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bills_text/House-1058.txt

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+        H.R.1058
+
+                     One Hundred Sixteenth Congress
+
+                                 of the
+
+                        United States of America
+
+
+                          AT THE FIRST SESSION
+
+          Begun and held at the City of Washington on Thursday,
+           the third day of January, two thousand and nineteen
+
+
+                                 An Act
+
+
+
+  To amend the Public Health Service Act to enhance activities of the 
+    National Institutes of Health with respect to research on autism 
+spectrum disorder and enhance programs 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 2019'' or the 
+``Autism CARES Act of 2019''.
+SEC. 2. EXPANSION, INTENSIFICATION, AND COORDINATION OF ACTIVITIES OF 
+THE NIH WITH RESPECT TO RESEARCH ON AUTISM SPECTRUM DISORDER.
+    Section 409C of the Public Health Service Act (42 U.S.C. 284g) is 
+amended--
+        (1) in subsection (a)(1)--
+            (A) in the first sentence, by striking ``and toxicology'' 
+        and inserting ``toxicology, and interventions to maximize 
+        outcomes for individuals with autism spectrum disorder''; and
+            (B) by striking the second sentence and inserting the 
+        following: ``Such research shall investigate the causes 
+        (including possible environmental causes), diagnosis or ruling 
+        out, early and ongoing detection, prevention, services across 
+        the lifespan, supports, intervention, and treatment of autism 
+        spectrum disorder, including dissemination and implementation 
+        of clinical care, supports, interventions, and treatments.'';
+        (2) in subsection (b)--
+            (A) in paragraph (2)--
+                (i) in the second sentence, by striking ``cause'' and 
+            all that follows through ``disorder'' and inserting 
+            ``causes, diagnosis, early and ongoing detection, 
+            prevention, and treatment of autism spectrum disorder 
+            across the lifespan''; and
+                (ii) in the third sentence, by striking 
+            ``neurobiology'' and all that follows through the period 
+            and inserting ``neurobiology, genetics, genomics, 
+            psychopharmacology, developmental psychology, behavioral 
+            psychology, and clinical psychology.''; and
+            (B) in paragraph (3), by adding at the end the following:
+            ``(D) Reducing disparities.--The Director may consider, as 
+        appropriate, the extent to which a center can demonstrate 
+        availability and access to clinical services for youth and 
+        adults from diverse racial, ethnic, geographic, or linguistic 
+        backgrounds in decisions about awarding grants to applicants 
+        which meet the scientific criteria for funding under this 
+        section.''.
+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)(1), by striking ``adults on autism 
+    spectrum disorder'' and inserting ``adults with autism spectrum 
+    disorder'';
+        (2) in subsection (a)(2)--
+            (A) by striking ``State and local public health officials'' 
+        and inserting ``State, local, and Tribal public health 
+        officials'';
+            (B) by striking ``or other developmental disabilities'' and 
+        inserting ``and other developmental disabilities'';
+        (3) in subsection (a)(3), by striking ``a university, or any 
+    other educational institution'' and inserting ``a university, any 
+    other educational institution, an Indian tribe, or a tribal 
+    organization'';
+        (4) in subsection (b)(2)(A), by striking ``relevant State and 
+    local public health officials, private sector developmental 
+    disability researchers, and advocates for individuals with 
+    developmental disabilities'' and inserting ``State, local, and 
+    Tribal public health officials, private sector developmental 
+    disability researchers, advocates for individuals with autism 
+    spectrum disorder, and advocates for individuals with other 
+    developmental disabilities'';
+        (5) in subsection (d)--
+            (A) by redesignating paragraphs (1) and (2) as paragraphs 
+        (2) and (3), respectively; and
+            (B) by inserting before paragraph (2), as so redesignated, 
+        the following new paragraph:
+        ``(1) Indian tribe; tribal organization.--The terms `Indian 
+    tribe' and `tribal organization' have the meanings given such terms 
+    in section 4 of the Indian Health Care Improvement Act.''; and
+        (6) in subsection (e), by striking ``2019'' and inserting 
+    ``2024''.
+    (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 (a)(1)--
+            (A) by striking ``individuals with autism spectrum disorder 
+        or other developmental disabilities'' and inserting 
+        ``individuals with autism spectrum disorder and other 
+        developmental disabilities''; and
+            (B) by striking ``children with autism spectrum disorder'' 
+        and all that follows through ``disabilities;'' and inserting 
+        ``individuals with autism spectrum disorder and other 
+        developmental disabilities across their lifespan;'';
+        (2) in subsection (b)--
+            (A) in paragraph (2), by inserting ``individuals with'' 
+        before ``autism spectrum disorder'';
+            (B) by redesignating paragraphs (4) through (6) as 
+        paragraphs (5) through (7), respectively; and
+            (C) by inserting after paragraph (3) the following:
+        ``(4) promote evidence-based screening techniques and 
+    interventions for individuals with autism spectrum disorder and 
+    other developmental disabilities across their lifespan;'';
+        (3) in subsection (c)--
+            (A) in paragraph (1), in the matter preceding subparagraph 
+        (A), by striking ``the needs of individuals with autism 
+        spectrum disorder or other developmental disabilities and their 
+        families'' and inserting ``the needs of individuals with autism 
+        spectrum disorder and other developmental disabilities across 
+        their lifespan and the needs of their families''; and
+            (B) in paragraph (2)--
+                (i) in subparagraph (A)(ii), by striking ``caregivers 
+            of individuals with an autism spectrum disorder'' and 
+            inserting ``caregivers of individuals with autism spectrum 
+            disorder or other developmental disabilities'';
+                (ii) in subparagraph (B)(i)(II), by inserting ``autism 
+            spectrum disorder and'' after ``individuals with''; and
+                (iii) in subparagraph (B)(ii), by inserting ``autism 
+            spectrum disorder and'' after ``individuals with'';
+        (4) in subsection (e)--
+            (A) in paragraph (1)--
+                (i) in the matter preceding subparagraph (A), by 
+            inserting ``across their lifespan'' before ``and ensure''; 
+            and
+                (ii) in subparagraph (B)(iv), by inserting ``across 
+            their lifespan'' after ``other developmental 
+            disabilities'';
+            (B) by redesignating paragraphs (2) and (3) as paragraphs 
+        (3) and (4), respectively; and
+            (C) by inserting after paragraph (1) the following:
+        ``(2) Developmental-behavioral pediatrician training 
+    programs.--
+            ``(A) In general.--In making awards under this subsection, 
+        the Secretary may prioritize awards to applicants that are 
+        developmental-behavioral pediatrician training programs located 
+        in rural or underserved areas.
+            ``(B) Definition of underserved area.--In this paragraph, 
+        the term `underserved area' means--
+                ``(i) a health professional shortage area (as defined 
+            in section 332(a)(1)(A)); and
+                ``(ii) an urban or rural area designated by the 
+            Secretary as an area with a shortage of personal health 
+            services (as described in section 330(b)(3)(A)).'';
+        (5) in subsection (f), by inserting ``across the lifespan of 
+    such individuals'' after ``other developmental disabilities''; and
+        (6) in subsection (g), by striking ``2019'' and inserting 
+    ``2024''.
+    (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 paragraph (2), by inserting ``across the lifespan of 
+        such individuals'' before the semicolon; and
+            (B) in paragraph (5), by inserting ``across the lifespan of 
+        such individuals'' before ``and the families'';
+        (2) in subsection (c)--
+            (A) in paragraph (1)(D), by inserting ``, the Department of 
+        Labor, the Department of Justice, the Department of Veterans 
+        Affairs, the Department of Housing and Urban Development,'' 
+        after ``Department of Education'';
+            (B) in subparagraphs (A), (B), and (C) of paragraph (2), by 
+        striking ``at least two such members'' each place it appears 
+        and inserting ``at least three such members'';
+            (C) in paragraph (3)(A), by striking ``one or more 
+        additional 4-year terms'' and inserting ``one additional 4-year 
+        term''; and
+        (3) in subsection (f), by striking ``2019'' and inserting 
+    ``2024''.
+    (d) Reports to Congress.--Section 399DD of the Public Health 
+Service Act (42 U.S.C. 280i-3) is amended--
+        (1) in subsection (a)--
+            (A) in paragraph (1), by striking ``Autism CARES Act of 
+        2014'' and inserting ``Autism CARES Act of 2019''; and
+            (B) in paragraph (2)--
+                (i) in subparagraphs (A), (B), (D), and (E), by 
+            striking ``Autism CARES Act of 2014'' each place it appears 
+            and inserting ``Autism CARES Act of 2019'';
+                (ii) in subparagraph (G), by striking ``age of the 
+            child'' and inserting ``age of the individual'';
+                (iii) in subparagraph (H), by striking ``; and'' and 
+            inserting ``;'';
+                (iv) in subparagraph (I), by striking the period and 
+            inserting ``; and''; and
+                (v) by adding at the end the following:
+            ``(J) information on how States use home- and community-
+        based services and other supports to ensure that individuals 
+        with autism spectrum disorder and other developmental 
+        disabilities are living, working, and participating in their 
+        community.''; and
+        (2) in subsection (b)--
+            (A) in the heading, by striking ``Young Adults and 
+        Transitioning Youth'' and inserting ``the Health and Well-Being 
+        of Individuals With Autism Spectrum Disorder Across Their 
+        Lifespan'';
+            (B) by amending paragraph (1) to read as follows:
+        ``(1) In general.--Not later than 2 years after the date of 
+    enactment of the Autism CARES Act of 2019, the Secretary 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 the health and 
+    well-being of individuals with autism spectrum disorder.''; and
+            (C) in paragraph (2)--
+                (i) by amending subparagraph (A) to read as follows:
+            ``(A) demographic factors associated with the health and 
+        well-being of individuals with autism spectrum disorder;'';
+                (ii) in subparagraph (B), by striking ``young adults'' 
+            and all that follows through the semicolon and inserting 
+            ``the health and well-being of individuals with autism 
+            spectrum disorder, including an identification of existing 
+            Federal laws, regulations, policies, research, and 
+            programs;''; and
+                (iii) by amending subparagraphs (C), (D), and (E) to 
+            read as follows:
+            ``(C) recommendations on establishing best practices 
+        guidelines to ensure interdisciplinary coordination between all 
+        relevant service providers receiving Federal funding;
+            ``(D) comprehensive approaches to improving health outcomes 
+        and well-being for individuals with autism spectrum disorder, 
+        including--
+                ``(i) community-based behavioral supports and 
+            interventions;
+                ``(ii) nutrition, recreational, and social activities; 
+            and
+                ``(iii) personal safety services related to public 
+            safety agencies or the criminal justice system for such 
+            individuals; and
+            ``(E) recommendations that seek to improve health outcomes 
+        for such individuals, including across their lifespan, by 
+        addressing--
+                ``(i) screening and diagnosis of children and adults;
+                ``(ii) behavioral and other therapeutic approaches;
+                ``(iii) primary and preventative care;
+                ``(iv) communication challenges;
+                ``(v) aggression, self-injury, elopement, and other 
+            behavioral issues;
+                ``(vi) emergency room visits and acute care 
+            hospitalization;
+                ``(vii) treatment for co-occurring physical and mental 
+            health conditions;
+                ``(viii) premature mortality;
+                ``(ix) medical practitioner training; and
+                ``(x) caregiver mental health.''.
+    (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 ``$22,000,000 for each of 
+    fiscal years 2015 through 2019'' and inserting ``$23,100,000 for 
+    each of fiscal years 2020 through 2024'';
+        (2) in subsection (b), by striking ``$48,000,000 for each of 
+    fiscal years 2015 through 2019'' and inserting ``$50,599,000 for 
+    each of fiscal years 2020 through 2024''; and
+        (3) in subsection (c), by striking ``there is authorized to be 
+    appropriated $190,000,000 for each of fiscal years 2015 through 
+    2019'' and inserting ``there are authorized to be appropriated 
+    $296,000,000 for each of fiscal years 2020 through 2024''.
+
+                               Speaker of the House of Representatives.
+
+                            Vice President of the United States and    
+                                               President of the Senate.

bills_text/House-1079.txt

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+        H.R.1079
+
+                     One Hundred Sixteenth Congress
+
+                                 of the
+
+                        United States of America
+
+
+                          AT THE FIRST SESSION
+
+          Begun and held at the City of Washington on Thursday,
+           the third day of January, two thousand and nineteen
+
+
+                                 An Act
+
+
+
+To require the Director of the Office of Management and Budget to issue 
+      guidance on electronic consent forms, 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 ``Creating Advanced Streamlined 
+Electronic Services for Constituents Act of 2019'' or the ``CASES 
+Act''.
+SEC. 2. SENSE OF CONGRESS.
+    It is the sense of Congress that--
+        (1) congressional offices provide crucial services to 
+    constituents by acting as a liaison between the constituents and 
+    the respective agencies;
+        (2) this includes assisting constituents by making inquiries 
+    and working toward resolutions on behalf of the constituent with 
+    the respective agencies; and
+        (3) this process should be simplified through the creation of 
+    electronic forms that may be submitted under section 552a of title 
+    5, United States Code (commonly referred to as the Privacy Act), 
+    thus modernizing the process for constituents and improving access 
+    and efficiency of Government services and agencies in order to 
+    expedite the resolution of the problem for which constituents 
+    sought help.
+SEC. 3. OMB GUIDANCE ON ELECTRONIC CONSENT AND ACCESS FORMS.
+    (a) Guidance.--Not later than 1 year after the date of the 
+enactment of this Act, the Director shall issue guidance that does the 
+following:
+        (1) Requires each agency to accept electronic identity proofing 
+    and authentication processes for the purposes of allowing an 
+    individual to provide prior written consent for the disclosure of 
+    the individual's records under section 552a(b) of title 5, United 
+    States Code, or for individual access to records under section 
+    552a(d) of such title.
+        (2) Creates a template for electronic consent and access forms 
+    and requires each agency to post the template on the agency website 
+    and to accept the forms from any individual properly identity 
+    proofed and authenticated in accordance with paragraph (1) for the 
+    purpose of authorizing disclosure of the individual's records under 
+    section 552a(b) of title 5, United States Code, or for individual 
+    access to records under section 552a(d) of such title.
+        (3) Requires each agency to accept the electronic consent and 
+    access forms described in paragraph (2) from any individual 
+    properly identity proofed and authenticated in accordance with 
+    paragraph (1) for the purpose of authorizing disclosure of the 
+    individual's records to another entity, including a congressional 
+    office, in accordance with section 552a(b) of title 5, United 
+    States Code, or for individual access to records under section 
+    552a(d).
+    (b) Agency Compliance.--Each agency shall comply with the guidance 
+issued pursuant to subsection (a) not later than 1 year after the date 
+on which such guidance is issued.
+    (c) Definitions.--In this section:
+        (1) Agency; individual; record.--The terms ``agency'', 
+    ``individual'', and ``record'' have the meanings given those terms 
+    in section 552a(a) of title 5, United States Code.
+        (2) Director.--The term ``Director'' means the Director of the 
+    Office of Management and Budget.
+SEC. 4. NO ADDITIONAL FUNDS AUTHORIZED.
+    No additional funds are authorized to carry out the requirements of 
+this Act. Such requirements shall be carried out using amounts 
+otherwise authorized.
+SEC. 5. DETERMINATION OF BUDGETARY EFFECTS.
+    The budgetary effects of this Act, for the purpose of complying 
+with the Statutory Pay-As-You-Go Act of 2010, shall be determined by 
+reference to the latest statement titled ``Budgetary Effects of PAYGO 
+Legislation'' for this Act, submitted for printing in the Congressional 
+Record by the Chairman of the House Budget Committee, provided that 
+such statement has been submitted prior to the vote on passage.
+
+                               Speaker of the House of Representatives.
+
+                            Vice President of the United States and    
+                                               President of the Senate.