S.Amdt. 3975

SA 3975. Mrs. GILLIBRAND (for herself and Mr. Blumenthal) submitted
an amendment intended to be proposed to amendment SA 3867 submitted by
Mr. Reed and intended to be proposed to the bill H.R. 4350, to
authorize appropriations for fiscal year 2022 for military activities
of the Department of Defense, for military construction, and for
defense activities of the Department of Energy, to prescribe military
personnel strengths for such fiscal year, and for other purposes; which
was ordered to lie on the table; as follows:

At the end of subtitle C of title VII, add the following:

SEC. 744. INDEPENDENT ANALYSIS OF DEPARTMENT OF DEFENSE
COMPREHENSIVE AUTISM CARE DEMONSTRATION
PROGRAM.

(a) Agreement.--
(1) In general.--The Secretary of Defense shall seek to
enter into an agreement with the National Academies of
Sciences, Engineering, and Medicine (in this section referred
to as the ``National Academies'') for the National Academies
to carry out the activities described in subsections (b) and
(c).
(2) Timing.--The Secretary shall seek to enter into the
agreement described in paragraph (1) not later than 60 days
after the date of the enactment of this Act.
(b) Analysis by the National Academies.--
(1) Analysis.--Under an agreement between the Secretary and
the National Academies entered into under subsection (a), the
National Academies shall conduct an analysis of the
effectiveness of the Department of Defense Comprehensive
Autism Care Demonstration program (in this section referred
to as the ``demonstration program'') and develop
recommendations for the Secretary based on such analysis.
(2) Elements.--The analysis conducted and recommendations
developed under paragraph (1) shall include the following:
(A) A review of the use by the Department of Defense of the
Pervasive Developmental Disorder Behavior Inventory as an
outcome measure, in relation to the goals of intervention,
and a determination as to whether the Secretary is applying
such inventory appropriately under the demonstration program.
(B) A review of the raw baseline and follow-up data from
providers, including an assessment of how the data were
scored and an analysis of the data utilized by the Department
in any reports submitted by the Secretary to Congress with
respect to the demonstration program.
(C) An assessment of the methods used under the
demonstration program to measure the effectiveness of applied
behavior analysis in the treatment of autism spectrum
disorder.
(D) A review of any guidelines or industry standards of
care adhered to in the provision of applied behavior analysis
services under the demonstration program, including a review
of the expected health outcomes for an individual who has
received such services.
(E) A review of the expected health outcomes for an
individual who has received applied behavior analysis
treatments over time.
(F) An analysis of the increased utilization of the
demonstration program by beneficiaries under the TRICARE
program, to improve understanding of such utilization.
(G) Such other analyses to measure the effectiveness of the
demonstration program as may be determined appropriate by the
National Academies.
(H) An analysis on whether the prevalence of autism is
higher among the children of military families.
(I) The development of a list of findings and
recommendations related to the measurement, effectiveness,
and increased understanding of the demonstration program and
its effect on beneficiaries under the TRICARE program.
(c) Report.--Under an agreement between the Secretary and
the National Academies entered into under subsection (a), the
National Academies, not later than 270 days after the date of
the execution of the agreement, shall--
(1) submit to the congressional defense committees a report
on the findings of the National Academies with respect to the
analysis conducted and recommendations developed under
subsection (b); and
(2) make such report available on a public website in
unclassified form.
(d) TRICARE Program Defined.--In this section, the term
``TRICARE program'' has the meaning given that term in
section 1072(7) of title 10, United States Code.
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