This document summarizes autism-related activities, accomplishments, collaborations, ideas, and action items for regions 9 and 10. Key points include: 1) Activities across the regions include conferences, webinars, advisory groups, workforce development, training, and research. 2) State accomplishments include providing technical assistance, creating state coalitions, and organizing professional development institutes. 3) Areas of collaboration include establishing autism commissions, expanding access to services, screening plans, and addressing issues like care provider turnover and cultural understanding of autism signs. 4) Ideas involve sharing resources, using technical support centers, translating autism materials, and establishing relationships.