Autism Collaboration, Accountability, Research, Education, and Support Act of 2019

Bill: 116-hr-1058
Sponsor: full_name: Rep. Smith, Christopher H. [R-NJ-4]
Introduced: 2019-02-07
Policy area: Health
Subjects: Child health

Congressional oversight

Department of Health and Human Services

Disability and paralysis

Education programs funding

Executive agency funding and structure

Health care coverage and access

Health information and medical records

Health programs administration and funding

Health promotion and preventive care

Home and outpatient care

Medical education

Medical research

Medical tests and diagnostic methods

Mental health

Minority health

Neurological disorders

Research administration and funding

Rural conditions and development
Latest action: action_date: 2019-09-30
text: Became Public Law No: 116-60.

Summaries:
action_date: 2019-02-07
action_desc: Introduced in House
text: <p><b>Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019</b></p> <p>This bill reauthorizes through FY2024 and revises several programs and activities relating to autism spectrum disorder (ASD). Among other things, the bill reauthorizes provisions relating to (1) expanded ASD research at the National Institutes of Health; (2) ASD education, early detection, and intervention activities supported by the Health Resources and Services Administration; and (3) the Interagency Autism Coordinating Committee.</p> <p>The bill also generally revises the scope of such programs and activities to encompass ASD individuals of all ages, rather than only youth. </p>

action_date: 2019-09-19
action_desc: Passed Senate
text: <p><b>Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019</b></p> <p>This bill reauthorizes through FY2024 and revises several programs and activities relating to autism spectrum disorder (ASD). Specifically, the bill reauthorizes provisions relating to (1) expanded ASD research at the National Institutes of Health; (2) the collection of state-level ASD data by the Centers for Disease Control and Prevention; (3) ASD education, early detection, and intervention activities supported by the Health Resources and Services Administration; and (4) the Interagency Autism Coordinating Committee.</p> <p>The bill also generally revises the scope of such programs and activities to (1) encompass ASD individuals of all ages, rather than only youth; (2) focus funding on programs in areas with a shortage of personal health services; and (3) reduce health-outcome disparities across diverse populations. </p>

action_date: 2019-09-30
action_desc: Public Law
text: <p><b>Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019</b></p> <p>This bill reauthorizes through FY2024 and revises several programs and activities relating to autism spectrum disorder (ASD). Specifically, the bill reauthorizes provisions relating to (1) expanded ASD research at the National Institutes of Health; (2) the collection of state-level ASD data by the Centers for Disease Control and Prevention; (3) ASD education, early detection, and intervention activities supported by the Health Resources and Services Administration; and (4) the Interagency Autism Coordinating Committee.</p> <p>The bill also generally revises the scope of such programs and activities to (1) encompass ASD individuals of all ages, rather than only youth; (2) focus funding on programs in areas with a shortage of personal health services; and (3) reduce health-outcome disparities across diverse populations. </p>

tv_txt: I 116th CONGRESS 1st Session H. R. 1058 IN THE HOUSE OF REPRESENTATIVES February 7, 2019 Mr. Smith of New Jersey (for himself and Mr. Michael F. Doyle of Pennsylvania ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To reauthorize certain provisions of the Public Health Service Act relating to autism, and for other purposes.

1. Short title This Act may be cited as the Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019 . 2. Expansion, intensification, and coordination of activities of National Institutes of Health with respect to research 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 outcomes for persons with autism spectrum disorder ; (B) by inserting after early the following: 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 paragraph (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 treatment of autism spectrum disorder across the lifespan. The centers, as a group, shall conduct research including in the fields of developmental neurobiology, genetics, psychopharmacology, ge­nom­ics, and developmental, behavioral, and clinical psychology. ; and (B) in paragraph (3), by adding at the end the following new subparagraph: (D) Reducing disparities In awarding grants to applicants which meet the scientific criteria for funding under this section, the Director may consider, as appropriate, the extent to which a center can demonstrate availability and access to clinical services for youth and adults from diverse racial, ethnic, geographic, or linguistic backgrounds. . 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 . 4. Autism education, early detection, and intervention Section 399BB of the Public Health Service Act ( 42 U.S.C. 280i–1 ) is amended— (1) in subsection (a)(1), by striking for children and inserting for individuals ; (2) in subsection (b)— (A) by redesignating paragraphs (4) through (6) as paragraphs (5) through (7), respectively; and (B) by inserting after paragraph (3) the following new paragraph: (4) promote evidence-based screening techniques 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 individuals with autism spectrum disorder or other developmental 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 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 population (as defined in section 330(b)(3)(A)). ; (5) in subsection (f), by inserting after individuals with autism spectrum disorder or other developmental disabilities the following: across the lifespan of such individuals ; and (6) in subsection (g), by striking 2019 and inserting 2024 . 5. Interagency Autism Coordinating Committee 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 autism spectrum disorder the following: across the lifespan of such individuals ; and (B) in paragraph (5), by inserting after individuals with an autism spectrum disorder the following: across the lifespan of such individuals ; (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 . 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 ; (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 supports to ensure that individuals with autism spectrum disorder or other developmental disabilities are living, working, and participating in the community. ; and (2) by amending subsection (b) to read as follows: (b) Report on health and well-Being of individuals 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 Energy and Commerce of the House of Representatives a report concerning the health and well-being of individuals 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 autism spectrum disorder; (B) an overview of policies and programs relevant to the health and well-being of individuals with autism spectrum disorder, including an identification of existing Federal laws, regulations, policies, research, and programs; (C) proposals on establishing best practices guidelines to ensure interdisciplinary coordination between all relevant service providers receiving Federal funding; (D) comprehensive approaches to improving health outcomes and well-being for individuals with autism spectrum disorder, including— (i) community-based behavioral supports and interventions; (ii) nutrition, recreational, and social activities; and (iii) personal safety services for individuals with autism spectrum disorder related to public safety agencies or the criminal justice system; and (E) recommendations that seek to improve health outcomes for individuals with autism spectrum disorder by addressing— (i) screening and diagnosis of individuals of all ages; (ii) behavioral and other therapeutic approaches; (iii) primary and preventative care; (iv) communication challenges; (v) aggression, self-injury, elopement, and other behavioral issues; (vi) emergency room visits and acute care hospitalization; (vii) treatment for co-occurring physical and mental health conditions; (viii) premature mortality; (ix) medical practitioner training; and (x) caregiver mental health. . 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 inserting $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 inserting $50,599,000 for each of fiscal years 2020 through 2024 ; and (3) in subsection (c), by striking there is authorized 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 .

tv_txt: I 116th CONGRESS 1st Session H. R. 1058 IN THE HOUSE OF REPRESENTATIVES 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 disorder and enhance programs relating to autism, and for other purposes.

1. Short title This Act may be cited as the Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019 . 2. Expansion, intensification, and coordination of activities of the NIH with respect to research 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) in the first sentence, by striking and toxicology and inserting toxicology, and interventions to maximize outcomes for individuals with autism spectrum disorder ; and (B) by striking the second sentence and inserting the following: Such research shall investigate the causes (including possible environmental causes), diagnosis or ruling out, early and ongoing detection, prevention, services across the lifespan, supports, intervention, and treatment of autism spectrum disorder, including dissemination and implementation of clinical care, supports, interventions, and treatments. ; (2) in subsection (b)— (A) in paragraph (2)— (i) in the second sentence, by striking cause and all that follows through disorder and inserting causes, diagnosis, early and ongoing detection, prevention, and treatment of autism spectrum disorder across the lifespan ; and (ii) in the third sentence, by striking neurobiology and all that follows through the period and inserting neurobiology, genetics, genomics, psychopharmacology, developmental psychology, behavioral psychology, and clinical psychology. ; and (B) in paragraph (3), by adding at the end the following: (D) Reducing disparities The Director may consider, as appropriate, the extent to which a center can demonstrate availability and access to clinical services for youth and adults from diverse racial, ethnic, geographic, or linguistic backgrounds in decisions about awarding grants to applicants which meet the scientific criteria for funding under this section. . 3. Programs relating to autism (a) Developmental disabilities surveillance and research program Section 399AA of the Public Health Service Act ( 42 U.S.C. 280i ) is amended— (1) in subsection (a)(1), by striking adults on autism spectrum disorder and inserting adults with autism spectrum disorder ; (2) in subsection (a)(2)— (A) by striking State and local public health officials and inserting State, local, and Tribal public health officials ; (B) by striking or other developmental disabilities and inserting and other developmental disabilities ; (3) in subsection (a)(3), by striking a university, or any other educational institution and inserting a university, any other educational institution, an Indian tribe, or a tribal organization ; (4) in subsection (b)(2)(A), by striking relevant State and local public health officials, private sector developmental disability researchers, and advocates for individuals with developmental disabilities and inserting State, local, and Tribal public health officials, private sector developmental disability researchers, advocates for individuals with autism spectrum disorder, and advocates for individuals with other developmental disabilities ; (5) in subsection (d)— (A) by redesignating paragraphs (1) and (2) as paragraphs (2) and (3), respectively; and (B) by inserting before paragraph (2), as so redesignated, the following new paragraph: (1) Indian tribe; tribal organization The terms Indian tribe and tribal organization have the meanings given such terms in section 4 of the Indian Health Care Improvement Act. ; and (6) in subsection (e), by striking 2019 and inserting 2024 . (b) Autism education, early detection, and intervention Section 399BB of the Public Health Service Act ( 42 U.S.C. 280i–1 ) is amended— (1) in subsection (a)(1)— (A) by striking individuals with autism spectrum disorder or other developmental disabilities and inserting individuals with autism spectrum disorder and other developmental disabilities ; and (B) by striking children with autism spectrum disorder and all that follows through disabilities; and inserting individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (2) in subsection (b)— (A) in paragraph (2), by inserting individuals with before autism spectrum disorder ; (B) by redesignating paragraphs (4) through (6) as paragraphs (5) through (7), respectively; and (C) by inserting after paragraph (3) the following: (4) promote evidence-based screening techniques and interventions for individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (3) in subsection (c)— (A) in paragraph (1), in the matter preceding subparagraph (A), by striking the needs of individuals with autism spectrum disorder or other developmental disabilities and their families and inserting the needs of individuals with autism spectrum disorder and other developmental disabilities across their lifespan and the needs of their families ; and (B) in paragraph (2)— (i) in subparagraph (A)(ii), by striking caregivers of individuals with an autism spectrum disorder and inserting caregivers of individuals with autism spectrum disorder or other developmental disabilities ; (ii) in subparagraph (B)(i)(II), by inserting autism spectrum disorder and after individuals with ; and (iii) in subparagraph (B)(ii), by inserting autism spectrum disorder and after individuals with ; (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by inserting across their lifespan before and ensure ; and (ii) in subparagraph (B)(iv), by inserting across their lifespan after other developmental disabilities ; (B) by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively; and (C) by inserting after paragraph (1) the following: (2) Developmental-behavioral pediatrician training programs (A) In general In making awards under this subsection, the Secretary may prioritize awards to applicants that are developmental-behavioral pediatrician training programs located in rural or underserved areas. (B) Definition of underserved area In this paragraph, the term underserved area means— (i) a health professional shortage area (as defined in section 332(a)(1)(A)); and (ii) an urban or rural area designated by the Secretary as an area with a shortage of personal health services (as described in section 330(b)(3)(A)). ; (5) in subsection (f), by inserting across the lifespan of such individuals after other developmental disabilities ; and (6) in subsection (g), by striking 2019 and inserting 2024 . (c) Interagency autism coordinating committee 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 across the lifespan of such individuals before the semicolon; and (B) in paragraph (5), by inserting across the lifespan of such individuals before and the families ; (2) in subsection (c)— (A) in paragraph (1)(D), by inserting , the Department of Labor, the Department of Justice, the Department of Veterans Affairs, the Department of Housing and Urban Development, after Department of Education ; (B) in subparagraphs (A), (B), and (C) of paragraph (2), by striking at least two such members each place it appears and inserting at least three such members ; (C) 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 . (d) 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 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 inserting 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 supports to ensure that individuals with autism spectrum disorder and other developmental disabilities 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 inserting the health and well-Being of individuals with autism spectrum disorder 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 Energy and Commerce of the House of Representatives, 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 autism 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, regulations, policies, research, and programs; ; 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 providers receiving Federal funding; (D) comprehensive approaches to improving health outcomes and well-being for individuals with autism spectrum disorder, including— (i) community-based behavioral supports 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 improve health outcomes for such individuals, including across their lifespan, by addressing— (i) screening and diagnosis of children and adults; (ii) behavioral and other therapeutic approaches; (iii) primary and preventative care; (iv) communication challenges; (v) aggression, self-injury, elopement, and other behavioral issues; (vi) emergency room visits and acute care hospitalization; (vii) treatment for co-occurring physical 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 inserting $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 inserting $50,599,000 for each of fiscal years 2020 through 2024 ; and (3) in subsection (c), by striking there is authorized 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. Karen L. Haas, Clerk.

tv_txt: IB Union Calendar No. 137 116th CONGRESS 1st Session H. R. 1058 [Report No. 116–177] IN THE HOUSE OF REPRESENTATIVES February 7, 2019 Mr. Smith of New Jersey (for himself and Mr. Michael F. Doyle of Pennsylvania ) introduced the following bill; which was referred to the Committee on Energy and Commerce July 23, 2019 Additional sponsors: Mr. Fitzpatrick , Mr. Brendan F. Boyle of Pennsylvania , Mr. Sean Patrick Maloney of New York , Mr. Peterson , Mr. San Nicolas , Mr. Payne , Mr. Serrano , Mr. Deutch , Mr. Carson of Indiana , Mr. King of New York , Mr. Gottheimer , Mr. Lipinski , Ms. Norton , Mr. Yarmuth , Mr. McGovern , Mr. Hastings , Mr. Brindisi , Mr. Moulton , Ms. Slotkin , Mr. Meeks , Mr. Kim , Mr. Welch , Mrs. Walorski , Mr. Schiff , Ms. Lofgren , Mr. Ryan , Ms. Matsui , Ms. Waters , Mr. Kennedy , Ms. Kuster of New Hampshire , Mrs. Davis of California , Mr. Rose of New York , Mr. Pocan , Mr. Ruppersberger , Mrs. Hayes , Mr. Marchant , Mr. Stivers , Mr. Kelly of Pennsylvania , Mr. Stauber , Mr. Sires , Ms. Spanberger , Mr. Young , Mr. Cox of California , Mr. García of Illinois , Mr. Golden , Mr. Reschenthaler , Mr. Raskin , Ms. Brownley of California , Ms. Sherrill , Ms. Wild , Ms. Judy Chu of California , Mr. David P. Roe of Tennessee , Mr. Brown of Maryland , Mr. McKinley , Mr. Cole , Mr. Levin of Michigan , Mr. Clay , Ms. Mucarsel-Powell , Mr. Courtney , Mr. Lamborn , Ms. Haaland , Mr. Correa , Mr. Cooper , Ms. Clarke of New York , Mrs. Rodgers of Washington , Mr. DeFazio , Mr. Grijalva , Mrs. Watson Coleman , Ms. Castor of Florida , Mr. Blumenauer , Mr. Connolly , Ms. Scanlon , Mr. Morelle , Miss Rice of New York , Ms. Johnson of Texas , Ms. Ocasio-Cortez , Mr. Stewart , Mr. Horsford , Mr. Bost , Ms. Stefanik , Mr. Costa , Ms. Pingree , Mr. Malinowski , Mrs. Beatty , Mr. Swalwell of California , Mrs. Lee of Nevada , Mrs. Axne , Mr. Lamb , Mr. Thompson of Mississippi , Mr. Loebsack , Ms. DeLauro , Mr. Rodney Davis of Illinois , Mr. Gallego , Mr. Shimkus , Ms. Pressley , Ms. Titus , Mr. Joyce of Ohio , Mr. Chabot , Miss González-Colón of Puerto Rico , Mr. Larson of Connecticut , Mr. Joyce of Pennsylvania , Ms. Jackson Lee , Ms. Craig , Mr. Hurd of Texas , Ms. Finkenauer , Ms. Clark of Massachusetts , Mrs. Dingell , Mrs. Kirkpatrick , Mr. Luján , Ms. Blunt Rochester , Mr. Butterfield , Mrs. Miller , Mr. Heck , Mr. Harder of California , Mr. Rouda , Mrs. Lawrence , Mr. Green of Texas , Mr. Collins of New York , Mr. Schweikert , Mr. Gianforte , Mr. Engel , Mr. Cárdenas , Mr. Trone , Mr. Posey , Ms. Lee of California , Mrs. Trahan , Mr. Rush , Mr. Latta , Mr. Upton , Mr. McEachin , Mr. Soto , Mr. Suozzi , Mr. Carter of Georgia , Mr. Spano , Mr. Tonko , Mr. Emmer , Mr. Lawson of Florida , Mr. Cisneros , Mr. Carbajal , Mr. O'Halleran , Ms. Omar , Mrs. Brooks of Indiana , Mr. Steube , Mr. Ted Lieu of California , Ms. Roybal-Allard , Mr. Phillips , Ms. Fudge , Ms. McCollum , Mr. Guthrie , Mr. Pappas , Mr. Thompson of Pennsylvania , Ms. Underwood , Mr. Huffman , Ms. Kaptur , Mr. Marshall , Mr. Barr , Ms. Wexton , Ms. Wasserman Schultz , Ms. Schakowsky , Mr. Walden , Mr. Johnson of South Dakota , Mr. Himes , Mrs. Lowey , Mr. Zeldin , Mr. Van Drew , Mr. Neguse , Mr. Hagedorn , Ms. Herrera Beutler , Mr. Quigley , Mr. Sablan , Mr. Gonzalez of Ohio , and Ms. Kendra S. Horn of Oklahoma July 23, 2019 Reported with amendments, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed Strike out all after the enacting clause and insert the part printed in italic For text of introduced bill, see copy of bill as introduced on February 7, 2019 A BILL To reauthorize certain provisions of the Public Health Service Act relating to autism, and for other purposes.

1. Short title This Act may be cited as the Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019 . 2. Expansion, intensification, and coordination of activities of the NIH with respect to research 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) in the first sentence, by striking and toxicology and inserting toxicology, and interventions to maximize outcomes for individuals with autism spectrum disorder ; and (B) by striking the second sentence and inserting the following: Such research shall investigate the causes (including possible environmental causes), diagnosis or ruling out, early and ongoing detection, prevention, services across the lifespan, supports, intervention, and treatment of autism spectrum disorder, including dissemination and implementation of clinical care, supports, interventions, and treatments. ; (2) in subsection (b)— (A) in paragraph (2)— (i) in the second sentence, by striking cause and all that follows through disorder and inserting causes, diagnosis, early and ongoing detection, prevention, and treatment of autism spectrum disorder across the lifespan ; and (ii) in the third sentence, by striking neurobiology and all that follows through the period and inserting neurobiology, genetics, genomics, psychopharmacology, developmental psychology, behavioral psychology, and clinical psychology. ; and (B) in paragraph (3), by adding at the end the following: (D) Reducing disparities The Director may consider, as appropriate, the extent to which a center can demonstrate availability and access to clinical services for youth and adults from diverse racial, ethnic, geographic, or linguistic backgrounds in decisions about awarding grants to applicants which meet the scientific criteria for funding under this section. . 3. Programs relating to autism (a) Developmental disabilities surveillance and research program Section 399AA of the Public Health Service Act ( 42 U.S.C. 280i ) is amended— (1) in subsection (a)(1), by striking adults on autism spectrum disorder and inserting adults with autism spectrum disorder ; (2) in subsection (a)(2)— (A) by striking State and local public health officials and inserting State, local, and Tribal public health officials ; (B) by striking or other developmental disabilities and inserting and other developmental disabilities ; (3) in subsection (a)(3), by striking a university, or any other educational institution and inserting a university, any other educational institution, an Indian tribe, or a tribal organization ; (4) in subsection (b)(2)(A), by striking relevant State and local public health officials, private sector developmental disability researchers, and advocates for individuals with developmental disabilities and inserting State, local, and Tribal public health officials, private sector developmental disability researchers, advocates for individuals with autism spectrum disorder, and advocates for individuals with other developmental disabilities ; (5) in subsection (d)— (A) by redesignating paragraphs (1) and (2) as paragraphs (2) and (3), respectively; and (B) by inserting before paragraph (2), as so redesignated, the following new paragraph: (1) Indian tribe; tribal organization The terms Indian tribe and tribal organization have the meanings given such terms in section 4 of the Indian Health Care Improvement Act. ; and (6) in subsection (e), by striking 2019 and inserting 2024 . (b) Autism education, early detection, and intervention Section 399BB of the Public Health Service Act ( 42 U.S.C. 280i–1 ) is amended— (1) in subsection (a)(1)— (A) by striking individuals with autism spectrum disorder or other developmental disabilities and inserting individuals with autism spectrum disorder and other developmental disabilities ; and (B) by striking children with autism spectrum disorder and all that follows through disabilities; and inserting individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (2) in subsection (b)— (A) in paragraph (2), by inserting individuals with before autism spectrum disorder ; (B) by redesignating paragraphs (4) through (6) as paragraphs (5) through (7), respectively; and (C) by inserting after paragraph (3) the following: (4) promote evidence-based screening techniques and interventions for individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (3) in subsection (c)— (A) in paragraph (1), in the matter preceding subparagraph (A), by striking the needs of individuals with autism spectrum disorder or other developmental disabilities and their families and inserting the needs of individuals with autism spectrum disorder and other developmental disabilities across their lifespan and the needs of their families ; and (B) in paragraph (2)— (i) in subparagraph (A)(ii), by striking caregivers of individuals with an autism spectrum disorder and inserting caregivers of individuals with autism spectrum disorder or other developmental disabilities ; (ii) in subparagraph (B)(i)(II), by inserting autism spectrum disorder and after individuals with ; and (iii) in subparagraph (B)(ii), by inserting autism spectrum disorder and after individuals with ; (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by inserting across their lifespan before and ensure ; and (ii) in subparagraph (B)(iv), by inserting across their lifespan after other developmental disabilities ; (B) by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively; and (C) by inserting after paragraph (1) the following: (2) Developmental-behavioral pediatrician training programs (A) In general In making awards under this subsection, the Secretary may prioritize awards to applicants that are developmental-behavioral pediatrician training programs located in rural or underserved areas. (B) Definition of underserved area In this paragraph, the term underserved area means— (i) a health professional shortage area (as defined in section 332(a)(1)(A)); and (ii) an urban or rural area designated by the Secretary as an area with a shortage of personal health services (as described in section 330(b)(3)(A)). ; (5) in subsection (f), by inserting across the lifespan of such individuals after other developmental disabilities ; and (6) in subsection (g), by striking 2019 and inserting 2024 . (c) Interagency autism coordinating committee 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 across the lifespan of such individuals before the semicolon; and (B) in paragraph (5), by inserting across the lifespan of such individuals before and the families ; (2) in subsection (c)— (A) in paragraph (1)(D), by inserting , the Department of Labor, the Department of Justice, the Department of Veterans Affairs, the Department of Housing and Urban Development, after Department of Education ; (B) in subparagraphs (A), (B), and (C) of paragraph (2), by striking at least two such members each place it appears and inserting at least three such members ; (C) 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 . (d) 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 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 inserting 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 supports to ensure that individuals with autism spectrum disorder and other developmental disabilities 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 inserting the health and well-Being of individuals with autism spectrum disorder 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 Energy and Commerce of the House of Representatives, 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 autism 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, regulations, policies, research, and programs; ; 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 providers receiving Federal funding; (D) comprehensive approaches to improving health outcomes and well-being for individuals with autism spectrum disorder, including— (i) community-based behavioral supports 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 improve health outcomes for such individuals, including across their lifespan, by addressing— (i) screening and diagnosis of children and adults; (ii) behavioral and other therapeutic approaches; (iii) primary and preventative care; (iv) communication challenges; (v) aggression, self-injury, elopement, and other behavioral issues; (vi) emergency room visits and acute care hospitalization; (vii) treatment for co-occurring physical 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 inserting $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 inserting $50,599,000 for each of fiscal years 2020 through 2024 ; and (3) in subsection (c), by striking there is authorized 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 .

Amend the title so as to read: A bill to amend the Public Health Service Act to enhance activities of the National Institutes of Health with respect to research on autism spectrum disorder and enhance programs relating to autism, and for other purposes. .

July 23, 2019 Reported with amendments, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

tv_txt: II 116th CONGRESS 1st Session H. R. 1058 IN THE SENATE OF THE UNITED STATES July 25, 2019 Received 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 disorder and enhance programs relating to autism, and for other purposes.

1. Short title This Act may be cited as the Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019 . 2. Expansion, intensification, and coordination of activities of the NIH with respect to research 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) in the first sentence, by striking and toxicology and inserting toxicology, and interventions to maximize outcomes for individuals with autism spectrum disorder ; and (B) by striking the second sentence and inserting the following: Such research shall investigate the causes (including possible environmental causes), diagnosis or ruling out, early and ongoing detection, prevention, services across the lifespan, supports, intervention, and treatment of autism spectrum disorder, including dissemination and implementation of clinical care, supports, interventions, and treatments. ; (2) in subsection (b)— (A) in paragraph (2)— (i) in the second sentence, by striking cause and all that follows through disorder and inserting causes, diagnosis, early and ongoing detection, prevention, and treatment of autism spectrum disorder across the lifespan ; and (ii) in the third sentence, by striking neurobiology and all that follows through the period and inserting neurobiology, genetics, genomics, psychopharmacology, developmental psychology, behavioral psychology, and clinical psychology. ; and (B) in paragraph (3), by adding at the end the following: (D) Reducing disparities The Director may consider, as appropriate, the extent to which a center can demonstrate availability and access to clinical services for youth and adults from diverse racial, ethnic, geographic, or linguistic backgrounds in decisions about awarding grants to applicants which meet the scientific criteria for funding under this section. . 3. Programs relating to autism (a) Developmental disabilities surveillance and research program Section 399AA of the Public Health Service Act ( 42 U.S.C. 280i ) is amended— (1) in subsection (a)(1), by striking adults on autism spectrum disorder and inserting adults with autism spectrum disorder ; (2) in subsection (a)(2)— (A) by striking State and local public health officials and inserting State, local, and Tribal public health officials ; (B) by striking or other developmental disabilities and inserting and other developmental disabilities ; (3) in subsection (a)(3), by striking a university, or any other educational institution and inserting a university, any other educational institution, an Indian tribe, or a tribal organization ; (4) in subsection (b)(2)(A), by striking relevant State and local public health officials, private sector developmental disability researchers, and advocates for individuals with developmental disabilities and inserting State, local, and Tribal public health officials, private sector developmental disability researchers, advocates for individuals with autism spectrum disorder, and advocates for individuals with other developmental disabilities ; (5) in subsection (d)— (A) by redesignating paragraphs (1) and (2) as paragraphs (2) and (3), respectively; and (B) by inserting before paragraph (2), as so redesignated, the following new paragraph: (1) Indian tribe; tribal organization The terms Indian tribe and tribal organization have the meanings given such terms in section 4 of the Indian Health Care Improvement Act. ; and (6) in subsection (e), by striking 2019 and inserting 2024 . (b) Autism education, early detection, and intervention Section 399BB of the Public Health Service Act ( 42 U.S.C. 280i–1 ) is amended— (1) in subsection (a)(1)— (A) by striking individuals with autism spectrum disorder or other developmental disabilities and inserting individuals with autism spectrum disorder and other developmental disabilities ; and (B) by striking children with autism spectrum disorder and all that follows through disabilities; and inserting individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (2) in subsection (b)— (A) in paragraph (2), by inserting individuals with before autism spectrum disorder ; (B) by redesignating paragraphs (4) through (6) as paragraphs (5) through (7), respectively; and (C) by inserting after paragraph (3) the following: (4) promote evidence-based screening techniques and interventions for individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (3) in subsection (c)— (A) in paragraph (1), in the matter preceding subparagraph (A), by striking the needs of individuals with autism spectrum disorder or other developmental disabilities and their families and inserting the needs of individuals with autism spectrum disorder and other developmental disabilities across their lifespan and the needs of their families ; and (B) in paragraph (2)— (i) in subparagraph (A)(ii), by striking caregivers of individuals with an autism spectrum disorder and inserting caregivers of individuals with autism spectrum disorder or other developmental disabilities ; (ii) in subparagraph (B)(i)(II), by inserting autism spectrum disorder and after individuals with ; and (iii) in subparagraph (B)(ii), by inserting autism spectrum disorder and after individuals with ; (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by inserting across their lifespan before and ensure ; and (ii) in subparagraph (B)(iv), by inserting across their lifespan after other developmental disabilities ; (B) by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively; and (C) by inserting after paragraph (1) the following: (2) Developmental-behavioral pediatrician training programs (A) In general In making awards under this subsection, the Secretary may prioritize awards to applicants that are developmental-behavioral pediatrician training programs located in rural or underserved areas. (B) Definition of underserved area In this paragraph, the term underserved area means— (i) a health professional shortage area (as defined in section 332(a)(1)(A)); and (ii) an urban or rural area designated by the Secretary as an area with a shortage of personal health services (as described in section 330(b)(3)(A)). ; (5) in subsection (f), by inserting across the lifespan of such individuals after other developmental disabilities ; and (6) in subsection (g), by striking 2019 and inserting 2024 . (c) Interagency autism coordinating committee 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 across the lifespan of such individuals before the semicolon; and (B) in paragraph (5), by inserting across the lifespan of such individuals before and the families ; (2) in subsection (c)— (A) in paragraph (1)(D), by inserting , the Department of Labor, the Department of Justice, the Department of Veterans Affairs, the Department of Housing and Urban Development, after Department of Education ; (B) in subparagraphs (A), (B), and (C) of paragraph (2), by striking at least two such members each place it appears and inserting at least three such members ; (C) 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 . (d) 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 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 inserting 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 supports to ensure that individuals with autism spectrum disorder and other developmental disabilities 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 inserting the health and well-Being of individuals with autism spectrum disorder 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 Energy and Commerce of the House of Representatives, 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 autism 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, regulations, policies, research, and programs; ; 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 providers receiving Federal funding; (D) comprehensive approaches to improving health outcomes and well-being for individuals with autism spectrum disorder, including— (i) community-based behavioral supports 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 improve health outcomes for such individuals, including across their lifespan, by addressing— (i) screening and diagnosis of children and adults; (ii) behavioral and other therapeutic approaches; (iii) primary and preventative care; (iv) communication challenges; (v) aggression, self-injury, elopement, and other behavioral issues; (vi) emergency room visits and acute care hospitalization; (vii) treatment for co-occurring physical 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 inserting $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 inserting $50,599,000 for each of fiscal years 2020 through 2024 ; and (3) in subsection (c), by striking there is authorized 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. Cheryl L. Johnson, Clerk

tv_txt: I One Hundred Sixteenth Congress of the United States of America At the First Session Begun and held at the City of Washington on Thursday, the third day of January, two thousand and nineteen 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 disorder and enhance programs relating to autism, and for other purposes.

1. Short title This Act may be cited as the Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 or the Autism CARES Act of 2019 . 2. Expansion, intensification, and coordination of activities of the NIH with respect to research 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) in the first sentence, by striking and toxicology and inserting toxicology, and interventions to maximize outcomes for individuals with autism spectrum disorder ; and (B) by striking the second sentence and inserting the following: Such research shall investigate the causes (including possible environmental causes), diagnosis or ruling out, early and ongoing detection, prevention, services across the lifespan, supports, intervention, and treatment of autism spectrum disorder, including dissemination and implementation of clinical care, supports, interventions, and treatments. ; (2) in subsection (b)— (A) in paragraph (2)— (i) in the second sentence, by striking cause and all that follows through disorder and inserting causes, diagnosis, early and ongoing detection, prevention, and treatment of autism spectrum disorder across the lifespan ; and (ii) in the third sentence, by striking neurobiology and all that follows through the period and inserting neurobiology, genetics, genomics, psychopharmacology, developmental psychology, behavioral psychology, and clinical psychology. ; and (B) in paragraph (3), by adding at the end the following: (D) Reducing disparities The Director may consider, as appropriate, the extent to which a center can demonstrate availability and access to clinical services for youth and adults from diverse racial, ethnic, geographic, or linguistic backgrounds in decisions about awarding grants to applicants which meet the scientific criteria for funding under this section. . 3. Programs relating to autism (a) Developmental disabilities surveillance and research program Section 399AA of the Public Health Service Act ( 42 U.S.C. 280i ) is amended— (1) in subsection (a)(1), by striking adults on autism spectrum disorder and inserting adults with autism spectrum disorder ; (2) in subsection (a)(2)— (A) by striking State and local public health officials and inserting State, local, and Tribal public health officials ; (B) by striking or other developmental disabilities and inserting and other developmental disabilities ; (3) in subsection (a)(3), by striking a university, or any other educational institution and inserting a university, any other educational institution, an Indian tribe, or a tribal organization ; (4) in subsection (b)(2)(A), by striking relevant State and local public health officials, private sector developmental disability researchers, and advocates for individuals with developmental disabilities and inserting State, local, and Tribal public health officials, private sector developmental disability researchers, advocates for individuals with autism spectrum disorder, and advocates for individuals with other developmental disabilities ; (5) in subsection (d)— (A) by redesignating paragraphs (1) and (2) as paragraphs (2) and (3), respectively; and (B) by inserting before paragraph (2), as so redesignated, the following new paragraph: (1) Indian tribe; tribal organization The terms Indian tribe and tribal organization have the meanings given such terms in section 4 of the Indian Health Care Improvement Act. ; and (6) in subsection (e), by striking 2019 and inserting 2024 . (b) Autism education, early detection, and intervention Section 399BB of the Public Health Service Act ( 42 U.S.C. 280i–1 ) is amended— (1) in subsection (a)(1)— (A) by striking individuals with autism spectrum disorder or other developmental disabilities and inserting individuals with autism spectrum disorder and other developmental disabilities ; and (B) by striking children with autism spectrum disorder and all that follows through disabilities; and inserting individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (2) in subsection (b)— (A) in paragraph (2), by inserting individuals with before autism spectrum disorder ; (B) by redesignating paragraphs (4) through (6) as paragraphs (5) through (7), respectively; and (C) by inserting after paragraph (3) the following: (4) promote evidence-based screening techniques and interventions for individuals with autism spectrum disorder and other developmental disabilities across their lifespan; ; (3) in subsection (c)— (A) in paragraph (1), in the matter preceding subparagraph (A), by striking the needs of individuals with autism spectrum disorder or other developmental disabilities and their families and inserting the needs of individuals with autism spectrum disorder and other developmental disabilities across their lifespan and the needs of their families ; and (B) in paragraph (2)— (i) in subparagraph (A)(ii), by striking caregivers of individuals with an autism spectrum disorder and inserting caregivers of individuals with autism spectrum disorder or other developmental disabilities ; (ii) in subparagraph (B)(i)(II), by inserting autism spectrum disorder and after individuals with ; and (iii) in subparagraph (B)(ii), by inserting autism spectrum disorder and after individuals with ; (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by inserting across their lifespan before and ensure ; and (ii) in subparagraph (B)(iv), by inserting across their lifespan after other developmental disabilities ; (B) by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively; and (C) by inserting after paragraph (1) the following: (2) Developmental-behavioral pediatrician training programs (A) In general In making awards under this subsection, the Secretary may prioritize awards to applicants that are developmental-behavioral pediatrician training programs located in rural or underserved areas. (B) Definition of underserved area In this paragraph, the term underserved area means— (i) a health professional shortage area (as defined in section 332(a)(1)(A)); and (ii) an urban or rural area designated by the Secretary as an area with a shortage of personal health services (as described in section 330(b)(3)(A)). ; (5) in subsection (f), by inserting across the lifespan of such individuals after other developmental disabilities ; and (6) in subsection (g), by striking 2019 and inserting 2024 . (c) Interagency autism coordinating committee 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 across the lifespan of such individuals before the semicolon; and (B) in paragraph (5), by inserting across the lifespan of such individuals before and the families ; (2) in subsection (c)— (A) in paragraph (1)(D), by inserting , the Department of Labor, the Department of Justice, the Department of Veterans Affairs, the Department of Housing and Urban Development, after Department of Education ; (B) in subparagraphs (A), (B), and (C) of paragraph (2), by striking at least two such members each place it appears and inserting at least three such members ; (C) 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 . (d) 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 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 inserting 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 supports to ensure that individuals with autism spectrum disorder and other developmental disabilities 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 inserting the health and well-Being of individuals with autism spectrum disorder 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 Energy and Commerce of the House of Representatives, 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 autism 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, regulations, policies, research, and programs; ; 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 providers receiving Federal funding; (D) comprehensive approaches to improving health outcomes and well-being for individuals with autism spectrum disorder, including— (i) community-based behavioral supports 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 improve health outcomes for such individuals, including across their lifespan, by addressing— (i) screening and diagnosis of children and adults; (ii) behavioral and other therapeutic approaches; (iii) primary and preventative care; (iv) communication challenges; (v) aggression, self-injury, elopement, and other behavioral issues; (vi) emergency room visits and acute care hospitalization; (vii) treatment for co-occurring physical 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 inserting $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 inserting $50,599,000 for each of fiscal years 2020 through 2024 ; and (3) in subsection (c), by striking there is authorized 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 .

Speaker of the House of Representatives. Vice President of the United States and President of the Senate.