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In June 2007, the New Hampshire Legislature passed and Governor John Lynch signed into law HB 396 establishing the New Hampshire Commission on Autism Spectrum Disorders. The Commission, formed in response to the rapidly growing prevalence of autism spectrum disorders (ASD) in New Hampshire and nationwide, was charged with examining and making recommendations regarding the care, treatment, and quality of life for children and adults with ASD and their families. The Commission recognizes that to successfully meet the challenges posed by ASD will require significant effort, and is fully committed both individually and collectively to furthering this process. Presented here are the Commission's recommendations to the Governor and legislators of our state.