I 
119TH CONGRESS 
1ST SESSION H. R. 4086 
To authorize the Secretary of Health and Human Services, acting through 
the Administrator of the Health Resources and Services Administration, 
to award grants for providing evidence-based caregiver skills training 
to family caregivers of children with autism spectrum disorder or other 
developmental disabilities or delays, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 23, 2025 
Mr. MIN (for himself, Ms. MENG, Mr. FITZPATRICK, Mr. CUELLAR, Mr. 
BACON, 
Ms. 
SALAZAR, 
Mr. 
CORREA, 
Mr. 
VALADAO, 
Mr. 
KRISHNAMOORTHI, Mr. GOTTHEIMER, Ms. MALLIOTAKIS, Ms. NORTON, 
Mrs. MCIVER, Mr. COHEN, Mrs. HAYES, Mr. MANNION, Mr. KENNEDY 
of New York, Mr. TONKO, Mr. KHANNA, Ms. MCBRIDE, Mr. RASKIN, Ms. 
BUDZINSKI, and Mr. GARCIA of California) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To authorize the Secretary of Health and Human Services, 
acting through the Administrator of the Health Re-
sources and Services Administration, to award grants 
for providing evidence-based caregiver skills training to 
family caregivers of children with autism spectrum dis-
order or other developmental disabilities or delays, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Autism Family Care-
givers Act of 2025’’. 
SEC. 2. CAREGIVER SKILLS TRAINING PILOT PROGRAM. 
(a) AUTHORIZATION.—The Secretary of Health and 
Human Services, acting through the Administrator of the 
Health Resources and Services Administration (referred 
to in this Act as the ‘‘Secretary’’), shall carry out a pro-
gram, to be known as the Caregiver Skills Training Pilot 
Program, under which the Secretary shall award grants 
to eligible entities to provide evidence-based caregiver 
skills training to family caregivers, for the purposes of— 
(1) improving the well-being of children with 
autism spectrum disorder or another developmental 
disability or developmental delay and their care-
givers; and 
(2) teaching family caregivers evidenced-based 
intervention strategies to promote— 
(A) improvement in the well-being of such 
children and their caregivers; and 
(B) the greater inclusion of such children 
in family and community life. 
(b) APPLICATION.—To seek a grant under this sec-
tion, an eligible entity shall submit to the Secretary an 
application that includes— 
(1) a description of— 
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(A) the applicant’s experience delivering 
evidence-based caregiver skills training to fam-
ily caregivers; 
(B) the activities that the applicant pro-
poses to carry out through the grant; and 
(C) how such activities will achieve the 
purposes described in subsection (a); and 
(2) a plan for— 
(A) coordination with— 
(i) community-based organizations; 
(ii) State and local early intervention 
providers; 
(iii) State plans (or waivers of such 
plans) under the Medicaid program under 
title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.); 
(iv) State Directors of Head Start 
Collaboration (as described in section 
642B of the Head Start Act (42 U.S.C. 
9837b)); 
(v) schools; and 
(vi) other providers of early inter-
vening services; 
(B) collaboration with health care payors 
(including public and private insurance), State 
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departments of insurance, health plans, and 
other relevant payors; 
(C) expanding the skills training program 
proposed to be carried out through the grant; 
(D) achieving sustainability of such pro-
gram; and 
(E) establishing and maintaining a stake-
holder implementation committee under sub-
section (e). 
(c) REDUCING DISPARITIES.—In awarding grants 
under this section, the Secretary may consider the extent 
to which an eligible entity can deliver evidence-based, cul-
turally competent and linguistically appropriate informa-
tion to family caregivers from diverse racial, ethnic, geo-
graphic, or linguistic backgrounds. 
(d) USE OF FUNDS.—The recipient of a grant under 
this section shall use funds received through the grant— 
(1) to provide, at no cost to participants— 
(A) evidence-based caregiver skills training 
to family caregivers; and 
(B) such training in areas related to chil-
dren’s learning and development, including— 
(i) communication skills; 
(ii) social engagement; 
(iii) daily living skills; 
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(iv) caregiver response strategies to 
challenging behaviors; and 
(v) coping and self-care strategies for 
family caregivers; and 
(2) to establish and maintain a stakeholder im-
plementation committee under subsection (e). 
(e) STAKEHOLDER IMPLEMENTATION COMMITTEE.— 
(1) IN GENERAL.—An eligible entity shall es-
tablish and maintain a stakeholder implementation 
committee referred to in subsection (d)(2) to advise 
on ensuring that the training provided pursuant to 
the grant is accessible and culturally appropriate 
and linguistically appropriate. 
(2) COMPOSITION.—The members of the stake-
holder implementation committee shall all be from 
the local community served pursuant to the grant 
(or the relevant metropolitan statistical area) and 
shall include, at a minimum, the following: 
(A) Family caregivers, including autistic 
caregivers and other caregivers with disabilities. 
(B) Pediatric health care and early inter-
vention providers, including developmental be-
havioral pediatricians, with expertise providing 
services to children with autism spectrum dis-
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order or other developmental disabilities and 
delays. 
(C) Educators or related service profes-
sionals, including child care providers, with ex-
perience serving children with autism spectrum 
disorder or other developmental disabilities and 
delays. 
(D) Representatives of local organizations 
familiar with the cultural values and priorities 
of individuals in the local community. 
(E) Local government officials. 
(f) REQUIREMENTS.— 
(1) NUMBER OF RECIPIENTS AND STATES.— 
The Secretary shall award grants under subsection 
(a) to not fewer than 25 eligible entities in not fewer 
than 15 States. 
(2) AMOUNT.—The total amount of each grant 
awarded under subsection (a) shall be not less than 
$500,000 over a 5-year period. 
(g) SUPPLEMENT NOT SUPPLANT.—Amounts re-
ceived through a grant under this section shall be used 
to supplement, not supplant, other amounts received to 
provide— 
(1) behavioral, medical, habilitative, and other 
services covered by the Medicaid program under title 
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XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) or private health insurance; 
(2) services provided under the Individuals with 
Disabilities Education Act (20 U.S.C. 1400 et seq.); 
or 
(3) adaptations of a training program using evi-
dence-based approaches to serve children of different 
ages, communities, and underrepresented groups. 
(h) ACTIVITIES
OF
THE SECRETARY.—The Sec-
retary, acting through the Administrator of the Health 
Resources and Services Administration, shall— 
(1) assist recipients of grants under subsection 
(a) in— 
(A) the implementation of caregiver skills 
training programs using lessons learned from 
other evidenced-based activities or caregiver 
programs conducted or supported by the Health 
Resources and Services Administration; 
(B) ensuring the programs of the recipi-
ents assist medically underserved communities 
(as defined in section 799B(6) of the Public 
Health Service Act (42 U.S.C. 295p(6))), when 
possible; and 
(C) developing plans for achieving sustain-
ability of the programs of the recipients; 
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(2) conduct an annual evaluation of activities 
funded through grants under subsection (a), in con-
sultation with the grant recipients, including evalua-
tion of the effectiveness of— 
(A) the communication, social engagement, 
and daily living skills of children with autism 
spectrum disorder or other developmental dis-
abilities and delays; and 
(B) the extent to which family caregivers 
see improvements in the communication, social 
engagement, and daily living skills of such chil-
dren; and 
(3) convene at least one national or regional 
meeting of such grant recipients to discuss best 
practices. 
(i) REPORTS.— 
(1) INITIAL REPORT.—Not later than 6 months 
after awarding the first grant under subsection (a), 
the Secretary shall submit to the Committee on En-
ergy and Commerce of the House of Representatives 
and the Committee on Health, Education, Labor, 
and Pensions of the Senate, a report on the imple-
mentation of this section. Such report shall in-
clude— 
(A) how many grants have been awarded; 
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(B) the name and location of the grant re-
cipients; 
(C) the communities served by the grants; 
(D) a description of the kind of activities 
to be carried out with the grants; 
(E) an analysis, conducted by the Adminis-
trator of the Health Resources and Services Ad-
ministration, based on the evaluation under 
subsection (h)(2), of the effectiveness of such 
grants with respect to— 
(i) the communication, social engage-
ment, and daily living skills of children 
with autism spectrum disorder or other de-
velopmental disabilities and delays; and 
(ii) the extent to which family care-
givers see improvements in the communica-
tion, social engagement, and daily living 
skills of such children; and 
(F) best practices to increase access to 
caregiver skills training programs described in 
subsection (a) in medically underserved commu-
nities. 
(2) FINAL REPORT.—Not later than the end of 
fiscal year 2027, the Secretary shall submit to the 
Committee on Energy and Commerce of the House 
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of Representatives and the Committee on Health, 
Education, Labor, and Pensions of the Senate, a 
final report on the implementation of this section, 
including— 
(A) the information, analysis, and best 
practices listed in subparagraphs (A) through 
(F) of paragraph (1); and 
(B) recommendations on how to expand 
and extend the program under this section. 
(j) DEFINITIONS.—In this section: 
(1) DEVELOPMENTAL DELAY.—The term ‘‘de-
velopmental delay’’ has the meaning given such term 
in section 632(3) of the Individuals with Disabilities 
Education Act (20 U.S.C. 1432(3)). 
(2) DEVELOPMENTAL
DISABILITY.—The term 
‘‘developmental disability’’ has the meaning given 
such term in section 102(8)(A) of the Developmental 
Disabilities Assistance and Bill of Rights Act of 
2000 (42 U.S.C. 15002). 
(3) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means an entity that— 
(A) is— 
(i) a nonprofit or other community- 
based organization; 
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(ii) a Federally qualified health cen-
ter; 
(iii) an accredited academic medical 
center; 
(iv) a health system; or 
(v) a collaboration or consortium of 2 
or more entities listed in clauses (i) 
through (iv); 
(B) has at least 3 years of demonstrated 
experience— 
(i) delivering culturally appropriate 
and linguistically appropriate services for 
children with autism spectrum disorder or 
other developmental disabilities or develop-
mental delays, as well as collaborating di-
rectly with their families, including in 
medically underserved communities; 
(ii) providing services to such chil-
dren, as well as collaborating directly with 
their families; 
(iii) providing individual caregiver 
coaching to caregivers of such children; 
and 
(iv) working with self-advocates or 
adults with autism spectrum disorder or 
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other developmental disabilities or develop-
mental delays; 
(C) can demonstrate the ability to access 
resources from and collaborate with— 
(i) health care providers; 
(ii) allied health professionals; 
(iii) educators, including childcare 
providers; 
(iv) social workers; and 
(v) direct care professionals; and 
(D) has prior demonstrated experience de-
livering mental health services that address 
both developmental disabilities and one or more 
cooccurring mental health conditions, including 
depression, anxiety, and attention-deficit/hyper-
activity disorder (ADHD) 
(4) FAMILY
CAREGIVER.—The term ‘‘family 
caregiver’’ means an adult family member or other 
individual who has a significant relationship with, 
and who provides a broad range of assistance to, a 
child between the ages of 0 and 9 diagnosed with 
autism spectrum disorder or another developmental 
disability or developmental delay. 
(5) FEDERALLY
QUALIFIED
HEALTH
CEN-
TER.—The term ‘‘Federally qualified health center’’ 
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has the meaning given the term in section 1861(aa) 
of the Social Security Act (42 U.S.C. 1395x(aa)). 
(k) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$10,000,000 for each of fiscal years 2026 through 2030. 
Æ 
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