This bill, titled the "Advancing FASD Research, Services and Prevention Act" or "FASD Respect Act," reauthorizes and significantly expands the Fetal Alcohol Spectrum Disorders Prevention and Services program within the Public Health Service Act. It broadens the program's focus to encompass awareness, prevention, identification, and intervention for Fetal Alcohol Spectrum Disorders (FASD). The legislation updates terminology and emphasizes culturally and linguistically appropriate, evidence-based interventions. The Act mandates the integration of a case definition for FASD into surveillance and supports the development of clinical diagnostic guidelines. It also focuses on building State and Tribal capacity for FASD identification, treatment, and family support. This includes adapting existing programs, expanding screening and diagnostic capabilities, developing targeted interventions, increasing public awareness, and providing professional training. A key provision establishes Fetal Alcohol Spectrum Disorders Centers for Excellence , tasked with building local, Tribal, State, and national capacities. These centers will initiate diagnostic expansion, conduct public awareness campaigns, serve as clearinghouses for evidence-based resources, and provide technical assistance. The bill authorizes necessary appropriations for these programs for fiscal years 2025 through 2029 and requires a report from the Secretary of Health and Human Services on FASD awareness and best practices.