[Congressional Record Volume 170, Number 186 (Monday, December 16, 2024)]
[House]
[Pages H7161-H7164]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




AUTISM COLLABORATION, ACCOUNTABILITY, RESEARCH, EDUCATION, AND SUPPORT 
                              ACT OF 2024

  Mr. BUCSHON. Mr. Speaker, I move to suspend the rules and concur in 
the Senate amendment to the bill (H.R. 7213) to amend the Public Health 
Service Act to enhance and reauthorize activities and programs relating 
to autism spectrum disorder, and for other purposes.
  The Clerk read the title of the bill.
  The text of the Senate amendment is as follows:
  Senate amendment:
       Strike all after the enacting clause and insert the 
     following:

     SECTION 1. SHORT TITLE.

        This Act may be cited as the ``Autism Collaboration, 
     Accountability, Research, Education, and Support Act of 
     2024'' or the ``Autism CARES Act of 2024''.

     SEC. 2. NATIONAL INSTITUTES OF HEALTH ACTIVITIES.

       (a) Expansion of Activities.--Section 409C(a)(1) of the 
     Public Health Service Act (42 U.S.C. 284g(a)(1)) is amended--
       (1) by striking ``) shall, subject to the availability'' 
     and inserting the following: ``), in consultation with 
     relevant Federal departments and agencies, as appropriate, 
     shall--
       ``(A) subject to the availability'';
       (2) by striking ``basic and clinical research in fields 
     including pathology'' and inserting the following: ``basic 
     and clinical research--
       ``(i) in fields, such as pathology'';
       (3) by striking ``toxicology, and interventions'' and 
     inserting the following: ``toxicology, psychiatry, 
     psychology, developmental behavioral pediatrics, audiology, 
     and gerontology; and
       ``(ii) on interventions'';
       (4) by striking ``disorder. Such research shall 
     investigate'' and inserting the following: ``disorder; and
       ``(B) ensure that research referred to in subparagraph 
     (A)--
       ``(i) investigates'';
       (5) by striking ``prevention, services across the lifespan, 
     supports, intervention, and treatment of autism spectrum 
     disorder'' and inserting ``prevention, services and supports 
     across the lifespan, intervention, and treatment of autism 
     spectrum disorder and co-occurring conditions''; and
       (6) by striking ``treatments.'' and inserting the 
     following: ``treatments;
       ``(ii) examines supports for caregivers; and
       ``(iii) reflects the entire population of individuals with 
     autism spectrum disorder, including those individuals with 
     co-occurring conditions and the full range of needs for 
     supports and services, including such supports and services 
     to ensure the safety, and promote the well-being, of such 
     individuals.''.
       (b) Centers of Excellence.--Section 409C(b) of the Public 
     Health Service Act (42 U.S.C. 284g(b)) is amended--
       (1) in paragraph (2)--
       (A) by striking ``including the fields of'' and inserting 
     ``in fields such as''; and
       (B) by striking ``behavioral psychology, and clinical 
     psychology'' and inserting ``behavioral psychology, clinical 
     psychology, and gerontology'';
       (2) in paragraph (5)(A), by striking ``five'' and inserting 
     ``seven''; and
       (3) in paragraph (5)(B), by striking ``period of not to 
     exceed'' and inserting ``period not to exceed''.
       (c) Public Input.--Section 409C(d) of the Public Health 
     Service Act (42 U.S.C. 284g(d)) is amended to read as 
     follows:
       ``(d) Public Input.--
       ``(1) In general.--The Director shall under subsection 
     (a)(1) provide for means through which the public can obtain 
     information on the existing and planned programs and 
     activities of the National Institutes of Health with respect 
     to autism spectrum disorder and through which the Director 
     can receive comments from the public regarding such programs 
     and activities.
       ``(2) Guidance.--The Director may provide guidance to 
     centers under subsection (b)(1) on strategies, activities, 
     and opportunities to promote engagement with, and solicit 
     input from, individuals with autism spectrum disorder and 
     their family members, guardians, advocates or authorized 
     representatives, providers, or other appropriate individuals 
     to inform the activities of the center. Such strategies, 
     activities, and opportunities should consider including, as 
     appropriate, individuals, family members, and caregivers of 
     individuals with autism spectrum disorder who represent the 
     entire population of individuals with autism spectrum 
     disorder, including those individuals with co-occurring 
     conditions and the full range of needs for supports and 
     services, including such supports and services to ensure the 
     safety, and promote the well-being, of such individuals, to 
     inform the activities of the center.''.
       (d) Budget Estimate.--Section 409C of the Public Health 
     Service Act (42 U.S.C. 284g) is amended by adding at the end 
     the following:
       ``(e) Budget Estimate.--For each of fiscal years 2026 
     through 2029, the Director shall prepare and submit, directly 
     to the President for review and transmittal to Congress, an 
     annual budget estimate for the initiatives of the National 
     Institutes of Health pursuant to the strategic plan developed 
     under section 399CC(b)(5) and updated under section 
     399CC(b)(6)(B), after reasonable opportunity for comment (but 
     without change) by the Secretary and the Interagency Autism 
     Coordinating Committee established under section 399CC.''.

     SEC. 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)(3), by striking ``an Indian tribe, or 
     a tribal organization'' and inserting ``an Indian Tribe, or a 
     Tribal organization'';
       (2) in subsection (b)(1), by inserting ``across the 
     lifespan'' before the period at the end;
       (3) in subsection (d)(1)--
       (A) in the paragraph heading, by striking ``tribe; tribal'' 
     and inserting ``Tribe; tribal'';
       (B) by striking ``tribe'' and inserting ``Tribe''; and
       (C) by striking ``tribal'' and inserting ``Tribal''; and

[[Page H7162]]

       (4) in subsection (e), by striking ``December 20, 2024'' 
     and inserting ``September 30, 2029''.
       (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 (b)(1), by striking ``culturally 
     competent information'' and inserting ``culturally and 
     linguistically appropriate information'';
       (2) in subsection (b)(2)--
       (A) by striking ``promote research'' and inserting 
     ``promote research, which may include research that takes a 
     community-based approach,''; and
       (B) by striking ``screening tools'' each place it appears 
     and inserting ``screening and diagnostic tools'';
       (3) in subsection (b)(3), by striking ``at higher risk'' 
     and inserting ``at increased likelihood'';
       (4) in subsection (b)(4), by inserting ``, which may give 
     consideration to the perspectives of parents and guardians'' 
     before the semicolon at the end;
       (5) in subsection (b)(7), by striking ``at higher risk'' 
     and inserting ``at increased likelihood'';
       (6) in subsection (c)(1), by striking ``culturally 
     competent information'' and inserting ``culturally and 
     linguistically appropriate information'';
       (7) in subsection (c)(2)(A)(ii), by striking ``culturally 
     competent information'' and inserting ``culturally and 
     linguistically appropriate information'';
       (8) by amending paragraph (1) of subsection (e) to read as 
     follows:
       (9) in subsection (e)(1)--
       (A) in the matter preceding subparagraph (A), by inserting 
     ``, and strengthen the capacity of,'' after ``expand''; and
       (B) in subparagraph (A)--
       (i) by striking ``expand existing or develop new'' and 
     inserting ``expand and strengthen the capacity of existing, 
     or, in States that do not have such a program, develop 
     new,''; and
       (ii) by striking ``Act) in States that do not have such a 
     program'' and inserting ``Act)'';
       (C) in subparagraph (B)(v), by inserting ``or other 
     providers, as applicable'' before the semicolon at the end; 
     and
       (D) by amending subparagraph (C) to read as follows:
       ``(C) program sites--
       ``(i) provide culturally and linguistically appropriate 
     services;
       ``(ii) take a multidisciplinary approach and have 
     experience working with underserved populations; and
       ``(iii) identify opportunities to partner with community-
     based organizations to expand the capacity of communities to 
     serve individuals with autism spectrum disorder or other 
     developmental disabilities.'';
       (10) in subsection (e)(2), by adding at the end the 
     following new subparagraph:
       ``(C) Report.--Not later than 2 years after the date of the 
     enactment of the Autism CARES Act of 2024, the Secretary 
     shall submit to the Committee on Energy and Commerce of the 
     House of Representatives and the Committee on Health, 
     Education, Labor, and Pensions of the Senate a report that 
     examines the need for, and feasibility of, expanding the 
     developmental-behavioral pediatrician training programs 
     described in subparagraph (A).'';
       (11) by amending subsection (f) to read as follows:
       ``(f) Intervention.--The Secretary shall promote research 
     through grants or contracts, which may include grants or 
     contracts to research centers or networks, to--
       ``(1) develop and evaluate evidence-based practices and 
     interventions to improve outcomes for individuals with autism 
     spectrum disorder or other developmental disabilities by 
     addressing physical and behavioral health and communication 
     needs of such individuals across the lifespan;
       ``(2) develop guidelines for such evidence-based practices 
     and interventions; and
       ``(3) disseminate information related to such evidence-
     based practices and interventions and guidelines.''; and
       (12) in subsection (g), by striking ``December 20, 2024'' 
     and inserting ``September 30, 2029''.
       (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 the matter preceding paragraph (1), by inserting ``, 
     on a regular basis'' after ``shall'';
       (B) in paragraph (2), by striking ``develop a summary'' and 
     inserting ``summarize''; and
       (C) by striking paragraphs (5) and (6) and inserting the 
     following:
       ``(5) develop a strategic plan for the conduct of, and 
     support for, autism spectrum disorder research, as described 
     in section 409C(a)(1), which shall include--
       ``(A) proposed budgetary requirements; and
       ``(B) recommendations to ensure that autism spectrum 
     disorder research, and services and support activities to the 
     extent practicable, of the Department of Health and Human 
     Services and of other Federal departments and agencies are 
     not unnecessarily duplicative; and
       ``(6) submit to the Congress and the President--
       ``(A) an annual update on the summary of advances described 
     in paragraph (2); and
       ``(B) a biennial update on the strategic plan described in 
     paragraph (5), including progress made in achieving the goals 
     outlined in such strategic plan and any specific measures 
     taken pursuant to such strategic plan.''; and
       (2) in subsection (f), by striking ``December 20, 2024'' 
     and inserting ``September 30, 2029''.
       (d) Reports to Congress.--Section 399DD of the Public 
     Health Service Act (42 U.S.C. 280i-3) is amended--
       (1) by striking ``2019'' each place it appears and 
     inserting ``2024''; and
       (2) in subsection (a), by amending paragraph (1) to read as 
     follows:
       ``(1) In general.--Not later than 4 years after September 
     30, 2024, the Secretary, in consultation with other relevant 
     Federal departments and agencies, 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, and make publicly available, 
     including through posting on the website of the Department of 
     Health and Human Services, a progress report on activities 
     related to autism spectrum disorder and other developmental 
     disabilities. Such report shall include activities and 
     research related to the entire population of individuals with 
     autism spectrum disorder, including those individuals with 
     co-occurring conditions and the full range of needs for 
     supports and services, including such supports and services 
     to ensure the safety, and promote the well-being, of such 
     individuals.'';
       (3) in subsection (b)--
       (A) in the heading of subsection (b), by striking ``Health 
     and Well-Being'' and inserting ``Mental Health Needs'';
       (B) in paragraph (1), by striking ``health and well-being'' 
     and inserting ``mental health needs''; and
       (C) by amending paragraph (2) to read as follows:
       ``(2) Contents.--The report submitted under paragraph (1) 
     shall contain--
       ``(A) an overview of policies and programs relevant to the 
     mental health of individuals with autism spectrum disorder 
     across their lifespan, including an identification of 
     existing Federal laws, regulations, policies, research, and 
     programs; and
       ``(B) recommendations to improve mental health outcomes and 
     address related disparities in mental health care for 
     individuals with autism spectrum disorder, including 
     prevention, care coordination, and community-based 
     services.'';
       (4) by adding at the end the following:
       ``(c) Update on Young Adults and Youth Transitioning to 
     Adulthood.--Not later than 2 years after the date of 
     enactment of the Autism CARES Act of 2024, the Secretary, in 
     coordination with other relevant Federal departments and 
     agencies, as appropriate, shall prepare and submit to the 
     Committee on Energy and Commerce of the House of 
     Representatives and the Committee on Health, Education, 
     Labor, and Pensions of the Senate an update to the report 
     required pursuant to subsection (b) of this section, as added 
     by section 6 of the Autism Cares Act of 2014 (Public Law 113-
     157), and in effect before the date of enactment of the 
     Autism CARES Act of 2019 (Public Law 116-60), 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.''.
       (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 ``$23,100,000 for each 
     of fiscal years 2020 through 2024'' and inserting 
     ``$28,100,000 for each of fiscal years 2025 through 2029'';
       (2) in subsection (b), by striking ``$50,599,000 for each 
     of fiscal years 2020 through 2024'' and inserting 
     ``$56,344,000 for each of fiscal years 2025 through 2029''; 
     and
       (3) in subsection (c), by striking ``there are authorized 
     to be appropriated $296,000,000 for each of fiscal years 2020 
     through 2024'' and inserting ``there is authorized to be 
     appropriated $306,000,000 for each of fiscal years 2025 
     through 2029''.

     SEC. 4. TECHNICAL ASSISTANCE TO IMPROVE ACCESS TO 
                   COMMUNICATION TOOLS.

       (a) In General.--The Secretary of Health and Human Services 
     (referred to in this section as the ``Secretary'') may, at 
     the request of a State, Indian Tribe, Tribal organization, 
     locality, or territory, provide training and technical 
     assistance to such jurisdiction on the manner in which 
     Federal funding administered by the Secretary may be used to 
     provide individuals with autism spectrum disorder and other 
     developmental disabilities with access to evidence-based 
     services, tools, and technologies that support communication 
     needs.
       (b) Annual Report.--The Secretary shall annually 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 summarizing 
     any technical assistance provided by the Secretary in the 
     preceding fiscal year under subsection (a) and any 
     advancements in the development or evaluation of such 
     evidence-based services, tools, and technologies.

  The SPEAKER pro tempore. Pursuant to the rule, the gentleman from 
Indiana (Mr. Bucshon) and the gentlewoman from Florida (Ms. Castor) 
each will control 20 minutes.
  The Chair recognizes the gentleman from Indiana.


                             General Leave

  Mr. BUCSHON. Mr. Speaker, I ask unanimous consent that all Members 
may have 5 legislative days in which to revise and extend their remarks 
and include extraneous material in the Record on the bill.
  The SPEAKER pro tempore. Is there objection to the request of the 
gentleman from Indiana?
  There was no objection.
  Mr. BUCSHON. Mr. Speaker, I yield myself such time as I may consume.
  Mr. Speaker, I rise in support of the Senate amendment to H.R. 7213, 
the Autism Collaboration, Accountability,

[[Page H7163]]

Research, Education, and Support Act, or the Autism CARES Act of 2024, 
led by Representative Chris Smith.
  Autism affects an estimated 1 in 36 children in the United States, 
with recent studies showing an increasing prevalence nationwide. The 
Autism CARES Act of 2024 will reauthorize critical programs and 
activities that support autism research, services, training, and 
monitoring across the Federal Government.
  Importantly, it also takes steps to ensure the public and all 
individuals within the autism community have an opportunity to engage 
in and are included in the research process and other activities 
related to autism spectrum disorder.
  I thank Congressman Smith for his leadership on this and for his 
decades-long advocacy on behalf of those with autism.
  Mr. Speaker, I urge my colleagues to support the underlying bill, 
which makes minor updates to the previous version we passed in 
September with over 400 votes. I encourage my colleagues to support 
this bill, and I reserve the balance of my time.
  Ms. CASTOR of Florida. Mr. Speaker, I yield myself such time as I may 
consume.
  Mr. Speaker, I rise to speak in support of the Senate amendment to 
H.R. 7213, the Autism CARES Act. This bipartisan legislation, sponsored 
by Representatives Smith and Cuellar, will reauthorize funding for a 
variety of programs that support autism education, research, and 
resources.
  Mr. Speaker, in the United States, about 1 in 36 children have been 
diagnosed with autism spectrum disorder. The prevalence of autism in 
children has been increasing every 2 years.
  With these worrisome statistics in mind, it is important that we 
reauthorize the critical research and funding for the Autism CARES Act 
in order to continue this collaborative nationwide program.
  In 2006, the original Autism CARES Act, which was then known as the 
Combating Autism Act, was signed into law. This law built a public 
health infrastructure that addresses autism on the Federal level 
directed by the Department of Health and Human Services.
  From that point forward, over $5 billion has been invested in 
addressing autism through various programs related to autism research, 
autism support services, early detection training for medical 
providers, and autism education.
  With this legislation, we renew and expand support for Federal autism 
programs, underscoring our commitment to addressing the growing needs 
of individuals with autism and their families. The legislation 
authorizes funding over the next 5 years for key programs under the 
Health Resources and Services Administration, the Centers for Disease 
Control and Prevention, and the National Institutes of Health.
  The legislation addresses challenges related to autism and aging, 
inclusivity in autism research, strengthening the developmental-
behavioral pediatrician workforce, and mental health and communication 
supports, particularly for autistic individuals who may be unable or 
limited in their speech capabilities.
  I reserve the balance of my time, Mr. Speaker.
  Mr. BUCSHON. Mr. Speaker, I yield 5 minutes to the gentleman from New 
Jersey (Mr. Smith).
  Mr. SMITH of New Jersey. Mr. Speaker, I thank my good friend for 
yielding and for his leadership and that of my colleague on the other 
side of the aisle.
  Mr. Speaker, it all started in September 1997, 27 years ago, with 
Brick Township, New Jersey, parents Bobbie and Billy Gallagher and 
their indomitable commitment to help their two children, Austin and 
Alanna, and everyone else with autism.
  We met several times and continue to plan and strategize to this day. 
We invited the CDC to Brick, New Jersey, only to realize that Federal 
autism programs were woefully inadequate. Frankly, they were 
nonexistent.
  They spend $287,000 per year on autism. That is it, a straight line 
for 5 years. It was a nothing burger, and they did nothing really of 
substance. So I introduced the Autism Statistics, Surveillance, 
Research, and Epidemiology Act, the ASSURE Act, in 1998 and again in 
1999. In the second one, we had 199, almost one-half of the House of 
Representatives, as cosponsors. That would have established three to 
five autism centers of excellence, authorized serious prevalence 
studies, and established an autism advisory committee, which we now 
call IACC.
  I am deeply grateful that the ASSURE Act was incorporated in large 
part by Chairman Mike Bilirakis as title I of the Children's Health Act 
of 2000.

  Mr. Speaker, in 2016, Bobbie Gallagher, now a board-certified 
behavior analyst, wrote an amazing book called ``A Brick Wall: How a 
Boy with No Words Spoke to the World.''
  In it she points out, and it is just an amazing book, that all 
parents of children with autism face many, many hardships: frequent 
tears, agony, as well as physical, emotional, and spiritual exhaustion.
  Doctors had told the Gallaghers not to worry about telltale early 
warning signs of autism. One doctor was so uninformed that he said that 
their daughter, Alanna, just needed a good swift kick in the ass.
  She recounts, however, the big moments that she treasures deep within 
her heart, like when 11-year-old Austin called her ``Mommy'' for the 
first time. It was slow and deliberate, ``Mommy,'' and she said it was 
beautiful. When he asked for a cookie, they celebrated in the Gallagher 
household.
  It is a primer for everyone, and I would hope that others would read 
it. She said in the book that she realized why she is on this Earth: 
``I am here to fight for children with autism,'' and fight she and her 
husband, Billy, have, like so many other brave and remarkable parents 
who deeply love their children.
  They are parents like Scott Badesch, who is on my staff. Scott was 
the president of Autism Society for 10 years. Deeply, he and his wife 
love their son, Evan. They love their whole family. He is 37, and they 
have benefited from his leadership. We have benefited here in the 
Congress from Scott's leadership.
  Also, Mr. Speaker, the Autism Collaboration, Accountability, 
Research, Education, and Support Act, or simply the Autism CARES Act of 
2024, is a comprehensive reauthorization and strengthening of America's 
whole-of-government autism spectrum disorder initiative.
  As the prime author of the Autism CARES Act of 2024 and previous 
iterations of the law in 2011, 2014, and again in 2019, let me send 
special thanks to cosponsor Henry Cuellar for his leadership and 
partnership, and to Brett Guthrie, who is the chairman of the Health 
Subcommittee and incoming full committee chairman, for faithfully 
shepherding this legislation through the committee.
  I thank my fellow New Jerseyan, Frank Pallone. Above all, I thank and 
show the deepest respect and gratitude to Cathy McMorris Rodgers, who 
is a tenacious, effective, and brilliant advocate for the autism 
community. I thank   Steve Scalise for making sure we are here today 
with the bill. I also thank Susan Collins and Ben Ray Lujan for their 
important work over on the Senate side.
  I thank committee staff, including Molly Brimmer, Kristin Fritsch, 
and Caitlin Wilson, among others, for their help, which was totally 
invaluable; and John McDonough, Mary Noonan, and, of course, Scott 
Badesch on my staff for their work on this bill.
  The bill, as we know, provides, as has already been mentioned by my 
colleagues, critical research goals focused on responsive and effective 
interventions for the estimated 6.8 million individuals with autism, 27 
percent of whom--that is 1.8 million--are profoundly autistic.
  According to the CDC, 1 in 36 children in the U.S., including 1 in 35 
in my home State of New Jersey, are on the autism spectrum.
  The bill authorizes more than $1.59 billion over 5 years for programs 
at the NIH, CDC, and HRSA, Health Resources and Services 
Administration. It directs the NIH to include the scope of research 
issues encountered by individuals and caregivers.
  The SPEAKER pro tempore (Mr. Issa). The time of the gentleman has 
expired.
  Mr. BUCSHON. Mr. Speaker, I yield an additional 1 minute to the 
gentleman from New Jersey.
  Mr. SMITH of New Jersey. Mr. Speaker, I thank the gentleman for 
yielding.

[[Page H7164]]

  Mr. Speaker, I will be very brief and close and put the rest of it in 
the Record.
  Autism Speaks says that the Autism CARES Act is the single most 
important driver of autism research, training, and data collection 
programs at NIH, HRSA, and CDC.
  Mr. Speaker, we are joined here by Chris Banks, the CEO of Autism 
Society. They say it is a pivotable law for individuals with autism and 
their families to live fully, and it is crucial to understand the 
immense impact this law has on the daily lives of the autism community.
  The Association of University Centers on Disabilities is also very, 
very supportive, and Profound Autism Alliance has pushed hard for this 
bill and its enhanced focus on individuals with profound autism, which 
they define as people who require lifetime, 24/7 care.
  Mr. Speaker, I urge my colleagues to support the bill, and the 
President, we hope, will sign it.
  Mr. Speaker, H.R. 7213: Directs the NIH to include in the scope of 
research issues encountered by individuals and caregivers as they age, 
mental health concerns, issues related to aging, as well as co-
occurring conditions and needs for supports and services, such as care 
necessary for physical safety and the prevention of self-injurious 
behavior.
  Increases the number of NIH Centers of Excellence to seven and 
ensures research reflects the entire population of individuals with 
autism spectrum disorder and is designed to address the full range of 
needs faced by individuals, including to ensure the physical safety and 
to promote the well being of all Americans with autism.
  Includes, for the first time, a professional bypass budget to provide 
the autism community with a comprehensive budget highlighting priority 
research areas and resources needed to advance quality of life 
improvements for all individuals with autism.
  Promotes the adoption of assistive communication technologies to 
improve communications outcomes for those with communication assistance 
needs.
  My bill also helps adults with autism who were and are today often 
misdiagnosed, underdiagnosed and overlooked.
  Language throughout the bill continues to emphasize that causes, 
diagnosis, detection, prevention and treatment of autism spectrum 
disorder must be throughout the lifespan of a person. To this end, 
Congress has included the study of gerontology--the study of aging, 
including the physical, mental, and social changes that occur as people 
age, as an NIH research priority.
  H.R. 7213 continues to emphasize the need for early detection and 
intervention--including the use of advanced technologies in early 
detection--to provide the highest quality of life possible for those 
with autism.
  The earlier a child can be identified as having ASD, the earlier they 
can access interventions and services.
  Researchers have developed technologies to identify signs of autism 
in children as young as eighteen months--this is an incredible 
development and there is more research being done now to determine if 
autism can be identified even earlier. However, the median age of 
diagnosis in the United States is not until after 4 years of age, and 
diagnosis often occurs even later among those without intellectual 
disabilities or delays in social communication.
  The delivery of services and interventions must keep up with a 
younger patient population, and services and interventions for autistic 
individuals must continue to improve across their lifespans.
  Examples of services and interventions research include approaches to 
address conditions that affect the quality of life for individuals on 
the autism spectrum, such as behavior that puts individuals with 
significant support needs or their caregivers at risk (e.g., self-
injurious, elopement, aggression, etc.), or mental health concerns 
(anxiety, depression, suicidality). The Autism CARES Act emphasizes the 
need to improve the quality of life for individuals with the full range 
of needs across the lifespan. Continued research by NIH to study how to 
improve interventions and the delivery of services is crucial.
  H.R. 7213 calls for a report on youth aging out of school-aged 
services since the pandemic, and recommendations to improve mental 
health outcomes and address related disparities in mental health care 
for individuals with autism spectrum disorder, including prevention, 
care coordination, and community-based services.
  Ms. CASTOR of Florida. Mr. Speaker, I am prepared to close, and I 
reserve the balance of my time.
  Mr. BUCSHON. Mr. Speaker, I yield 5 minutes to the gentleman from 
Georgia (Mr. Carter).
  Mr. CARTER of Georgia. Mr. Speaker, I thank the gentleman for 
yielding.
  Mr. Speaker, I rise today in strong support of the Senate amendment 
to H.R. 7213, the Autism CARES Act of 2024, which reauthorizes and 
strengthens the autism spectrum disorder research, education, and 
support initiative through 2029.
  The Autism CARES Act is the single most important driver of Federal 
investment in autism research and training programs over the past few 
decades. It has led to improvements in early intervention services, a 
better understanding of the prevalence of autism, and a better 
understanding of the co-occurring health conditions that individuals 
with autism experience.
  Importantly, it has also been responsible for thousands of future 
health professionals being trained on how to screen, diagnose, and 
provide interventions to individuals with autism and other 
neurodevelopmental disabilities to improve their health and well-being.
  Thanks to the Autism CARES Act, many health professionals are better 
equipped to meet the ever-changing and diverse needs of individuals 
with autism and other people with neurodevelopmental disabilities.
  Located in my home State of Georgia within Children's Healthcare of 
Atlanta, the Marcus Autism Center is one of the largest autism centers 
in the U.S. and is actively involved in research to pinpoint the 
earliest signs of autism and determine better ways to treat the 
disorder. Marcus integrates research into clinical practice to maximize 
the potential of children with autism.
  NIH had historically supported research grants focused on 
intervention and services, and I am hopeful that with engagement from 
Congress and stakeholders, NIH can once again support this important 
research through the centers of excellence program.
  I thank Representative Chris Smith for working on this important 
issue, and I urge my colleagues to support this legislation.

                              {time}  1545

  Ms. CASTOR of Florida. Mr. Speaker, I urge all of my colleagues to 
support H.R. 7213, and I yield back the balance of my time.
  Mr. BUCSHON. Mr. Speaker, in closing, I encourage a ``yes'' vote on 
this bill, and I yield back the balance of my time.
  The SPEAKER pro tempore. The question is on the motion offered by the 
gentleman from Indiana (Mr. Bucshon) that the House suspend the rules 
and concur in the Senate amendment to the bill, H.R. 7213.
  The question was taken.
  The SPEAKER pro tempore. In the opinion of the Chair, two-thirds 
being in the affirmative, the ayes have it.
  Mr. BUCSHON. Mr. Speaker, on that I demand the yeas and nays.
  The yeas and nays were ordered.
  The SPEAKER pro tempore. Pursuant to clause 8 of rule XX, further 
proceedings on this motion will be postponed.

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