[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4631 Introduced in House (IH)]

113th CONGRESS
  2d Session
                                H. R. 4631

  To reauthorize certain provisions of the Public Health Service Act 
              relating to autism, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 9, 2014

Mr. Smith of New Jersey (for himself, Mr. Doyle, Mrs. McMorris Rodgers, 
 Mr. Van Hollen, Mr. Sessions, Mr. Wolf, Mr. Stivers, Mr. Meehan, Mr. 
Moran, Mrs. Blackburn, Mr. Miller of Florida, Mrs. Walorski, Mr. Larson 
 of Connecticut, Ms. Jackson Lee, Mr. Harper, Mr. Lance, Mr. Meadows, 
   Mr. Marino, Mr. Deutch, Mr. Rooney, Mr. Pompeo, Mr. Aderholt, Mr. 
 Bachus, Mr. Gibson, Mrs. Miller of Michigan, Mr. Young of Alaska, Mr. 
     King of New York, Ms. Shea-Porter, Ms. DeLauro, Mr. Murphy of 
 Pennsylvania, Mr. Fitzpatrick, Mr. Terry, Mr. Kelly of Pennsylvania, 
 Mr. Yoder, and Mr. Matheson) 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.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Combating Autism Reauthorization Act 
of 2014''.

SEC. 2. REAUTHORIZATION OF PROGRAMS RELATING TO AUTISM.

    (a) National Autism Spectrum Disorder Initiative.--Part R of title 
III of the Public Health Service Act (42 U.S.C. 280i et seq.) is 
amended--
            (1) by redesignating sections 399AA through 399EE as 
        sections 399BB through 399FF, respectively; and
            (2) by inserting before section 399BB, as redesignated, the 
        following:

``SEC. 399AA. NATIONAL AUTISM SPECTRUM DISORDER INITIATIVE.

    ``(a) Establishment.--For the purposes described in subsection (b), 
the Secretary shall designate an official within the Department of 
Health and Human Services to establish and oversee a National Autism 
Spectrum Disorder Initiative (in this section referred to as the 
`Initiative').
    ``(b) Purposes.--The purposes of the Initiative shall be--
            ``(1) to implement a strategic plan for the conduct of, and 
        support for, autism spectrum disorder research, taking into 
        account the strategic plan developed by the Interagency Autism 
        Coordinating Committee under section 399DD(b); and
            ``(2) to ensure that autism spectrum disorder research 
        programs and activities of the Department of Health and Human 
        Services are not unnecessarily duplicative of other Federal 
        research programs and activities.''.
    (b) Developmental Disabilities Surveillance and Research Program.--
Section 399BB of the Public Health Service Act (42 U.S.C. 280i), as 
redesignated, is amended--
            (1) in subsection (a), by inserting ``for children and 
        adults'' after ``reporting of State epidemiological data'';
            (2) in subsection (b)(1), by striking ``establishment of 
        regional centers of excellence'' and inserting ``establishment 
        or support of regional centers of excellence'';
            (3) in subsection (b)(2), by striking ``center to be 
        established'' and inserting ``center to be established or 
        supported''; and
            (4) in subsection (e), by striking ``2014'' and inserting 
        ``2019''.
    (c) Autism Education, Early Detection, and Intervention.--Section 
399CC(g) of the Public Health Service Act (42 U.S.C. 280i-1), as 
redesignated, is amended by striking ``2014'' and inserting ``2019''.
    (d) Interagency Autism Coordinating Committee.--
            (1) Appointment of members by congressional leaders.--
        Section 399DD(c)(1) of the Public Health Service Act (42 U.S.C. 
        280i-2(c)(1)), as redesignated, is amended--
                    (A) in subparagraph (D), by striking ``and'' at the 
                end;
                    (B) by redesignating subparagraph (E) as 
                subparagraph (I); and
                    (C) by inserting after subparagraph (D) the 
                following:
                    ``(E) one member appointed by the Speaker of the 
                House of Representatives;
                    ``(F) one member appointed by the majority leader 
                of the Senate;
                    ``(G) one member appointed by the minority leader 
                of the House of Representatives;
                    ``(H) one member appointed by the minority leader 
                of the Senate; and''.
            (2) Preventing duplication.--Section 399DD(b) of the Public 
        Health Service Act (42 U.S.C. 280i-2(b)), as redesignated, is 
        amended--
                    (A) in paragraph (5), by striking ``and'' at the 
                end;
                    (B) by redesignating paragraph (6) as paragraph 
                (7); and
                    (C) by inserting after paragraph (5) the following:
            ``(6) include in such strategic plan recommendations to 
        ensure that autism spectrum disorder research programs and 
        activities of the Department of Health and Human Services are 
        not unnecessarily duplicative of other Federal research 
        programs and activities; and''.
            (3) Extension of sunset provision.--Section 399DD(f) of the 
        Public Health Service Act (42 U.S.C. 280i-2), as redesignated, 
        is amended by striking ``2014'' and inserting ``2019''.
    (e) Report to Congress.--Section 399EE of the Public Health Service 
Act (42 U.S.C. 280i-3), as redesignated, is amended--
            (1) in subsection (a), by striking ``Combating Autism 
        Reauthorization Act of 2011'' and inserting ``Combating Autism 
        Reauthorization Act of 2014''; and
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``provisions of 
                the Combating Autism Act of 2006'' and inserting 
                ``provisions of this part, section 404H, and section 
                409C'';
                    (B) in paragraph (2), by striking ``provisions of 
                Combating Autism Act of 2006'' and inserting 
                ``provisions of this part, section 404H, and section 
                409C'';
                    (C) in paragraph (3), by striking ``Combating 
                Autism Act of 2006'' and inserting ``Combating Autism 
                Reauthorization Act of 2011'';
                    (D) in paragraphs (4) and (5), by striking ``over 
                the 6-year period beginning on'' each place it appears 
                and inserting ``since'';
                    (E) in paragraph (8), by striking ``and'' at the 
                end;
                    (F) in paragraph (9), by striking the period at the 
                end and inserting ``; and''; and
                    (G) by adding at the end the following:
            ``(10) a description of the actions taken to implement, and 
        the progress made on implementation, of the strategic plan 
        developed by the Interagency Autism Coordinating Committee.''.
    (f) Authorization of Appropriations.--Section 399FF of the Public 
Health Service Act (42 U.S.C. 280i-4), as redesignated, is amended--
            (1) in subsection (a)--
                    (A) by striking ``399AA'' and inserting ``399BB''; 
                and
                    (B) by striking ``fiscal years 2012 through 2014'' 
                and inserting ``fiscal years 2015 through 2019'';
            (2) in subsection (b)--
                    (A) by striking ``399BB'' and inserting ``399CC''; 
                and
                    (B) by striking ``fiscal years 2011 through 2014'' 
                and inserting ``fiscal years 2015 through 2019''; and
            (3) in subsection (c)--
                    (A) by striking ``399CC'' and inserting ``399DD''; 
                and
                    (B) by striking ``$161,000,000 for each of fiscal 
                years 2011 through 2014'' and inserting ``$190,000,000 
                for each of fiscal years 2015 through 2019''.

SEC. 3. REPORT TO CONGRESS ON DEMOGRAPHICS AND NEEDS OF ADULTS WITH 
              AUTISM SPECTRUM DISORDER.

    (a) In General.--Not later than 24 months after the date of 
enactment of this Act, the Comptroller General of the United States 
shall complete a study and submit to the Congress a report on the 
demographics and needs, if any, of individuals in the United States 
with an autism spectrum disorder (in this section referred to as 
``ASD'').
    (b) Issues To Be Addressed.--The study and report under subsection 
(a) shall--
            (1) address the demographics of individuals with ASD making 
        the transition from a school-based support system to adulthood;
            (2) address the needs, if any, of adults with ASD with 
        respect to--
                    (A) community integration;
                    (B) housing and residential supports;
                    (C) employment;
                    (D) transportation;
                    (E) vocational training and rehabilitation;
                    (F) continued education;
                    (G) health care and social services;
                    (H) speech therapy;
                    (I) public safety; and
                    (J) day habilitation activities, including those to 
                provide a safe, respectful, and stimulating environment 
                that allows participants to become active members of 
                their community;
            (3) provide an overview of Federal, State, and local 
        government policies and programs, and any available private 
        (including private nonprofit) sector assistance, for addressing 
        the needs identified in paragraph (2); and
            (4) provide policy recommendations to--
                    (A) improve outcomes for adults with ASD making the 
                transition from a school-based support system to 
                adulthood;
                    (B) enhance the effectiveness of the policies, 
                programs, and assistance described in paragraph (3);
                    (C) ensure integration of and collaboration among 
                services for addressing the needs of adults with ASD; 
                and
                    (D) encourage independent living, equal 
                opportunity, full participation, and economic self-
                sufficiency.
    (c) Survey.--
            (1) In general.--In carrying out this section, the 
        Comptroller General shall conduct a survey of public and 
        private sector stakeholders on--
                    (A) the needs, if any, of adults with ASD;
                    (B) the services and resources available for 
                addressing such needs; and
                    (C) the effectiveness of such services and 
                resources.
            (2) Stakeholders.--The stakeholders to be surveyed under 
        paragraph (1) include the following:
                    (A) Individuals from the business community 
                representing both large and small businesses.
                    (B) Institutions of higher education, community 
                colleges, vocational schools, and university centers 
                for excellence in developmental disabilities.
                    (C) Social service providers, including case 
                management experts and health care providers.
                    (D) Vocational rehabilitation experts.
                    (E) State and local housing departments and 
                nonprofit organizations that provide housing services 
                for individuals with disabilities.
                    (F) Individuals with ASD, parents of individuals 
                with ASD, and representatives from advocacy groups that 
                focus on individuals with ASD.
                    (G) Officials or employees of the Federal 
                Government responsible for overseeing disability 
                services at each of the following departments and 
                agencies:
                            (i) The Department of Health and Human 
                        Services, including the Administration for 
                        Children and Families, the Centers for Disease 
                        Control and Prevention, the Centers for 
                        Medicare & Medicaid Services, the Health 
                        Resources and Services Administration, and the 
                        Administration for Community Living.
                            (ii) The Department of Education.
                            (iii) The Department of Housing and Urban 
                        Development.
                            (iv) The Department of Labor.
                            (v) The Department of Justice.
                            (vi) The Department of Transportation.
                            (vii) Any other Federal departments and 
                        agencies determined appropriate by the 
                        Comptroller General.
                                 <all>