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<dc:title>117 HR 485 IH: Stronger Child Abuse Prevention and Treatment Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2021-01-25</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">117th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 485</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20210125">January 25, 2021</action-date><action-desc><sponsor name-id="S000185">Mr. Scott of Virginia</sponsor> (for himself, <cosponsor name-id="C001108">Mr. Comer</cosponsor>, <cosponsor name-id="B001278">Ms. Bonamici</cosponsor>, <cosponsor name-id="F000450">Ms. Foxx</cosponsor>, <cosponsor name-id="S001215">Ms. Stevens</cosponsor>, <cosponsor name-id="S001196">Ms. Stefanik</cosponsor>, <cosponsor name-id="S001216">Ms. Schrier</cosponsor>, and <cosponsor name-id="J000301">Mr. Johnson of South Dakota</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HED00">Committee on Education and Labor</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To reauthorize the Child Abuse Prevention and Treatment Act, and for other purposes.</official-title></form><legis-body id="H87C70E1888D4481598FFA829E15C34FD" style="OLC"><section id="H5B034ADD4101427C912D88C85BDD862B" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Stronger Child Abuse Prevention and Treatment Act</short-title></quote>.</text></section><section id="H310BEED240FD42DCB9CEE9BA65DBE95B"><enum>2.</enum><header>Table of contents</header><text display-inline="no-display-inline">The table of contents of this Act is as follows:</text><toc container-level="legis-body-container" quoted-block="no-quoted-block" lowest-level="section" regeneration="yes-regeneration" lowest-bolded-level="division-lowest-bolded"><toc-entry idref="H5B034ADD4101427C912D88C85BDD862B" level="section">Sec. 1. Short title.</toc-entry><toc-entry idref="H310BEED240FD42DCB9CEE9BA65DBE95B" level="section">Sec. 2. Table of contents.</toc-entry><toc-entry idref="HC342DC4A67C34B37BE0ED1C3A22F7EAA" level="title">Title I—General program</toc-entry><toc-entry idref="HA364391B202B4ED28F308D12867B61AB" level="section">Sec. 101. Repeal of findings.</toc-entry><toc-entry idref="H8810FAC0DE45456F8769F2794540AD7D" level="section">Sec. 102. Repeal of Advisory Board on Child Abuse and Neglect.</toc-entry><toc-entry idref="HFD24ADC73CB24D268C69ABED1B481AAE" level="section">Sec. 103. National clearinghouse for information relating to child abuse.</toc-entry><toc-entry idref="HCB8BF3D61BEE4F09B74F088E8593ABC3" level="section">Sec. 104. Research and assistance activities.</toc-entry><toc-entry idref="H242A932970DD4D33901CFE6176BEC671" level="section">Sec. 105. Grants to States, Indian Tribes or tribal organizations, and public or private agencies and organizations.</toc-entry><toc-entry idref="HF0E96EF0521949608DE3B932C5776FD3" level="section">Sec. 106. Grants to States for child abuse or neglect prevention and treatment programs.</toc-entry><toc-entry idref="H04B66E1FB6394F9F9D4C30AAF626B44E" level="section">Sec. 107. Miscellaneous requirements.</toc-entry><toc-entry idref="HDA0CDC0F50AF4CBC823434583F92676C" level="section">Sec. 108. Reports.</toc-entry><toc-entry idref="H6310A51894ED48C58EB81035F7215F5A" level="section">Sec. 109. Authorization of appropriations.</toc-entry><toc-entry idref="HAB55AA50E55448AE8AFCC7DBE43DE7D4" level="section">Sec. 110. Monitoring and oversight.</toc-entry><toc-entry idref="H3A86EA0B6328417DA97BBB2EE7614F09" level="section">Sec. 111. Electronic interstate data exchange system.</toc-entry><toc-entry idref="H629AAE1BFA694612A4C42D0D0E78466A" level="section">Sec. 112. Technical and conforming amendments.</toc-entry><toc-entry idref="H1C42FE967F974521ADA5E56608B12091" level="title">Title II—Community-based Grants for the Prevention of Child Abuse and Neglect</toc-entry><toc-entry idref="H3479BC3101B54552865315C0124A3B6F" level="section">Sec. 201. Purpose and authority.</toc-entry><toc-entry idref="HFA858EC9F6404C5F98207D23FFCD8203" level="section">Sec. 202. Eligibility.</toc-entry><toc-entry idref="H60DC30003463470DA52014E7558D49B4" level="section">Sec. 203. Amount of grant.</toc-entry><toc-entry idref="H4A750D87A94040F88B7B7BB54AA79A66" level="section">Sec. 204. Application.</toc-entry><toc-entry idref="HED450D0B9D014C0FBB9DC9AF4FD1CD9C" level="section">Sec. 205. Local program requirements.</toc-entry><toc-entry idref="H31854444D91C401FB254D9F9067D8042" level="section">Sec. 206. Performance measures.</toc-entry><toc-entry idref="HEFC04E7C82DA43E19FDC44AAF23139A5" level="section">Sec. 207. National network for community-based family resource programs.</toc-entry><toc-entry idref="H5362A8B03CDF4E29A6717EB902C4B698" level="section">Sec. 208. Definitions.</toc-entry><toc-entry idref="H0EC2B6C6CCEF4ACCB60443BC806C4C4E" level="section">Sec. 209. Rule of construction.</toc-entry><toc-entry idref="H485DEFD004684A9184D9525507E8A8EE" level="section">Sec. 210. Authorization of appropriations.</toc-entry><toc-entry idref="H440BAB3A923F4F3B875AC40EF55255A0" level="section">Sec. 211. Study and report.</toc-entry><toc-entry idref="H2F7B0CF69F9B46799DDF4CF1EBD8D702" level="title">Title III—Adoption Opportunities</toc-entry><toc-entry idref="HA2469D2587CD4B04A61406C54CEFE363" level="section">Sec. 301. Purpose.</toc-entry><toc-entry idref="H68E253F8A87143A9A18CFBC6B44586CE" level="section">Sec. 302. Report and guidance on unregulated custody transfers.</toc-entry><toc-entry idref="H15F4DEB160E54860935672F4AA86E16C" level="section">Sec. 303. Information and services.</toc-entry><toc-entry idref="H440F3F349F764BE09EC69A4DB1BF7713" level="section">Sec. 304. Study and report on successful adoptions.</toc-entry><toc-entry idref="H710D225A6181470B804C95FC2B3FB3A7" level="section">Sec. 305. Authorization of appropriations.</toc-entry><toc-entry idref="H97F8A2985F154C04AD1B99F24493A4BF" level="title">Title IV—Amendments to other laws</toc-entry><toc-entry idref="HB1DF73CD6BD441A18B0B93B109A38DD4" level="section">Sec. 401. Technical and conforming amendments to other laws.</toc-entry></toc></section><title id="HC342DC4A67C34B37BE0ED1C3A22F7EAA"><enum>I</enum><header>General program</header><section id="HA364391B202B4ED28F308D12867B61AB"><enum>101.</enum><header>Repeal of findings</header><text display-inline="no-display-inline">Section 2 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5101">42 U.S.C. 5101</external-xref> note) is repealed.</text></section><section id="H8810FAC0DE45456F8769F2794540AD7D"><enum>102.</enum><header>Repeal of Advisory Board on Child Abuse and Neglect</header><text display-inline="no-display-inline">Section 102 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5102">42 U.S.C. 5102</external-xref>) is repealed.</text></section><section id="HFD24ADC73CB24D268C69ABED1B481AAE"><enum>103.</enum><header>National clearinghouse for information relating to child abuse</header><text display-inline="no-display-inline">Section 103 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5104">42 U.S.C. 5104</external-xref>) is amended—</text><paragraph id="H10FFA2D6031C4E4B9397435A74A5347C"><enum>(1)</enum><text>in subsection (b)(1), by inserting <quote>early learning programs and</quote> after <quote>including</quote>;</text></paragraph><paragraph id="H080453C621D445E2A0007EBC0066B7B8"><enum>(2)</enum><text>in subsection (c)(1)(C)—</text><subparagraph id="H2417C323B33B4C2E9872BDD47BEE09DD"><enum>(A)</enum><text>in clause (iii), by striking <quote>and</quote> at the end;</text></subparagraph><subparagraph id="HB381B9033A4F44AA91A686D5CC55CD24"><enum>(B)</enum><text>in clause (iv), by adding <quote>and</quote> at the end; and</text></subparagraph><subparagraph id="H82D4EEE9C5C94854B6BC249427E47111"><enum>(C)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" id="H6E094F1093BA4DF5B96B5FC854CA8242" display-inline="no-display-inline"><clause id="H32E1071C6A0E4025BF133E6015543D3D" commented="no"><enum>(v)</enum><text display-inline="yes-display-inline">the number of child fatalities and near fatalities due to maltreatment, as reported by States in accordance with the uniform standards established pursuant to subsection (d), and any other relevant information related to such fatalities;</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="H5AE1CC6B9A3F4D489B6E32A50527B874"><enum>(3)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" id="H19631DC6F3DD4C8B8B615B8893D7E2AC" display-inline="no-display-inline"><subsection id="H0F862F75B57445C5B594AD6961B5391D"><enum>(d)</enum><header>Uniform standards for tracking and reporting of child fatalities resulting from maltreatment</header><paragraph id="HAB49D1D0A2774F7396150EB77B57BFF7"><enum>(1)</enum><header>Regulations required</header><text display-inline="yes-display-inline">Not later than 24 months after the date of the enactment of the Stronger Child Abuse Prevention and Treatment Act, the Secretary shall develop and issue final regulations establishing uniform standards for the tracking and reporting of child fatalities and near-fatalities resulting from maltreatment. As a condition on eligibility for receipt of funds under section 106, the standards established under this paragraph shall be used by States for the tracking and reporting of such fatalities under subsection (d) of such section.</text></paragraph><paragraph id="H34BAB87932C9400BAAAA3BBE458DE3B3"><enum>(2)</enum><header>Maintenance of State law</header><text display-inline="yes-display-inline">Notwithstanding the uniform standards developed under paragraph (1), a State that defines or describes such fatalities for any purpose other than tracking and reporting under this subsection may continue to use that definition or description for such purpose.</text></paragraph><paragraph id="H4E6E8266131D47D6AD80845C9AA95241"><enum>(3)</enum><header>Negotiated rulemaking</header><text>In developing regulations under paragraph (1), the Secretary shall submit such regulations to a negotiated rulemaking process, which shall include the participants described in paragraph (4).</text></paragraph><paragraph id="HCDB60DCD57E64BF1A036E48CAB2EED05"><enum>(4)</enum><header>Participants described</header><text>The participants described in this paragraph are—</text><subparagraph id="H91513EC17F7D459696C77B6DC7023611"><enum>(A)</enum><text display-inline="yes-display-inline">State and county officials responsible for administering the State plans under this Act and parts B and E of title IV of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/621">42 U.S.C. 621</external-xref> et seq., 670 et seq.);</text></subparagraph><subparagraph id="HE576AC357D324EA3B5B4A4436BF764C8"><enum>(B)</enum><text>child welfare professionals with field experience;</text></subparagraph><subparagraph id="HC80D4DA83E7B48A19F17BCD5FF5BE48D"><enum>(C)</enum><text>child welfare researchers;</text></subparagraph><subparagraph id="H8980612CCB0541E69E32124B8980B7CC"><enum>(D)</enum><text>domestic violence researchers;</text></subparagraph><subparagraph id="H1851E9D9F6E64CEF8AB20E45BB151757"><enum>(E)</enum><text>domestic violence professionals;</text></subparagraph><subparagraph id="HC43463AE808445C4BB58397B85206FAB"><enum>(F)</enum><text>child development professionals;</text></subparagraph><subparagraph id="H727EE53076AB46BA976CAF9C5C40FB2B"><enum>(G)</enum><text>mental health professionals;</text></subparagraph><subparagraph id="H88953C072F244CEEA3CFAB99C301587D"><enum>(H)</enum><text>pediatric emergency medicine physicians;</text></subparagraph><subparagraph id="HB36AF90BBEA341509462EA535D22881F"><enum>(I)</enum><text>child abuse pediatricians, as certified by the American Board of Pediatrics, who specialize in treating victims of child abuse;</text></subparagraph><subparagraph id="H4FC094426172477FA0BBC83803276608"><enum>(J)</enum><text>forensic pathologists;</text></subparagraph><subparagraph id="HFD7415938E944E24A3201B0572386622"><enum>(K)</enum><text>public health administrators;</text></subparagraph><subparagraph id="H0318C621D21B461CB989B1147CAFD1FF"><enum>(L)</enum><text>public health researchers;</text></subparagraph><subparagraph id="H9D146E8B9DBF403A925DAF9B10D532D1"><enum>(M)</enum><text>law enforcement;</text></subparagraph><subparagraph id="H76B6F57E9709454CBFF368868A3C23FF"><enum>(N)</enum><text>family court judges;</text></subparagraph><subparagraph id="H5B79FE7AD3B54F619550E3497CA00887"><enum>(O)</enum><text>prosecutors;</text></subparagraph><subparagraph id="HBC950C3A9B18438EBEE8793C854608BA"><enum>(P)</enum><text>medical examiners and coroners;</text></subparagraph><subparagraph id="HF8ACB7885DDC40E19235EF2CF122D5E6"><enum>(Q)</enum><text>a representative from the National Center for Fatality Review and Prevention; and</text></subparagraph><subparagraph id="H57D9750B0D2D4214AF9B830842330FC7"><enum>(R)</enum><text>such other individuals and entities as the Secretary determines to be appropriate.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="HCB8BF3D61BEE4F09B74F088E8593ABC3"><enum>104.</enum><header>Research and assistance activities</header><text display-inline="no-display-inline">Section 104 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5105">42 U.S.C. 5105</external-xref>) is amended—</text><paragraph id="H500D2153DB924BD2A5C30F407D376C6A"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text><subparagraph id="H2311E452376A45D2AD653EECA073769F"><enum>(A)</enum><text display-inline="yes-display-inline">by amending paragraph (1) to read as follows:</text><quoted-block style="OLC" id="H73C079068E6740098CA5366BF770DABB" display-inline="no-display-inline"><paragraph id="HD2C2A0C5B1F34CE893AEE93717A99C79"><enum>(1)</enum><header>Topics</header><text display-inline="yes-display-inline">The Secretary shall, in consultation with other Federal agencies and recognized experts in the field, carry out a continuing interdisciplinary program of research, including longitudinal research, that is designed to provide information needed to improve primary prevention of child abuse and neglect, better protect children from child abuse or neglect, and improve the well-being of victims of child abuse or neglect, with at least a portion of such research being field initiated. Such research program may focus on—</text><subparagraph id="H085349A0588C4AF5B15A024828AF85FF"><enum>(A)</enum><text display-inline="yes-display-inline">disseminating evidence-based treatment directed to individuals and families experiencing trauma due to child abuse and neglect, including efforts to improve the scalability of the treatments and programs being researched;</text></subparagraph><subparagraph id="H4821937C00F143D9B54FB3AA1FF90253"><enum>(B)</enum><text display-inline="yes-display-inline">developing a set of evidence-based approaches to support child and family well-being and developing ways to identify, relieve, and mitigate stressors affecting families in rural, urban, and suburban communities;</text></subparagraph><subparagraph id="HC3AFB43526304FFEAE4A173A892A0820"><enum>(C)</enum><text display-inline="yes-display-inline">establishing methods to promote racial equity in the child welfare system, including a focus on how neglect is defined, how services are provided, and the unique impact on Native American, Alaska Native, and Native Hawaiian communities;</text></subparagraph><subparagraph id="H7452BAE573134F09835DECEE2489FD0B"><enum>(D)</enum><text display-inline="yes-display-inline">improving service delivery or outcomes for child welfare service agencies engaged with families experiencing domestic violence, substance use disorder, or other complex needs;</text></subparagraph><subparagraph id="H58CF3D3C660F49B298547CF1234560B1"><enum>(E)</enum><text>the extent to which the number of unsubstantiated, unfounded, and false reported cases of child abuse or neglect have contributed to the inability of a State to respond effectively to serious cases of child abuse or neglect;</text></subparagraph><subparagraph id="HEFBCFEBF66394D3A87DF112EFBA31C56"><enum>(F)</enum><text>the extent to which the lack of adequate resources and the lack of adequate professional development of individuals required by law to report suspected cases of child abuse and neglect have contributed to the inability of a State to respond effectively to serious cases of child abuse and neglect;</text></subparagraph><subparagraph id="H68A267FBFE0D492FBC4C66821D518215"><enum>(G)</enum><text>the extent to which unsubstantiated reports return as more serious cases of child abuse or neglect;</text></subparagraph><subparagraph id="HA331224B391C49B3BB6CDF11CCF0A33A" commented="no"><enum>(H)</enum><text>the incidence and outcomes of child abuse and neglect allegations reported within the context of divorce, custody, or other family court proceedings, and the interaction between family courts and the child protective services system;</text></subparagraph><subparagraph id="H8F55DE566C07422BBA4170DD2AA055AD" commented="no"><enum>(I)</enum><text>the information on the national incidence of child abuse and neglect specified in clauses (i) through (xi) of subparagraph (J); and</text></subparagraph><subparagraph id="HEC9A0D4B3A334C3CB080EBF7E593233E"><enum>(J)</enum><text>the national incidence of child abuse and neglect, including—</text><clause id="H74F401DDB2AF48A8A4E35D6AB4D78917"><enum>(i)</enum><text>the extent to which incidents of child abuse and neglect are increasing or decreasing in number and severity;</text></clause><clause id="HB24BC0CAAEDD4C05A038979F0BB831F1"><enum>(ii)</enum><text>the incidence of substantiated and unsubstantiated reported child abuse and neglect cases;</text></clause><clause id="H2B6F91D860F3428D9643F8BAAA7139E4"><enum>(iii)</enum><text>the number of substantiated cases that result in a judicial finding of child abuse or neglect or related criminal court convictions;</text></clause><clause id="H8FF9FD808FF6437184424796899B7351"><enum>(iv)</enum><text>the extent to which the number of unsubstantiated, unfounded and false reported cases of child abuse or neglect have contributed to the inability of a State to respond effectively to serious cases of child abuse or neglect;</text></clause><clause id="H1468B11CD43244CDA330DC931B436609"><enum>(v)</enum><text>the extent to which the lack of adequate resources and the lack of adequate education of individuals required by law to report suspected cases of child abuse and neglect have contributed to the inability of a State to respond effectively to serious cases of child abuse and neglect;</text></clause><clause id="H11156877D92E4AF590495CF6513DEDEA"><enum>(vi)</enum><text>the number of unsubstantiated, false, or unfounded reports that have resulted in a child being placed in substitute care, and the duration of such placement;</text></clause><clause id="HEFE668E6DC6D4CC48DE097C6E6106353"><enum>(vii)</enum><text>the extent to which unsubstantiated reports return as more serious cases of child abuse or neglect;</text></clause><clause id="HB8A615FDAE614CE69C0E8BC738C55AE6"><enum>(viii)</enum><text>the incidence and prevalence of physical, sexual, and emotional abuse and physical and emotional neglect in substitute care;</text></clause><clause id="HD14CC72B44854D65B6EB8182BC860E2F"><enum>(ix)</enum><text>the incidence and prevalence of child maltreatment by a wide array of demographic characteristics such as age, sex, race, family structure, household relationship (including the living arrangement of the resident parent and family size), school enrollment and education attainment, disability, grandparents as caregivers, labor force status, work status in previous year, and income in previous year;</text></clause><clause id="HD547732042954A4A91F3111329754D62"><enum>(x)</enum><text>the extent to which reports of suspected or known instances of child abuse or neglect involving a potential combination of jurisdictions, such as intrastate, interstate, Federal-State, and State-Tribal, are being screened out solely on the basis of the cross-jurisdictional complications; and</text></clause><clause id="H74EB243FCE73420A9C0E60159B976BF5"><enum>(xi)</enum><text>the incidence and outcomes of child abuse and neglect allegations reported within the context of divorce, custody, or other family court proceedings, and the interaction between family courts and the child protective services system.</text></clause></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph><subparagraph id="HB73AFB38AE25457188F342B188436F5A"><enum>(B)</enum><text>in paragraph (2), by striking <quote>paragraph (1)(O)</quote> and inserting <quote>paragraph (1)(J)</quote>;</text></subparagraph><subparagraph id="HC9065714CC994B5482E1A753FBA61402"><enum>(C)</enum><text>by amending paragraph (3) to read as follows:</text><quoted-block style="OLC" id="HDBC524C18E17444A941142987AD29FBE" display-inline="no-display-inline"><paragraph id="HC3E2473E1E914DC5A6A00D0282167490"><enum>(3)</enum><header>Reporting requirements</header><subparagraph id="H86635086E7DB418AADA44EDAA7C0B3DD"><enum>(A)</enum><header>In general</header><text>Not later than 4 years after the date of the enactment of the Stronger Child Abuse Prevention and Treatment Act, the Secretary shall prepare and submit to the Committee on Education and Labor of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report that contains the results of the research conducted under paragraph (2). </text></subparagraph><subparagraph id="H8767862B32F44A8E9B0B02B02C687324"><enum>(B)</enum><header>National incidence</header><text display-inline="yes-display-inline">The Secretary shall ensure that research conducted, and data collected, under paragraph (1)(J) are reported in a way that will allow longitudinal comparisons as well as comparisons to the national incidence studies conducted under this title.</text></subparagraph></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="H0C2626D1714C4F3B81E096A0186A9669"><enum>(D)</enum><text>by striking the second paragraph (4);</text></subparagraph></paragraph><paragraph id="HBC7068664DD943F5A6242A70EB843FDE"><enum>(2)</enum><text>in subsection (b), by amending paragraph (2) to read as follows:</text><quoted-block style="OLC" id="H52E2365020F748C2B3E1FA15E07056DC" display-inline="no-display-inline"><paragraph id="HF71EA11486494EDDB6AFB39F35219433"><enum>(2)</enum><header>Areas of emphasis</header><text>Such technical assistance—</text><subparagraph id="H7E74C4DF8E2C4A789B175315689C43F3"><enum>(A)</enum><text>shall focus on—</text><clause id="H1F967AA285654DCE8DBC86494FAA8E2D"><enum>(i)</enum><text display-inline="yes-display-inline">implementing strategies that can leverage existing community-based and State funded resources to prevent child abuse and neglect and providing education for individuals involved in prevention activities;</text></clause><clause id="H74D4F7C371544E78A8A341BEF512C9F5"><enum>(ii)</enum><text display-inline="yes-display-inline">reducing racial bias in child welfare systems, including how such systems interact with health, law enforcement, and education systems;</text></clause><clause id="HD2362CB93F0A4E30BBB9453D706092BB"><enum>(iii)</enum><text display-inline="yes-display-inline">promoting best practices for families experiencing domestic violence, substance use disorder, or other complex needs; and</text></clause><clause id="HBBC3925FA8404E73B6BD3E53115825D2"><enum>(iv)</enum><text>providing professional development and other technical assistance to child welfare agencies to improve the understanding of and to help address the effects of trauma and adverse childhood experiences in parents and children in contact with the child welfare system; and</text></clause></subparagraph><subparagraph id="H2691C454481C4989845D1DB5CECACCBA"><enum>(B)</enum><text>may include the identification of—</text><clause id="HD79438A43CF845FD8E8AE075B4DEEBF1"><enum>(i)</enum><text>various methods and procedures for the investigation, assessment, and prosecution of child physical and sexual abuse cases;</text></clause><clause id="H1E630BF56C074810A0E73ED98657E0DB"><enum>(ii)</enum><text>ways to mitigate psychological trauma to the child victim;</text></clause><clause id="HBCA7298F010A42A3A7969C418A453D32"><enum>(iii)</enum><text>effective programs carried out by the States under titles I and II; and</text></clause><clause id="H1D09E2152DBB407F8C4F63455505695E"><enum>(iv)</enum><text>effective approaches being utilized to link child protective service agencies with health care, mental health care, and developmental services and early intervention to improve forensic diagnosis and health evaluations, and barriers and shortages to such linkages.</text></clause></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="HF25D46192284472D8583E23C6A42256B"><enum>(3)</enum><text>in subsection (c), by striking paragraph (3); and</text></paragraph><paragraph id="H2021696ECD524B73BF1B267F79E942F2"><enum>(4)</enum><text>by striking subsection (e).</text></paragraph></section><section id="H242A932970DD4D33901CFE6176BEC671"><enum>105.</enum><header>Grants to States, Indian Tribes or tribal organizations, and public or private agencies and organizations</header><text display-inline="no-display-inline">Section 105 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106">42 U.S.C. 5106</external-xref>) is amended—</text><paragraph id="HBA35ABC220584E9684B96623435C7D71" commented="no"><enum>(1)</enum><text>in subsection (a)—</text><subparagraph id="HE420BB93D43944B5A28E9BF3BB981F4E"><enum>(A)</enum><text display-inline="yes-display-inline">by redesignating paragraph (7) as paragraph (11); </text></subparagraph><subparagraph id="HF151D2E45596447C8F73276447F1AFDA"><enum>(B)</enum><text>by striking paragraphs (1) through (6) and inserting the following:</text><quoted-block style="OLC" id="H876E122D85DB44D2BB4DABB0BFB84CA3" display-inline="no-display-inline"><paragraph id="HD5D5DFFEF0B74E97BBB5C80FF463B3F1" commented="no"><enum>(1)</enum><header>Prevention services</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to establish or expand prevention services that reduce incidences of child maltreatment and strengthen families.</text></paragraph><paragraph id="H5E42A26746824974B251BB3F560A4AA2" commented="no"><enum>(2)</enum><header>Traumatic stress</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to address instances of traumatic stress in families due to child abuse and neglect, especially for families with complex needs or families that exhibit high levels of adverse childhood experiences.</text></paragraph><paragraph id="HA586FD9D0E4349458AD35A6ED38F7C82" display-inline="no-display-inline"><enum>(3)</enum><header>Promoting a high-quality workforce</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to carry out programs or strategies that promote a high-quality workforce in the child welfare system through–—</text><subparagraph id="H90590BC9B8E8413F97584D77E454DBCA"><enum>(A)</enum><text display-inline="yes-display-inline">improvements to recruitment, support, or retention efforts; or</text></subparagraph><subparagraph id="H4C8FFB3BB53A4AB59229C5F60E9A7F6C"><enum>(B)</enum><text display-inline="yes-display-inline">education for professionals and paraprofessionals in the prevention, identification, and treatment of child abuse and neglect.</text></subparagraph></paragraph><paragraph id="H79CE6143E388423A9C6FAA4D8569D747" commented="no"><enum>(4)</enum><header>Improving coordination</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to carry out activities to improve intrastate coordination within the child welfare system. Such activities may include—</text><subparagraph id="HCB287A03302244EF803AF036652F184D" commented="no"><enum>(A)</enum><text>aligning information technology systems;</text></subparagraph><subparagraph id="HBF22560B60B8429B9145113B50028802" commented="no"><enum>(B)</enum><text>improving information sharing regarding child and family referrals; or</text></subparagraph><subparagraph id="H1B254F66C4D44721889ED2DBC48C64F2" commented="no"><enum>(C)</enum><text>creating collaborative voluntary partnerships among public and private agencies, the State’s child protective services, local social service agencies, community-based family support programs, State and local legal agencies, developmental disability agencies, substance use disorder treatment providers, health care providers and agencies, domestic violence prevention programs, mental health services, schools and early learning providers, religious entities, and other community-based programs.</text></subparagraph></paragraph><paragraph id="H6369B7DBC88C4F4594EC6A658919AD67" commented="no"><enum>(5)</enum><header>Primary prevention</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to carry out or expand primary prevention programs or strategies that address family or community protective factors.</text></paragraph><paragraph id="H09078B5F9BC14C71B8A3DC4C53CEB016" commented="no"><enum>(6)</enum><header>Neglect due to economic insecurity</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to carry out programs or strategies that reduce findings of child neglect due in full or in part to family economic insecurity.</text></paragraph><paragraph id="HDC2BADF2495148448E6A700BFD68A672" commented="no"><enum>(7)</enum><header>Education of mandatory reporters</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities for projects that involve research-based strategies for innovative education of mandated child abuse and neglect reporters, and for victims to understand mandatory reporting.</text></paragraph><paragraph id="HEC261B3C6CC047C0BA463E7C1E6F4B05" commented="no"><enum>(8)</enum><header>Sentinel injuries</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to identify and test effective practices to improve early detection and management of injuries indicative of potential abuse in infants to prevent future cases of child abuse and related fatalities.</text></paragraph><paragraph id="H027080AD341C405BBE3C83C5904EDDA4" commented="no"><enum>(9)</enum><header>Innovative partnerships</header><text display-inline="yes-display-inline">The Secretary may award grants under this subsection to entities to carry out innovative programs or strategies to coordinate the delivery of services to help reduce child abuse and neglect via partnerships among health, mental health, education (including early learning and care programs as appropriate), and child welfare agencies and providers.</text></paragraph><paragraph id="HA236A93F6F61408E84015499265CCFA4"><enum>(10)</enum><header>Reducing child abuse and neglect due to the substance use disorder of a parent or caregiver</header><text>The Secretary may award grants under this subsection to entities to carry out activities to reduce child abuse and neglect due to the substance use disorder of a parent or caregiver.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="H860C53D9FAB441D4B36918105FB6A9A3"><enum>(C)</enum><text>by adding at the end the following: </text><quoted-block style="OLC" display-inline="no-display-inline" id="HC56E40190B0548C98DC42137B7A294D9"><paragraph id="H2D755A99394A450683F1AD8D8EC37E9F"><enum>(12)</enum><header>National child abuse hotline</header><subparagraph id="HE718B5FCECE54BEF8089AC9E6B12AD56"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary may award a grant under this subsection to a nonprofit entity to provide for the ongoing operation of a 24-hour, national, toll-free telephone hotline to provide information and assistance to youth victims of child abuse or neglect, parents, caregivers, mandated reporters, and other concerned community members, including through alternative modalities for communications (such as texting or chat services) with such victims and other information seekers.</text></subparagraph><subparagraph id="HB039663BA1BF4C9A8B6DB40FAE9748D2"><enum>(B)</enum><header>Priority</header><text>In awarding grants described in this paragraph, the Secretary shall give priority to applicants with experience in operating a hotline that provides assistance to victims of child abuse, parents, caregivers, and mandated reporters.</text></subparagraph><subparagraph id="HE4903324DC4A45F28CFDD8E9B01E15E8"><enum>(C)</enum><header>Application</header><text display-inline="yes-display-inline">To be eligible to receive a grant described in this paragraph, a nonprofit entity shall submit an application to the Secretary that shall—</text><clause id="H3884D8983F1B40C2BBC8534829609DA4"><enum>(i)</enum><text>contain such assurances and information, be in such form, and be submitted in such manner, as the Secretary shall prescribe; </text></clause><clause id="H50E866350992459D8368FB444EEEE230"><enum>(ii)</enum><text>include a complete description of the entity’s plan for the operation of a national child abuse hotline, including descriptions of—</text><subclause id="H92C5DBD3C7DD44ADA7E847E16A04FD93"><enum>(I)</enum><text>the professional development program for hotline personnel, including technology professional development to ensure that all persons affiliated with the hotline are able to effectively operate any technological systems used by the hotline;</text></subclause><subclause id="H2C8F29A816064F64ABA60DABC72CB9C0"><enum>(II)</enum><text>the qualifications for hotline personnel;</text></subclause><subclause id="HF093B2FD6E4C4028BE284A44D2A68AD9"><enum>(III)</enum><text>the methods for the creation, maintenance, and updating of a comprehensive list of prevention and treatment service providers;</text></subclause><subclause id="H436C7864ED0C46D4B8EDAACF022C09FE"><enum>(IV)</enum><text>a plan for publicizing the availability of the hotline throughout the United States;</text></subclause><subclause id="H66CD989F8DFD4E2EB9A7EC47695281BF"><enum>(V)</enum><text>a plan for providing service to non-English speaking callers, including service through hotline personnel who have non-English language capability; </text></subclause><subclause id="H9F8910475ADF4E2189016FE252786EC3"><enum>(VI)</enum><text>a plan for facilitating access to the hotline and alternative modality services by persons with hearing impairments and disabilities;</text></subclause><subclause id="H03FD8476906E4EA2A52C224E19B3F0C3"><enum>(VII)</enum><text>a plan for providing crisis counseling, general assistance, and referrals to youth victims of child abuse; and </text></subclause><subclause id="H3C7A4DC01ED8404986CC63426D70F17D"><enum>(VIII)</enum><text>a plan to offer alternative services to calling, such as texting or live chat;</text></subclause></clause><clause id="HF042111849D14B87B7C0B6451DF597B7"><enum>(iii)</enum><text>demonstrate that the entity has the capacity and the expertise to maintain a child abuse hotline and a comprehensive list of service providers;</text></clause><clause id="HF4C63B37463649D88E2D20C89D57AC3E"><enum>(iv)</enum><text>demonstrate the ability to provide information and referrals for contacts, directly connect contacts to service providers, and employ crisis interventions; </text></clause><clause id="H778288BE875B431F9464876FBCD61477"><enum>(v)</enum><text>demonstrate that the entity has a commitment to providing services to individuals in need; and</text></clause><clause id="H2BAE96CB75CE4F87A2F0C787C10128E0"><enum>(vi)</enum><text>demonstrate that the entity complies with State privacy laws and has established quality assurance practices.</text></clause></subparagraph></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="HEBEF8E509B414E4DAD1F3401F3082081"><enum>(2)</enum><text>by striking subsections (b) and (c) and inserting the following:</text><quoted-block style="OLC" id="H82B3BB1FA8FC4EE6B20E65B6C9B79AF7" display-inline="no-display-inline"><subsection id="HC3BC18F5CE99447A8FC9E5684D5CF978"><enum>(b)</enum><header>Goals and performance</header><text>The Secretary shall ensure that each entity receiving a grant under this section—</text><paragraph id="HED98994407914BE18D05E7087C5A9D89"><enum>(1)</enum><text>establishes quantifiable goals for the outcome of the project funded with the grant; and</text></paragraph><paragraph id="HB3F921F6F7004A0C92FF5CEDCC2D1947"><enum>(2)</enum><text>adequately measures the performance of the project relative to such goals.</text></paragraph></subsection><subsection id="H9680D541C104437AA06388385BA1E9A6"><enum>(c)</enum><header>Performance report required</header><paragraph id="HABF2BA26DE304F63AEBD16695FC7F07C"><enum>(1)</enum><header>In general</header><text>Each entity that receives a grant under this section shall submit to the Secretary a performance report that includes—</text><subparagraph id="HAA297B8BFD264CEBB40672DD5851B332"><enum>(A)</enum><text display-inline="yes-display-inline">an evaluation of the effectiveness of the project funded with the grant relative to the goals established for such project under subsection (b)(1); and</text></subparagraph><subparagraph id="H155EC12D129641E983C34B3BCAF50250"><enum>(B)</enum><text display-inline="yes-display-inline">data supporting such evaluation.</text></subparagraph></paragraph><paragraph id="HB6560483721D47E4BCDC3A0726B9FCF7"><enum>(2)</enum><header>Submission</header><text display-inline="yes-display-inline">The report under paragraph (1) shall be submitted to the Secretary at such time, in such manner, and containing such information as the Secretary may require.</text></paragraph></subsection><subsection id="HBDA2AE14872440DE84F89A0378B040BC"><enum>(d)</enum><header>Continuing grants</header><text display-inline="yes-display-inline">The Secretary may only award a continuing grant to an entity under this section if such entity submits a performance report required under subsection (c) that demonstrates effectiveness of the project funded.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="HF0E96EF0521949608DE3B932C5776FD3" section-type="subsequent-section"><enum>106.</enum><header>Grants to States for child abuse or neglect prevention and treatment programs</header><subsection id="HFB762B4D81224C31A2DBE45224879AE2"><enum>(a)</enum><header>Development and operation grants</header><text display-inline="yes-display-inline">Subsection (a) of section 106 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a</external-xref>) is amended to read as follows: </text><quoted-block style="OLC" id="HD088C4B7D2424AB7B86AAF2091ADA7E7" display-inline="no-display-inline"><subsection id="HF9DED24861314B89BA352727493769A1"><enum>(a)</enum><header>Development and operation grants</header><text display-inline="yes-display-inline">The Secretary shall make grants to the States, from allotments under subsection (f) for each State that applies for a grant under this section, for purposes of assisting the States in improving and implementing a child protective services system that is family-centered, integrates community services, and is capable of providing rapid response to high-risk cases, by carrying out the following:</text><paragraph id="H35C3C94F72704D6EBAEE95DF165EA2AD"><enum>(1)</enum><text display-inline="yes-display-inline">Conducting the intake, assessment, screening, and investigation of reports of child abuse or neglect.</text></paragraph><paragraph id="H4C4075508B5B4D54A62A76F22A1B1034"><enum>(2)</enum><text display-inline="yes-display-inline">Ensuring that reports concerning a child’s living arrangements or subsistence needs are addressed through services or benefits and that no child is separated from such child’s parent for reasons of poverty.</text></paragraph><paragraph id="H3E333731656A4ABDB1C328D45BCE968C"><enum>(3)</enum><text display-inline="yes-display-inline">Creating and improving the use of multidisciplinary teams and interagency, intra-agency, interstate, and intrastate protocols to enhance fair investigations; and improving legal preparation and representation.</text></paragraph><paragraph id="HAD454C7590AD4B8F8C54D7742866BC3F"><enum>(4)</enum><text display-inline="yes-display-inline">Complying with the assurances in section 106(b)(2).</text></paragraph><paragraph id="H881ED70629A847FAB649728C0E891644"><enum>(5)</enum><text display-inline="yes-display-inline">Establishing State and local networks of child and family service providers that support child and family well-being, which shall—</text><subparagraph id="H2D1420E14C904238B2B90AAC5E16CBA9"><enum>(A)</enum><text>include child protective services, as well as agencies and service providers, that address family-strengthening, parenting skills, child development, early childhood care and learning, child advocacy, public health, mental health, substance use disorder treatment, domestic violence, developmental disabilities, housing, juvenile justice, elementary and secondary education, and child placement; and</text></subparagraph><subparagraph id="H53CBFEBB42494D16B1D387E6262F21A8"><enum>(B)</enum><text display-inline="yes-display-inline">address instances of child abuse and neglect by incorporating evaluations that assess the development of a child, including language and communication, cognitive, physical, and social and emotional development, the need for mental health services, including trauma-related services, trauma-informed care, and parental needs.</text></subparagraph></paragraph><paragraph id="H171CD17A6BA84FE491FDAC88A005048D"><enum>(6)</enum><text display-inline="yes-display-inline">Ensuring child protective services is addressing the safety of children and responding to parent and family needs, which shall include—</text><subparagraph id="H8F5B8E66225C42BE9C1246BDE4F935FD"><enum>(A)</enum><text>family-oriented efforts that emphasize case assessment and follow up casework focused on child safety and child and parent well-being, which may include—</text><clause id="H0C7374626C9B41F0A0A605FB75F19543"><enum>(i)</enum><text>ensuring parents and children undergo physical and mental health assessments, as appropriate, and ongoing developmental monitoring;</text></clause><clause id="HA4C8BAEFCAD943CDA85297B0338ABA3B"><enum>(ii)</enum><text display-inline="yes-display-inline">multidisciplinary approaches to assessing family needs and connecting the family with services, including prevention services under section 471 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/671">42 U.S.C. 671</external-xref>);</text></clause><clause id="H25035F9611984D8B87A2D32A2733615A"><enum>(iii)</enum><text>organizing a treatment team with the goal of preventing child abuse and neglect, and improving parent and child well-being;</text></clause><clause id="HF9B2F9541A8743059E0AC3E0F9D7C391"><enum>(iv)</enum><text>case monitoring that supports child well-being; and</text></clause><clause id="HB84984E95743494C9D673F41390A224F"><enum>(v)</enum><text>differential response efforts; and</text></clause></subparagraph><subparagraph id="HA69D9551739E4DF9AA406BBF84A5061B"><enum>(B)</enum><text>establishing and maintaining a rapid response system that responds promptly to all reports of child abuse or neglect, with special attention to cases involving children under 3 years of age.</text></subparagraph></paragraph><paragraph id="H47556825C7C94585B12D9FA391FA45BD"><enum>(7)</enum><text display-inline="yes-display-inline">Educating caseworkers, community service providers, attorneys, health care professionals, parents, and others engaged in the prevention, intervention, and treatment of child abuse and neglect, which shall include education on—</text><subparagraph id="H98A31E78FFEB41FDB1DB5CCCF6F7B233"><enum>(A)</enum><text>practices that help ensure child safety and well-being;</text></subparagraph><subparagraph id="H892FD89BDB9C44339B04D5C641A02E04"><enum>(B)</enum><text>approaches to family-oriented prevention, intervention, and treatment of child abuse and neglect;</text></subparagraph><subparagraph id="HF82BA57415944FC28A75A3F19A1A1ADF"><enum>(C)</enum><text>early childhood, child, and adolescent development, and the impact of adverse childhood experiences on such development;</text></subparagraph><subparagraph id="H8292D76D0BC649F785057E92CF1331DD"><enum>(D)</enum><text>the relationship between child abuse and domestic violence, and support for non-abusing parents;</text></subparagraph><subparagraph id="H5E46D7A807F349D6B8682B2A5937D755"><enum>(E)</enum><text display-inline="yes-display-inline">strategies to work with families impacted by substance use disorder and mental health issues (and, when appropriate, be coordinated with prevention efforts funded under section 471 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/671">42 U.S.C. 671</external-xref>));</text></subparagraph><subparagraph id="H82442195BD214A5E8537FA86DAD76C04"><enum>(F)</enum><text>effective use of multiple services to address family and child needs, including needs resulting from trauma;</text></subparagraph><subparagraph id="HDD36343718C94731839B17A0430D1065"><enum>(G)</enum><text>efforts to improve family and child well-being; </text></subparagraph><subparagraph id="HC7B3147E789E47629D99032928E1C336"><enum>(H)</enum><text>support for child welfare workers affected by secondary trauma; and</text></subparagraph><subparagraph id="HAB310189A6A142A4A5D183AA35DBE3E9"><enum>(I)</enum><text>supporting families and caregivers to combat and prevent unsubstantiated, unfounded, or false reports, including through education on the rights of families and caregivers.</text></subparagraph></paragraph><paragraph id="H40F53FDB91B7485982251BC0D885C23B"><enum>(8)</enum><text display-inline="yes-display-inline">Creating or improving data systems that allow for—</text><subparagraph id="HA3415433917B401999973452FE2F961D"><enum>(A)</enum><text>the identification of cases requiring prompt responses;</text></subparagraph><subparagraph id="H956E831319AF4F4196F493435A8BE2EB"><enum>(B)</enum><text>real-time case monitoring that tracks assessments, service referrals, follow-up, case reviews, and progress toward parent and child goals; and</text></subparagraph><subparagraph id="H065499762C624DF0AFFDE31EA83EC689"><enum>(C)</enum><text>sharing basic identifying data with law enforcement, as necessary.</text></subparagraph></paragraph><paragraph id="H7CEAF04C2D254B5DA8B87101470F8DCA"><enum>(9)</enum><text display-inline="yes-display-inline">Improving the general child protective system by developing, improving, and implementing safety assessment tools, providing that such tools, protocols, and systems shall not authorize the separation of any child from the legal parent or guardian of such child solely on the basis of poverty, or without a judicial order, except in the case of imminent harm.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="H2F489226A40440BC86CA6DFD32CA63C1"><enum>(b)</enum><header>Eligibility requirements</header><paragraph id="H39BF19BD501A40CD9293DFFCB77D5137"><enum>(1)</enum><header>State plan</header><text display-inline="yes-display-inline">Paragraph (1) of section 106(b) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(b)</external-xref>) is amended to read as follows: </text><quoted-block style="OLC" id="HA7EA0DCABE5C4222988283758916E1BA" display-inline="no-display-inline"><paragraph id="H283DE095ABA641528C5A6997B079B383"><enum>(1)</enum><header>State plan</header><subparagraph id="HFEA8448AA17E45788FBFCAD4AD31184C"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">To be eligible to receive a grant under this section, a State shall submit to the Secretary a State plan that—</text><clause id="H14CEC62D40E64CF6ABE3E1416493D1B8"><enum>(i)</enum><text>specifies how the grant will be used, and the State’s strategic plan, to treat child abuse and neglect and enhance community-based, prevention-centered approaches that attempt to prevent child abuse and neglect while strengthening and supporting families whenever possible; and</text></clause><clause id="H61B368EE787D4010ACB5CB504AC9DEF5"><enum>(ii)</enum><text>meets the requirements of this subsection.</text></clause></subparagraph><subparagraph id="HCEB3401BE47D4465AFE529039C2D1792"><enum>(B)</enum><header>Coordination and consultation</header><clause id="H76C3352BA18B4D5497C4E7883E93F431"><enum>(i)</enum><header>Coordination</header><text>Each State, to the maximum extent practicable, shall coordinate its State plan under this subsection with its State plan under part B of title IV of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/621">42 U.S.C. 621</external-xref> et seq.) relating to child and family services and, in States electing to provide services under part E of title IV of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/670">42 U.S.C. 670</external-xref> et seq.) relating to foster care prevention services, its State plan under such part E.</text></clause><clause id="H036BC9969DDC49E8950A5FE9DF6D0927"><enum>(ii)</enum><header>Consultation</header><text display-inline="yes-display-inline">In developing a State plan under this subsection, a State shall consult with community-based prevention and service agencies, parents and families affected by child abuse or neglect in the State, law enforcement, family court judges, prosecutors who handle criminal child abuse cases, and medical professionals engaged in the treatment of child abuse and neglect.</text></clause></subparagraph><subparagraph id="HBC5E61D725F5430D984EBAF87F48FBFA"><enum>(C)</enum><header>Duration and submission of plan</header><text display-inline="yes-display-inline">Each State plan shall—</text><clause id="H61F1DA95812344ADBF6DDF68079D6E99" commented="no"><enum>(i)</enum><text display-inline="yes-display-inline">be submitted not less than every 5 years; and</text></clause><clause id="H020FF9061FD746AFA999A5E8CE47C51D"><enum>(ii)</enum><text display-inline="yes-display-inline">if necessary, revised by the State to inform the Secretary of any substantive changes, including—</text><subclause id="HFE519D781EBD435B8630054EC264973D"><enum>(I)</enum><text>any changes to State law or regulations, relating to the prevention of child abuse and neglect that may affect the eligibility of the State under this section; or</text></subclause><subclause id="H708CB19A1FFC4B43A7D1A7C54F658FE9"><enum>(II)</enum><text>any changes in the State’s activities, strategies, or programs under this section.</text></subclause></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph><paragraph id="HE3892EEA9B4F45DEB12577CA9AEE5EDD"><enum>(2)</enum><header>Contents</header><text display-inline="yes-display-inline">Paragraph (2) of section 106(b) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(b)</external-xref>) is amended to read as follows: </text><quoted-block style="OLC" id="H07E5AFD4864749A49D0D1B8CF5A7940B" display-inline="no-display-inline"><paragraph id="HE289EBE57C3B485DA8146B37D7F06B5A"><enum>(2)</enum><header>Contents</header><text display-inline="yes-display-inline">A State plan submitted under paragraph (1) shall contain a description of the activities that the State will carry out using amounts received under the grant to achieve the objectives of this title, including—</text><subparagraph id="H3D7CC5DC710D44B880E440104D98F929"><enum>(A)</enum><text display-inline="yes-display-inline">an assurance in the form of a certification by the Governor of the State that the State has in effect and is enforcing a State law, or has in effect and is operating a statewide program, relating to child abuse and neglect that includes—</text><clause id="H45471F3C93A14AFEB1DC728E56642E3E"><enum>(i)</enum><text>provisions or procedures for an individual to report known and suspected instances of child abuse and neglect, including a State law for mandatory reporting by individuals required to report such instances;</text></clause><clause id="HBECEEC7DBF61483E8219A56A42100C7A" commented="no"><enum>(ii)</enum><text display-inline="yes-display-inline">procedures for the immediate screening, risk and safety assessment, and prompt investigation of such reports of alleged abuse and neglect in order to ensure the well-being and safety of children;</text></clause><clause id="H5007364E98F6412F9967099520FDE27A"><enum>(iii)</enum><text>procedures for immediate steps to be taken to ensure and protect the safety of a victim of child abuse or neglect and of any other child under the same care who may also be in danger of child abuse or neglect and ensuring their placement in a safe environment;</text></clause><clause id="H1A09B3F9AC9948C7A9FE51190750D94B"><enum>(iv)</enum><text display-inline="yes-display-inline">methods to preserve the confidentiality of all records in order to protect the rights of the child and of the child's parents or guardians, including requirements ensuring that reports and records made and maintained pursuant to the purposes of this Act shall only be made available to—</text><subclause id="HF93C6E09E0E54048A78B348C229661A0"><enum>(I)</enum><text>individuals who are the subject of the report; </text></subclause><subclause id="H8D87A44287964A1CB3B0EF957E369A70"><enum>(II)</enum><text display-inline="yes-display-inline">Federal, State, or local government entities, or any agent of such entities, as described in clause (xi) of this subparagraph; </text></subclause><subclause id="HDC5DD8D8AFB0404D951808C819532253"><enum>(III)</enum><text>child abuse citizen review panels; </text></subclause><subclause id="HE266E03BF64C4C8DA5A20FEDEADEDDF5"><enum>(IV)</enum><text>child fatality review panels; </text></subclause><subclause id="H3DED0E3776A646BC991332266D8EF2A9"><enum>(V)</enum><text>a grand jury or court, upon a finding that information in the record is necessary for the determination of an issue before the court or grand jury; and </text></subclause><subclause id="HA76DFFF4D79B4030B115061A99A8E039"><enum>(VI)</enum><text>other entities or classes of individuals statutorily authorized by the State to receive such information pursuant to a legitimate State purpose;</text></subclause></clause><clause id="H835B56D523D6465FB4E91D5326C0E464"><enum>(v)</enum><text display-inline="yes-display-inline">provisions and procedures requiring that in every case involving a victim of child abuse or neglect which results in a judicial proceeding, a guardian ad litem, who has received education appropriate to the role, including education in early childhood, child, and adolescent development, and domestic violence, and who may be an attorney or a court appointed special advocate who has received education appropriate to that role (or both), shall be appointed to represent the child (who, for purposes of this section, shall have any age limit elected by the State pursuant to section 475(8)(B)(iii) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/675">42 U.S.C. 675(8)(B)(iii)</external-xref>) in such proceedings—</text><subclause id="H810C028409254EC9AA17C8992EF600D1"><enum>(I)</enum><text>to obtain first-hand, a clear understanding of the situation and needs of such child; and </text></subclause><subclause id="H69DF97E17E854DE1ACC7C56D14E97311"><enum>(II)</enum><text>to make recommendations to the court concerning the best interests of such child;</text></subclause></clause><clause id="H85355EEAE96C494392F44F7DBBF45DED"><enum>(vi)</enum><text>the establishment of citizen review panels in accordance with subsection (c);</text></clause><clause id="H16505BB4DE8C4C5587B2E4393446C9AB"><enum>(vii)</enum><text>provisions and procedures to require that a representative of the child protective services agency shall, at the initial time of contact with the individual subject to a child abuse or neglect investigation, advise the individual of the complaints or allegations made against the individual, in a manner that is consistent with laws protecting the rights of the informant;</text></clause><clause id="H9C28DAE7AF6548C78459B820132C2F8C"><enum>(viii)</enum><text display-inline="yes-display-inline">provisions, procedures, and mechanisms—</text><subclause id="H3ECCFC7AF22F44ABA0F906BE285539BB"><enum>(I)</enum><text display-inline="yes-display-inline">for the expedited termination of parental rights in the case of any infant determined to be abandoned under State law; and</text></subclause><subclause id="H38BB812641D64C76BA69BBBA693CCFBE"><enum>(II)</enum><text display-inline="yes-display-inline">by which individuals who disagree with an official finding of child abuse or neglect can appeal such finding; </text></subclause></clause><clause id="HDB700318D277468FBDDCFD4BBCDDFA2E" commented="no"><enum>(ix)</enum><text display-inline="yes-display-inline">provisions addressing the professional development of representatives of the child protective services system regarding the legal duties of the representatives, which may consist of various methods of informing such representatives of such duties (including providing such education in different languages if necessary), in order to protect the legal rights and safety of children and their parents and caregivers from the initial time of contact during investigation through treatment;</text></clause><clause id="H7940F486692246D08D88CF694E0BB0FD"><enum>(x)</enum><text display-inline="yes-display-inline">provisions for immunity from civil or criminal liability under State and local laws and regulations for individuals making good faith reports of suspected or known instances of child abuse or neglect, or who otherwise provide information or assistance, including medical evaluations or consultations, in connection with a report, investigation, or legal intervention pursuant to a good faith report of child abuse or neglect;</text></clause><clause id="HF1DA475E9CEA47608F6ED7F04C720418"><enum>(xi)</enum><text display-inline="yes-display-inline">provisions to require the State to disclose confidential information to any Federal, State, or local government entity, or any agent of such entity, that has a need for such information in order to carry out its responsibilities under law to protect children from child abuse and neglect;</text></clause><clause id="H1096C305FFD44A2189F9BCA0E9CA7987"><enum>(xii)</enum><text display-inline="yes-display-inline">provisions requiring, and procedures in place that facilitate the prompt expungement of any records that are accessible to the general public or are used for purposes of employment or other background checks in cases determined to be unsubstantiated or false, except that nothing in this section shall prevent State child protective services agencies from keeping information on unsubstantiated reports in their casework files to assist in future risk and safety assessment;</text></clause><clause id="H5EF32EDA88D04F46883EFE88E3D69E9B"><enum>(xiii)</enum><text display-inline="yes-display-inline">provisions and procedures for requiring criminal background record checks that meet the requirements of section 471(a)(20) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/671">42 U.S.C. 671(a)(20)</external-xref>) for prospective foster and adoptive parents and other adult relatives and non-relatives residing in the household;</text></clause><clause id="H84C4529EA43D4A21B7971D6037A30399"><enum>(xiv)</enum><text display-inline="yes-display-inline">provisions for systems of technology that support the State child protective services system and track reports of child abuse and neglect from intake through final disposition;</text></clause><clause id="HA9A7ED8CD6AB468D8D434776E1E30FB5"><enum>(xv)</enum><text display-inline="yes-display-inline">provisions and procedures requiring identification and assessment of all reports involving children known or suspected to be victims of sex trafficking (as defined in section 103(12) of the Trafficking Victims Protection Act of 2000 (<external-xref legal-doc="usc" parsable-cite="usc/22/7102">22 U.S.C. 7102(12)</external-xref>));</text></clause><clause id="HEB60440530AA4562A3F9C590635DFE5E"><enum>(xvi)</enum><text display-inline="yes-display-inline">provisions, procedures, and mechanisms that assure that the State does not require reunification of a surviving child with a parent who has been found by a court of competent jurisdiction—</text><subclause id="HD24489BD7F2C4F54BA36C124365F2F86"><enum>(I)</enum><text>to have committed murder (which would have been an offense under section 1111(a) of title 18, United States Code, if the offense had occurred in the special maritime or territorial jurisdiction of the United States) of another child of such parent;</text></subclause><subclause id="H533BFE71971B499385643715745FFAC2"><enum>(II)</enum><text>to have committed voluntary manslaughter (which would have been an offense under section 1112(a) of title 18, United States Code, if the offense had occurred in the special maritime or territorial jurisdiction of the United States) of another child of such parent;</text></subclause><subclause id="H70C77A9B1DF74986BCCDBE400567342F"><enum>(III)</enum><text>to have aided or abetted, attempted, conspired, or solicited to commit such murder or voluntary manslaughter;</text></subclause><subclause id="HB14165B500A741B19457390796B69B37"><enum>(IV)</enum><text>to have committed a felony assault that results in the serious bodily injury to the surviving child or another child of such parent;</text></subclause><subclause id="H0E818D9999FA46E9B5DFBCF00162302F"><enum>(V)</enum><text>to have committed sexual abuse against the surviving child or another child of such parent; or</text></subclause><subclause id="H5AE438D51E014F289B73906A8F6D5A36"><enum>(VI)</enum><text display-inline="yes-display-inline">to be required to register with a sex offender registry under section 113(a) of the Adam Walsh Child Protection and Safety Act of 2006 (<external-xref legal-doc="usc" parsable-cite="usc/34/20913">34 U.S.C. 20913(a)</external-xref>); and</text></subclause></clause><clause id="H6F088D8FB9BE437EBA5B5B53393D61D6"><enum>(xvii)</enum><text display-inline="yes-display-inline">an assurance that, upon the implementation by the State of the provisions, procedures, and mechanisms under clause (xvi), conviction of any one of the felonies listed in clause (xvi) constitute grounds under State law for the termination of parental rights of the convicted parent as to the surviving children (although case-by-case determinations of whether or not to seek termination of parental rights shall be within the sole discretion of the State);</text></clause></subparagraph><subparagraph id="H281E1BDB78674A00BB546567293AB81A"><enum>(B)</enum><text display-inline="yes-display-inline">an assurance that the State has in place procedures for responding to the reporting of medical neglect (including instances of withholding of medically indicated treatment from infants with disabilities who have life-threatening conditions), procedures or programs, or both (within the State child protective services system), to provide for—</text><clause id="HA3275B27338F42BBB2FF8D22001C0795"><enum>(i)</enum><text>coordination and consultation with individuals designated by and within appropriate health-care facilities; </text></clause><clause id="H0C31034C3AAA4F82856F2A3AD12C0EA3"><enum>(ii)</enum><text>prompt notification by individuals designated by and within appropriate health-care facilities of cases of suspected medical neglect (including instances of withholding of medically indicated treatment from infants with disabilities who have life-threatening conditions); and </text></clause><clause id="H5CACA682F97D45F8AA31BD3D32D2D7E0"><enum>(iii)</enum><text>authority, under State law, for the State child protective services system to pursue any legal remedies, including the authority to initiate legal proceedings in a court of competent jurisdiction, as may be necessary to prevent the withholding of medically indicated treatment from infants with disabilities who have life-threatening conditions;</text></clause></subparagraph><subparagraph id="H3CDE391A5F9043C695106A898FC9D8F0"><enum>(C)</enum><text>an assurance or certification that programs and education conducted under this title address the unique needs of unaccompanied homeless youth, including access to enrollment and support services and that such youth are eligible for under parts B and E of title IV of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/621">42 U.S.C. 621</external-xref> et seq., 670 et seq.) and meet the requirements of the McKinney-Vento Homeless Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/42/11301">42 U.S.C. 11301</external-xref> et seq.); and</text></subparagraph><subparagraph id="H6798B3132395467487DF79951E68BA48"><enum>(D)</enum><text>a description of—</text><clause id="H1E74CBAC3E5945FC89E0D00B4291C5A0"><enum>(i)</enum><text display-inline="yes-display-inline">policies and procedures (including appropriate referrals to child welfare service systems and for other appropriate services (including home visiting services and mutual support and parent partner programs) determined by a family assessment) to address the needs of infants born with and identified as being affected by substance use or withdrawal symptoms resulting from prenatal drug exposure, or a Fetal Alcohol Spectrum Disorder, including a requirement that health care providers involved in the delivery or care of such infants notify the child protective welfare service system of the occurrence of such condition in such infants, except that—</text><subclause id="H6F8C385D9D11406084D48E0E1EDC7749"><enum>(I)</enum><text display-inline="yes-display-inline">child protective services shall undertake an investigation only when the findings of a family assessment warrant such investigation; and </text></subclause><subclause id="H131CE7E76412492A81127038895BED52"><enum>(II)</enum><text>such notification shall not be construed to—</text><item id="H685CB01DF0D84F91929218CCE83FE17F"><enum>(aa)</enum><text>establish a definition under Federal law of what constitutes child abuse or neglect; or </text></item><item id="HEF88FF82698B4827A6322E15DA558545"><enum>(bb)</enum><text>require prosecution for any illegal action;</text></item></subclause></clause><clause id="HF816F6C5E61B49C09C2EB5B9C4F947A5"><enum>(ii)</enum><text display-inline="yes-display-inline">the development of a multi-disciplinary plan of safe care for the infant born and identified as being affected by substance use or withdrawal symptoms or a Fetal Alcohol Spectrum Disorder to ensure the safety and well-being of such infant following release from the care of health care providers, including through—</text><subclause id="H16311364DF854AFAA1D010ECDE1B936A"><enum>(I)</enum><text display-inline="yes-display-inline">using a risk-based approach to develop each plan of safe care;</text></subclause><subclause id="H32CDF989E35247378ACD11B3E176E129"><enum>(II)</enum><text display-inline="yes-display-inline">addressing, through coordinated service delivery, the health and substance use disorder treatment needs of the infant and affected family or caregiver as determined by a family assessment; and </text></subclause><subclause id="HC9D56AE83C1146F3BCF2E18E75D5A2B9"><enum>(III)</enum><text>the development and implementation by the State of monitoring systems regarding the implementation of such plans of safe care to determine whether and in what manner local entities are providing, in accordance with State requirements, referrals to and delivery of appropriate services for the infant and affected family or caregiver;</text></subclause></clause><clause id="HC5914B65BDF5491FA0C1757AB3DCA353" commented="no"><enum>(iii)</enum><text display-inline="yes-display-inline">policies and procedures to make available to the public on the State website the data, findings, and information about all cases of child abuse or neglect resulting in a child fatality or near fatality, including a description of—</text><subclause id="H287726C3B6074BBAB31F7586F42465CF" commented="no"><enum>(I)</enum><text>how the State will not create an exception to such public disclosure, except in a case in which—</text><item id="H403024B0DE3044D1A3267E0792D45613" commented="no"><enum>(aa)</enum><text>the State would like to delay public release of case-specific findings or information (including any previous reports of domestic violence and subsequent actions taken to assess and address such reports) while a criminal investigation or prosecution of such a fatality or near fatality is pending;</text></item><item id="HDF62D9BB42944B34900194A072C4A126" commented="no"><enum>(bb)</enum><text>the State is protecting the identity of a reporter of child abuse or neglect; or</text></item><item id="H2B1111CFDE0D40DA8C32DF4015484AF3" commented="no"><enum>(cc)</enum><text>the State is withholding identifying information of members of the victim’s family who are not perpetrators of the fatality or near fatality; and</text></item></subclause><subclause id="H689A0C7ADD5F420DA47C4D77D9BB2606" commented="no"><enum>(II)</enum><text>how the State will ensure that in providing the public disclosure required under this clause, the State will include—</text><item id="H0A98CAAF36904A9C938F3B0B8AC878E9" commented="no"><enum>(aa)</enum><text>the cause and circumstances of the fatality or near fatality;</text></item><item id="HCE147CCDA43E4A9B8B0A08035C4E55E4" commented="no"><enum>(bb)</enum><text>the age and gender of the child; and</text></item><item id="HA4159AC03BA14AE6A8FD22CB7260BF89" commented="no"><enum>(cc)</enum><text>any previous reports of child abuse or neglect investigations that are relevant to the child abuse or neglect that led to the fatality or near fatality;</text></item></subclause></clause><clause id="H3FF016DE39E54AE096CF232512A17910"><enum>(iv)</enum><text>how the State will use data collected on child abuse or neglect to prevent child fatalities and near fatalities;</text></clause><clause id="H2D2BF3480D2642C5B02A7CC4B8B92963"><enum>(v)</enum><text>how the State will implement efforts to prevent child fatalities and near fatalities;</text></clause><clause id="H7014E07BE1904E109C4D29AFB958AD94"><enum>(vi)</enum><text>the cooperation of State law enforcement officials, court of competent jurisdiction, and appropriate State agencies providing human services in the investigation, assessment, prosecution, and treatment of child abuse and neglect;</text></clause><clause id="H5C87DBF2B617471FB2C9B94C4886F035"><enum>(vii)</enum><text display-inline="yes-display-inline">the steps the State will take to improve the professional development, retention, and supervision of caseworkers and how the State will measure the effectiveness of such efforts;</text></clause><clause id="HFC20A03B2B0D4B98AC712CB6CC77C182"><enum>(viii)</enum><text display-inline="yes-display-inline">the State’s plan to ensure each child under the age of 3 who is involved in a substantiated case of child abuse or neglect will be referred to the State’s child find system under section 635(a)(5) of the Individuals with Disabilities Education Act (<external-xref legal-doc="usc" parsable-cite="usc/20/1435">20 U.S.C. 1435(a)(5)</external-xref>) in order to determine if the child is an infant or toddler with a disability (as defined in section 632(5) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/20/1432">20 U.S.C. 1432(5)</external-xref>));</text></clause><clause id="H6E66344E980B45088029015174751331"><enum>(ix)</enum><text display-inline="yes-display-inline">the State’s plan to improve, as part of a comprehensive State strategy led by law enforcement, professional development for child protective services workers and their appropriate role in identifying, assessing, and providing comprehensive services for children who are sex trafficking victims, in coordination with law enforcement, juvenile justice agencies, runaway and homeless youth shelters, and health, mental health, and other social service agencies and providers;</text></clause><clause id="H08A55B3F58764540BC2D276050815C11"><enum>(x)</enum><text>the services to be provided under the grant to individuals, families, or communities, either directly or through referrals, aimed at preventing the occurrence of child abuse and neglect;</text></clause><clause id="H7B96BC165C03430D9DBAA4B7E6772CB9"><enum>(xi)</enum><text display-inline="yes-display-inline">the State’s efforts to ensure professionals who are required to report suspected cases of child abuse and neglect are aware of their responsibilities under subparagraph (A)(i) and receive professional development relating to performing such responsibilities that is specific to their profession and workplace;</text></clause><clause id="H5C79A9ED66704871AF5B0D5E41C4C012"><enum>(xii)</enum><text>policies and procedures encouraging the appropriate involvement of families in decisionmaking pertaining to children who experienced child abuse or neglect;</text></clause><clause id="HCCF47D3008A0413BBE3E31DDFE023643"><enum>(xiii)</enum><text display-inline="yes-display-inline">the State’s efforts to improve appropriate collaboration among child protective services agencies, domestic violence services agencies, substance use disorder treatment agencies, and other agencies in investigations, interventions, and the delivery of services and treatment provided to children and families affected by child abuse or neglect, including children exposed to domestic violence, where appropriate; </text></clause><clause id="H20472384F86F4D2F9B9D7536AD7A9CA0"><enum>(xiv)</enum><text display-inline="yes-display-inline">policies and procedures regarding the use of differential response, as applicable, to improve outcomes for children; and</text></clause><clause id="HE3264EAD345D4A8FA4F80CA35E5EA04E"><enum>(xv)</enum><text display-inline="yes-display-inline">the State’s efforts to reduce racial bias in its child protective services system. </text></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph><paragraph id="HC7959C54D019446AB01330B7DF03C448"><enum>(3)</enum><header>Limitations</header><text display-inline="yes-display-inline">Paragraph (3) of section 106(b) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(b)</external-xref>) is amended—</text><subparagraph id="H4868003806484FE6A8ABA839D7230B2C"><enum>(A)</enum><text>in the paragraph heading, by striking <quote><header-in-text level="paragraph" style="OLC">Limitation</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">Limitations</header-in-text></quote>; </text></subparagraph><subparagraph id="HD0A3C4C33EBE4B8C92B98EB07C03791C"><enum>(B)</enum><text>by striking <quote>With regard to clauses (vi) and (vii) of paragraph (2)(B),</quote> and inserting the following:</text><quoted-block style="OLC" id="H1127A19F819C43B1AD4B370D7944A70A" display-inline="no-display-inline"><subparagraph id="H17016801656A45798BCA404240DF4301"><enum>(A)</enum><header>Disclosure of certain identifying information</header><text display-inline="yes-display-inline">With regard to subparagraphs (A)(iv) and (D)(iii) of paragraph (2),</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph><subparagraph id="H6B94A554C0A643CB8FD17A8E30B7174E"><enum>(C)</enum><text>by striking the period at the end and inserting <quote>; and</quote>; and</text></subparagraph><subparagraph id="HD02E0AD9F7744E989C9AE3DD78F337B2"><enum>(D)</enum><text>by adding at the end the following: </text><quoted-block style="OLC" id="HB1D7DEF2FF0A4DE6A0688C65725CABD7" display-inline="no-display-inline"><subparagraph id="HB73BB21A791F4A91BB30FC39E6D12B94"><enum>(B)</enum><header>Public access to court proceedings</header><text display-inline="yes-display-inline"><italic></italic>Nothing in paragraph (2) shall be construed to limit the State’s flexibility 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.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="H135798E14B2B41EFBD97DCB5BEB3FE83"><enum>(4)</enum><header>Definitions</header><text display-inline="yes-display-inline">Paragraph (4) of section 106(b) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(b)</external-xref>) is amended—</text><subparagraph id="HEE52C00E6F4E4B80A22795105FB73C5E"><enum>(A)</enum><text>in the paragraph heading, by striking <quote><header-in-text level="paragraph" style="OLC">Definitions</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">Definition</header-in-text></quote>;</text></subparagraph><subparagraph id="H5883CED50C1B41988EA6415381EB16CF"><enum>(B)</enum><text>by striking <quote>this subsection</quote> and all that follows through <quote>means an act</quote> and inserting the following: <quote>this subsection, the term <quote>near fatality</quote> means an act</quote>;</text></subparagraph><subparagraph id="H46F0E2F2F16F4DF4B4F33A01AB6C84BB"><enum>(C)</enum><text>by striking <quote>; and</quote> and inserting a period; and</text></subparagraph><subparagraph id="HBABF7B2460FF40C8BA4A08590118F9D9"><enum>(D)</enum><text>by striking subparagraph (B).</text></subparagraph></paragraph></subsection><subsection id="HA1A4D246A39346508DDBA748365D7C71"><enum>(c)</enum><header>Citizen review panels</header><text display-inline="yes-display-inline">Section 106(c) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(c)</external-xref>) is amended—</text><paragraph id="H7A75A8E7E0E14A2C8F31D8624DFDC742"><enum>(1)</enum><text>in paragraph (1)(B), by striking <quote><header-in-text level="subparagraph" style="OLC">Exceptions.</header-in-text></quote> and all that follows through <quote>A State may</quote> and inserting <quote><header-in-text level="subparagraph" style="OLC">Exception.</header-in-text>—A State may</quote>; </text></paragraph><paragraph id="HE14C3DC466F64E94A76027B758BC8EAD"><enum>(2)</enum><text>in paragraph (4)(A)—</text><subparagraph id="H2A7BED0DF78D424B91C1B38F3B8360EA"><enum>(A)</enum><text>in the matter preceding clause (i), by striking <quote>and where appropriate, specific cases,</quote>; and</text></subparagraph><subparagraph id="H129CCF7FD21449759C0D60F50E33E938"><enum>(B)</enum><text>in clause (iii)(I), by striking <quote>foster care and adoption programs</quote> and inserting <quote>foster care, prevention, and permanency programs</quote>; and</text></subparagraph></paragraph><paragraph id="H6F93A9D57A3B4044A9303649EE880A45"><enum>(3)</enum><text>by amending the first sentence of paragraph (6) to read as follows: <quote>Each panel established under paragraph (1) shall prepare and make available to the State and the public, on an annual basis, a report containing a summary of the activities of the panel, the criteria used for determining which activities the panel engaged in, and recommendations or observations to improve the child protective services system at the State and local levels, and the data upon which these recommendations or observations are based.</quote>.</text></paragraph></subsection><subsection id="H17830E4BB9CD4326AEAE57D4FCCBA397"><enum>(d)</enum><header>Annual State data reports</header><text display-inline="yes-display-inline">Section 106(d) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(d)</external-xref>) is amended—</text><paragraph id="H5E24D2EAD5C849DB8DEEF785A923ED86"><enum>(1)</enum><text>by amending paragraph (13) to read as follows:</text><quoted-block style="OLC" id="H9CBCB4F3CF8841BBA08844124CAF76B1" display-inline="no-display-inline"><paragraph id="HE4FA932650D44DE6ACC3B009857BA655"><enum>(13)</enum><text display-inline="yes-display-inline">The annual report containing the summary of the activities and recommendations of the citizen review panels of the State required by subsection (c)(6), and the actions taken by the State as a result of such recommendations.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="H874A94DE699F44F6B83A88B71DDC4EC0" commented="no"><enum>(2)</enum><text>in paragraph (15), by striking <quote>subsection (b)(2)(B)(ii)</quote> and inserting <quote>subsection (b)(2)(D)(i)</quote>;</text></paragraph><paragraph id="H85CB73ACD15645AC956B6006C20A9F29" commented="no"><enum>(3)</enum><text>in paragraph (16), by striking <quote>subsection (b)(2)(B)(xxi)</quote> and inserting <quote>subsection (b)(2)(D)(viii)</quote>;</text></paragraph><paragraph id="HD6BC466F82AD4D608E1BDB50527479FD" commented="no"><enum>(4)</enum><text display-inline="yes-display-inline">in paragraph (17), by striking <quote>subsection (b)(2)(B)(xxiv)</quote> and inserting <quote>subsection (b)(2)(A)(xv)</quote>;</text></paragraph><paragraph id="H12F5D981FD7E40119D18642AB65654C7" commented="no"><enum>(5)</enum><text>in paragraph (18)—</text><subparagraph id="HEF1E276929A64F498BB1EA5BB39448E7" commented="no"><enum>(A)</enum><text>in subparagraph (A), by striking <quote>subsection (b)(2)(B)(ii)</quote> and inserting <quote>subsection (b)(2)(D)(i)</quote>;</text></subparagraph><subparagraph id="H21B67CDD0C9E4BC2B74D5C354C8DFF6E" commented="no"><enum>(B)</enum><text>in subparagraph (B), by striking <quote>subsection (b)(2)(B)(iii)</quote> and inserting <quote>subsection (b)(2)(D)(ii)</quote>; and</text></subparagraph><subparagraph id="H15BF1DE04818499482A0137DDF834243" commented="no"><enum>(C)</enum><text>in subparagraph (C), by striking <quote>subsection (b)(2)(B)(iii)</quote> and inserting <quote>subsection (b)(2)(D)(ii)</quote>; and </text></subparagraph></paragraph><paragraph id="HA4319550E7C043D1B8D227FAFA7A2991"><enum>(6)</enum><text>by adding at the end the following: </text><quoted-block style="OLC" id="H9946DAC76681414096C17FD4CB06BD3C" display-inline="no-display-inline"><paragraph id="HFE739F806AFC40689AD0D1FE2FA0635B"><enum>(19)</enum><text display-inline="yes-display-inline">The number of child fatalities and near fatalities from maltreatment and related information in accordance with the uniform standards established under section 103(d).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="HB81B4836EF6547098329EE77EDE366FB" commented="no"><enum>(e)</enum><header>Allotments</header><text display-inline="yes-display-inline">Section 106(f) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(f)</external-xref>) is amended by adding at the end the following:</text><quoted-block style="OLC" id="H5B898367C44E4764836C85D219529E89" display-inline="no-display-inline"><paragraph id="HC69449555A7E481598C19A68EB091010" commented="no"><enum>(6)</enum><header>Limitation</header><text display-inline="yes-display-inline">For any fiscal year for which the amount allotted to a State or territory under this subsection exceeds the amount allotted to the State or territory under such subsection for fiscal year 2021, the State or territory may use not more than 2 percent of such excess amount for administrative expenses.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section><section id="H04B66E1FB6394F9F9D4C30AAF626B44E"><enum>107.</enum><header>Miscellaneous requirements</header><text display-inline="no-display-inline">Section 108 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106d">42 U.S.C. 5106d</external-xref>) is amended—</text><paragraph id="H04CD59319E8248E8A007D003F77CADDC"><enum>(1)</enum><text>in subsection (b), by inserting <quote>Indian tribes, and tribal organizations,</quote> after <quote>States,</quote>; </text></paragraph><paragraph id="H6DEA8B0923C24FA9B8DF15DB2543EC8F"><enum>(2)</enum><text>by redesignating subsections (c) through (e) as subsections (d) through (f), respectively; and</text></paragraph><paragraph id="H561632A3EB024A7A891B9F19CC927A61"><enum>(3)</enum><text>by inserting after subsection (b) the following: </text><quoted-block style="OLC" id="HF193C6BB4C274FC68A727C3C333B0F70" display-inline="no-display-inline"><subsection id="H18B35BDCB9D34C4EA3ED1D4F236E636B"><enum>(c)</enum><header>Protecting against systemic child sexual abuse</header><paragraph id="H91233873745F4F5CA111CE6BF0FA3971"><enum>(1)</enum><header>Reporting and task force</header><text display-inline="yes-display-inline">Not later than 24 months after the date of the enactment of the Stronger Child Abuse Prevention and Treatment Act, each State task force established under section 107(c) and expanded as described in paragraph (2) shall study and make recommendations on the following, with a focus on preventing systemic child sexual abuse:</text><subparagraph id="HB6F4627317634317A2AC6CDCD17B2488" commented="no"><enum>(A)</enum><text display-inline="yes-display-inline">How to detect systemic child sexual abuse that occurs in an organization.</text></subparagraph><subparagraph id="HC5EC62D2C2514AC59D313515620CC4C1"><enum>(B)</enum><text display-inline="yes-display-inline">How to prevent child sexual abuse and systemic child sexual abuse from occurring in organizations, which shall include recommendations to improve—</text><clause id="HAF8655E0BA0647B0B24A635B116A98FE"><enum>(i)</enum><text display-inline="yes-display-inline">practices and policies for the education of parents, caregivers, and victims, and age appropriate education of children, about risk factors or signs of potential child sexual abuse; and</text></clause><clause id="H2F8C7B96E73440638BB248D135341D80"><enum>(ii)</enum><text>the efficacy of applicable State laws and the role such laws play in deterring or preventing incidences of child sexual abuse.</text></clause></subparagraph><subparagraph id="H0AAF68D5026C4D64BE90D113B62A5365"><enum>(C)</enum><text display-inline="yes-display-inline">The feasibility of making available the disposition of a perpetrator within an organization to—</text><clause id="H2B3A07C64C5A4B0BB6CA455FB7153859"><enum>(i)</enum><text>the child alleging sexual abuse or the child’s family; or</text></clause><clause id="HA5FD54802CBA4473B7C20173CE070D05"><enum>(ii)</enum><text>an adult who was a child at the time of the sexual abuse claim in question or the adult’s family.</text></clause></subparagraph></paragraph><paragraph id="H6D0C8E81EA254DF0B550A278BB707AF6"><enum>(2)</enum><header>Task force composition</header><text display-inline="yes-display-inline">For purposes of this subsection, a State task force shall include—</text><subparagraph id="HABB17AAC3BDD40549BD9BD7DD7913781"><enum>(A)</enum><text>the members of the State task force described in section 107(c) for the State; and</text></subparagraph><subparagraph id="H14BEC74576854B73B528605849B067DC"><enum>(B)</enum><text>the following: </text><clause id="H9B974DA3A9374AFE86D69272CC5E4E42"><enum>(i)</enum><text>Family court judges.</text></clause><clause id="H77ADE8D555144669A4F261C063A066D8"><enum>(ii)</enum><text>Individuals from religious organizations.</text></clause><clause id="HF11496129649435FA623876021558F4A"><enum>(iii)</enum><text>Individuals from youth-serving organizations, including youth athletics organizations.</text></clause></subparagraph></paragraph><paragraph id="H08CEE41800B048AC9E046408E3AE4AD3"><enum>(3)</enum><header>Reporting on recommendations</header><text>Not later than 6 months after a State task force makes recommendations under paragraph (1), the State maintaining such State task force shall—</text><subparagraph id="HB9C45F764B8D4C0483C88303F69E4ED6"><enum>(A)</enum><text display-inline="yes-display-inline">make public the recommendations of such report;</text></subparagraph><subparagraph id="H36D79D47D4E94343839E1A6C18F867E6"><enum>(B)</enum><text>report to the Secretary on the status of adopting such recommendations; and</text></subparagraph><subparagraph id="H78D034B542884958B96639E3A1025C12"><enum>(C)</enum><text>in a case in which the State declines to adopt a particular recommendation, make public the explanation for such declination.</text></subparagraph></paragraph><paragraph id="HDBD6B1FEDE424501AE3580C218876E8E"><enum>(4)</enum><header>Definitions</header><text display-inline="yes-display-inline">For purposes of this subsection—</text><subparagraph id="HAA32DB44171149C3B8F2339AB616F649" commented="no"><enum>(A)</enum><text display-inline="yes-display-inline">the terms <quote>child sexual abuse</quote> and <quote>sexual abuse</quote> shall not be limited to an act or a failure to act on the part of a parent or caretaker; </text></subparagraph><subparagraph id="H16CA3BC2160F467DA53A466D8E261ECE"><enum>(B)</enum><text>the term <quote>organization</quote> means any entity that serves children; and</text></subparagraph><subparagraph id="H2CAA170F0AC645D09BCBB21F5EF379F6"><enum>(C)</enum><text>the term <quote>systemic child sexual abuse</quote> means—</text><clause id="HA17B602CC10E4E138948DA9A3CACEA6D"><enum>(i)</enum><text display-inline="yes-display-inline">a pattern of informal or formal policy or de facto policy to not follow State and local requirements to report instances of child sexual abuse in violation of State and local mandatory reporting laws or policy; or</text></clause><clause id="HDF0FDA910E7A4ACDBB72316A9D1BD6B1"><enum>(ii)</enum><text>a pattern of assisting individual perpetrators in maintaining their careers despite substantiated evidence of child sexual abuse.</text></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="HDA0CDC0F50AF4CBC823434583F92676C" commented="no"><enum>108.</enum><header>Reports</header><subsection id="H01866621CBDF44D8A539FF9BA64B802A"><enum>(a)</enum><header>Scaling evidence-Based treatment of child abuse and neglect</header><text display-inline="yes-display-inline">Section 110 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106f">42 U.S.C. 5106f</external-xref>) is amended to read as follows: </text><quoted-block style="OLC" id="H43ECB07DD79D49D6ACD50331921368CC" display-inline="no-display-inline"><section id="H3CF3FD49D0B64E9C8A163E99EA87EC4C" commented="no"><enum>110.</enum><header>Study and report relating to scaling evidence-based treatment of child abuse and neglect; study and report on marital age of consent; study and report on State mandatory reporting laws</header><subsection id="H27A3F6A8744F4ED39D000092D24AF120" commented="no"><enum>(a)</enum><header>In general</header><text>The Secretary shall conduct a study that examines challenges to, and best practices for, the scalability of treatments that reduce the trauma resulting from child abuse and neglect and reduce the risk of revictimization, such as those allowable under sections 105 and 106.</text></subsection><subsection id="H5E555263A8564A50B8D08CE11D3DFC32" commented="no"><enum>(b)</enum><header>Content of study</header><text>The study described in subsection (a) shall be completed in a manner that considers the variability among treatment programs and among populations vulnerable to child abuse and neglect. The study shall include, at minimum:</text><paragraph id="H512E38E5C14847F699F17449473C226C" commented="no"><enum>(1)</enum><text>A detailed synthesis of the existing research literature examining barriers and challenges to, and best practices for the scalability of child welfare programs and services as well as programs and services for vulnerable children and families in related fields, including healthcare and education.</text></paragraph><paragraph id="HD6E7A03AA3B54564BD43728474C4F84E" commented="no"><enum>(2)</enum><text>Data describing state and local providers’ experiences with scaling treatments that reduce the trauma resulting from child abuse and neglect and reduce the risk of revictimization.</text></paragraph><paragraph id="H484E702E34C74AB0AF6DAAAE1B04CC40"><enum>(3)</enum><text display-inline="yes-display-inline">Consultation with experts in child welfare, healthcare, and education.</text></paragraph></subsection><subsection id="H04AE6BD4544742ACB6D74111D05DBA49" commented="no"><enum>(c)</enum><header>Report</header><text>Not later than 3 years after the date of the enactment of the Stronger Child Abuse Prevention and Treatment Act, 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 the results of the study conducted under subsection (a), including recommendations for best practices for scaling treatments that reduce the trauma resulting from child abuse and neglect and reduce the risk of revictimization. </text></subsection><subsection id="HD2A8270827074C3BB85EDB2495EF4DBC"><enum>(d)</enum><header>Study and report on marital age of consent</header><paragraph id="H39E1BDFE56C943A3AA477DBDB7B6C8DF"><enum>(1)</enum><header>Study</header><text display-inline="yes-display-inline">The Secretary shall study, with respect to each State—</text><subparagraph id="H20B353F061104CC696750AB641A18196"><enum>(A)</enum><text>the State law regarding the minimum marriage age; and</text></subparagraph><subparagraph id="H26351F11DCFC4C238F1EDB8B91861D4F"><enum>(B)</enum><text>the prevalence of marriage involving a child who is under the age of such minimum marriage age.</text></subparagraph></paragraph><paragraph id="H5D2AFA01BA784C2C865CBF92F5047120"><enum>(2)</enum><header>Factors</header><text display-inline="yes-display-inline">The study required under paragraph (1) shall include an examination of—</text><subparagraph id="H8774B1BD2BE94B61893BF9E5996299C5"><enum>(A)</enum><text>the extent to which any statutory exceptions to the minimum marriage age in such laws contribute to the prevalence of marriage involving a child described in paragraph (1)(B); </text></subparagraph><subparagraph id="HBAEDB641691F4D47B7735CF1CBA2860B"><enum>(B)</enum><text>whether such exceptions allow such a child to be married without the consent of such child; and </text></subparagraph><subparagraph id="H8E6849947DCD4A04BE4994D469A6F03A"><enum>(C)</enum><text>the impact of such exceptions on the safety of such children.</text></subparagraph></paragraph><paragraph id="H786271F8502D48109E9E2C887DBC6B55"><enum>(3)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of the Stronger Child Abuse Prevention and Treatment Act, 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 containing the findings of the study required by this subsection, including any best practices.</text></paragraph></subsection><subsection id="HC6C4869A675940AC884FAEC28A0311D5" display-inline="no-display-inline"><enum>(e)</enum><header>Study and report on State mandatory reporting laws</header><paragraph id="H04462C477B9447D68338E0A62DB20AB0"><enum>(1)</enum><header>Study</header><text display-inline="yes-display-inline">The Secretary shall collect information on and otherwise study State laws for mandatory reporting of incidents of child abuse or neglect. Such study shall examine trends in referrals and investigations of child abuse and neglect due to differences in such State laws with respect to the inclusion, as mandatory reporters, of the following individuals:</text><subparagraph id="HA222A5AD4A1A46FA9F23219267BF4EF1"><enum>(A)</enum><text>Individuals licensed or certified to practice in any health-related field licensed by the State, employees of health care facilities or providers licensed by the State, who are engaged in the admission, examination, care or treatment of individuals, including mental health and emergency medical service providers.</text></subparagraph><subparagraph id="H75DA7F845731475795732F47C21FB45C"><enum>(B)</enum><text>Individuals employed by a school who have direct contact with children, including teachers, administrators, and independent contractors. </text></subparagraph><subparagraph id="HFD1BCCFBE27F48259DF3AE6E337756B3"><enum>(C)</enum><text>Peace officers and law enforcement personnel. </text></subparagraph><subparagraph id="H6898C8AA32E146FEABACA56528DCAA7B"><enum>(D)</enum><text>Clergy, including Christian Science practitioners, except where prohibited on account of clergy-penitent privilege. </text></subparagraph><subparagraph id="HEFC053F8ABDC495785774BDFAC02BE77"><enum>(E)</enum><text>Day care and child care operators and employees. </text></subparagraph><subparagraph id="H89D1FA2E7FD34F1D96C84BAA3FB05ABD"><enum>(F)</enum><text>Employees of social services agencies who have direct contact with children in the course of employment. </text></subparagraph><subparagraph id="H902871BEC04547069C6714C79C66E3D5"><enum>(G)</enum><text>Foster parents. </text></subparagraph><subparagraph id="HBCFBCABBD8564B529E06AAE6AA89A0C4"><enum>(H)</enum><text>Court appointed special advocates (employees and volunteers). </text></subparagraph><subparagraph id="H3F7A444969994F74A8E7D29C11894CBC"><enum>(I)</enum><text>Camp and after-school employees. </text></subparagraph><subparagraph id="HC01BDA727AEA402D877DEB8F807E9953"><enum>(J)</enum><text>An individual, paid or unpaid, who, on the basis of the individual’s role as an integral part of a regularly scheduled program, activity, or service, accepts responsibility for a child.</text></subparagraph></paragraph><paragraph id="H2F498AC8212C43F2A554F558C126AFC6"><enum>(2)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 4 years after the date of enactment of the Stronger Child Abuse Prevention and Treatment Act, 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 containing the findings of the study required by this subsection, including any best practices related to the inclusion, as mandatory reporters, of individuals described in paragraph (1).</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="HBA8A4EF04CED4E2E9913E1CB355C0734"><enum>(b)</enum><header>Report on child abuse and neglect in Indian tribal communities</header><paragraph id="HB1440EE5368F4363AF30BEB84B73F69A"><enum>(1)</enum><header>In general</header><text>Not later than 2 years after the date of the enactment of this Act, the Comptroller General, in consultation with the Indian tribes from each of the 12 regions of the Bureau of Indian Affairs, shall study child abuse and neglect in Indian Tribal communities for the purpose of identifying vital information and making recommendations concerning issues relating to child abuse and neglect in such communities, and submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Indian Affairs of the Senate and the Committee on Education and Labor and the Committee on Natural Resources of the House of Representatives a report on such study, which shall include—</text><subparagraph id="HBC0CA880D28C4A10A1352E0353E5B4C2"><enum>(A)</enum><text display-inline="yes-display-inline">the number of Indian tribes providing primary child abuse and neglect prevention activities;</text></subparagraph><subparagraph id="H23E92BD765E740A4A45E5C4729322B1A"><enum>(B)</enum><text>the number of Indian tribes providing secondary child abuse and neglect prevention activities;</text></subparagraph><subparagraph id="HB2EC6B1AEA6847CB96465DBB95A31268"><enum>(C)</enum><text>promising practices of Indian tribes with respect to child abuse and neglect prevention that are culturally-based or culturally-adapted;</text></subparagraph><subparagraph id="H021B4109957E435681036549624866C4"><enum>(D)</enum><text>information and recommendations on how such culturally-based or culturally-adapted child abuse and neglect prevention activities could become evidence-based;</text></subparagraph><subparagraph id="H192AF2C4624E40DFB1644C300AC89FE0"><enum>(E)</enum><text>the number of Indian tribes that have accessed Federal child abuse and neglect prevention programs;</text></subparagraph><subparagraph id="HCB5A17A463644E07AA1500F8D31CE149"><enum>(F)</enum><text>child abuse and neglect prevention activities that Indian tribes provide using State funds;</text></subparagraph><subparagraph id="H33B99DB253D44F659B61A4A97880CD37"><enum>(G)</enum><text>child abuse and neglect prevention activities that Indian tribes provide using Tribal funds;</text></subparagraph><subparagraph id="HC5C783478445448FBC30129C0B96BB45"><enum>(H)</enum><text display-inline="yes-display-inline">Tribal access to State children’s trust fund resources, as described in section 202 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116a">42 U.S.C. 5116a</external-xref>);</text></subparagraph><subparagraph id="HCEDF7FFE96204AD39E923E0630FCB62D"><enum>(I)</enum><text>how a children’s trust fund model could be used to support prevention efforts regarding child abuse and neglect of American Indian and Alaska Native children;</text></subparagraph><subparagraph id="HAE9B9C4001194F438500BCFC5147523D"><enum>(J)</enum><text>Federal agency technical assistance efforts to address child abuse and neglect prevention and treatment of American Indian and Alaska Native children;</text></subparagraph><subparagraph id="H395B2C27BA2B4D3FAC9DFBA838817E78"><enum>(K)</enum><text>Federal agency cross-system collaboration to address child abuse and neglect prevention and treatment of American Indian and Alaska Native children;</text></subparagraph><subparagraph id="HCAE8ACBAE4314D41AFE2F185E1AB8E26"><enum>(L)</enum><text>Tribal access to child abuse and neglect prevention research and demonstration grants under the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5101">42 U.S.C. 5101</external-xref> et seq.); and</text></subparagraph><subparagraph id="H782A139645834DECB0D275E59CC7B3D0"><enum>(M)</enum><text>an examination of child abuse and neglect data systems to identify what Tribal data is being submitted, barriers to submitting data, and recommendations on improving the collection of data from Indian Tribes.</text></subparagraph></paragraph><paragraph id="H76DC570FDEEC46F9A8A7CD9B0D06012E"><enum>(2)</enum><header>Definitions</header><text>In this subsection—</text><subparagraph id="H47989E68C4034476A50B8EF95C85A2C2"><enum>(A)</enum><text display-inline="yes-display-inline">the term <quote>Alaska Native</quote> has the meaning given the term in section 111 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106g">42 U.S.C. 5106g</external-xref>); and</text></subparagraph><subparagraph id="H41BE4EF59F704B7083F5093EB177DE8C"><enum>(B)</enum><text display-inline="yes-display-inline">the terms <quote>child abuse and neglect</quote> and <quote>Indian tribe</quote> have the meaning given the terms in section 3 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5101">42 U.S.C. 5101</external-xref> note).</text></subparagraph></paragraph></subsection></section><section id="H6310A51894ED48C58EB81035F7215F5A"><enum>109.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">Section 112(a) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106h">42 U.S.C. 5106h(a)</external-xref>) is amended—</text><paragraph id="HF6B7C277449C4D36A410F80AE4A2A65A"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text><subparagraph id="HD3B08F3CEB5345F1BFF516F3436CE9FB"><enum>(A)</enum><text>by striking <quote>to carry out</quote> through <quote>fiscal year 2010</quote> and inserting <quote>to carry out this title $270,000,000 for fiscal year 2022</quote>; and</text></subparagraph><subparagraph id="H9D67624489B34DF4BDBA5D6731E5E4D4"><enum>(B)</enum><text>by striking <quote>2011 through 2015</quote> and inserting <quote>2023 through 2027</quote>; and </text></subparagraph></paragraph><paragraph id="HF95F881D37324E4193CA8FAA2E833590"><enum>(2)</enum><text>by striking paragraph (2)(A) and inserting the following:</text><quoted-block style="OLC" id="H06B2906059C940D49CD0BB2F366E121A" display-inline="no-display-inline"><subparagraph id="H5560D662926F4E7E8B4AC144BB11139E"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">Of the amounts appropriated for a fiscal year under paragraph (1), the Secretary shall make available 30 percent of such amounts, or $100,000,000, whichever is less, to fund discretionary activities under this title.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="HAB55AA50E55448AE8AFCC7DBE43DE7D4"><enum>110.</enum><header>Monitoring and oversight</header><text display-inline="no-display-inline">Section 114(1) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5108">42 U.S.C. 5108(1)</external-xref>) is amended—</text><paragraph id="HBB94A0FD81234A70A6C12BA66C19E9A6"><enum>(1)</enum><text>in each of subparagraphs (A) and (B), by striking <quote>and</quote> at the end; and</text></paragraph><paragraph id="HB780A7951D454718A012944285E9859B"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" id="H40D4F422A95449398CEEEFBF20E1E5F1" display-inline="no-display-inline"><subparagraph id="H567C16B194AE48FE93E54CE86D0E0304"><enum>(C)</enum><text display-inline="yes-display-inline">include written guidance and technical assistance to support States, which shall include guidance on the requirements of this Act with respect to infants born with and identified as being affected by substance use or withdrawal symptoms, Neonatal Abstinence Syndrome, or Fetal Alcohol Spectrum Disorder, as described in clauses (i) and (ii) of section 106(b)(2)(D), including by—</text><clause id="HAB0502A359394D2FB86A17EC2014C892"><enum>(i)</enum><text>enhancing States’ understanding of requirements and flexibilities under the law, including by clarifying key terms;</text></clause><clause id="H789265903B534168A2C9B64787059EFE"><enum>(ii)</enum><text>addressing State-identified challenges with developing, implementing, and monitoring plans of safe care; and</text></clause><clause id="H2C943146044E458392E43A671DA43359"><enum>(iii)</enum><text>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 </text></clause></subparagraph><subparagraph id="H6E6069E669934241B44A47E8CFEFD82E"><enum>(D)</enum><text>include the submission of a report to the Committee on Education and Labor of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate not later than 1 year after the date of the enactment of this Act that contains a description of the activities taken by the Secretary to comply with the requirements of subparagraph (C); and</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="H3A86EA0B6328417DA97BBB2EE7614F09"><enum>111.</enum><header>Electronic interstate data exchange system</header><text display-inline="no-display-inline">Title I of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5101">42 U.S.C. 5101</external-xref> et seq.) is amended by adding at the end the following:</text><quoted-block style="OLC" id="H4647C84E39F84177B9292A433852D9C3" display-inline="no-display-inline"><section id="H8F21AC3C24DA4C17A6CF80E4347006EA" commented="no"><enum>115.</enum><header>Electronic interstate data exchange system</header><subsection id="HA2A0306B36934C8F86D87DF01BEAE51E"><enum>(a)</enum><header>Interstate data exchange system</header><paragraph id="HE0CF1A97697F46459B776B523052245D" commented="no"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services shall consider the recommendations included in the reports required under paragraph (8)(A) and subsection (b)(2) in developing an electronic interstate data exchange system that allows State entities responsible under State law for maintaining child abuse and neglect registries to communicate information across State lines.</text></paragraph><paragraph id="H5475A9DF24064784A6A88CE01E284459" commented="no"><enum>(2)</enum><header>Standards</header><text>In developing the electronic interstate data exchange system under paragraph (1), the Secretary shall—</text><subparagraph id="HF63FA55B28BE45729C99F28BE80AC2C8" commented="no"><enum>(A)</enum><text>use interoperable standards developed and maintained by intergovernmental partnerships, such as the National Information Exchange Model;</text></subparagraph><subparagraph id="HAE1CD5FBF21041898E77AA84D5DE007C" commented="no"><enum>(B)</enum><text>develop policies and governance standards that—</text><clause id="H20BBFFCDB7F445338FA77F6D15CEAD63"><enum>(i)</enum><text>ensure consistency in types of information shared and not shared; and</text></clause><clause id="H967539082243400B9D01D652DA27BBDF"><enum>(ii)</enum><text>specify circumstances under which data should be shared through the interstate data exchange system; and</text></clause></subparagraph><subparagraph id="H8685DE897DA04081A3623B778E26B074" commented="no"><enum>(C)</enum><text>ensure that all standards and policies adhere to the privacy, security, and civil rights laws of each State and Federal law.</text></subparagraph></paragraph><paragraph id="HC1428182CC364D47A62BE9F4289988E0"><enum>(3)</enum><header>Limitation on use of electronic interstate data exchange system</header><text display-inline="yes-display-inline">The electronic interstate data exchange system may only be used for purposes relating to child safety. </text></paragraph><paragraph id="HD2B2E21393B648C0A8E88D84FBB412AB" commented="no"><enum>(4)</enum><header>Pilot program</header><subparagraph id="HC9805D7AECDC4B7F86AF255D11A94F08"><enum>(A)</enum><header>Implementation</header><text>Not later than 6 months after the date of the enactment of this section, the Secretary of Health and Human Services shall begin implementation of a pilot program to generate recommendations for the full integration of the electronic interstate data exchange system. Such pilot program shall include not less than 10 States and not more than 15 States.</text></subparagraph><subparagraph id="HB6BB3BDC73124B108CC1E31C28110C1C"><enum>(B)</enum><header>Completion</header><text>Not later than 30 months after the date of the enactment of this section, the Secretary of Health and Human Services shall complete the pilot program described in subparagraph (A). </text></subparagraph></paragraph><paragraph id="H7857AAAB177A4C24A8C8042B5300EDE7" commented="no"><enum>(5)</enum><header>Integration</header><text>The Secretary of Health and Human Services may assist States in the integration of this system into the infrastructure of each State using funds appropriated under this subsection.</text></paragraph><paragraph id="HCDBAD2A1F463438494FD742811F84924" commented="no"><enum>(6)</enum><header>Participation</header><text display-inline="yes-display-inline">As a condition on eligibility for receipt of funds under section 106, each State shall—</text><subparagraph id="H3F1DDF052740431DA867C98FD1E4A00B"><enum>(A)</enum><text>participate in the electronic interstate data exchange system to the fullest extent possible in accordance with State law (as determined by the Secretary of Health and Human Services) not later than December 31, 2027; and</text></subparagraph><subparagraph id="H64C0DFD6B9E84097B5D1A6343E05C22C"><enum>(B)</enum><text>prior to the participation described in subparagraph (A), provide to the Secretary of Health and Human Services an assurance that the child abuse and neglect registry of such State provides procedural due process protections with respect to including individuals on such registry.</text></subparagraph></paragraph><paragraph id="HC71603167CF34A729F359B8F01EC2215"><enum>(7)</enum><header>Prohibition</header><text>The Secretary of Health and Human Services may not access or store data from the electronic interstate data exchange system, unless the State to which such data pertains voluntarily shares such data with the Secretary of Health and Human Services.</text></paragraph><paragraph id="H5FF636F642C2413BA5329C86F4660CA3" commented="no"><enum>(8)</enum><header>Reports</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services shall prepare and submit to Congress—</text><subparagraph id="H1BDFC3E300A1450A81B7436630B52D26"><enum>(A)</enum><text display-inline="yes-display-inline">not later than 3 years after the date of the enactment of this section, a report on the recommendations from the pilot program described in paragraph (4); and</text></subparagraph><subparagraph id="H090A38599DA44D55B1B9CAA2AA4D79D6"><enum>(B)</enum><text>not later than January 31, 2026, a report on the progress made in implementing this subsection.</text></subparagraph></paragraph><paragraph id="H736EFAD070374DEEAB5A245AE0B4A6B3"><enum>(9)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">Of the funds appropriated under section 112 for a fiscal year—</text><subparagraph id="HDC520A4A4C75466285DB3EC31D8B6550"><enum>(A)</enum><text>for each of fiscal years 2022 and 2023, $2,000,000 shall be reserved to carry out this section; and </text></subparagraph><subparagraph id="HA6EAEEBBEAD64693A2F5AF011411FA10"><enum>(B)</enum><text>for each of fiscal years 2024 through 2027, $1,000,000 shall be reserved to carry out this section. </text></subparagraph></paragraph></subsection><subsection id="H739F65BC4F994F4AB963E5055AD3B768"><enum>(b)</enum><header>Working group</header><paragraph id="H6339ED8A9D8544CB9D0F2AD44DCBE2DE"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than 60 days after the date of the enactment of this section, the Secretary of Health and Human Services shall convene a working group to study and make recommendations on the following:</text><subparagraph id="HF89A6F6B2A314AE1AB91904B21F12FD2"><enum>(A)</enum><text display-inline="yes-display-inline">The feasibility of making publicly available on the website of each State definitions and standards of substantiated child abuse and neglect for the State.</text></subparagraph><subparagraph id="H4514A091FFF24793B69ACE8C073C8955"><enum>(B)</enum><text display-inline="yes-display-inline">Whether background check requirements under this Act, the Child Care and Development Block Grant Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/9858">42 U.S.C. 9858</external-xref> et seq.), and part E of title IV of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/670">42 U.S.C. 670</external-xref> et seq.) are complementary or if there are discrepancies that need to be addressed.</text></subparagraph><subparagraph id="H6B0C513362FE47F4B015CF93130F07F0"><enum>(C)</enum><text display-inline="yes-display-inline">How to improve communication between and across States, including through the use of technology and the use of the electronic interstate data exchange system established under subsection (a), to allow for more accurate and efficient exchange of child abuse and neglect records.</text></subparagraph><subparagraph id="H74EC60E195AA45AF9C88B27D22267452"><enum>(D)</enum><text display-inline="yes-display-inline">How to reduce barriers and establish best practices for the State to provide timely responses to requests from other States for information contained in the State’s child abuse and neglect registry through the electronic interstate data exchange system established under subsection (a).</text></subparagraph><subparagraph id="HD6429EBBA8C84608B4C4D98ABD13E2F5"><enum>(E)</enum><text display-inline="yes-display-inline">How to ensure due process for any individual included in a State’s child abuse and neglect registry, including the following:</text><clause id="H2AD0104CA9A7477B9C207FB358DC228F"><enum>(i)</enum><text>The level of evidence necessary for inclusion in the State’s child abuse and neglect registry.</text></clause><clause id="HCF7DE3C7C8F4437A881ECF8E9C36D821"><enum>(ii)</enum><text>The process for notifying such individual of inclusion in the State’s child abuse and neglect registry and the implications of such inclusion. </text></clause><clause id="HC36FC40D66184DF2953D06EFC3FF1861"><enum>(iii)</enum><text>The process for providing such individual the opportunity to challenge such inclusion, and the procedures for resolving such challenge. </text></clause><clause id="H26FF166EC3694849B9E79545A1413509"><enum>(iv)</enum><text>The length of time an individual’s record is to remain in the State’s child abuse and neglect registry, and the process for removing such individual’s record.</text></clause><clause id="H30B449C11ED64BFFBE98934B5EA66650"><enum>(v)</enum><text>The criteria for when such individual’s child abuse and neglect registry record may be—</text><subclause id="H260C676296234FA7B580BBCDF1A04462"><enum>(I)</enum><text>made accessible to the general public;</text></subclause><subclause id="HED0A063F44E2450DAE3C99638D0E1F76"><enum>(II)</enum><text>made available for purposes of an employment check; and </text></subclause><subclause id="H3483438F9435402181A8F076DA1D1AFD"><enum>(III)</enum><text>be shared for the purposes of participation in the electronic interstate data exchange system described in subsection (a).</text></subclause></clause></subparagraph></paragraph><paragraph id="H649BF3CF3A1D4AA19C393E32EE4AA584"><enum>(2)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 18 months after the date of the enactment of this section, the working group convened under paragraph (1) shall submit a report containing its recommendations to the Secretary of Health and Human Services, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Committee on Education and Labor of the House of Representatives.</text></paragraph><paragraph id="HF1E2D5DA505646299F2E82D114B09D0A"><enum>(3)</enum><header>Construction</header><text display-inline="yes-display-inline">There shall be no requirement for any State to adopt the recommendations of the working group, nor shall the Secretary of Health and Human Services incentivize or coerce any State to adopt any such recommendation.</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H629AAE1BFA694612A4C42D0D0E78466A"><enum>112.</enum><header>Technical and conforming amendments</header><subsection id="H54B956DAE35C4F67ADC2D91B6DF34484" commented="no"><enum>(a)</enum><header>Technical amendments</header><text display-inline="yes-display-inline">The Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5101">42 U.S.C. 5101</external-xref> et seq.), as amended by the preceding provisions of this Act, is further amended—</text><paragraph id="H19DFA21A7B8A4A1E9A27197DBAE2DF1F" commented="no"><enum>(1)</enum><text>by striking <quote>Committee on Education and the Workforce</quote> each place it appears and inserting <quote>Committee on Education and Labor</quote>;</text></paragraph><paragraph id="HB1A67815601F4377BD5A5730DA84BF1E" commented="no"><enum>(2)</enum><text>in section 103(c)(1)(F), by striking <quote>abused and neglected children</quote> and inserting <quote>victims of child abuse or neglect</quote>; and</text></paragraph><paragraph id="HD6E5260EE07948AA8E7D91CE4C80AB17"><enum>(3)</enum><text>in section 107(f), by striking <quote>(<external-xref legal-doc="usc" parsable-cite="usc/42/10603a">42 U.S.C. 10603a</external-xref>)</quote> and inserting <quote>(<external-xref legal-doc="usc" parsable-cite="usc/34/20104">34 U.S.C. 20104</external-xref>)</quote>. </text></paragraph></subsection><subsection id="HA9D92678CECD4B04800AAE3F63D07EF6"><enum>(b)</enum><header>Conforming amendments</header><paragraph id="HB6DA76183BC242AC98D2B5125E1BEA0E"><enum>(1)</enum><header>Section 103</header><text>Section 103(b)(5) (<external-xref legal-doc="usc" parsable-cite="usc/42/5104">42 U.S.C. 5104(b)(5)</external-xref>) is amended by striking <quote>section 106(b)(2)(B)(iii)</quote> and inserting <quote>section 106(b)(2)(D)(ii)</quote>.</text></paragraph><paragraph id="H49C20C0DDDF64CF7A1F18749DA583FD3"><enum>(2)</enum><header>Section 105</header><text>Section 105(a)(11) (<external-xref legal-doc="usc" parsable-cite="usc/42/5106">42 U.S.C. 5106(a)(11)</external-xref> (as redesignated by section 105(1)(A) of this Act) is amended—</text><subparagraph id="HF9964F83C519432EA567D7831C68EE38"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking <quote>section 106(b)(2)(B)(iii)</quote> and inserting <quote>section 106(b)(2)(D)(ii)</quote>;</text></subparagraph><subparagraph id="HF2DA14ABFDAE45268D6BDA460B8F7207"><enum>(B)</enum><text>in subparagraph (C)—</text><clause id="H47303BFE3F8A4263A5D5928E7A891CBA"><enum>(i)</enum><text>in clause (i)(II), by striking <quote>section 106(b)(2)(B)(iii)</quote> and inserting <quote>section 106(b)(2)(D)(ii)</quote>;</text></clause><clause id="H67F4B2D7B4BB47139F6EA0C9D0F492C6"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (i)(IV), by striking <quote>section 106(b)(2)(B)(iii)(II)</quote> and inserting <quote>section 106(b)(2)(D)(ii)(II)</quote>; and</text></clause><clause id="H2CB0D84D49724E999E24BE8A943DD4D6"><enum>(iii)</enum><text>in clause (ii), by striking <quote>clauses (ii) and (iii) of section 106(b)(2)(B)</quote> and inserting <quote>clauses (i) and (ii) of section 106(b)(2)(D)</quote>;</text></clause></subparagraph><subparagraph id="H44668EA9C25A47668A6B6381C4BFD5E0"><enum>(C)</enum><text>in subparagraph (D)—</text><clause id="H9B65CC73C3E847D48F070E9B8FF6C8E0"><enum>(i)</enum><text>in clause (i)(I), by striking <quote>section 106(b)(2)(B)(iii)(I)</quote> and inserting <quote>section 106(b)(2)(D)(ii)(I)</quote>;</text></clause><clause id="H84E1CBBC1ED54BCD9F5B1C7A94CAF54F"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (ii)(I), by striking <quote>section 106(b)(2)(B)(ii)</quote> and inserting <quote>section 106(b)(2)(D)(i)</quote>; </text></clause><clause id="HD0B4AF975A334137A81DC5A6139B00C2"><enum>(iii)</enum><text>in clause (ii)(II), by striking <quote>section 106(b)(2)(B)(iii)</quote> and inserting <quote>section 106(b)(2)(D)(ii)(I)</quote>;</text></clause><clause id="H2203E748D76640469C78E74C67A62728"><enum>(iv)</enum><text>in clause (iii)(I), by striking <quote>section 106(b)(2)(B)(i)</quote> and inserting <quote>section 106(b)(2)(A)(i)</quote>;</text></clause><clause id="H01DB6B27B8B144D58CB21420EBF15CBD"><enum>(v)</enum><text display-inline="yes-display-inline">in clause (iii)(IV), by striking <quote>section 106(b)(2)(B)(iii)</quote> and inserting <quote>section 106(b)(2)(D)(ii)</quote>; and</text></clause><clause id="H1CFA8498E9A64A8C91AF2CADC7A81491"><enum>(vi)</enum><text display-inline="yes-display-inline">in clause (v), by striking <quote>section 106(b)(2)(B)(iii)</quote> and inserting <quote>section 106(b)(2)(D)(ii)</quote>;</text></clause></subparagraph><subparagraph id="H06EB742DB25D4E2CA81791174D306607"><enum>(D)</enum><text>in subparagraph (E), by striking <quote>section 106(b)(2)(B)(ii)</quote> and inserting <quote>section 106(b)(2)(D)(i)</quote>; and</text></subparagraph><subparagraph id="H29E6D0E2A3544D29B5C71A9072D5FDD8"><enum>(E)</enum><text>in subparagraph (G)(ii), by striking <quote>clauses (ii) and (iii) of section 106(b)(2)(B)</quote> and inserting <quote>clauses (i) and (ii) of section 106(b)(2)(D)</quote>.</text></subparagraph></paragraph><paragraph id="H9803C13870D54EF6A43B1BDC55205057"><enum>(3)</enum><header>Section 114</header><text>Section 114(1)(B) (<external-xref legal-doc="usc" parsable-cite="usc/42/5108">42 U.S.C. 5108(1)(B)</external-xref>) is amended by striking <quote>clauses (ii) and (iii) of section 106(b)(2)(B)</quote> and inserting <quote>clauses (i) and (ii) of section 106(b)(2)(D)</quote>.</text></paragraph><paragraph id="H3829A13E6F5B488F8636481033EC914F"><enum>(4)</enum><header>Table of contents</header><text>The table of contents in section 1(b) of the Child Abuse Prevention and Treatment Act is amended—</text><subparagraph id="HF22152F61E074E259FFCF787C7FB020C"><enum>(A)</enum><text>by striking the items relating to sections 2 and 102; </text></subparagraph><subparagraph id="H8A82DFBEFFB74E5C983153FD47C9EFD8"><enum>(B)</enum><text>by inserting after the item relating to section 114 the following:</text><quoted-block style="OLC" id="H0A8FB7A5CBFF46D4A4FE4CE8ECB4A765" display-inline="no-display-inline"><toc regeneration="no-regeneration"><toc-entry level="section">Sec. 115. Electronic interstate data exchange system.</toc-entry></toc><after-quoted-block>;</after-quoted-block></quoted-block><continuation-text continuation-text-level="subparagraph">and</continuation-text></subparagraph><subparagraph id="H239A1B61FD074C33988AD56EDFDA4256"><enum>(C)</enum><text>by striking the item relating to section 110, and inserting the following: </text><quoted-block style="OLC" id="H0ACDE6AB1FC848F5B675D2438221EB4B" display-inline="no-display-inline"><toc regeneration="no-regeneration"><toc-entry level="section">Sec. 110. Study and report relating to scaling evidence-based treatment of child abuse and neglect; study and report on marital age of consent; study and report on State mandatory reporting laws.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection></section></title><title id="H1C42FE967F974521ADA5E56608B12091"><enum>II</enum><header>Community-based Grants for the Prevention of Child Abuse and Neglect</header><section id="H3479BC3101B54552865315C0124A3B6F"><enum>201.</enum><header>Purpose and authority</header><text display-inline="no-display-inline">Subsections (a) and (b) of section 201 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116">42 U.S.C. 5116</external-xref>) are amended to read as follows:</text><quoted-block id="H2A37CB5195E04C0599D303AEBBE230B4" style="OLC"><subsection id="HB99E34BBE5EF46D58FBB5E6F54D177F3"><enum>(a)</enum><header>Purpose</header><text>The purposes of this title are—</text><paragraph id="H1D9A57A0174C4266A31DE0A68E223387"><enum>(1)</enum><text>to establish and maintain support for community-based family strengthening services and statewide systems-building approaches to the extent practicable, to ensure the development, operation, expansion, coordination, and evaluation of quality services, initiatives, programs, and activities to prevent child abuse and neglect; and</text></paragraph><paragraph id="H62625D792BAF4DD7ADD35766A8E41BA0"><enum>(2)</enum><text>to promote improved access for diverse populations with demonstrated need, including low-income families, racial and ethnic minorities, families with children or caregivers with disabilities, underserved communities, and rural communities, to family strengthening services in order to more effectively prevent child abuse and neglect.</text></paragraph></subsection><subsection id="HFE67A2BC730C4D1A843B38640A2838D8"><enum>(b)</enum><header>Authority</header><text>The Secretary shall make grants under this title on a formula basis to the entity designated by the State as the lead entity (referred to in this title as the <quote>lead entity</quote>) under section 202(1) for the following purposes:</text><paragraph id="HADB98CD267924A108435186F5CC6A61D"><enum>(1)</enum><text>Providing programs, activities, and initiatives to help families build protective factors linked to the prevention of child abuse and neglect, such as knowledge of parenting and child development, parental resilience, social connections, time-limited and need-based concrete support, and social and emotional development of children, that—</text><subparagraph id="H0888CB47FD564F9BACAB3B69A6AF55DF"><enum>(A)</enum><text>are accessible to diverse populations, effective, and culturally appropriate;</text></subparagraph><subparagraph id="H018ED339A2524E639F006867B6C14020"><enum>(B)</enum><text>build upon existing strengths; </text></subparagraph><subparagraph id="H1367FE8FF7AB4065B364511A00E18A90"><enum>(C)</enum><text>offer assistance to families;</text></subparagraph><subparagraph id="H74E6E48793104C27BAEFF345FDC49F27"><enum>(D)</enum><text>provide early, comprehensive support for parents;</text></subparagraph><subparagraph id="H6AEFB6DCF7514F1ABE9B72605669F233"><enum>(E)</enum><text>promote the development of healthy familial relationships and parenting skills, especially in young parents and parents with very young children;</text></subparagraph><subparagraph id="H0361B346B77146839F84CD3EBA4EF860"><enum>(F)</enum><text>increase family stability;</text></subparagraph><subparagraph id="H305EA3B9B04B4683BBA50A7061A4A271"><enum>(G)</enum><text display-inline="yes-display-inline">improve family access to formal and informal community-based resources, including health and mental health services, time-limited and need-based concrete supports, and services and supports to meet the needs of families with children or caregivers with disabilities; and</text></subparagraph><subparagraph id="H7ABFF485222643EC84E33B3D2F06EBAD"><enum>(H)</enum><text>support the additional needs of families with children with disabilities, including through respite care.</text></subparagraph></paragraph><paragraph id="H7827017CF2144450A781C7560B9FEDC2"><enum>(2)</enum><text>Fostering the development of a continuum of preventive services to strengthen families through State- and community-based collaborations and both public and private partnerships.</text></paragraph><paragraph id="HD1DA8636815E4F4C9A9584B5B70D548E"><enum>(3)</enum><text>Financing the start-up, maintenance, expansion, or redesign of core services described in section 205, where communities have identified gaps and decided to prioritize the establishment of such services, to the extent practicable given funding levels and community priorities.</text></paragraph><paragraph id="HDBC6450701664468BB2426BA70AFCD3A"><enum>(4)</enum><text>Maximizing funding through leveraging Federal, State, local, public, and private funds to carry out the purposes of this title.</text></paragraph><paragraph id="HC4B201B25B1048C6819960F7CC65EEB0"><enum>(5)</enum><text>Developing or enhancing statewide and local networks to operate, expand, or enhance community-based family strengthening services, initiatives, and activities that promote child, parent, family, and community health and well-being and prevent child abuse and neglect.</text></paragraph><paragraph id="H62211896E9484C7791CDD6EF127575F0"><enum>(6)</enum><text>Promoting the development of, and coordination with, existing community coalitions of networks of family strengthening services that utilize culturally responsive providers in order to enhance child, family, and community well-being and prevent child abuse and neglect in all families.</text></paragraph><paragraph id="H5684E15F336049E388007943EE5A0568"><enum>(7)</enum><text>Financing public information activities that focus on parent and child development and child abuse and neglect prevention.</text></paragraph><paragraph id="H6D0059F034194858965BC5BE62439E0E"><enum>(8)</enum><text>To the extent practicable—</text><subparagraph id="H58508EEA82AA45CCBD4A03B7CBE3761C"><enum>(A)</enum><text>promoting the development and implementation of a statewide systems-building strategy to address the unmet needs identified in the inventory described in section 204(3), including the participation of public and private stakeholders, community-based organizations, legislators, parents and other relevant stakeholders, and State agencies, including the child welfare agency, the public health agency, housing agency, and the State education agency, to scale evidence-based, evidence-informed, and promising programs that expand access to family strengthening services and reduce the numbers of children entering the foster care system; </text></subparagraph><subparagraph id="HEF6FF8F682084C60A0BFA845FE8D27AC"><enum>(B)</enum><text>developing comprehensive outreach strategies to engage families with various risk factors, including families who have experienced trauma or domestic violence, parents with substance use disorder, and families with children or caregivers with disabilities; and</text></subparagraph><subparagraph id="H8A8EDAEC6F714844B381CED54F6CD1B4"><enum>(C)</enum><text>providing capacity-building supports to local programs to improve desired outcomes for children and families, such as—</text><clause id="H797CF92ADB4246AA9159E67E8A570603"><enum>(i)</enum><text display-inline="yes-display-inline">technical assistance, including support for local programs to collect outcome data that helps improve service delivery;</text></clause><clause id="H22EBA7A81B894DC9A056ACE1C6A84ABF"><enum>(ii)</enum><text>professional development; and</text></clause><clause id="HC280CC1B54CA4111BC500FFC3CA2CB25"><enum>(iii)</enum><text>peer support networks, including through developing a problem-solving forum.</text></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="HFA858EC9F6404C5F98207D23FFCD8203"><enum>202.</enum><header>Eligibility</header><text display-inline="no-display-inline">Section 202 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116a">42 U.S.C. 5116a</external-xref>) is amended—</text><paragraph id="H97351B01EECC4F3A9B05C762EB27E29D"><enum>(1)</enum><text>in paragraph (1)—</text><subparagraph id="H26B237ADE5044247B698985E55930955"><enum>(A)</enum><text>by striking subparagraph (A) and inserting the following:</text><quoted-block style="traditional" id="H7F1989BE6FCC428AB54D551075F4B364" display-inline="no-display-inline"><subparagraph id="H15D6D79A98884744854D83EA7A58296F" indent="up1"><enum>(A)</enum><text display-inline="yes-display-inline">the Governor of the State has designated a lead entity to administer funds under this title for the purposes identified under the authority of this title, including to develop, implement, operate, enhance, or expand community-based family strengthening services designed to prevent child abuse and neglect;</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="HAEF0ABD3DC2B40A7B65EE313DC7BDF9C"><enum>(B)</enum><text>by striking subparagraph (D) and inserting the following:</text><quoted-block style="traditional" id="H96CFB7547CB34F37A065CA06170B772A" display-inline="no-display-inline"><subparagraph id="HDCABED7DCA75428BB998172583CD9A28" indent="up1"><enum>(D)</enum><text display-inline="yes-display-inline">the Governor of the State has given consideration to the capacity and expertise of all entities requesting to be designated under subparagraph (A);</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="HD682483BC1E74ACDAB7FB2B622DA05D1"><enum>(2)</enum><text>in paragraph (3)—</text><subparagraph id="H3031FE4410E744C5B9BD82CE6AB805C9"><enum>(A)</enum><text>by striking subparagraph (A) and inserting the following:</text><quoted-block style="OLC" id="H7CF520219089436BB17210111671C1CE" display-inline="no-display-inline"><subparagraph id="H6E7CA2ECDE64406691BB5B4C28DA6C88"><enum>(A)</enum><text display-inline="yes-display-inline">has demonstrated ongoing meaningful partnerships with parents in the development, operation, and oversight of State- and community-based family strengthening services designed to prevent child abuse and neglect;</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph><subparagraph id="H7EA94F26D9DB43EB99448BFDAE09FB5C"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking <quote>community-based and prevention-focused programs and activities designed to strengthen and support families</quote> and inserting <quote>community-based family strengthening services designed</quote>;</text></subparagraph><subparagraph id="HF3B0350DED474B93B533181EB24E90D1"><enum>(C)</enum><text>by striking subparagraph (C) and inserting the following:</text><quoted-block style="OLC" id="H29945EC5A2C34CECABB7712C68543579" display-inline="no-display-inline"><subparagraph id="H2B8CFA3E41F14D01B4144A53ED4CBEBB"><enum>(C)</enum><text display-inline="yes-display-inline">has the capacity to provide operational support (both financial and programmatic), professional development, technical assistance, and evaluation assistance, to community-based organizations;</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="H51822D6FF18D4006933CEEC00DC3032D"><enum>(D)</enum><text>by striking subparagraph (D) and inserting the following: </text><quoted-block style="OLC" id="H26601D94855443ACB02C4373495315AC" display-inline="no-display-inline"><subparagraph id="HB121565A08E24DC1B19378240B139DA6"><enum>(D)</enum><text display-inline="yes-display-inline">will integrate efforts with individuals and organizations experienced in working in partnership with low-income families, racial and ethnic minorities, families with children or caregivers with disabilities, sexual and gender minority youth, victims of domestic violence, and with the child abuse and neglect prevention activities in the State, and demonstrate a financial commitment to those activities; and</text></subparagraph><subparagraph id="H10FC6C3814324A2495BEA0207126FDEC"><enum>(E)</enum><text display-inline="yes-display-inline">will take into consideration access for diverse populations and unmet need when distributing funds to local programs under section 205.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></section><section id="H60DC30003463470DA52014E7558D49B4"><enum>203.</enum><header>Amount of grant</header><text display-inline="no-display-inline">Section 203 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116b">42 U.S.C. 5116b</external-xref>) is amended—</text><paragraph id="HDE8E095CAB6E4D9D907A8C7AE85C9ED0"><enum>(1)</enum><text>by striking subsection (a) and inserting the following:</text><quoted-block style="OLC" id="H151B879BDA604730A3F0A1EE28E444DD" display-inline="no-display-inline"><subsection id="HE988368845814795825BE94E77EDD401"><enum>(a)</enum><header>Reservation</header><text display-inline="yes-display-inline">For the purpose of making allotments to Indian tribes and tribal organizations and migrant programs, the Secretary shall reserve 5 percent of the amount appropriated under section 210(a) for each fiscal year, except that, if making such reservation would cause the total amount allotted to States under this section for a fiscal year to be less than such total for fiscal year 2021, the Secretary shall reserve 1 percent of the amount appropriated under section 210(a) for the year for such purpose.</text></subsection><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph id="H65E996A68C724145971B2D2DF8DB3F98" commented="no"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" id="H04C92F7030434E369FAEDEC8E310759F" display-inline="no-display-inline"><subsection id="H5EA481626F464C27B29E1BC5E510738B" commented="no"><enum>(d)</enum><header>Limitation</header><text display-inline="yes-display-inline">For any fiscal year for which the amount allotted to a State under subsection (b) exceeds the amount allotted to the State under such subsection for fiscal year 2021, the State’s lead entity may use not more than 10 percent of such excess amount for administrative expenses.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="H4A750D87A94040F88B7B7BB54AA79A66"><enum>204.</enum><header>Application</header><text display-inline="no-display-inline">Section 204 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116d">42 U.S.C. 5116d</external-xref>) is amended—</text><paragraph id="H03A450CADAC84D0C981C91D91696B9EA"><enum>(1)</enum><text>in the matter preceding paragraph (1), by striking <quote>specified by the Secretary as essential to carrying out the provisions of section 202, including</quote> and inserting <quote>and assurances required in paragraphs (2) and (3) of section 202 and types of information specified by the Secretary as essential in carrying out the provisions of section 201(b), including</quote>; </text></paragraph><paragraph id="H3517493CEC62487B907CC350F71CAF25"><enum>(2)</enum><text>in paragraphs (1), (2), and (4), by striking <quote>community-based and prevention-focused programs and activities designed to strengthen and support families</quote> and inserting <quote>community-based family strengthening services designed</quote>;</text></paragraph><paragraph id="H2D01D0A0119C4EA4B4308C4E6F21FDA8"><enum>(3)</enum><text display-inline="yes-display-inline">in paragraph (3) by striking <quote>community-based and prevention-focused programs and activities</quote> and inserting <quote>community-based family strengthening services designed</quote>;</text></paragraph><paragraph id="H73ED69FCB4D44272BBFF0A28D30F63F9"><enum>(4)</enum><text>in paragraph (5), by striking <quote>and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect;</quote> and inserting <quote>services and statewide strategies designed to strengthen and support families to promote child, family, and community well-being and prevent child abuse and neglect;</quote>;</text></paragraph><paragraph id="H7C5A28AA8B224E7BB4E57A8E33F24543"><enum>(5)</enum><text>by striking paragraph (6) and inserting the following:</text><quoted-block style="OLC" id="H7C88518418F04E14840A19D0CD199136" display-inline="no-display-inline"><paragraph id="H0A56D1F1E8A5410EACF4F926172F3F21"><enum>(6)</enum><text display-inline="yes-display-inline">a description of the State’s capacity and commitment to ensure the meaningful involvement of parents who are or have been consumers of preventative supports, including the involvement of parents of diverse populations, such as low-income families, families with children or caregivers with disabilities, racial and ethnic minorities, and members of other underrepresented or underserved groups, family advocates, and adult victims of child abuse or neglect who can provide leadership in the planning, implementation, and evaluation of the programs and policy decisions of the applicant agency in accomplishing the desired outcomes for such efforts;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="HCCC5710C95524CF58513BBE8BD426B37"><enum>(6)</enum><text>by redesignating paragraph (12) as paragraph (15);</text></paragraph><paragraph id="HE9AC8AE814F14D4FB4F97BC5A0B4545F"><enum>(7)</enum><text>by redesignating paragraphs (7) through (11) as paragraphs (8) through (12), respectively;</text></paragraph><paragraph id="H2FC1D0804F50434088B9877F280EA363"><enum>(8)</enum><text>by inserting after paragraph (6) the following:</text><quoted-block style="OLC" id="HD8DAC5144B9649A583746555CD43BFC8" display-inline="no-display-inline"><paragraph id="HB4DBB38FB6EE4288B0872337F174DDBC"><enum>(7)</enum><text display-inline="yes-display-inline">a description of the process and criteria the lead entity will use to identify and select communities in which to build a continuum of family strengthening services, including an assurance that the process will ensure access for all families, including families in communities with high rates of child abuse and neglect relative to other communities in the State;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="H3AA4CE10954442FF891A4328FC6A249B" commented="no"><enum>(9)</enum><text>by striking paragraph (9), as so redesignated, and inserting the following: </text><quoted-block style="OLC" id="HC8502BD875D84ED99648B19ACA869725" display-inline="no-display-inline"><paragraph id="H03696964F0504F45BF1D779400932700" commented="no"><enum>(9)</enum><text display-inline="yes-display-inline">a description of outreach activities that the lead entity and local grantees will undertake to maximize the participation of low-income families, racial and ethnic minorities, families with children or caregivers with disabilities, sexual and gender minority youth, victims of domestic violence, homeless families and those at risk of homelessness, and members of other underserved or underrepresented groups;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="H85A299F0C4084495A0A6FCED1F9F6E05"><enum>(10)</enum><text>by striking paragraph (10), as so redesignated, and inserting the following:</text><quoted-block style="OLC" id="H56083AC2446147AEB676A762EB16031A" display-inline="no-display-inline"><paragraph id="HB84B3D01F9A9415281C6AA9727991D88"><enum>(10)</enum><text display-inline="yes-display-inline">a plan for providing operational support, professional development, and technical assistance to grantees, other State and local programs and providers, families, and other entities involved in strengthening families and preventing child abuse and neglect;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="HFBAF1B7EE62047E8B99999E205813DED"><enum>(11)</enum><text>in paragraph (11), as so redesignated, by striking <quote>and its members (where appropriate)</quote> and inserting <quote>of community-based family strengthening services and statewide initiatives</quote>; and</text></paragraph><paragraph id="HBF85C2C48B734602AE9B343A7B9E2FB2"><enum>(12)</enum><text>by striking paragraph (12), as so redesignated, and inserting the following:</text><quoted-block style="OLC" id="H8A45D1052EC549FA8C968A98C41962FE" display-inline="no-display-inline"><paragraph id="H0862C9F0902E4A41919FAFC7F8777BC9"><enum>(12)</enum><text display-inline="yes-display-inline">a description of the actions that the applicant entity will take to inform systemic changes in State policies, practices, procedures, and regulations to improve the delivery of community-based family strengthening services designed to promote child, family, and community well-being, and to prevent child abuse and neglect;</text></paragraph><paragraph id="H914C1A9334F741F992C3D55BE5B46D26"><enum>(13)</enum><text display-inline="yes-display-inline">a description of how the lead entity will incorporate research evidence in its process for selecting community-based family strengthening services;</text></paragraph><paragraph id="H024E40C3197F49EBB826232E81CDA975" commented="no"><enum>(14)</enum><text display-inline="yes-display-inline">an assurance that, in issuing regulations to improve the delivery of community-based family strengthening services designed to promote child, family, and community well-being, and to prevent child abuse and neglect, the State will—</text><subparagraph id="H44F5F9FA6AC247DAA90917D1F4A0F0E3" commented="no"><enum>(A)</enum><text>take into account how such regulations will impact activities funded under this Act; and</text></subparagraph><subparagraph id="H18411245D48C49CF971A61F48C325F43" commented="no"><enum>(B)</enum><text>where appropriate, attempt to avoid duplication of efforts, minimize costs of compliance with such regulations, and maximize local flexibility with respect to such regulations; and</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="HED450D0B9D014C0FBB9DC9AF4FD1CD9C"><enum>205.</enum><header>Local program requirements</header><text display-inline="no-display-inline">Section 205 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116e">42 U.S.C. 5116e</external-xref>) is amended to read as follows:</text><quoted-block style="OLC" id="H906141149C6C4BE89F54B61E41AF479B" display-inline="no-display-inline"><section id="HF22CCC09EF844E32BB926A37A4951397"><enum>205.</enum><header>Local program requirements</header><subsection id="HEE837C16415F4CCCB9A1A7AE48BDDE84"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Grants from the lead entity made under this title shall be used to develop, implement, operate, expand, and enhance community-based family strengthening services designed to prevent child abuse and neglect that—</text><paragraph id="H890A569B3A8149FD890ED51B1364127C"><enum>(1)</enum><text display-inline="yes-display-inline">assess community assets and needs and develop a strategy to create a comprehensive continuum of effective services that strengthen and support families to prevent child abuse and neglect, through a planning process involving parents, local and public agencies, local nonprofit organizations and service providers, and private sector representatives in meaningful ways;</text></paragraph><paragraph id="H42C401EC43BD4FAFBF9761D088E54A32"><enum>(2)</enum><text display-inline="yes-display-inline">develop or enhance existing place-based family strengthening services, other parenting support services, and connections and coordination among key family services in the community by reaching spaces familiar to such families; and</text></paragraph><paragraph id="H6AF5EE582D91409A92B8AAE9850F99E4"><enum>(3)</enum><text display-inline="yes-display-inline">help families build protective factors that support child and family well-being and help prevent child abuse and neglect, including knowledge of parenting and child development, parental resilience, social connections, time-limited and need-based concrete support, and social and emotional development of children.</text></paragraph></subsection><subsection id="H1FDC6741B63549C987205EBB91049EDB"><enum>(b)</enum><header>Local consideration</header><text display-inline="yes-display-inline">In awarding grants, the lead entity shall consider, consistent with the needs of the State and community, how the grantee—</text><paragraph id="HBF242E62FD59472493CFFF60D8E3FFA5"><enum>(1)</enum><text display-inline="yes-display-inline">demonstrates the ability to form collaborations across a range of services or initiatives and the commitment to engage in long-term planning and strategic development for community-based family strengthening services as well as provide on-going problem solving support;</text></paragraph><paragraph id="H066E2C802D8145AD82841D91C78B999A"><enum>(2)</enum><text display-inline="yes-display-inline">involves parents, including parents of children with disabilities, diverse racial and ethnic groups, and members of other underrepresented or underserved populations, in the development, implementation, oversight, and evaluation of services;</text></paragraph><paragraph id="H13995AE8149347C3B0153AB6C0AB543E"><enum>(3)</enum><text>addresses the need for place-based services and the need to reach families in hard-to-reach areas through approaches that provide core family strengthening services;</text></paragraph><paragraph id="HFA32BAB9A2EF403FBD97C1E4E59EAB51"><enum>(4)</enum><text>promotes improved access to family strengthening services for diverse populations and ensures that the services address identified needs of all families; and</text></paragraph><paragraph id="H6C491F5058E3443785C56B12342509AD"><enum>(5)</enum><text>demonstrates an understanding of the sources of child and family trauma and the strategies that mitigate the impact of and prevent adverse childhood experiences.</text></paragraph></subsection><subsection id="H5BE92BB081AF4511878BD9A00282932D"><enum>(c)</enum><header>Local uses of funds</header><text display-inline="yes-display-inline">Grant funds from the lead entity shall be used for community-based family strengthening services designed to prevent child abuse and neglect, which may include the following:</text><paragraph id="H949C042A43DB420783C1265665B33D29"><enum>(1)</enum><text display-inline="yes-display-inline">Developing a strategy based on supporting a comprehensive continuum of preventive, family-centered services that strengthen and support families to prevent child abuse and neglect, especially to young parents, to parents with young children, and to parents who are adult victims of domestic violence or child abuse or neglect, through public-private partnerships.</text></paragraph><paragraph id="H4F299E9FFCAF465F850FF9BA238A15CE"><enum>(2)</enum><text display-inline="yes-display-inline">Addressing the needs of families in hard-to-reach areas by creating access to place-based family strengthening services.</text></paragraph><paragraph id="H9A633A4EDE294BFF9FB9FEBA8E0BE51F"><enum>(3)</enum><text display-inline="yes-display-inline">Performing an assessment of community needs, including by partnering, at the option of the grantee, with an organization that already has performed a needs assessment (such as a Maternal, Infant and Early Childhood Home Visiting program under section 511 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/711">42 U.S.C. 711</external-xref>) or a Head Start program under the Head Start Act (<external-xref legal-doc="usc" parsable-cite="usc/42/9831">42 U.S.C. 9831</external-xref> et seq.)).</text></paragraph><paragraph id="H6DE018ECEA2D411FACC522713221F053"><enum>(4)</enum><text>Supporting outreach for services, including by coordinating with existing family strengthening services such as home visiting and other early intervention programs.</text></paragraph><paragraph id="HF4FD334614BE4E10AB3845B9FF6532AC" display-inline="no-display-inline"><enum>(5)</enum><text display-inline="yes-display-inline">Providing, promoting the development or enhancement of, or connecting families to, core services that include—</text><subparagraph id="HA5410796AFB3459BA781A0CF4336351F"><enum>(A)</enum><text>parenting support and parent education programs, including services that help parents and other caregivers support children’s development;</text></subparagraph><subparagraph id="H9DF16440AC86474083A6F140E30FB6BF"><enum>(B)</enum><text>parent leadership skills development programs that support parents’ personal growth as leaders in their families and communities;</text></subparagraph><subparagraph id="HBE0EA7886C3847A39C17615B1665AB4E"><enum>(C)</enum><text>mutual support groups for parents, children, and parent partners;</text></subparagraph><subparagraph id="H31DB0F93DA3F4157968DE61004B30BA1"><enum>(D)</enum><text>respite and crisis care; and</text></subparagraph><subparagraph id="HC70F9CC645A743E1A290850922BED753"><enum>(E)</enum><text>referrals to optional community and social services, including—</text><clause id="H520F563B61DC4B67B6AB2F280ECE5FAE"><enum>(i)</enum><text>domestic violence services;</text></clause><clause id="H41C35961B1504426ABE132832D8EB2A4"><enum>(ii)</enum><text>screening and referrals to early intervention;</text></clause><clause id="HF8C8322F1BAF462EB24FC8E4EC5F1A0C"><enum>(iii)</enum><text>voluntary home visiting programs;</text></clause><clause id="H538723EA1CBE49358C6E28B68251A78A"><enum>(iv)</enum><text>health and mental health services, including referrals for information on the State Medicaid plan under title XIX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396</external-xref> et seq.); </text></clause><clause id="H9E2E990253A54E2FB6EE1A332890A3E8"><enum>(v)</enum><text display-inline="yes-display-inline">early care and learning programs including child care and Head Start programs and Early Head Start programs under the Head Start Act (<external-xref legal-doc="usc" parsable-cite="usc/42/9831">42 U.S.C. 9831</external-xref> et seq.);</text></clause><clause id="H895943A4E09C4876815A4CAF09A15488"><enum>(vi)</enum><text display-inline="yes-display-inline">nutrition programs, including the special supplemental nutrition program for women, infants, and children established under section 17 of the Child Nutrition Act of 1966 (<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786</external-xref>) and the supplemental nutrition assistance program established under the Food and Nutrition Act of 2008 (<external-xref legal-doc="usc" parsable-cite="usc/7/2011">7 U.S.C. 2011</external-xref> et seq.);</text></clause><clause id="H6135F55105854DBE88B88E1034001E18"><enum>(vii)</enum><text>education and workforce development programs, including adult literacy, child development, wellness, and family socioeconomic mobility programs; and</text></clause><clause id="HC748093905C44AEB8930BF91C8325108"><enum>(viii)</enum><text display-inline="yes-display-inline">services and supports to meet the needs of families with children or caregivers with disabilities, such as early intervention services for infants and toddlers with disabilities and their families, as early intervention services are defined in section 632 of the Individuals with Disabilities Education Act (<external-xref legal-doc="usc" parsable-cite="usc/20/1432">20 U.S.C. 1432</external-xref>). </text></clause></subparagraph></paragraph><paragraph id="H99A0D4C0B5AC4384878F4A7F6A32243B"><enum>(6)</enum><text display-inline="yes-display-inline">Providing leadership in mobilizing local public and private resources to support the provision of community-based family strengthening services designed to prevent child abuse and neglect.</text></paragraph><paragraph id="H33D9DC6C4BD04773B919E14EB25B9101"><enum>(7)</enum><text>Developing and maintaining meaningful partnerships with parents relating to the development, operation, evaluation, and oversight of the programs and services.</text></paragraph><paragraph id="HB0D902545C5D482D93D9FB6E826DB2FA"><enum>(8)</enum><text display-inline="yes-display-inline">Coordinating with other community-based family strengthening services designed to prevent child abuse and neglect in the development, operation, and expansion of networks where appropriate.</text></paragraph></subsection><subsection id="H866EEB688A134B59A6CAB5A3A21273C6"><enum>(d)</enum><header>Priority</header><text display-inline="yes-display-inline">When awarding grants, a lead entity shall give priority to effective community-based efforts that serve low-income communities and are focused on comprehensive approaches to serving young parents or parents with young children.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H31854444D91C401FB254D9F9067D8042"><enum>206.</enum><header>Performance measures</header><text display-inline="no-display-inline">Section 206 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116f">42 U.S.C. 5116f</external-xref>) is amended—</text><paragraph id="HAF5AD00F6E224E988CB12ECBB59347D1"><enum>(1)</enum><text>in paragraphs (1), (5), (6), and (8), by striking <quote>community-based and prevention-focused programs and activities designed to strengthen and support families</quote> and inserting <quote>community-based family strengthening services designed</quote>;</text></paragraph><paragraph id="H1FEC91FAB0C347FEB6D9C62932E108DB"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>meets</quote> and inserting <quote>meet</quote>; </text></paragraph><paragraph id="HA03538E03D13474094056C2E7A442E8C"><enum>(3)</enum><text>in paragraph (2), by striking <quote>including core and optional services as described in section 202</quote>;</text></paragraph><paragraph id="HEB0C63C3C39E4890ACF05E45CC876397"><enum>(4)</enum><text display-inline="yes-display-inline">by striking paragraph (3) and inserting the following: </text><quoted-block style="OLC" id="HF5EE374785154FEAB0B2BDAAF0515B6E" display-inline="no-display-inline"><paragraph id="H1B5EC390EFC249F2A823418D8CE89210"><enum>(3)</enum><text display-inline="yes-display-inline">shall demonstrate how they have addressed unmet needs identified by the inventory required under section 204;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="HFE64729E3F48468A80311BFDBF8EA18C"><enum>(5)</enum><text>by striking paragraph (4) and inserting the following: </text><quoted-block style="OLC" id="H9145D409AE46429DB8795F953D4357E6" display-inline="no-display-inline"><paragraph id="H42DE0C1D1BAC490C815557C4C5876D28"><enum>(4)</enum><text display-inline="yes-display-inline">shall describe the number of families served, including families with children or caregivers with disabilities, and the involvement of a diverse representation of families in the design, operation, and evaluation of both community-based family strengthening services and networks of such services;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="H25FE44819714420AAB9DA215C05C567E"><enum>(6)</enum><text>by striking paragraph (7) and inserting the following: </text><quoted-block style="OLC" id="H75B512E76BF7415C862DB61CEA8C3B3C" display-inline="no-display-inline"><paragraph id="HC701E39722BD4E63BBA0CC67D5B05116"><enum>(7)</enum><text display-inline="yes-display-inline">shall describe—</text><subparagraph id="H98F2024EACC14E73834F8060CEF4B10E"><enum>(A)</enum><text>the number of programs funded disaggregated by urban, suburban, and rural community type;</text></subparagraph><subparagraph id="H1D94276ADF9E4D71B0E614BB81F7B0C7"><enum>(B)</enum><text display-inline="yes-display-inline">the number of children and families served under each such program disaggregated by urban, suburban, and rural community type; and</text></subparagraph><subparagraph id="HA7A39F10B4F84B3F97EB886D9E06D61E"><enum>(C)</enum><text>the number of programs that partner with outside entities and the services such outside entities provide;</text></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="HE2FE21A68AEF4485A1EECDF07D5C2574"><enum>(7)</enum><text>in paragraph (8)—</text><subparagraph id="HD4B9A7449960418497D95038516BEAB4"><enum>(A)</enum><text>by striking <quote>leadership of</quote> and insert <quote>partnership with</quote>; and</text></subparagraph><subparagraph id="HF7F6E4FC9559475A8587183790F4F396"><enum>(B)</enum><text>by striking the period at the end and inserting <quote>; and</quote>; and</text></subparagraph></paragraph><paragraph id="H81AD7EF90DA84000A5188ED757A353D8"><enum>(8)</enum><text>by adding at the end the following: </text><quoted-block style="OLC" id="HDE91F8ECD65E41D28401F250B16D743B" display-inline="no-display-inline"><paragraph id="H34290BB0901D435CB9C2ABF703CE0AB5"><enum>(9)</enum><text display-inline="yes-display-inline">shall describe the extent to which there is evidence to support the effectiveness of activities conducted under this title for the program’s intended purpose, or, in instances where such evidence is not available, shall describe barriers and challenges to developing evidence of effectiveness.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="HEFC04E7C82DA43E19FDC44AAF23139A5"><enum>207.</enum><header>National network for community-based family resource programs</header><text display-inline="no-display-inline">Section 207 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116g">42 U.S.C. 5116g</external-xref>) is amended—</text><paragraph id="H9E037C70187740CEAFB58F880AF3EF73"><enum>(1)</enum><text>in the matter preceding paragraph (1), by striking <quote>such sums as may be necessary</quote> and inserting <quote>not more than 5 percent</quote>; and</text></paragraph><paragraph id="H16752AF5C08543799EA08D4B617F1658"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (3), by striking <quote>community-based and prevention-focused programs and activities designed to strengthen and support families</quote> and inserting <quote>community-based family strengthening services designed</quote>.</text></paragraph></section><section id="H5362A8B03CDF4E29A6717EB902C4B698"><enum>208.</enum><header>Definitions</header><text display-inline="no-display-inline">Section 208 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116h">42 U.S.C. 5116h</external-xref>) is amended—</text><paragraph id="HAEF86D9C71D9442783B28AA48DFA8169" commented="no"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraphs (1) and (2) as paragraphs (2) and (1), respectively, and transferring paragraph (1) as redesignated to appear before paragraph (2) as redesignated; and</text></paragraph><paragraph id="H491F9615660244889E3CCE0730C7146B"><enum>(2)</enum><text>by striking paragraph (1) (as so redesignated) and inserting the following:</text><quoted-block style="OLC" id="H7E72EF94A33E43F4A329DF0A3168C9DD" display-inline="no-display-inline"><paragraph id="H005128B9299B4D1DB215DC1121C56C65"><enum>(1)</enum><header>Community-based family strengthening services</header><text display-inline="yes-display-inline">The term <quote>community-based family strengthening services</quote> includes organizations such as family resource programs, family support programs, voluntary home visiting programs, respite care services, parenting education, mutual support groups for parents, children, parent partner programs, and other community programs or networks of such programs that provide activities that are designed to prevent child abuse and neglect.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="H0EC2B6C6CCEF4ACCB60443BC806C4C4E"><enum>209.</enum><header>Rule of construction</header><subsection id="H05AC710F2DFF4B3AB8454789E6B6AEB9"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Title II of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116">42 U.S.C. 5116</external-xref> et seq.) is amended—</text><paragraph id="H50622E754E194427B538ECB48EC630BA"><enum>(1)</enum><text>by redesignating section 209 as section 210; and</text></paragraph><paragraph id="HFB3847FD42DD49E5ABA230ADFE3DBF5B"><enum>(2)</enum><text>by inserting after section 208 the following: </text><quoted-block style="OLC" id="HE4002EB81EC74F479CA4D9A01A11773A" display-inline="no-display-inline"><section id="HFABD5374B8C2497E93F4324A2152A305"><enum>209.</enum><header>Rule of construction</header><text display-inline="no-display-inline">Nothing in this title shall be construed to prohibit grandparents, kinship care providers, foster parents, adoptive parents, or any other individual in a parenting role from receiving or participating in services and programs under this title.</text></section><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="H32A874BEF0C94B2696599ECCF80E9D1E"><enum>(b)</enum><header>Conforming amendment</header><text display-inline="yes-display-inline">The table of contents in section 1(b) of the Child Abuse Prevention and Treatment Act is amended by striking the item relating to section 209 and inserting the following:</text><quoted-block style="OLC" id="H03E6377BD5B340938A4D98BDE739308C" display-inline="no-display-inline"><toc regeneration="no-regeneration"><toc-entry level="section">Sec. 209. Rule of construction. </toc-entry><toc-entry level="section">Sec. 210. Authorization of appropriations.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section><section id="H485DEFD004684A9184D9525507E8A8EE"><enum>210.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">Section 210 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116">42 U.S.C. 5116</external-xref> et seq.), as redesignated by section 209 of this Act, is amended—</text><paragraph id="HB31C21B2924444739BBB8C61FD024521"><enum>(1)</enum><text>by striking <quote>There are</quote> and inserting the following:</text><quoted-block style="OLC" id="H5B239DADF0A549098E1265336309924C" display-inline="no-display-inline"><subsection id="H9B46A5071AA54358B0064AA3508FC1D3"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">There are</text></subsection><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="H3908DD43AD1B4D179A6BA3A7EB2C2506"><enum>(2)</enum><text>by striking <quote>to carry out</quote> through <quote>fiscal year 2010</quote> and inserting <quote>to carry out this title $270,000,000 for fiscal year 2022</quote>;</text></paragraph><paragraph id="H00C46D5833F74BF6857C81B571654B34"><enum>(3)</enum><text>by striking <quote>2011 through 2015</quote> and inserting <quote>2023 through 2027</quote>; and </text></paragraph><paragraph id="H5CA69364866A474896CB7EE22484F836"><enum>(4)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" id="H646149EC6E5143CDAA21D12DD2CCB19B" display-inline="no-display-inline"><subsection id="H1185B7D44ACD4C89B7421C22FECF11DF"><enum>(b)</enum><header>Treatment of non-Federal funds in certain fiscal years</header><text display-inline="yes-display-inline">For any fiscal year for which the amount appropriated under subsection (a) exceeds the amount appropriated under such subsection for fiscal year 2021, the Secretary shall consider non-Federal funds and in-kind contributions as part of the State contribution for the activities specified in section 204(4).</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="H440BAB3A923F4F3B875AC40EF55255A0"><enum>211.</enum><header>Study and report</header><subsection id="HD3A297D0D7C840BDB745DF59774A334D"><enum>(a)</enum><header>Study relating to new prevention programs</header><paragraph id="H2AB7D0C12C63430EA2CE0441D1C4F461"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The Comptroller General of the United States shall complete a study, using data reported by States to the Secretary of Health and Human Services under section 206 of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116f">42 U.S.C. 5116f</external-xref>), as amended by this Act—</text><subparagraph id="H43751E4743FB42DA8F6D12E34C0B4C01"><enum>(A)</enum><text>to determine how many families and children in the first 3 years after the date of the enactment of this Act are served annually through programs funded under title II of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116">42 U.S.C. 5116</external-xref> et seq.); and</text></subparagraph><subparagraph id="H850A00898817402D8F125978AFD6C21E"><enum>(B)</enum><text>to compare the number of such families and children served annually in the first 3 years after the date of the enactment of this Act to the number of such families and children served in fiscal year 2021.</text></subparagraph></paragraph><paragraph id="HD7956C6CA6A04B9DADE15EF6BE38AC44"><enum>(2)</enum><header>Contents</header><text display-inline="yes-display-inline"><italic></italic>The study required under paragraph (1) shall include the following for each of the first 3 years after the date of the enactment of this Act:</text><subparagraph id="HF1AA9D89509942A790D0ED4FE0831A21"><enum>(A)</enum><text display-inline="yes-display-inline">An examination of how many families received evidence-based programming under title II of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5116">42 U.S.C. 5116</external-xref> et seq.).</text></subparagraph><subparagraph id="H3ED92D3A162B447599B6BD99B06AAC9C"><enum>(B)</enum><text>An examination of the extent to which local programs conduct evaluations using funds provided under such title and the findings of such evaluations.</text></subparagraph><subparagraph id="H886BC075A1AD4177847D9187253E461B"><enum>(C)</enum><text>An examination of whether findings of effectiveness in evaluation studies vary by urban, suburban, or rural community type. </text></subparagraph><subparagraph id="HEED59641D0874B428D2CE1B823E7B1B2"><enum>(D)</enum><text>An examination of whether programs partnering with other entities are more effective than those that do not partner with other entities.</text></subparagraph><subparagraph id="H887FF94C06A64C9EBD58F5D960024FDD"><enum>(E)</enum><text>An examination of barriers to implement evidence-based programming or to conduct evaluations in instances where such activities do not occur. </text></subparagraph></paragraph></subsection><subsection id="H4D1CF8F2DA2D4DE1B8C6853092CE7762"><enum>(b)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 4 years after the date of the enactment of this Act, the Comptroller General of the United States 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 the results of the study conducted under paragraph (1).</text></subsection></section></title><title id="H2F7B0CF69F9B46799DDF4CF1EBD8D702"><enum>III</enum><header>Adoption Opportunities</header><section id="HA2469D2587CD4B04A61406C54CEFE363"><enum>301.</enum><header>Purpose</header><text display-inline="no-display-inline">Section 201 of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5111">42 U.S.C. 5111</external-xref>) is amended—</text><paragraph id="H97871D5250C74F96BA52FAD8C9E03989"><enum>(1)</enum><text>in the section heading, by striking <quote><header-in-text level="section" style="OLC">Congressional findings and declaration of purpose</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">Purpose</header-in-text></quote>; </text></paragraph><paragraph id="HFB3FE8406A2F48288A4C508F7AFEA61B"><enum>(2)</enum><text>by striking subsection (a); and</text></paragraph><paragraph id="H9326A16F4AEE4B9A8F71BD72CBFC929E"><enum>(3)</enum><text>in subsection (b)—</text><subparagraph id="H1FB469E6DFEF4E8FA57C2F56D1448BA8"><enum>(A)</enum><text>by striking <quote>(b) <header-in-text level="subsection" style="OLC">Purpose.—</header-in-text></quote>; </text></subparagraph><subparagraph id="H64266D554DF045AA9266FD2AF3EB34F5"><enum>(B)</enum><text>in the matter preceding paragraph (1), by inserting <quote>sexual and gender minority youth</quote> after <quote>particularly older children, minority children,</quote>; and</text></subparagraph><subparagraph id="H6ADB602D14BE46608D5F2C2F26837CBF"><enum>(C)</enum><text>in paragraph (1), by inserting <quote>services and,</quote> after <quote>post-legal adoption</quote>. </text></subparagraph></paragraph></section><section id="H68E253F8A87143A9A18CFBC6B44586CE" section-type="subsequent-section"><enum>302.</enum><header>Report and guidance on unregulated custody transfers</header><text display-inline="no-display-inline">The Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5111">42 U.S.C. 5111</external-xref> et seq.) is amended by inserting after section 201 the following:</text><quoted-block id="HC1F70863894A419788ADA7DA271E8AFE"><section id="H608BCFC061E14D8F800B8D62CD01EC1F"><enum>202.</enum><header>Report and guidance on unregulated custody transfers</header><subsection id="H62C00993F50F4CAEBA3F964DCA15FFBF"><enum>(a)</enum><header>Sense of Congress</header><text display-inline="yes-display-inline">It is the sense of Congress that:</text><paragraph id="H040EFFCDE36C416481BFCC550D9D089B"><enum>(1)</enum><text display-inline="yes-display-inline">Some adopted children may be at risk of experiencing an unregulated custody transfer because the challenges associated with adoptions (including the child’s mental health needs and the difficulties many families face in acquiring support services) may lead families to seek out unregulated custody transfers.</text></paragraph><paragraph id="H0E88BD7D05654E2BA659D7D7602BD9BB"><enum>(2)</enum><text>Some adopted children experience trauma, and the disruption and placement in another home by unregulated custody transfer creates additional trauma and instability for children.</text></paragraph><paragraph id="H4A8F263BC43B45748D09F4C6C6084A36"><enum>(3)</enum><text>Children who experience an unregulated custody transfer may be placed with families who have not completed required child welfare or criminal background checks or clearances.</text></paragraph><paragraph id="HF88F3E64380D462ABDE257F438EC9F02"><enum>(4)</enum><text>Social services agencies and courts are often unaware of the placement of children through unregulated custody transfer and therefore do not conduct assessments on the child’s safety and well-being in such placements.</text></paragraph><paragraph id="H2D463D82D7CB46AD83B7A1F6C3142C10"><enum>(5)</enum><text>Such lack of placement oversight places a child at risk for future abuse and increases the chance that the child may experience—</text><subparagraph id="H7B1524AB46A84E4BA43A9B1CD3856ADB"><enum>(A)</enum><text>abuse or neglect;</text></subparagraph><subparagraph id="HCD79D1DA7CF74F95A763DCD6411925D0"><enum>(B)</enum><text>contact with unsafe adults or youth; and</text></subparagraph><subparagraph id="H060238905D704907A47DBB26E97A3661"><enum>(C)</enum><text>exposure to unsafe or isolated environments.</text></subparagraph></paragraph><paragraph id="HD80521CE564C4AEEBA9B67694F49BCC4"><enum>(6)</enum><text>The caregivers with whom a child is placed through unregulated custody transfer often have no legal responsibility with respect to such child, placing the child at risk for additional unregulated custody transfers.</text></paragraph><paragraph id="H83F8B126DAAB4E5784F973B36EA6558F"><enum>(7)</enum><text>Such caregivers also may not have complete records with respect to such child, including the child’s birth, medical, or immigration records.</text></paragraph><paragraph id="HEA4A41BE372342B29410BC947D51B0CE"><enum>(8)</enum><text>A child adopted through intercountry adoption may be at risk of not acquiring United States citizenship if an unregulated custody transfer occurs before the adoptive parents complete all necessary steps to finalize the adoption of such child.</text></paragraph><paragraph id="H12D488C6415A4A0A9BD2FBA97E9D166B"><enum>(9)</enum><text>Engaging in, or offering to engage in, unregulated custody transfer places children at risk of harm.</text></paragraph></subsection><subsection id="HC67D4ADCF2674853A2F14086C4F6EF13"><enum>(b)</enum><header>Report to Congress</header><paragraph id="H5B496E6480784C8986670AF54EFB3A0A"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than 1 year after the date of the enactment of this section, the Secretary of Health and Human Services shall provide to the Committee on Education and Labor of the House of Representatives, the Committee on Ways and Means of the House of Representatives, the Committee on Finance of the Senate, and the Committee on Health, Education, Labor, and Pensions of the Senate a report on unregulated custody transfers of children, including of adopted children.</text></paragraph><paragraph id="H6538D27DDF3D496993580D34CDCBE317"><enum>(2)</enum><header>Elements</header><text>The report required under paragraph (1) shall include—</text><subparagraph id="H6D6FA3B3501F47EE930B259E98512F19"><enum>(A)</enum><text>the causes, methods, and characteristics of unregulated custody transfers, including the use of social media and the internet;</text></subparagraph><subparagraph id="H5648A22BB1C7402F8520B952C689DFD6"><enum>(B)</enum><text>the effects of unregulated custody transfers on children, including the lack of assessment of a child’s safety and well-being by social services agencies and courts due to such unregulated custody transfer;</text></subparagraph><subparagraph id="H65ECDB0D8D4448F99CF9C7A255DDB3E6"><enum>(C)</enum><text>the prevalence of unregulated custody transfers within each State and across all States; and</text></subparagraph><subparagraph id="HAA1F81276C364B0C80D1B1BF67524F90"><enum>(D)</enum><text>recommended policies for preventing, identifying, and responding to unregulated custody transfers, including of adopted children, that include—</text><clause id="H21A6EF86369F49FFAD438AEED9CE1D01"><enum>(i)</enum><text>amendments to Federal and State law to address unregulated custody transfers;</text></clause><clause id="H77C74662B44B4733A4A4E8E295298554"><enum>(ii)</enum><text>amendments to child protection practices to address unregulated custody transfers; and</text></clause><clause id="HC454313845BC4032912A7CD9531F73C7"><enum>(iii)</enum><text>methods of providing the public information regarding adoption and child protection.</text></clause></subparagraph></paragraph></subsection><subsection id="HA94A43DDADE245349FCA96D23B4F923C"><enum>(c)</enum><header>Guidance to States</header><paragraph id="HC87F96FEDB654CBEBEBC42C0C1CAC0CC"><enum>(1)</enum><header>In general</header><text>Not later than 180 days after the date specified in subsection (b)(1), the Secretary shall issue guidance and technical assistance to States related to preventing, identifying, and responding to unregulated custody transfers, including of adopted children.</text></paragraph><paragraph id="H134987812D4B44EE93FF6A9E0B0F8916"><enum>(2)</enum><header>Elements</header><text>The guidance required under paragraph (1) shall include—</text><subparagraph id="HB8C744306AFD4EDC9D0DA25392827B8B"><enum>(A)</enum><text>education materials related to preventing, identifying, and responding to unregulated custody transfers for employees of State, local, and Tribal agencies that provide child welfare services;</text></subparagraph><subparagraph id="H2889B43681E4407B8DE2961FBF235583"><enum>(B)</enum><text>guidance on appropriate pre-adoption education and post-adoption services for domestic and international adoptive families to promote child permanency; and</text></subparagraph><subparagraph id="H05C2B67DEAAE400A98D148BEACC46918" commented="no"><enum>(C)</enum><text display-inline="yes-display-inline">the assistance available through the National Resource Center for Special Needs Adoption under section 203(b)(9).</text></subparagraph></paragraph></subsection><subsection id="H95C5361FA0FB4754BDC96BC9D49E02CB" commented="no"><enum>(d)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section:</text><paragraph id="H04F58FB9AFD84EDF807700ECCDF786C7" commented="no"><enum>(1)</enum><header>State</header><text display-inline="yes-display-inline">The term <quote>State</quote> means each of the several States, the District of Columbia, and any commonwealth, territory, or possession of the United States. </text></paragraph><paragraph id="H99CA4C3C72FD4B6E9FDB917675381C98" commented="no"><enum>(2)</enum><header>Unregulated custody transfer</header><text>The term <term>unregulated custody transfer</term> means the abandonment of a child, by the child’s parent, legal guardian, or a person or entity acting on behalf, and with the consent, of such parent or guardian—</text><subparagraph id="HF9EDDA46D0DA4FAB87324B18600761C1" commented="no"><enum>(A)</enum><text>by placing a child with a person who is not—</text><clause id="HF7A68BD030FB4D0D8EB648D5529FA3B0" commented="no"><enum>(i)</enum><text>the child’s parent, step-parent, grandparent, adult sibling, legal guardian, or other adult relative;</text></clause><clause id="HF5F70738D62D42D8891AA86053DD59E1" commented="no"><enum>(ii)</enum><text>a friend of the family who is an adult and with whom the child is familiar; or</text></clause><clause id="HF955B89333264DA4AE61E268658AD162" commented="no"><enum>(iii)</enum><text>a member of the Federally recognized Indian tribe of which the child is also a member;</text></clause></subparagraph><subparagraph id="HA88C7A889AFA4F73813DC852B8EAB5F7" display-inline="no-display-inline" commented="no"><enum>(B)</enum><text>with the intent of severing the relationship between the child and the parent or guardian of such child; and</text></subparagraph><subparagraph id="H73522D76474544D4ACBE32418047BC39" commented="no"><enum>(C)</enum><text>without—</text><clause id="H5D08060167A8468E892249010EA20DBC" commented="no"><enum>(i)</enum><text>reasonably ensuring the safety of the child and permanency of the placement of the child, including by conducting an official home study, background check, and supervision; and</text></clause><clause id="H8768FCA8304B43BA87157BB1D75392D2" commented="no"><enum>(ii)</enum><text>transferring the legal rights and responsibilities of parenthood or guardianship under applicable Federal and State law to a person described in subparagraph (A).</text></clause></subparagraph></paragraph></subsection></section><after-quoted-block>. </after-quoted-block></quoted-block></section><section id="H15F4DEB160E54860935672F4AA86E16C"><enum>303.</enum><header>Information and services</header><subsection id="H977243267A94454F922FB6D82E7E62D6" commented="no"><enum>(a)</enum><header>National Resource Center for Special Needs Adoption</header><text display-inline="yes-display-inline">Section 203(b)(9) of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5113">42 U.S.C. 5113(b)(9)</external-xref>) is amended by inserting <quote>not later than 2 years after the date of the enactment of the Stronger Child Abuse Prevention and Treatment Act, establish and</quote> before <quote>maintain</quote>. </text></subsection><subsection id="HAC998AECA46746A2B8BF8E4C94EF324C" commented="no"><enum>(b)</enum><header>Placement with adoptive families</header><text display-inline="yes-display-inline">Section 203(b)(11)(C) of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5113">42 U.S.C. 5113(b)(11)(C)</external-xref>) is amended by striking <quote>such children</quote> and inserting <quote>the children and youth described in the matter preceding paragraph (1) of section 201</quote>. </text></subsection><subsection id="H4E93D35868BE4A5C979DB3CA746CD1E9"><enum>(c)</enum><header>Pre-Adoption services</header><text display-inline="yes-display-inline">Section 203(c)(1) of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5113">42 U.S.C. 5113(c)(1)</external-xref>) is amended by striking <quote>post</quote> and inserting <quote>pre- and post-</quote>. </text></subsection><subsection id="H8631947BF2BD46218253D76715CAD6B6" commented="no"><enum>(d)</enum><header>Services</header><text display-inline="yes-display-inline">Section 203(c)(2) of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5113">42 U.S.C. 5113(c)(2)</external-xref>) is amended by inserting <quote>and the development of such services,</quote> after <quote>not supplant, services</quote>.</text></subsection><subsection id="H08D9C7B8C13D4EB98B324CD964447193"><enum>(e)</enum><header>Elimination of barriers to adoption across jurisdictional boundaries</header><text display-inline="yes-display-inline">Section 203(e)(1) of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5113">42 U.S.C. 5113(e)(1)</external-xref>) is amended—</text><paragraph id="HA39812B6F3EE459D91BFCD00761754AF"><enum>(1)</enum><text>by striking <quote>with, States,</quote> and inserting <quote>with States, Indian Tribes,</quote>; and </text></paragraph><paragraph id="H9D89884163CB4A7697E2C0E78CC094A3"><enum>(2)</enum><text>by inserting <quote>, including through the use of web-based tools such as the electronic interstate case-processing system referred to in section 437(g) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/629g">42 U.S.C. 629g(g)</external-xref>)</quote> before the period at the end.</text></paragraph></subsection></section><section id="H440F3F349F764BE09EC69A4DB1BF7713"><enum>304.</enum><header>Study and report on successful adoptions</header><text display-inline="no-display-inline">Section 204 of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5114">42 U.S.C. 5114</external-xref>) is amended to read as follows: </text><quoted-block style="OLC" id="H1AF258589D514CD096C7F92DC5077A56" display-inline="no-display-inline"><section id="H7A1C1C264F9D4513B0C7F4FB4FF39D4C"><enum>204.</enum><header>Study and report on successful adoptions</header><subsection id="HCAABCE26238944AA80D5559FB771A47A"><enum>(a)</enum><header>Study</header><text display-inline="yes-display-inline">The Secretary shall conduct a study (directly or by grant to, or contract with, public or private nonprofit research agencies or organizations) on adoption outcomes and the factors (including parental substance use disorder) affecting those outcomes. </text></subsection><subsection id="H6C1E66CD392145ECAB27C951FB4016B0"><enum>(b)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than the date that is 36 months after the date of the enactment of the Stronger Child Abuse Prevention and Treatment Act the Secretary shall submit a report to Congress that includes the results of the study required under subsection (a).</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H710D225A6181470B804C95FC2B3FB3A7"><enum>305.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">Section 205(a) of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (<external-xref legal-doc="usc" parsable-cite="usc/42/5115">42 U.S.C. 5115(a)</external-xref>) is amended—</text><paragraph id="HCEA296C381EE46F69C8B1F418DB1A456"><enum>(1)</enum><text>by striking <quote>fiscal year 2010</quote> and inserting <quote>fiscal year 2022</quote>; and</text></paragraph><paragraph id="H3A9C99A977B4405681047EA112278EED"><enum>(2)</enum><text>by striking <quote>fiscal years 2011 through 2015</quote> and inserting <quote>fiscal years 2023 through 2027</quote>. </text></paragraph></section></title><title id="H97F8A2985F154C04AD1B99F24493A4BF"><enum>IV</enum><header>Amendments to other laws</header><section id="HB1DF73CD6BD441A18B0B93B109A38DD4"><enum>401.</enum><header>Technical and conforming amendments to other laws</header><subsection id="H39BBD073686E47A89CD0B2DF2978A8A1"><enum>(a)</enum><header>Head Start Act</header><text display-inline="yes-display-inline">Section 658E(c)(2)(L) of the Head Start Act (<external-xref legal-doc="usc" parsable-cite="usc/42/9858c">42 U.S.C. 9858c(c)(2)(L)</external-xref>) is amended by striking <quote>will comply with the child abuse reporting requirements of section 106(b)(2)(B)(i) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(b)(2)(B)(i)</external-xref>)</quote> and inserting <quote>will comply with the child abuse reporting requirements of section 106(b)(2)(A)(i) of the Child Abuse Prevention and Treatment Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5106a">42 U.S.C. 5106a(b)(2)(A)(i)</external-xref>)</quote>.</text></subsection><subsection id="H3FF0EE20FD0C42B79315D5FDB06E6946"><enum>(b)</enum><header>Victims of Crime Act of 1984</header><text display-inline="yes-display-inline">Section 1404A of the Victims of Crime Act of 1984 (<external-xref legal-doc="usc" parsable-cite="usc/34/20104">34 U.S.C. 20104</external-xref>) is amended by striking <quote>section 109</quote> and inserting <quote>section 107</quote>.</text></subsection></section></title></legis-body></bill> 

