Authorizing Legislation

PUBLIC LAW 113–157—AUG. 8, 2014

128 STAT. 1831

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.

Aug. 8, 2014
[H.R. 4631]

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.

Autism
Collaboration,
Accountability,
Research,
Education, and
Support Act
of 2014.
42 USC 201 note.
42 USC 280i
note.
Consultation.

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’’.
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SEC. 4. AUTISM INTERVENTION.

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

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128 STAT. 1832

PUBLIC LAW 113–157—AUG. 8, 2014
(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 evidencebased 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.

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Strategic plan.

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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

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PUBLIC LAW 113–157—AUG. 8, 2014

128 STAT. 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

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128 STAT. 1834

PUBLIC LAW 113–157—AUG. 8, 2014
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’’.

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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 ‘‘4year 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 ‘‘4year period beginning on the date of enactment of the

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PUBLIC LAW 113–157—AUG. 8, 2014

128 STAT. 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—

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128 STAT. 1836

PUBLIC LAW 113–157—AUG. 8, 2014
‘‘(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.

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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

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PUBLIC LAW 113–157—AUG. 8, 2014

128 STAT. 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’’.

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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.

Æ

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