2014, the Secretary, in coordination with the Sec-
retary of Education and in collaboration with the 
Secretary of Transportation, the Secretary of Labor, 
the Secretary of Housing and Urban Development, 
and the Attorney General, shall prepare and submit 
to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives, a re-
port concerning young adults with autism spectrum 
disorder and the challenges related to the transition 
from existing school-based services to those services 
available during adulthood. 
‘‘(2) CONTENTS.—The report submitted under 
paragraph (1) shall contain— 
‘‘(A) demographic characteristics of youth 
transitioning from school-based to community- 
based supports; 
‘‘(B) an overview of policies and programs 
relevant to young adults with autism spectrum 
disorder relating to post-secondary school transi-
tional services, including an identification of ex-
isting Federal laws, regulations, policies, re-
search, and programs; 
‘‘(C) proposals on establishing best practices 
guidelines to ensure— 
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‘‘(i) interdisciplinary coordination be-
tween all relevant service providers receiv-
ing Federal funding; 
‘‘(ii) coordination with transitioning 
youth and the family of such transitioning 
youth; and 
‘‘(iii) inclusion of the individualized 
education program for the transitioning 
youth, as prescribed in section 614 of the 
Individuals with Disabilities Education Act 
(20 U.S.C. 1414); 
‘‘(D) 
comprehensive 
approaches 
to 
transitioning from existing school-based services 
to those services available during adulthood, in-
cluding— 
‘‘(i) services that increase access to, 
and improve integration and completion of, 
post-secondary education, peer support, vo-
cational training (as defined in section 103 
of the Rehabilitation Act of 1973 (29 U.S.C. 
723)), rehabilitation, self-advocacy skills, 
and competitive, integrated employment; 
‘‘(ii) community-based behavioral sup-
ports and interventions; 
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‘‘(iii) community-based integrated resi-
dential services, housing, and transpor-
tation; 
‘‘(iv) nutrition, health and wellness, 
recreational, and social activities; 
‘‘(v) personal safety services for indi-
viduals with autism spectrum disorder re-
lated to public safety agencies or the crimi-
nal justice system; and 
‘‘(vi) evidence-based approaches for co-
ordination of resources and services once in-
dividuals have aged out of post-secondary 
education; and 
‘‘(E) proposals that seek to improve out-
comes for adults with autism spectrum disorder 
making the transition from a school-based sup-
port system to adulthood by— 
‘‘(i) increasing the effectiveness of pro-
grams that provide transition services; 
‘‘(ii) increasing the ability of the rel-
evant service providers described in sub-
paragraph (C) to provide supports and 
services to underserved populations and re-
gions; 
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‘‘(iii) increasing the efficiency of serv-
ice delivery to maximize resources and out-
comes, including with respect to the integra-
tion of and collaboration among services for 
transitioning youth; 
‘‘(iv) ensuring access to all services 
necessary to transitioning youth of all capa-
bilities; and 
‘‘(v) encouraging transitioning youth 
to utilize all available transition services to 
maximize independence, equal opportunity, 
full participation, and self-sufficiency.’’. 
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 ‘‘fiscal years 
2012 through 2014’’ and inserting ‘‘fiscal years 2015 
through 2019’’; 
(2) in subsection (b), by striking ‘‘fiscal years 
2011 through 2014’’ and inserting ‘‘fiscal years 2015 
through 2019’’; and 
(3) in subsection (c), by striking ‘‘$161,000,000 
for each of fiscal years 2011 through 2014’’ and in-
serting ‘‘$190,000,000 for each of fiscal years 2015 
through 2019’’. 
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Union Calendar No. 365 
113TH CONGRESS 
2D SESSION 
H. R. 4631 
[Report No. 113–490] 
A BILL 
To reauthorize certain provisions of the Public 
Health Service Act relating to autism, and for 
other purposes. 
JUNE 23, 2014 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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