Sec. 3. Programs relating to autism

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Section 399AA of the Public Health Service Act ( 42 U.S.C. 280i ) is amended— in subsection (a)(3), by striking an Indian tribe, or a tribal organization and inserting an Indian Tribe, or a Tribal organization ; in subsection (b)(1), by inserting across the lifespan before the period at the end; in subsection (d)(1)— in the paragraph heading, by striking and inserting tribe; tribal ; Tribe; Tribal by striking tribe and inserting Tribe ; and by striking tribal and inserting Tribal ; and in subsection (e), by striking 2024 and inserting 2029 .

Section 399BB of the Public Health Service Act ( 42 U.S.C. 280i–1 ) is amended— in subsection (b)(1), by striking culturally competent information and inserting culturally and linguistically appropriate information ; in subsection (b)(2)— by striking promote research and inserting promote research, which may include research that takes a community-based approach, ; and by striking screening tools each place it appears and inserting screening and diagnostic tools ; in subsection (b)(3), by striking at higher risk and inserting at increased likelihood ; in subsection (b)(4), by inserting , which may give consideration to the perspectives of parents and guardians before the semicolon at the end; in subsection (b)(7), by striking at higher risk and inserting at increased likelihood ; in subsection (c)(1), by striking culturally competent information and inserting culturally and linguistically appropriate information ; in subsection (c)(2)(A)(ii), by striking culturally competent information and inserting culturally and linguistically appropriate information ; by amending paragraph

(1)of subsection

(e)to read as follows: in subsection (e)(1)— in the matter preceding subparagraph (A), by inserting , and strengthen the capacity of, after expand ; and in subparagraph (A)— 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 by striking Act) in States that do not have such a program and inserting Act) ; in subparagraph (B)(v), by inserting or other providers, as applicable before the semicolon at the end; and by amending subparagraph

(C)to read as follows: program sites— provide culturally and linguistically appropriate services; take a multidisciplinary approach and have experience working with underserved populations; and 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. ; in subsection (e)(2), by adding at the end the following new subparagraph: 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). ; by amending subsection

(f)to read as follows: The Secretary shall promote research through grants or contracts, which may include grants or contracts to research centers or networks, to— 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; develop guidelines for such evidence-based practices and interventions; and disseminate information related to such evidence-based practices and interventions and guidelines. ; and in subsection (g), by striking 2024 and inserting 2029 . Section 399CC of the Public Health Service Act ( 42 U.S.C. 280i–2 ) is amended— in subsection (b)— in the matter preceding paragraph (1), by inserting , on a regular basis after shall ; in paragraph (2), by striking develop a summary and inserting summarize ; and by striking paragraphs

(5)and

(6)and inserting the following: 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— proposed budgetary requirements; and 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 submit to the Congress and the President— an annual update on the summary of advances described in paragraph (2); and 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 in subsection (f), by striking 2024 and inserting 2029 . Section 399DD of the Public Health Service Act ( 42 U.S.C. 280i–3 ) is amended— by striking 2019 each place it appears and inserting 2024 ; and in subsection (a), by amending paragraph

(1)to read as follows: 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. ; in subsection (b)— in the heading of subsection (b), by striking H and inserting ealth and Well-Being ; Mental Health Needs in paragraph (1), by striking health and well-being and inserting mental health needs ; and by amending paragraph

(2)to read as follows: The report submitted under paragraph

(1)shall contain— 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 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. ; by adding at the end the following: 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. . Section 399EE of the Public Health Service Act ( 42 U.S.C. 280i–4 ) is amended— 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 ; 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 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 .

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