(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘Autism 
CARES Act of 2014’’ and inserting ‘‘Autism 
CARES Act of 2019’’; and 
(B) in paragraph (2)— 
(i) in subparagraphs (A), (B), (D), 
and (E), by striking ‘‘Autism CARES Act 
of 2014’’ each place it appears and insert-
ing ‘‘Autism CARES Act of 2019’’; 
(ii) in subparagraph (G), by striking 
‘‘age of the child’’ and inserting ‘‘age of 
the individual’’; 
(iii) in subparagraph (H), by striking 
‘‘; and’’ and inserting ‘‘;’’; 
(iv) in subparagraph (I), by striking 
the period and inserting ‘‘; and’’; and 
(v) by adding at the end the following: 
‘‘(J) information on how States use home- 
and community-based services and other sup-
ports to ensure that individuals with autism 
spectrum disorder and other developmental dis-
abilities are living, working, and participating in 
their community.’’; and 
(2) in subsection (b)—
(A) in the heading, by striking ‘‘YOUNG 
ADULTS AND TRANSITIONING YOUTH’’ and in-
serting ‘‘THE HEALTH AND WELL-BEING OF 
INDIVIDUALS WITH AUTISM SPECTRUM DIS-
ORDER ACROSS THEIR LIFESPAN’’; 
(B) by amending paragraph (1) to read as 
follows: 
‘‘(1) IN
GENERAL.—Not later than 2 years 
after the date of enactment of the Autism CARES 
Act of 2019, the Secretary shall prepare and submit, 
to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on En-
ergy and Commerce of the House of Representa-
tives, a report concerning the health and well-being 
of individuals with autism spectrum disorder.’’; and 
(C) in paragraph (2)— 
(i) by amending subparagraph (A) to 
read as follows: 
‘‘(A) demographic factors associated with 
the health and well-being of individuals with au-
tism spectrum disorder;’’; 
(ii) in subparagraph (B), by striking 
‘‘young adults’’ and all that follows 
through the semicolon and inserting ‘‘the 
health and well-being of individuals with
autism spectrum disorder, including an 
identification of existing Federal laws, reg-
ulations, 
policies, 
research, 
and 
pro-
grams;’’; and 
(iii) by amending subparagraphs (C), 
(D), and (E) to read as follows: 
‘‘(C) recommendations on establishing best 
practices guidelines to ensure interdisciplinary 
coordination between all relevant service pro-
viders receiving Federal funding; 
‘‘(D) comprehensive approaches to improv-
ing health outcomes and well-being for individ-
uals with autism spectrum disorder, including— 
‘‘(i) community-based behavioral sup-
ports and interventions; 
‘‘(ii) nutrition, recreational, and social 
activities; and 
‘‘(iii) personal safety services related 
to public safety agencies or the criminal 
justice system for such individuals; and 
‘‘(E) recommendations that seek to im-
prove health outcomes for such individuals, in-
cluding across their lifespan, by addressing— 
‘‘(i) screening and diagnosis of chil-
dren and adults;
‘‘(ii) behavioral and other therapeutic 
approaches; 
‘‘(iii) primary and preventative care; 
‘‘(iv) communication challenges; 
‘‘(v) aggression, self-injury, elope-
ment, and other behavioral issues; 
‘‘(vi) emergency room visits and acute 
care hospitalization; 
‘‘(vii) treatment for co-occurring phys-
ical and mental health conditions; 
‘‘(viii) premature mortality; 
‘‘(ix) medical practitioner training; 
and 
‘‘(x) caregiver mental health.’’. 
(e) 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 ‘‘$22,000,000 
for each of fiscal years 2015 through 2019’’ and in-
serting ‘‘$23,100,000 for each of fiscal years 2020 
through 2024’’; 
(2) in subsection (b), by striking ‘‘$48,000,000 
for each of fiscal years 2015 through 2019’’ and in-
serting ‘‘$50,599,000 for each of fiscal years 2020 
through 2024’’; and
(3) in subsection (c), by striking ‘‘there is au-
thorized to be appropriated $190,000,000 for each 
of fiscal years 2015 through 2019’’ and inserting 
‘‘there 
are 
authorized 
to 
be 
appropriated 
$296,000,000 for each of fiscal years 2020 through 
2024’’. 
Passed the House of Representatives July 24, 2019. 
Attest: 
Clerk.
116TH CONGRESS 
1ST SESSION 
H. R. 1058 
AN ACT 
To amend the Public Health Service Act to enhance 
activities of the National Institutes of Health 
with respect to research on autism spectrum dis-
order and enhance programs relating to autism, 
and for other purposes.