Similar to the INCLUDE initiative for Down Syndrome, we need NICHD to prioritize physical health disparities research in Adults with Neurodevelopmental disabilities that *do not have* a co-occurring intellectual disability. Adults with neurodevelopmental disabilities (e.g., Autism, Cerebral Palsy, Schizophrenia, etc) face disparities in health outcomes and healthcare. Autistic Adults, for example, are at a higher risk for nearly every major chronic physical health condition than the general population but, according to program officers, NICHD prioritizes research for children, adolescents, and adults with intellectual disabilities. Interventions designed for these populations are not appropriate for use with adults with neurodevelopmental disabilties who do not have an intellectual disability, but interventions designed for the general population may not be appropriate either. For example, insomnia occurs at a higher rate in autism, yet cognitive behavioral therapy for insomnia, the front line intervention for insomnia, relies on face-to-face clinic sessions that may tax information processing, sensory systems, social-communication needs, and other needs of autistic adults. However, there is NO NIH institute with priorities that fund this type of research. Autism is not designated for health disparities research- the disability category is explicitly excluded from groups designated for health disparities research with NIMHD. Sleep research is prioritized by NHLBI, but NHLBI views autism as the "primary disease" and refers researchers to NIMH and NICHD. NIMH will not fund research related to physical health disparities and NICHD will not fund health related research in autistic adults who do not have a co-occurring intellectual disability. In this way, autistic adults, and other adults with neurodevelopmental disabilities (with the exception of Down syndrome) face structural discrimination in physical health related research funding priorities.