[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 2971 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  1st Session
                                S. 2971

To amend and reauthorize the Child Abuse Prevention and Treatment Act, 
                        and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            December 3, 2019

Mr. Isakson (for himself and Mr. Jones) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
To amend and reauthorize the Child Abuse Prevention and Treatment Act, 
                        and for other purposes.

    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 ``CAPTA Reauthorization Act of 2019''.

SEC. 2. FINDINGS.

    Section 2 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5101 note) is amended--
            (1) in paragraph (1), by striking ``2008, approximately 
        772,000'' and inserting ``2017, approximately 674,000'';
            (2) in paragraph (2)--
                    (A) in subparagraph (A)--
                            (i) by striking ``close to \1/3\'' and 
                        inserting ``75 percent''; and
                            (ii) by striking ``2008'' and inserting 
                        ``2017''; and
                    (B) by amending subparagraph (B) to read as 
                follows:
            ``(B) investigations have determined that approximately 75 
        percent of children who were victims of maltreatment in fiscal 
        year 2017 suffered neglect, 18 percent suffered physical abuse, 
        and 9 percent suffered sexual abuse;'';
            (3) in paragraph (3)--
                    (A) in subparagraph (B), by striking ``2008, an 
                estimated 1,740'' and inserting ``2017, an estimated 
                1,720''; and
                    (B) by amending subparagraph (C) to read as 
                follows:
            ``(C) in fiscal year 2017, children younger than 1 year old 
        comprised 40 percent of child maltreatment fatalities and 72 
        percent of child maltreatment fatalities were younger than 3 
        years of age;'';
            (4) in paragraph (4)(B)--
                    (A) by striking ``37'' and inserting ``40''; and
                    (B) by striking ``2008'' and inserting ``2017'';
            (5) in paragraph (5), by striking ``, American Indian 
        children, Alaska Native children, and children of multiple 
        races and ethnicities'' and inserting ``and American Indian or 
        Alaska Native children'';
            (6) in paragraph (6)--
                    (A) in subparagraph (A), by inserting ``to 
                strengthen families'' before the semicolon; and
                    (B) in subparagraph (C), by striking 
                ``neighborhood'' and inserting ``community'';
            (7) in paragraph (11), by inserting ``trauma-informed,'' 
        after ``comprehensive,''; and
            (8) in paragraph (15)--
                    (A) in subparagraph (D), by striking ``implementing 
                community plans'' and inserting ``supporting community-
                based programs to strengthen and support families in 
                order to prevent child abuse and neglect''; and
                    (B) by amending subparagraph (E) to read as 
                follows:
                    ``(E) improving professional, paraprofessional, and 
                volunteer resources to strengthen the child welfare 
                workforce; and''.

SEC. 3. GENERAL DEFINITIONS.

    Section 3 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5101 note) is amended--
            (1) in paragraph (7), by striking ``; and'' and inserting a 
        semicolon;
            (2) in paragraph (8), by striking the period and inserting 
        ``; and''; and
            (3) by adding at the end the following:
            ``(9) the term `underserved or overrepresented groups in 
        the child welfare system' includes youth that enter the child 
        welfare system following family rejection, parental 
        abandonment, sexual abuse or sexual exploitation, or 
        unaccompanied homelessness.''.

                        TITLE I--GENERAL PROGRAM

SEC. 101. INTERAGENCY WORK GROUP ON CHILD ABUSE AND NEGLECT.

    Section 102 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5102) is amended to read as follows:

``SEC. 102. INTERAGENCY WORK GROUP ON CHILD ABUSE AND NEGLECT.

    ``(a) Establishment.--The Secretary may continue the work group 
known as the Interagency Work Group on Child Abuse and Neglect 
(referred to in this section as the `Work Group').
    ``(b) Composition.--The Work Group shall be comprised of 
representatives from Federal agencies with responsibility for child 
abuse and neglect related programs and activities.
    ``(c) Duties.--The Work Group shall--
            ``(1) coordinate Federal efforts and activities with 
        respect to child abuse and neglect prevention and treatment;
            ``(2) serve as a forum that convenes relevant Federal 
        agencies to communicate and exchange ideas concerning child 
        abuse and neglect related programs and activities; and
            ``(3) further coordinate Federal efforts and activities to 
        maximize resources to address child abuse and neglect in areas 
        of critical needs for the field, such as improving research, 
        focusing on prevention, and addressing the links between child 
        abuse and neglect and domestic violence.''.

SEC. 102. NATIONAL CLEARINGHOUSE FOR INFORMATION RELATING TO CHILD 
              ABUSE.

    Section 103 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5104) is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1), by striking ``effective 
                programs'' and inserting ``evidence-based and evidence-
                informed programs'';
                    (B) by redesignating paragraphs (4) through (9) as 
                paragraphs (5) through (10), respectively;
                    (C) by inserting after paragraph (3) the following:
            ``(4) maintain and disseminate information on best 
        practices to support children being cared for by kin, including 
        such children whose living arrangements with kin occurred 
        without the involvement of a child welfare agency;'';
                    (D) in paragraph (5), as so redesignated, by 
                inserting ``, including efforts to prevent child abuse 
                and neglect'' before the semicolon;
                    (E) in paragraph (7), as so redesignated--
                            (i) in subparagraph (A), by striking the 
                        semicolon and inserting ``, including among at-
                        risk populations, such as young parents, 
                        parents with young children, and parents who 
                        are adult former victims of domestic violence 
                        or child abuse or neglect; and'';
                            (ii) by striking subparagraph (B);
                            (iii) by redesignating subparagraph (C) as 
                        subparagraph (B); and
                            (iv) in subparagraph (B), as so 
                        redesignated, by striking ``abuse'' and 
                        inserting ``use disorder'';
                    (F) in paragraph (8), as so redesignated--
                            (i) by redesignating subparagraphs (B) and 
                        (C) as subparagraphs (C) and (D), respectively;
                            (ii) by inserting after subparagraph (A) 
                        the following:
                    ``(B) best practices in child protection workforce 
                development and retention;''; and
                            (iii) in subparagraph (C), as so 
                        redesignated, by striking ``mitigate 
                        psychological'' and inserting ``prevent and 
                        mitigate the effects of''; and
                    (G) in subparagraph (B) of paragraph (9), as so 
                redesignated, by striking ``abuse'' and inserting ``use 
                disorder''; and
            (2) in subsection (c)--
                    (A) in the heading, by inserting ``; Data 
                Collection and Analysis'' after ``Resources'';
                    (B) in paragraph (1)(C)--
                            (i) in clause (ii), by striking the 
                        semicolon and inserting ``, including--
                                    ``(I) the number of child deaths 
                                due to child abuse and neglect reported 
                                by various sources, including 
                                information from the State child 
                                welfare agency and the State child 
                                death review program or other source 
                                that compiles State data, including 
                                vital statistics death records, State 
                                and local medical examiner and coroner 
                                office records, and uniform crime 
                                reports from local law enforcement; and
                                    ``(II) data, to the extent 
                                practicable, about the circumstances 
                                under which a child death occurred due 
                                to abuse and neglect, including the 
                                cause of the death, whether the child 
                                was referred to the State child welfare 
                                agency, the determination made by the 
                                child welfare agency (as applicable), 
                                and any known previous maltreatment of 
                                children by the perpetrator;''; and
                            (ii) in clause (iv), by striking 
                        ``substance abuse'' and inserting ``substance 
                        use disorder''; and
                    (C) in subparagraph (F), by striking ``abused and 
                neglected children'' and inserting ``victims of child 
                abuse or neglect''.

SEC. 103. RESEARCH AND ASSISTANCE ACTIVITIES.

    Section 104 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5105) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) in the heading, by striking ``Topics'' 
                        and inserting ``In general'';
                            (ii) in the matter preceding subparagraph 
                        (A)--
                                    (I) by striking ``consultation with 
                                other Federal agencies and'' and 
                                inserting ``coordination with 
                                applicable Federal agencies and in 
                                consultation with''; and
                                    (II) by inserting ``, including 
                                primary prevention of child abuse and 
                                neglect,'' before ``and to improve'';
                            (iii) by striking subparagraphs (C), (E), 
                        (I), (J), and (N);
                            (iv) by redesignating subparagraphs (D), 
                        (F), (G), (H), (K), (L), and (M) as 
                        subparagraphs (F) through (L), respectively;
                            (v) by inserting after subparagraph (B) the 
                        following:
                    ``(C) evidence-based and evidence-informed programs 
                to prevent child abuse and neglect in families that 
                have not had contact with the child welfare system;
                    ``(D) best practices in recruiting, training, and 
                retaining a child protection workforce that addresses 
                identified needs;
                    ``(E) options for updating technology of outdated 
                devices and data systems to improve communication 
                between systems that are designed to serve children and 
                families;'';
                            (vi) in subparagraph (G), as so 
                        redesignated, by striking ``and the juvenile 
                        justice system that improve the delivery of 
                        services and treatment, including methods'' and 
                        inserting ``, the juvenile justice system, and 
                        other relevant agencies engaged with children 
                        and families that improve the delivery of 
                        services and treatment, including related to 
                        domestic violence or mental health,'';
                            (vii) in subparagraph (L), as so 
                        redesignated--
                                    (I) by inserting ``underserved or 
                                overrepresented groups in the child 
                                welfare system or'' after ``facing''; 
                                and
                                    (II) by striking ``Indian tribes 
                                and Native Hawaiian'' and inserting 
                                ``such'';
                            (viii) by inserting after subparagraph (L), 
                        as so redesignated, the following:
                    ``(M) methods to address geographic, racial, and 
                cultural disparities in the child welfare system, 
                including a focus on access to services;''; and
                            (ix) by redesignating subparagraph (O) as 
                        subparagraph (N); and
                    (B) in paragraph (2), by striking ``paragraph 
                (1)(O)'' and inserting ``paragraph (1)(N) and analyses 
                based on data from previous years of surveys of 
                national incidence under this Act'';
                    (C) in paragraph (3)--
                            (i) by striking ``of 2010'' and inserting 
                        ``of 2019''; and
                            (ii) by striking ``that contains the 
                        results of the research conducted under 
                        paragraph (2).'' and inserting ``that--
                    ``(A) identifies the research priorities under 
                paragraph (4) and the process for determining such 
                priorities;
                    ``(B) contains a summary of the research supported 
                pursuant to paragraph (1);
                    ``(C) contains the results of the research 
                conducted under paragraph (2); and
                    ``(D) describes how the Secretary will continue to 
                improve the accuracy of information on the national 
                incidence on child abuse and neglect specified in 
                paragraph (2).'';
                    (D) in subparagraph (B) of the first paragraph (4) 
                (relating to priorities)--
                            (i) by striking ``1 years'' and inserting 
                        ``1 year''; and
                            (ii) by inserting ``, at least 30 days 
                        prior to publishing the final priorities,'' 
                        after ``subparagraph (A)''; and
                    (E) by striking the second paragraph (4) (relating 
                to a study on shaken baby syndrome), as added by 
                section 113(a)(5) of the CAPTA Reauthorization Act of 
                2010 (Public Law 111-320);
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) by inserting ``or underserved or 
                        overrepresented groups in the child welfare 
                        system'' after ``children with disabilities''; 
                        and
                            (ii) by striking ``substance abuse'' and 
                        inserting ``substance use disorder'';
                    (B) by redesignating paragraphs (2) and (3) as 
                paragraphs (3) and (4), respectively;
                    (C) by inserting after paragraph (1) the following:
            ``(2) Content.--The technical assistance under paragraph 
        (1) shall be designed to, as applicable--
                    ``(A) promote best practices for addressing child 
                abuse and neglect in families with complex needs, such 
                as families who have experienced domestic violence, 
                substance use disorders, and adverse childhood 
                experiences;
                    ``(B) provide training for child protection workers 
                in trauma-informed practices and supports that prevent 
                and mitigate the effects of trauma for infants, 
                children, youth, and adults;
                    ``(C) reduce geographic, racial, and cultural 
                disparities in child protection systems, which may 
                include engaging law enforcement, education, and health 
                systems, and other systems;
                    ``(D) leverage community-based resources to prevent 
                child abuse and neglect, including resources regarding 
                health (including mental health and substance use 
                disorder), housing, parent support, financial 
                assistance, early childhood education and care, and 
                education services, and other services to assist 
                families; and
                    ``(E) provide other technical assistance, as 
                determined by the Secretary in consultation with such 
                State and local public and private agencies and 
                community-based organizations as the Secretary 
                determines appropriate.'';
                    (D) in subparagraph (B) of paragraph (3), as so 
                redesignated, by striking ``mitigate psychological'' 
                and inserting ``prevent and mitigate the effects of''; 
                and
                    (E) in subparagraph (B) of paragraph (4), as so 
                redesignated--
                            (i) by striking ``substance abuse'' and 
                        inserting ``substance use disorder''; and
                            (ii) by striking ``and domestic violence 
                        services personnel'' and inserting ``domestic 
                        violence services personnel, and personnel from 
                        relevant youth-serving and religious 
                        organizations'';
            (3) in subsection (c)(3), by inserting ``, which may 
        include applications related to research on primary prevention 
        of child abuse and neglect'' before the period; and
            (4) by striking subsection (e).

SEC. 104. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL ORGANIZATIONS, AND 
              PUBLIC OR PRIVATE AGENCIES AND ORGANIZATIONS.

    Section 105 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106) is amended to read as follows:

``SEC. 105. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL ORGANIZATIONS, 
              AND PUBLIC OR PRIVATE AGENCIES AND ORGANIZATIONS.

    ``(a) Authority To Award Grants or Enter Into Contracts.--The 
Secretary may award grants, and enter into contracts, for programs and 
projects in accordance with this section, for any of the following 
purposes:
            ``(1) Capacity building, in order to create coordinated, 
        inclusive, and collaborative systems that have statewide impact 
        in preventing, reducing, and treating child abuse and neglect.
            ``(2) Innovation, through time-limited, field-initiated 
        demonstration projects that further the understanding of the 
        field to reduce child abuse and neglect.
            ``(3) Plans of safe care grants to improve and coordinate 
        State responses to ensure the safety, permanency, and well-
        being of infants affected by substance use.
    ``(b) Capacity Building Grant Program.--
            ``(1) In general.--The Secretary may award grants or 
        contracts to an eligible entity that is a State or local 
        agency, Indian Tribe or Tribal organization, a nonprofit 
        entity, or a consortium of such entities.
            ``(2) Applications.--To be eligible to receive a grant or 
        contract under this section, an entity shall submit an 
        application to the Secretary at such time, in such manner, and 
        containing such information as the Secretary may require.
            ``(3) Uses of funds.--An eligible entity receiving a grant 
        or contract under this subsection shall use the grant funds to 
        better align and coordinate community-based, local, and State 
        activities to strengthen families and prevent child abuse and 
        neglect, by--
                    ``(A) training professionals in prevention, 
                identification, and treatment of child abuse and 
                neglect, which may include--
                            ``(i) training of professional and 
                        paraprofessional personnel in the fields of 
                        health care, medicine, law enforcement, 
                        judiciary, social work and child protection, 
                        education, early childhood care and education, 
                        and other relevant fields, or individuals such 
                        as court appointed special advocates (CASAs) 
                        and guardian ad litem, who are engaged in, or 
                        intend to work in, the field of prevention, 
                        identification, and treatment of child abuse 
                        and neglect, including the links between child 
                        abuse and neglect and domestic violence, and 
                        approaches to working with families with 
                        substance use disorder;
                            ``(ii) training on evidence-based and 
                        evidence-informed programs to improve child 
                        abuse and neglect reporting by adults, with a 
                        focus on adults who work with children in a 
                        professional or volunteer capacity, including 
                        on recognizing and responding to child sexual 
                        abuse;
                            ``(iii) training of personnel in best 
                        practices to meet the unique needs and 
                        development of special populations of children, 
                        including those with disabilities, and children 
                        under age of 3, including promoting interagency 
                        collaboration;
                            ``(iv) improving the training of 
                        supervisory child welfare workers on best 
                        practices for recruiting, selecting, and 
                        retaining personnel;
                            ``(v) enabling State child welfare and 
                        child protection agencies to coordinate the 
                        provision of services with State and local 
                        health care agencies, substance use disorder 
                        prevention and treatment agencies, mental 
                        health agencies, other public and private 
                        welfare agencies, and agencies that provide 
                        early intervention services to promote child 
                        safety, permanence, and family stability, which 
                        may include training on improving coordination 
                        between agencies to meet health evaluation 
                        needs of children who have been victims of 
                        substantiated cases of child abuse or neglect;
                            ``(vi) training of personnel in best 
                        practices relating to the provision of 
                        differential response; or
                            ``(vii) training for child welfare 
                        professionals to reduce and prevent 
                        discrimination (including training related to 
                        implicit biases) in the provision of child 
                        protection and welfare services related to 
                        child abuse and neglect;
                    ``(B) enhancing systems coordination and triage 
                procedures, including information systems, for 
                responding to reports of child abuse and neglect, which 
                include programs of collaborative partnerships between 
                the State child protective services agency, community 
                social service agencies and community-based family 
                support programs, law enforcement agencies and legal 
                systems, developmental disability agencies, substance 
                use disorder treatment agencies, health care entities, 
                domestic violence prevention entities, mental health 
                service entities, schools, places of worship, and other 
                community-based agencies, such as children's advocacy 
                centers, in accordance with all applicable Federal and 
                State privacy laws, to allow for the establishment or 
                improvement of a coordinated triage system; or
                    ``(C) building coordinated community-level systems 
                of support for children, parents, and families through 
                prevention services in order to strengthen families and 
                connect families to the services and supports relevant 
                to their diverse needs and interests, including needs 
                related to substance use disorder prevention.
    ``(c) Field-Initiated Innovation Grant Program.--
            ``(1) In general.--The Secretary may award grants to 
        entities that are States or local agencies, Indian Tribes or 
        Tribal organizations, or public or private agencies or 
        organizations (or combinations of such entities) for field-
        initiated demonstration projects of up to 5 years that advance 
        innovative approaches to prevent, reduce, or treat child abuse 
        and neglect.
            ``(2) Applications.--To be eligible to receive a grant 
        under this section, an entity shall submit an application to 
        the Secretary at such time, in such manner, and containing such 
        information as the Secretary may require, including a rigorous 
        methodological approach to the evaluation of the grant.
            ``(3) Use of funds.--An entity that receives a grant under 
        this section shall use the funds made available through the 
        grant to carry out or bring to scale promising, evidence-
        informed, or evidence-based activities to prevent, treat, or 
        reduce child abuse and neglect that shall include one or more 
        of the following:
                    ``(A) Multidisciplinary systems of care to 
                strengthen families and prevent child abuse and 
                neglect, including primary prevention programs or 
                strategies aimed at reducing the prevalence of child 
                abuse and neglect.
                    ``(B) Projects for the development of new research-
                based strategies for risk and safety assessments and 
                ongoing evaluation and reassessment of performance and 
                accuracy of existing risk and safety assessment tools, 
                including to improve practices utilized by child 
                protective services agencies, which may include 
                activities to reduce and prevent bias in such 
                practices.
                    ``(C) Projects that involve research-based 
                strategies for innovative training for mandated child 
                abuse and neglect reporters, which may include training 
                that is specific to the mandated individual's 
                profession or role when working with children.
                    ``(D) Projects to improve awareness of child 
                welfare professionals and volunteers in the child 
                welfare system and the public about--
                            ``(i) child abuse or neglect under State 
                        law;
                            ``(ii) the responsibilities of individuals 
                        required to report suspected and known 
                        incidents of child abuse or neglect under State 
                        law, as applicable; and
                            ``(iii) the resources available to help 
                        prevent child abuse and neglect.
                    ``(E) Programs that promote safe, family-friendly 
                physical environments for visitation and exchange--
                            ``(i) for court-ordered, supervised 
                        visitation between children and abusing 
                        parents; and
                            ``(ii) to facilitate the safe exchange of 
                        children for visits with noncustodial parents 
                        in cases of domestic violence.
                    ``(F) Innovative programs, activities, and services 
                that are aligned with the research priorities 
                identified under section 104(a)(4).
                    ``(G) Projects to improve implementation of best 
                practices to assist medical professionals in 
                identifying, assessing, and responding to potential 
                abuse in infants, including regarding referrals to 
                child protective services as appropriate and 
                identifying injuries indicative of potential abuse in 
                infants, and to assess the outcomes of such best 
                practices.
    ``(d) Grants to States To Improve and Coordinate Their Response To 
Ensure the Safety, Permanency, and Well-Being of Infants Affected by 
Substance Use.--
            ``(1) Program authorized.--The Secretary is authorized to 
        make grants to States for the purpose of assisting child 
        welfare agencies, social services agencies, substance use 
        disorder treatment agencies, hospitals with labor and delivery 
        units, medical staff, public health and mental health agencies, 
        and maternal and child health agencies to facilitate 
        collaboration in developing, updating, implementing, and 
        monitoring plans of safe care described in section 
        106(b)(2)(B)(iii). Section 112(a)(2) shall not apply to the 
        program authorized under this paragraph.
            ``(2) Distribution of funds.--
                    ``(A) Reservations.--Of the amounts made available 
                to carry out paragraph (1), the Secretary shall 
                reserve--
                            ``(i) no more than 3 percent for the 
                        purposes described in paragraph (7); and
                            ``(ii) up to 3 percent for grants to Indian 
                        Tribes and Tribal organizations to address the 
                        needs of infants born with, and identified as 
                        being affected by, substance abuse or 
                        withdrawal symptoms resulting from prenatal 
                        drug exposure or a fetal alcohol spectrum 
                        disorder and their families or caregivers, 
                        which to the extent practicable, shall be 
                        consistent with the uses of funds described 
                        under paragraph (4).
                    ``(B) Allotments to states and territories.--The 
                Secretary shall allot the amount made available to 
                carry out paragraph (1) that remains after application 
                of subparagraph (A) to each State that applies for such 
                a grant, in an amount equal to the sum of--
                            ``(i) $500,000; and
                            ``(ii) an amount that bears the same 
                        relationship to any funds made available to 
                        carry out paragraph (1) and remaining after 
                        application of subparagraph (A), as the number 
                        of live births in the State in the previous 
                        calendar year bears to the number of live 
                        births in all States in such year.
                    ``(C) Ratable reduction.--If the amount made 
                available to carry out paragraph (1) is insufficient to 
                satisfy the requirements of subparagraph (B), the 
                Secretary shall ratably reduce each allotment to a 
                State.
            ``(3) Application.--A State desiring a grant under this 
        subsection shall submit an application to the Secretary at such 
        time and in such manner as the Secretary may require. Such 
        application shall include--
                    ``(A) a description of--
                            ``(i) the impact of substance use disorder 
                        in such State, including with respect to the 
                        substance or class of substances with the 
                        highest incidence of abuse in the previous year 
                        in such State, including--
                                    ``(I) the prevalence of substance 
                                use disorder in such State;
                                    ``(II) the aggregate rate of births 
                                in the State of infants affected by 
                                substance abuse or withdrawal symptoms 
                                or a fetal alcohol spectrum disorder 
                                (as determined by hospitals, insurance 
                                claims, claims submitted to the State 
                                Medicaid program, or other records), if 
                                available and to the extent 
                                practicable; and
                                    ``(III) the number of infants 
                                identified, for whom a plan of safe 
                                care was developed, and for whom a 
                                referral was made for appropriate 
                                services, as reported under section 
                                106(d)(18);
                            ``(ii) the challenges the State faces in 
                        developing, implementing, and monitoring plans 
                        of safe care in accordance with section 
                        106(b)(2)(B)(iii);
                            ``(iii) the State's lead agency for the 
                        grant program and how that agency will 
                        coordinate with relevant State entities and 
                        programs, including the child welfare agency, 
                        the substance use disorder treatment agency, 
                        hospitals with labor and delivery units, health 
                        care providers, the public health and mental 
                        health agencies, programs funded by the 
                        Substance Abuse and Mental Health Services 
                        Administration that provide substance use 
                        disorder treatment for women, the State 
                        Medicaid program, the State agency 
                        administering the block grant program under 
                        title V of the Social Security Act (42 U.S.C. 
                        701 et seq.), the State agency administering 
                        the programs funded under part C of the 
                        Individuals with Disabilities Education Act (20 
                        U.S.C. 1431 et seq.), the maternal, infant, and 
                        early childhood home visiting program under 
                        section 511 of the Social Security Act (42 
                        U.S.C. 711), the State judicial system, and 
                        other agencies, as determined by the Secretary, 
                        and Indian Tribes and Tribal organizations, as 
                        appropriate, to implement the activities under 
                        this paragraph;
                            ``(iv) how the State will monitor local 
                        development and implementation of plans of safe 
                        care, in accordance with section 
                        106(b)(2)(B)(iii)(II), including how the State 
                        will monitor to ensure plans of safe care 
                        address differences between substance use 
                        disorder and medically supervised substance 
                        use, including for the treatment of a substance 
                        use disorder;
                            ``(v) if applicable, how the State plans to 
                        utilize funding authorized under part E of 
                        title IV of the Social Security Act (42 U.S.C. 
                        670 et seq.) to assist in carrying out any plan 
                        of safe care, including such funding authorized 
                        under section 471(e) of such Act (as in effect 
                        on October 1, 2018) for mental health and 
                        substance abuse prevention and treatment 
                        services and in-home parent skill-based 
                        programs and funding authorized under such 
                        section 472(j) (as in effect on October 1, 
                        2018) for children with a parent in a licensed 
                        residential family-based treatment facility for 
                        substance abuse; and
                            ``(vi) an assessment of the treatment and 
                        other services and programs available in the 
                        State to effectively carry out any plan of safe 
                        care developed, including identification of 
                        needed treatment, and other services and 
                        programs to ensure the well-being of young 
                        children and their families affected by 
                        substance use disorder, such as programs 
                        carried out under part C of the Individuals 
                        with Disabilities Education Act (20 U.S.C. 1431 
                        et seq.) and comprehensive early childhood 
                        development services and programs such as Head 
                        Start programs;
                    ``(B) a description of how the State plans to use 
                funds for activities described in paragraph (4) for the 
                purposes of ensuring State compliance with requirements 
                under clauses (ii) and (iii) of section 106(b)(2)(B); 
                and
                    ``(C) an assurance that the State will comply with 
                requirements to refer a child identified as substance-
                exposed to early intervention services as required 
                pursuant to a grant under part C of the Individuals 
                with Disabilities Education Act (20 U.S.C. 1431 et 
                seq.).
            ``(4) Uses of funds.--Funds awarded to a State under this 
        subsection may be used for the following activities, which may 
        be carried out by the State directly, or through grants or 
        subgrants, contracts, or cooperative agreements:
                    ``(A) Improving State and local systems with 
                respect to the development and implementation of plans 
                of safe care, which--
                            ``(i) shall include parent and caregiver 
                        engagement, as required under section 
                        106(b)(2)(B)(iii)(I), regarding available 
                        treatment and service options, which may 
                        include resources available for pregnant, 
                        perinatal, and postnatal women; and
                            ``(ii) may include activities such as--
                                    ``(I) developing policies, 
                                procedures, or protocols for the 
                                administration or development of 
                                evidence-based and validated screening 
                                tools for infants who may be affected 
                                by substance use withdrawal symptoms or 
                                a fetal alcohol spectrum disorder and 
                                pregnant, perinatal, and postnatal 
                                women whose infants may be affected by 
                                substance use withdrawal symptoms or a 
                                fetal alcohol spectrum disorder;
                                    ``(II) improving assessments used 
                                to determine the needs of the infant 
                                and family;
                                    ``(III) improving ongoing case 
                                management services;
                                    ``(IV) improving access to 
                                treatment services, which may be prior 
                                to the pregnant woman's delivery date; 
                                and
                                    ``(V) keeping families safely 
                                together when it is in the best 
                                interest of the child.
                    ``(B) Developing policies, procedures, or protocols 
                in consultation and coordination with health 
                professionals, public and private health facilities, 
                and substance use disorder treatment agencies to ensure 
                that--
                            ``(i) appropriate notification to child 
                        protective services is made in a timely manner, 
                        as required under section 106(b)(2)(B)(ii);
                            ``(ii) a plan of safe care is in place, in 
                        accordance with section 106(b)(2)(B)(iii), 
                        before the infant is discharged from the birth 
                        or health care facility; and
                            ``(iii) such health and related agency 
                        professionals are trained on how to follow such 
                        protocols and are aware of the supports that 
                        may be provided under a plan of safe care.
                    ``(C) Training health professionals and health 
                system leaders, child welfare workers, substance use 
                disorder treatment agencies, and other related 
                professionals such as home visiting agency staff and 
                law enforcement in relevant topics including--
                            ``(i) State mandatory reporting laws 
                        established under section 106(b)(2)(B)(i) and 
                        the referral and process requirements for 
                        notification to child protective services when 
                        child abuse or neglect reporting is not 
                        mandated;
                            ``(ii) the co-occurrence of pregnancy and 
                        substance use disorder, and implications of 
                        prenatal exposure;
                            ``(iii) the clinical guidance about 
                        treating substance use disorder in pregnant and 
                        postpartum women;
                            ``(iv) appropriate screening and 
                        interventions for infants affected by substance 
                        use disorder, withdrawal symptoms, or a fetal 
                        alcohol spectrum disorder and the requirements 
                        under section 106(b)(2)(B)(iii); and
                            ``(v) appropriate multigenerational 
                        strategies to address the mental health needs 
                        of the parent and child together.
                    ``(D) Establishing partnerships, agreements, or 
                memoranda of understanding between the lead agency and 
                other entities (including health professionals, health 
                facilities, child welfare professionals, juvenile and 
                family court judges, substance use and mental disorder 
                treatment programs, early childhood education programs, 
                maternal and child health and early intervention 
                professionals (including home visiting providers), 
                peer-to-peer recovery programs such as parent mentoring 
                programs, and housing agencies) to facilitate the 
                implementation of, and compliance with, section 
                106(b)(2) and subparagraph (B) of this paragraph, in 
                areas which may include--
                            ``(i) developing a comprehensive, multi-
                        disciplinary assessment and intervention 
                        process for infants, pregnant women, and their 
                        families who are affected by substance use 
                        disorder, withdrawal symptoms, or a fetal 
                        alcohol spectrum disorder, that includes 
                        meaningful engagement with and takes into 
                        account the unique needs of each family and 
                        addresses differences between medically 
                        supervised substance use, including for the 
                        treatment of substance use disorder, and 
                        substance use disorder;
                            ``(ii) ensuring that treatment approaches 
                        for serving infants, pregnant women, and 
                        perinatal and postnatal women whose infants may 
                        be affected by substance use, withdrawal 
                        symptoms, or a fetal alcohol spectrum disorder, 
                        are designed to, where appropriate, keep 
                        infants with their mothers during both 
                        inpatient and outpatient treatment; and
                            ``(iii) increasing access to all evidence-
                        based medication-assisted treatment approved by 
                        the Food and Drug Administration, behavioral 
                        therapy, and counseling services for the 
                        treatment of substance use disorders, as 
                        appropriate.
                    ``(E) Developing and updating systems of technology 
                for improved data collection and monitoring under 
                section 106(b)(2)(B)(iii), including existing 
                electronic medical records, to measure the outcomes 
                achieved through the plans of safe care, including 
                monitoring systems to meet the requirements of this Act 
                and submission of performance measures.
            ``(5) Reporting.--Each State that receives funds under this 
        subsection, for each year such funds are received, shall submit 
        a report to the Secretary, disaggregated by geographic 
        location, economic status, and major racial and ethnic groups, 
        except that such disaggregation shall not be required if the 
        results would reveal personally identifiable information on, 
        with respect to infants identified under section 
        106(b)(2)(B)(ii)--
                    ``(A) the number who experienced removal associated 
                with parental substance use;
                    ``(B) the number who experienced removal and 
                subsequently are reunified with parents, and the length 
                of time between such removal and reunification;
                    ``(C) the number who are referred to community 
                providers without a child protection case;
                    ``(D) the number who receive services while in the 
                care of their birth parents;
                    ``(E) the number who receive post-reunification 
                services within 1 year after a reunification has 
                occurred; and
                    ``(F) the number who experienced a return to out-
                of-home care within 1 year after reunification.
            ``(6) Secretary's report to congress.--The Secretary shall 
        submit an annual report to the Committee on Health, Education, 
        Labor, and Pensions and the Committee on Appropriations of the 
        Senate and the Committee on Education and Labor and the 
        Committee on Appropriations of the House of Representatives 
        that includes the information described in paragraph (5) and 
        recommendations or observations on the challenges, successes, 
        and lessons derived from implementation of the grant program.
            ``(7) Assisting states' implementation.--The Secretary 
        shall use the amount reserved under paragraph (2)(A)(i) to 
        provide written guidance and technical assistance to support 
        States in complying with and implementing this paragraph, which 
        shall include--
                    ``(A) technical assistance, including programs of 
                in-depth technical assistance, to additional States, 
                territories, and Indian Tribes and Tribal organizations 
                in accordance with the substance-exposed infant 
                initiative developed by the National Center on 
                Substance Abuse and Child Welfare;
                    ``(B) guidance on the requirements of this Act with 
                respect to infants born with, and identified as being 
                affected by, substance use or withdrawal symptoms or 
                fetal alcohol spectrum disorder, as described in 
                clauses (ii) and (iii) of section 106(b)(2)(B), 
                including by--
                            ``(i) enhancing States' understanding of 
                        requirements and flexibilities under the law, 
                        including by clarifying key terms;
                            ``(ii) addressing State-identified 
                        challenges with developing, implementing, and 
                        monitoring plans of safe care, including those 
                        reported under paragraph (3)(A)(ii);
                            ``(iii) disseminating best practices on 
                        implementation of plans of safe care, on such 
                        topics as differential response, collaboration 
                        and coordination, and identification and 
                        delivery of services for different populations, 
                        while recognizing needs of different 
                        populations and varying community approaches 
                        across States; and
                            ``(iv) helping States improve the long-term 
                        safety and well-being of young children and 
                        their families;
                    ``(C) supporting State efforts to develop 
                information technology systems to manage plans of safe 
                care; and
                    ``(D) preparing the Secretary's report to Congress 
                described in paragraph (6).
            ``(8) Sunset.--The authority under this subsection shall 
        sunset on September 30, 2023.
    ``(e) Evaluation.--In making grants or entering into contracts for 
projects under this section, the Secretary shall require all such 
projects to report on the outcomes of such activities. Funding for such 
evaluations shall be provided either as a stated percentage of a 
demonstration grant or as a separate grant or contract entered into by 
the Secretary for the purpose of evaluating a particular demonstration 
project or group of projects. In the case of an evaluation performed by 
the recipient of a grant, the Secretary shall make available technical 
assistance for the evaluation, where needed, including the use of a 
rigorous application of scientific evaluation techniques.''.

SEC. 105. GRANTS TO STATES FOR CHILD ABUSE OR NEGLECT PREVENTION AND 
              TREATMENT PROGRAMS.

    Section 106 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106a) is amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1)--
                            (i) by striking ``subsection (f)'' and 
                        inserting ``subsection (g)''; and
                            (ii) by striking ``State in--'' and 
                        inserting ``State with respect to one or more 
                        of the following activities:'';
                    (B) by amending paragraph (1) to read as follows:
            ``(1) Maintaining and improving the intake, assessment, 
        screening, and investigation of reports of child abuse or 
        neglect, including support for rapid response to 
        investigations, with special attention to cases involving 
        children under the age of 5, and especially children under the 
        age of 1.'';
                    (C) in paragraph (2)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``creating and'' 
                                and inserting ``Creating and''; and
                                    (II) by inserting ``, which may 
                                include such teams used by children's 
                                advocacy centers,'' after 
                                ``multidisciplinary teams''; and
                            (ii) in subparagraph (B)(ii), by striking 
                        the semicolon and inserting a period;
                    (D) by amending paragraph (3) to read as follows:
            ``(3) Implementing and improving case management 
        approaches, including ongoing case monitoring, and delivery of 
        services and treatment provided to children and their families 
        to ensure safety and respond to family needs, that include--
                    ``(A) multidisciplinary approaches to assessing 
                family needs and connecting them with services;
                    ``(B) organizing treatment teams of community 
                service providers that prevent and treat child abuse 
                and neglect, and improve child well-being;
                    ``(C) case-monitoring that can ensure progress in 
                child well-being; and
                    ``(D) the use of differential response.'';
                    (E) by striking paragraphs (4), (5), and (6) and 
                inserting the following:
            ``(4)(A) Developing or enhancing data systems to improve 
        case management coordination and communication between relevant 
        agencies;
            ``(B) enhancing the general child protective system by 
        developing, improving, and implementing risk and safety 
        assessment tools and protocols, such as tools and protocols 
        that allow for the identification of cases requiring rapid 
        responses, systems of data sharing with law enforcement, 
        including the use of differential response, and activities to 
        reduce and prevent bias;
            ``(C) developing and updating systems of technology that 
        support the program and track reports of child abuse and 
        neglect from intake through final disposition and allow for 
        interstate and intrastate information exchange; and
            ``(D) real-time case monitoring for caseworkers at the 
        local agency level, and State agency level to track 
        assessments, service referrals, follow-up, case reviews, and 
        progress toward case plan goals.
            ``(5) Developing, strengthening, and facilitating training 
        for professionals and volunteers engaged in the prevention, 
        intervention, and treatment of child abuse and neglect 
        including training on at least one of the following--
                    ``(A) the legal duties of such individuals;
                    ``(B) personal safety training for case workers;
                    ``(C) early childhood, child, and adolescent 
                development and the impact of child abuse and neglect, 
                including long-term impacts of adverse childhood 
                experiences;
                    ``(D) improving coordination among child protective 
                service agencies and health care agencies, entities 
                providing health care (including mental health and 
                substance use disorder services), and community 
                resources, for purposes of conducting evaluations 
                related to substantiated cases of child abuse or 
                neglect;
                    ``(E) improving screening, forensic diagnosis, and 
                health and developmental evaluations;
                    ``(F) addressing the unique needs of children with 
                disabilities, including promoting interagency 
                collaboration;
                    ``(G) the placement of children with kin, and the 
                unique needs and strategies as related to children in 
                such placements;
                    ``(H) responsive, family-oriented approaches to 
                prevention, identification, intervention, and treatment 
                of child abuse and neglect;
                    ``(I) ensuring child safety;
                    ``(J) the links between child abuse and neglect and 
                domestic violence, and approaches to working with 
                families with mental health needs or substance use 
                disorder; and
                    ``(K) coordinating with other services and 
                agencies, as applicable, to address family and child 
                needs, including trauma.'';
                    (F) by redesignating paragraphs (7) and (8) as 
                paragraphs (6) and (7), respectively;
                    (G) in paragraph (6), as so redesignated--
                            (i) by striking ``improving'' and inserting 
                        ``Improving'';
                            (ii) by striking ``the skills, 
                        qualifications, and availability of individuals 
                        providing services to children and families, 
                        and the supervisors of such individuals, 
                        through the child protection system, including 
                        improvements in''; and
                            (iii) by striking the semicolong and 
                        inserting ``, which may include efforts to 
                        address the effects of indirect trauma exposure 
                        for child welfare workers.'';
                    (H) in paragraph (7), as so redesignated--
                            (i) by striking ``developing,'' and 
                        inserting ``Developing,''; and
                            (ii) by striking the semicolon and 
                        inserting ``, which may include improving 
                        public awareness and understanding relating to 
                        the role and responsibilities of the child 
                        protection system and the nature and basis for 
                        reporting suspected incidents of child abuse 
                        and neglect.''; and
                    (I) by striking paragraphs (9) through (14) and 
                inserting the following:
            ``(8) Collaborating with other agencies in the community, 
        county, or State and coordinating services to promote a system 
        of care focused on both prevention and treatment, such as by--
                    ``(A) developing and enhancing the capacity of 
                community-based programs to integrate shared leadership 
                strategies between parents and professionals to prevent 
                and treat child abuse and neglect at the community 
                level; or
                    ``(B) supporting and enhancing interagency 
                collaboration between the child protection system, 
                public health agencies, education systems, domestic 
                violence systems, and the juvenile justice system for 
                improved delivery of services and treatment, such as 
                models of co-locating service providers, which may 
                include--
                            ``(i) methods for continuity of treatment 
                        plan and services as children transition 
                        between systems;
                            ``(ii) addressing the health needs, 
                        including mental health needs, of children 
                        identified as victims of child abuse or 
                        neglect, including supporting prompt, 
                        comprehensive health and developmental 
                        evaluations for children who are the subject of 
                        substantiated child maltreatment reports; or
                            ``(iii) the provision of services that 
                        assist children exposed to domestic violence, 
                        and that also support the caregiving role of 
                        their nonabusing parents.'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``areas of the child protective services 
                        system'' and inserting ``ways in which the 
                        amounts received under the grant will be used 
                        to improve and strengthen the child protective 
                        services system through the activities''; and
                            (ii) by amending subparagraphs (B) and (C) 
                        to read as follows:
                    ``(B) Duration of plan.--Each State plan shall--
                            ``(i) be submitted not less frequently than 
                        every 5 years, in coordination with the State 
                        plan submitted under part B of title IV of the 
                        Social Security Act; and
                            ``(ii) be periodically reviewed and revised 
                        by the State, as necessary to reflect any 
                        substantive changes to State law or regulations 
                        related to the prevention of child abuse and 
                        neglect that may affect the eligibility of the 
                        State under this section, or if there are 
                        significant changes from the State application 
                        in the State's funding of strategies and 
                        programs supported under this section.
                    ``(C) Public comment.--Each State shall consult 
                widely with public and private organizations in 
                developing the plan, make the plan public by electronic 
                means in an easily accessible format, and provide all 
                interested members of the public at least 30 days to 
                submit comments on the plan.'';
                    (B) in paragraph (2)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by inserting ``be developed, as 
                                appropriate, in collaboration with 
                                local programs funded under title II 
                                and with families affected by child 
                                abuse and neglect, and'' after 
                                ``shall''; and
                                    (II) by striking ``achieve the 
                                objectives of this title'' and 
                                inserting ``strengthen families and 
                                reduce incidents of and prevent child 
                                abuse and neglect'';
                            (ii) in subparagraph (A), by inserting 
                        ``and takes into account prevention services 
                        across State agencies in order to improve 
                        coordination of efforts to prevent and reduce 
                        child abuse and neglect'' before the semicolon;
                            (iii) in subparagraph (B)--
                                    (I) by amending clause (i) to read 
                                as follows:
                            ``(i) provisions or procedures for 
                        individuals to report known and suspected 
                        instances of child abuse and neglect directly 
                        to a State child protection agency or to a law 
                        enforcement agency, as applicable under State 
                        law, including a State law for mandatory 
                        reporting by individuals required to report 
                        such instances, including, as defined by the 
                        State--
                                    ``(I) health professionals;
                                    ``(II) school and child care 
                                personnel;
                                    ``(III) law enforcement officials; 
                                and
                                    ``(IV) other individuals, as the 
                                applicable State law or statewide 
                                program may require;'';
                                    (II) by moving the margins of 
                                subclauses (I) and (II) of clause (iii) 
                                2 ems to the right;
                                    (III) in clause (vi), by inserting 
                                ``, which may include placements with 
                                caregivers who are kin'' before the 
                                semicolon;
                                    (IV) by striking clauses (x) and 
                                (xx);
                                    (V) by redesignating clauses (xi) 
                                through (xix) as clauses (x) through 
                                (xviii), respectively; and
                                    (VI) by redesignating clauses (xxi) 
                                through (xxv) as clauses (xix) through 
                                (xxiii), respectively;
                            (iv) in subparagraph (D)--
                                    (I) in clause (i), by inserting ``, 
                                and how such services will be 
                                strategically coordinated with relevant 
                                agencies to provide a continuum of 
                                prevention services and be'' after 
                                ``referrals'';
                                    (II) in clause (ii), by inserting 
                                ``and retention activities'' after 
                                ``training'';
                                    (III) in clause (iii), by inserting 
                                ``, including for purposes of making 
                                such individuals aware of these 
                                requirements'' before the semicolon;
                                    (IV) in clause (v)--
                                            (aa) by inserting ``the 
                                        State's efforts to improve'' 
                                        before ``policies'';
                                            (bb) by striking 
                                        ``substance abuse treatment 
                                        agencies, and other agencies'' 
                                        and inserting ``substance abuse 
                                        treatment agencies, other 
                                        agencies, and kinship 
                                        navigators''; and
                                            (cc) by striking ``; and'' 
                                        and inserting a semicolon;
                                    (V) in clause (vi), by striking the 
                                semicolon and inserting ``, to improve 
                                outcomes for children and families; 
                                and''; and
                                    (VI) by adding at the end the 
                                following:
                            ``(vii) the State's policies and procedures 
                        regarding public disclosure of the findings or 
                        information about the case of child abuse or 
                        neglect that has resulted in a child fatality 
                        or near fatality, which shall provide for 
                        exceptions to the release of such findings or 
                        information in order to ensure the safety and 
                        well-being of the child, or when the release of 
                        such information would jeopardize a criminal 
                        investigation;''; and
                            (v) by striking the flush text that follows 
                        subparagraph (G); and
                    (C) in paragraph (3)--
                            (i) in the heading, by striking 
                        ``Limitation'' and inserting ``Limitations'';
                            (ii) by striking ``With regard to clauses 
                        (vi) and (vii) of paragraph (2)(B)'' and 
                        inserting the following:
                    ``(B) Certain identifying information.--With regard 
                to clauses (vi) and (vii) of paragraph (2)(B)'';
                            (iii) by inserting before subparagraph (B), 
                        as added by clause (ii), the following:
                    ``(A) In general.--Nothing in paragraph (2)(B) 
                shall be construed to limit a State's authority to 
                determine State policies relating to public access to 
                court proceedings to determine child abuse and neglect, 
                except that such policies shall, at a minimum, ensure 
                the safety and well-being of the child, parents, and 
                families.''; and
                            (iv) by adding at the end the following:
                    ``(C) Mandated reporters in certain states.--With 
                respect to a State in which State law requires all of 
                the individuals to report known or suspected instances 
                of child abuse and neglect directly to a State child 
                protection agency or to a law enforcement agency, the 
                requirement under paragraph (2)(B)(i) shall not be 
                construed to require the State to define the classes of 
                individuals described in subclauses (I) through (IV) of 
                such paragraph.'';
            (3) in subsection (c)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``Except as 
                                provided in subparagraph (B), each'' 
                                and inserting ``Each''; and
                                    (II) by striking ``not less than 3 
                                citizen review panels'' and inserting 
                                ``at least 1 citizen review panel''; 
                                and
                            (ii) by amending subparagraph (B) to read 
                        as follows:
                    ``(B) Exception.--A State may designate a panel for 
                purposes of this subsection, comprised of one or more 
                existing entities established under State or Federal 
                law, such as child fatality panels, or foster care 
                review panels, or State task forces established under 
                section 107, if such entities have the capacity to 
                satisfy the requirements of paragraph (3) and the State 
                ensures that such entities will satisfy such 
                requirements.'';
                    (B) by striking paragraph (3);
                    (C) by redesignating paragraphs (4) through (6) as 
                paragraphs (3) through (5), respectively;
                    (D) in paragraph (4), as so redesignated--
                            (i) by redesignating subparagraphs (A) and 
                        (B) as subparagraphs (B) and (C), respectively;
                            (ii) in subparagraph (B), as so 
                        redesignated, by striking ``paragraph (4)'' and 
                        inserting ``paragraph (3)''; and
                            (iii) by inserting before subparagraph (B), 
                        as so redesignated, the following:
                    ``(A) shall develop a memorandum of understanding 
                with each panel, clearly outlining the panel's roles 
                and responsibilities, and identifying any support from 
                the State;''; and
                    (E) in paragraph (5), as so redesignated--
                            (i) by inserting ``which may be carried out 
                        collectively by a combination of such panels,'' 
                        before ``on an annual basis'';
                            (ii) by striking ``whether or''; and
                            (iii) by inserting ``, which may include 
                        providing examples of efforts to implement 
                        citizen review panel recommendations'' before 
                        the period of the second sentence;
            (4) in subsection (d)--
                    (A) in paragraph (1), by inserting ``, 
                disaggregated, where available, by demographic 
                characteristics such as age, sex, race and ethnicity, 
                disability, caregiver risk factors, caregiver 
                relationship, living arrangement, and relation of 
                victim to their perpetrator'' before the period;
                    (B) in paragraph (5), by striking ``neglect.'' and 
                inserting ``neglect, including--
                    ``(A) the number of child deaths due to child abuse 
                and neglect from separate reporting sources within the 
                State, including information from the State child 
                welfare agency and the State child death review program 
                that--
                            ``(i) is compiled by the State welfare 
                        agency for submission; and
                            ``(ii) considers State data, including 
                        vital statistics death records, State and local 
                        medical examiner and coroner office records, 
                        and uniform crime reports from local law 
                        enforcement; and
                    ``(B) information about the circumstances under 
                which a child death occurred due to abuse and neglect, 
                including the cause of the death, whether the child was 
                referred to the State child welfare agency, the 
                determination made by the child welfare agency, and the 
                perpetrator's previous maltreatment of children and the 
                sources used to provide such information.'';
                    (C) in paragraph (13)--
                            (i) by inserting ``and recommendations'' 
                        after ``the activities''; and
                            (ii) by striking ``subsection (c)(6)'' and 
                        inserting ``subsection (c)(5)'';
                    (D) in paragraph (16), by striking ``subsection 
                (b)(2)(B)(xxi)'' and inserting ``subsection 
                (b)(2)(B)(xix)''; and
                    (E) in paragraph (17), by striking ``subsection 
                (b)(2)(B)(xxiv)'' and inserting ``subsection 
                (b)(2)(B)(xxii)'';
            (5) by redesignating subsections (e) and (f) as subsections 
        (f) and (g), respectively;
            (6) by inserting after subsection (d) the following:
    ``(e) Assisting States in Implementation.--The Secretary shall 
provide technical assistance to support States in reporting the 
information required under subsection (d)(5).'';
            (7) in subsection (f), as so redesignated, by striking 
        ``the Congress'' and inserting ``the Committee on Health, 
        Education, Labor, and Pensions of the Senate and the Committee 
        on Education and Labor of the House of Representatives''; and
            (8) by adding at the end the following:
    ``(h) Annual Report.--A State that receives funds under subsection 
(a) shall annually prepare and submit to the Secretary a report 
describing the manner in which funds provided under this Act, alone or 
in combination with other Federal funds, were used to address the 
purposes and achieve the objectives of section 106, including--
            ``(1) a description of how the State used such funds to 
        improve the child protective system related to--
                    ``(A) effective collaborative and coordination 
                strategies among child protective services and social 
                services, legal, health care (including mental health 
                and substance use disorder services), domestic violence 
                services, education agencies, and community-based 
                organizations that contribute to improvements of the 
                overall well-being of children and families; and
                    ``(B) capacity-building efforts to support 
                identification and improvement of responses to, child 
                maltreatment; and
            ``(2) how the State collaborated with community-based 
        prevention organizations to reduce barriers to, and improve the 
        effectiveness of, programs related to child abuse and 
        neglect.''.

SEC. 106. GRANTS TO STATES FOR PROGRAMS RELATING TO THE INVESTIGATION 
              AND PROSECUTION OF CHILD ABUSE AND NEGLECT CASES.

    Section 107 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106c) is amended--
            (1) in subsection (a)--
                    (A) by striking ``the assessment and 
                investigation'' each place it appears and inserting 
                ``the assessment, investigation, and prosecution'';
                    (B) in paragraph (1)--
                            (i) by striking ``and exploitation,'' and 
                        inserting ``, exploitation, and child sex-
                        trafficking,''; and
                            (ii) by inserting ``, including through a 
                        child abuse investigative multidisciplinary 
                        review team'' before the semicolon;
                    (C) in paragraph (2), by adding ``and'' after the 
                semicolon;
                    (D) by striking paragraph (3);
                    (E) by redesignating paragraph (4) as paragraph 
                (3); and
                    (F) in paragraph (3), as so redesignated, by 
                inserting ``, or other vulnerable populations,'' after 
                ``health-related problems'';
            (2) in subsection (c)(1)--
                    (A) in subparagraph (I), by striking ``and'' at the 
                end;
                    (B) in subparagraph (J), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
                    ``(K) individuals experienced in working with 
                underserved or overrepresented groups in the child 
                welfare system.''; and
            (3) in subsection (d)(1), by striking ``and exploitation'' 
        and inserting ``, exploitation, and child sex-trafficking''; 
        and
            (4) in subsection (e)(1)--
                    (A) in subparagraph (A), by striking ``and 
                exploitation'' and inserting ``, exploitation, and 
                child sex-trafficking'';
                    (B) in subparagraph (B), by striking ``; and'' at 
                the end and inserting a semicolon;
                    (C) in subparagraph (C)--
                            (i) by striking ``and exploitation'' and 
                        inserting ``, exploitation, and child sex-
                        trafficking''; and
                            (ii) by striking the period and inserting 
                        ``; and''; and
                    (D) by adding at the end the following:
                    ``(D) improving coordination among agencies 
                regarding reports of child abuse and neglect to ensure 
                both law enforcement and child protective services 
                agencies have ready access to full information 
                regarding past reports, which may be done in 
                coordination with other States or geographic 
                regions.''.

SEC. 107. MISCELLANEOUS REQUIREMENTS RELATING TO ASSISTANCE.

    Section 108 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106d) is amended by striking subsection (e).

SEC. 108. REPORTS.

    Section 110 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106f) is amended--
            (1) in subsection (a), by striking ``CAPTA Reauthorization 
        Act of 2010'' and inserting ``CAPTA Reauthorization Act of 
        2019'';
            (2) in subsection (b)--
                    (A) in the heading, by striking ``Effectiveness of 
                State Programs'' and inserting ``Activities''; and
                    (B) by striking ``evaluating the effectiveness of 
                programs receiving assistance under section 106 in 
                achieving the'' and inserting ``on activities of 
                technical assistance for programs that support State 
                efforts to meet the needs and''; and
            (3) by striking subsections (c) and (d) and inserting the 
        following:
    ``(c) Report on State Mandatory Reporting Laws.--Not later than 4 
years after the date of enactment of the CAPTA Reauthorization Act of 
2019, the Secretary shall submit to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on Education and 
Labor of the House of Representatives a report that contains--
            ``(1) information on--
                    ``(A) training supported by this Act for mandatory 
                reporters of child abuse or neglect; and
                    ``(B) State efforts to improve reporting on, and 
                responding to reports of, child abuse or neglect; and
            ``(2) data regarding any changes in the rate of 
        substantiated child abuse reports and changes in the rate of 
        child abuse fatalities since the date of enactment of the CAPTA 
        Reauthorization Act of 2019.
    ``(d) Report Relating to Injuries Indicating the Presence of Child 
Abuse.--Not later than 2 years after the date of enactment of the CAPTA 
Reauthorization Act of 2019, the Secretary shall submit to the 
Committee on Health, Education, Labor, and Pensions of the Senate and 
the Committee on Education and Labor of the House of Representatives a 
report that contains--
            ``(1) information on best practices developed by medical 
        institutions and other multidisciplinary partners to identify 
        and appropriately respond to injuries indicating the presence 
        of potential physical abuse in children, including--
                    ``(A) the identification and assessment of such 
                injuries by health care professionals and appropriate 
                child protective services referral and notification 
                processes; and
                    ``(B) an identification of effective programs 
                replicating best practices, and barriers or challenges 
                to implementing programs; and
            ``(2) data on any outcomes associated with the practices 
        described in paragraph (1), including subsequent 
        revictimization and child fatalities.
    ``(e) Report Relating to Child Abuse and Neglect in Indian Tribal 
Communities.--Not later than 2 years after the date of enactment of the 
CAPTA Reauthorization Act of 2019, the Comptroller General of the 
United States, in consultation with Indian Tribes from each of the 12 
Bureau of Indian Affairs Regions, shall submit a report to the 
Committee on Health, Education, Labor, and Pensions of the Senate and 
the Committee on Education and Labor of the House of Representatives 
that contains--
            ``(1) information about Indian Tribes and Tribal 
        Organizations providing child abuse and neglect prevention 
        activities, including types of programming and number of tribes 
        providing services;
            ``(2) promising practices used by tribes for child abuse 
        and neglect prevention;
            ``(3) information about the child abuse and neglect 
        prevention activities Indian Tribes are providing with Tribal, 
        State, and Federal funds;
            ``(4) ways to support prevention efforts regarding child 
        abuse and neglect of American Indian and Alaska Native 
        children, such as through the children's trust fund model;
            ``(5) an assessment of Federal agency collaboration and 
        technical assistance efforts to address child abuse and neglect 
        prevention and treatment of American Indian and Alaska Native 
        children;
            ``(6) an examination of access to child abuse and neglect 
        prevention research and demonstration grants by Indian tribes 
        under this Act; and
            ``(7) an examination of Federal child abuse and neglect 
        data systems to identify what Tribal data is being submitted to 
        the Department of Health and Human Services, any barriers to 
        the submission of such data, and recommendations on improving 
        the submission of such data.''.

SEC. 109. AUTHORIZATION OF APPROPRIATIONS.

    Section 112(a)(1) of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5106h(a)(1)) is amended to read as follows:
            ``(1) General authorization.--There are authorized to be 
        appropriated to carry out this title such sums as may be 
        necessary for each of fiscal years 2021 through 2026.''.

TITLE II--COMMUNITY-BASED GRANTS FOR THE PREVENTION OF CHILD ABUSE AND 
                                NEGLECT

SEC. 201. PURPOSE AND AUTHORITY.

    Section 201 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) by inserting ``State and'' after ``to 
                        support''; and
                            (ii) by inserting ``statewide and local 
                        networks of'' after ``coordinate''; and
                    (B) in paragraph (2), by striking ``foster an 
                understanding, appreciation, and knowledge of diverse 
                populations'' and inserting ``support local programs in 
                increasing access for diverse populations to programs 
                and activities''; and
            (2) in subsection (b)--
                    (A) by striking paragraph (2);
                    (B) by redesignating paragraphs (3) through (5) as 
                paragraphs (4) through (6), respectively;
                    (C) in paragraph (1)--
                            (i) in subparagraph (C), by inserting 
                        ``healthy relationships and'' before 
                        ``parenting skills'';
                            (ii) in subparagraph (E), by striking 
                        ``including access to such resources and 
                        opportunities for unaccompanied homeless 
                        youth;'' and inserting ``such as providing 
                        referrals to early health and developmental 
                        services, including access to such resources 
                        and opportunities for homeless families and 
                        those at risk of homelessness; and'';
                            (iii) by striking subparagraph (H);
                            (iv) by redesignating subparagraph (G) as 
                        paragraph (3) and adjusting the margin 
                        accordingly; and
                            (v) in the matter preceding subparagraph 
                        (A)--
                                    (I) by inserting ``statewide and 
                                local networks of'' after 
                                ``enhancing''; and
                                    (II) by striking ``that--'' and 
                                inserting the following: ``in order to 
                                provide a continuum of services to 
                                children and families;
            ``(2) supporting local programs, which may include capacity 
        building activities such as technical assistance, training, and 
        professional development to provide community-based and 
        prevention-focused programs and activities designed to 
        strengthen and support families to prevent child abuse and 
        neglect that help families build protective factors linked to 
        the prevention of child abuse and neglect that--'';
                    (D) in paragraph (3), as so redesignated, by 
                striking ``demonstrate a commitment to involving 
                parents in the planning and program implementation of 
                the lead agency and entities carrying out'' and 
                inserting ``supporting the meaningful involvement of 
                parents in the planning, program implementation, and 
                evaluation of the lead entity and'';
                    (E) in paragraph (4), as so redesignated, by 
                striking ``specific community-based'' and all that 
                follows through ``section 205(a)(3)'' and inserting 
                ``core child abuse and neglect prevention services 
                described in section 205(a)(3) and the services 
                identified by the inventory required under section 
                204(3)'';
                    (F) in paragraph (5), as so redesignated--
                            (i) by striking ``funds for the'' and 
                        inserting ``Federal, State, local, and private 
                        funds, to carry out the purposes of this title, 
                        which may include''; and
                            (ii) by striking ``reporting and evaluation 
                        costs for establishing, operating, or 
                        expanding'' and inserting ``such as data 
                        systems to facilitate statewide monitoring, 
                        reporting, and evaluation costs for''; and
                    (G) in paragraph (6), as so redesignated--
                            (i) by inserting ``, which may include 
                        activities to increase public awareness and 
                        education, and developing comprehensive 
                        outreach strategies to engage diverse, 
                        underserved, and at-risk populations,'' after 
                        ``information activities''; and
                            (ii) by striking ``and the promotion of 
                        child abuse and neglect prevention 
                        activities''.

SEC. 202. ELIGIBILITY.

    Section 202 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116a) is amended--
            (1) in paragraph (1)--
                    (A) in subparagraph (A)--
                            (i) by inserting ``, taking into 
                        consideration the capacity and expertise of 
                        eligible entities,'' after ``Governor of the 
                        State''; and
                            (ii) by inserting ``statewide and local 
                        networks of'' before ``community-based'';
                    (B) in subparagraph (B)--
                            (i) by striking ``who are consumers'' and 
                        inserting ``who are or who have been 
                        consumers'';
                            (ii) by striking ``applicant agency'' and 
                        inserting ``lead entity''; and
                            (iii) by adding ``and'' after the 
                        semicolon;
                    (C) in subparagraph (C)--
                            (i) by inserting ``local,'' after 
                        ``State,''; and
                            (ii) by striking ``; and'' and inserting a 
                        semicolon; and
                    (D) by striking subparagraph (D);
            (2) in paragraph (2)--
                    (A) in subparagraph (A), by striking ``composed 
                of'' and all that follows through ``children with 
                disabilities'' and inserting ``carried out by local, 
                collaborative, and public-private partnerships''; and
                    (B) in subparagraph (C), by inserting ``local,'' 
                after ``State,''; and
            (3) in paragraph (3)--
                    (A) in subparagraph (A), by striking ``parental 
                participation in the development, operation, and 
                oversight of the'' and inserting ``the meaningful 
                involvement of parents in the development, operation, 
                evaluation, and oversight of the State and local 
                efforts to support'';
                    (B) in subparagraph (B)--
                            (i) by inserting ``relevant'' before 
                        ``State and community-based''; and
                            (ii) by striking ``the community-based'' 
                        and inserting ``community-based'';
                    (C) in subparagraph (C)--
                            (i) by striking ``community-based and 
                        prevention-focused programs and activities 
                        designed to strengthen and support families to 
                        prevent child abuse and neglect'' and inserting 
                        ``local programs''; and
                            (ii) by striking ``; and'' and inserting a 
                        semicolon;
                    (D) in subparagraph (D)--
                            (i) by striking ``, parents with 
                        disabilities,'' and inserting ``or parents with 
                        disabilities, and members of underserved or 
                        overrepresented groups in the child welfare 
                        system,''; and
                            (ii) by striking the period and inserting 
                        ``; and''; and
                    (E) by adding at the end the following:
                    ``(E) will take into consideration barriers to 
                access to community-based and prevention-focused 
                programs and activities designed to strengthen and 
                support families to prevent child abuse and neglect, 
                including for populations described in section 
                204(7)(A)(iii) and gaps in unmet need identified in the 
                inventory described in section 204(3) when distributing 
                funds to local programs for use in accordance with 
                section 205(a).''.

SEC. 203. AMOUNT OF GRANT.

    Section 203 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116b) is amended--
            (1) in subsection (a), by adding at the end the following: 
        ``In any fiscal year for which the amount appropriated under 
        section 209 exceeds the amount appropriated under such section 
        for fiscal year 2019 by more than $2,000,000, the Secretary may 
        increase the reservation described in this subsection to up to 
        5 percent of the amount appropriated under section 210 for the 
        fiscal year for the purpose described in the preceding 
        sentence.''; and
            (2) in subsection (b)(1)(A), by striking ``$175,000'' and 
        inserting ``$200,000''.

SEC. 204. APPLICATION.

    Section 204 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116d) is amended--
            (1) in the matter preceding paragraph (1), by striking 
        ``the State'' and inserting ``the lead entity'';
            (2) in paragraph (1), by striking ``which meets the 
        requirements of section 202'';
            (3) in paragraph (2), by striking ``community-based child 
        abuse and neglect prevention programs'' and inserting ``such 
        services'';
            (4) in paragraph (3), by inserting ``designed to strengthen 
        and support families'' after ``programs and activities'';
            (5) in paragraph (5), by striking ``start up'' and 
        inserting ``start-up'';
            (6) by amending paragraph (6) to read as follows:
            ``(6) a description of the lead entity's capacity to ensure 
        the meaningful involvement of family advocates, kinship 
        caregivers, adult former victims of child abuse or neglect, and 
        parents who are, or who have been, consumers of preventive 
        supports, in the planning, implementation, and evaluation of 
        the programs and policy decisions;'';
            (7) by amending paragraph (7) to read as follows:
            ``(7) a description of the criteria that the lead entity 
        will use to--
                    ``(A) select and fund local programs, and how the 
                lead entity will take into consideration the local 
                program's ability to--
                            ``(i) collaborate across a broad range of 
                        services and initiatives and engage in long-
                        term and strategic planning for, community-
                        based and prevention-focused programs and 
                        activities designed to strengthen and support 
                        families to prevent child abuse and neglect;
                            ``(ii) meaningfully involve parents in the 
                        development, implementation, oversight, and 
                        evaluation of services; and
                            ``(iii) reduce barriers to access to 
                        community-based and prevention-focused programs 
                        and activities designed to strengthen and 
                        support families to prevent child abuse and 
                        neglect, including for diverse, underserved, 
                        and at-risk populations; or
                    ``(B) develop or provide community-based and 
                prevention-focused programs and activities designed to 
                strengthen and support families to prevent child abuse 
                and neglect, and provide a description of how such 
                activities are evidence-based or evidence-informed;'';
            (8) in paragraph (8)--
                    (A) by striking ``entity and the community-based 
                and prevention-focused programs designed to strengthen 
                and support families to prevent child abuse and 
                neglect'' and inserting ``lead entity and local 
                programs'';
                    (B) by striking ``homeless families and those at 
                risk of homelessness, unaccompanied homeless youth'' 
                and inserting ``victims of domestic violence, homeless 
                families and those at risk of homelessness, families 
                experiencing trauma''; and
                    (C) by inserting ``, including underserved or 
                overrepresented groups in the child welfare system'' 
                before the semicolon;
            (9) in paragraph (9), by striking ``community-based and 
        prevention-focused programs and activities designed to 
        strengthen and support families to prevent child abuse and 
        neglect'' and inserting ``local programs'';
            (10) in paragraph (10), by striking ``applicant entity's 
        activities and those of the network and its members (where 
        appropriate) will be evaluated'' and inserting ``lead entity's 
        activities and local programs will be evaluated, including in 
        accordance with section 206'';
            (11) in paragraph (11)--
                    (A) by striking ``applicant entity'' and inserting 
                ``lead entity''; and
                    (B) by inserting ``, including how the lead entity 
                will promote and consider improving access among 
                diverse, underserved, and at-risk populations'' before 
                the semicolon; and
            (12) in paragraph (12), by striking ``applicant entity'' 
        and inserting ``lead entity''.

SEC. 205. LOCAL PROGRAM REQUIREMENTS.

    Section 205 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116e) is amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1)--
                            (i) by striking ``Grants made'' and 
                        inserting ``Grants or contracts made by the 
                        lead entity''; and
                            (ii) by striking ``that--'' and inserting 
                        ``, which may include--'';
                    (B) by amending paragraph (1) to read as follows:
            ``(1) assessing community assets and needs through a 
        planning process that--
                    ``(A) involves other community-based organizations 
                or agencies that have already performed a needs 
                assessment;
                    ``(B) includes the meaningful involvement of 
                parents; and
                    ``(C) uses information and expertise from local 
                public agencies, local nonprofit organizations, and 
                private sector representatives in meaningful roles;'';
                    (C) in paragraph (2), by striking ``develop'' and 
                inserting ``developing'';
                    (D) in paragraph (3)--
                            (i) in subparagraph (A)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``provide for'' and 
                                inserting ``providing''; and
                                    (II) in clause (i), by striking 
                                ``mutual support and'' and inserting 
                                ``which may include programs and 
                                services that improve knowledge of 
                                healthy child development, parental 
                                resilience, mutual support, and''; and
                            (ii) in subparagraph (B)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``provide access to 
                                optional services'' and inserting 
                                ``connecting individuals and families 
                                to additional services'';
                                    (II) in clause (ii), by striking 
                                ``and intervention'' and inserting ``, 
                                such as Head Start, including early 
                                Head Start, and early intervention'';
                                    (III) by redesignating clauses 
                                (iii) through (ix) as clauses (iv) 
                                through (x), respectively;
                                    (IV) by inserting after clause (ii) 
                                the following:
                            ``(iii) nutrition programs, which may 
                        include the special supplemental nutrition 
                        program for women, infants, and children 
                        established by section 17 of the Child 
                        Nutrition Act of 1966 (42 U.S.C. 1786) and the 
                        supplemental nutrition assistance program under 
                        the Food and Nutrition Act of 2008 (7 U.S.C. 
                        2011 et seq.);'';
                                    (V) in clause (vi), as so 
                                redesignated, by striking ``services, 
                                such as academic tutoring, literacy 
                                training, and General Educational 
                                Degree services'' and inserting ``and 
                                workforce development programs, 
                                including adult education and literacy 
                                training and academic tutoring''; and
                                    (VI) in clause (x), as so 
                                redesignated, by striking ``service 
                                programs that provide services and 
                                treatment to children and their non-
                                abusing caregivers'' and inserting 
                                ``services'';
                    (E) in paragraph (4)--
                            (i) by striking ``develop leadership roles 
                        for the'' and inserting ``developing and 
                        maintaining'';
                            (ii) by inserting ``, and, as applicable, 
                        kinship caregivers,'' after ``parents''; and
                            (iii) by striking ``the programs'' and 
                        inserting ``programs'';
                    (F) in paragraph (5), by striking ``provide'' and 
                inserting ``providing''; and
                    (G) in paragraph (6), by striking ``participate'' 
                and inserting ``participating''; and
            (2) in subsection (b), by striking ``programs..'' and 
        inserting ``programs.''.

SEC. 206. PERFORMANCE MEASURES.

    Section 206 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116f) is amended--
            (1) in paragraph (2), by striking ``optional services as 
        described in section 202'' and inserting ``additional services 
        as described in section 205(a)(3)(B)'';
            (2) in paragraph (3), by striking ``section 205(3)'' and 
        inserting ``section 204'';
            (3) in paragraph (5), by striking ``used the services of'' 
        and inserting ``participated in'';
            (4) in paragraph (6), by striking ``community level'' and 
        inserting ``local level'';
            (5) in paragraph (7), by striking ``; and'' and inserting a 
        semicolon;
            (6) by redesignating paragraph (8) as paragraph (9);
            (7) by inserting after paragraph (7) the following:
            ``(8) shall describe the percentage of total funding 
        provided to the State under section 203 that supports evidence-
        based and evidence-informed community-based and prevention-
        focused programs and activities designed to strengthen and 
        support families to prevent child abuse and neglect; and''; and
            (8) in paragraph (9), as so redesignated, by striking 
        ``continued leadership'' and inserting ``meaningful 
        involvement''.

SEC. 207. DEFINITIONS.

    Section 208(2) of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116h(2)) is amended--
            (1) in the paragraph heading, by inserting ``designed to 
        strengthen and support families'' after ``activities'';
            (2) by striking ``respite care programs'' and inserting 
        ``respite care services'';
            (3) by inserting ``for parents and children'' after 
        ``mutual support programs''; and
            (4) by striking ``or respond to''.

SEC. 208. AUTHORIZATION OF APPROPRIATIONS.

    Section 209 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116i) is amended to read as follows:

``SEC. 209. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this title 
such sums as may be necessary for each of fiscal years 2021 through 
2026.''.

                  TITLE III--MISCELLANEOUS PROVISIONS

SEC. 301. TECHNICAL AMENDMENTS.

    The Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 et 
seq.) is amended--
            (1) in section 3, by amending paragraph (5) to read as 
        follows:
            ``(5) the terms `Indian', `Indian Tribe', and `Tribal 
        organization' have the meanings given the terms `Indian', 
        `Indian tribe', and `tribal organization', respectively, in 
        section 4 of the Indian Self-Determination and Education 
        Assistance Act (25 U.S.C. 450b);'';
            (2) by striking ``tribe'' each place such term appears 
        (other than section 3(5)) and inserting ``Tribe''; and
            (3) by striking ``tribal'' each place such term appears 
        (other than section 3(5)) and inserting ``Tribal''.
                                 <all>