SEC. 2. EXPANSION, INTENSIFICATION, AND COORDINA-
TION OF ACTIVITIES OF NATIONAL INSTI-
TUTES OF HEALTH WITH RESPECT TO RE-
SEARCH ON AUTISM SPECTRUM DISORDER. 
Section 409C of the Public Health Service Act (42 
U.S.C. 284g) is amended— 
(1) in subsection (a)(1)— 
(A) by inserting after ‘‘and toxicology’’ the 
following: ‘‘, and interventions to maximize out-
comes for persons with autism spectrum dis-
order’’; 
(B) by inserting after ‘‘early’’ the fol-
lowing: ‘‘and ongoing’’; and 
(C) by inserting after ‘‘treatment of autism 
spectrum disorder’’ the following: ‘‘, including 
dissemination and implementation of clinical 
care, supports, intervention, and treatment’’; 
and 
(2) in subsection (b)— 
(A) by amending paragraph (2) to read as 
follows: 
‘‘(2) RESEARCH.—Each center under para-
graph (1) shall conduct basic and clinical research 
into autism spectrum disorder. Such research should 
include investigations into the causes, diagnosis, and 
early and ongoing detection, prevention, and treat-
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
ment of autism spectrum disorder across the life-
span. The centers, as a group, shall conduct re-
search including in the fields of developmental 
neurobiology, genetics, psychopharmacology, genom-
ics, and developmental, behavioral, and clinical psy-
chology.’’; and 
(B) in paragraph (3), by adding at the end 
the following new subparagraph: 
‘‘(D) REDUCING DISPARITIES.—In award-
ing grants to applicants which meet the sci-
entific criteria for funding under this section, 
the Director may consider, as appropriate, the 
extent to which a center can demonstrate avail-
ability and access to clinical services for youth 
and adults from diverse racial, ethnic, geo-
graphic, or linguistic backgrounds.’’. 
SEC. 3. DEVELOPMENTAL DISABILITIES SURVEILLANCE 
AND RESEARCH PROGRAM. 
Section 399AA(e) of the Public Health Service Act 
(42 U.S.C. 280i(e)) is amended by striking ‘‘2019’’ and 
inserting ‘‘2024’’. 
SEC. 4. AUTISM EDUCATION, EARLY DETECTION, AND 
INTERVENTION. 
Section 399BB of the Public Health Service Act (42 
U.S.C. 280i–1) is amended— 
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
(1) in subsection (a)(1), by striking ‘‘for chil-
dren’’ and inserting ‘‘for individuals’’; 
(2) in subsection (b)— 
(A) 
by 
redesignating 
paragraphs 
(4) 
through (6) as paragraphs (5) through (7), re-
spectively; and 
(B) by inserting after paragraph (3) the 
following new paragraph: 
‘‘(4) promote evidence-based screening tech-
niques and interventions for individuals with autism 
spectrum disorder across their lifespans;’’; 
(3) in subsection (c)(1), in the matter preceding 
subparagraph (A), by inserting after ‘‘needs of indi-
viduals with autism spectrum disorder or other de-
velopmental disabilities’’ the following: ‘‘across the 
lifespan of such individuals’’; 
(4) in subsection (e), by adding at the end the 
following new paragraph: 
‘‘(4) PRIORITIZATION.— 
‘‘(A) IN
GENERAL.—In awarding grants 
and agreements under paragraphs (1) and (2), 
the Secretary may prioritize awards to training 
programs described in paragraph (1) that are 
developmental-behavioral pediatrician training 
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
programs located in rural areas or underserved 
areas. 
‘‘(B) UNDERSERVED AREA DEFINED.—In 
this paragraph, the term ‘underserved area’ 
means— 
‘‘(i) an area described in section 
332(a)(1)(A); and 
‘‘(ii) a medically underserved popu-
lation 
(as 
defined 
in 
section 
330(b)(3)(A)).’’; 
(5) in subsection (f), by inserting after ‘‘individ-
uals with autism spectrum disorder or other develop-
mental disabilities’’ the following: ‘‘across the life-
span of such individuals’’; and 
(6) in subsection (g), by striking ‘‘2019’’ and 
inserting ‘‘2024’’. 
SEC. 
5. 
INTERAGENCY 
AUTISM 
COORDINATING 
COM-
MITTEE. 
Section 399CC of the Public Health Service Act (42 
U.S.C. 280i–2) is amended— 
(1) in subsection (b)— 
(A) in paragraph (2), by inserting after 
‘‘services and supports for individuals with au-
tism spectrum disorder’’ the following: ‘‘across 
the lifespan of such individuals’’; and 
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
(B) in paragraph (5), by inserting after 
‘‘individuals with an autism spectrum disorder’’ 
the following: ‘‘across the lifespan of such indi-
viduals’’; 
(2) in subsection (c)— 
(A) in paragraph (1)(D), by inserting after 
‘‘the Department of Education’’ the following: 
‘‘, the Department of Labor, the Department of 
Justice, the Department of Housing and Urban 
Development,’’; and 
(B) in paragraph (3)(A), by striking ‘‘one 
or more additional 4-year terms’’ and inserting 
‘‘one additional 4-year term’’; and 
(3) in subsection (f), by striking ‘‘2019’’ and 
inserting ‘‘2024’’. 
SEC. 6. REPORTS TO CONGRESS. 
Section 399DD of the Public Health Service Act (42 
U.S.C. 280i–3) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘of 
2014’’ and inserting ‘‘of 2019’’; and 
(B) in paragraph (2)— 
(i) by striking ‘‘of 2014’’ each place it 
appears and inserting ‘‘of 2019’’; 
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
(ii) in subparagraph (G), striking 
‘‘age of the child’’ and inserting ‘‘age of 
the individual’’; 
(iii) in subparagraph (H), by striking 
‘‘and’’ at the end; 
(iv) in subparagraph (I), by striking 
the period at the end and inserting ‘‘; 
and’’; and 
(v) by adding at the end the following 
new subparagraph: 
‘‘(J) information on how States use home 
and community-based services and other sup-
ports to ensure that individuals with autism 
spectrum disorder or other developmental dis-
abilities are living, working, and participating in 
the community.’’; and 
(2) by amending subsection (b) to read as fol-
lows: 
‘‘(b) REPORT ON HEALTH AND WELL-BEING OF IN-
DIVIDUALS WITH AUTISM SPECTRUM DISORDER.— 
‘‘(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-
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
ergy and Commerce of the House of Representatives 
a report concerning the health and well-being of in-
dividuals with autism spectrum disorder. 
‘‘(2) CONTENTS.—The report submitted under 
paragraph (1) shall contain— 
‘‘(A) demographic factors associated with 
the health and well-being of individuals with au-
tism spectrum disorder; 
‘‘(B) an overview of policies and programs 
relevant to the health and well-being of individ-
uals with autism spectrum disorder, including 
an identification of existing Federal laws, regu-
lations, policies, research, and programs; 
‘‘(C) proposals on establishing best prac-
tices guidelines to ensure interdisciplinary co-
ordination between all relevant service providers 
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 
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
‘‘(iii) personal safety services for indi-
viduals with autism spectrum disorder re-
lated to public safety agencies or the crimi-
nal justice system; and 
‘‘(E) recommendations that seek to im-
prove health outcomes for individuals with au-
tism spectrum disorder by addressing— 
‘‘(i) screening and diagnosis of indi-
viduals of all ages; 
‘‘(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.’’. 
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS
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 ‘‘$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 such sums 
as may be necessary for each of fiscal years 2020 
through 2024’’. 
Æ 
VerDate Sep 11 2014 
00:53 Feb 20, 2019
Jkt 089200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6301
E:\BILLS\H1058.IH
H1058
pamtmann on DSKBFK8HB2PROD with BILLS