National training initiatives on autism spectrum disorders. 
Sec. 9. Authorization of appropriations. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) Autism (sometimes called ‘‘classical au-
tism’’) is the most common condition in a group of 
developmental disorders known as autism spectrum 
disorders. 
(2) Autism spectrum disorders include autism 
as well as Asperger syndrome, Retts syndrome, 
childhood disintegrative disorder, and pervasive de-
velopmental disorder not otherwise specified (usually 
referred to as PDD–NOS), as well as other related 
developmental disorders. 
(3) Individuals with autism spectrum disorders 
have the same rights as other individuals to exert 
control and choice over their own lives, to live inde-
pendently, and to participate fully in, and contribute 
to, their communities and society through full inte-
gration and inclusion in the economic, political, so-
cial, cultural, and educational mainstream of society. 
Individuals with autism spectrum disorders have the 
right to a life with dignity and purpose. 
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(4) While there is no uniform prevalence or se-
verity of symptoms associated with autism spectrum 
disorders, the National Institutes of Health has de-
termined that autism spectrum disorders are charac-
terized by 3 distinctive behaviors: impaired social 
interaction, problems with verbal and nonverbal 
communication, and unusual, repetitive, or severely 
limited activities and interests. 
(5) Both children and adults with autism spec-
trum disorders can show difficulties in verbal and 
nonverbal communication, social interactions, and 
sensory processing. Individuals with autism spec-
trum disorders exhibit different symptoms or behav-
iors, which may range from mild to significant, and 
require varying degrees of support from friends, 
families, service providers, and communities. 
(6) Individuals with autism spectrum disorders 
often need assistance in the areas of comprehensive 
early intervention, health, recreation, job training, 
employment, housing, transportation, and early, pri-
mary, and secondary education. Greater coordination 
and streamlining within the service delivery system 
will enable individuals with autism spectrum dis-
orders and their families to access assistance from 
all sectors throughout an individual’s lifespan. 
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(7) A 2009 report from the Centers for Disease 
Control and Prevention found that the prevalence of 
autism spectrum disorders is estimated to be 1 in 
110 people in the United States. 
(8) The Harvard School of Public Health re-
ported that the cost of caring for and treating indi-
viduals with autism spectrum disorders in the 
United States is more than $35,000,000,000 annu-
ally (an estimated $3,200,000 over an individual’s 
lifetime). 
(9) Although the overall incidence of autism is 
consistent around the globe, researchers with the 
Journal of Paediatrics and Child Health have found 
that males are 4 times more likely to develop an au-
tism spectrum disorder than females. Autism spec-
trum disorders know no racial, ethnic, or social 
boundaries, nor differences in family income, life-
style, or educational levels, and can affect any child. 
(10) Individuals with autism spectrum disorders 
from low-income, rural, and minority communities 
often face significant obstacles to accurate diagnosis 
and necessary specialized services, supports, and 
education. 
(11) There is strong consensus within the re-
search community that intensive treatment as soon 
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as possible following diagnosis not only can reduce 
the cost of lifelong care by two-thirds, but also yields 
the most positive life outcomes for children with au-
tism spectrum disorders. 
(12) Individuals with autism spectrum disorders 
and their families experience a wide range of medical 
issues. Few common standards exist for the diag-
nosis and management of many aspects of clinical 
care. Behavioral difficulties may be attributed to the 
overarching disorder rather than to the pain and dis-
comfort of a medical condition, which may go unde-
tected and untreated. The health care and other 
treatments available in different communities can 
vary widely. Many families, lacking access to com-
prehensive and coordinated health care, must fend 
for themselves to find the best health care, treat-
ments, and services in a complex clinical world. 
(13) Effective health care, treatment, and serv-
ices for individuals with autism spectrum disorders 
depends upon a continuous exchange among re-
searchers and caregivers. Evidence-based and prom-
ising autism practices should move quickly into com-
munities, allowing individuals with autism spectrum 
disorders and their families to benefit from the new-
est research and enabling researchers to learn from 
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the life experiences of the people whom their work 
most directly affects. 
(14) There is a critical shortage of appro-
priately trained personnel across numerous impor-
tant disciplines who can assess, diagnose, treat, and 
support children and adults with autism spectrum 
disorders and their families. Practicing professionals, 
as well as those in training to become professionals, 
need the most up-to-date practices informed by the 
most current research findings. 
(15) The appropriate goals of the Nation re-
garding individuals with autism spectrum disorder 
are the same as the appropriate goals of the Nation 
regarding individuals with disabilities in general, as 
established in the Americans with Disabilities Act of 
1990 (42 U.S.C. 12101 et seq.): to assure equality 
of opportunity, full participation, independent living, 
and economic self-sufficiency for such individuals. 
(16) Finally, individuals with autism spectrum 
disorders are often denied health care benefits solely 
because of their diagnosis, even though proven, ef-
fective treatments for autism spectrum disorders do 
exist. 
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SEC. 3. PARENTAL RIGHTS RULE OF CONSTRUCTION. 
Nothing in this Act shall be construed to modify the 
legal rights of parents or legal guardians under Federal, 
State, or local law regarding the care of their children. 
SEC. 4. DEFINITIONS; TECHNICAL AMENDMENT TO THE 
PUBLIC HEALTH SERVICE ACT. 
Part R of title III of the Public Health Service Act 
(42 U.S.C. 280i et seq.) is amended— 
(1) by inserting after the header for part R the 
following: 
‘‘Subpart 1—Surveillance and Research Program; 
Education, Early Detection, and Intervention; 
and Reporting’’; 
(2) in section 399AA(d), by striking ‘‘part’’ and 
inserting ‘‘subpart’’; and 
(3) by adding at the end the following: 
‘‘Subpart 2—Care for People With Autism Spectrum 
Disorders; Public Education 
‘‘SEC. 399GG. DEFINITIONS. 
‘‘Except as otherwise provided, in this subpart: 
‘‘(1) ADULT
WITH
AUTISM
SPECTRUM
DIS-
ORDER.—The term ‘adult with autism spectrum dis-
order’ means an individual with an autism spectrum 
disorder who has attained 22 years of age. 
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‘‘(2) AFFECTED
INDIVIDUAL.—The term ‘af-
fected individual’ means an individual with an au-
tism spectrum disorder. 
‘‘(3) AUTISM.—The term ‘autism’ means an au-
tism spectrum disorder or a related developmental 
disability. 
‘‘(4) AUTISM CARE PROGRAM.—In this subpart, 
the term ‘autism care program’ means a program 
that is directed by a care coordinator who is an ex-
pert in autism spectrum disorder treatment and 
practice and provides an array of medical, psycho-
logical, behavioral, educational, and family services 
to individuals with autism and their families. Such 
a program shall— 
‘‘(A) incorporate the attributes of the care 
management model; 
‘‘(B) offer, through an array of services or 
through detailed referral and coordinated care 
arrangements, an autism management team of 
appropriate providers, including behavioral spe-
cialists, physicians, psychologists, social work-
ers, family therapists, nurse practitioners, 
nurses, educators, and other appropriate per-
sonnel; and 
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‘‘(C) have the capability to achieve im-
provements in the management and coordina-
tion of care for targeted beneficiaries. 
‘‘(5) AUTISM MANAGEMENT TEAM.—The term 
‘autism management team’ means a group of autism 
care providers, including behavioral specialists, phy-
sicians, psychologists, social workers, family thera-
pists, nurse practitioners, nurses, educators, other 
appropriate personnel, and family members who 
work in a coordinated manner to treat individuals 
with autism spectrum disorders and their families. 
Such team shall determine the specific structure and 
operational model of its specific autism care pro-
gram, taking into consideration cultural, regional, 
and geographical factors. 
‘‘(6) AUTISM SPECTRUM DISORDER.—The term 
‘autism spectrum disorder’ means a developmental 
disability that causes substantial impairments in the 
areas of social interaction, emotional regulation, 
communication, and the integration of higher-order 
cognitive processes and which may be characterized 
by the presence of unusual behaviors and interests. 
Such term includes autistic disorder, pervasive devel-
opmental 
disorder 
(not 
otherwise 
specified), 
Asperger syndrome, Retts disorder, childhood dis-
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integrative disorder, and other related developmental 
disorders. 
‘‘(7) CARE
MANAGEMENT
MODEL.—The term 
‘care management model’ means a model of care 
that with respect to autism— 
‘‘(A) is centered on the relationship be-
tween an individual with an autism spectrum 
disorder and his or her family and their per-
sonal autism care coordinator; 
‘‘(B) provides services to individuals with 
autism spectrum disorders to improve the man-
agement and coordination of care provided to 
individuals and their families; and 
‘‘(C) has established, where practicable, ef-
fective referral relationships between the autism 
care coordinator and the major medical, edu-
cational, and behavioral specialties and ancillary 
services in the region. 
‘‘(8) CHILD
WITH
AUTISM
SPECTRUM
DIS-
ORDER.—The term ‘child with autism spectrum dis-
order’ means an individual with an autism spectrum 
disorder who has not attained 22 years of age. 
‘‘(9) INTERVENTIONS.—The term ‘interven-
tions’ means the educational methods and positive 
behavioral support strategies designed to improve or 
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ameliorate symptoms associated with autism spec-
trum disorders. 
‘‘(10) PERSONAL
CARE
COORDINATOR.—The 
term ‘personal care coordinator’ means a physician, 
nurse, nurse practitioner, psychologist, social worker, 
family therapist, educator, or other appropriate per-
sonnel (as determined by the Secretary) who has ex-
tensive expertise in treatment and services for indi-
viduals with autism spectrum disorders, who— 
‘‘(A) practices in an autism care program; 
and 
‘‘(B) has been trained to coordinate and 
manage comprehensive autism care for the 
whole person. 
‘‘(11) PROJECT.—The term ‘project’ means the 
autism care program demonstration project estab-
lished under section 399GG–1. 
‘‘(12) SERVICES.—The term ‘services’ means 
services to assist individuals with autism spectrum 
disorders to live more independently in their commu-
nities and to improve their quality of life. 
‘‘(13) TREATMENTS.—The term ‘treatments’ 
means the health services, including mental health 
and behavioral therapy services, designed to improve 
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or ameliorate symptoms associated with autism spec-
trum disorders.’’. 
SEC. 
5. 
AUTISM 
CARE 
PROGRAMS 
DEMONSTRATION 
PROJECT. 
Part R of title III of the Public Health Service Act 
(42 U.S.C. 280i), as amended by section 4, is further 
amended by adding at the end the following: 
‘‘SEC. 399GG–1. AUTISM CARE PROGRAMS DEMONSTRATION 
PROJECT. 
‘‘(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of the Autism Services and Workforce 
Acceleration Act of 2014, the Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall establish a demonstration project for 
the implementation of an Autism Care Program (referred 
to in this section as the ‘Program’) to provide grants and 
other assistance to improve the effectiveness and efficiency 
in providing comprehensive care to individuals diagnosed 
with autism spectrum disorders and their families. 
‘‘(b) GOALS.—The Program shall be designed— 
‘‘(1) to increase— 
‘‘(A) comprehensive autism spectrum dis-
order care delivery; 
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‘‘(B) access to appropriate health care 
services, especially wellness and prevention care, 
at times convenient for individuals; 
‘‘(C) satisfaction of individuals with autism 
spectrum disorders; 
‘‘(D) communication among autism spec-
trum 
disorder 
health 
care 
providers, 
behaviorists, educators, specialists, hospitals, 
and other autism spectrum disorder care pro-
viders; 
‘‘(E) academic progress of students with 
autism spectrum disorders; 
‘‘(F) successful transition to postsecondary 
education, vocational or job training and place-
ment, and comprehensive adult services for in-
dividuals with autism spectrum disorders, focus-
ing in particular upon the transitional period 
for individuals between the ages of 18 and 25; 
‘‘(G) the quality of health care services, 
taking into account nationally developed stand-
ards and measures; 
‘‘(H) development, review, and promulga-
tion of common clinical standards and guide-
lines for medical care to individuals with autism 
spectrum disorders; 
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‘‘(I) 
development 
of 
clinical 
research 
projects to support clinical findings in a search 
for recommended practices; and 
‘‘(J) the quality of life of individuals with 
autism spectrum disorders, including commu-
nication abilities, social skills, community inte-
gration, self-determination, and employment 
and other related services; and 
‘‘(2) to decrease— 
‘‘(A) inappropriate emergency room utiliza-
tion; 
‘‘(B) avoidable hospitalizations; 
‘‘(C) the duplication of health care serv-
ices; 
‘‘(D) the inconvenience of multiple provider 
locations; 
‘‘(E) health disparities and inequalities 
that individuals with autism spectrum disorders 
face; and 
‘‘(F) preventable and inappropriate in-
volvement with the juvenile and criminal justice 
systems. 
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive 
assistance under the Program, an entity shall— 
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‘‘(1) be a State or a public or private nonprofit 
entity; 
‘‘(2) coordinate activities with the applicable 
University Centers for Excellence in Developmental 
Disabilities, the Council on Developmental Disabil-
ities, and the Protection and Advocacy System; 
‘‘(3) demonstrate a capacity to provide services 
to individuals with developmental disabilities and au-
tism spectrum disorder; 
‘‘(4) agree to establish and implement treat-
ments, interventions, and services that— 
‘‘(A) enable targeted beneficiaries to des-
ignate a personal care coordinator to be their 
source of first contact and to recommend com-
prehensive and coordinated care for the whole 
of the individual; 
‘‘(B) provide for the establishment of a co-
ordination of care committee that is composed 
of clinicians and practitioners trained in and 
working in autism spectrum disorder interven-
tion; 
‘‘(C) establish a network of physicians, 
psychologists, family therapists, behavioral spe-
cialists, social workers, educators, and health 
centers that have volunteered to participate as 
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consultants to patient-centered autism care pro-
grams to provide high-quality care, focusing on 
autism spectrum disorder care, at the appro-
priate times and places and in a cost-effective 
manner; 
‘‘(D) work in cooperation with hospitals, 
local public health departments, and the net-
work of patient-centered autism care programs, 
to coordinate and provide health care; 
‘‘(E) utilize health information technology 
to facilitate the provision and coordination of 
health care by network participants; and 
‘‘(F) collaborate with other entities to fur-
ther the goals of the program, particularly by 
collaborating with entities that provide transi-
tional adult services to individuals between the 
ages of 18 and 25 with autism spectrum dis-
order, to ensure successful transition of such in-
dividuals to adulthood; and 
‘‘(5) submit to the Secretary an application, at 
such time, in such manner, and containing such in-
formation as the Secretary may require, including— 
‘‘(A) a description of the treatments, inter-
ventions, or services that the eligible entity pro-
poses to provide under the Program; 
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‘‘(B) a demonstration of the capacity of 
the eligible entity to provide or establish such 
treatments, interventions, and services within 
such entity; 
‘‘(C) a description of the treatments, inter-
ventions, or services that are available to indi-
viduals with autism in the State; 
‘‘(D) a description of the gaps in services 
that exist in different geographic segments of 
the State; 
‘‘(E) a demonstration of the capacity of 
the eligible entity to monitor and evaluate the 
outcomes of the treatments, interventions, and 
services described in subparagraph (A); 
‘‘(F) estimates of the number of individ-
uals and families who will be served by the eli-
gible entity under the Program, including an es-
timate of the number of such individuals and 
families in medically underserved areas; 
‘‘(G) a description of the ability of the eli-
gible entity to enter into partnerships with com-
munity-based or nonprofit providers of treat-
ments, interventions, and services, which may 
include providers that act as advocates for indi-
viduals with autism spectrum disorders and 
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local governments that provide services for indi-
viduals with autism spectrum disorders at the 
community level; 
‘‘(H) a description of the ways in which ac-
cess to such treatments and services may be 
sustained following the Program period; 
‘‘(I) a description of the ways in which the 
eligible entity plans to collaborate with other 
entities to develop and sustain an effective pro-
tocol for successful transition from children’s 
services to adult services for individuals with 
autism spectrum disorder, particularly for indi-
viduals between the ages of 18 and 25; and 
‘‘(J) a description of the compliance of the 
eligible entity with the integration requirement 
provided under section 302 of the Americans 
with Disabilities Act of 1990 (42 U.S.C. 
12182). 
‘‘(d) GRANTS.—The Secretary shall award 3-year 
grants to eligible entities whose applications are approved 
under subsection (c). Such grants shall be used to— 
‘‘(1) carry out a program designed to meet the 
goals described in subsection (b) and the require-
ments described in subsection (c); and 
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‘‘(2) facilitate coordination with local commu-
nities to be better prepared and positioned to under-
stand and meet the needs of the communities served 
by autism care programs. 
‘‘(e) ADVISORY COUNCILS.— 
‘‘(1) IN GENERAL.—Each recipient of a grant 
under this section shall establish an autism care pro-
gram advisory council, which shall advise the autism 
care program regarding policies, priorities, and serv-
ices. 
‘‘(2) MEMBERSHIP.—Each recipient of a grant 
shall appoint members of the recipient’s advisory 
council, which shall include a variety of autism care 
program service providers, individuals from the pub-
lic who are knowledgeable about autism spectrum 
disorders, individuals receiving services through the 
Program, and family members of such individuals. 
At least 60 percent of the membership shall be com-
prised of individuals who have received, or are re-
ceiving, services through the Program or who are 
family members of such individuals. 
‘‘(3) CHAIRPERSON.—The recipient of a grant 
shall appoint a chairperson to the advisory council of 
the recipient’s autism care program who shall be— 
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‘‘(A) an individual with autism spectrum 
disorder who has received, or is receiving, serv-
ices through the Program; or 
‘‘(B) a family member of such an indi-
vidual. 
‘‘(f) EVALUATION.—The Secretary shall enter into a 
contract with an independent third-party organization 
with expertise in evaluation activities to conduct an eval-
uation and, not later than 180 days after the conclusion 
of the 3-year grant program under this section, submit 
a report to the Secretary, which may include measures 
such as whether and to what degree the treatments, inter-
ventions, and services provided through the Program have 
resulted in improved health, educational, employment, and 
community integration outcomes for individuals with au-
tism spectrum disorders, or other measures, as the Sec-
retary determines appropriate. 
‘‘(g) ADMINISTRATIVE EXPENSES.—Of the amounts 
appropriated to carry out this section, the Secretary shall 
allocate not more than 7 percent for administrative ex-
penses, including the expenses related to carrying out the 
evaluation described in subsection (f). 
‘‘(h) SUPPLEMENT NOT SUPPLANT.—Amounts pro-
vided to an entity under this section shall be used to sup-
plement, not supplant, amounts otherwise expended for 
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existing treatments, interventions, and services for individ-
uals with autism spectrum disorders.’’. 
SEC. 6. PLANNING AND DEMONSTRATION GRANTS FOR 
SERVICES FOR TRANSITIONING YOUTH AND 
ADULTS. 
Part R of title III of the Public Health Service Act 
(42 U.S.C. 280i), as amended by section 5, is further 
amended by adding at the end the following: 
‘‘SEC. 399GG–2. PLANNING AND DEMONSTRATION GRANTS 
FOR SERVICES FOR TRANSITIONING YOUTH 
AND ADULTS. 
‘‘(a) IN GENERAL.— 
‘‘(1) ESTABLISHMENT.—The Secretary shall es-
tablish the grants described in paragraph (2) in 
order to enable selected eligible entities to provide 
appropriate services— 
‘‘(A) to youth with autism spectrum dis-
orders who are transitioning from secondary 
education to careers or postsecondary education 
(referred to in this section as ‘transitioning 
youth’); and 
‘‘(B) to adults with autism spectrum dis-
orders, including individuals who are typically 
underserved, to enable such individuals to be as 
independent as possible. 
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‘‘(2) GRANTS.—The grants described in this 
paragraph are— 
‘‘(A) a one-time, single-year planning grant 
program for eligible entities; and 
‘‘(B) a multiyear service provision dem-
onstration grant program for selected eligible 
entities. 
‘‘(b) PURPOSE OF GRANTS.—Grants shall be award-
ed to eligible entities to provide all or part of the funding 
needed to carry out programs that focus on critical aspects 
of life for transitioning youth and adults with autism spec-
trum disorders, such as— 
‘‘(1) postsecondary education, vocational train-
ing, self-advocacy skills, and employment; 
‘‘(2) residential services and supports, housing, 
and transportation; 
‘‘(3) nutrition, health and wellness, recreational 
and social activities; and 
‘‘(4) personal safety and the needs of individ-
uals with autism spectrum disorders who become in-
volved with the criminal justice system. 
‘‘(c) ELIGIBLE ENTITY.—An eligible entity desiring 
to receive a grant under this section shall be a State or 
other public or private nonprofit organization, including 
an autism care program. 
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‘‘(d) PLANNING GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
one-time grants to eligible entities to support the 
planning and development of initiatives that will ex-
pand and enhance service delivery systems for 
transitioning youth and adults with autism spectrum 
disorders. 
‘‘(2) APPLICATION.—In order to receive such a 
grant, an eligible entity shall— 
‘‘(A) submit an application at such time 
and containing such information as the Sec-
retary may require; and 
‘‘(B) demonstrate the ability to carry out 
such planning grant in coordination with the 
State Developmental Disabilities Council and 
organizations representing or serving individ-
uals with autism spectrum disorders and their 
families. 
‘‘(e) IMPLEMENTATION GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to eligible entities that have received a plan-
ning grant under subsection (d) to enable such enti-
ties to provide appropriate services to transitioning 
youth and adults with autism spectrum disorders. 
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‘‘(2) APPLICATION.—In order to receive a grant 
under paragraph (1), the eligible entity shall submit 
an application at such time and containing such in-
formation as the Secretary may require, including— 
‘‘(A) the services that the eligible entity 
proposes to provide and the expected outcomes 
for individuals with autism spectrum disorders 
who receive such services; 
‘‘(B) the number of individuals and fami-
lies who will be served by such grant, including 
an estimate of the individuals and families in 
underserved areas who will be served by such 
grant; 
‘‘(C) the ways in which services will be co-
ordinated among both public and nonprofit pro-
viders of services for transitioning youth and 
adults with disabilities, including community- 
based services; 
‘‘(D) where applicable, the process through 
which the eligible entity will distribute funds to 
a range of community-based or nonprofit pro-
viders of services, including local governments, 
and such entity’s capacity to provide such serv-
ices; 
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‘‘(E) the process through which the eligible 
entity will monitor and evaluate the outcome of 
activities funded through the grant, including 
the effect of the activities upon adults with au-
tism spectrum disorders who receive such serv-
ices; 
‘‘(F) the plans of the eligible entity to co-
ordinate and streamline transitions from youth 
to adult services; 
‘‘(G) the process by which the eligible enti-
ty will ensure compliance with the integration 
requirement provided under section 302 of the 
Americans With Disabilities Act of 1990 (42 
U.S.C. 12182); and 
‘‘(H) a description of how such services 
may be sustained following the grant period. 
‘‘(f) EVALUATION.—The Secretary shall contract 
with a third-party organization with expertise in evalua-
tion to evaluate such demonstration grant program and, 
not later than 180 days after the conclusion of the grant 
program under subsection (e), submit a report to the Sec-
retary. The evaluation and report may include an analysis 
of whether and to what extent the services provided 
through the grant program described in this section re-
sulted in improved health, education, employment, and 
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community integration outcomes for adults with autism 
spectrum disorders, or other measures, as the Secretary 
determines appropriate. 
‘‘(g) ADMINISTRATIVE EXPENSES.—Of the amounts 
appropriated to carry out this section, the Secretary shall 
set aside not more than 7 percent for administrative ex-
penses, including the expenses related to carrying out the 
evaluation described in subsection (f). 
‘‘(h) SUPPLEMENT, NOT SUPPLANT.—Demonstra-
tion grant funds provided under this section shall supple-
ment, not supplant, existing treatments, interventions, 
and services for individuals with autism spectrum dis-
orders.’’. 
SEC. 7. MULTIMEDIA CAMPAIGN. 
Part R of title III of the Public Health Service Act 
(42 U.S.C. 280i), as amended by section 6, is further 
amended by adding at the end the following: 
‘‘SEC. 399GG–3. MULTIMEDIA CAMPAIGN. 
‘‘(a) IN GENERAL.—The Secretary, in order to en-
hance existing awareness campaigns and provide for the 
implementation of new campaigns, shall award grants to 
public and nonprofit private entities for the purpose of 
carrying out multimedia campaigns to increase public edu-
cation and awareness and reduce stigma concerning— 
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‘‘(1) healthy developmental milestones for in-
fants and children that may assist in the early iden-
tification of the signs and symptoms of autism spec-
trum disorders; and 
‘‘(2) autism spectrum disorders through the 
lifespan and the challenges that individuals with au-
tism spectrum disorders face, which may include 
transitioning into adulthood, securing appropriate 
job training or postsecondary education, securing 
and holding jobs, finding suitable housing, inter-
acting with the correctional system, increasing inde-
pendence, and attaining a good quality of life. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
‘‘(1) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require; and 
‘‘(2) provide assurance that the multimedia 
campaign implemented under such grant will provide 
information that is tailored to the intended audience, 
which may be a diverse public audience or a specific 
audience, such as health professionals, criminal jus-
tice professionals, or emergency response profes-
sionals.’’. 
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SEC. 8. NATIONAL TRAINING INITIATIVES ON AUTISM SPEC-
TRUM DISORDERS. 
Part R of title III of the Public Health Service Act 
(42 U.S.C. 280i), as amended by section 7, is further 
amended by adding at the end the following: 
‘‘SEC. 399GG–4. NATIONAL TRAINING INITIATIVES ON AU-
TISM SPECTRUM DISORDERS. 
‘‘(a) NATIONAL
TRAINING
INITIATIVE
SUPPLE-
MENTAL GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
multiyear national training initiative supplemental 
grants to eligible entities so that such entities may 
provide training and technical assistance and to dis-
seminate information, in order to enable such enti-
ties to address the unmet needs of individuals with 
autism spectrum disorders and their families. 
‘‘(2) ELIGIBLE ENTITY.—To be eligible to re-
ceive assistance under this section an entity shall— 
‘‘(A) be a public or private nonprofit enti-
ty, including University Centers for Excellence 
in Developmental Disabilities and other service, 
training, and academic entities; and 
‘‘(B) submit an application as described in 
paragraph (3). 
‘‘(3) REQUIREMENTS.—An eligible entity that 
desires to receive a grant under this paragraph shall 
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submit to the Secretary an application containing 
such agreements and information as the Secretary 
may require, including agreements that the training 
program shall— 
‘‘(A) provide training and technical assist-
ance in evidence-based practices of effective 
interventions, services, treatments, and sup-
ports to children and adults on the autism spec-
trum and their families, and evaluate the imple-
mentation of such practices; 
‘‘(B) provide trainees with an appropriate 
balance of interdisciplinary academic and com-
munity-based experiences; 
‘‘(C) have a demonstrated capacity to in-
clude individuals with autism spectrum dis-
orders, parents, and family members as part of 
the training program to ensure that a person 
and family-centered approach is used; 
‘‘(D) provide to the Secretary, in the man-
ner prescribed by the Secretary, data regarding 
the outcomes of the provision of training and 
technical assistance; 
‘‘(E) demonstrate a capacity to share and 
disseminate materials and practices that are de-
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veloped and evaluated to be effective in the pro-
vision of training and technical assistance; and 
‘‘(F) provide assurances that training, 
technical assistance, and information dissemina-
tion performed under grants made pursuant to 
this paragraph shall be consistent with the 
goals established under already existing dis-
ability programs authorized under Federal law 
and conducted in coordination with other rel-
evant State agencies and service providers. 
‘‘(4) ACTIVITIES.—An entity that receives a 
grant under this section shall expand and develop 
interdisciplinary training and continuing education 
initiatives for health, allied health, and educational 
professionals by engaging in the following activities: 
‘‘(A) Promoting and engaging in training 
for health, allied health, and educational profes-
sionals to identify, diagnose, and develop inter-
ventions for individuals with, or at risk of devel-
oping, autism spectrum disorders. 
‘‘(B) Expanding the availability of training 
and dissemination of information regarding ef-
fective, lifelong interventions, educational serv-
ices, and community supports. 
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‘‘(C) Providing training and technical as-
sistance in collaboration with relevant State, re-
gional, or national agencies, institutions of 
higher education, and advocacy groups or com-
munity-based service providers, including health 
and allied health professionals, employment pro-
viders, direct support professionals, emergency 
first responder personnel, and law enforcement 
officials. 
‘‘(D) Developing mechanisms to provide 
training and technical assistance, including for- 
credit courses, intensive summer institutes, con-
tinuing education programs, distance-based pro-
grams, and Web-based information dissemina-
tion strategies. 
‘‘(E) Collecting data on the outcomes of 
training and technical assistance programs to 
meet statewide needs for the expansion of serv-
ices to children with autism spectrum disorders 
and adults with autism spectrum disorders. 
‘‘(b) TECHNICAL ASSISTANCE.—The Secretary shall 
reserve 2 percent of the appropriated funds to make a 
grant to a national organization with demonstrated capac-
ity for providing training and technical assistance to the 
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entities receiving grants under subsection (a) to enable 
such entities to— 
‘‘(1) assist in national dissemination of specific 
information, including evidence-based and promising 
best practices, from interdisciplinary training pro-
grams, and when appropriate, other entities whose 
findings would inform the work performed by enti-
ties awarded grants; 
‘‘(2) compile and disseminate strategies and 
materials that prove to be effective in the provision 
of training and technical assistance so that the en-
tire network can benefit from the models, materials, 
and practices developed in individual programs; 
‘‘(3) assist in the coordination of activities of 
grantees under this section; 
‘‘(4) develop an Internet Web portal that will 
provide linkages to each of the individual training 
initiatives and provide access to training modules, 
promising training, and technical assistance prac-
tices and other materials developed by grantees; 
‘‘(5) convene experts from multiple interdiscipli-
nary training programs and individuals with autism 
spectrum disorders and their families to discuss and 
make recommendations with regard to training 
issues related to the assessment, diagnosis of, treat-
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ment, interventions and services for, children and 
adults with autism spectrum disorders; and 
‘‘(6) undertake any other functions that the 
Secretary determines to be appropriate. 
‘‘(c) SUPPLEMENT NOT SUPPLANT.—Amounts pro-
vided under this section shall be used to supplement, not 
supplant, amounts otherwise expended for existing net-
work or organizational structures.’’. 
SEC. 9. AUTHORIZATION OF APPROPRIATIONS. 
There are authorized to be appropriated for fiscal 
years 2015 through 2019 such sums as may be necessary 
to carry out this Act. 
Æ 
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