    [United States Statutes at Large, Volume 128, 113th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    Public Law 113-157
    113th Congress

    An Act

    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 ``Autism Collaboration, Accountability,
    Research, Education, and Support Act of 2014'' or the ``Autism CARES Act
    of 2014''.
    SEC. 2. NATIONAL AUTISM SPECTRUM DISORDER INITIATIVE.

    (a) In General.--The Secretary of Health and Human Services shall
    designate an existing official within the Department of Health and Human
    Services to oversee, in consultation with the Secretaries of Defense and
    Education, national autism spectrum disorder research, services, and
    support activities.
    (b) Duties.--The official designated under subsection (a) shall--
    (1) implement autism spectrum disorder activities, taking
    into account the strategic plan developed by the Interagency
    Autism Coordinating Committee under section 399CC(b) of the
    Public Health Service Act (42 U.S.C. 280i-2(b)); and
    (2) ensure that autism spectrum disorder activities of the
    Department of Health and Human Services and of other Federal
    departments and agencies are not unnecessarily duplicative.
    SEC. 3. RESEARCH PROGRAM.

    Section 399AA of the Public Health Service Act (42 U.S.C. 280i) is
    amended--
    (1) in subsection (a)(1), by inserting ``for children and
    adults'' after ``reporting of State epidemiological data'';
    (2) in subsection (b)(1)--
    (A) by striking ``establishment of regional centers
    of excellence'' and inserting ``establishment or support
    of regional centers of excellence''; and
    (B) by inserting ``for children and adults'' before
    the period at the end;
    (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''.
    SEC. 4. AUTISM INTERVENTION.

    Section 399BB of the Public Health Service Act (42 U.S.C. 280i-1) is
    amended--

    [[Page 1832]]

    (1) in subsection (b)(1), by inserting ``culturally
    competent'' after ``provide'';
    (2) in subsection (c)(2)(A)(ii), by inserting ``(which may
    include respite care for caregivers of individuals with an
    autism spectrum disorder)'' after ``services and supports'';
    (3) in subsection (e)(1)(B)(v), by inserting before the
    semicolon the following: ``, which may include collaborating
    with research centers or networks to provide training for
    providers of respite care (as defined in section 2901)'';
    (4) in subsection (f), by striking ``grants or contracts''
    and all that follows through ``for individuals with'' and
    inserting ``grants or contracts, which may include grants or
    contracts to research centers or networks, to determine the
    evidence-based practices for interventions to improve the
    physical and behavioral health of individuals with''; and
    (5) in subsection (g), by striking ``2014'' and inserting
    ``2019''.
    SEC. 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 (1)--
    (i) by striking ``and annually update''; and
    (ii) by striking ``intervention'' and
    inserting ``interventions, including school and
    community-based interventions'';
    (B) by striking paragraph (2);
    (C) by redesignating paragraph (1) as paragraph (2),
    and inserting before such redesignated paragraph the
    following:
    ``(1) monitor autism spectrum disorder research, and to the
    extent practicable services and support activities, across all
    relevant Federal departments and agencies, including
    coordination of Federal activities with respect to autism
    spectrum disorder;'';
    (D) in paragraph (3), by striking ``recommendations
    to the Director of NIH'';
    (E) in paragraph (4), by inserting before the
    semicolon the following: ``, and the process by which
    public feedback can be better integrated into such
    decisions''; and
    (F) 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, including as practicable for services and supports,
    for individuals with an autism spectrum disorder and the
    families of such individuals, 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 Congress and the President--
    ``(A) <>  an annual update
    on the summary of advances described in paragraph (2);
    and

    [[Page 1833]]

    ``(B) an annual update to the strategic plan
    described in paragraph (5), including any progress made
    in achieving the goals outlined in such strategic
    plan.'';
    (2) in subsection (c)--
    (A) in paragraph (1)--
    (i) by striking the paragraph designation, the
    heading, and the matter preceding subparagraph (A)
    and inserting the following:
    ``(1) Federal membership.--The Committee shall be composed
    of the following Federal members--'';
    (ii) in subparagraph (C)--
    (I) by inserting ``, such as the
    Administration for Community Living,
    Administration for Children and
    Families, the Centers for Medicare &
    Medicaid Services, the Food and Drug
    Administration, and the Health Resources
    and Services Administration'' before the
    semicolon at the end; and
    (II) by adding at the end ``and'';
    (iii) in subparagraph (D)--
    (I) by inserting ``and the
    Department of Defense'' after
    ``Department of Education''; and
    (II) by striking at the end ``;
    and'' and inserting a period; and
    (iv) by striking subparagraph (E);
    (B) in paragraph (2)--
    (i) in the paragraph heading, by striking
    ``Additional'' and inserting ``Non-federal'';
    (ii) in the matter preceding subparagraph (A),
    by striking ``Not fewer than 6 members of the
    Committee, or \1/3\ of the total membership of the
    Committee, whichever is greater'' and inserting
    ``Not more than \1/2\, but not fewer than \1/3\,
    of the total membership of the Committee'';
    (iii) in subparagraph (A), by striking ``one
    such member shall be an individual'' and inserting
    ``two such members shall be individuals'';
    (iv) in subparagraph (B), by striking ``one
    such member shall be a parent or legal guardian''
    and inserting ``two such members shall be parents
    or legal guardians''; and
    (v) in subparagraph (C), by striking ``one
    such member shall be a representative'' and
    inserting ``two such members shall be
    representatives''; and
    (C) by adding at the end the following:
    ``(3) Period of appointment; vacancies.--
    ``(A) Period of appointment for non-federal
    members.--Non-Federal members shall serve for a term of
    4 years, and may be reappointed for one or more
    additional 4-year terms.
    ``(B) Vacancies.--A vacancy on the Committee shall
    be filled in the manner in which the original
    appointment was made and shall not affect the powers or
    duties of the Committee. Any member appointed to fill a
    vacancy for an unexpired term shall be appointed for the
    remainder of such term. A member may serve after the
    expiration

    [[Page 1834]]

    of the member's term until a successor has been
    appointed.'';
    (3) in subsection (d)--
    (A) by striking paragraph (2); and
    (B) by redesignating paragraphs (3) and (4) as
    paragraphs (2) and (3), respectively; and
    (4) in subsection (f), by striking ``2014'' and inserting
    ``2019''.
    SEC. 6. REPORTS.

    Section 399DD of the Public Health Service Act (42 U.S.C. 280i-3) is
    amended--
    (1) in the section heading, by striking ``report'' and
    inserting ``reports'';
    (2) in subsection (b), by redesignating paragraphs (1)
    through (9) as subparagraphs (A) through (I), respectively, and
    realigning the margins accordingly;
    (3) by redesignating subsections (a) and (b) as paragraphs
    (1) and (2), respectively, and realigning the margins
    accordingly;
    (4) by inserting after the section heading the following:

    ``(a) Progress Report.--'';
    (5) in subsection (a)(1) (as so redesignated)--
    (A) by striking ``2 years after the date of
    enactment of the Combating Autism Reauthorization Act of
    2011'' and inserting ``4 years after the date of
    enactment of the Autism CARES Act of 2014'';
    (B) by inserting ``and the Secretary of Defense''
    after ``the Secretary of Education''; and
    (C) <>  by
    inserting ``, and make publicly available, including
    through posting on the Internet Web site of the
    Department of Health and Human Services,'' after
    ``Representatives''; and
    (6) in subsection (a)(2) (as so redesignated)--
    (A) in subparagraph (A), (as so redesignated), by
    striking ``Combating Autism Act of 2006'' and inserting
    ``Autism CARES Act of 2014'';
    (B) in subparagraph (B) (as so redesignated), by
    striking ``particular provisions of Combating Autism Act
    of 2006'' and inserting ``amendments made by the Autism
    CARES Act of 2014'';
    (C) by striking subparagraph (C) (as so
    redesignated), and inserting the following:
    ``(C) information on the incidence and prevalence of
    autism spectrum disorder, including available
    information on the prevalence of autism spectrum
    disorder among children and adults, and identification
    of any changes over time with respect to the incidence
    and prevalence of autism spectrum disorder;'';
    (D) <>  in subparagraph (D) (as
    so redesignated), by striking ``6-year period beginning
    on the date of enactment of the Combating Autism Act of
    2006'' and inserting ``4-year period beginning on the
    date of enactment of the Autism CARES Act of 2014 and,
    as appropriate, how this age varies across population
    subgroups'';
    (E) <>  in subparagraph (E) (as
    so redesignated), by striking ``6-year period beginning
    on the date of enactment of the Combating Autism Act of
    2006'' and inserting ``4-year period beginning on the
    date of enactment of the

    [[Page 1835]]

    Autism CARES Act of 2014 and, as appropriate, how this
    age varies across population subgroups'';
    (F) in subparagraph (F) (as so redesignated), by
    inserting ``and, as appropriate, on how such average
    time varies across population subgroups'' before the
    semicolon at the end;
    (G) in subparagraph (G) (as so redesignated)--
    (i) by striking ``including by various
    subtypes,'' and inserting ``including by severity
    level as practicable,''; and
    (ii) by striking ``child may'' and inserting
    ``child or other factors, such as demographic
    characteristics, may''; and
    (H) by striking subparagraph (I) (as so
    redesignated), and inserting the following:
    ``(I) 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 under section 399CC(b).''; and
    (7) by adding at the end the following new subsection:

    ``(b) Report on Young Adults and Transitioning Youth.--
    ``(1) <>  In general.--
    Not later than 2 years after the date of enactment of the Autism
    CARES Act of 2014, the Secretary of Health and Human Services,
    in coordination with the Secretary of Education and in
    collaboration with the Secretary of Transportation, the
    Secretary of Labor, the Secretary of Housing and Urban
    Development, and the Attorney General, shall prepare and submit
    to the Committee on Health, Education, Labor, and Pensions of
    the Senate and the Committee on Energy and Commerce of the House
    of Representatives, a report concerning young adults with autism
    spectrum disorder and the challenges related to the transition
    from existing school-based services to those services available
    during adulthood.
    ``(2) Contents.--The report submitted under paragraph (1)
    shall contain--
    ``(A) demographic characteristics of youth
    transitioning from school-based to community-based
    supports;
    ``(B) <>  an overview of policies
    and programs relevant to young adults with autism
    spectrum disorder relating to post-secondary school
    transitional services, including an identification of
    existing Federal laws, regulations, policies, research,
    and programs;
    ``(C) <>  proposals
    on establishing best practices guidelines to ensure--
    ``(i) interdisciplinary coordination between
    all relevant service providers receiving Federal
    funding;
    ``(ii) coordination with transitioning youth
    and the family of such transitioning youth; and
    ``(iii) inclusion of the individualized
    education program for the transitioning youth, as
    prescribed in section 614 of the Individuals with
    Disabilities Education Act (20 U.S.C. 1414);
    ``(D) comprehensive approaches to transitioning from
    existing school-based services to those services
    available during adulthood, including--

    [[Page 1836]]

    ``(i) services that increase access to, and
    improve integration and completion of, post-
    secondary education, peer support, vocational
    training (as defined in section 103 of the
    Rehabilitation Act of 1973 (29 U.S.C. 723)),
    rehabilitation, self-advocacy skills, and
    competitive, integrated employment;
    ``(ii) community-based behavioral supports and
    interventions;
    ``(iii) community-based integrated residential
    services, housing, and transportation;
    ``(iv) nutrition, health and wellness,
    recreational, and social activities;
    ``(v) personal safety services for individuals
    with autism spectrum disorder related to public
    safety agencies or the criminal justice system;
    and
    ``(vi) evidence-based approaches for
    coordination of resources and services once
    individuals have aged out of post-secondary
    education; and
    ``(E) <>  proposals that seek to
    improve outcomes for adults with autism spectrum
    disorder making the transition from a school-based
    support system to adulthood by--
    ``(i) increasing the effectiveness of programs
    that provide transition services;
    ``(ii) increasing the ability of the relevant
    service providers described in subparagraph (C) to
    provide supports and services to underserved
    populations and regions;
    ``(iii) increasing the efficiency of service
    delivery to maximize resources and outcomes,
    including with respect to the integration of and
    collaboration among services for transitioning
    youth;
    ``(iv) ensuring access to all services
    necessary to transitioning youth of all
    capabilities; and
    ``(v) encouraging transitioning youth to
    utilize all available transition services to
    maximize independence, equal opportunity, full
    participation, and self-sufficiency.''.
    SEC. 7. AUTHORIZATION OF APPROPRIATIONS.

    Section 399EE of the Public Health Service Act (42 U.S.C. 280i-4) is
    amended--
    (1) in subsection (a), by striking ``fiscal years 2012
    through 2014'' and inserting ``fiscal years 2015 through 2019'';
    (2) in subsection (b), by striking ``fiscal years 2011
    through 2014'' and inserting ``fiscal years 2015 through 2019'';
    and

    [[Page 1837]]

    (3) in subsection (c), 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''.

    Approved August 8, 2014.

    LEGISLATIVE HISTORY--H.R. 4631:
    ---------------------------------------------------------------------------

    HOUSE REPORTS: No. 113-490 (Comm. on Energy and Commerce).
    CONGRESSIONAL RECORD, Vol. 160 (2014):
    June 24, considered and passed House.
    July 31, considered and passed Senate.