[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2824 Reported in House (RH)]

<DOC>





                                                 Union Calendar No. 225
115th CONGRESS
  1st Session
                                H. R. 2824

                      [Report No. 115-315, Part I]

  To amend title V of the Social Security Act to extend the Maternal, 
           Infant, and Early Childhood Home Visiting Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 8, 2017

Mr. Smith of Nebraska (for himself, Mr. Burgess, Mr. Tiberi, Mr. Reed, 
  Mr. Meehan, Mrs. Noem, and Mrs. Walorski) introduced the following 
  bill; which was referred to the Committee on Ways and Means, and in 
 addition to the Committee on Energy and Commerce, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

                           September 21, 2017

                    Additional sponsor: Mr. Sessions

                           September 21, 2017

    Reported from the Committee on Ways and Means with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

                           September 21, 2017

   The Committee on Energy and Commerce discharged; committed to the 
 Committee of the Whole House on the State of the Union and ordered to 
                               be printed
[For text of introduced bill, see copy of bill as introduced on June 8, 
                                 2017]





_______________________________________________________________________

                                 A BILL


 
  To amend title V of the Social Security Act to extend the Maternal, 
           Infant, and Early Childhood Home Visiting Program.


 


    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Increasing Opportunity and Success 
for Children and Parents through Evidence-Based Home Visiting Act''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Continuing evidence-based home visiting program.
Sec. 4. Continuing to demonstrate results to help families.
Sec. 5. Reviewing statewide needs to target resources.
Sec. 6. Improving the likelihood of success in high-risk communities.
Sec. 7. Measuring improvements in family economic self-sufficiency.
Sec. 8. Option to fund evidence-based home visiting on a pay for 
                            outcome basis.
Sec. 9. Strengthening evidence-based home visiting through state, 
                            local, and private partnerships.
Sec. 10. Data exchange standards for improved interoperability.

SEC. 3. CONTINUING EVIDENCE-BASED HOME VISITING PROGRAM.

    Section 511(j)(1)(H) of the Social Security Act (42 U.S.C. 
711(j)(1)(H)) is amended by striking ``fiscal year 2017'' and inserting 
``each of fiscal years 2017 through 2022''.

SEC. 4. CONTINUING TO DEMONSTRATE RESULTS TO HELP FAMILIES.

    (a) Require Service Delivery Models to Demonstrate Improvement in 
Applicable Benchmark Areas.--Section 511 of the Social Security Act (42 
U.S.C. 711) is amended in each of subsections (d)(1)(A) and (h)(4)(A) 
by striking ``each of''.
    (b) Demonstration of Improvements in Subsequent Years.--Section 
511(d)(1) of such Act (42 U.S.C. 711(d)(1)) is amended by adding at the 
end the following:
                    ``(D) Demonstration of improvements in subsequent 
                years.--
                            ``(i) Continued measurement of improvement 
                        in applicable benchmark areas.--The eligible 
                        entity, after demonstrating improvements for 
                        eligible families as specified in subparagraphs 
                        (A) and (B), shall continue to track and report 
                        not later than 30 days after the end of fiscal 
                        year 2020 and every three years thereafter, 
                        information demonstrating that the program 
                        results in improvements for the eligible 
                        families participating in the program in at 
                        least 4 of the areas specified in subparagraph 
                        (A) that the service delivery model or models, 
                        selected by the entity, intend to improve.
                            ``(ii) Corrective action plan.--If the 
                        eligible entity fails to demonstrate 
                        improvement in at least 4 of the areas 
                        specified in subparagraph (A), the entity shall 
                        develop and implement a plan to improve 
                        outcomes in each of the areas specified in 
                        subparagraph (A) that the service delivery 
                        model or models, selected by the entity, intend 
                        to improve, subject to approval by the 
                        Secretary. The plan shall include provisions 
                        for the Secretary to monitor implementation of 
                        the plan and conduct continued oversight of the 
                        program, including through submission by the 
                        entity of regular reports to the Secretary.
                            ``(iii) Technical assistance.--The 
                        Secretary shall provide an eligible entity 
                        required to develop and implement an 
                        improvement plan under clause (ii) with 
                        technical assistance to develop and implement 
                        the plan. The Secretary may provide the 
                        technical assistance directly or through 
                        grants, contracts, or cooperative agreements.
                            ``(iv) No improvement or failure to submit 
                        report.--If the Secretary determines after a 
                        period of time specified by the Secretary that 
                        an eligible entity implementing an improvement 
                        plan under clause (ii) has failed to 
                        demonstrate any improvement in at least 4 of 
                        the areas specified in subparagraph (A) that 
                        the service delivery model or models intend to 
                        improve, or if the Secretary determines that an 
                        eligible entity has failed to submit the report 
                        required by clause (i), the Secretary shall 
                        terminate the grant made to the entity under 
                        this section and may include any unexpended 
                        grant funds in grants made to nonprofit 
                        organizations under subsection (h)(2)(B).''.
    (c) Including Information on Applicable Benchmarks in 
Application.--Section 511(e)(5) of such Act (42 U.S.C. 711(e)(5)) is 
amended by inserting ``that the service delivery model or models, 
selected by the entity, intend to improve'' before the period at the 
end.

SEC. 5. REVIEWING STATEWIDE NEEDS TO TARGET RESOURCES.

    Section 511(b)(1) of the Social Security Act (42 U.S.C. 711(b)(1)) 
is amended by striking ``Not later than'' and all that follows through 
``statewide'' the 2nd place it appears and inserting ``Each State 
shall, as a condition of receiving payments from an allotment for the 
State under section 502, review and update the statewide needs 
assessment not later than October 1, 2020 (which may be separate from 
but in coordination with the statewide''.

SEC. 6. IMPROVING THE LIKELIHOOD OF SUCCESS IN HIGH-RISK COMMUNITIES.

    Section 511(d)(4)(A) of the Social Security Act (42 U.S.C. 
711(d)(4)(A)) is amended by inserting ``, taking into account the 
staffing, community resource, and other requirements of the service 
delivery model or models that the eligible entity may need to develop 
for the model to operate and demonstrate improvements for eligible 
families'' before the period.

SEC. 7. MEASURING IMPROVEMENTS IN FAMILY ECONOMIC SELF-SUFFICIENCY.

    Section 511(d)(1)(A)(v) of the Social Security Act (42 U.S.C. 
711(d)(1)(A)(v)) is amended by inserting ``(which shall include 
measures of employment and earnings)'' before the period.

SEC. 8. OPTION TO FUND EVIDENCE-BASED HOME VISITING ON A PAY FOR 
              OUTCOME BASIS.

    (a) In General.--Section 511(c) of the Social Security Act (42 
U.S.C. 711(c)) is amended by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively, and by inserting after paragraph 
(2) the following:
            ``(3) Authority to use grant for a pay for outcomes 
        initiative.--An eligible entity to which a grant is made under 
        paragraph (1) may use the grant to pay for the results of a pay 
        for outcomes initiative that satisfies the requirements of 
        subsection (d) and that will not result in a reduction of 
        funding for services delivered under this section while an 
        eligible entity develops or operates such an initiative.''.
    (b) Definition of Pay for Outcomes Initiative.--Section 511(k) of 
such Act (42 U.S.C. 711(k)) is amended by adding at the end the 
following:
            ``(4) Pay for outcomes initiative.--The term `pay for 
        outcomes initiative' means a performance-based grant, contract, 
        cooperative agreement, or other agreement awarded by a public 
        entity in which a commitment is made to pay for improved 
        outcomes that result in social benefit and direct cost savings 
        or cost avoidance to the public sector. Such an initiative 
        shall include--
                    ``(A) a feasibility study that describes how the 
                proposed intervention is based on evidence of 
                effectiveness;
                    ``(B) a rigorous, third-party evaluation that uses 
                experimental or quasi-experimental design or other 
                research methodologies that allow for the strongest 
                possible causal inferences to determine whether the 
                initiative has met its proposed outcomes;
                    ``(C) an annual, publicly available report on the 
                progress of the initiative; and
                    ``(D) a requirement that payments are made to the 
                recipient of a grant, contract, or cooperative 
                agreement only when agreed upon outcomes are achieved, 
                except that this requirement shall not apply with 
                respect to payments to a third party conducting the 
                evaluation described in subparagraph (B).''.
    (c) Extended Availability of Funds.--Section 511(j)(3) of such Act 
(42 U.S.C. 711(j)(3)) is amended--
            (1) by striking ``(3) Availability.--Funds'' and inserting 
        the following:
            ``(3) Availability.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), funds''; and
            (2) by adding at the end the following:
                    ``(B) Funds for pay for outcomes initiatives.--
                Funds made available to an eligible entity under this 
                section for a fiscal year (or portion of a fiscal year) 
                for a pay for outcomes initiative shall remain 
                available for expenditure by the eligible entity for 
                not more than 10 years after the funds are so made 
                available.''.

SEC. 9. STRENGTHENING EVIDENCE-BASED HOME VISITING THROUGH STATE, 
              LOCAL, AND PRIVATE PARTNERSHIPS.

    (a) In General.--Section 511 of the Social Security Act (42 U.S.C. 
711) is amended by adding at the end the following:
    ``(l) Matching Requirement.--
            ``(1) Program home visiting share.--
                    ``(A) In general.--An eligible entity to which a 
                grant is made under this section for fiscal year 2020 
                or any succeeding fiscal year shall not use the grant 
                to cover more than the applicable percentage of the 
                costs of providing services or conducting activities 
                under this section during the fiscal year.
                    ``(B) Applicable percentage.--In subparagraph (A), 
                the term `applicable percentage' means, with respect to 
                a fiscal year--
                            ``(i) in the case of an eligible entity 
                        that is a State or nonprofit organization--
                                    ``(I) 70 percent, in the case of 
                                fiscal year 2020;
                                    ``(II) 60 percent, in the case of 
                                fiscal year 2021; or
                                    ``(III) 50 percent, in the case of 
                                fiscal year 2022 or any succeeding 
                                fiscal year; or
                            ``(ii) in the case of an eligible entity 
                        that is an Indian Tribe (or a consortium of 
                        Indian Tribes), a Tribal Organization, or an 
                        Urban Indian Organization--
                                    ``(I) 100 percent, in the case of 
                                fiscal year 2020 or 2021; or
                                    ``(II) 70 percent, in the case of 
                                fiscal year 2022 or any succeeding 
                                fiscal year.
            ``(2) Non-program home visiting share.--The share of the 
        costs of providing services or conducting activities under this 
        section not covered by grant funds may include--
                    ``(A) State expenditures of Federal funds made 
                available other than under this section expended for 
                activities under this section;
                    ``(B) State expenditures of State funds expended 
                for activities under this section as a condition of 
                receiving Federal funds other than under this section; 
                and
                    ``(C) contributions made for activities under this 
                section from any other source, paid in cash or in kind, 
                valued at the fair market value of such 
                contribution.''.
    (b) Conforming Amendment.--Section 511(h)(2)(A) of such Act (42 
U.S.C. 711(h)(2)(A)) is amended in the 2nd sentence by striking 
``Such'' and inserting ``Except as provided in subsection (l)(1), 
such''.

SEC. 10. DATA EXCHANGE STANDARDS FOR IMPROVED INTEROPERABILITY.

    (a) In General.--Section 511(h) of the Social Security Act (42 
U.S.C. 711(h)) is amended by adding at the end the following:
            ``(5) Data exchange standards for improved 
        interoperability.--
                    ``(A) Designation and use of data exchange 
                standards.--
                            ``(i) Designation.--The head of the 
                        department or agency responsible for 
                        administering a program funded under this 
                        section shall, in consultation with an 
                        interagency work group established by the 
                        Office of Management and Budget and considering 
                        State government perspectives, designate data 
                        exchange standards for necessary categories of 
                        information that a State agency operating the 
                        program is required to electronically exchange 
                        with another State agency under applicable 
                        Federal law.
                            ``(ii) Data exchange standards must be 
                        nonproprietary and interoperable.--The data 
                        exchange standards designated under clause (i) 
                        shall, to the extent practicable, be 
                        nonproprietary and interoperable.
                            ``(iii) Other requirements.--In designating 
                        data exchange standards under this paragraph, 
                        the Secretary shall, to the extent practicable, 
                        incorporate--
                                    ``(I) interoperable standards 
                                developed and maintained by an 
                                international voluntary consensus 
                                standards body, as defined by the 
                                Office of Management and Budget;
                                    ``(II) interoperable standards 
                                developed and maintained by 
                                intergovernmental partnerships, such as 
                                the National Information Exchange 
                                Model; and
                                    ``(III) interoperable standards 
                                developed and maintained by Federal 
                                entities with authority over 
                                contracting and financial assistance.
                    ``(B) Data exchange standards for federal 
                reporting.--
                            ``(i) Designation.--The head of the 
                        department or agency responsible for 
                        administering a program referred to in this 
                        section shall, in consultation with an 
                        interagency work group established by the 
                        Office of Management and Budget, and 
                        considering State government perspectives, 
                        designate data exchange standards to govern 
                        Federal reporting and exchange requirements 
                        under applicable Federal law.
                            ``(ii) Requirements.--The data exchange 
                        reporting standards required by clause (i) 
                        shall, to the extent practicable--
                                    ``(I) incorporate a widely 
                                accepted, nonproprietary, searchable, 
                                computer-readable format;
                                    ``(II) be consistent with and 
                                implement applicable accounting 
                                principles;
                                    ``(III) be implemented in a manner 
                                that is cost-effective and improves 
                                program efficiency and effectiveness; 
                                and
                                    ``(IV) be capable of being 
                                continually upgraded as necessary.
                            ``(iii) Incorporation of nonproprietary 
                        standards.--In designating data exchange 
                        standards under this paragraph, the Secretary 
                        shall, to the extent practicable, incorporate 
                        existing nonproprietary standards, such as the 
                        eXtensible Mark up Language.
                            ``(iv) Rule of construction.--Nothing in 
                        this paragraph shall be construed to require a 
                        change to existing data exchange standards for 
                        Federal reporting about a program referred to 
                        in this section, if the head of the department 
                        or agency responsible for administering the 
                        program finds the standards to be effective and 
                        efficient.''.
    (b) Effective Date.--The amendments made by this section shall take 
effect 2 years after the date of the enactment of this Act.
                                                 Union Calendar No. 225

115th CONGRESS

  1st Session

                               H. R. 2824

                      [Report No. 115-315, Part I]

_______________________________________________________________________

                                 A BILL

  To amend title V of the Social Security Act to extend the Maternal, 
           Infant, and Early Childhood Home Visiting Program.

_______________________________________________________________________

                           September 21, 2017

    Reported from the Committee on Ways and Means with an amendment

                           September 21, 2017

   The Committee on Energy and Commerce discharged; committed to the 
 Committee of the Whole House on the State of the Union and ordered to 
                               be printed