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	Amend CSSB 1, in Article II of the bill, by adding the 
following appropriately numbered rider following the 
appropriations to the Department of Aging and Disability Services:
	____.  Pilot Program for Adults with Autism.  (a) It is the 
intent of the legislature that, out of the funds appropriated in 
Strategy A.4.3., Promoting Independence Plan, the Department of 
State Health Services shall allocate an appropriate amount in 
fiscal year 2010 to conduct a study to determine the costs and 
benefits of a pilot program based on a program designed to:
		(1) encourage sustainable employment and community 
integration through specialized supports coordination, case 
management, vocational assessment, training, and support to 
increase job skills and competitive employment opportunities;
		(2) develop meaningful community-based activities for 
persons for whom competitive employment is not a goal; 
		(3) promote continued individual development and avoid 
regression;          
		(4) promote self-determination and independence;                              
		(5) coordinate services and behavioral supports across 
all areas of need; and
		(6) allow for flexible funding and for a flexible array 
of services to meet individual needs. 
	(b) In conducting the study the Department of State Health 
Services must:    
		(1) define and describe a pilot program with a seamless 
system of supports to provide:
			(A) options for independent living, if 
appropriate;                        
			(B) community-based housing, if needed; and                                  
			(C) individualized supports, including:                                      
				(i) prevocational training;                                                 
				(ii) employment training;                                                   
				(iii) leisure and recreational activities;                                  
		(2) research and analyze best practices and programs 
from other states that may serve as pilot program models;
		(3) consult with and solicit feedback from key 
stakeholders, including advocacy organizations, potential service 
recipients, and parents; 
		(4) address the barriers that may prevent adults with 
autism or other related disabilities with similar support needs 
from living in their local community including:
			(A) housing needs and living arrangements;                                   
			(B) behavioral services;                                                     
			(C) social and communication services and 
supports;                        
			(D) transportation issues; and                                               
			(E) health and medical care;                                                 
		(5) identify the existence and cause of service gaps in 
this state;         
		(6) develop recommendations and determine costs 
associated with eliminating service gaps;
		(7) identify the potential benefit to persons who would 
receive services from the pilot program; and 
		(8) identify potential federal sources of funding for a 
pilot program.      
	(c) On or before September 1, 2010, the executive 
commissioner of the Health and Human Services Commission shall 
submit the findings and conclusions of the study to the governor, 
the lieutenant governor, the speaker of the house of 
representatives, and the presiding officers of the standing 
committees of the senate and house of representatives with primary 
jurisdiction over the provision of services to persons with 
disabilities, in a report that must include:
		(1) a recommendation for the structure of a pilot 
program;                  
		(2) a recommendation on the choice of an appropriate 
agency to design and administer a pilot program;
		(3) an estimation of the number of persons who may 
benefit from a pilot program if a program similar to the pilot 
program were instituted statewide;
		(4) an estimation of the potential costs of the pilot 
program and whether the pilot program may lead to savings;
		(5) a method of determining which persons would be 
eligible to participate in the pilot program; and
		(6) which Medicaid waiver programs are appropriate to 
the pilot program and whether new Medicaid waiver programs may be 
required.