All Roll Calls
Yes: 776 • No: 28
118-hr-7213118th CongressWALLET
Autism CARES Act of 2024
Sponsored By: Representative Smith, Christopher H. [R-NJ-4]
Became Law
Summary
Expands autism research, services, and funding across the lifespan. This law reauthorizes and broadens NIH autism activities, strengthens interagency coordination and public input, and boosts access to communication tools and culturally appropriate services.
Show full summary
- Families and caregivers gain stronger lifespan coverage, more culturally and linguistically appropriate information, and new focus on transitions from school to adult services and supports.
- Researchers and clinical programs see a wider research scope that adds fields like psychiatry, developmental behavioral pediatrics, audiology, and gerontology, and Centers of Excellence can increase from five to seven.
- States, Indian Tribes, Tribal organizations, localities, and territories can get training and technical assistance to use federal funds for evidence-based communication tools and services, and program authorizations are extended through September 30, 2029.
*Authorizes larger annual NIH autism program funding for FY2025–2029 — raising three program lines to $28.1 million, $56.3 million, and $306 million — and thus increases federal spending for those programs.*
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
More federal money for autism research
The law authorizes larger yearly funding for autism work at NIH. It provides $28.1 million per year for one program. It provides $56.344 million per year for another. It provides $306 million per year for broader NIH autism activities. These amounts apply to fiscal years 2025 through 2029. The money supports research, Centers of Excellence, state programs, and services that help people with autism and their families.
States grow autism screening and services
The law gives grants to states to expand autism education, screening, diagnosis, and early treatment. States without programs must start new ones. Grant sites must offer culturally and language-appropriate services. They must use teams with experience in underserved communities. They must partner with community groups to grow capacity. On request, HHS trains states, Tribes, and localities. Training covers how to use federal funds for evidence-based communication tools. HHS reports to Congress each year on the help given and progress.
Stronger autism research and tracking
The law strengthens autism research and tracking. NIH can name up to seven Centers of Excellence, up from five. Research must cover prevention, services for all ages, treatments, co-occurring conditions, and caregiver supports. NIH provides ways for the public to get information and comment. NIH sends annual budget estimates for 2026–2029. The coordinating committee updates the strategic plan and reports on progress. The tracking program now covers all ages and runs through September 30, 2029.
Sponsors & CoSponsors
Sponsor
Smith, Christopher H. [R-NJ-4]
NJ • R
Cosponsors
Rep. Cuellar, Henry [D-TX-28]
TX • D
Sponsored 2/1/2024
Rep. Carter, Earl L. "Buddy" [R-GA-1]
GA • R
Sponsored 5/31/2024
Rep. Dingell, Debbie [D-MI-6]
MI • D
Sponsored 5/31/2024
Rep. Molinaro, Marcus J. [R-NY-19]
NY • R
Sponsored 5/31/2024
Rep. Kuster, Ann M. [D-NH-2]
NH • D
Sponsored 5/31/2024
Rep. Fitzpatrick, Brian K. [R-PA-1]
PA • R
Sponsored 5/31/2024
Rep. Moulton, Seth [D-MA-6]
MA • D
Sponsored 5/31/2024
Rep. Kean, Thomas H. [R-NJ-7]
NJ • R
Sponsored 5/31/2024
Rep. Soto, Darren [D-FL-9]
FL • D
Sponsored 5/31/2024
Rep. Kiley, Kevin [I-CA-3]
CA • I
Sponsored 5/31/2024
Rep. Gottheimer, Josh [D-NJ-5]
NJ • D
Sponsored 5/31/2024
Rep. Davis, Donald G. [D-NC-1]
NC • D
Sponsored 6/4/2024
Rep. Matsui, Doris O. [D-CA-7]
CA • D
Sponsored 6/11/2024
Rep. Stauber, Pete [R-MN-8]
MN • R
Sponsored 6/11/2024
Rep. Clarke, Yvette D. [D-NY-9]
NY • D
Sponsored 6/13/2024
Rep. Bacon, Don [R-NE-2]
NE • R
Sponsored 6/18/2024
Rep. Spanberger, Abigail Davis [D-VA-7]
VA • D
Sponsored 6/18/2024
Rep. Harder, Josh [D-CA-9]
CA • D
Sponsored 6/25/2024
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 6/25/2024
Rep. Moore, Blake D. [R-UT-1]
UT • R
Sponsored 6/26/2024
Sen. Slotkin, Elissa [D-MI]
MI • D
Sponsored 6/26/2024
Rep. Omar, Ilhan [D-MN-5]
MN • D
Sponsored 6/26/2024
Rep. Joyce, John [R-PA-13]
PA • R
Sponsored 6/27/2024
Sen. Kim, Andy [D-NJ]
NJ • D
Sponsored 6/27/2024
Sen. Blunt Rochester, Lisa [D-DE]
DE • D
Sponsored 6/27/2024
Rep. Kaptur, Marcy [D-OH-9]
OH • D
Sponsored 6/27/2024
Rep. Salazar, Maria Elvira [R-FL-27]
FL • R
Sponsored 6/28/2024
Rep. Tenney, Claudia [R-NY-24]
NY • R
Sponsored 6/28/2024
Rep. Harris, Andy [R-MD-1]
MD • R
Sponsored 6/28/2024
Rep. Van Drew, Jefferson [R-NJ-2]
NJ • R
Sponsored 6/28/2024
Rep. Miller, Carol D. [R-WV-1]
WV • R
Sponsored 6/28/2024
Rep. Graves, Garret [R-LA-6]
LA • R
Sponsored 6/28/2024
Rep. Larson, John B. [D-CT-1]
CT • D
Sponsored 6/28/2024
Rep. Waters, Maxine [D-CA-43]
CA • D
Sponsored 6/28/2024
Rep. Sewell, Terri A. [D-AL-7]
AL • D
Sponsored 6/28/2024
Rep. Suozzi, Thomas R. [D-NY-3]
NY • D
Sponsored 7/2/2024
Rep. Panetta, Jimmy [D-CA-19]
CA • D
Sponsored 7/2/2024
Rep. Peltola, Mary Sattler [D-AK-At Large]
AK • D
Sponsored 7/2/2024
Rep. Ryan, Patrick [D-NY-18]
NY • D
Sponsored 7/2/2024
Rep. Lawler, Michael [R-NY-17]
NY • R
Sponsored 7/5/2024
Rep. Pappas, Chris [D-NH-1]
NH • D
Sponsored 7/5/2024
Rep. Adams, Alma S. [D-NC-12]
NC • D
Sponsored 7/5/2024
Rep. Kelly, Mike [R-PA-16]
PA • R
Sponsored 7/9/2024
Rep. Van Orden, Derrick [R-WI-3]
WI • R
Sponsored 7/9/2024
Rep. Neguse, Joe [D-CO-2]
CO • D
Sponsored 7/10/2024
Rep. Stevens, Haley M. [D-MI-11]
MI • D
Sponsored 7/15/2024
Rep. Budzinski, Nikki [D-IL-13]
IL • D
Sponsored 7/15/2024
Rep. Bilirakis, Gus M. [R-FL-12]
FL • R
Sponsored 7/22/2024
Rep. Pingree, Chellie [D-ME-1]
ME • D
Sponsored 7/22/2024
Rep. Tokuda, Jill N. [D-HI-2]
HI • D
Sponsored 7/22/2024
Rep. Pettersen, Brittany [D-CO-7]
CO • D
Sponsored 7/22/2024
Rep. Courtney, Joe [D-CT-2]
CT • D
Sponsored 7/22/2024
Rep. Landsman, Greg [D-OH-1]
OH • D
Sponsored 7/22/2024
Rep. Jackson, Jonathan L. [D-IL-1]
IL • D
Sponsored 7/22/2024
Rep. Thompson, Glenn [R-PA-15]
PA • R
Sponsored 7/22/2024
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 7/25/2024
Rep. Schneider, Bradley Scott [D-IL-10]
IL • D
Sponsored 7/26/2024
Rep. Lee, Susie [D-NV-3]
NV • D
Sponsored 7/30/2024
Rep. Williams, Brandon [R-NY-22]
NY • R
Sponsored 7/30/2024
Rep. Meuser, Daniel [R-PA-9]
PA • R
Sponsored 7/30/2024
Rep. Crow, Jason [D-CO-6]
CO • D
Sponsored 7/30/2024
Roll Call Votes
house vote • 12/16/2024
On Motion to Suspend the Rules and Concur in the Senate Amendment
Yes: 374 • No: 15
house vote • 9/18/2024
On Motion to Suspend the Rules and Pass, as Amended
Yes: 402 • No: 13