[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 1927 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 165
117th CONGRESS
  1st Session
                                S. 1927

         To amend the Child Abuse Prevention and Treatment Act.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 27, 2021

 Mrs. Murray (for herself, Mr. Burr, Mr. Kaine, Mr. Lujan, Ms. Smith, 
and Mr. Casey) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

                           November 15, 2021

               Reported by Mrs. Murray, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
         To amend the Child Abuse Prevention and Treatment Act.

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

<DELETED>SECTION 1. SHORT TITLE; TABLE OF CONTENTS.</DELETED>

<DELETED>    (a) Short Title.--This Act may be cited as the ``CAPTA 
Reauthorization Act of 2021''.</DELETED>
<DELETED>    (b) Table of Contents.--The table of contents for this Act 
is as follows:</DELETED>

<DELETED>Sec. 1. Short title; table of contents.
<DELETED>Sec. 2. Amended CAPTA table of contents.
<DELETED>Sec. 3. Definitions.
                   <DELETED>TITLE I--GENERAL PROGRAM

<DELETED>Sec. 101. Interagency work group on child abuse and neglect.
<DELETED>Sec. 102. National clearinghouse for information relating to 
                            child abuse.
<DELETED>Sec. 103. Research and assistance activities.
<DELETED>Sec. 104. Grants to States, Indian Tribes or Tribal 
                            organizations, and public or private 
                            agencies and organizations.
<DELETED>Sec. 105. National child abuse hotline.
<DELETED>Sec. 106. Grants to States for child abuse or neglect 
                            prevention and treatment programs.
<DELETED>Sec. 107. Grants for investigation and prosecution of child 
                            abuse and neglect.
<DELETED>Sec. 108. Miscellaneous requirements relating to assistance.
<DELETED>Sec. 109. Reports.
<DELETED>Sec. 110. Monitoring and oversight.
<DELETED>Sec. 111. Authorization of appropriations.
 <DELETED>TITLE II--COMMUNITY-BASED GRANTS FOR THE PREVENTION OF CHILD 
                           ABUSE AND NEGLECT

<DELETED>Sec. 201. Amendments to title II of the Child Abuse Prevention 
                            and Treatment Act.
 <DELETED>TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT 
  CHILD FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND NEGLECT

<DELETED>Sec. 301. Identifying and preventing child fatalities and near 
                            fatalities due to child abuse and neglect.
   <DELETED>TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY 
                         SUBSTANCE USE DISORDER

<DELETED>Sec. 401. Amending the CAPTA to provide for a public health 
                            response to infants affected by substance 
                            use disorder.
                <DELETED>TITLE V--ADOPTION OPPORTUNITIES

<DELETED>Sec. 501. Purpose.
<DELETED>Sec. 502. Definitions.
<DELETED>Sec. 503. Information and services.
<DELETED>Sec. 504. Studies and reports.
<DELETED>Sec. 505. Unregulated custody transfers.
<DELETED>Sec. 506. Authorization of appropriations.

<DELETED>SEC. 2. AMENDED CAPTA TABLE OF CONTENTS.</DELETED>

<DELETED>    The Child Abuse Prevention and Treatment Act (42 U.S.C. 
5101 et seq.) is amended--</DELETED>
        <DELETED>    (1) by striking section 2; and</DELETED>
        <DELETED>    (2) by amending the table of contents under 
        section 1(b) to read as follows:</DELETED>

                      <DELETED>``TABLE OF CONTENTS

<DELETED>``Sec. 1. Short title.
<DELETED>``Sec. 2. Definitions.
                  <DELETED>``TITLE I--GENERAL PROGRAM

<DELETED>``Sec. 101. Office on Child Abuse and Neglect.
<DELETED>``Sec. 102. Interagency work group on child abuse and neglect.
<DELETED>``Sec. 103. National clearinghouse for information relating to 
                            child abuse.
<DELETED>``Sec. 104. Research and assistance activities.
<DELETED>``Sec. 105. Grants to States, Indian Tribes or Tribal 
                            organizations, and public or private 
                            agencies and organizations.
<DELETED>``Sec. 106. Grants to States for child abuse or neglect 
                            prevention and treatment programs.
<DELETED>``Sec. 107. Grants to States for programs relating to the 
                            investigation and prosecution of child 
                            abuse and neglect cases.
<DELETED>``Sec. 108. National child abuse hotline.
<DELETED>``Sec. 109. Miscellaneous requirements relating to assistance.
<DELETED>``Sec. 110. Coordination of child abuse and neglect programs.
<DELETED>``Sec. 111. Reports.
<DELETED>``Sec. 112. Monitoring and oversight.
<DELETED>``Sec. 113. Rule of construction.
<DELETED>``Sec. 114. Authorization of appropriations.
<DELETED>``TITLE II--COMMUNITY-BASED GRANTS FOR THE PRIMARY PREVENTION 
                       OF CHILD ABUSE AND NEGLECT

<DELETED>``Sec. 201. Purposes.
<DELETED>``Sec. 202. Authorization of grants.
<DELETED>``Sec. 203. Lead entity.
<DELETED>``Sec. 204. Application.
<DELETED>``Sec. 205. Uses of funds.
<DELETED>``Sec. 206. Performance measures.
<DELETED>``Sec. 207. National network for community-based family 
                            resource programs.
<DELETED>``Sec. 208. Rule of construction.
<DELETED>``Sec. 209. Authorization of appropriations.
<DELETED>``TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT 
  CHILD FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND NEGLECT

<DELETED>``Sec. 301. Purpose.
<DELETED>``Sec. 302. Federal Work Group on Public Health Surveillance 
                            of Child Fatalities and near fatalities Due 
                            to Child Abuse and Neglect.
<DELETED>``Sec. 303. Grants for State child death review of child abuse 
                            and neglect fatalities and near fatalities.
<DELETED>``Sec. 304. Authorization of appropriations.
  <DELETED>``TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY 
                         SUBSTANCE USE DISORDER

<DELETED>``Sec. 401. Purpose.
<DELETED>``Sec. 402. Requirements.
<DELETED>``Sec. 403. National technical assistance and reporting.
<DELETED>``Sec. 404. Grant program authorized.
<DELETED>``Sec. 405. Authorization of appropriations.''.

<DELETED>SEC. 3. DEFINITIONS.</DELETED>

<DELETED>    The Child Abuse Prevention and Treatment Act is amended by 
striking section 3 (42 U.S.C. 5101 note) and inserting the 
following:</DELETED>

<DELETED>``SEC. 2. DEFINITIONS.</DELETED>

<DELETED>    ``(a) In General.--In this Act:</DELETED>
        <DELETED>    ``(1) Alaska native.--The term `Alaska Native' has 
        the meaning given the term `Native' in section 3 of the Alaska 
        Native Claims Settlement Act (43 U.S.C. 1602).</DELETED>
        <DELETED>    ``(2) Child.--Subject to subsection (b)(2), the 
        term `child' means a person who has not attained the lesser 
        of--</DELETED>
                <DELETED>    ``(A) the age of 18; or</DELETED>
                <DELETED>    ``(B) except in the case of sexual abuse, 
                the age specified by the child protection law of the 
                State in which the child resides.</DELETED>
        <DELETED>    ``(3) Child abuse and neglect.--The term `child 
        abuse and neglect' means, at a minimum, any recent act or 
        failure to act on the part of a parent or caretaker, which 
        results in death, serious physical or emotional harm, sexual 
        abuse or exploitation (including sexual abuse as determined 
        under paragraph (17)), or an act or failure to act which 
        presents an imminent risk of serious harm.</DELETED>
        <DELETED>    ``(4) Child with a disability.--The term `child 
        with a disability' means a child with a disability as defined 
        in section 602 of the Individuals with Disabilities Education 
        Act (20 U.S.C. 1401), or an infant or toddler with a disability 
        as defined in section 632 of such Act (20 U.S.C. 
        1432).</DELETED>
        <DELETED>    ``(5) Children and youth overrepresented in the 
        child welfare system.--The term `children and youth 
        overrepresented in the child welfare system' includes children 
        and youth who belong to populations who are the focus of 
        research efforts authorized under section 404N of the Public 
        Health Service Act (42 U.S.C. 283p) and defined in NIH Notice 
        NOT-OD-19-139 released on August 28, 2019.</DELETED>
        <DELETED>    ``(6) Community-based family strengthening 
        services.--The term `community-based family strengthening 
        services' includes services that--</DELETED>
                <DELETED>    ``(A) are provided by organizations 
                carrying out programs such as family resource programs, 
                family support programs, voluntary home visiting 
                programs, respite care services programs, parenting 
                education, mutual support programs for parents and 
                children, parent partner programs, family advocate 
                programs, and other community programs or networks of 
                such programs; and</DELETED>
                <DELETED>    ``(B) are designed to prevent or respond 
                to child abuse and neglect and support families in 
                building protective factors linked to the prevention of 
                child abuse and neglect.</DELETED>
        <DELETED>    ``(7) Community referral services.--The term 
        `community referral services' means services provided under 
        contract or through an interagency agreement to assist families 
        in obtaining needed information, mutual support, and community 
        resources, including respite care services, health and mental 
        health services, employability development and job training, 
        and other social services, including early developmental 
        screening of children, through help lines or other 
        methods.</DELETED>
        <DELETED>    ``(8) Governor.--The term `Governor' means the 
        chief executive officer of a State.</DELETED>
        <DELETED>    ``(9) Homeless children and youth.--The term 
        `homeless children and youth' means an individual who is 
        described in section 725 of the McKinney-Vento Homeless 
        Assistance Act (42 U.S.C. 11434a).</DELETED>
        <DELETED>    ``(10) Indian; indian tribe; tribal 
        organization.--The terms `Indian', `Indian Tribe', and `Tribal 
        organization' have the meanings given the terms `Indian', 
        `Indian tribe', and `tribal organization', respectively, in 
        section 4 of the Indian Self-Determination and Education 
        Assistance Act (25 U.S.C. 5304).</DELETED>
        <DELETED>    ``(11) Native hawaiian.--The term `Native 
        Hawaiian' has the meaning given the term in section 6207 of the 
        Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        7517).</DELETED>
        <DELETED>    ``(12) Near fatality.--The term `near fatality' 
        means an act that, as certified by a physician, places a child 
        in serious or critical condition.</DELETED>
        <DELETED>    ``(13) Protective factors linked to the prevention 
        of child abuse and neglect.--The term `protective factors 
        linked to the prevention of child abuse and neglect' means 
        evidence-based or evidence-informed factors that have been 
        demonstrated to ensure families are more likely to be healthy 
        and strong and less likely to experience child abuse and 
        neglect.</DELETED>
        <DELETED>    ``(14) Respite care services.--The term `respite 
        care services' means services, including the services of crisis 
        nurseries, that are--</DELETED>
                <DELETED>    ``(A) provided in the temporary absence of 
                the regular caregiver (meaning a parent, other 
                relative, foster parent, adoptive parent, or 
                guardian);</DELETED>
                <DELETED>    ``(B) provided to children who--</DELETED>
                        <DELETED>    ``(i) are in danger of child abuse 
                        or neglect;</DELETED>
                        <DELETED>    ``(ii) have experienced child 
                        abuse or neglect; or</DELETED>
                        <DELETED>    ``(iii) have disabilities or 
                        chronic or terminal illnesses;</DELETED>
                <DELETED>    ``(C) provided within or outside the home 
                of the child;</DELETED>
                <DELETED>    ``(D) short-term care (ranging from a few 
                hours to a few weeks of time, per year); and</DELETED>
                <DELETED>    ``(E) intended to enable the family to 
                stay together and to keep the child living in the home 
                and community of the child.</DELETED>
        <DELETED>    ``(15) Secretary.--The term `Secretary' means the 
        Secretary of Health and Human Services.</DELETED>
        <DELETED>    ``(16) Serious bodily injury.--The term `serious 
        bodily injury' means bodily injury which involves substantial 
        risk of death, extreme physical pain, protracted and obvious 
        disfigurement, or protracted loss or impairment of the function 
        of a bodily member, organ, or mental faculty.</DELETED>
        <DELETED>    ``(17) Sexual abuse.--The term `sexual abuse' 
        includes--</DELETED>
                <DELETED>    ``(A) the employment, use, persuasion, 
                inducement, enticement, or coercion of any child to 
                engage in, or assist any other person to engage in, any 
                sexually explicit conduct or simulation of such conduct 
                for the purpose of producing a visual depiction of such 
                conduct; and</DELETED>
                <DELETED>    ``(B) the rape, and in cases of caretaker 
                or inter-familial relationships, statutory rape, 
                molestation, prostitution, or other form of sexual 
                exploitation of children, or incest with 
                children.</DELETED>
        <DELETED>    ``(18) State.--Except as provided in section 
        106(g), the term `State' means each of the several States, the 
        District of Columbia, the Commonwealth of Puerto Rico, the 
        Virgin Islands, Guam, American Samoa, and the Commonwealth of 
        the Northern Mariana Islands.</DELETED>
        <DELETED>    ``(19) Withholding medically indicated 
        treatment.--The term `withholding of medically indicated 
        treatment' means the failure to respond to the infant's life-
        threatening conditions by providing treatment (including 
        appropriate nutrition, hydration, and medication) which, in the 
        treating physician's or physicians' reasonable medical 
        judgment, will be most likely to be effective in ameliorating 
        or correcting all such conditions, except that the term does 
        not include the failure to provide treatment (other than 
        appropriate nutrition, hydration, or medication) to an infant 
        when, in the treating physician's or physicians' reasonable 
        medical judgment--</DELETED>
                <DELETED>    ``(A) the infant is chronically and 
                irreversibly comatose;</DELETED>
                <DELETED>    ``(B) the provision of such treatment 
                would--</DELETED>
                        <DELETED>    ``(i) merely prolong 
                        dying;</DELETED>
                        <DELETED>    ``(ii) not be effective in 
                        ameliorating or correcting all of the infant's 
                        life-threatening conditions; or</DELETED>
                        <DELETED>    ``(iii) otherwise be futile in 
                        terms of the survival of the infant; 
                        or</DELETED>
                <DELETED>    ``(C) the provision of such treatment 
                would be virtually futile in terms of the survival of 
                the infant and the treatment itself under such 
                circumstances would be inhumane.</DELETED>
<DELETED>    ``(b) Special Rule.--</DELETED>
        <DELETED>    ``(1) In general.--For purposes of paragraphs (3) 
        and (17) of subsection (a), a child shall be considered a 
        victim of child abuse and neglect or sexual abuse if the child 
        is identified, by an employee of the State or local agency 
        involved, as being a victim of sex trafficking (as defined in 
        section 103 of the Trafficking Victims Protection Act of 2000 
        (22 U.S.C. 7102)) or a victim of severe forms of trafficking in 
        persons (as defined in such section 103).</DELETED>
        <DELETED>    ``(2) State option.--Notwithstanding the 
        definition of child under subsection (a)(2), for purposes of 
        application of paragraph (1), a State may elect to define the 
        term `child' as a person who has not attained the age of 
        24.''.</DELETED>

              <DELETED>TITLE I--GENERAL PROGRAM</DELETED>

<DELETED>SEC. 101. INTERAGENCY WORK GROUP ON CHILD ABUSE AND 
              NEGLECT.</DELETED>

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

<DELETED>``SEC. 102. INTERAGENCY WORK GROUP ON CHILD ABUSE AND 
              NEGLECT.</DELETED>

<DELETED>    ``(a) Establishment.--The Secretary may establish and 
operate an Interagency Work Group on Child Abuse and Neglect (referred 
to in this section as the `Work Group').</DELETED>
<DELETED>    ``(b) Composition.--The Work Group shall be comprised of 
representatives from Federal agencies with responsibility for child 
abuse and neglect related programs and activities.</DELETED>
<DELETED>    ``(c) Duties.--The Work Group shall--</DELETED>
        <DELETED>    ``(1) coordinate Federal efforts and activities 
        with respect to child abuse and neglect prevention and 
        treatment, including data collection and reporting;</DELETED>
        <DELETED>    ``(2) serve as a forum that convenes relevant 
        Federal agencies to communicate and exchange ideas concerning 
        child abuse and neglect related programs and activities; 
        and</DELETED>
        <DELETED>    ``(3) work to maximize Federal resources to 
        address child abuse and neglect in areas of critical needs for 
        the field, such as--</DELETED>
                <DELETED>    ``(A) improving research;</DELETED>
                <DELETED>    ``(B) focusing on prevention of child 
                abuse and neglect;</DELETED>
                <DELETED>    ``(C) addressing racial bias and 
                disparities in the child protective services 
                system;</DELETED>
                <DELETED>    ``(D) enhancing child welfare 
                professionals' understanding of trauma-informed 
                practices that prevent and mitigate the effects of 
                trauma and adverse childhood experiences;</DELETED>
                <DELETED>    ``(E) identifying actions the child 
                protective services system can take to develop 
                alternative pathways to connect families experiencing 
                difficulty meeting basic needs or other risk factors 
                associated with child abuse and neglect to community-
                based family strengthening services to prevent child 
                abuse and neglect in order to safely reduce the number 
                of families unnecessarily involved in such system; 
                and</DELETED>
                <DELETED>    ``(F) addressing the links between child 
                abuse and neglect and domestic violence.''.</DELETED>

<DELETED>SEC. 102. NATIONAL CLEARINGHOUSE FOR INFORMATION RELATING TO 
              CHILD ABUSE.</DELETED>

<DELETED>    Section 103 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5104) is amended to read as follows:</DELETED>

<DELETED>``SEC. 103. NATIONAL CLEARINGHOUSE FOR INFORMATION RELATING TO 
              CHILD ABUSE.</DELETED>

<DELETED>    ``(a) Establishment.--The Secretary shall establish, 
directly or through one or more competitive contracts of not less than 
3 years duration, a national clearinghouse for information relating to 
child abuse and neglect.</DELETED>
<DELETED>    ``(b) Consultation.--In establishing the clearinghouse 
under subsection (a), the Secretary shall consult with the head of each 
Federal agency involved with child abuse and neglect regarding--
</DELETED>
        <DELETED>    ``(1) the development of the components for 
        information collection;</DELETED>
        <DELETED>    ``(2) the management of such clearinghouse; 
        and</DELETED>
        <DELETED>    ``(3) mechanisms for the sharing of information 
        with other Federal agencies and clearinghouses.</DELETED>
<DELETED>    ``(c) Functions.--The Secretary, through the clearinghouse 
established under subsection (a), shall maintain and disseminate 
information on--</DELETED>
        <DELETED>    ``(1) evidence-based and evidence-informed 
        programs, including private and community-based programs, that 
        have--</DELETED>
                <DELETED>    ``(A) demonstrated success with respect to 
                the prevention, assessment, identification, and 
                treatment of child abuse or neglect; and</DELETED>
                <DELETED>    ``(B) potential for broad-scale 
                implementation and replication;</DELETED>
        <DELETED>    ``(2) the medical diagnosis and treatment of child 
        abuse and neglect and the use of trauma-informed practices that 
        prevent and mitigate the effects of trauma and adverse 
        childhood experiences;</DELETED>
        <DELETED>    ``(3) best practices relating to--</DELETED>
                <DELETED>    ``(A) differential response;</DELETED>
                <DELETED>    ``(B) the use of alternative pathways to 
                connect families experiencing difficulty meeting basic 
                needs or other risk factors associated with child abuse 
                and neglect to community-based family strengthening 
                services to prevent child abuse and neglect, including 
                through the operation of local or State helplines 
                (which may include expanding hotlines and referral 
                systems operated by State and local child protective 
                services agencies for such purposes);</DELETED>
                <DELETED>    ``(C) making improvements to the child 
                protective services systems, including efforts to 
                prevent child abuse and neglect, prioritize serving 
                children who are at risk of serious harm, and implement 
                protocols to identify, examine, and eliminate child 
                fatalities and near fatalities due to child abuse and 
                neglect;</DELETED>
                <DELETED>    ``(D) making appropriate referrals related 
                to the physical, developmental, and mental health needs 
                of children who are victims of child abuse or neglect 
                to address the needs of such children and effectively 
                treat the effects of such abuse or neglect;</DELETED>
                <DELETED>    ``(E) supporting children and youth being 
                cared for by kinship caregivers, including such 
                children whose living arrangements with kinship 
                caregivers occurred without the involvement of a child 
                protective services agency; and</DELETED>
                <DELETED>    ``(F) workforce development and retention 
                of child protective services personnel;</DELETED>
        <DELETED>    ``(4) professional development and training 
        resources available at the State and local level--</DELETED>
                <DELETED>    ``(A) for individuals who are engaged, or 
                who intend to engage, in the prevention, 
                identification, and treatment of child abuse and 
                neglect, including mandated reporters; and</DELETED>
                <DELETED>    ``(B) for appropriate State and local 
                officials to assist in training law enforcement, legal, 
                judicial, medical, physical, behavioral and mental 
                health, education, child welfare, substance use 
                disorder treatment services, and domestic violence 
                services personnel on--</DELETED>
                        <DELETED>    ``(i) the role of the child 
                        protective services system to identify children 
                        at risk of serious harm; and</DELETED>
                        <DELETED>    ``(ii) how to direct families in 
                        need to alternative pathways for community-
                        based family strengthening services in order to 
                        safely reduce the number of families 
                        unnecessarily involved with child protective 
                        services;</DELETED>
        <DELETED>    ``(5) in conjunction with the National Resource 
        Centers authorized under section 310(b) of the Family Violence 
        Prevention and Services Act (42 U.S.C. 10410(b)), effective 
        programs and best practices for developing and carrying out 
        collaboration between entities providing child protective 
        services and entities providing domestic violence 
        services;</DELETED>
        <DELETED>    ``(6) maintain and disseminate information about 
        the requirements of section 402(c) and best practices relating 
        to the development, implementation, and monitoring of family 
        care plans as described in section 402(c) for infants 
        identified as being affected by substance or alcohol use 
        disorder, including best practices on topics such as--
        </DELETED>
                <DELETED>    ``(A) collaboration and coordination 
                across substance abuse agencies, child welfare 
                agencies, maternal and child health agencies, family 
                courts, and other community partners; and</DELETED>
                <DELETED>    ``(B) identification and delivery of 
                services for affected infants and their families, 
                including for infants affected by substance use 
                disorder, including alcohol use disorder, but whose 
                families do not meet criteria for immediate safety 
                concerns of child abuse and neglect;</DELETED>
        <DELETED>    ``(7) maintain and disseminate information 
        relating to the incidence of cases of child abuse and neglect 
        in the United States, including information based on data 
        submitted by State child protective services agencies under 
        section 106(d); and</DELETED>
        <DELETED>    ``(8) compile, analyze, and publish a summary of 
        the research conducted under section 104(a).</DELETED>
<DELETED>    ``(d) Data Collection and Analysis.--</DELETED>
        <DELETED>    ``(1) In general.--The Secretary shall develop and 
        maintain a Federal data collection and analysis system, in 
        consultation with appropriate State and local agencies and 
        experts in the field, to collect, compile, and make available 
        State child abuse and neglect reporting information which, to 
        the extent practical, shall be universal and case specific and 
        integrated with other case-based Federal, State, Tribal, 
        regional, and local child welfare data systems (including the 
        automated foster care and adoption reporting system required 
        under section 479 of the Social Security Act (42 U.S.C. 679)) 
        which shall include--</DELETED>
                <DELETED>    ``(A) standardized data on false, 
                unfounded, unsubstantiated, and substantiated 
                reports;</DELETED>
                <DELETED>    ``(B) comparable information on child 
                fatalities and near fatalities due to child abuse and 
                neglect, including--</DELETED>
                        <DELETED>    ``(i) the number of child 
                        fatalities and near fatalities due to child 
                        abuse and neglect; and</DELETED>
                        <DELETED>    ``(ii) case-specific data about 
                        the circumstances under which a child fatality 
                        or near fatality occurred due to abuse and 
                        neglect, including the data elements described 
                        in section 106(d)(3)(E);</DELETED>
                <DELETED>    ``(C) information about the incidence and 
                characteristics of child abuse and neglect in 
                circumstances in which domestic violence is present; 
                and</DELETED>
                <DELETED>    ``(D) information about the incidence and 
                characteristics of child abuse and neglect in cases 
                related to substance use disorder.</DELETED>
        <DELETED>    ``(2) Confidentiality requirement.--In carrying 
        out paragraph (1)(D), the Secretary shall ensure that methods 
        are established and implemented to preserve the confidentiality 
        of records relating to case specific data.''.</DELETED>

<DELETED>SEC. 103. RESEARCH AND ASSISTANCE ACTIVITIES.</DELETED>

<DELETED>    Section 104 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5105) is amended--</DELETED>
        <DELETED>    (1) by amending subsections (a) through (c) to 
        read as follows:</DELETED>
<DELETED>    ``(a) Research.--</DELETED>
        <DELETED>    ``(1) In general.--The Secretary shall ensure that 
        the Administration for Children and Families, in coordination 
        with the Centers for Disease Control and Prevention, the Health 
        Resources and Services Administration, and other relevant 
        Federal agencies, and in consultation with recognized experts 
        in the field, carries out a continuing interdisciplinary 
        program of research, including longitudinal research, that is 
        designed to--</DELETED>
                <DELETED>    ``(A) provide information needed to 
                improve primary prevention of child abuse and 
                neglect;</DELETED>
                <DELETED>    ``(B) better protect children from child 
                abuse or neglect;</DELETED>
                <DELETED>    ``(C) evaluate the efficacy of programs or 
                practices to improve outcomes;</DELETED>
                <DELETED>    ``(D) improve the well-being of victims of 
                child abuse or neglect; and</DELETED>
                <DELETED>    ``(E) be responsive to the research needs 
                of the child welfare field.</DELETED>
        <DELETED>    ``(2) Topics.--The research program described in 
        paragraph (1) may focus on--</DELETED>
                <DELETED>    ``(A) evidence-based or evidence-informed 
                programs regarding--</DELETED>
                        <DELETED>    ``(i) prevention of child abuse 
                        and neglect in families that have not had 
                        contact with the child protective services 
                        system, including through supporting the 
                        development of protective factors linked to the 
                        prevention of child abuse and neglect; 
                        and</DELETED>
                        <DELETED>    ``(ii) trauma-informed treatment 
                        of children and families who experience child 
                        abuse and neglect, including efforts to prevent 
                        the re-traumatization of such children and 
                        families;</DELETED>
                <DELETED>    ``(B) effective practices to reduce racial 
                bias and disparities in the child protective services 
                system;</DELETED>
                <DELETED>    ``(C) effective practices and programs in 
                the use of differential response to identify children 
                at risk of serious harm and to safely reduce the number 
                of families unnecessarily investigated by the child 
                protective services system;</DELETED>
                <DELETED>    ``(D) effective practices and programs 
                designed to improve service delivery and outcomes for 
                child protective services agencies engaged with 
                children and families with complex needs, such as 
                families who have experienced domestic violence, 
                substance use disorders, and adverse childhood 
                experiences;</DELETED>
                <DELETED>    ``(E) best practices for recruiting and 
                retaining a child protective services workforce and 
                providing professional development;</DELETED>
                <DELETED>    ``(F) effective collaborations, between 
                the child protective system and domestic violence 
                service providers, that provide for the safety of 
                children exposed to domestic violence and their non-
                abusing parents and that improve the investigations, 
                interventions, delivery of services, and treatments 
                provided for such children and families;</DELETED>
                <DELETED>    ``(G) child abuse and neglect issues 
                facing Indians, Alaska Natives, and Native Hawaiians, 
                including providing recommendations for improving the 
                collection of child abuse and neglect data from Indian 
                Tribes and Native Hawaiian communities; and</DELETED>
                <DELETED>    ``(H) child abuse and neglect issues 
                related to children and youth overrepresented in the 
                child welfare system, including efforts to improve the 
                child welfare system's practices related to the 
                prevention, identification, and treatment of child 
                abuse and neglect to address such 
                overrepresentation.</DELETED>
        <DELETED>    ``(3) National incidence of child abuse and 
        neglect.--</DELETED>
                <DELETED>    ``(A) In general.--The Secretary shall 
                conduct research on the national incidence of child 
                abuse and neglect and investigate the trends in such 
                incidence, including the information on the national 
                incidence on child abuse and neglect specified in 
                subparagraph (B).</DELETED>
                <DELETED>    ``(B) Content.--The research described in 
                subparagraph (A) shall examine the national incidence 
                of child abuse and neglect, including--</DELETED>
                        <DELETED>    ``(i) the extent to which 
                        incidents of child abuse and neglect are 
                        increasing or decreasing in number and 
                        severity;</DELETED>
                        <DELETED>    ``(ii) the incidence of 
                        substantiated and unsubstantiated reported 
                        child abuse and neglect cases;</DELETED>
                        <DELETED>    ``(iii) the number of 
                        substantiated cases that result in a judicial 
                        finding of child abuse or neglect or related 
                        criminal court convictions;</DELETED>
                        <DELETED>    ``(iv) the extent to which the 
                        number of unsubstantiated, unfounded, or 
                        falsely 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;</DELETED>
                        <DELETED>    ``(v) the extent to which the lack 
                        of adequate resources or the lack of adequate 
                        training 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;</DELETED>
                        <DELETED>    ``(vi) 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;</DELETED>
                        <DELETED>    ``(vii) the extent to which 
                        unsubstantiated reports return as more serious 
                        cases of child abuse or neglect;</DELETED>
                        <DELETED>    ``(viii) the incidence and 
                        prevalence of physical, sexual, and emotional 
                        abuse and physical and emotional neglect in 
                        substitute care;</DELETED>
                        <DELETED>    ``(ix) 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;</DELETED>
                        <DELETED>    ``(x) 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 screened 
                        out solely on the basis of the cross-
                        jurisdictional complications; and</DELETED>
                        <DELETED>    ``(xi) 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.</DELETED>
        <DELETED>    ``(4) Report.--Not later than 3 years after the 
        date of the enactment of the CAPTA Reauthorization Act of 2021 
        and every 2 years thereafter, the Secretary shall prepare and 
        make available on a website that is accessible to the public 
        and 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--</DELETED>
                <DELETED>    ``(A) identifies the research priorities 
                under paragraph (5) and the process for determining 
                such priorities;</DELETED>
                <DELETED>    ``(B) contains a summary of the research 
                supported pursuant to paragraphs (1) and (2), and a 
                summary of relevant research on child abuse and neglect 
                conducted by other agencies within the Department of 
                Health and Human Services;</DELETED>
                <DELETED>    ``(C) contains the findings of the 
                research regarding the national incidence on child 
                abuse and neglect conducted under paragraph (3); 
                and</DELETED>
                <DELETED>    ``(D) describes how the Secretary will 
                continue to improve the accuracy of information on the 
                national incidence on child abuse and neglect specified 
                in paragraph (3).</DELETED>
        <DELETED>    ``(5) Priorities.--</DELETED>
                <DELETED>    ``(A) In general.--The Secretary shall 
                establish research priorities, which may include long-
                term studies, for making grants or contracts for 
                purposes of carrying out paragraph (1).</DELETED>
                <DELETED>    ``(B) Public comment.--The Secretary shall 
                provide a biennial opportunity for public comment 
                concerning the priorities proposed under subparagraph 
                (A) and shall maintain an official record of such 
                public comment.</DELETED>
<DELETED>    ``(b) Provision of Technical Assistance.--</DELETED>
        <DELETED>    ``(1) In general.--The Secretary shall provide 
        technical assistance to State and local public and private 
        agencies and community-based organizations, including 
        organizations that support children or youth overrepresented in 
        the child welfare system, disability organizations, and persons 
        who work with children with disabilities, and providers of 
        mental health, substance use disorder treatment, and domestic 
        violence prevention services, to assist such agencies and 
        organizations in planning, improving, developing, carrying out, 
        and evaluating programs and activities, including replicating 
        successful program models, relating to the prevention, 
        assessment, identification, and treatment of child abuse and 
        neglect.</DELETED>
        <DELETED>    ``(2) Content.--The technical assistance under 
        paragraph (1) shall be designed to--</DELETED>
                <DELETED>    ``(A) reduce racial bias and disparities 
                in the child protective services system;</DELETED>
                <DELETED>    ``(B) provide professional development for 
                child protective services workers in trauma-informed 
                practices and supports that prevent and mitigate the 
                effects of trauma and adverse childhood experiences for 
                infants, children, youth, and adults;</DELETED>
                <DELETED>    ``(C) promote best practices for 
                addressing child abuse and neglect in families with 
                complex needs, such as families who have experienced 
                domestic violence, substance use disorders, and adverse 
                childhood experiences;</DELETED>
                <DELETED>    ``(D) leverage community-based resources 
                to prevent child abuse and neglect to develop a 
                continuum of preventive services, including resources 
                regarding health (including mental health and substance 
                use disorder), housing, food assistance, parent 
                support, financial assistance, early childhood care and 
                education, education services, and other services to 
                assist families;</DELETED>
                <DELETED>    ``(E) promote best practices for 
                maximizing coordination and communication between State 
                and local child welfare agencies and relevant health 
                care entities, consistent with all applicable Federal 
                and State privacy laws; and</DELETED>
                <DELETED>    ``(F) provide other technical assistance, 
                as determined by the Secretary in consultation with 
                such State and local public and private agencies and 
                community-based organizations as the Secretary 
                determines appropriate.</DELETED>
        <DELETED>    ``(3) Evaluation.--The technical assistance under 
        paragraph (1) may include an evaluation or identification of--
        </DELETED>
                <DELETED>    ``(A) various methods and procedures for 
                the investigation, assessment, and prosecution of child 
                physical and sexual abuse cases;</DELETED>
                <DELETED>    ``(B) ways to prevent and mitigate the 
                effects of trauma to the child victim;</DELETED>
                <DELETED>    ``(C) effective programs carried out by 
                the States under this title and title II; and</DELETED>
                <DELETED>    ``(D) effective approaches to link child 
                protective service agencies with health care, mental 
                health care, and developmental services to improve 
                forensic diagnosis and health evaluations, and barriers 
                and shortages to such linkages.</DELETED>
        <DELETED>    ``(4) Dissemination.--The Secretary may provide 
        for, and disseminate information relating to, various training 
        resources available at the State and local level to--</DELETED>
                <DELETED>    ``(A) individuals who are engaged, or who 
                intend to engage, in the prevention, identification, 
                and treatment of child abuse and neglect; and</DELETED>
                <DELETED>    ``(B) appropriate State and local 
                officials to assist in training law enforcement, legal, 
                judicial, medical, mental health, education, child 
                welfare, substance use disorder, and domestic violence 
                services personnel in appropriate methods of 
                interacting during investigative, administrative, and 
                judicial proceedings with children who have been 
                subjected to, or children whom such personnel suspect 
                have been subjected to, child abuse or 
                neglect.</DELETED>
<DELETED>    ``(c) Authority To Make Grants or Enter Into Contracts.--
</DELETED>
        <DELETED>    ``(1) In general.--The functions of the Secretary 
        under this section may be carried out directly or through grant 
        or contract.</DELETED>
        <DELETED>    ``(2) Duration.--Grants under this section shall 
        be made for periods of not more than 5 years.''; and</DELETED>
        <DELETED>    (2) by striking subsection (e).</DELETED>

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

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

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

<DELETED>    ``(a) Authority To Award Grants or Enter Into Contracts.--
The Secretary may award grants and enter into contracts to carry out 
programs and projects in accordance with this section, for any of the 
following purposes:</DELETED>
        <DELETED>    ``(1) Capacity building, in order to create 
        coordinated, inclusive, and collaborative systems that have 
        statewide, local, or community-based impact in preventing, 
        reducing, and treating child abuse and neglect.</DELETED>
        <DELETED>    ``(2) Innovation, through time-limited, field-
        initiated demonstration projects that further the understanding 
        of the field to prevent, treat, and reduce child abuse and 
        neglect.</DELETED>
<DELETED>    ``(b) Capacity Building Grant Program.--</DELETED>
        <DELETED>    ``(1) In general.--The Secretary may award grants 
        or contracts to an eligible entity.</DELETED>
        <DELETED>    ``(2) Eligible entity.--In this subsection, the 
        term `eligible entity' means--</DELETED>
                <DELETED>    ``(A) a State or local agency, Indian 
                Tribe or Tribal organization, or a nonprofit entity; 
                or</DELETED>
                <DELETED>    ``(B) a consortium of entities described 
                in subparagraph (A).</DELETED>
        <DELETED>    ``(3) Applications.--To receive a grant or 
        contract under this subsection, an eligible entity shall submit 
        an application to the Secretary at such time, in such manner, 
        and containing such information as the Secretary may 
        require.</DELETED>
        <DELETED>    ``(4) Uses of funds.--An eligible entity receiving 
        a grant or contract under this subsection shall use the funds 
        made available through the grant or contract to better align 
        and coordinate community-based, local, or State activities to 
        strengthen families and prevent, reduce, or treat child abuse 
        and neglect, by--</DELETED>
                <DELETED>    ``(A) training professionals in 
                prevention, identification, and treatment of child 
                abuse and neglect, which may include--</DELETED>
                        <DELETED>    ``(i) training of professional and 
                        paraprofessional personnel, who are engaged in, 
                        or intend to work in, the field of prevention, 
                        identification, and treatment of child abuse 
                        and neglect, including training in the links 
                        between child abuse and neglect and domestic 
                        violence and approaches to working with 
                        families with substance use disorder;</DELETED>
                        <DELETED>    ``(ii) training on evidence-based 
                        and evidence-informed programs to improve child 
                        abuse and neglect reporting, with a focus on 
                        adults who work with children in a professional 
                        or volunteer capacity, including on--</DELETED>
                                <DELETED>    ``(I) recognizing and 
                                responding to child sexual abuse; 
                                and</DELETED>
                                <DELETED>    ``(II) safely reducing the 
                                number of families unnecessarily 
                                investigated by the child protective 
                                services system;</DELETED>
                        <DELETED>    ``(iii) training of personnel in 
                        best practices to meet the unique needs and 
                        development of special populations of children, 
                        including children with disabilities, infants, 
                        and toddlers;</DELETED>
                        <DELETED>    ``(iv) improving the training of 
                        supervisory child welfare workers on best 
                        practices for recruiting, selecting, and 
                        retaining personnel;</DELETED>
                        <DELETED>    ``(v) supporting State child 
                        welfare and child protective services agencies 
                        to coordinate the provision of services with 
                        State and local health care agencies, substance 
                        use disorder prevention and treatment agencies, 
                        mental health agencies, other public and 
                        private welfare agencies, and agencies that 
                        provide early intervention services to promote 
                        child safety, permanence, and family stability, 
                        which may include training on improving 
                        coordination between agencies to meet health 
                        evaluation and treatment needs of children who 
                        have been victims of substantiated cases of 
                        child abuse or neglect;</DELETED>
                        <DELETED>    ``(vi) training of personnel in 
                        best practices relating to the provision of 
                        differential response; and</DELETED>
                        <DELETED>    ``(vii) training for child welfare 
                        professionals to reduce and prevent racial bias 
                        in the provision of child protective services 
                        and child welfare services related to child 
                        abuse and neglect;</DELETED>
                <DELETED>    ``(B) enhancing systems coordination and 
                triage procedures, including programs of collaborative 
                partnerships between the State child protective 
                services agency, community social service agencies and 
                community-based family support programs, law 
                enforcement agencies and legal systems, developmental 
                disability agencies, substance use disorder treatment 
                agencies, health care entities, domestic violence 
                prevention entities, mental health service entities, 
                schools, places of worship, and other community-based 
                agencies, such as children's advocacy centers, in 
                accordance with all applicable Federal and State 
                privacy laws, to--</DELETED>
                        <DELETED>    ``(i) improve responses to reports 
                        of child abuse and neglect;</DELETED>
                        <DELETED>    ``(ii) allow for the establishment 
                        or improvement of a coordinated triage 
                        system;</DELETED>
                        <DELETED>    ``(iii) connect families 
                        experiencing difficulty meeting basic needs or 
                        risk factors associated with child abuse and 
                        neglect to community-based systems and programs 
                        that assist families seeking support to 
                        minimize involvement in the child protective 
                        services system; or</DELETED>
                        <DELETED>    ``(iv) modernize data systems and 
                        networks to improve the effectiveness of 
                        technology used by the child protective 
                        services system, including to facilitate timely 
                        information and data sharing and referrals 
                        between systems that are designed to serve 
                        children and families; or</DELETED>
                <DELETED>    ``(C) establishing or enhancing 
                coordinated systems of support for children, parents, 
                and families, including a continuum of preventive 
                services that strengthens families and connects 
                families to services and supports relevant to their 
                diverse needs regardless of how families make contact 
                with such systems.</DELETED>
<DELETED>    ``(c) Field-Initiated Innovation Grant Program.--
</DELETED>
        <DELETED>    ``(1) In general.--The Secretary may award grants 
        or contracts to eligible entities for field-initiated 
        demonstration projects of up to 5 years that advance innovative 
        approaches to prevent, reduce, or treat child abuse and 
        neglect.</DELETED>
        <DELETED>    ``(2) Eligible entity.--In this subsection, the 
        term `eligible entity' means--</DELETED>
                <DELETED>    ``(A) a State or local agency, Indian 
                Tribe or Tribal organization, or public or private 
                agency, or organization; or</DELETED>
                <DELETED>    ``(B) a consortium of entities described 
                in subparagraph (A).</DELETED>
        <DELETED>    ``(3) Applications.--To receive a grant or 
        contract under this subsection, an eligible entity shall submit 
        an application to the Secretary at such time, in such manner, 
        and containing such information as the Secretary may require, 
        including a rigorous methodological approach to the evaluation 
        of the grant or contract.</DELETED>
        <DELETED>    ``(4) Use of funds.--An eligible entity that 
        receives a grant or contract under this subsection shall use 
        the funds made available through the grant or contract to carry 
        out or bring to scale promising, evidence-informed, or 
        evidence-based activities to prevent, treat, or reduce child 
        abuse and neglect that shall include one or more of the 
        following:</DELETED>
                <DELETED>    ``(A) Multidisciplinary systems of care to 
                strengthen families and prevent, treat, or reduce child 
                abuse and neglect, such as programs that focus on 
                addressing traumatic stress in families due to child 
                abuse and neglect, especially for families with complex 
                needs or families in which children or parents exhibit 
                high levels of adverse childhood experiences.</DELETED>
                <DELETED>    ``(B) Primary prevention programs or 
                strategies aimed at reducing the prevalence of child 
                abuse and neglect among families.</DELETED>
                <DELETED>    ``(C) The development and use of 
                alternative pathways to connect families experiencing 
                difficulty meeting basic needs or other risk factors 
                associated with child abuse and neglect to community-
                based family strengthening services to prevent child 
                abuse and neglect or other public and private 
                resources, such as supporting the development and 
                implementation of--</DELETED>
                        <DELETED>    ``(i) local or State helplines 
                        (which may include expanding hotlines and 
                        referral systems operated by State and local 
                        child protective services agencies for such 
                        purposes);</DELETED>
                        <DELETED>    ``(ii) a continuum of preventive 
                        services that strengthen families and promote 
                        child, parent, and family, well-being; 
                        and</DELETED>
                        <DELETED>    ``(iii) innovative collaboration 
                        and coordination between the child protective 
                        services system, public agencies, and 
                        community-based organizations (including 
                        community-based providers supported under title 
                        II).</DELETED>
                <DELETED>    ``(D) Innovative training for mandated 
                child abuse and neglect reporters, which may include 
                training that is specific to the mandated individual's 
                profession or role when working with 
                children.</DELETED>
                <DELETED>    ``(E) Innovative programs, activities, and 
                services that are aligned with the research priorities 
                identified under section 104(a)(5).</DELETED>
                <DELETED>    ``(F) Projects to improve implementation 
                of best practices to educate and assist medical 
                professionals in identifying, assessing, and responding 
                to potential abuse in infants, including improving 
                communication and alignment with child protective 
                services as appropriate and identifying injuries 
                indicative of potential abuse in infants, and to assess 
                the outcomes of such best practices.</DELETED>
                <DELETED>    ``(G) Projects to establish or implement 
                comprehensive child sexual abuse awareness and 
                prevention programs in an age-appropriate manner for 
                parents, guardians, and professionals, including on 
                recognizing and safely reporting such abuse.</DELETED>
<DELETED>    ``(d) Evaluation.--In awarding grants and contracts for 
programs or projects under this section, the Secretary shall require 
all such programs and projects to be evaluated for their effectiveness. 
Funding for such evaluations shall be provided either as a stated 
percentage of a grant or contracts or as a separate grant or contract 
entered into by the Secretary for the purpose of evaluating a 
particular program or project or group of programs or projects. In the 
case of an evaluation performed by the recipient of a grant, the 
Secretary shall make available technical assistance for the evaluation, 
where needed, including the use of a rigorous application of scientific 
evaluation techniques.''.</DELETED>

<DELETED>SEC. 105. NATIONAL CHILD ABUSE HOTLINE.</DELETED>

<DELETED>    Title I of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5101 et seq.) is amended--</DELETED>
        <DELETED>    (1) by repealing section 114;</DELETED>
        <DELETED>    (2) redesignating section 112 as section 114 and 
        moving such section to the end of title I;</DELETED>
        <DELETED>    (3) by redesignating sections 108 through 111 as 
        sections 109 through 112, respectively; and</DELETED>
        <DELETED>    (4) by inserting after section 107 the 
        following:</DELETED>

<DELETED>``SEC. 108. NATIONAL CHILD ABUSE HOTLINE.</DELETED>

<DELETED>    ``The Secretary may award a grant under this section to a 
nonprofit entity to provide for the ongoing operation of a 24-hour, 
national, toll-free hotline to provide information and assistance to 
children who are 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.''.</DELETED>

<DELETED>SEC. 106. GRANTS TO STATES FOR CHILD ABUSE OR NEGLECT 
              PREVENTION AND TREATMENT PROGRAMS.</DELETED>

<DELETED>    Section 106 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106a) is amended to read as follows:</DELETED>

<DELETED>``SEC. 106. GRANTS TO STATES FOR CHILD ABUSE OR NEGLECT 
              PREVENTION AND TREATMENT PROGRAMS.</DELETED>

<DELETED>    ``(a) Development and Operation Grants.--The Secretary 
shall make grants to the States, from allotments made under subsection 
(g) for each State that applies for a grant under this section, for 
purposes of assisting the States in improving the child protective 
services system of each such State with respect to one or more of the 
following activities:</DELETED>
        <DELETED>    ``(1) Improving the intake, assessment, screening, 
        and investigation of reports of child abuse or neglect, 
        including--</DELETED>
                <DELETED>    ``(A) the use of differential response, 
                and establishing and maintaining a rapid response 
                system for high-risk cases, with special attention to 
                cases involving repeat referrals of the same child, 
                infants, and toddlers; and</DELETED>
                <DELETED>    ``(B) protocols and training that reduce 
                and prevent racial bias in the child protective 
                services system.</DELETED>
        <DELETED>    ``(2) Supporting trauma-informed response, 
        investigation, and treatment of child abuse and neglect by--
        </DELETED>
                <DELETED>    ``(A) creating and improving the use of 
                multidisciplinary teams, including children's advocacy 
                centers;</DELETED>
                <DELETED>    ``(B) enhancing investigations through 
                interagency, intra-agency, interstate, and intrastate 
                protocols; and</DELETED>
                <DELETED>    ``(C) improving legal preparation and 
                representation, including--</DELETED>
                        <DELETED>    ``(i) procedures for appealing and 
                        responding to appeals of substantiated reports 
                        of child abuse or neglect; and</DELETED>
                        <DELETED>    ``(ii) provisions to ensure that 
                        all children and parents shall have legal 
                        representation by a trained attorney in all 
                        cases involving an allegation of child abuse or 
                        neglect that results in a judicial proceeding, 
                        for the entire duration of the court's 
                        jurisdiction in the case.</DELETED>
        <DELETED>    ``(3) Establishing alternative pathways to connect 
        families in need to voluntary, community-based family 
        strengthening services in order to enable the child protective 
        services system to focus on children at most serious risk of 
        harm and safely reduce the number of families unnecessarily 
        investigated for child abuse and neglect, through the 
        development, implementation, and expansion of--</DELETED>
                <DELETED>    ``(A) local or State helplines (which may 
                include expanding hotlines and referral systems 
                operated by State and local child protective services 
                agencies for such purposes); and</DELETED>
                <DELETED>    ``(B) coordination with other local and 
                State public entities to support a continuum of 
                preventive services that strengthen families and 
                promote child, parent, and family well-being.</DELETED>
        <DELETED>    ``(4) Improving case management approaches, 
        including ongoing case monitoring, and delivery of services and 
        treatment provided to children and their families to ensure 
        safety and respond to family needs, including--</DELETED>
                <DELETED>    ``(A) multidisciplinary approaches to 
                assessing family needs and connecting families with 
                services, including prevention services under section 
                471 of the Social Security Act (42 U.S.C. 
                671);</DELETED>
                <DELETED>    ``(B) organizing treatment teams of 
                community service providers that prevent and treat 
                child abuse and neglect, and improve child and family 
                well-being; and</DELETED>
                <DELETED>    ``(C) case-monitoring that can ensure 
                progress in child well-being.</DELETED>
        <DELETED>    ``(5) Modernizing data systems to improve case 
        management, coordination, and communication between State and 
        local public agencies, including--</DELETED>
                <DELETED>    ``(A) updating systems of technology that 
                support the program and track reports of child abuse 
                and neglect from intake through final disposition and 
                allow for interstate and intrastate information 
                exchange;</DELETED>
                <DELETED>    ``(B) improving real-time case monitoring 
                for caseworkers at the State and local levels to track 
                assessments, service referrals, follow-up, case 
                reviews, and progress toward case plan goals;</DELETED>
                <DELETED>    ``(C) facilitating real-time data sharing 
                across State and local public agencies to allow for 
                enhanced data collection and public disclosure related 
                to child fatalities and near fatalities due to child 
                abuse and neglect; and</DELETED>
                <DELETED>    ``(D) developing, improving, and 
                implementing risk and safety assessment tools and 
                protocols that reduce and prevent bias.</DELETED>
        <DELETED>    ``(6) Developing, strengthening, and facilitating 
        training for professionals and volunteers engaged in the 
        prevention, intervention, and treatment of child abuse and 
        neglect, including training on--</DELETED>
                <DELETED>    ``(A) the legal duties of such 
                individuals;</DELETED>
                <DELETED>    ``(B) personal safety for case 
                workers;</DELETED>
                <DELETED>    ``(C) early childhood, child, and 
                adolescent development and the impact of child abuse 
                and neglect, including long-term impacts of adverse 
                childhood experiences;</DELETED>
                <DELETED>    ``(D) improving coordination among child 
                protective service agencies and health care agencies, 
                entities providing health care (including mental health 
                and substance use disorder services), and community 
                resources;</DELETED>
                <DELETED>    ``(E) improving screening, forensic 
                diagnosis, and health and developmental evaluations, 
                which may include best practices for periodic 
                reevaluations, as appropriate;</DELETED>
                <DELETED>    ``(F) addressing the unique needs of 
                children with disabilities, including promoting 
                interagency collaboration to meet such needs;</DELETED>
                <DELETED>    ``(G) supporting the placement of children 
                with kinship caregivers and addressing the unique needs 
                of children in such placements;</DELETED>
                <DELETED>    ``(H) implementing responsive, family-
                oriented, and trauma-informed approaches to prevention, 
                identification, intervention, and treatment of child 
                abuse and neglect;</DELETED>
                <DELETED>    ``(I) ensuring child safety;</DELETED>
                <DELETED>    ``(J) the links between child abuse and 
                neglect and domestic violence, and approaches to 
                working with families with mental health needs or 
                substance use disorder;</DELETED>
                <DELETED>    ``(K) coordinating with other services and 
                agencies to address family and child needs, including 
                trauma; and</DELETED>
                <DELETED>    ``(L) distinguishing between cases of 
                child and abuse neglect and cases related to family 
                economic insecurity where abuse and neglect are not 
                present.</DELETED>
        <DELETED>    ``(7) Improving the recruitment and retention of 
        caseworkers, such as efforts to address the effects of indirect 
        trauma exposure for child welfare workers.</DELETED>
        <DELETED>    ``(8) Developing, facilitating the use of, and 
        implementing evidence-based or evidence-informed strategies and 
        training protocols for individuals mandated to report child 
        abuse and neglect, which may include improving public awareness 
        and understanding relating to the role and responsibilities of 
        the child protective services system and the nature and basis 
        for reporting suspected incidents of child abuse and 
        neglect.</DELETED>
        <DELETED>    ``(9) Developing, implementing, or operating 
        programs and referrals to assist in obtaining or coordinating 
        necessary services for families of infants or toddlers with a 
        disability, with special attention to at-risk infants or 
        toddlers (as defined in section 632 of the Individuals with 
        Disabilities Education Act (20 U.S.C. 1432)), including--
        </DELETED>
                <DELETED>    ``(A) existing social and health 
                services;</DELETED>
                <DELETED>    ``(B) financial assistance;</DELETED>
                <DELETED>    ``(C) educational services; and</DELETED>
                <DELETED>    ``(D) the use of differential response in 
                preventing child abuse and neglect.</DELETED>
        <DELETED>    ``(10) Enhancing interagency collaboration between 
        agencies and providers of the child protective services, public 
        health, substance use disorder treatment, education, domestic 
        violence services, law enforcement, and juvenile justice to 
        improve the investigations, interventions, delivery of 
        services, and treatments provided for children and families 
        experiencing child abuse and neglect, which may include--
        </DELETED>
                <DELETED>    ``(A) methods for continuity of treatment 
                plan and services as children and families transition 
                between systems;</DELETED>
                <DELETED>    ``(B) addressing the health needs, 
                including mental health needs, of children identified 
                as victims of child abuse or neglect, including 
                supporting prompt, comprehensive health and 
                developmental evaluations for children who are the 
                subject of substantiated child abuse and neglect 
                reports;</DELETED>
                <DELETED>    ``(C) the provision of services that 
                assist children exposed to domestic violence, and that 
                also support the caregiving role of their non-abusing 
                parents;</DELETED>
                <DELETED>    ``(D) enhancing the capacity of public 
                entities or community-based providers to integrate the 
                leadership of parents in such entities' decision-
                making; and</DELETED>
                <DELETED>    ``(E) co-locating service 
                providers.</DELETED>
        <DELETED>    ``(11) Supporting the development, implementation, 
        and monitoring of family care plans for infants affected by 
        substance use disorder, including alcohol use disorder, and 
        their families and affected caregivers, in accordance with the 
        requirements of section 402(c), including through enhancing 
        interagency coordination, such as between the State's substance 
        abuse agencies, public health and mental health agencies, child 
        welfare agencies, social services agencies, health care 
        facilities with labor and delivery units, maternal and child 
        health agencies, early intervention agencies, family courts 
        with jurisdiction in cases of child abuse and neglect, and 
        other agencies or entities involved in supporting families 
        affected by substance use disorders.</DELETED>
<DELETED>    ``(b) Eligibility Requirements.--</DELETED>
        <DELETED>    ``(1) State plan.--</DELETED>
                <DELETED>    ``(A) In general.--To be eligible to 
                receive a grant under this section, a State shall 
                submit to the Secretary a State plan that specifies how 
                the State will use funds received under the grant to 
                improve and strengthen the child protective services 
                system through the activities described in subsection 
                (a).</DELETED>
                <DELETED>    ``(B) Duration of plan.--Each State plan 
                shall--</DELETED>
                        <DELETED>    ``(i) be submitted not less 
                        frequently than once every 5 years, in 
                        coordination with the State plan submitted 
                        under part B of title IV of the Social Security 
                        Act (42 U.S.C. 621 et seq.); and</DELETED>
                        <DELETED>    ``(ii) be periodically reviewed 
                        and revised by the State, as necessary, to 
                        reflect--</DELETED>
                                <DELETED>    ``(I) any substantive 
                                changes to State law or regulations 
                                related to the prevention of child 
                                abuse and neglect that may affect the 
                                eligibility of the State under this 
                                section; and</DELETED>
                                <DELETED>    ``(II) any significant 
                                changes from the State application 
                                related to the State's funding of 
                                strategies and programs supported under 
                                this section.</DELETED>
                <DELETED>    ``(C) Public collaboration and comment.--
                In developing the State plan under subparagraph (A), 
                each State shall--</DELETED>
                        <DELETED>    ``(i) consult widely with 
                        stakeholders and relevant public and private 
                        organizations and individuals across the State, 
                        which shall include parents;</DELETED>
                        <DELETED>    ``(ii) collaborate with the lead 
                        entity and community-based providers funded 
                        under title II to strengthen the State's 
                        prevention efforts in the State plan;</DELETED>
                        <DELETED>    ``(iii) make the draft plan 
                        publicly available by electronic means in an 
                        easily accessible format; and</DELETED>
                        <DELETED>    ``(iv) provide all interested 
                        members of the public at least 30 days 
                        opportunity to submit comments on the draft 
                        State plan.</DELETED>
                <DELETED>    ``(D) Availability.--The State shall 
                ensure that the final approved plan required under 
                subparagraph (A) shall be publicly available by 
                electronic means in an easily accessible format, and 
                shall update the such publicly available plan to 
                include any revisions to such plan described in 
                subparagraph (B)(ii).</DELETED>
        <DELETED>    ``(2) Plan provisions.--</DELETED>
                <DELETED>    ``(A) Descriptions.--Each State plan 
                required under paragraph (1) shall describe--</DELETED>
                        <DELETED>    ``(i) the activities the State 
                        will carry out using amounts received under the 
                        grant to prevent, treat, and reduce child abuse 
                        and neglect;</DELETED>
                        <DELETED>    ``(ii) how the State will 
                        implement a systems-building approach to 
                        develop and maintain a continuum of preventive 
                        supports, in coordination with relevant State 
                        and local public agencies families and 
                        community-based organizations, such as through 
                        the development of alternative pathways 
                        described in subsection (a)(3);</DELETED>
                        <DELETED>    ``(iii) training and retention 
                        activities to be provided under the grant to 
                        support direct line and supervisory personnel 
                        in report taking, screening, assessment, 
                        decision-making, and referral for investigating 
                        suspected instances of child abuse and 
                        neglect;</DELETED>
                        <DELETED>    ``(iv) the training to be provided 
                        under the grant for mandatory reporting by 
                        individuals who are required to report known or 
                        suspected cases of child abuse and neglect, 
                        including for purposes of making such 
                        individuals aware of these 
                        requirements;</DELETED>
                        <DELETED>    ``(v) policies and procedures 
                        encouraging the appropriate involvement of 
                        families in decision-making pertaining to 
                        children who have experienced child abuse or 
                        neglect;</DELETED>
                        <DELETED>    ``(vi) policies and procedures 
                        that promote and enhance appropriate 
                        collaboration among child protective service 
                        agencies, domestic violence service agencies, 
                        substance abuse agencies, other relevant 
                        agencies, and kinship navigators 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;</DELETED>
                        <DELETED>    ``(vii) policies and procedures 
                        regarding the use of differential response and 
                        a timeline for the development and 
                        implementation of a rapid response system to 
                        ensure that all referrals of repeat referrals 
                        of the same child, infants, and toddlers 
                        receive a rapid response from such 
                        system;</DELETED>
                        <DELETED>    ``(viii) how the State will enact 
                        policies and procedures within 2 years of the 
                        date of enactment of the CAPTA Reauthorization 
                        Act of 2021 requiring timely public disclosure 
                        of the findings or information about the case 
                        of child abuse or neglect that has resulted in 
                        a child fatality or near fatality (in 
                        accordance with relevant Federal and State 
                        privacy and confidentiality requirements), 
                        which shall include a description of--
                        </DELETED>
                                <DELETED>    ``(I) how the State will 
                                make such information publically 
                                available in an easily accessible 
                                format, including information on--
                                </DELETED>
                                        <DELETED>    ``(aa) the cause 
                                        and circumstances of the 
                                        fatality or near 
                                        fatality;</DELETED>
                                        <DELETED>    ``(bb) the age, 
                                        gender, and race or ethnicity 
                                        of the child; and</DELETED>
                                        <DELETED>    ``(cc) any 
                                        previous reports of child abuse 
                                        or neglect investigations by 
                                        the perpetrator or the victim; 
                                        and</DELETED>
                                <DELETED>    ``(II) assurances of the 
                                State that the State will not allow an 
                                exception to such public disclosure, 
                                except in a case in which--</DELETED>
                                        <DELETED>    ``(aa) the State 
                                        needs 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) during a pending 
                                        criminal investigation or 
                                        prosecution of such a fatality 
                                        or near fatality;</DELETED>
                                        <DELETED>    ``(bb) the State 
                                        is protecting the identity of a 
                                        reporter of child abuse or 
                                        neglect; or</DELETED>
                                        <DELETED>    ``(cc) the State 
                                        is withholding information in 
                                        order to ensure the safety and 
                                        well-being of the child, 
                                        parents and family, if such 
                                        members of the victim's family 
                                        are not perpetrators of the 
                                        fatality or near 
                                        fatality;</DELETED>
                        <DELETED>    ``(ix) the State's efforts to 
                        collect and review data on child fatalities and 
                        near fatalities due to child abuse and neglect 
                        to drive systemic change to prevent such 
                        incidents from occurring in the future, 
                        including a description of--</DELETED>
                                <DELETED>    ``(I) the criteria 
                                utilized by the State's child 
                                protective services agency to determine 
                                which cases of child fatalities and 
                                near fatalities due to abuse and 
                                neglect are reported under subsection 
                                (d), subject to the requirements of 
                                section 422(b)(19) of the Social 
                                Security Act (42 U.S.C. 622(b)), such 
                                as whether such agency is submitting 
                                data on--</DELETED>
                                        <DELETED>    ``(aa) only such 
                                        cases that had involvement with 
                                        the State's child protective 
                                        services agency, including 
                                        cases that were investigated by 
                                        such agency, and substantiated 
                                        as abuse or neglect by such 
                                        agency; or</DELETED>
                                        <DELETED>    ``(bb) all cases 
                                        of child fatalities and near 
                                        fatalities identified as being 
                                        related to child abuse and 
                                        neglect by the State's child 
                                        death review system; 
                                        and</DELETED>
                                <DELETED>    ``(II) how the State is 
                                reviewing and analyzing such data to 
                                support reforms intended to prevent 
                                future child fatalities and near 
                                fatalities across the policies and 
                                procedures of the State's agencies that 
                                support children and 
                                families;</DELETED>
                        <DELETED>    ``(x) the State's efforts to 
                        reduce racial bias and disparities in its child 
                        protective services system;</DELETED>
                        <DELETED>    ``(xi) the State's efforts to 
                        improve policies and procedures regarding the 
                        identification and response to child abuse and 
                        neglect in order to safely reduce unnecessary 
                        investigations by State and local child 
                        protective services agencies of--</DELETED>
                                <DELETED>    ``(I) families solely on 
                                the basis of circumstances related to 
                                poverty; and</DELETED>
                                <DELETED>    ``(II) families 
                                experiencing homelessness solely on the 
                                basis of circumstances related to such 
                                families' housing status; and</DELETED>
                        <DELETED>    ``(xii) the State's plan to ensure 
                        that, within a specified timeline, all child 
                        victims of child abuse or neglect that results 
                        in a judicial proceeding are appointed--
                        </DELETED>
                                <DELETED>    ``(I) a guardian ad litem, 
                                who has received training appropriate 
                                to the role, including training in 
                                early childhood, child, and adolescent 
                                development, and domestic violence, and 
                                who may be a court appointed special 
                                advocate--</DELETED>
                                        <DELETED>    ``(aa) to obtain 
                                        first-hand, a clear 
                                        understanding of the situation 
                                        and needs of the child; 
                                        and</DELETED>
                                        <DELETED>    ``(bb) to make 
                                        recommendations to the court 
                                        concerning the best interests 
                                        of the child; and</DELETED>
                                <DELETED>    ``(II) an attorney ad 
                                litem to provide legal services for the 
                                child who--</DELETED>
                                        <DELETED>    ``(aa) owes to the 
                                        child the duties of loyalty, 
                                        confidentiality, and competent 
                                        legal representation; 
                                        and</DELETED>
                                        <DELETED>    ``(bb) is 
                                        appointed to represent and 
                                        express the child's wishes to 
                                        the court.</DELETED>
                <DELETED>    ``(B) Assurances.--Each State plan shall 
                provide assurances that the State has--</DELETED>
                        <DELETED>    ``(i) provisions or procedures for 
                        individuals to report known and suspected 
                        instances of child abuse and neglect as 
                        applicable under State law, including a State 
                        law for mandatory reporting by individuals 
                        required to report such instances, including, 
                        as defined by the State--</DELETED>
                                <DELETED>    ``(I) health 
                                professionals;</DELETED>
                                <DELETED>    ``(II) school and child 
                                care personnel;</DELETED>
                                <DELETED>    ``(III) law enforcement 
                                officials;</DELETED>
                                <DELETED>    ``(IV) social 
                                workers;</DELETED>
                                <DELETED>    ``(V) camp and after-
                                school employees;</DELETED>
                                <DELETED>    ``(VI) clergy; 
                                and</DELETED>
                                <DELETED>    ``(VII) other individuals, 
                                as a State may require;</DELETED>
                        <DELETED>    ``(ii) provisions for immunity 
                        from civil or criminal liability under State 
                        and local laws 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;</DELETED>
                        <DELETED>    ``(iii) procedures for the 
                        immediate screening, risk and safety 
                        assessment, and prompt investigation of reports 
                        of suspected or known instances of child abuse 
                        and neglect, and triage procedures for the 
                        appropriate referral of a child not at risk of 
                        imminent harm to a community organization or 
                        voluntary preventive service;</DELETED>
                        <DELETED>    ``(iv) 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, which may include placements with 
                        kinship caregivers;</DELETED>
                        <DELETED>    ``(v) 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--
                        </DELETED>
                                <DELETED>    ``(I) individuals who are 
                                the subject of the report;</DELETED>
                                <DELETED>    ``(II) Federal, State, or 
                                local government entities, or any agent 
                                of such entities, as described in 
                                clause (vi);</DELETED>
                                <DELETED>    ``(III) child abuse 
                                citizen review panels;</DELETED>
                                <DELETED>    ``(IV) child fatality 
                                review panels;</DELETED>
                                <DELETED>    ``(V) 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</DELETED>
                                <DELETED>    ``(VI) other entities or 
                                classes of individuals statutorily 
                                authorized by the State to receive such 
                                information pursuant to a legitimate 
                                State purpose;</DELETED>
                        <DELETED>    ``(vi) provisions to require a 
                        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;</DELETED>
                        <DELETED>    ``(vii) provisions to require 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;</DELETED>
                        <DELETED>    ``(viii) 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;</DELETED>
                        <DELETED>    ``(ix) established and maintained 
                        citizen review panels in accordance with 
                        subsection (c);</DELETED>
                        <DELETED>    ``(x) provisions, procedures, and 
                        mechanisms--</DELETED>
                                <DELETED>    ``(I) for the expedited 
                                termination of parental rights in the 
                                case of any infant determined to be 
                                abandoned under State law; 
                                and</DELETED>
                                <DELETED>    ``(II) by which 
                                individuals who disagree with an 
                                official finding of child abuse or 
                                neglect can appeal such 
                                finding;</DELETED>
                        <DELETED>    ``(xi) 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--</DELETED>
                                <DELETED>    ``(I) 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;</DELETED>
                                <DELETED>    ``(II) 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;</DELETED>
                                <DELETED>    ``(III) to have aided or 
                                abetted, attempted, conspired, or 
                                solicited to commit such murder or 
                                voluntary manslaughter;</DELETED>
                                <DELETED>    ``(IV) to have committed a 
                                felony assault that results in the 
                                serious bodily injury to the surviving 
                                child or another child of such 
                                parent;</DELETED>
                                <DELETED>    ``(V) to have committed 
                                sexual abuse against the surviving 
                                child or another child of such parent; 
                                or</DELETED>
                                <DELETED>    ``(VI) 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 
                                (34 U.S.C. 20913(a));</DELETED>
                        <DELETED>    ``(xii) an assurance that, upon 
                        the implementation by the State of the 
                        provisions, procedures, and mechanisms under 
                        clause (xi), conviction of any one of the 
                        felonies listed in clause (xi) 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);</DELETED>
                        <DELETED>    ``(xiii) 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;</DELETED>
                        <DELETED>    ``(xiv) provisions addressing the 
                        training 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 in 
                        different languages if necessary, in order to 
                        protect the legal rights and safety of children 
                        and families from the initial time of contact 
                        during investigation through 
                        treatment;</DELETED>
                        <DELETED>    ``(xv) provisions and procedures 
                        for requiring criminal background record checks 
                        that meet the requirements of section 
                        471(a)(20) of the Social Security Act (42 
                        U.S.C. 671(a)(20)) for prospective foster and 
                        adoptive parents and other adult relatives and 
                        non-relatives residing in the 
                        household;</DELETED>
                        <DELETED>    ``(xvi) provisions for systems of 
                        technology that support the State child 
                        protective service system described in 
                        subsection (a) and track reports of child abuse 
                        and neglect from intake through final 
                        disposition;</DELETED>
                        <DELETED>    ``(xvii) 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 of the Trafficking Victims 
                        Protection Act of 2000 (22 U.S.C. 
                        7102));</DELETED>
                        <DELETED>    ``(xviii) provisions and 
                        procedures for training child protective 
                        services workers about identifying, assessing, 
                        and providing comprehensive services for 
                        children who are sex trafficking (as defined in 
                        section 103 of the Trafficking Victims 
                        Protection Act of 2000 (22 U.S.C. 7102)) 
                        victims, including efforts to coordinate with 
                        State law enforcement, juvenile justice, and 
                        social service agencies such as runaway and 
                        homeless youth shelters to serve this 
                        population;</DELETED>
                        <DELETED>    ``(xix) 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--
                        </DELETED>
                                <DELETED>    ``(I) coordination and 
                                consultation with individuals 
                                designated by and within appropriate 
                                health-care facilities;</DELETED>
                                <DELETED>    ``(II) 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</DELETED>
                                <DELETED>    ``(III) 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;</DELETED>
                        <DELETED>    ``(xx) procedures to provide 
                        information and training for mandated reporters 
                        who are educators on the requirements of 
                        subtitle B of title VII of the McKinney-Vento 
                        Homeless Assistance Act (42 U.S.C. 11431 et 
                        seq.) to support homeless children and youth in 
                        enrolling, attending, and succeeding in school, 
                        in accordance with the State plan submitted 
                        under such subtitle B;</DELETED>
                        <DELETED>    ``(xxi) collaborated with families 
                        affected by child abuse or neglect, and the 
                        lead entity and community-based providers 
                        supported under title II in developing the 
                        State plan described in paragraph 
                        (1);</DELETED>
                        <DELETED>    ``(xxii) provisions and procedures 
                        to ensure that all parents shall, in all cases 
                        involving allegations of child abuse or neglect 
                        which results in a judicial proceeding, have 
                        legal representation by a trained attorney for 
                        the entire duration of the court's jurisdiction 
                        in the case; and</DELETED>
                        <DELETED>    ``(xxiii) procedures and policies 
                        for developing, implementing, and monitoring 
                        family care plans required under section 402(c) 
                        to ensure the safety and well-being of infants 
                        born with, and identified as being affected by, 
                        substance use disorder, including alcohol use 
                        disorder, and the well-being of such infants' 
                        families and caregivers.</DELETED>
        <DELETED>    ``(3) Limitation.--</DELETED>
                <DELETED>    ``(A) Certain identifying information.--
                Nothing in clause (ii) or (iv) of paragraph (2)(B) 
                shall be construed as restricting the authority of a 
                State to refuse to disclose identifying information 
                concerning the individual initiating a report or 
                complaint alleging suspected instances of child abuse 
                or neglect, except that the State may not refuse such a 
                disclosure where a court orders such disclosure after 
                such court has reviewed, in camera, the record of the 
                State related to the report or complaint and has found 
                it has reason to believe that the reporter knowingly 
                made a false report.</DELETED>
                <DELETED>    ``(B) Clarification.--Nothing in 
                subparagraph (A) shall be construed to limit a 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.</DELETED>
                <DELETED>    ``(C) Mandated reporters in certain 
                states.--With respect to a State in which State law 
                requires all of the individuals to report known or 
                suspected instances of child abuse and neglect directly 
                to a State child protective services agency or to a law 
                enforcement agency, the requirement under paragraph 
                (2)(B)(i) shall not be construed to require the State 
                to define the classes of individuals described in 
                subclauses (I) through (VII) of such 
                paragraph.</DELETED>
<DELETED>    ``(c) Citizen Review Panels.--</DELETED>
        <DELETED>    ``(1) Establishment.--</DELETED>
                <DELETED>    ``(A) In general.--Each State to which a 
                grant is made under this section shall establish 
                (including by designating under subparagraph (B)) not 
                less than 2 citizen review panels.</DELETED>
                <DELETED>    ``(B) Designation.--A State may designate 
                a citizen review panel for purposes of this subsection, 
                comprised of one or more existing (as of the date of 
                the designation) entities established under State or 
                Federal law, such as child fatality panels, foster care 
                review panels, or State task forces established under 
                section 107, if such entities have the capacity to 
                satisfy the requirements of paragraph (3) and the State 
                ensures that such entities will satisfy such 
                requirements.</DELETED>
        <DELETED>    ``(2) Membership.--Except as provided in paragraph 
        (1)(B), each panel established pursuant to paragraph (1) shall 
        be composed of volunteer members who are broadly representative 
        of the community in which such panel is established, including 
        parents with experience with the child protective services 
        system and members who have expertise in the prevention and 
        treatment of child abuse and neglect, and may include adults 
        who experienced child abuse or neglect.</DELETED>
        <DELETED>    ``(3) Functions.--</DELETED>
                <DELETED>    ``(A) In general.--Each panel established 
                pursuant to paragraph (1) shall evaluate, by examining 
                the policies, procedures, and practices of State and 
                local agencies and where appropriate, specific cases, 
                the extent to which State and local child protective 
                services system agencies are effectively discharging 
                their child protection responsibilities in accordance 
                with--</DELETED>
                        <DELETED>    ``(i) the State plan under 
                        subsection (b); and</DELETED>
                        <DELETED>    ``(ii) any other criteria that the 
                        panel considers important to ensure the 
                        protection of children, including--</DELETED>
                                <DELETED>    ``(I) a review of the 
                                extent to which the State and local 
                                child protective services system is 
                                coordinated with the foster care, 
                                prevention, and permanency program 
                                established under part E of title IV of 
                                the Social Security Act (42 U.S.C. 670 
                                et seq.); and</DELETED>
                                <DELETED>    ``(II) a review of child 
                                fatalities and near fatalities due to 
                                child abuse and neglect and State and 
                                local efforts to change policies, 
                                procedures, and practices to prevent 
                                future fatalities and near 
                                fatalities.</DELETED>
                <DELETED>    ``(B) Alternative pathways.--In carrying 
                out the requirements of subparagraph (A), each panel 
                shall examine the policies, procedures, and practices 
                of State and local child protective services system 
                agencies that result in substantial numbers of families 
                being unnecessarily investigated for child abuse and 
                neglect (including by examining racial basis) and shall 
                develop recommendations to the State, in accordance 
                with paragraph (5), regarding how State and local child 
                protective services agencies can become a more 
                effective system of appropriate and immediate response 
                for children who are at most serious risk of child 
                abuse and neglect and eliminate child abuse fatalities 
                and near fatalities.</DELETED>
                <DELETED>    ``(C) Confidentiality.--</DELETED>
                        <DELETED>    ``(i) In general.--The members and 
                        staff of a panel established under paragraph 
                        (1)--</DELETED>
                                <DELETED>    ``(I) shall not disclose 
                                to any person or government official 
                                any identifying information about any 
                                specific child protection case with 
                                respect to which the panel is provided 
                                information; and</DELETED>
                                <DELETED>    ``(II) shall not make 
                                public other information unless 
                                authorized by State statute.</DELETED>
                        <DELETED>    ``(ii) Civil sanctions.--Each 
                        State that establishes a panel pursuant to 
                        paragraph (1) shall establish civil sanctions 
                        for a violation of clause (i).</DELETED>
                <DELETED>    ``(D) Public outreach.--Each panel shall 
                provide for public outreach and comment in order to 
                assess the impact of current procedures and practices 
                upon children and families in the community and in 
                order to meet its obligations under subparagraph 
                (A).</DELETED>
        <DELETED>    ``(4) State assistance.--Each State that 
        establishes a panel pursuant to paragraph (1)--</DELETED>
                <DELETED>    ``(A) shall develop a memorandum of 
                understanding with each panel, clearly outlining the 
                panel's roles and responsibilities, and identifying any 
                support from the State;</DELETED>
                <DELETED>    ``(B) shall provide the panel access to 
                information on cases that the panel desires to review 
                if such information is necessary for the panel to carry 
                out its functions under paragraph (3); and</DELETED>
                <DELETED>    ``(C) shall provide the panel, upon its 
                request, staff assistance for the performance of the 
                duties of the panel.</DELETED>
        <DELETED>    ``(5) Reports.--Each citizen review panel 
        established under paragraph (1) shall annually prepare and make 
        available to the State and the public, which activities may be 
        carried out collectively by a combination of such panels, a 
        report containing a summary of the activities of the panel and 
        recommendations to improve the child protective services system 
        at the State and local levels. Not later than 6 months after 
        the date on which a report is submitted by the panel to the 
        State, the appropriate State agency shall submit a written 
        response to State and local child protective services systems 
        and the panel that describes how the State will incorporate the 
        recommendations of such panel (where appropriate) to make 
        measurable progress in improving the State and local child 
        protective services systems, which response may include 
        providing examples of efforts to implement the panel's 
        recommendations.</DELETED>
<DELETED>    ``(d) Annual State Data Reports.--</DELETED>
        <DELETED>    ``(1) In general.--Subject to paragraph (2), each 
        State to which a grant is made under this section shall 
        annually submit a report to the Secretary containing, at a 
        minimum, the data elements described in paragraph 
        (3).</DELETED>
        <DELETED>    ``(2) Exception.--In working with States to 
        implement the requirement in paragraph (1), the Secretary shall 
        have the authority to waive such requirements for any data 
        element required in paragraph (3) if a State demonstrates to 
        the Secretary that reporting such information is not feasible 
        or is insufficient to yield statistically reliable 
        information.</DELETED>
        <DELETED>    ``(3) Required data elements.--The following data 
        elements shall annually be reported by States to the Secretary, 
        in accordance with paragraph (1) at the aggregate and case-
        specific level:</DELETED>
                <DELETED>    ``(A) The number of children who were 
                reported to the State during the year as victims of 
                child abuse or neglect, disaggregated, where available, 
                by demographic characteristics including age, sex, race 
                and ethnicity, disability, caregiver risk factors, 
                caregiver relationship, living arrangement, and 
                relation of victim to their perpetrator.</DELETED>
                <DELETED>    ``(B) Of the number of children described 
                in subparagraph (A), the number with respect to whom 
                such reports were--</DELETED>
                        <DELETED>    ``(i) substantiated;</DELETED>
                        <DELETED>    ``(ii) unsubstantiated; 
                        or</DELETED>
                        <DELETED>    ``(iii) determined to be 
                        false.</DELETED>
                <DELETED>    ``(C) Of the number of children described 
                in subparagraph (A)--</DELETED>
                        <DELETED>    ``(i) the number that did not 
                        receive services during the year under the 
                        State program funded under this section or an 
                        equivalent State program;</DELETED>
                        <DELETED>    ``(ii) the number that received 
                        services during the year under the State 
                        program funded under this section or an 
                        equivalent State program; and</DELETED>
                        <DELETED>    ``(iii) the number that were 
                        removed from their families during the year by 
                        disposition of the case.</DELETED>
                <DELETED>    ``(D) The number of families that were 
                served through differential response, from the State, 
                during the year.</DELETED>
                <DELETED>    ``(E) The number of child fatalities and 
                near fatalities in the State during the year resulting 
                from child abuse or neglect, which shall include--
                </DELETED>
                        <DELETED>    ``(i) the number of child 
                        fatalities and near fatalities due to child 
                        abuse and neglect (disaggregated by such type 
                        of incident) that--</DELETED>
                                <DELETED>    ``(I) is compiled by the 
                                State child protective services agency 
                                for submission under this subsection; 
                                and</DELETED>
                                <DELETED>    ``(II) are derived from 
                                data sources which--</DELETED>
                                        <DELETED>    ``(aa) includes 
                                        data from State vital 
                                        statistics departments, child 
                                        death review teams, law 
                                        enforcement agencies, and 
                                        offices of medical examiners or 
                                        coroners, in accordance with 
                                        the requirements of section 
                                        422(b)(19) of the Social 
                                        Security Act (42 U.S.C. 
                                        622(b)(19)); and</DELETED>
                                        <DELETED>    ``(bb) may include 
                                        information from hospitals, 
                                        health departments, juvenile 
                                        justice departments, and 
                                        prosecutor and attorney general 
                                        offices; and</DELETED>
                        <DELETED>    ``(ii) case-specific information 
                        (and the sources used to provide such 
                        information) about the circumstances under 
                        which a child fatality or near fatality 
                        occurred due to abuse and neglect, including--
                        </DELETED>
                                <DELETED>    ``(I) the cause of the 
                                death listed on the death certificate 
                                in the case of a child fatality, and 
                                the type of life-threatening injury in 
                                the case of a near fatality;</DELETED>
                                <DELETED>    ``(II) whether the child 
                                and such child's siblings were reported 
                                to the State child protective services 
                                system;</DELETED>
                                <DELETED>    ``(III) the responses 
                                taken by the child protective services 
                                agency (which may include services or 
                                investigations, as applicable), 
                                including any determinations by such 
                                agency;</DELETED>
                                <DELETED>    ``(IV) the child's living 
                                arrangement or placement at the time of 
                                the incident;</DELETED>
                                <DELETED>    ``(V) the perpetrator's 
                                relationship to the child;</DELETED>
                                <DELETED>    ``(VI) any known previous 
                                child abuse and neglect of the child by 
                                other perpetrators and of any child 
                                abuse and neglect of other children by 
                                the perpetrator;</DELETED>
                                <DELETED>    ``(VII) the demographics 
                                and relevant characteristics of the 
                                child, perpetrator, and 
                                family;</DELETED>
                                <DELETED>    ``(VIII) the child's 
                                encounters with the health care system 
                                prior to the incident; and</DELETED>
                                <DELETED>    ``(IX) other relevant data 
                                as determined by the Secretary designed 
                                to inform prevention efforts.</DELETED>
                <DELETED>    ``(F) Of the number of children described 
                in subparagraph (E), the number of such children who 
                were in foster care at the time of the incident 
                reported under such subparagraph.</DELETED>
                <DELETED>    ``(G)(i) The number of child protective 
                service personnel responsible for the--</DELETED>
                        <DELETED>    ``(I) intake of reports filed in 
                        the previous year;</DELETED>
                        <DELETED>    ``(II) screening of such 
                        reports;</DELETED>
                        <DELETED>    ``(III) assessment of such 
                        reports; and</DELETED>
                        <DELETED>    ``(IV) investigation of such 
                        reports.</DELETED>
                <DELETED>    ``(ii) The average caseload for the 
                personnel described in clause (i).</DELETED>
                <DELETED>    ``(H) The agency response time with 
                respect to each such report with respect to initial 
                investigation of reports of child abuse or 
                neglect.</DELETED>
                <DELETED>    ``(I) The response time with respect to 
                the provision of services to families and children 
                where an allegation of child abuse or neglect has been 
                made.</DELETED>
                <DELETED>    ``(J) For child protective service 
                personnel responsible for intake, screening, 
                assessment, and investigation of child abuse and 
                neglect reports in the State--</DELETED>
                        <DELETED>    ``(i) information on the 
                        education, qualifications, and training 
                        requirements established by the State for child 
                        protective service professionals, including for 
                        entry and advancement in the profession, 
                        including advancement to supervisory 
                        positions;</DELETED>
                        <DELETED>    ``(ii) data on the education, 
                        qualifications, and training of such 
                        personnel;</DELETED>
                        <DELETED>    ``(iii) demographic information of 
                        the child protective service personnel; 
                        and</DELETED>
                        <DELETED>    ``(iv) information on caseload or 
                        workload requirements for such personnel, 
                        including requirements for average number and 
                        maximum number of cases per child protective 
                        service worker and supervisor.</DELETED>
                <DELETED>    ``(K) With respect to children reunited 
                with their families or receiving family preservation 
                services, within the 5-year period preceding submission 
                of the report--</DELETED>
                        <DELETED>    ``(i) the number of reports to the 
                        State child protective services agency for 
                        suspected child abuse and neglect;</DELETED>
                        <DELETED>    ``(ii) the number of substantiated 
                        reports of child abuse or neglect; 
                        and</DELETED>
                        <DELETED>    ``(iii) the number of fatalities 
                        or near fatalities of such children due to 
                        child abuse or neglect.</DELETED>
                <DELETED>    ``(L) The number of children for whom 
                individuals were appointed by the court to represent 
                the best interests of such children and the average 
                number of out of court contacts between such 
                individuals and children.</DELETED>
                <DELETED>    ``(M) The annual report containing the 
                summary of the activities and recommendations of the 
                citizen review panels of the State required by 
                subsection (c)(5).</DELETED>
                <DELETED>    ``(N) The number of children under the 
                care of the State child protection system who are 
                transferred into the custody of the State juvenile 
                justice system.</DELETED>
                <DELETED>    ``(O) The number of children that had a 
                family care plan in accordance with section 402(c), and 
                who were referred to the child protective services 
                system.</DELETED>
                <DELETED>    ``(P) The number of children determined to 
                be victims of sex trafficking.</DELETED>
        <DELETED>    ``(4) NCANDS files.--Within 6 months after 
        receiving a State report under this subsection, the Secretary 
        shall make publish the data reported by the State under 
        paragraph (3) in the following formats:</DELETED>
                <DELETED>    ``(A) The agency file that contains 
                aggregate data.</DELETED>
                <DELETED>    ``(B) The child file that contains case-
                specific information.</DELETED>
<DELETED>    ``(e) Annual State Reports.--A State that receives funds 
under subsection (a) shall annually prepare and submit to the Secretary 
a report describing the manner in which funding provided under this 
section, alone or in combination with other Federal funds, was used to 
address the purposes and achieve the objectives of this section, 
including--</DELETED>
        <DELETED>    ``(1) the amount of such funding used by the State 
        to provide services to individuals, families, or communities to 
        strengthen families and prevent child abuse and neglect, 
        directly or through referrals, and a description of how the 
        State implemented systems-building approaches to strategically 
        coordinate such services with State and local agencies and 
        relevant public entities to develop and maintain a continuum of 
        preventive services aimed at preventing the occurrence of child 
        abuse and neglect;</DELETED>
        <DELETED>    ``(2) a description of how the State uses 
        differential response, as applicable, and alternative pathways 
        for families seeking support;</DELETED>
        <DELETED>    ``(3) a description of the State's efforts to 
        reduce racial bias and disparities in its child protective 
        services system, including changes in the rates of 
        overrepresentation of children or youth in the child protective 
        services system by race or ethnicity;</DELETED>
        <DELETED>    ``(4) a description of the State's efforts to 
        safely reduce unnecessary investigations of families, through 
        the child protective system, solely based on circumstances 
        related to--</DELETED>
                <DELETED>    ``(A) poverty; and</DELETED>
                <DELETED>    ``(B) housing status;</DELETED>
        <DELETED>    ``(5) the number of children under the age of 3 
        who are involved in a substantiated case of child abuse or 
        neglect and who the State child protective services agency 
        referred for early intervention services funded under part C of 
        the Individuals with Disabilities Education Act (20 U.S.C. 1431 
        et seq.), disaggregated, where available, by demographic 
        characteristics including race and ethnicity, and, for children 
        not referred for such services, a description of why such 
        children were not referred; and</DELETED>
        <DELETED>    ``(6) a description of how the State used such 
        funding to implement effective strategies to enhance 
        collaboration among child protective services and social 
        services, legal services, health care (including mental health 
        and substance use disorder services), domestic violence 
        service, and educational agencies, and community-based 
        organizations, that contribute to improvements to the overall 
        well-being of children and families.</DELETED>
<DELETED>    ``(f) Annual Report by the Secretary.--Annually, and not 
later than 6 months after receiving the State reports under subsections 
(d) and (e), the Secretary shall--</DELETED>
        <DELETED>    ``(1) prepare a report based on information 
        provided by the States for the fiscal year under such 
        subsections and the results of the State monitoring 
        requirements in section 111; and</DELETED>
        <DELETED>    ``(2) make the report and such information 
        available to the Committee on Health, Education, Labor, and 
        Pensions of the Senate, the Committee on Education and Labor of 
        the House of Representatives, and the national clearinghouse 
        described in section 103.</DELETED>
<DELETED>    ``(g) Allotments.--</DELETED>
        <DELETED>    ``(1) Definitions.--In this subsection:</DELETED>
                <DELETED>    ``(A) State.--The term `State' means each 
                of the several States, the District of Columbia, and 
                the Commonwealth of Puerto Rico.</DELETED>
                <DELETED>    ``(B) Territory.--The term `territory' 
                means Guam, American Samoa, the United States Virgin 
                Islands, and the Commonwealth of the Northern Mariana 
                Islands.</DELETED>
        <DELETED>    ``(2) In general.--The Secretary shall make an 
        allotment to each State and territory that applies for a grant 
        under this section, in an amount equal to the sum of--
        </DELETED>
                <DELETED>    ``(A) $50,000; and</DELETED>
                <DELETED>    ``(B) an amount that bears the same 
                relationship to any grant funds remaining after all 
                such States and territories have received $50,000, as 
                the number of children under the age of 18 in the State 
                or territory bears to the number of such children in 
                all States and territories that apply for such a 
                grant.</DELETED>
        <DELETED>    ``(3) Minimum allotments to states.--The Secretary 
        shall adjust the allotments under paragraph (2), as necessary, 
        such that no State that applies for a grant under this section 
        receives an allotment in an amount that is less than 
        $150,000.''.</DELETED>

<DELETED>SEC. 107. GRANTS FOR INVESTIGATION AND PROSECUTION OF CHILD 
              ABUSE AND NEGLECT.</DELETED>

<DELETED>    (a) Grants to States.--Section 107(a) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106c(a)) is amended by 
striking paragraphs (1) through (4) and inserting the 
following:</DELETED>
        <DELETED>    ``(1) the assessment, investigation, and 
        prosecution of suspected child abuse and neglect cases, 
        including cases of suspected child sexual abuse, exploitation, 
        and child sex trafficking, in a manner that limits additional 
        trauma to the child and the child's family;</DELETED>
        <DELETED>    ``(2) the assessment, investigation, and 
        prosecution of cases of suspected child abuse-related 
        fatalities and suspected child neglect-related fatalities, 
        including through a child abuse investigative multidisciplinary 
        review team, such as team from the State child death review 
        program; and</DELETED>
        <DELETED>    ``(3) the assessment, investigation, and 
        prosecution of cases involving children with disabilities or 
        serious health-related problems, or other vulnerable 
        populations, who are suspected victims of child abuse or 
        neglect.''.</DELETED>
<DELETED>    (b) State Task Forces.--Section 107(c)(1) (42 U.S.C. 
5106c(c)(1)) is amended--</DELETED>
        <DELETED>    (1) in subparagraph (I), by striking ``and'' at 
        the end;</DELETED>
        <DELETED>    (2) in subparagraph (J), by striking the period 
        and inserting ``; and''; and</DELETED>
        <DELETED>    (3) by adding at the end the following:</DELETED>
                <DELETED>    ``(K) individuals experienced in working 
                with children or youth overrepresented in the child 
                welfare system.''.</DELETED>
<DELETED>    (c) State Task Force Study.--Section 107(d)(1) (42 U.S.C. 
5106c(d)(1)) is amended by striking ``and exploitation,'' and inserting 
``exploitation, and child sex trafficking,''.</DELETED>
<DELETED>    (d) Adoption of State Task Force Recommendations.--Section 
107(e)(1) (42 U.S.C. 5106c(e)(1)) is amended--</DELETED>
        <DELETED>    (1) in subparagraph (A), by striking ``and 
        exploitation,'' and inserting ``exploitation, and child sex 
        trafficking,'';</DELETED>
        <DELETED>    (2) in subparagraph (B), by striking ``and'' at 
        the end;</DELETED>
        <DELETED>    (3) in subparagraph (C)--</DELETED>
                <DELETED>    (A) by striking ``and exploitation,'' and 
                inserting ``exploitation, and child sex trafficking,''; 
                and</DELETED>
                <DELETED>    (B) by striking the period at the end and 
                inserting ``; and''; and</DELETED>
        <DELETED>    (4) by adding at the end the following:</DELETED>
                <DELETED>    ``(D) improving coordination among 
                agencies regarding reports of child abuse and neglect 
                to ensure both law enforcement and child protective 
                services agencies have ready access to full information 
                regarding past reports, which may be done in 
                coordination with other States, Indian Tribes, or 
                agencies for other geographic regions.''.</DELETED>

<DELETED>SEC. 108. MISCELLANEOUS REQUIREMENTS RELATING TO 
              ASSISTANCE.</DELETED>

<DELETED>    Section 109 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106d), as so redesignated by section 105 of this Act, 
is amended by striking subsection (e).</DELETED>

<DELETED>SEC. 109. REPORTS.</DELETED>

<DELETED>    Section 111 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106f), as so redesignated by section 105 of this Act, 
is amended--</DELETED>
        <DELETED>    (1) in subsection (a), by striking ``CAPTA 
        Reauthorization Act of 2010'' and inserting ``CAPTA 
        Reauthorization Act of 2021'';</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) by striking ``(b)'' and all that 
                follows through ``Not'' and inserting the 
                following:</DELETED>
<DELETED>    ``(b) Activities and Technical Assistance.--Not''; 
and</DELETED>
                <DELETED>    (B) by striking ``Senate a report'' and 
                all that follows and inserting ``Senate a report on 
                technical assistance activities for programs that 
                support State efforts to meet the needs and objectives 
                of section 106.''; and</DELETED>
        <DELETED>    (3) by striking subsections (c) and (d) and 
        inserting the following:</DELETED>
<DELETED>    ``(c) Report on State Mandatory Reporting Laws.--Not later 
than 4 years after the date of enactment of the CAPTA Reauthorization 
Act of 2021, 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 information on--</DELETED>
        <DELETED>    ``(1) training supported by this Act, and through 
        other relevant Federal programs, for mandated reporters of 
        child abuse or neglect;</DELETED>
        <DELETED>    ``(2) State efforts to improve reporting on, and 
        responses to reports of, child abuse or neglect; and</DELETED>
        <DELETED>    ``(3) barriers, if any, affecting mandatory 
        reporting of child abuse or neglect.</DELETED>
<DELETED>    ``(d) Report Relating to Injuries Indicating the Presence 
of Child Abuse.--Not later than 2 years after the date of enactment of 
the CAPTA Reauthorization Act of 2021, 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--</DELETED>
        <DELETED>    ``(1) information on best practices developed by 
        medical institutions and other multidisciplinary partners to 
        identify and appropriately respond to injuries indicating the 
        presence of potential physical abuse in children, particularly 
        among infants, including--</DELETED>
                <DELETED>    ``(A) the identification and assessment of 
                such injuries by health care professionals and 
                appropriate child protective services referral and 
                notification processes in response to such injuries; 
                and</DELETED>
                <DELETED>    ``(B) an identification of effective 
                programs replicating such best practices, and barriers 
                or challenges to implementing such programs; 
                and</DELETED>
        <DELETED>    ``(2) data on any outcomes associated with the 
        practices described in paragraph (1), including data on 
        subsequent revictimization and child fatalities.</DELETED>
<DELETED>    ``(e) Report Relating to Child Abuse and Neglect in Indian 
Tribal Communities.--Not later than 2 years after the date of enactment 
of the CAPTA Reauthorization Act of 2021, the Comptroller General of 
the United States, taking into consideration the perspectives of Indian 
Tribes from each of the 12 Bureau of Indian Affairs Regions, shall 
submit a report to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Education and Labor of the 
House of Representatives that contains--</DELETED>
        <DELETED>    ``(1) information about such Indian Tribes and 
        related Tribal organizations providing child abuse and neglect 
        prevention activities, including types of programming and 
        number of such Tribes and Tribal organizations providing 
        activities;</DELETED>
        <DELETED>    ``(2) a description of promising practices used by 
        such Tribes and related Tribal organizations for child abuse 
        and neglect prevention;</DELETED>
        <DELETED>    ``(3) information about the child abuse and 
        neglect prevention activities such Indian Tribes and related 
        Tribal organizations are providing, including those activities 
        supported by Federal, Tribal, and State funds;</DELETED>
        <DELETED>    ``(4) information on ways to support prevention 
        efforts regarding child abuse and neglect of children who are 
        Indians, including Alaska Natives, which may include the use of 
        the children's trust fund model;</DELETED>
        <DELETED>    ``(5) an assessment of Federal agency 
        collaboration and technical assistance efforts to address child 
        abuse and neglect prevention and treatment of children who are 
        Indians, including Alaska Natives;</DELETED>
        <DELETED>    ``(6) an examination of access to child abuse and 
        neglect prevention research and demonstration grants by Indian 
        tribes and related Tribal organizations under this Act; 
        and</DELETED>
        <DELETED>    ``(7) an examination of Federal child abuse and 
        neglect data systems to identify what Tribal data is being 
        submitted to the Department of Health and Human Services, or 
        other relevant agencies, as applicable, any barriers to the 
        submission of such data, and recommendations on improving the 
        submission of such data.</DELETED>
<DELETED>    ``(f) Report Relating to Court Appointments.--</DELETED>
        <DELETED>    ``(1) Study.--Not later than 2 years after the 
        date of enactment of the CAPTA Reauthorization Act of 2021, the 
        Comptroller General of the United States shall conduct a study 
        of--</DELETED>
                <DELETED>    ``(A) policies in selected States 
                regarding the appointment of guardians ad litem and 
                attorneys ad litem as described in section 
                106(b)(2)(A)(xii); and</DELETED>
                <DELETED>    ``(B) successes and challenges in selected 
                States regarding the appointment of a guardian ad litem 
                and attorney ad litem in each case involving a victim 
                of child abuse or neglect that results in judicial 
                proceeding.</DELETED>
        <DELETED>    ``(2) Report.--Not later than 1 year after 
        completion of the study under paragraph (1), 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 summarizes the study under 
        paragraph (1) and includes recommendations, as appropriate, for 
        improving access for such victims to guardians ad litem and 
        attorneys ad litem.''.</DELETED>

<DELETED>SEC. 110. MONITORING AND OVERSIGHT.</DELETED>

<DELETED>    Title I of the Child Abuse Prevention and Treatment Act is 
amended by striking section 112 (42 U.S.C. 5106g), as so redesignated 
by section 105 of this Act, and inserting the following:</DELETED>

<DELETED>``SEC. 112. MONITORING AND OVERSIGHT.</DELETED>

<DELETED>    ``The Secretary shall conduct monitoring to ensure that 
each State that receives a grant under section 106 is in compliance 
with the requirements of section 106(b), which shall--</DELETED>
        <DELETED>    ``(1) be in addition to the review of the State 
        plan upon its submission under section 106(b)(1)(A); 
        and</DELETED>
        <DELETED>    ``(2) include monitoring of State policies and 
        procedures required under section 106(b)(2)(B)(xxiii) and 
        section 402.''.</DELETED>

<DELETED>SEC. 111. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    Section 114 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106h), as so redesignated by section 105 of this Act, 
is amended by striking subsection (a) and inserting the 
following:</DELETED>
<DELETED>    ``(a) In General.--</DELETED>
        <DELETED>    ``(1) General authorization.--In addition to any 
        funds appropriated under paragraph (3), there are authorized to 
        be appropriated to carry out this title $270,000,000 for fiscal 
        year 2022 and such sums as may be necessary for each of the 
        fiscal years 2023 through 2027.</DELETED>
        <DELETED>    ``(2) Discretionary activities.--Of the amounts 
        appropriated for a fiscal year under paragraph (1), the 
        Secretary shall make available 30 percent of such amounts to 
        fund discretionary activities under this title.</DELETED>
        <DELETED>    ``(3) Hotline authorization.--There are authorized 
        to be appropriated to carry out section 108 such sums as may be 
        necessary for each of fiscal years 2022 through 
        2027.''.</DELETED>

 <DELETED>TITLE II--COMMUNITY-BASED GRANTS FOR THE PREVENTION OF CHILD 
                      ABUSE AND NEGLECT</DELETED>

<DELETED>SEC. 201. AMENDMENTS TO TITLE II OF THE CHILD ABUSE PREVENTION 
              AND TREATMENT ACT.</DELETED>

<DELETED>    Title II of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5116 et seq.) is amended to read as follows:</DELETED>

<DELETED>``TITLE II--COMMUNITY-BASED GRANTS FOR THE PRIMARY PREVENTION 
                  OF CHILD ABUSE AND NEGLECT</DELETED>

<DELETED>``SEC. 201. PURPOSES.</DELETED>

<DELETED>    ``The purposes of this title are--</DELETED>
        <DELETED>    ``(1) to support community-based family 
        strengthening services and statewide systems-building 
        approaches to ensure the development, operation, expansion, 
        evaluation, and coordination of initiatives, programs, and 
        activities to prevent child abuse and neglect; and</DELETED>
        <DELETED>    ``(2) to increase access to a continuum of primary 
        preventive services for diverse populations, including families 
        with low incomes, families who are racial or ethnic minorities, 
        families that include children with disabilities or caregivers 
        with disabilities, children and youth overrepresented in the 
        child welfare system, families experiencing homelessness or at 
        risk of homelessness, and families in rural communities, that 
        help strengthen families and prevent child abuse and 
        neglect.</DELETED>

<DELETED>``SEC. 202. AUTHORIZATION OF GRANTS.</DELETED>

<DELETED>    ``(a) Authority.--The Secretary shall make grants under 
this title on a formula basis, from allotments made in accordance with 
subsection (c), to the entities designated by the States as the lead 
entities under section 203(b) for the purposes of--</DELETED>
        <DELETED>    ``(1) supporting community-based family 
        strengthening services, to assist families to build protective 
        factors linked to the prevention of child abuse and neglect, 
        that--</DELETED>
                <DELETED>    ``(A) are accessible to diverse 
                populations, effective, trauma-informed, and culturally 
                responsive;</DELETED>
                <DELETED>    ``(B) build upon the strengths of 
                families;</DELETED>
                <DELETED>    ``(C) provide families with early, 
                comprehensive support;</DELETED>
                <DELETED>    ``(D) promote the development of healthy 
                familial relationships and parenting skills, especially 
                for young parents and parents of young 
                children;</DELETED>
                <DELETED>    ``(E) increase family stability;</DELETED>
                <DELETED>    ``(F) improve family access to other 
                formal and informal community-based resources, such as 
                referral to early childhood health and developmental 
                services, mental health services, and supports to meet 
                the needs of families that include children with 
                disabilities or caregivers with disabilities; 
                and</DELETED>
                <DELETED>    ``(G) meaningfully involve parents in the 
                planning, implementation, and evaluation of such 
                services, including the parents of families with low 
                incomes, parents who are racial or ethnic minorities, 
                parents of children with disabilities, parents with 
                disabilities, parents of children and youth 
                overrepresented in the child welfare system, parents 
                experiencing homelessness or at risk of homelessness, 
                and parents in rural communities;</DELETED>
        <DELETED>    ``(2) promoting the development of a continuum of 
        primary preventive services for families, through State- and 
        community-based collaborations, public-private partnerships, 
        and the leveraging of Federal, State, local, and private 
        funds;</DELETED>
        <DELETED>    ``(3) financing the establishment, maintenance, 
        expansion, or redesign of core services described in section 
        205(d)(3)(A), to address unmet needs described in the inventory 
        in section 204(b)(1)(C)(i);</DELETED>
        <DELETED>    ``(4) financing public information and education 
        activities that focus on the healthy and positive development 
        of parents and children and the promotion of child abuse and 
        neglect prevention activities, including--</DELETED>
                <DELETED>    ``(A) comprehensive outreach strategies to 
                engage diverse populations; and</DELETED>
                <DELETED>    ``(B) efforts to increase awareness, of 
                adults who work with children in a professional or 
                volunteer capacity, regarding the availability of 
                community-based family strengthening services; 
                and</DELETED>
        <DELETED>    ``(5) providing professional development and 
        technical assistance (including activities to support the 
        implementation of services) to improve the effectiveness of 
        community-based family strengthening services including on the 
        use of evidence-based or evidence-informed practices, public 
        health approaches to preventing child abuse and neglect, and 
        culturally responsive practices.</DELETED>
<DELETED>    ``(b) Reservation.--</DELETED>
        <DELETED>    ``(1) In general.--The Secretary shall reserve 1 
        percent of the amount appropriated under section 209 for a 
        fiscal year to make awards to Indian Tribes and Tribal 
        organizations and for migrant programs.</DELETED>
        <DELETED>    ``(2) Exception.--Notwithstanding paragraph (1), 
        for any fiscal year for which the amount appropriated under 
        section 209 exceeds the amount appropriated under section 209 
        for fiscal year 2021 by more than $4,000,000, the Secretary 
        shall reserve, from the total amount appropriated--</DELETED>
                <DELETED>    ``(A) 5 percent for awards to Indian 
                Tribes and Tribal organizations to strengthen families 
                and prevent child abuse and neglect; and</DELETED>
                <DELETED>    ``(B) 1 percent for migrant programs to 
                strengthen families and prevent child abuse and 
                neglect.</DELETED>
<DELETED>    ``(c) Allotments to States.--The Secretary shall allot the 
amount appropriated under section 209 for a fiscal year and remaining 
after the reservations under subsection (b) and section 207 among the 
States as follows:</DELETED>
        <DELETED>    ``(1) 70 percent.--70 percent of such remaining 
        amount shall be allotted among the States by allotting to each 
        State an amount that bears the same proportion to such 
        remaining amount as the number of children under the age of 18 
        residing in the State bears to the total number of children 
        under the age of 18 residing in all States (except that no 
        State shall receive less than $200,000 under this 
        paragraph).</DELETED>
        <DELETED>    ``(2) 30 percent.--30 percent of such remaining 
        amount shall be allotted among the States by allotting to each 
        State an amount that bears the same proportion to such 
        remaining amount as the amount of private, State, or other non-
        Federal funds leveraged and directed in the preceding fiscal 
        year through the lead entity (as designated for the preceding 
        fiscal year) of the State bears to the total of the amounts of 
        private, State, or other non-Federal sources leveraged and 
        directed in the preceding fiscal year through such an entity of 
        all States.</DELETED>
<DELETED>    ``(d) Terms.--Funds allotted by the Secretary to a State 
under this section shall be--</DELETED>
        <DELETED>    ``(1) for a 3-year period; and</DELETED>
        <DELETED>    ``(2) provided to the State on an annual 
        basis.</DELETED>

<DELETED>``SEC. 203. LEAD ENTITY.</DELETED>

<DELETED>    ``(a) Definition of Lead Entity.--In this title, the term 
`lead entity' means a public, quasi-public, or nonprofit private entity 
(which may be an entity that has not been established pursuant to State 
legislation, executive order, or any other written authority of the 
State) that--</DELETED>
        <DELETED>    ``(1) exists to strengthen and support families to 
        prevent child abuse and neglect and has a demonstrated ability 
        to work with State and local public agencies and community-
        based nonprofit organizations to provide professional 
        development and technical assistance; and</DELETED>
        <DELETED>    ``(2) has the capacity and commitment to partner 
        meaningfully with family advocates, parents who are or have 
        been recipients of community-based family strengthening 
        services, and adults who experienced child abuse or neglect as 
        children, to provide leadership in the planning, 
        implementation, and evaluation of the programs and policy 
        decisions of the entity described in this subsection.</DELETED>
<DELETED>    ``(b) Designation.--</DELETED>
        <DELETED>    ``(1) In general.--A State shall be eligible for a 
        grant under this title for a fiscal year if the Governor of a 
        State has designated a lead entity to administer funds under 
        this title for the purposes identified under section 201, 
        including to develop, implement, operate, enhance, or expand 
        community-based family strengthening services.</DELETED>
        <DELETED>    ``(2) Designation considerations.--In designating 
        a lead entity under paragraph (1) the Governor shall--
        </DELETED>
                <DELETED>    ``(A) take into consideration the capacity 
                and expertise of potential lead entities; and</DELETED>
                <DELETED>    ``(B) take into consideration (equally) 
                whether a potential lead entity is--</DELETED>
                        <DELETED>    ``(i) a trust fund advisory board 
                        of the State; or</DELETED>
                        <DELETED>    ``(ii) an existing entity that--
                        </DELETED>
                                <DELETED>    ``(I) leverages Federal, 
                                State, local, and private funds for a 
                                broad range of child abuse and neglect 
                                prevention activities and family 
                                resource programs; and</DELETED>
                                <DELETED>    ``(II) is directed by an 
                                interdisciplinary, public-private 
                                entity that includes participants from 
                                communities to be served by the lead 
                                entity.</DELETED>
<DELETED>    ``(c) Assurances.--On designating a lead entity under this 
title, the Governor of the State shall provide assurances to the 
Secretary as part of the application submitted by the lead entity under 
section 204 that the lead entity--</DELETED>
        <DELETED>    ``(1) will provide or will be responsible for 
        providing--</DELETED>
                <DELETED>    ``(A) community-based family strengthening 
                services, in accordance with section 205, including 
                through collaborative, public-private partnerships with 
                community-based providers;</DELETED>
                <DELETED>    ``(B) leadership to elevate the importance 
                of primary prevention of child abuse and neglect across 
                the State through an interdisciplinary, collaborative, 
                public-private structure with balanced representation 
                from private and public sector members, and 
                representation of parents, adults who experienced child 
                abuse or neglect as children, community-based 
                providers, and parents with disabilities; and</DELETED>
                <DELETED>    ``(C) direction and oversight of programs 
                of community-based family strengthening services 
                supported by grant funds under this title through the 
                use of identified goals and objectives, clear lines of 
                communication and accountability, the provision of 
                leveraged or combined funding from Federal, State, 
                local, and private sources, centralized assessment and 
                planning activities, the provision of training and 
                technical assistance, and reporting and evaluation 
                functions;</DELETED>
        <DELETED>    ``(2) has a demonstrated commitment to parental 
        leadership in the development, operation, and oversight of the 
        community-based family strengthening services;</DELETED>
        <DELETED>    ``(3) has a demonstrated ability to work with 
        State and local public agencies and community-based nonprofit 
        organizations to develop and maintain a continuum of primary 
        preventive services designed to support children and 
        families;</DELETED>
        <DELETED>    ``(4) has the capacity to provide operational 
        support (both financial and programmatic), professional 
        development, technical assistance, and evaluation assistance to 
        community-based providers, through innovative, interagency 
        funding and interdisciplinary service delivery 
        mechanisms;</DELETED>
        <DELETED>    ``(5) will integrate its efforts with individuals 
        and organizations experienced in working in partnership with 
        diverse populations, including families with low incomes, 
        families who are racial or ethnic minorities, families that 
        include children with disabilities or caregivers with 
        disabilities, children and youth overrepresented in the child 
        welfare system, families experiencing homelessness or at risk 
        of homelessness, and families in rural communities; 
        and</DELETED>
        <DELETED>    ``(6) will engage with diverse populations to 
        identify and address unmet needs when developing the inventory 
        required under section 204(b)(1)(C)(i) and when distributing 
        funds to community-based providers under section 205.</DELETED>

<DELETED>``SEC. 204. APPLICATION.</DELETED>

<DELETED>    ``(a) In General.--To receive a grant under this title, a 
lead entity shall submit an application to the Secretary at such time, 
in such form, and containing such information as the Secretary may 
reasonably require, including the contents described in subsection 
(b).</DELETED>
<DELETED>    ``(b) Contents.--Each application submitted under 
subsection (a) by a lead entity shall include each of the 
following:</DELETED>
        <DELETED>    ``(1) A description of--</DELETED>
                <DELETED>    ``(A) the lead entity responsible for the 
                administration of funds provided under this title, 
                including how the lead entity will conduct oversight of 
                community-based providers that receive subgrants under 
                section 205;</DELETED>
                <DELETED>    ``(B) how the lead entity will ensure 
                community-based family strengthening services supported 
                by grant funds under this title will be integrated into 
                a continuum of primary preventive services for children 
                and families, including how the lead entity will--
                </DELETED>
                        <DELETED>    ``(i) utilize statewide and local 
                        systems-building approaches to increase access 
                        to community-based family strengthening 
                        services for diverse populations;</DELETED>
                        <DELETED>    ``(ii) determine which communities 
                        to serve;</DELETED>
                        <DELETED>    ``(iii) support place-based 
                        approaches to meeting the needs of children and 
                        families; and</DELETED>
                        <DELETED>    ``(iv) ensure such services are 
                        designed to serve children and families in 
                        hard-to-reach areas;</DELETED>
                <DELETED>    ``(C) an inventory as of the date of 
                submission of such application, that includes a 
                description of--</DELETED>
                        <DELETED>    ``(i) the unmet needs in the 
                        State, identified through engagement with 
                        diverse populations; and</DELETED>
                        <DELETED>    ``(ii) the community-based family 
                        strengthening services supported by grant funds 
                        under this title and other relevant services 
                        provided in the State;</DELETED>
                <DELETED>    ``(D) how the lead entity will ensure, in 
                the policy decision-making, implementation, and 
                evaluation of community-based providers supported by 
                grant funds under this title, the meaningful 
                involvement of--</DELETED>
                        <DELETED>    ``(i) parents who are or who have 
                        been recipients of community-based family 
                        strengthening services;</DELETED>
                        <DELETED>    ``(ii) family advocates; 
                        and</DELETED>
                        <DELETED>    ``(iii) adults who experienced 
                        child abuse or neglect as children;</DELETED>
                <DELETED>    ``(E) the criteria the lead entity will 
                use to select and fund community-based providers, 
                including how the lead entity will take into 
                consideration a provider's ability to--</DELETED>
                        <DELETED>    ``(i) collaborate with State and 
                        local public agencies and community-based 
                        nonprofit organizations and engage in long-term 
                        and strategic planning to support the 
                        development of a continuum of primary 
                        preventive services across the State;</DELETED>
                        <DELETED>    ``(ii) meaningfully partner with 
                        parents in the development, implementation, and 
                        evaluation of community-based family 
                        strengthening services; and</DELETED>
                        <DELETED>    ``(iii) incorporate evidence-based 
                        or evidence-informed practices;</DELETED>
                <DELETED>    ``(F) outreach activities the lead entity 
                and community-based providers will undertake to 
                maximize the participation of diverse populations, 
                including families with low incomes, families who are 
                racial or ethnic minorities, families that include 
                children with disabilities or caregivers with 
                disabilities, children and youth overrepresented in the 
                child welfare system, families experiencing 
                homelessness or at risk of homelessness, and families 
                in rural communities;</DELETED>
                <DELETED>    ``(G) how the performance of the State 
                program will be assessed using the measures described 
                in section 206 and by other measures that may be 
                established by the lead entity;</DELETED>
                <DELETED>    ``(H) the actions the lead entity will 
                take to advocate for systemic changes in State 
                policies, practices, procedures, and regulations to--
                </DELETED>
                        <DELETED>    ``(i) improve the delivery of 
                        community-based family strengthening services; 
                        and</DELETED>
                        <DELETED>    ``(ii) promote primary prevention 
                        activities to strengthen and support families 
                        in order to reduce child abuse and neglect and 
                        contact with the child protective services 
                        system; and</DELETED>
                <DELETED>    ``(I) the lead entity's plan for providing 
                operational support, professional development, and 
                technical assistance to community-based providers, 
                related to the use of trauma-informed practices, public 
                health approaches to preventing child abuse and 
                neglect, culturally responsive practices, and the use 
                of evidence-based or evidence-informed 
                practices.</DELETED>
        <DELETED>    ``(2) A budget for the development, operation, and 
        expansion of the community-based family strengthening services 
        that demonstrates that the State will expend, in non-Federal 
        funds, an amount (in cash, not in kind) equal to not less than 
        20 percent of the amount received under this title for 
        activities under this title.</DELETED>
        <DELETED>    ``(3) An assurance that--</DELETED>
                <DELETED>    ``(A) the lead entity will use grant funds 
                received under this title to provide community-based 
                family strengthening services in accordance with 
                section 205 in a manner that--</DELETED>
                        <DELETED>    ``(i) helps families build 
                        protective factors that are linked to the 
                        prevention of child abuse and neglect, 
                        including knowledge of parenting and child 
                        development (including social and emotional 
                        development), parental resilience, social 
                        connections, and time-limited and need-based 
                        concrete support available to 
                        families;</DELETED>
                        <DELETED>    ``(ii) is trauma-informed, 
                        culturally responsive, and takes into 
                        consideration the assets and needs of 
                        communities in which the lead entity serves; 
                        and</DELETED>
                        <DELETED>    ``(iii) promotes coordination 
                        between community-based providers, State and 
                        local public agencies, community-based 
                        nonprofit organizations, and relevant private 
                        entities to develop and expand a continuum of 
                        primary preventive supports that promote child, 
                        parent, and family well-being, with a focus on 
                        increasing access to those supports for diverse 
                        populations;</DELETED>
                <DELETED>    ``(B) funds received under this title will 
                be used to supplement, not supplant, other State and 
                local public funds designated for the establishment, 
                maintenance, expansion, and redesign of community-based 
                family strengthening services; and</DELETED>
                <DELETED>    ``(C) the lead entity will provide the 
                Secretary with reports at such time and containing such 
                information as the Secretary may require.</DELETED>
        <DELETED>    ``(4) The assurances described in section 
        203(c).</DELETED>

<DELETED>``SEC. 205. USES OF FUNDS.</DELETED>

<DELETED>    ``(a) In General.--A lead entity that receives a grant 
under this title shall use the grant funds to develop, implement, 
operate, expand, and enhance community-based family strengthening 
services, including by providing subgrants to community-based providers 
described in subsection (b).</DELETED>
<DELETED>    ``(b) Community-Based Provider.--In this title, the term 
`community-based provider' means an entity that provides community-
based family strengthening services, including an entity that is a 
State or local public agency or a community-based nonprofit 
organization.</DELETED>
<DELETED>    ``(c) Priority.--In awarding subgrants under this section, 
a lead entity shall give priority to community-based providers 
proposing evidence-based or evidence-informed local programs to serve 
low-income communities or to serve young parents or parents of young 
children.</DELETED>
<DELETED>    ``(d) Uses of Funds.--A lead entity or a community-based 
provider that receives funds under this section shall use the funds to 
develop, implement, operate, expand, and enhance community-based family 
strengthening services, which may include--</DELETED>
        <DELETED>    ``(1) assessing community assets and needs through 
        a planning process that--</DELETED>
                <DELETED>    ``(A) involves other relevant community-
                based organizations, including those that have already 
                performed a local needs assessments and can positively 
                contribute to the planning process;</DELETED>
                <DELETED>    ``(B) meaningfully involves parents; 
                and</DELETED>
                <DELETED>    ``(C) uses information and expertise from 
                local public agencies, local nonprofit organizations, 
                and local private sector representatives;</DELETED>
        <DELETED>    ``(2) developing a comprehensive strategy, which 
        may leverage public-private partnerships, to provide a 
        continuum of primary preventive services to children and 
        families, especially to families experiencing difficulty 
        meeting basic needs or with other risk factors linked with 
        child abuse and neglect, such as families with young parents, 
        parents of young children, or parents who experienced domestic 
        violence or child abuse or neglect as children;</DELETED>
        <DELETED>    ``(3)(A) providing, directly or through community 
        referral services, core child abuse and neglect prevention 
        services, such as--</DELETED>
                <DELETED>    ``(i) parent support and education 
                programs that build protective factors linked to the 
                prevention of child abuse and neglect;</DELETED>
                <DELETED>    ``(ii) mutual support and self-help 
                programs;</DELETED>
                <DELETED>    ``(iii) parental leadership skills 
                development programs that support parents as leaders in 
                their families and communities;</DELETED>
                <DELETED>    ``(iv) respite care services; 
                and</DELETED>
                <DELETED>    ``(v) outreach and follow up services, 
                which may include voluntary home visiting services; 
                and</DELETED>
        <DELETED>    ``(B) connecting individuals and families to 
        community referral services, including referral to--</DELETED>
                <DELETED>    ``(i) adoption services for individuals 
                interested in adopting a child;</DELETED>
                <DELETED>    ``(ii) early childhood care and education 
                programs such as a child care program, a Head Start 
                program (including an Early Head Start program) carried 
                out under the Head Start Act (42 U.S.C. 9831 et seq.), 
                a developmental screening program, or a program carried 
                out under section 619 or part C of the Individuals with 
                Disabilities Education Act (20 U.S.C. 1419, 1431 et 
                seq.);</DELETED>
                <DELETED>    ``(iii) services and supports to meet the 
                additional needs of families with children with 
                disabilities or caregivers with disabilities;</DELETED>
                <DELETED>    ``(iv) nutrition programs, which may 
                include the special supplemental nutrition program for 
                women, infants, and children program under section 17 
                of the Child Nutrition Act of 1966 (42 U.S.C. 1786) and 
                the supplemental nutrition assistance program under the 
                Food and Nutrition Act of 2008 (7 U.S.C. 2011 et 
                seq.);</DELETED>
                <DELETED>    ``(v) educational services, academic 
                tutoring, adult education and literacy services, and 
                workforce development activities, such as activities 
                described in section 134 of the Workforce Innovation 
                and Opportunity Act (29 U.S.C. 3174);</DELETED>
                <DELETED>    ``(vi) self-sufficiency and life 
                management skills training;</DELETED>
                <DELETED>    ``(vii) mental health services;</DELETED>
                <DELETED>    ``(viii) peer counseling; and</DELETED>
                <DELETED>    ``(ix) domestic violence service programs 
                that provide services and treatment to children and 
                their nonabusing caregivers;</DELETED>
        <DELETED>    ``(4) developing and maintaining leadership roles 
        for the meaningful involvement of parents in the development, 
        operation, evaluation, and oversight of the services provided 
        by the lead entity or community-based providers;</DELETED>
        <DELETED>    ``(5) providing leadership in mobilizing local 
        public and private resources to support the provision of 
        community-based family strengthening services; and</DELETED>
        <DELETED>    ``(6) coordinating services with State and local 
        public agencies, community-based nonprofit organizations, and 
        relevant private entities, to promote child, parent, and family 
        well-being, including coordinating services through the 
        development, operation, and expansion of State and local 
        systems to develop a continuum of primary preventive services 
        to strengthen families and to prevent child abuse and 
        neglect.</DELETED>

<DELETED>``SEC. 206. PERFORMANCE MEASURES.</DELETED>

<DELETED>    ``(a) Measures.--Each lead entity receiving a grant under 
this title shall collect information on the extent to which the State 
program carried out under this title meets measures relating to--
</DELETED>
        <DELETED>    ``(1) the effective development, operation, and 
        expansion of community-based family strengthening services that 
        meet the requirements of this title, including the use of 
        systems-building approaches to increase access to such services 
        for diverse populations;</DELETED>
        <DELETED>    ``(2) the community-based family strengthening 
        services supported under this title and an inventory of the 
        types of such services provided in accordance with section 205 
        and a description that shall specify whether those services are 
        evidence-based or evidence-informed;</DELETED>
        <DELETED>    ``(3) the extent to which the lead entity has 
        addressed the unmet needs identified by the inventory required 
        under section 204(b)(1)(C)(i);</DELETED>
        <DELETED>    ``(4)(A) the involvement of a diverse 
        representation of families in the design, operation, and 
        evaluation of community-based family strengthening services 
        supported by grant funds under this title; and</DELETED>
        <DELETED>    ``(B) the continued leadership of parents in the 
        ongoing planning, implementation, and evaluation of such 
        community-based family strengthening services supported by 
        grant funds under this title, demonstrated in an implementation 
        plan;</DELETED>
        <DELETED>    ``(5) the satisfaction among families who received 
        community-based family strengthening services supported by 
        grant funds under this title;</DELETED>
        <DELETED>    ``(6) the establishment or maintenance of 
        innovative funding mechanisms that blend Federal, State, local, 
        and private funds, and of innovative, interdisciplinary service 
        delivery mechanisms, for the development, operation, expansion, 
        and enhancement of the community-based family strengthening 
        services;</DELETED>
        <DELETED>    ``(7) the effectiveness of activities conducted 
        under this title in meeting the purposes of the program, 
        demonstrated through the results of evaluation, or the outcomes 
        of monitoring, conducted by the lead entity; and</DELETED>
        <DELETED>    ``(8) the number of children and families that 
        received community-based family strengthening services funded 
        under this title, including a disaggregated count of families 
        with children with disabilities and families with caregivers 
        with disabilities.</DELETED>
<DELETED>    ``(b) Reports.--The lead entity shall submit to the 
Secretary a report containing the information described in subsection 
(a).</DELETED>

<DELETED>``SEC. 207. NATIONAL NETWORK FOR COMMUNITY-BASED FAMILY 
              RESOURCE PROGRAMS.</DELETED>

<DELETED>    ``From the amount appropriated under section 209 for a 
fiscal year and remaining after the reservation under section 202(b), 
the Secretary may reserve not more than 5 percent to support the 
activities of lead entities--</DELETED>
        <DELETED>    ``(1) to create, operate, and maintain a peer 
        review process;</DELETED>
        <DELETED>    ``(2) to create, operate, and maintain an 
        information clearinghouse;</DELETED>
        <DELETED>    ``(3) to fund a yearly symposium on State system 
        change efforts that result from the provision of the community-
        based family strengthening services;</DELETED>
        <DELETED>    ``(4) to establish, operate, and maintain a 
        computerized communication system between lead entities; 
        and</DELETED>
        <DELETED>    ``(5) to contribute to funding State-to-State 
        technical assistance through biannual conferences.</DELETED>

<DELETED>``SEC. 208. RULE OF CONSTRUCTION.</DELETED>

<DELETED>    ``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.</DELETED>

<DELETED>``SEC. 209. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    ``There are authorized to be appropriated to carry out 
this title $270,000,000 for fiscal year 2022 and such sums as may be 
necessary for each of fiscal years 2023 through 2027.''.</DELETED>

 <DELETED>TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT 
      CHILD FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND 
                           NEGLECT</DELETED>

<DELETED>SEC. 301. IDENTIFYING AND PREVENTING CHILD FATALITIES AND NEAR 
              FATALITIES DUE TO CHILD ABUSE AND NEGLECT.</DELETED>

<DELETED>    The Child Abuse Prevention and Treatment Act (42 U.S.C. 
5101 et seq.) is amended by adding at the end the following:</DELETED>

<DELETED>``TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT 
      CHILD FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND 
                           NEGLECT</DELETED>

<DELETED>``SEC. 301. PURPOSE.</DELETED>

<DELETED>    ``The purpose of this title is to develop coordinated 
leadership and shared responsibility at the Federal, State, and local 
levels to implement data-driven strategies and reforms to prevent child 
fatalities and near fatalities from occurring in the future through the 
use of improved collection, reporting, and analysis of all child 
fatalities and near fatalities due to child abuse and 
neglect.</DELETED>

<DELETED>``SEC. 302. FEDERAL WORK GROUP ON PUBLIC HEALTH SURVEILLANCE 
              OF CHILD FATALITIES AND NEAR FATALITIES DUE TO CHILD 
              ABUSE AND NEGLECT.</DELETED>

<DELETED>    ``(a) Establishment.--The Secretary shall establish the 
Federal Work Group on Public Health Surveillance of Child Fatalities 
and near fatalities Due to Child Abuse and Neglect (referred to in this 
section as the `Work Group').</DELETED>
<DELETED>    ``(b) In General.--</DELETED>
        <DELETED>    ``(1) Composition.--Not later than 90 days after 
        the date of enactment of the CAPTA Reauthorization Act of 2021, 
        the Secretary shall appoint representatives to the Work Group 
        from the Administration for Children and Families, the Centers 
        for Disease Control and Prevention, the Health Resources and 
        Services Administration, the Department of Justice and other 
        Federal agencies, as the Secretary determines.</DELETED>
        <DELETED>    ``(2) Consultation.--In carrying out the duties 
        described under subsection (c), the Work Group shall consult 
        with experts determined by the Secretary who meet the 
        qualifications described in section 3(b)(1)(B) of the Protect 
        our Kids Act (Public Law 112-275).</DELETED>
<DELETED>    ``(c) Duties.--The Work Group shall--</DELETED>
        <DELETED>    ``(1) oversee the development of uniform public 
        health data standards that are designed to promote consistent 
        terminology and data collection related to child fatalities and 
        near fatalities due to child abuse and neglect; and</DELETED>
        <DELETED>    ``(2) examine all Federal data collections related 
        to child fatalities and near fatalities due to child abuse and 
        neglect and make recommendations to the Secretary regarding--
        </DELETED>
                <DELETED>    ``(A) how to improve the accuracy, 
                uniformity, and comparability of data regarding child 
                fatalities and near fatalities due to child abuse and 
                neglect within and across States;</DELETED>
                <DELETED>    ``(B) how to ensure that such data 
                collections are informative and can be effectively 
                utilized by local, State, Federal policymakers and the 
                public to make data-driven decisions to prevent such 
                fatalities and near fatalities; and</DELETED>
                <DELETED>    ``(C) the purposes and roles of existing 
                data systems, and how such data systems or next-
                generation data systems should more effectively meet 
                the goals described in subparagraphs (A) and 
                (B).</DELETED>
<DELETED>    ``(d) Annual Report to Secretary.--The Work Group shall 
annually prepare a report and submit such report to the Secretary on 
the activities carried out under subsection (b), including 
recommendations for improving public health surveillance of child 
fatalities and near fatalities due to abuse and neglect.</DELETED>

<DELETED>``SEC. 303. GRANTS FOR STATE CHILD DEATH REVIEW OF CHILD ABUSE 
              AND NEGLECT FATALITIES AND NEAR FATALITIES.</DELETED>

<DELETED>    ``(a) Program Authorized.--The Secretary may award grants 
or cooperative agreements to States, Indian Tribes, and Tribal 
organizations for the purposes of assisting such States, Indian Tribes, 
and Tribal organizations in--</DELETED>
        <DELETED>    ``(1) supporting child death review programs, 
        including at the local level, in the review of all incidents of 
        child fatalities and near fatalities due to child abuse or 
        neglect, including incidents in which the child was known by, 
        or referred to, the child protective services system;</DELETED>
        <DELETED>    ``(2) improving data collection and reporting 
        related to child fatalities and near fatalities due to child 
        abuse and neglect, including intrastate and interstate data 
        comparability; and</DELETED>
        <DELETED>    ``(3) developing coordinated leadership and shared 
        responsibility across State, Tribal, and local public agencies 
        that support children and families to implement data-driven 
        strategies and reforms in order to prevent child fatalities and 
        near fatalities due to child abuse and neglect from occurring 
        in the future.</DELETED>
<DELETED>    ``(b) Application.--A State, Indian Tribe, or Tribal 
organization desiring a grant or cooperative agreement under subsection 
(a) shall submit to the Secretary an application at such time, in such 
manner, and containing such information as the Secretary may 
require.</DELETED>
<DELETED>    ``(c) Uses of Funds.--A State, Indian Tribe, or Tribal 
organization receiving a grant or cooperative agreement under 
subsection (a) shall use such funds for the purposes of carrying out 
the grant program under subsection (a).</DELETED>
<DELETED>    ``(d) Reporting.--</DELETED>
        <DELETED>    ``(1) State reporting.--Each State, Indian Tribe, 
        and Tribal organization that receives an award under this 
        subsection shall submit a report to the Secretary, for each 
        fiscal year for which such award is received, at such time, in 
        such manner, and containing such information as the Secretary 
        may require.</DELETED>
        <DELETED>    ``(2) Secretary's report to congress.--The 
        Secretary shall submit an annual report to the Committee on 
        Health, Education, Labor, and Pensions and the Committee on 
        Appropriations of the Senate and the Committee on Education and 
        Labor and the Committee on Appropriations of the House of 
        Representatives that includes a summary of reports submitted by 
        States, Indian Tribes, and Tribal organizations under paragraph 
        (1) and the Secretary's recommendations or observations on the 
        challenges, successes, and lessons derived from implementation 
        of the grant program under subsection (a).</DELETED>

<DELETED>``SEC. 304. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    ``To carry out this title, there are authorized to be 
appropriated $20,000,000 for fiscal year 2022 and such sums as may be 
necessary for each of the fiscal years 2023 through 2027.''.</DELETED>

   <DELETED>TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY 
                    SUBSTANCE USE DISORDER</DELETED>

<DELETED>SEC. 401. AMENDING THE CAPTA TO PROVIDE FOR A PUBLIC HEALTH 
              RESPONSE TO INFANTS AFFECTED BY SUBSTANCE USE 
              DISORDER.</DELETED>

<DELETED>    The Child Abuse Prevention and Treatment Act (42 U.S.C. 
5101 et seq.) is amended by inserting after title III, as added by 
section 301, the following:</DELETED>

  <DELETED>``TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY 
                    SUBSTANCE USE DISORDER</DELETED>

<DELETED>``SEC. 401. PURPOSE.</DELETED>

<DELETED>    ``The purpose of this title is to ensure the safety, 
permanency, and well-being of infants affected by substance use by 
supporting States in providing a public health response to infants, 
mothers, and families by--</DELETED>
        <DELETED>    ``(1) supporting the health and well-being of 
        infants and their mothers rather than penalizing the 
        family;</DELETED>
        <DELETED>    ``(2) developing comprehensive family care plans 
        to address the needs of infants, children, and 
        families;</DELETED>
        <DELETED>    ``(3) increasing access to treatment support and 
        other services for mothers with a substance use disorder and 
        their children, including ensuring that mothers can access 
        necessary prenatal services;</DELETED>
        <DELETED>    ``(4) supporting mothers and caregivers in 
        building protective factors so that infants are at a low risk 
        of child abuse or neglect;</DELETED>
        <DELETED>    ``(5) providing access to appropriate screening, 
        assessment, and intervention services for infants affected by 
        substance use disorder, including alcohol use disorder; 
        and</DELETED>
        <DELETED>    ``(6) improving the capacity of health care 
        professionals, child welfare workers, and other personnel 
        involved in the development, implementation, and monitoring of 
        family care plans.</DELETED>

<DELETED>``SEC. 402. REQUIREMENTS.</DELETED>

<DELETED>    ``(a) In General.--Each State receiving Federal funds 
under section 106 or section 404 shall have in effect policies and 
procedures that meet the requirements of this section.</DELETED>
<DELETED>    ``(b) Designation.--The Governor of the State shall 
designate a lead agency to carry out the State's public health response 
to strengthen families and ensure the safety and well-being of--
</DELETED>
        <DELETED>    ``(1) infants born with, and identified as being 
        affected by, substance use disorder, including alcohol use 
        disorder; and</DELETED>
        <DELETED>    ``(2) the families and caregivers of such 
        infants.</DELETED>
<DELETED>    ``(c) Family Care Plans.--At the same time a State submits 
a State plan under section 106(b)(1), the lead agency designated by the 
Governor under subsection (b) shall provide to the Secretary a 
description of the State's policies and procedures to ensure the safety 
and well-being of infants born with, and identified as being affected 
by, substance use disorder, including alcohol use disorder, and the 
well-being of the families and caregivers of such infants, including a 
description of--</DELETED>
        <DELETED>    ``(1) how the State is implementing and monitoring 
        family care plans, including by--</DELETED>
                <DELETED>    ``(A) developing family care plans prior 
                to the expected delivery of the infant; and</DELETED>
                <DELETED>    ``(B) conducting necessary follow up to 
                ensure that families are able to access supports and 
                services, and to ensure the safety and well-being of 
                infants and the caregivers of such infants;</DELETED>
        <DELETED>    ``(2) the State's policies and procedures for 
        requiring providers involved in the delivery or care of infants 
        born with, and identified as being affected by, substance use 
        disorder, including alcohol use disorder, to notify the lead 
        agency designated under subsection (b) of the occurrence of 
        such condition in such infants;</DELETED>
        <DELETED>    ``(3) the State's policies and procedures to 
        ensure the development of a multi-disciplinary family care plan 
        for the infant born with, and identified as being affected by, 
        substance use disorder, and such infant's affected family 
        member or caregiver, to ensure the safety and well-being of 
        such infant following release from the care of health care 
        providers, including by--</DELETED>
                <DELETED>    ``(A) using a family assessment approach 
                to develop each family care plan;</DELETED>
                <DELETED>    ``(B) addressing, through coordinated 
                service delivery, the health and substance use disorder 
                treatment needs of the infant and affected family 
                member or caregiver; and</DELETED>
                <DELETED>    ``(C) the development and implementation 
                by the State of monitoring systems regarding the 
                implementation of such plans 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 member or caregiver; and</DELETED>
        <DELETED>    ``(4) the State's plan to develop a system for 
        purposes of notifications required by paragraph (2) that is 
        distinct and separate from the system used in the State to 
        report child abuse and neglect, and designed to promote a 
        public health response to infants born with, and identified as 
        being affected by, substance use disorder, including alcohol 
        use disorder, and not for the purpose of initiating an 
        investigation of child abuse or neglect.</DELETED>
<DELETED>    ``(d) Special Rule.--Nothing in this section shall be 
construed to--</DELETED>
        <DELETED>    ``(1) establish a definition under Federal law of 
        what constitutes child abuse or neglect; or</DELETED>
        <DELETED>    ``(2) require investigation or prosecution for any 
        illegal action, including a response by the State's child 
        protective services system.</DELETED>
<DELETED>    ``(e) Annual Report.--The lead agency of a State 
designated by the Governor under subsection (b) shall annually work 
with the Secretary to provide a report that provides the number of 
infants--</DELETED>
        <DELETED>    ``(1) identified under subsection 
        (c)(2);</DELETED>
        <DELETED>    ``(2) for whom a family care plan was developed 
        under subsection (c)(3); and</DELETED>
        <DELETED>    ``(3) for whom a referral was made for appropriate 
        services, including services for the affected family or 
        caregiver, under subsection (c)(3).</DELETED>

<DELETED>``SEC. 403. NATIONAL TECHNICAL ASSISTANCE AND 
              REPORTING.</DELETED>

<DELETED>    ``(a) Technical Assistance.--The Secretary shall provide 
technical assistance to support States in complying the requirements of 
section 402(c) that includes--</DELETED>
        <DELETED>    ``(1) disseminating best practices on 
        implementation of multidisciplinary family care 
        plans;</DELETED>
        <DELETED>    ``(2) addressing State-identified challenges with 
        developing, implementing, and monitoring family care 
        plans;</DELETED>
        <DELETED>    ``(3) supporting collaboration and coordination 
        across substance abuse agencies, child welfare agencies, 
        maternal and child health agencies, family courts, and other 
        community partners;</DELETED>
        <DELETED>    ``(4) supporting State efforts to develop 
        information technology systems to manage family care plans; 
        and</DELETED>
        <DELETED>    ``(5) providing technical assistance in accordance 
        with the infants with prenatal substance-exposure initiative 
        developed by the National Center on Substance Abuse and Child 
        Welfare.</DELETED>
<DELETED>    ``(b) Secretary's Report to Congress.--The Secretary shall 
submit an annual report to the Committee on Health, Education, Labor, 
and Pensions and the Committee on Appropriations of the Senate and the 
Committee on Education and Labor, the Committee on Appropriations of 
the House of Representatives, and the Committee on Energy and Commerce 
of the House of Representatives that includes, at a minimum, 
information on--</DELETED>
        <DELETED>    ``(1) the activities of the Secretary under 
        subsection (a); and</DELETED>
        <DELETED>    ``(2) the progress of States in developing, 
        implementing, and monitoring family care plans to ensure a 
        public health response to addressing the needs of infants born 
        with, and identified as being affected by, substance use 
        disorder, including alcohol use disorder, and the families of 
        such infants, and as appropriate, recommendations for improving 
        such practices.</DELETED>

<DELETED>``SEC. 404. GRANT PROGRAM AUTHORIZED.</DELETED>

<DELETED>    ``(a) In General.--The Secretary is authorized to award 
grants to States for the purpose of assisting maternal and child health 
agencies, child welfare agencies, public health agencies, mental health 
agencies, social services agencies, substance abuse agencies, health 
care facilities with labor and delivery units, and health care 
providers to facilitate collaboration in developing, updating, 
implementing, and monitoring family care plans described in section 
402(c).</DELETED>
<DELETED>    ``(b) Distribution of Funds.--</DELETED>
        <DELETED>    ``(1) Reservations.--Of the amounts made available 
        to carry out subsection (a), the Secretary shall reserve--
        </DELETED>
                <DELETED>    ``(A) no more than 3 percent for the 
                purposes described in subsection (g); and</DELETED>
                <DELETED>    ``(B) no less than 3 percent for grants to 
                Indian Tribes and Tribal organizations to address the 
                needs of infants identified as being affected by 
                substance use disorder, including alcohol use disorder, 
                and their families or caregivers, which, to the extent 
                practicable, shall be consistent with the uses of funds 
                described under subsection (d).</DELETED>
        <DELETED>    ``(2) Allotments to states and territories.--The 
        Secretary shall allot the amount made available to carry out 
        subsection (a) that remains after application of paragraph (1) 
        to each State that applies for such a grant, in an amount equal 
        to the sum of--</DELETED>
                <DELETED>    ``(A) $500,000; and</DELETED>
                <DELETED>    ``(B) an amount that bears the same 
                relationship to any funds made available to carry out 
                subsection (a) and remaining after application of 
                paragraph (1) and subparagraph (A), as the number of 
                live births in the State in the previous calendar year 
                bears to the number of live births in all States in 
                such year.</DELETED>
        <DELETED>    ``(3) Ratable reduction.--If the amount made 
        available to carry out subsection (a) is insufficient to 
        satisfy the requirements of paragraph (2)(A), the Secretary 
        shall ratably reduce each allotment to a State.</DELETED>
<DELETED>    ``(c) Application.--A State desiring a grant under this 
subsection shall submit an application to the Secretary at such time 
and in such manner as the Secretary may require. Such application shall 
include, at a minimum--</DELETED>
        <DELETED>    ``(1) a description of--</DELETED>
                <DELETED>    ``(A) how the lead agency designated under 
                section 402(b) will coordinate with relevant State 
                entities and programs (including maternal and child 
                health providers, the child welfare agency, public 
                health agencies, mental health agencies, the State 
                substance abuse agency, health care facilities with 
                labor and delivery units, health care providers, 
                programs funded by the Substance Abuse and Mental 
                Health Services Administration that provide substance 
                use disorder treatment for women, maternal and child 
                health programs funded by the Health Services Resources 
                Administration, the State Medicaid program, the State 
                agency administering the block grant program under 
                title V of the Social Security Act (42 U.S.C. 701 et 
                seq.), the State agency administering the programs 
                funded under part C of the Individuals with 
                Disabilities Education Act (20 U.S.C. 1431 et seq.), 
                the maternal, infant, and early childhood home visiting 
                program under section 511 of the Social Security Act 
                (42 U.S.C. 711), Early Head Start, the State judicial 
                system, and other agencies, as determined by the 
                Secretary) and any Indian Tribes and Tribal 
                organizations located in the State to develop the 
                application under this subsection and implement the 
                activities under this section;</DELETED>
                <DELETED>    ``(B) how the State plans to use funds for 
                activities described in subsection (d) for the purposes 
                of meeting the requirements of section 
                402(c);</DELETED>
                <DELETED>    ``(C) if applicable, how the State plans 
                to utilize funding authorized under part E of title IV 
                of the Social Security Act (42 U.S.C. 670 et seq.) to 
                assist in carrying out any family care plan, including 
                funding authorized under section 471(e) of such Act for 
                mental health and substance use disorder prevention and 
                treatment services and in-home parent skill-based 
                programs and funding authorized under such section 
                472(j) for children with a parent in a licensed 
                residential family-based treatment facility for 
                substance use disorder; and</DELETED>
                <DELETED>    ``(D) the treatment and other services and 
                programs available in the State to effectively carry 
                out any family care plan developed, including 
                identification of needed treatment, and other services 
                and programs to ensure the well-being of young children 
                and their families affected by substance use disorder, 
                such as programs carried out under part C of the 
                Individuals with Disabilities Education Act (20 U.S.C. 
                1431 et seq.) and comprehensive early childhood 
                development services and programs such as Head Start 
                programs; and</DELETED>
        <DELETED>    ``(2) an assurance that the State will comply with 
        requirements to refer a child identified as substance-exposed 
        to early intervention services as required pursuant to a grant 
        under part C of the Individuals with Disabilities Education Act 
        (20 U.S.C. 1431 et seq.).</DELETED>
<DELETED>    ``(d) Uses of Funds.--Funds awarded to a State under this 
subsection may be used for the following activities, which may be 
carried out by the State directly, or through grants or subgrants, 
contracts, or cooperative agreements:</DELETED>
        <DELETED>    ``(1) Improving State and local systems with 
        respect to the development and implementation of family care 
        plans, which--</DELETED>
                <DELETED>    ``(A) shall address the health and 
                substance use disorder treatment needs of the infant 
                and affected family or caregiver and include parent and 
                caregiver engagement, regarding available treatment and 
                service options and include resources available for 
                pregnant, perinatal, and postnatal women; and</DELETED>
                <DELETED>    ``(B) may include activities such as--
                </DELETED>
                        <DELETED>    ``(i) developing policies, 
                        procedures, or protocols for the administration 
                        or development of evidence-based and validated 
                        screening tools for infants who may be affected 
                        by substance use disorder, including alcohol 
                        use disorder, and pregnant, perinatal, and 
                        postnatal women whose infants may be affected 
                        by substance use disorder, including alcohol 
                        use disorder;</DELETED>
                        <DELETED>    ``(ii) improving assessments used 
                        to determine the needs of the infant and 
                        family;</DELETED>
                        <DELETED>    ``(iii) improving ongoing case 
                        management services;</DELETED>
                        <DELETED>    ``(iv) improving access to 
                        treatment services, which may be prior to the 
                        pregnant woman's delivery date;</DELETED>
                        <DELETED>    ``(v) keeping families safely 
                        together when it is in the best interest of the 
                        child; and</DELETED>
                        <DELETED>    ``(vi) developing the notification 
                        pathway as an alternative to a child 
                        maltreatment report, as described in subsection 
                        402(c)(2).</DELETED>
        <DELETED>    ``(2) Establishing partnerships, agreements, or 
        memoranda of understanding between the lead agency and other 
        entities (including health professionals, health care 
        facilities, child welfare professionals, juvenile and family 
        court judges, substance use and mental disorder treatment 
        programs, early childhood education programs, maternal and 
        child health and early intervention professionals (including 
        home visiting providers), peer-to-peer recovery programs such 
        as parent mentoring programs, and housing agencies) to 
        facilitate the successful development and implementation of 
        family care plans, including development of plans prior to the 
        expected delivery of the infant, by--</DELETED>
                <DELETED>    ``(A) developing a comprehensive, multi-
                disciplinary assessment and intervention process for 
                infants, pregnant women, and their families who are 
                affected by substance use disorder, including alcohol 
                use disorder, that includes meaningful engagement with, 
                and takes into account the unique needs of, each family 
                and addresses differences between medically supervised 
                substance use, including for the treatment of substance 
                use disorder, including alcohol use disorder;</DELETED>
                <DELETED>    ``(B) ensuring that treatment approaches 
                for serving infants, pregnant women, and perinatal and 
                postnatal women whose infants may be affected by 
                substance use disorder, including alcohol use disorder, 
                are designed to, where appropriate, keep infants with 
                their mothers during both inpatient and outpatient 
                treatment; and</DELETED>
                <DELETED>    ``(C) increasing access to all evidence-
                based medications to treat substance use disorder, 
                including alcohol use disorder, including medications 
                for opioid use disorder approved by the Food and Drug 
                Administration, behavioral therapy, and counseling 
                services for the treatment of substance use disorders, 
                as appropriate.</DELETED>
        <DELETED>    ``(3) Developing policies, procedures, or 
        protocols in consultation and coordination with health 
        professionals, public and private health care facilities, and 
        substance abuse agencies to ensure that--</DELETED>
                <DELETED>    ``(A) appropriate notification to the 
                appropriate agency determined by the Governor's office 
                is made in a timely manner, as required under section 
                402(c)(2);</DELETED>
                <DELETED>    ``(B) a family care plan is in place, in 
                accordance with section 402(c)(3) before the infant is 
                discharged from the birth or health care facility; 
                and</DELETED>
                <DELETED>    ``(C) such health and related agency 
                professionals are trained on how to follow such 
                protocols and are aware of the supports that may be 
                provided under a family care plan.</DELETED>
        <DELETED>    ``(4) Training health professionals and health 
        system leaders, early intervention professionals, child welfare 
        workers, substance abuse treatment agencies, and other related 
        professionals such as home visiting agency staff and law 
        enforcement in relevant topics, including--</DELETED>
                <DELETED>    ``(A) the referral and process 
                requirements for notification to the appropriate agency 
                as determined by the Governor when child abuse or 
                neglect reporting is not mandated, including training 
                on how such notification pathway is distinct and 
                separate from the pathway used in the State to report 
                child abuse and neglect;</DELETED>
                <DELETED>    ``(B) the co-occurrence of pregnancy and 
                substance use disorder, and implications of prenatal 
                exposure;</DELETED>
                <DELETED>    ``(C) the clinical guidance about treating 
                substance use disorder in pregnant and postpartum 
                women;</DELETED>
                <DELETED>    ``(D) appropriate screening and 
                interventions for infants affected by substance use 
                disorder, including alcohol use disorder, and the 
                requirements section 402(c); and</DELETED>
                <DELETED>    ``(E) appropriate multigenerational 
                strategies to address the mental health needs of the 
                parent and child together.</DELETED>
        <DELETED>    ``(5) Developing and updating systems of 
        technology for improved data collection and monitoring of 
        family care plans, including existing electronic medical 
        records, to measure the outcomes achieved through the family 
        care plans, including monitoring systems to meet the 
        requirements of this title and submission of performance 
        measures.</DELETED>
<DELETED>    ``(e) Reporting.--Each State that receives funds under 
this section, for each year such funds are received, shall submit a 
report to the Secretary that includes--</DELETED>
        <DELETED>    ``(1) the impact of substance use disorder in such 
        State, including with respect to the substance or class of 
        substances with the highest incidence of abuse in the previous 
        year in such State, including--</DELETED>
                <DELETED>    ``(A) the prevalence of substance use 
                disorder in such State;</DELETED>
                <DELETED>    ``(B) the aggregate rate of births in the 
                State of infants affected by substance use disorder, 
                including alcohol use disorder (as determined by 
                hospitals, insurance claims, claims submitted to the 
                State Medicaid program, or other records), if available 
                and to the extent practicable;</DELETED>
                <DELETED>    ``(C) the number and percentage of infants 
                identified, for whom a family care plan was developed, 
                and for whom a referral was made for appropriate 
                services;</DELETED>
                <DELETED>    ``(D) the number and percentage of family 
                care plans developed prior to the expected delivery of 
                an infant affected by substance use disorder, including 
                alcohol use disorder; and</DELETED>
                <DELETED>    ``(E) the challenges the State faces in 
                developing, implementing, and monitoring family care 
                plans in accordance with section 402(c);</DELETED>
        <DELETED>    ``(2) data disaggregated by geographic location, 
        economic status, race and ethnicity, except that such 
        disaggregation shall not be required if the results would 
        reveal personally identifiable information on, with respect to 
        infants identified under section 402(c)--</DELETED>
                <DELETED>    ``(A) the number who experienced removal 
                associated with parental substance use;</DELETED>
                <DELETED>    ``(B) the number who experienced removal 
                and subsequently are reunified with parents, and the 
                length of time between such removal and 
                reunification;</DELETED>
                <DELETED>    ``(C) the number who are referred to 
                community providers without a child protection 
                case;</DELETED>
                <DELETED>    ``(D) the number who receive services 
                while in the care of their birth parents;</DELETED>
                <DELETED>    ``(E) the number who receive post-
                reunification services within 1 year after a 
                reunification has occurred; and</DELETED>
                <DELETED>    ``(F) the number who experienced a return 
                to out-of-home care within 1 year after 
                reunification.</DELETED>
<DELETED>    ``(f) Secretary's Report to Congress.--The Secretary shall 
submit an annual report to the Committee on Health, Education, Labor, 
and Pensions and the Committee on Appropriations of the Senate and the 
Committee on Education and Labor, the Committee on Appropriations of 
the House of Representatives, and the Committee on Energy and Commerce 
of the House of Representatives that includes the information described 
in subsection (e) and recommendations or observations on the 
challenges, successes, and lessons derived from implementation of the 
grant program.</DELETED>
<DELETED>    ``(g) Evaluation.--The Secretary shall use the amount 
reserved under subsection (b)(1)(A) to carry out an independent 
evaluation to measure the effectiveness of the program assisted under 
this subsection in--</DELETED>
        <DELETED>    ``(1) developing comprehensive family care plans 
        to support the needs of infants, children, and 
        families;</DELETED>
        <DELETED>    ``(2) increasing access to treatment support and 
        other services for mothers with a substance use disorder and 
        their children;</DELETED>
        <DELETED>    ``(3) providing access to appropriate screening, 
        assessment, and intervention services for infants affected by 
        substance use disorder, including alcohol use disorder; 
        and</DELETED>
        <DELETED>    ``(4) improving the capacity of health care 
        professionals, child welfare workers, and other personnel 
        involved in the development, implementation, and monitoring of 
        family care plans.</DELETED>

<DELETED>``SEC. 405. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    ``There are authorized to be appropriated to carry out 
this title $60,000,000 for fiscal year 2022 and such sums as may be 
necessary for each of fiscal years 2023 through 2027.''.</DELETED>

           <DELETED>TITLE V--ADOPTION OPPORTUNITIES</DELETED>

<DELETED>SEC. 501. PURPOSE.</DELETED>

<DELETED>    Section 201 of the Child Abuse Prevention and Treatment 
and Adoption Reform Act of 1978 (42 U.S.C. 5111) is amended--</DELETED>
        <DELETED>    (1) by striking the section heading and inserting 
        the following:</DELETED>

<DELETED>``SEC. 201. PURPOSE.'';</DELETED>

        <DELETED>    (2) by striking subsection (a); and</DELETED>
        <DELETED>    (3) in subsection (b)--</DELETED>
                <DELETED>    (A) by striking the following:</DELETED>
<DELETED>    ``(b) Purpose.--'';</DELETED>
                <DELETED>    (B) in the matter preceding paragraph (1), 
                by striking ``particularly'' and all that follows 
                through ``, by providing'' and inserting ``particularly 
                for children facing barriers to adoption, by 
                providing'';</DELETED>
                <DELETED>    (C) in paragraph (2), by striking ``and'' 
                at the end;</DELETED>
                <DELETED>    (D) in paragraph (3), by striking the 
                period at the end and inserting a semicolon; 
                and</DELETED>
                <DELETED>    (E) by adding at the end the 
                following:</DELETED>
        <DELETED>    ``(4) support the development and implementation 
        of evidence-based and evidence-informed post-legal adoption 
        services for families that adopt children, in order to increase 
        permanency in adoptive placements; and</DELETED>
        <DELETED>    ``(5) support the recruitment of racially and 
        ethnically diverse prospective foster and adoptive 
        parents.''.</DELETED>

<DELETED>SEC. 502. DEFINITIONS.</DELETED>

<DELETED>    Title II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 is amended by inserting after section 201 
(42 U.S.C. 5111) the following:</DELETED>

<DELETED>``SEC. 202. DEFINITIONS.</DELETED>

<DELETED>    ``In this title:</DELETED>
        <DELETED>    ``(1) Child facing a barrier to adoption.--The 
        term `child facing a barrier to adoption' includes an older 
        child, a child who is a racial or ethnic minority, a child with 
        a disability, a child or youth who belongs to a population that 
        is the focus of research efforts authorized under section 404N 
        of the 21st Century Cures Act (42 U.S.C. 283p) and defined in 
        Notice NOT-OD-19-139, issued by the National Institutes of 
        Health on August 28, 2019, and a child with special needs as 
        defined in section 473(c) of the Social Security Act (42 U.S.C. 
        673(c)).</DELETED>
        <DELETED>    ``(2) Secretary.--The term `Secretary' means the 
        Secretary of Health and Human Services.''.</DELETED>

<DELETED>SEC. 503. INFORMATION AND SERVICES.</DELETED>

<DELETED>    Section 203 of the Child Abuse Prevention and Treatment 
and Adoption Reform Act of 1978 (42 U.S.C. 5113) is amended--</DELETED>
        <DELETED>    (1) by striking subsection (a) and inserting the 
        following:</DELETED>
<DELETED>    ``(a) Program Authorization.--</DELETED>
        <DELETED>    ``(1) In general.--The Secretary shall establish 
        an appropriate administrative arrangement to provide a 
        centralized focus for carrying out the provisions of this title 
        and for planning and coordinating all departmental activities 
        affecting adoption and foster care, including--</DELETED>
                <DELETED>    ``(A) services to facilitate the adoption 
                of children facing barriers to adoption;</DELETED>
                <DELETED>    ``(B) services to families considering 
                adoption of such children; and</DELETED>
                <DELETED>    ``(C) post-legal adoption services for 
                families to provide permanent and caring home 
                environments for children who would benefit from 
                adoption.</DELETED>
        <DELETED>    ``(2) Technical assistance.--The Secretary shall 
        make available such consultant services, on-site technical 
        assistance and personnel, together with payment of appropriate 
        administrative expenses, including salaries and travel costs, 
        as are necessary for carrying out departmental activities 
        described in paragraph (1).'';</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) in the matter preceding paragraph (1), 
                by striking ``connection with'';</DELETED>
                <DELETED>    (B) in paragraph (1), by striking ``and 
                prepare'' and all that follows and inserting the 
                following: ``including--</DELETED>
                <DELETED>    ``(A) training, including the continuous 
                improvement and evaluation of such training, on the 
                provision of mental health supports for adoptive 
                families to promote permanency; and</DELETED>
                <DELETED>    ``(B) the development of information and 
                education and training materials, regarding adoption, 
                adoption assistance programs, and post-legal adoption 
                services, and dissemination of the materials to all 
                interested parties, public and private agencies and 
                organizations (including hospitals, health care and 
                family planning clinics, and social services agencies), 
                and governmental bodies;'';</DELETED>
                <DELETED>    (C) in paragraph (2)--</DELETED>
                        <DELETED>    (i) by striking ``conduct, 
                        directly'' and inserting ``conduct 
                        (directly'';</DELETED>
                        <DELETED>    (ii) by striking ``private 
                        organizations, ongoing, extensive recruitment 
                        efforts'' and inserting ``private agencies or 
                        organizations) ongoing, extensive public 
                        awareness and recruitment efforts'';</DELETED>
                        <DELETED>    (iii) by striking ``to promote the 
                        adoption of older children, minority children, 
                        and children with special needs, develop 
                        national public awareness efforts to unite'' 
                        and inserting the following: ``to--</DELETED>
                <DELETED>    ``(A) promote the adoption of children 
                facing barriers to adoption;</DELETED>
                <DELETED>    ``(B) unite''; and</DELETED>
                        <DELETED>    (iv) by striking ``parents, and 
                        establish'' and inserting ``parents; 
                        and</DELETED>
                <DELETED>    ``(C) establish'';</DELETED>
                <DELETED>    (D) in paragraph (3)--</DELETED>
                        <DELETED>    (i) by striking ``for (A) the'' 
                        and inserting the following ``for--</DELETED>
                <DELETED>    ``(A) the''; and</DELETED>
                        <DELETED>    (ii) by striking ``and (B) the'' 
                        and inserting the following ``and</DELETED>
                <DELETED>    ``(B) the'';</DELETED>
                <DELETED>    (E) in paragraph (4)--</DELETED>
                        <DELETED>    (i) by striking ``groups and 
                        minority groups)'' and inserting ``groups and 
                        organizations that represent families who are 
                        racial or ethnic minorities)''; and</DELETED>
                        <DELETED>    (ii) by striking ``of minorities'' 
                        and inserting ``of people who are racial or 
                        ethnic minorities'';</DELETED>
                <DELETED>    (F) in paragraph (5), by striking 
                ``corporations and'' and inserting ``large 
                and'';</DELETED>
                <DELETED>    (G) in paragraph (7)--</DELETED>
                        <DELETED>    (i) by striking ``increase'' and 
                        inserting ``identify best practices 
                        for'';</DELETED>
                        <DELETED>    (ii) by striking ``for the 
                        recruitment of'' and inserting ``to recruit''; 
                        and</DELETED>
                        <DELETED>    (iii) by striking ``older 
                        children'' and all that follows and inserting 
                        ``children facing barriers to 
                        adoption;'';</DELETED>
                <DELETED>    (H) in paragraph (8), by striking ``in 
                order'';</DELETED>
                <DELETED>    (I) in paragraph (9)--</DELETED>
                        <DELETED>    (i) in the matter preceding 
                        subparagraph (A), by striking ``Special Needs'' 
                        and inserting ``Children Facing Barriers 
                        to'';</DELETED>
                        <DELETED>    (ii) in subparagraph (A), by 
                        inserting ``people who are racial or ethnic'' 
                        before ``minorities'';</DELETED>
                        <DELETED>    (iii) in subparagraph (B), by 
                        striking ``with special needs'' and inserting 
                        ``facing barriers to adoption''; and</DELETED>
                        <DELETED>    (iv) by striking subparagraph (D) 
                        and inserting the following:</DELETED>
                <DELETED>    ``(D) identify and disseminate best 
                practices to reduce adoption disruption and 
                dissolution, and increase permanency, including best 
                practices related to pre- and post-legal adoption 
                services;'';</DELETED>
                <DELETED>    (J) in paragraph (10)--</DELETED>
                        <DELETED>    (i) in the matter preceding 
                        subparagraph (A)--</DELETED>
                                <DELETED>    (I) by inserting ``racial 
                                or ethnic'' before ``minority 
                                populations'';</DELETED>
                                <DELETED>    (II) by striking 
                                ``minority children'' and inserting 
                                ``children who are racial or ethnic 
                                minorities''; and</DELETED>
                                <DELETED>    (III) by striking 
                                ``minority families'' and inserting 
                                ``racially and ethnically diverse 
                                families''; and</DELETED>
                        <DELETED>    (ii) in subparagraph (A)--
                        </DELETED>
                                <DELETED>    (I) in clause (ii), by 
                                striking ``, including'' and all that 
                                follows and inserting a 
                                semicolon;</DELETED>
                                <DELETED>    (II) by redesignating 
                                clauses (iii) through (ix) as clauses 
                                (iv) through (x);</DELETED>
                                <DELETED>    (III) by inserting after 
                                clause (ii) the following:</DELETED>
                        <DELETED>    ``(iii) developing and using 
                        procedures, including family finding 
                        strategies, to notify family and relatives when 
                        a child enters the child welfare system, and to 
                        identify such family and relatives who are 
                        willing to adopt or provide a permanent home 
                        for such child to improve 
                        permanency;'';</DELETED>
                                <DELETED>    (IV) in clause (vi), as so 
                                redesignated, by inserting ``, 
                                including such groups for prospective 
                                kinship caregivers'' before the 
                                semicolon;</DELETED>
                                <DELETED>    (V) in clause (vii), as so 
                                redesignated, by striking ``training of 
                                personnel'' and inserting ``training on 
                                working with diverse cultural, racial, 
                                linguistic, and socioeconomic 
                                communities, for'';</DELETED>
                                <DELETED>    (VI) in clause (vii)(III), 
                                as so redesignated, by striking ``with 
                                experience'' and all that follows and 
                                inserting a semicolon;</DELETED>
                                <DELETED>    (VII) in clause (ix), as 
                                so redesignated, by inserting ``, 
                                including such groups for kinship 
                                caregivers'' before the semicolon; 
                                and</DELETED>
                                <DELETED>    (VIII) in clause (x), as 
                                so redesignated, by striking ``Act'' 
                                and inserting ``title''; and</DELETED>
                <DELETED>    (K) in paragraph (11)--</DELETED>
                        <DELETED>    (i) in the matter preceding 
                        subparagraph (A), by inserting ``Indian Tribes, 
                        Tribal organizations,'' after 
                        ``States,'';</DELETED>
                        <DELETED>    (ii) in subparagraph (B), by 
                        striking ``and'' at the end;</DELETED>
                        <DELETED>    (iii) in subparagraph (C), by 
                        striking the period at the end and inserting 
                        ``; and''; and</DELETED>
                        <DELETED>    (iv) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(D) procedures to identify and support 
                potential kinship care arrangements.'';</DELETED>
        <DELETED>    (3) in subsection (c)--</DELETED>
                <DELETED>    (A) by striking the subsection header and 
                inserting the following:</DELETED>
<DELETED>    ``(c) Services for Families Adopting Children Facing 
Barriers to Adoption.--'';</DELETED>
                <DELETED>    (B) in paragraph (1), by striking 
                ``special needs children'' and inserting ``children 
                facing barriers to adoption''; and</DELETED>
                <DELETED>    (C) in paragraph (2)(G), by inserting ``, 
                including such parents, children, and siblings in 
                kinship care arrangements'' before the 
                semicolon;</DELETED>
        <DELETED>    (4) in subsection (d)--</DELETED>
                <DELETED>    (A) by striking the subsection header and 
                inserting the following:</DELETED>
<DELETED>    ``(d) Improving Placement Rate of Children in Foster Care 
and Improving Post-Legal Adoption Support Services.--'';</DELETED>
                <DELETED>    (B) in paragraph (1), by inserting 
                ``including through the improvement of post-legal 
                adoption services,'' after ``adoption,'';</DELETED>
                <DELETED>    (C) in paragraph (2)--</DELETED>
                        <DELETED>    (i) in subparagraph (A)--
                        </DELETED>
                                <DELETED>    (I) in clause (i), by 
                                inserting ``, including plans to assess 
                                the need for and provide post-legal 
                                adoption services in order to improve 
                                permanency'' before the 
                                semicolon;</DELETED>
                                <DELETED>    (II) in clause (ii), by 
                                striking ``older children'' and all 
                                that follows and inserting ``children 
                                facing barriers to adoption, who are 
                                legally free for adoption;''; 
                                and</DELETED>
                                <DELETED>    (III) in clause (iv), by 
                                striking ``section 473'' and all that 
                                follows and inserting ``subpart 2 of 
                                part B of title IV of the Social 
                                Security Act (42 U.S.C. 629 et seq.) 
                                and part E of such title IV (42 U.S.C. 
                                670 et seq.).''; and</DELETED>
                        <DELETED>    (ii) in subparagraph (B)--
                        </DELETED>
                                <DELETED>    (I) in clause (i), by 
                                striking ``older children'' and all 
                                that follows through ``special needs,'' 
                                and inserting ``children facing 
                                barriers to adoption;''; and</DELETED>
                                <DELETED>    (II) in clause (ii), by 
                                striking ``successful'' and inserting 
                                ``evidence-based and evidence-
                                informed''; and</DELETED>
                <DELETED>    (D) in paragraph (3)--</DELETED>
                        <DELETED>    (i) in subparagraph (A)--
                        </DELETED>
                                <DELETED>    (I) by striking the first 
                                sentence; and</DELETED>
                                <DELETED>    (II) in the last sentence, 
                                by striking ``section 205(a)'' and 
                                inserting ``section 206(a)''; 
                                and</DELETED>
                        <DELETED>    (ii) in subparagraph (B), by 
                        striking ``this Act'' and inserting ``this 
                        title''; and</DELETED>
        <DELETED>    (5) in subsection (e)(1), by inserting before the 
        period at the end the following: ``, such as through the use of 
        an electronic interstate case processing system''.</DELETED>

<DELETED>SEC. 504. STUDIES AND REPORTS.</DELETED>

<DELETED>    Section 204 of the Child Abuse Prevention and Treatment 
and Adoption Reform Act of 1978 (42 U.S.C. 5114) is amended to read as 
follows:</DELETED>

<DELETED>``SEC. 204. STUDIES AND REPORTS.</DELETED>

<DELETED>    ``(a) Report on the Outcomes of Individuals Who Were 
Adopted From Foster Care.--Not later than 2 years after the date of 
enactment of the CAPTA Reauthorization Act of 2021, the Secretary shall 
prepare and 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 on research and data regarding--
</DELETED>
        <DELETED>    ``(1) the outcomes of individuals who were adopted 
        from foster care as children; and</DELETED>
        <DELETED>    ``(2) a summary of the post-adoption services 
        available to families that adopted children from foster care 
        including the extent to which such services are evidence-based 
        or evidence-informed.</DELETED>
<DELETED>    ``(b) Report on Adoption Disruption and Dissolution.--
</DELETED>
        <DELETED>    ``(1) In general.--Not later than 18 months after 
        the date of enactment of the CAPTA Reauthorization Act of 2021, 
        the Secretary shall prepare and 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 on children who enter into foster care 
        under the supervision of a State after prior finalization of an 
        adoption or legal guardianship, including adoptions of foster 
        youth and international adoptions.</DELETED>
        <DELETED>    ``(2) Information.--The Secretary shall include in 
        such report information, to the extent that such information is 
        available through the Adoption and Foster Care Analysis and 
        Reporting System and other data sources, regarding the 
        incidence of adoption disruption and dissolution impacting 
        children described in paragraph (1) and factors associated with 
        such circumstances, including--</DELETED>
                <DELETED>    ``(A) whether affected individuals 
                received pre- or post-legal adoption services; 
                and</DELETED>
                <DELETED>    ``(B) other relevant information, such as 
                the age of the child involved.''.</DELETED>

<DELETED>SEC. 505. UNREGULATED CUSTODY TRANSFERS.</DELETED>

<DELETED>    Title II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5111 et seq.) is amended--
</DELETED>
        <DELETED>    (1) by redesignating section 205 (42 U.S.C. 5115) 
        as section 206; and</DELETED>
        <DELETED>    (2) by inserting after section 204 the 
        following:</DELETED>

<DELETED>``SEC. 205. SENSE OF CONGRESS, TECHNICAL ASSISTANCE, AND 
              REPORT ON UNREGULATED CUSTODY TRANSFERS.</DELETED>

<DELETED>    ``(a) Sense of Congress.--It is the sense of Congress 
that--</DELETED>
        <DELETED>    ``(1) there are challenges associated with 
        adoptions (including the child's mental health needs and the 
        difficulties many families face in accessing support services) 
        and some families may seek out an unregulated transfer of 
        physical custody of an adoptive child without any formal 
        supervision by child welfare agencies or courts;</DELETED>
        <DELETED>    ``(2) some adopted children experience trauma, and 
        the disruption and placement in another home due to such a 
        transfer may contribute to additional trauma and instability 
        for such children;</DELETED>
        <DELETED>    ``(3) unregulated custody transfers may not 
        include certain safety measures that are required as part of 
        formal adoption proceedings;</DELETED>
        <DELETED>    ``(4) child welfare agencies and courts may be 
        unaware of the placement of children through unregulated 
        custody transfers and, as a result, may not conduct assessments 
        on children's safety and well-being in such subsequent 
        placements;</DELETED>
        <DELETED>    ``(5) the lack of such assessments may result in 
        the placement of children in homes in which the children may be 
        exposed to unsafe environments;</DELETED>
        <DELETED>    ``(6) the caregivers with whom a child is placed 
        through an unregulated custody transfer may have no legal 
        responsibility with respect to such child and may not have 
        complete records, including the child's birth, medical, or 
        other records, with respect to such child;</DELETED>
        <DELETED>    ``(7) 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;</DELETED>
        <DELETED>    ``(8) unregulated custody transfers pose 
        significant challenges for children who experience such 
        transfers; and</DELETED>
        <DELETED>    ``(9) the Department of Health and Human Services 
        should support States in preventing, identifying, and 
        responding to unregulated custody transfers, including of 
        adopted children.</DELETED>
<DELETED>    ``(b) Technical Assistance and Public Awareness.--The 
Secretary, in coordination with the heads of other relevant departments 
of the Federal Government--</DELETED>
        <DELETED>    ``(1) shall improve public awareness related to 
        preventing adoption disruption and dissolution, including 
        preventing unregulated custody transfers of adopted children; 
        and</DELETED>
        <DELETED>    ``(2) in carrying out paragraph (1), may update 
        Federal resources, including internet websites, to provide--
        </DELETED>
                <DELETED>    ``(A) employees of State, local, and 
                Tribal agencies that provide child welfare services 
                with education and training materials related to 
                preventing, identifying, and responding to unregulated 
                custody transfers; and</DELETED>
                <DELETED>    ``(B) families with information on post-
                legal adoption services from State, local, and private 
                resources to promote child permanency.</DELETED>
<DELETED>    ``(c) Report to Congress.--</DELETED>
        <DELETED>    ``(1) In general.--Not later than 1 year after the 
        date of enactment of the CAPTA Reauthorization Act of 2021, the 
        Secretary, in consultation with the Secretary of State, shall 
        prepare and submit to the Committee on Health, Education, 
        Labor, and Pensions of the Senate, the Committee on Finance of 
        the Senate, the Committee on Education and Labor of the House 
        of Representatives, and the Committee on Ways and Means of the 
        House of Representatives, a report on unregulated custody 
        transfers of children, including of adopted children.</DELETED>
        <DELETED>    ``(2) Elements.--The report required under 
        paragraph (1) shall include--</DELETED>
                <DELETED>    ``(A) information on the causes, methods, 
                and characteristics of unregulated custody transfers, 
                including the use of social media and the 
                internet;</DELETED>
                <DELETED>    ``(B) information on the effects of 
                unregulated custody transfer on children, including the 
                effects of the lack of assessment of a child's safety 
                and well-being by social services agencies and courts 
                due to such unregulated custody transfer;</DELETED>
                <DELETED>    ``(C) data on the prevalence of 
                unregulated custody transfers within each State and 
                across all States; and</DELETED>
                <DELETED>    ``(D) recommended policies for preventing, 
                identifying, and responding to unregulated custody 
                transfers, including of adopted children, that 
                include--</DELETED>
                        <DELETED>    ``(i) suggested changes or updates 
                        to Federal and State law to address unregulated 
                        custody transfers;</DELETED>
                        <DELETED>    ``(ii) suggested changes or 
                        updates to child protection practices to 
                        address unregulated custody transfers; 
                        and</DELETED>
                        <DELETED>    ``(iii) methods of providing to 
                        the public information regarding adoption and 
                        child protection.''.</DELETED>

<DELETED>SEC. 506. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    Section 206 of the Child Abuse Prevention and Treatment 
and Adoption Reform Act of 1978 (42 U.S.C. 5115) is amended to read as 
follows:</DELETED>

<DELETED>``SEC. 206. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    ``(a) In General.--There are authorized to be appropriated 
$50,000,000 for fiscal year 2022 and such sums as may be necessary for 
each of fiscal years 2023 through 2027 to carry out programs and 
activities authorized under this title.</DELETED>
<DELETED>    ``(b) Allocation.--Not less than 35 percent and not more 
than 50 percent of the funds appropriated under subsection (a) shall be 
allocated for activities under subsections (b)(10) and (c) of section 
203.</DELETED>
<DELETED>    ``(c) Availability.--Funds appropriated pursuant to 
authorizations in this title shall remain available until expended for 
the purposes for which the funds were appropriated.''.</DELETED>

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``CAPTA 
Reauthorization Act of 2021''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Amended CAPTA table of contents.
Sec. 3. Definitions.

                        TITLE I--GENERAL PROGRAM

Sec. 101. Interagency work group on child abuse and neglect.
Sec. 102. National clearinghouse for information relating to child 
                            abuse.
Sec. 103. Research and assistance activities.
Sec. 104. Grants to States, Indian Tribes or Tribal organizations, and 
                            public or private agencies and 
                            organizations.
Sec. 105. National child abuse hotline.
Sec. 106. Grants to States for child abuse or neglect prevention and 
                            treatment programs.
Sec. 107. Grants for investigation and prosecution of child abuse and 
                            neglect.
Sec. 108. Miscellaneous requirements relating to assistance.
Sec. 109. Reports.
Sec. 110. Monitoring and oversight.
Sec. 111. Authorization of appropriations.
Sec. 112. Conforming amendments.

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

Sec. 201. Amendments to title II of the Child Abuse Prevention and 
                            Treatment Act.
Sec. 202. Conforming amendments.

   TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT CHILD 
     FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND NEGLECT

Sec. 301. Identifying and preventing child fatalities and near 
                            fatalities due to child abuse and neglect.

 TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY SUBSTANCE USE 
                                DISORDER

Sec. 401. Amending the CAPTA to provide for a public health response to 
                            infants affected by substance use disorder.

                    TITLE V--ADOPTION OPPORTUNITIES

Sec. 501. Purpose.
Sec. 502. Definitions.
Sec. 503. Information and services.
Sec. 504. Studies and reports.
Sec. 505. Unregulated custody transfers.
Sec. 506. Authorization of appropriations.

SEC. 2. AMENDED CAPTA TABLE OF CONTENTS.

    The Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 et 
seq.) is amended--
            (1) by striking section 2; and
            (2) by amending the table of contents under section 1(b) to 
        read as follows:

                          ``TABLE OF CONTENTS

``Sec. 1. Short title.
``Sec. 2. Definitions.

                       ``TITLE I--GENERAL PROGRAM

``Sec. 101. Office on Child Abuse and Neglect.
``Sec. 102. Interagency work group on child abuse and neglect.
``Sec. 103. National clearinghouse for information relating to child 
                            abuse.
``Sec. 104. Research and assistance activities.
``Sec. 105. Grants to States, Indian Tribes or Tribal organizations, 
                            and public or private agencies and 
                            organizations.
``Sec. 106. Grants to States for child abuse or neglect prevention and 
                            treatment programs.
``Sec. 107. Grants to States for programs relating to the investigation 
                            and prosecution of child abuse and neglect 
                            cases.
``Sec. 108. National child abuse hotline.
``Sec. 109. Miscellaneous requirements relating to assistance.
``Sec. 110. Coordination of child abuse and neglect programs.
``Sec. 111. Reports.
``Sec. 112. Monitoring and oversight.
``Sec. 113. Authorization of appropriations.

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

``Sec. 201. Purposes.
``Sec. 202. Authorization of grants.
``Sec. 203. Lead entity.
``Sec. 204. Application.
``Sec. 205. Uses of funds.
``Sec. 206. Performance measures.
``Sec. 207. National technical assistance for community-based family 
                            strengthening services.
``Sec. 208. Rule of construction.
``Sec. 209. Authorization of appropriations.

  ``TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT CHILD 
     FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND NEGLECT

``Sec. 301. Purpose.
``Sec. 302. Federal Work Group on Public Health Surveillance of Child 
                            Fatalities and near fatalities Due to Child 
                            Abuse and Neglect.
``Sec. 303. Case registry for child fatalities and near fatalities due 
                            to child abuse and neglect.
``Sec. 304. Grants for State, Indian Tribe, and Tribal organization 
                            child death review of child abuse and 
                            neglect fatalities and near fatalities.
``Sec. 305. Assisting State, Indian Tribe, and Tribal organization 
                            implementation.
``Sec. 306. Authorization of appropriations.

``TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY SUBSTANCE USE 
                                DISORDER

``Sec. 401. Purpose.
``Sec. 402. Requirements.
``Sec. 403. National technical assistance and reporting.
``Sec. 404. Grant program authorized.
``Sec. 405. Authorization of appropriations.''.

SEC. 3. DEFINITIONS.

    The Child Abuse Prevention and Treatment Act is amended by striking 
section 3 (42 U.S.C. 5101 note) and inserting the following:

``SEC. 2. DEFINITIONS.

    ``(a) In General.--In this Act:
            ``(1) Alaska native.--The term `Alaska Native' has the 
        meaning given the term `Native' in section 3 of the Alaska 
        Native Claims Settlement Act (43 U.S.C. 1602)
            ``(2) Child.--Subject to subsection (b)(2), the term 
        `child' means a person who has not attained the lesser of--
                    ``(A) the age of 18; or
                    ``(B) except in the case of sexual abuse, the age 
                specified by the child protection law of the State in 
                which the child resides.
            ``(3) Child abuse and neglect.--The term `child abuse and 
        neglect' means, at a minimum, any recent act or failure to act 
        on the part of a parent or caretaker, which results in death, 
        serious physical or emotional harm, sexual abuse or 
        exploitation (including sexual abuse as determined under 
        paragraph (17)), or an act or failure to act which presents an 
        imminent risk of serious harm.
            ``(4) Child with a disability.--The term `child with a 
        disability' means a child with a disability as defined in 
        section 602 of the Individuals with Disabilities Education Act 
        (20 U.S.C. 1401), or an infant or toddler with a disability as 
        defined in section 632 of such Act (20 U.S.C. 1432)
            ``(5) Children and youth overrepresented in the child 
        welfare system.--The term `children and youth overrepresented 
        in the child welfare system' includes children and youth who 
        belong to populations who are the focus of research efforts 
        authorized under section 404N of the Public Health Service Act 
        (42 U.S.C. 283p) and defined in NIH Notice NOT-OD-19-139 
        released on August 28, 2019.
            ``(6) Community-based family strengthening services.--The 
        term `community-based family strengthening services' includes 
        services that--
                    ``(A) are provided by organizations carrying out 
                programs such as family resource programs, family 
                support programs, voluntary home visiting programs, 
                respite care services programs, parenting education, 
                mutual support programs for parents and children, 
                parent partner programs, family advocate programs, and 
                other community programs or networks of such programs; 
                and
                    ``(B) are designed to prevent or respond to child 
                abuse and neglect and support families in building 
                protective factors linked to the prevention of child 
                abuse and neglect.
            ``(7) Community referral services.--The term `community 
        referral services' means services provided under contract or 
        through an interagency agreement to assist families in 
        obtaining needed information, mutual support, and community 
        resources, including respite care services, health care 
        services (including mental health and substance use disorder 
        services), employability development and job training, and 
        other social services, including early developmental screening 
        of children, through help lines or other methods.
            ``(8) Fatality.--The term `fatality', used with respect to 
        a child fatality that is due to child abuse or neglect, means a 
        fatality of a child that occurred--
                    ``(A) due to an injury resulting from child abuse 
                or neglect; or
                    ``(B) where child abuse or neglect was a 
                contributing factor to the cause of death.
            ``(9) Governor.--The term `Governor' means the chief 
        executive officer of a State.
            ``(10) Homeless children and youth.--The term `homeless 
        children and youth' means an individual who is described in 
        section 725 of the McKinney-Vento Homeless Assistance Act (42 
        U.S.C. 11434a).
            ``(11) Indian; indian tribe; tribal organization.--The 
        terms `Indian', `Indian Tribe', and `Tribal organization' have 
        the meanings given the terms `Indian', `Indian tribe', and 
        `tribal organization', respectively, in section 4 of the Indian 
        Self-Determination and Education Assistance Act (25 U.S.C. 
        5304).
            ``(12) Individuals with personal experience in the child 
        welfare system.--The term `individuals with personal experience 
        in the child welfare system' means parents and youth with 
        current or previous involvement in the child welfare system, 
        kinship caregivers, foster and adoptive families, and adults 
        who experienced child abuse or neglect as children.
            ``(13) Native hawaiian.--The term `Native Hawaiian' has the 
        meaning given the term in section 6207 of the Elementary and 
        Secondary Education Act of 1965 (20 U.S.C. 7517).
            ``(14) Near fatality.--The term `near fatality' means an 
        act that, as certified by a physician, places a child in 
        serious or critical condition.
            ``(15) Protective factors linked to the prevention of child 
        abuse and neglect.--The term `protective factors linked to the 
        prevention of child abuse and neglect' means evidence-based or 
        evidence-informed factors that have been demonstrated to ensure 
        that families are more likely to be healthy and strong and 
        children are less likely to experience child abuse and neglect.
            ``(16) Respite care services.--The term `respite care 
        services' means services, including the services of crisis 
        nurseries, that are--
                    ``(A) provided in the temporary absence of the 
                regular caregiver (meaning a parent, other relative, 
                foster parent, adoptive parent, or guardian);
                    ``(B) provided to children who--
                            ``(i) are in danger of child abuse or 
                        neglect;
                            ``(ii) have experienced child abuse or 
                        neglect; or
                            ``(iii) have disabilities or chronic or 
                        terminal illnesses;
                    ``(C) provided within or outside the home of the 
                child;
                    ``(D) short-term care (ranging from a few hours to 
                a few weeks of time, per year); and
                    ``(E) intended to enable the family to stay 
                together and to keep the child living in the home and 
                community of the child.
            ``(17) Secretary.--The term `Secretary' means the Secretary 
        of Health and Human Services.
            ``(18) Serious bodily injury.--The term `serious bodily 
        injury' means bodily injury which involves substantial risk of 
        death, extreme physical pain, protracted and obvious 
        disfigurement, or protracted loss or impairment of the function 
        of a bodily member, organ, or mental faculty.
            ``(19) Sexual abuse.--The term `sexual abuse' includes--
                    ``(A) the employment, use, persuasion, inducement, 
                enticement, or coercion of any child to engage in, or 
                assist any other person to engage in, any sexually 
                explicit conduct or simulation of such conduct for the 
                purpose of producing a visual depiction of such 
                conduct; and
                    ``(B) the rape, and in cases of caretaker or inter-
                familial relationships, statutory rape, molestation, 
                prostitution, or other form of sexual exploitation of 
                children, or incest with children.
            ``(20) State.--Except as provided in section 106(g), the 
        term `State' means each of the several States, the District of 
        Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, 
        Guam, American Samoa, and the Commonwealth of the Northern 
        Mariana Islands.
            ``(21) Withholding of medically indicated treatment.--The 
        term `withholding of medically indicated treatment' means the 
        failure to respond to the infant's life-threatening conditions 
        by providing treatment (including appropriate nutrition, 
        hydration, and medication) which, in the treating physician's 
        or physicians' reasonable medical judgment, will be most likely 
        to be effective in ameliorating or correcting all such 
        conditions, except that the term does not include the failure 
        to provide treatment (other than appropriate nutrition, 
        hydration, or medication) to an infant when, in the treating 
        physician's or physicians' reasonable medical judgment--
                    ``(A) the infant is chronically and irreversibly 
                comatose;
                    ``(B) the provision of such treatment would--
                            ``(i) merely prolong dying;
                            ``(ii) not be effective in ameliorating or 
                        correcting all of the infant's life-threatening 
                        conditions; or
                            ``(iii) otherwise be futile in terms of the 
                        survival of the infant; or
                    ``(C) the provision of such treatment would be 
                virtually futile in terms of the survival of the infant 
                and the treatment itself under such circumstances would 
                be inhumane.
    ``(b) Special Rule.--
            ``(1) In general.--For purposes of paragraphs (3) and (19) 
        of subsection (a), a child shall be considered a victim of 
        child abuse and neglect or sexual abuse if the child is 
        identified, by an employee of the State or local agency 
        involved, as being a victim of sex trafficking (as defined in 
        section 103 of the Trafficking Victims Protection Act of 2000 
        (22 U.S.C. 7102)) or a victim of severe forms of trafficking in 
        persons (as defined in such section 103).
            ``(2) State option.--Notwithstanding the definition of 
        child under subsection (a)(2), for purposes of application of 
        paragraph (1), a State may elect to define the term `child' as 
        a person who has not attained the age of 24.''.

                        TITLE I--GENERAL PROGRAM

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

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

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

    ``(a) Establishment.--The Secretary may establish and operate an 
Interagency Work Group on Child Abuse and Neglect (referred to in this 
section as the `Work Group').
    ``(b) Composition.--The Work Group shall be comprised of 
representatives from Federal agencies with responsibility for child 
abuse and neglect related programs and activities and other programs 
and activities that strengthen families and support child and family 
well-being.
    ``(c) Duties.--The Work Group shall--
            ``(1) coordinate Federal efforts and activities with 
        respect to child abuse and neglect prevention and treatment, 
        including data collection and reporting;
            ``(2) serve as a forum that convenes relevant Federal 
        agencies to communicate and exchange ideas concerning child 
        abuse and neglect related programs and activities and other 
        programs and activities that strengthen families and support 
        child and family well-being;
            ``(3) work to maximize Federal resources to address child 
        abuse and neglect in areas of critical needs for the field, 
        such as--
                    ``(A) improving research;
                    ``(B) focusing on prevention of child abuse and 
                neglect;
                    ``(C) addressing racial bias and disparities in the 
                child welfare system;
                    ``(D) enhancing child welfare professionals' 
                understanding of trauma-informed practices that prevent 
                and mitigate the effects of trauma and adverse 
                childhood experiences;
                    ``(E) identifying actions the child protective 
                services system, other public agencies, and community-
                based organizations can take to develop alternative 
                pathways to connect families experiencing difficulty 
                meeting basic needs or other risk factors associated 
                with child abuse and neglect to community-based family 
                strengthening services to prevent child abuse and 
                neglect in order to safely reduce the number of 
                families unnecessarily involved in such system; and
                    ``(F) addressing the links between child abuse and 
                neglect and domestic violence; and
            ``(4) consult with experts in the child protective services 
        field and individuals with personal experience in the child 
        welfare system.''.

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

    Section 103 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5104) is amended to read as follows:

``SEC. 103. NATIONAL CLEARINGHOUSE FOR INFORMATION RELATING TO CHILD 
              ABUSE.

    ``(a) Establishment.--The Secretary shall establish, directly or 
through one or more competitive contracts of not less than 3 years 
duration, a national clearinghouse for information relating to child 
abuse and neglect.
    ``(b) Consultation.--In establishing the clearinghouse under 
subsection (a), the Secretary shall consult with the head of each 
Federal agency involved with child abuse and neglect regarding--
            ``(1) the development of the components for information 
        collection;
            ``(2) the management of such clearinghouse; and
            ``(3) mechanisms for the sharing of information with other 
        Federal agencies and clearinghouses.
    ``(c) Functions.--The Secretary, through the clearinghouse 
established under subsection (a), shall maintain and disseminate 
information on--
            ``(1) evidence-based and evidence-informed programs, 
        including private and community-based programs, that have--
                    ``(A) demonstrated success with respect to the 
                prevention, assessment, identification, and treatment 
                of child abuse or neglect; and
                    ``(B) potential for broad-scale implementation and 
                replication;
            ``(2) the medical diagnosis and treatment of child abuse 
        and neglect and the use of trauma-informed practices that 
        prevent and mitigate the effects of trauma and adverse 
        childhood experiences;
            ``(3) best practices relating to--
                    ``(A) differential response;
                    ``(B) the use of alternative pathways to connect 
                families experiencing difficulty meeting basic needs or 
                other risk factors associated with child abuse and 
                neglect to community-based family strengthening 
                services to prevent child abuse and neglect, including 
                through the operation of local, State, or Tribal 
                helplines, websites, or mobile applications (which may 
                include expanding hotlines and referral systems 
                operated by State, Tribal, or local child protective 
                services agencies for such purposes);
                    ``(C) making improvements to the child protective 
                services systems, including efforts to prevent child 
                abuse and neglect, prioritize serving children who are 
                at risk of serious harm, and implement protocols to 
                identify, examine, and eliminate child fatalities and 
                near fatalities due to child abuse and neglect;
                    ``(D) making appropriate referrals related to the 
                physical, developmental, and mental health needs of 
                children who are victims of child abuse or neglect, and 
                when appropriate, provide services to parents or 
                children, to address the needs of such children and 
                their families and effectively treat the effects of 
                such abuse or neglect;
                    ``(E) supporting children and youth being cared for 
                by kinship caregivers, including such children whose 
                living arrangements with kinship caregivers occurred 
                without the involvement of a child protective services 
                agency; and
                    ``(F) workforce development and retention of child 
                protective services personnel;
            ``(4) professional development and training resources 
        available at the State and local level--
                    ``(A) for individuals who are engaged, or who 
                intend to engage, in the prevention, identification, 
                and treatment of child abuse and neglect, including 
                mandated reporters; and
                    ``(B) for appropriate State, Tribal, and local 
                officials to assist in training law enforcement, legal, 
                judicial, medical, physical, behavioral and mental 
                health, child care and early learning, education, child 
                welfare, substance use disorder treatment services, and 
                domestic violence services personnel on--
                            ``(i) the role of the child protective 
                        services system to identify children at risk of 
                        serious harm; and
                            ``(ii) how to direct families in need to 
                        alternative pathways for community-based family 
                        strengthening services in order to safely 
                        reduce the number of families unnecessarily 
                        involved with child protective services;
            ``(5) in conjunction with the National Resource Centers 
        authorized under section 310(b) of the Family Violence 
        Prevention and Services Act (42 U.S.C. 10410(b)), effective 
        programs and best practices for developing and carrying out 
        collaboration between entities providing child protective 
        services and entities providing domestic violence services;
            ``(6) the requirements of section 402(c) and best practices 
        relating to the development, implementation, and monitoring of 
        family care plans as described in section 402(c) for infants 
        identified as being affected by substance use disorder 
        (including alcohol use disorder), including best practices on 
        topics such as--
                    ``(A) collaboration and coordination across 
                substance abuse agencies, child welfare agencies, 
                maternal and child health agencies, family courts, and 
                other community partners; and
                    ``(B) identification and delivery of services for 
                affected infants and their families, including for 
                infants affected by substance use disorder, including 
                alcohol use disorder, but whose families do not meet 
                criteria for immediate safety concerns of child abuse 
                and neglect;
            ``(7) the incidence of cases of child abuse and neglect in 
        the United States, including information based on data 
        submitted by State child protective services agencies under 
        section 106(d); and
            ``(8) the research conducted under section 104(a).
    ``(d) Data Collection and Analysis.--
            ``(1) In general.--The Secretary shall develop and maintain 
        a Federal data collection and analysis system, in consultation 
        with appropriate State, Tribal, and local agencies and experts 
        in the field, to collect, compile, and make available State 
        child abuse and neglect reporting information which shall be 
        universal and case specific and, to the extent practicable, 
        integrated with other case-based Federal, State, Tribal, 
        regional, and local child welfare information (including the 
        automated foster care and adoption reporting system required 
        under section 479 of the Social Security Act (42 U.S.C. 679) 
        and including the case registry authorized under section 303), 
        and which shall include--
                    ``(A) standardized data on false, unfounded, 
                unsubstantiated, and substantiated reports;
                    ``(B) comparable information on child fatalities 
                and near fatalities due to child abuse and neglect, 
                including--
                            ``(i) the number of child fatalities and 
                        near fatalities due to child abuse and neglect; 
                        and
                            ``(ii) case-specific data about the 
                        circumstances under which a child fatality or 
                        near fatality occurred due to abuse and 
                        neglect, including the data elements described 
                        in section 106(d)(3)(E);
                    ``(C) information about the incidence and 
                characteristics of child abuse and neglect in 
                circumstances in which domestic violence is present; 
                and
                    ``(D) information about the incidence and 
                characteristics of child abuse and neglect in cases 
                related to substance use disorder.
            ``(2) Confidentiality requirement.--In carrying out 
        paragraph (1)(D), the Secretary shall ensure that methods are 
        established and implemented to preserve the confidentiality of 
        records relating to case specific data.''.

SEC. 103. RESEARCH AND ASSISTANCE ACTIVITIES.

    Section 104 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5105) is amended--
            (1) by amending subsections (a) through (c) to read as 
        follows:
    ``(a) Research.--
            ``(1) In general.--The Secretary, in coordination with 
        relevant Federal agencies, and in consultation with recognized 
        experts in the field, shall carry out a continuing 
        interdisciplinary program of research, including longitudinal 
        research, that is designed to--
                    ``(A) provide information needed to improve primary 
                prevention of child abuse and neglect;
                    ``(B) better protect children from child abuse or 
                neglect;
                    ``(C) evaluate the efficacy of programs or 
                practices to improve outcomes;
                    ``(D) improve the well-being of victims of child 
                abuse or neglect; and
                    ``(E) be responsive to the research needs of the 
                child welfare field.
            ``(2) Topics.--The research program described in paragraph 
        (1) may focus on--
                    ``(A) evidence-based or evidence-informed programs 
                regarding--
                            ``(i) prevention of child abuse and neglect 
                        in families that have not had contact with the 
                        child protective services system, including 
                        through supporting the development of 
                        protective factors linked to the prevention of 
                        child abuse and neglect; and
                            ``(ii) trauma-informed and developmentally-
                        appropriate treatment of children and families 
                        who experience child abuse and neglect, 
                        including efforts to prevent the re-
                        traumatization of such children and families;
                    ``(B) effective practices to reduce racial bias and 
                disparities in the child protective services system;
                    ``(C) effective practices and programs in the use 
                of differential response to identify children at risk 
                of serious harm and to safely reduce the number of 
                families unnecessarily investigated by the child 
                protective services system;
                    ``(D) effective practices and programs designed to 
                improve service delivery and outcomes for child 
                protective services agencies engaged with children and 
                families with complex needs, such as families who have 
                experienced domestic violence, substance use disorders, 
                or adverse childhood experiences, or who have mental 
                health needs;
                    ``(E) best practices for recruiting and retaining a 
                child protective services workforce and providing 
                professional development;
                    ``(F) effective collaborations, between the child 
                protective system and domestic violence service 
                providers, that provide for the safety of children 
                exposed to domestic violence and their non-abusing 
                parents and that improve the investigations, 
                interventions, delivery of services, and treatments 
                provided for such children and families;
                    ``(G) child abuse and neglect issues facing 
                Indians, Alaska Natives, and Native Hawaiians, 
                including providing recommendations for improving the 
                collection of child abuse and neglect data from Indian 
                Tribes, Tribal organizations, and Native Hawaiian 
                communities;
                    ``(H) child abuse and neglect issues related to 
                children and youth overrepresented in the child welfare 
                system, including efforts to improve the child welfare 
                system's practices related to the prevention, 
                identification, and treatment of child abuse and 
                neglect to address such overrepresentation; and
                    ``(I) effective collaborations between the child 
                welfare system and substance use disorder treatment 
                service providers that provide for the safety of 
                children exposed to parents with substance use 
                disorders, and that improve the investigations, 
                interventions, delivery of services, and treatments 
                provided for such children and families.
            ``(3) National incidence of child abuse and neglect.--
                    ``(A) In general.--The Secretary shall conduct 
                research on the national incidence of child abuse and 
                neglect and investigate the trends in such incidence, 
                including the information on the national incidence on 
                child abuse and neglect specified in subparagraph (B).
                    ``(B) Content.--The research described in 
                subparagraph (A) shall examine the national incidence 
                of child abuse and neglect, including--
                            ``(i) the extent to which incidents of 
                        child abuse and neglect are increasing or 
                        decreasing in number and severity;
                            ``(ii) the incidence of substantiated and 
                        unsubstantiated reported child abuse and 
                        neglect cases;
                            ``(iii) the number of substantiated cases 
                        that result in a judicial finding of child 
                        abuse or neglect or related criminal court 
                        convictions;
                            ``(iv) the extent to which the number of 
                        unsubstantiated, unfounded, or falsely 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;
                            ``(v) the extent to which the lack of 
                        adequate resources or the lack of adequate 
                        training 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;
                            ``(vi) 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;
                            ``(vii) the extent to which unsubstantiated 
                        reports return as more serious cases of child 
                        abuse or neglect;
                            ``(viii) the incidence and prevalence of--
                                    ``(I) physical, sexual, and 
                                emotional abuse and physical and 
                                emotional neglect in substitute care; 
                                and
                                    ``(II) domestic violence in 
                                substantiated cases of child abuse and 
                                neglect;
                            ``(ix) 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, labor force status, and income in 
                        the previous year;
                            ``(x) 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 screened 
                        out solely on the basis of the cross-
                        jurisdictional complications; and
                            ``(xi) 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.
            ``(4) Report.--Not later than 3 years after the date of the 
        enactment of the CAPTA Reauthorization Act of 2021 and every 2 
        years thereafter, the Secretary shall prepare and make 
        available on a website that is accessible to the public and 
        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--
                    ``(A) identifies the research priorities under 
                paragraph (5) and the process for determining such 
                priorities;
                    ``(B) contains a summary of the research supported 
                pursuant to paragraphs (1) and (2), and a summary of 
                any other relevant research on child abuse and neglect 
                conducted by agencies within the Department of Health 
                and Human Services;
                    ``(C) contains the findings of the research 
                regarding the national incidence on child abuse and 
                neglect conducted under paragraph (3); and
                    ``(D) describes how the Secretary will continue to 
                improve the accuracy of information on the national 
                incidence on child abuse and neglect specified in 
                paragraph (3).
            ``(5) Priorities.--
                    ``(A) In general.--The Secretary shall establish 
                research priorities, which may include long-term 
                studies, for making grants or contracts for purposes of 
                carrying out paragraph (1).
                    ``(B) Public comment.--The Secretary shall provide 
                a biennial opportunity for public comment concerning 
                the priorities proposed under subparagraph (A) and 
                shall maintain an official record of such public 
                comment.
    ``(b) Provision of Technical Assistance.--
            ``(1) In general.--The Secretary shall provide technical 
        assistance to State, local, and Tribal public and private 
        agencies and community-based organizations, including 
        organizations that support children or youth overrepresented in 
        the child welfare system, disability organizations, and persons 
        who work with children with disabilities, and providers of 
        mental health, substance use disorder treatment, and domestic 
        violence prevention services, to assist such agencies and 
        organizations in planning, improving, developing, carrying out, 
        and evaluating programs and activities, including replicating 
        successful program models, relating to the prevention, 
        assessment, identification, and treatment of child abuse and 
        neglect.
            ``(2) Content.--The technical assistance under paragraph 
        (1) shall be designed to--
                    ``(A) reduce racial bias and disparities in the 
                child protective services system;
                    ``(B) support the child protective services system 
                to develop and implement trauma-informed approaches to 
                prevent, reduce, and treat child abuse and neglect;
                    ``(C) promote best practices for addressing child 
                abuse and neglect in families with complex needs, such 
                as families who have experienced domestic violence, 
                substance use disorders, or adverse childhood 
                experiences, or who have mental health needs;
                    ``(D) leverage community-based resources to prevent 
                child abuse and neglect to develop a continuum of 
                prevention programs and services, including resources 
                regarding health care (including mental health and 
                substance use disorder), housing, food assistance, 
                parent support, financial assistance, child care and 
                early learning, education services, and other services 
                to assist families;
                    ``(E) promote best practices for maximizing 
                coordination and communication between State, Tribal, 
                and local child welfare agencies and relevant health 
                care entities, consistent with all applicable Federal 
                and State privacy laws; and
                    ``(F) provide other technical assistance, as 
                determined by the Secretary in consultation with such 
                State, Tribal, and local public and private agencies 
                and community-based organizations as the Secretary 
                determines appropriate.
            ``(3) Evaluation.--The technical assistance under paragraph 
        (1) may include an evaluation or identification of--
                    ``(A) various methods and procedures for the 
                prevention, investigation, assessment, and prosecution 
                of child physical and sexual abuse cases;
                    ``(B) ways to prevent and mitigate the effects of 
                trauma to the child victim;
                    ``(C) effective programs carried out by the States 
                under this title and title II;
                    ``(D) effective approaches to link child protective 
                service agencies with health care (including mental 
                health and substance use disorder), and developmental 
                services to improve forensic diagnosis and health 
                evaluations, and reduce barriers and shortages to such 
                linkages; and
                    ``(E) the extent to which changes in methods, 
                procedures, and approaches implemented by the child 
                protective service system minimized racial bias and 
                disparities in such system.
            ``(4) Dissemination.--The Secretary may provide for, and 
        disseminate information relating to, various training resources 
        available at the State and local level to--
                    ``(A) individuals who are engaged, or who intend to 
                engage, in the prevention, identification, and 
                treatment of child abuse and neglect; and
                    ``(B) appropriate State and local officials to 
                assist in training law enforcement, legal, judicial, 
                medical, mental health, child care and early learning, 
                education, child welfare, substance use disorder, and 
                domestic violence services personnel in appropriate 
                methods of interacting during investigative, 
                administrative, and judicial proceedings with children 
                who have been subjected to, or children whom such 
                personnel suspect have been subjected to, child abuse 
                or neglect.
    ``(c) Authority to Make Grants or Enter Into Contracts.--
            ``(1) In general.--The functions of the Secretary under 
        this section may be carried out directly or through grant or 
        contract.
            ``(2) Duration.--Grants under this section shall be made 
        for periods of not more than 5 years.''; and
            (2) by striking subsection (e).

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

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

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

    ``(a) Authority to Award Grants or Enter Into Contracts.--The 
Secretary may award grants and enter into contracts to carry out 
programs and projects in accordance with this section, for any of the 
following purposes:
            ``(1) Capacity building, in order to create coordinated, 
        inclusive, and collaborative systems that have statewide, 
        local, or community-based impact in preventing, reducing, and 
        treating child abuse and neglect.
            ``(2) Innovation, through time-limited, field-initiated 
        demonstration projects that further the understanding of the 
        field to prevent, treat, and reduce child abuse and neglect.
    ``(b) Capacity Building Grant Program.--
            ``(1) In general.--The Secretary may award grants or 
        contracts to an eligible entity.
            ``(2) Eligible entity.--In this subsection, the term 
        `eligible entity' means--
                    ``(A) a State or local agency, Indian Tribe or 
                Tribal organization, or a nonprofit entity; or
                    ``(B) a consortium of entities described in 
                subparagraph (A).
            ``(3) Applications.--To receive a grant or contract under 
        this subsection, an eligible entity shall submit an application 
        to the Secretary at such time, in such manner, and containing 
        such information as the Secretary may require.
            ``(4) Uses of funds.--An eligible entity receiving a grant 
        or contract under this subsection shall use the funds made 
        available through the grant or contract to better align and 
        coordinate community-based, local, or State activities to 
        strengthen families and prevent, reduce, or treat child abuse 
        and neglect, by--
                    ``(A) training professionals in prevention, 
                identification, or treatment of child abuse and 
                neglect, which may include--
                            ``(i) training of professional and 
                        paraprofessional personnel, who are engaged in, 
                        or intend to work in, the field of prevention, 
                        identification, and treatment of child abuse 
                        and neglect, including training in the links 
                        between child abuse and neglect and domestic 
                        violence and approaches to working with 
                        families with substance use disorder;
                            ``(ii) training on evidence-based and 
                        evidence-informed programs to improve child 
                        abuse and neglect reporting, with a focus on 
                        adults who work with children in a professional 
                        or volunteer capacity, including on--
                                    ``(I) preventing, recognizing, and 
                                responding to child sexual abuse; and
                                    ``(II) safely reducing the number 
                                of families unnecessarily investigated 
                                by the child protective services 
                                system;
                            ``(iii) training of personnel in best 
                        practices to meet the unique needs and 
                        development of children with disabilities, 
                        children under the age of 3, and infants 
                        affected by substance use disorder, including 
                        alcohol use disorder;
                            ``(iv) improving the training of 
                        supervisory child welfare workers on best 
                        practices for recruiting, selecting, and 
                        retaining personnel;
                            ``(v) supporting State child welfare and 
                        child protective services agencies to 
                        coordinate the provision of services with State 
                        and local health care agencies, substance abuse 
                        agencies, public health agencies, mental health 
                        agencies, other public and private welfare 
                        agencies, and agencies that provide early 
                        intervention services to promote child safety, 
                        permanence, and family stability, which may 
                        include training on improving coordination 
                        between agencies to meet health evaluation and 
                        treatment needs of children who have been 
                        victims of substantiated cases of child abuse 
                        or neglect;
                            ``(vi) training of personnel in best 
                        practices relating to the provision of 
                        differential response; and
                            ``(vii) training for child welfare 
                        professionals to reduce and prevent racial bias 
                        in the provision of child protective services 
                        and child welfare services related to child 
                        abuse and neglect;
                    ``(B) enhancing systems coordination and triage 
                procedures, including programs of collaborative 
                partnerships between the State child protective 
                services agency, community social service agencies and 
                community-based family support programs, law 
                enforcement agencies and legal systems, developmental 
                disability agencies, substance use disorder treatment 
                agencies, health care entities, domestic violence 
                prevention entities, mental health service entities, 
                schools, places of worship, and other community-based 
                agencies, such as children's advocacy centers, in 
                accordance with all applicable Federal and State 
                privacy laws, to--
                            ``(i) improve responses to reports of child 
                        abuse and neglect;
                            ``(ii) allow for the establishment or 
                        improvement of a coordinated triage system;
                            ``(iii) connect families experiencing 
                        difficulty meeting basic needs or risk factors 
                        associated with child abuse and neglect to 
                        community-based systems and programs that 
                        assist families seeking support to minimize 
                        involvement in the child protective services 
                        system; or
                            ``(iv) modernize data systems and networks 
                        to improve the effectiveness of technology used 
                        by the child protective services system, 
                        including to facilitate timely information and 
                        data sharing and referrals between systems that 
                        are designed to serve children and families; or
                    ``(C) establishing or enhancing coordinated systems 
                of support for children, parents, and families, 
                including a continuum of prevention programs and 
                services that strengthens families and connects 
                families to services and supports relevant to their 
                diverse needs regardless of how families make contact 
                with such systems.
    ``(c) Field-initiated Innovation Grant Program.--
            ``(1) In general.--The Secretary may award grants or 
        contracts to eligible entities for field-initiated 
        demonstration projects of up to 5 years that advance innovative 
        approaches to prevent, reduce, or treat child abuse and 
        neglect.
            ``(2) Eligible entity.--In this subsection, the term 
        `eligible entity' means--
                    ``(A) a State or local agency, Indian Tribe or 
                Tribal organization, or public or private agency, or 
                organization; or
                    ``(B) a consortium of entities described in 
                subparagraph (A).
            ``(3) Applications.--To receive a grant or contract under 
        this subsection, an eligible entity shall submit an application 
        to the Secretary at such time, in such manner, and containing 
        such information as the Secretary may require, including, at a 
        minimum, a rigorous methodological approach to the evaluation 
        of the grant or contract and a description of the eligible 
        entity's efforts to engage with individuals with personal 
        experience in the child welfare system in carrying out such 
        grant or contract.
            ``(4) Use of funds.--An eligible entity that receives a 
        grant or contract under this subsection shall use the funds 
        made available through the grant or contract to carry out or 
        bring to scale promising, evidence-informed, or evidence-based 
        activities to prevent, treat, or reduce child abuse and neglect 
        that shall include one or more of the following:
                    ``(A) Multidisciplinary systems of care to 
                strengthen families and prevent, treat, or reduce child 
                abuse and neglect, such as children's advocacy centers 
                or programs that focus on addressing traumatic stress 
                in families due to child abuse and neglect, especially 
                for families with complex needs, such as families who 
                have experienced domestic violence, substance use 
                disorders, or adverse childhood experiences, or who 
                have mental health needs.
                    ``(B) Primary prevention programs or strategies 
                aimed at reducing the prevalence of child abuse and 
                neglect among families.
                    ``(C) The development and use of alternative 
                pathways to connect families experiencing difficulty 
                meeting basic needs or other risk factors associated 
                with child abuse and neglect to community-based family 
                strengthening services to prevent child abuse and 
                neglect or other public and private resources, such as 
                supporting the development and implementation of--
                            ``(i) State, Tribal, or local helplines, 
                        websites, or mobile applications (which may 
                        include expanding hotlines and referral systems 
                        operated by State, Tribal, or local child 
                        protective services agencies for such 
                        purposes);
                            ``(ii) a continuum of prevention programs 
                        and services that strengthen families and 
                        promote child, parent, and family, well-being; 
                        and
                            ``(iii) innovative collaboration and 
                        coordination between the child protective 
                        services system, public agencies, and 
                        community-based organizations (including 
                        community-based providers supported under title 
                        II).
                    ``(D) Innovative training for mandated child abuse 
                and neglect reporters, which may include training that 
                is specific to the mandated individual's profession or 
                role when working with children.
                    ``(E) Innovative programs, activities, and services 
                that are aligned with the research priorities 
                identified under section 104(a)(5).
                    ``(F) Projects to improve implementation of best 
                practices to educate and assist medical professionals 
                in identifying, assessing, and responding to potential 
                abuse in infants, including improving communication and 
                alignment with child protective services as appropriate 
                and identifying injuries indicative of potential abuse 
                in infants, and to assess the outcomes of such best 
                practices.
                    ``(G) Projects to establish or implement 
                comprehensive child sexual abuse awareness and 
                prevention programs in an age- and developmentally-
                appropriate manner for children and youth, parents, 
                guardians, and professionals, including on recognizing 
                and safely reporting such abuse.
    ``(d) Evaluation.--In awarding grants and contracts for programs or 
projects under this section, the Secretary shall require all such 
programs and projects to be evaluated for their effectiveness. Funding 
for such evaluations shall be provided either as a stated percentage of 
a grant or contracts or as a separate grant or contract entered into by 
the Secretary for the purpose of evaluating a particular program or 
project or group of programs or projects. In the case of an evaluation 
performed by the recipient of a grant, the Secretary shall make 
available technical assistance for the evaluation, where needed, 
including the use of a rigorous application of scientific evaluation 
techniques.''.

SEC. 105. NATIONAL CHILD ABUSE HOTLINE.

    Title I of the Child Abuse Prevention and Treatment Act (42 U.S.C. 
5101 et seq.) is amended--
            (1) by repealing section 114;
            (2) redesignating section 112 as section 113 and moving 
        such section to the end of title I;
            (3) by redesignating sections 108 through 111 as sections 
        109 through 112, respectively; and
            (4) by inserting after section 107 the following:

``SEC. 108. NATIONAL CHILD ABUSE HOTLINE.

    ``The Secretary may award a grant under this section to a non-
profit entity to provide for the ongoing operation of a 24-hour, 
national, toll-free hotline to provide information and assistance to 
children who are 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.''.

SEC. 106. GRANTS TO STATES FOR CHILD ABUSE OR NEGLECT PREVENTION AND 
              TREATMENT PROGRAMS.

    Section 106 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106a) is amended to read as follows:

``SEC. 106. GRANTS TO STATES FOR CHILD ABUSE OR NEGLECT PREVENTION AND 
              TREATMENT PROGRAMS.

    ``(a) Development and Operation Grants.--The Secretary shall make 
grants to the States, from allotments made under subsection (g) for 
each State that applies for a grant under this section, for purposes of 
assisting the States in improving the child protective services system 
of each such State with respect to one or more of the following 
activities:
            ``(1) Improving the intake, assessment, screening, and 
        investigation of reports of child abuse or neglect, including--
                    ``(A) the use of differential response;
                    ``(B) establishing and maintaining a high-risk 
                response system to ensure that each repeat referral of 
                the same child, and each referral of a child under the 
                age of 3 years, receives a rapid response from such 
                system; and
                    ``(C) protocols and training that reduce and 
                prevent racial bias in the child protective services 
                system.
            ``(2) Supporting trauma-informed response, investigation, 
        and treatment of child abuse and neglect by--
                    ``(A) creating and improving the use of 
                multidisciplinary teams, including children's advocacy 
                centers;
                    ``(B) enhancing investigations through interagency, 
                intra-agency, interstate, and intrastate protocols; and
                    ``(C) improving legal preparation and 
                representation, including--
                            ``(i) procedures for appealing and 
                        responding to appeals of substantiated reports 
                        of child abuse or neglect; and
                            ``(ii) provisions to ensure that all 
                        children and parents shall have legal 
                        representation by a trained attorney in all 
                        cases involving an allegation of child abuse or 
                        neglect that results in a judicial proceeding, 
                        for the entire duration of the court's 
                        jurisdiction in the case.
            ``(3) Establishing alternative pathways to connect families 
        in need to voluntary, community-based family strengthening 
        services in order to enable the child protective services 
        system to focus on children at most serious risk of harm and 
        safely reduce the number of families unnecessarily investigated 
        for child abuse and neglect, through the development, 
        implementation, and expansion of--
                    ``(A) local or State helplines, websites, or mobile 
                applications (which may include expanding hotlines and 
                referral systems operated by State or local child 
                protective services agencies for such purposes); and
                    ``(B) coordination with other local and State 
                public entities to support a continuum of prevention 
                programs and services that strengthen families and 
                promote child, parent, and family well-being.
            ``(4) Improving case management approaches, including 
        ongoing case monitoring, and delivery of services and treatment 
        provided to children and their families to ensure safety and 
        respond to family needs, including--
                    ``(A) multidisciplinary approaches to assessing 
                family needs and connecting families with services, 
                including prevention services under section 471 of the 
                Social Security Act (42 U.S.C. 671);
                    ``(B) organizing treatment teams of community 
                service providers that prevent and treat child abuse 
                and neglect, and improve child and family well-being; 
                and
                    ``(C) case-monitoring that can ensure progress in 
                child and family well-being.
            ``(5) Modernizing data systems to improve case management, 
        coordination, and communication between State and local public 
        agencies, including--
                    ``(A) updating systems of technology that support 
                the program and track reports of child abuse and 
                neglect from intake through final disposition and allow 
                for interstate and intrastate information exchange;
                    ``(B) improving real-time case monitoring for 
                caseworkers at the State and local levels to track 
                assessments, service referrals, follow-up, case 
                reviews, and progress toward case plan goals;
                    ``(C) facilitating real-time data sharing between 
                State and local public agencies and relevant health 
                care entities, consistent with all applicable Federal 
                and State privacy laws; and
                    ``(D) developing, improving, and implementing risk 
                and safety assessment tools and protocols that reduce 
                and prevent bias.
            ``(6) Developing, strengthening, and facilitating training 
        for professionals and volunteers engaged in the prevention, 
        intervention, and treatment of child abuse and neglect, 
        including training on--
                    ``(A) the legal duties of such individuals;
                    ``(B) personal safety for case workers;
                    ``(C) early childhood, child, and adolescent 
                development and the impact of child abuse and neglect, 
                including long-term impacts of adverse childhood 
                experiences;
                    ``(D) improving coordination among child protective 
                service agencies and health care agencies, entities 
                providing health care (including mental health and 
                substance use disorder services), and community 
                resources;
                    ``(E) improving screening, forensic diagnosis, and 
                health and developmental evaluations, which may include 
                best practices for periodic reevaluations, as 
                appropriate;
                    ``(F) addressing the unique needs of children with 
                disabilities, including promoting interagency 
                collaboration to meet such needs;
                    ``(G) supporting the placement of children with 
                kinship caregivers and addressing the unique needs of 
                children in such placements;
                    ``(H) implementing responsive, family-oriented, and 
                trauma-informed approaches to prevention, 
                identification, intervention, and treatment of child 
                abuse and neglect;
                    ``(I) ensuring child safety;
                    ``(J) the links between child abuse and neglect and 
                families with complex needs, such as families who have 
                experienced domestic violence, substance use disorders, 
                or adverse childhood experiences, or who have mental 
                health needs;
                    ``(K) coordinating with other services and agencies 
                to address family and child needs, including trauma; 
                and
                    ``(L) distinguishing between cases of child and 
                abuse neglect and cases related to family economic 
                insecurity where abuse and neglect are not present.
            ``(7) Improving the recruitment and retention of 
        caseworkers, such as efforts to address the effects of indirect 
        trauma exposure for child welfare workers.
            ``(8) Developing, facilitating the use of, and implementing 
        evidence-based or evidence-informed strategies and training 
        protocols for individuals mandated to report child abuse and 
        neglect, which may include--
                    ``(A) strategies designed for mandated reporters in 
                specific professions;
                    ``(B) public awareness and understanding relating 
                to the role and responsibilities of the child 
                protective services system; and
                    ``(C) the nature and basis for reporting suspected 
                incidents of child abuse and neglect.
            ``(9) Developing, implementing, or operating programs and 
        referrals to assist in obtaining or coordinating necessary 
        services for families of infants or toddlers with a disability, 
        including--
                    ``(A) evaluation and early intervention services 
                for infants and toddlers, with special attention to at-
                risk infants or toddlers (as defined in section 632 of 
                the Individuals with Disabilities Education Act (20 
                U.S.C. 1432)), in accordance with part C of the 
                Individuals with Disabilities Education Act (20 U.S.C. 
                1431 et seq.) and providing other support to such 
                infants or toddlers, which may include--
                            ``(i) financial assistance in obtaining 
                        early intervention services where an infant or 
                        toddler does not meet the State's eligibility 
                        requirements under such part C; and
                            ``(ii) support for families, including 
                        foster families and kinship caregivers, in 
                        ensuring infants and toddlers receive early 
                        intervention services;
                    ``(B) trauma-informed services, and
                    ``(C) early care and educational services, 
                including Early Head Start programs.
            ``(10) Enhancing interagency collaboration between agencies 
        and providers of the child protective services, public health, 
        mental health, substance use disorder treatment, education, 
        child care and early learning, domestic violence services, law 
        enforcement, and juvenile justice to improve the 
        investigations, interventions, delivery of services, and 
        treatments provided for children and families experiencing 
        child abuse and neglect, which may include--
                    ``(A) methods for continuity of treatment plan and 
                services as children and families transition between 
                systems;
                    ``(B) addressing the health needs, including mental 
                health needs, of children identified as victims of 
                child abuse or neglect, including supporting prompt, 
                comprehensive health and developmental evaluations for 
                children who are the subject of substantiated child 
                abuse and neglect reports;
                    ``(C) the provision of services that assist 
                children exposed to domestic violence, and that also 
                support the caregiving role of their non-abusing 
                parents;
                    ``(D) enhancing the capacity of public entities or 
                community-based providers to integrate the leadership 
                of parents in such entities' decision-making;
                    ``(E) co-locating service providers; and
                    ``(F) the provision of services that assist infants 
                affected by substance use disorder, including alcohol 
                use disorder, and that also support the bond between 
                children and birth parents to strengthen families 
                whenever possible.
            ``(11) Supporting the development, implementation, and 
        monitoring of family care plans for infants affected by 
        substance use disorder, including alcohol use disorder, and 
        their families and affected caregivers, in accordance with the 
        requirements of section 402(c), including through enhancing 
        interagency coordination, such as between the State's substance 
        abuse agencies, public health and mental health agencies, child 
        welfare agencies, social services agencies, health care 
        facilities with labor and delivery units, maternal and child 
        health agencies, early intervention agencies, family courts 
        with jurisdiction in cases of child abuse and neglect, and 
        other agencies or entities involved in supporting families 
        affected by substance use disorders.
    ``(b) Eligibility Requirements.--
            ``(1) State plan.--
                    ``(A) In general.--To be eligible to receive a 
                grant under this section, a State shall submit to the 
                Secretary a State plan that specifies how the State 
                will use funds received under the grant to improve and 
                strengthen the child protective services system through 
                the activities described in subsection (a).
                    ``(B) Duration of plan.--Each State plan shall--
                            ``(i) be submitted not less frequently than 
                        once every 5 years, in coordination with the 
                        State plan submitted under part B of title IV 
                        of the Social Security Act (42 U.S.C. 621 et 
                        seq.); and
                            ``(ii) be periodically reviewed and revised 
                        by the State, as necessary, to reflect--
                                    ``(I) any substantive changes to 
                                State law or regulations related to the 
                                prevention of child abuse and neglect 
                                that may affect the eligibility of the 
                                State under this section; and
                                    ``(II) any significant changes from 
                                the State application related to the 
                                State's funding of strategies and 
                                programs supported under this section.
                    ``(C) Public collaboration and comment.--In 
                developing the State plan under subparagraph (A), each 
                State shall--
                            ``(i) consult widely with stakeholders and 
                        relevant public and private organizations and 
                        individuals across the State, which shall 
                        include parents and other individuals with 
                        personal experience in the child welfare 
                        system;
                            ``(ii) collaborate with the lead entity and 
                        community-based providers funded under title II 
                        to strengthen the State's prevention efforts in 
                        the State plan;
                            ``(iii) make the draft plan publicly 
                        available by electronic means in an easily 
                        accessible format; and
                            ``(iv) provide all interested members of 
                        the public at least 30 days opportunity to 
                        submit comments on the draft State plan.
                    ``(D) Availability.--The State shall ensure that 
                the final approved plan required under subparagraph (A) 
                shall be publicly available by electronic means in an 
                easily accessible format, and shall update the such 
                publicly available plan to include any revisions to 
                such plan described in subparagraph (B)(ii).
            ``(2) Plan provisions.--
                    ``(A) Descriptions.--Each State plan required under 
                paragraph (1) shall describe--
                            ``(i) the activities the State will carry 
                        out using amounts received under the grant to 
                        prevent, treat, and reduce child abuse and 
                        neglect;
                            ``(ii) how the State will implement a 
                        systems-building approach to develop and 
                        maintain a continuum of preventive supports, in 
                        coordination with relevant State and local 
                        public agencies families and community-based 
                        organizations, such as through the development 
                        of alternative pathways described in subsection 
                        (a)(3);
                            ``(iii) training and retention activities 
                        to be provided under the grant to support 
                        direct line and supervisory personnel in report 
                        taking, screening, assessment, decision-making, 
                        and referral for investigating suspected 
                        instances of child abuse and neglect;
                            ``(iv) the training to be provided under 
                        the grant for mandatory reporting by 
                        individuals who are required to report known or 
                        suspected cases of child abuse and neglect, 
                        including for purposes of making such 
                        individuals aware of these requirements;
                            ``(v) policies and procedures encouraging 
                        the appropriate involvement of families in 
                        decision-making pertaining to children who have 
                        experienced child abuse or neglect;
                            ``(vi) policies and procedures that promote 
                        and enhance appropriate collaboration among 
                        child protective service agencies, domestic 
                        violence service agencies, substance abuse 
                        agencies, mental health agencies, other 
                        relevant agencies, and kinship navigators 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;
                            ``(vii) policies and procedures regarding 
                        the use of differential response and a timeline 
                        for the development and implementation of a 
                        high-risk response system to ensure that each 
                        repeat referral of the same child, and each 
                        referral of a child under the age of 3 years, 
                        receives a rapid response from such system;
                            ``(viii) how the State will enact policies 
                        and procedures within 2 years of the date of 
                        enactment of the CAPTA Reauthorization Act of 
                        2021 requiring timely public disclosure of the 
                        findings or information about the case of child 
                        abuse or neglect that has resulted in a child 
                        fatality or near fatality (in accordance with 
                        relevant Federal and State privacy and 
                        confidentiality requirements), which shall 
                        include a description of--
                                    ``(I) how the State will make such 
                                information publically available in an 
                                easily accessible format, including 
                                information on--
                                            ``(aa) the cause and 
                                        circumstances of the fatality 
                                        or near fatality;
                                            ``(bb) the age, gender, and 
                                        race or ethnicity of the child; 
                                        and
                                            ``(cc) any previous reports 
                                        of child abuse or neglect 
                                        investigations by the 
                                        perpetrator or the victim; and
                                    ``(II) assurances of the State that 
                                the State will not allow an exception 
                                to such public disclosure, except in a 
                                case in which--
                                            ``(aa) the State needs 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) during a pending 
                                        criminal investigation or 
                                        prosecution of such a fatality 
                                        or near fatality;
                                            ``(bb) the State is 
                                        protecting the identity of a 
                                        reporter of child abuse or 
                                        neglect; or
                                            ``(cc) the State is 
                                        withholding information in 
                                        order to ensure the safety and 
                                        well-being of the child, 
                                        parents and family, if such 
                                        members of the victim's family 
                                        are not perpetrators of the 
                                        fatality or near fatality;
                            ``(ix) the State's efforts to collect and 
                        review data on child fatalities and near 
                        fatalities due to child abuse and neglect to 
                        drive systemic change to prevent such incidents 
                        from occurring in the future, including a 
                        description of--
                                    ``(I) the criteria utilized by the 
                                State's child protective services 
                                agency to determine which cases of 
                                child fatalities and near fatalities 
                                due to abuse and neglect are reported 
                                under subsection (d), subject to the 
                                requirements of section 422(b)(19) of 
                                the Social Security Act (42 U.S.C. 
                                622(b)), such as whether such agency is 
                                submitting data on--
                                            ``(aa) only such cases that 
                                        had involvement with the 
                                        State's child protective 
                                        services agency, including 
                                        cases that were investigated by 
                                        such agency, and substantiated 
                                        as abuse or neglect by such 
                                        agency; or
                                            ``(bb) all cases of child 
                                        fatalities and near fatalities 
                                        identified as being related to 
                                        child abuse and neglect by the 
                                        State's child death review 
                                        system; and
                                    ``(II) how the State is reviewing 
                                and analyzing such data to support 
                                reforms intended to prevent future 
                                child fatalities and near fatalities 
                                across the policies and procedures of 
                                the State's agencies that support 
                                children and families;
                            ``(x) the State's efforts to reduce racial 
                        bias and disparities in its child protective 
                        services system;
                            ``(xi) the State's efforts to improve 
                        policies and procedures regarding the 
                        identification and response to child abuse and 
                        neglect in order to safely reduce unnecessary 
                        investigations by State and local child 
                        protective services agencies of--
                                    ``(I) families solely on the basis 
                                of circumstances related to poverty; 
                                and
                                    ``(II) families experiencing 
                                homelessness solely on the basis of 
                                circumstances related to such families' 
                                housing status; and
                            ``(xii) the State's plan to ensure that, 
                        within a timeline determined by the State, all 
                        child victims of child abuse or neglect that 
                        results in a judicial proceeding are 
                        appointed--
                                    ``(I) a guardian ad litem, who has 
                                received training appropriate to the 
                                role, including training in early 
                                childhood, child, and adolescent 
                                development, and domestic violence, and 
                                who may be an attorney or a court 
                                appointed special advocate--
                                            ``(aa) to obtain first-
                                        hand, a clear understanding of 
                                        the situation and needs of the 
                                        child; and
                                            ``(bb) to make 
                                        recommendations to the court 
                                        concerning the best interests 
                                        of the child; and
                                    ``(II) an attorney ad litem to 
                                provide legal services for the child 
                                who--
                                            ``(aa) owes to the child 
                                        the duties of loyalty, 
                                        confidentiality, and competent 
                                        legal representation; and
                                            ``(bb) is appointed to 
                                        represent and express the 
                                        child's wishes to the court.
                    ``(B) Assurances.--Each State plan shall provide 
                assurances that the State has--
                            ``(i) provisions or procedures for 
                        individuals to report known and suspected 
                        instances of child abuse and neglect as 
                        applicable under State law, including a State 
                        law for mandatory reporting by individuals 
                        required to report such instances, including, 
                        as defined by the State--
                                    ``(I) health professionals;
                                    ``(II) school and child care 
                                personnel;
                                    ``(III) law enforcement officials;
                                    ``(IV) social workers;
                                    ``(V) camp and after-school 
                                employees;
                                    ``(VI) clergy; and
                                    ``(VII) other individuals, as a 
                                State may require;
                            ``(ii) provisions for immunity from civil 
                        or criminal liability under State and local 
                        laws 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;
                            ``(iii) procedures for the immediate 
                        screening, risk and safety assessment, and 
                        prompt investigation of reports of suspected or 
                        known instances of child abuse and neglect, and 
                        triage procedures for the appropriate referral 
                        of a child not at risk of imminent harm to a 
                        community organization or voluntary preventive 
                        service;
                            ``(iv) 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, 
                        which may include placements with kinship 
                        caregivers;
                            ``(v) 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--
                                    ``(I) individuals who are the 
                                subject of the report;
                                    ``(II) Federal, State, or local 
                                government entities, or any agent of 
                                such entities, as described in clause 
                                (vi);
                                    ``(III) child abuse citizen review 
                                panels;
                                    ``(IV) child fatality review 
                                panels;
                                    ``(V) 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
                                    ``(VI) other entities or classes of 
                                individuals statutorily authorized by 
                                the State to receive such information 
                                pursuant to a legitimate State purpose;
                            ``(vi) provisions to require a 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;
                            ``(vii) provisions to require 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;
                            ``(viii) 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;
                            ``(ix) established and maintained citizen 
                        review panels in accordance with subsection 
                        (c);
                            ``(x) provisions, procedures, and 
                        mechanisms--
                                    ``(I) for the expedited termination 
                                of parental rights in the case of any 
                                infant determined to be abandoned under 
                                State law; and
                                    ``(II) by which individuals who 
                                disagree with an official finding of 
                                child abuse or neglect can appeal such 
                                finding;
                            ``(xi) 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--
                                    ``(I) 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;
                                    ``(II) 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;
                                    ``(III) to have aided or abetted, 
                                attempted, conspired, or solicited to 
                                commit such murder or voluntary 
                                manslaughter;
                                    ``(IV) to have committed a felony 
                                assault that results in the serious 
                                bodily injury to the surviving child or 
                                another child of such parent;
                                    ``(V) to have committed sexual 
                                abuse against the surviving child or 
                                another child of such parent; or
                                    ``(VI) 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 (34 
                                U.S.C. 20913(a));
                            ``(xii) an assurance that, upon the 
                        implementation by the State of the provisions, 
                        procedures, and mechanisms under clause (xi), 
                        conviction of any one of the felonies listed in 
                        clause (xi) 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);
                            ``(xiii) 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;
                            ``(xiv) provisions addressing the training 
                        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 in 
                        different languages if necessary, in order to 
                        protect the legal rights and safety of children 
                        and families from the initial time of contact 
                        during investigation through treatment;
                            ``(xv) provisions and procedures for 
                        requiring criminal background record checks 
                        that meet the requirements of section 
                        471(a)(20) of the Social Security Act (42 
                        U.S.C. 671(a)(20)) for prospective foster and 
                        adoptive parents and other adult relatives and 
                        non-relatives residing in the household;
                            ``(xvi) provisions for systems of 
                        technology that support the State child 
                        protective service system described in 
                        subsection (a) and track reports of child abuse 
                        and neglect from intake through final 
                        disposition;
                            ``(xvii) 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 of the Trafficking Victims 
                        Protection Act of 2000 (22 U.S.C. 7102)); and
                            ``(xviii) provisions and procedures for 
                        training child protective services workers 
                        about identifying, assessing, and providing 
                        comprehensive services for children who are sex 
                        trafficking (as defined in section 103 of the 
                        Trafficking Victims Protection Act of 2000 (22 
                        U.S.C. 7102)) victims, including efforts to 
                        coordinate with State law enforcement, juvenile 
                        justice, and social service agencies such as 
                        runaway and homeless youth shelters to serve 
                        this population;
                            ``(xix) 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--
                                    ``(I) coordination and consultation 
                                with individuals designated by and 
                                within appropriate health-care 
                                facilities;
                                    ``(II) 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
                                    ``(III) 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;
                            ``(xx) procedures to provide information 
                        and training for mandated reporters who are 
                        educators on the requirements of subtitle B of 
                        title VII of the McKinney-Vento Homeless 
                        Assistance Act (42 U.S.C. 11431 et seq.) to 
                        support homeless children and youth in 
                        enrolling, attending, and succeeding in school, 
                        in accordance with the State plan submitted 
                        under such subtitle B;
                            ``(xxi) engaged with individuals with 
                        personal experience in the child welfare 
                        system, and the lead entity and community-based 
                        providers supported under title II in 
                        developing the State plan described in 
                        paragraph (1);
                            ``(xxii) provisions and procedures to 
                        ensure that all parents shall, in all cases 
                        involving allegations of child abuse or neglect 
                        which results in a judicial proceeding, have 
                        legal representation by a trained attorney for 
                        the entire duration of the court's jurisdiction 
                        in the case;
                            ``(xxiii) procedures and policies for 
                        developing, implementing, and monitoring family 
                        care plans required under section 402(c) to 
                        ensure the safety and well-being of infants 
                        born with, and identified as being affected by, 
                        substance use disorder, including alcohol use 
                        disorder, and the well-being of such infants' 
                        families and caregivers; and
                            ``(xxiv) provisions and procedures for 
                        referral of a child under the age of 3 who is 
                        involved in a substantiated case of child abuse 
                        or neglect to early intervention services 
                        funded under part C of the Individuals with 
                        Disabilities Education Act (20 U.S.C. 1431 et 
                        seq.).
            ``(3) Rules of construction.--
                    ``(A) Certain identifying information.--Nothing in 
                clause (ii) or (iv) of paragraph (2)(B) shall be 
                construed as restricting the authority of a State to 
                refuse to disclose identifying information concerning 
                the individual initiating a report or complaint 
                alleging suspected instances of child abuse or neglect, 
                except that the State may not refuse such a disclosure 
                where a court orders such disclosure after such court 
                has reviewed, in camera, the record of the State 
                related to the report or complaint and has found it has 
                reason to believe that the reporter knowingly made a 
                false report.
                    ``(B) Clarification.--Nothing in subparagraph (A) 
                shall be construed to limit a 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.
                    ``(C) Mandated reporters in certain states.--With 
                respect to a State in which State law requires all of 
                the individuals to report known or suspected instances 
                of child abuse and neglect directly to a State child 
                protective services agency or to a law enforcement 
                agency, the requirement under paragraph (2)(B)(i) shall 
                not be construed to require the State to define the 
                classes of individuals described in subclauses (I) 
                through (VII) of such paragraph.
                    ``(D) Alignment with extended foster care.--For 
                purposes of paragraph (2)(A)(xii), the term `child 
                victim' shall have any age limit elected by the State 
                pursuant to section 475(8)(B)(iii) of the Social 
                Security Act (42 U.S.C. 675(8)(B)(iii)).
    ``(c) Citizen Review Panels.--
            ``(1) Establishment.--
                    ``(A) In general.--Each State to which a grant is 
                made under this section shall establish (including by 
                designating under subparagraph (B)) not less than 2 
                citizen review panels.
                    ``(B) Designation.--A State may designate a citizen 
                review panel for purposes of this subsection, comprised 
                of one or more existing (as of the date of the 
                designation) entities established under State or 
                Federal law, such as child fatality panels, foster care 
                review panels, or State task forces established under 
                section 107, if such entities have the capacity to 
                satisfy the requirements of paragraph (3) and the State 
                ensures that such entities will satisfy such 
                requirements.
            ``(2) Membership.--Except as provided in paragraph (1)(B), 
        each panel established pursuant to paragraph (1) shall be 
        composed of volunteer members who are broadly representative of 
        the community in which such panel is established, including 
        individuals with personal experience in the child welfare 
        system and members who have expertise in the prevention and 
        treatment of child abuse and neglect.
            ``(3) Functions.--
                    ``(A) In general.--Each panel established pursuant 
                to paragraph (1) shall evaluate, by examining the 
                policies, procedures, and practices of State and local 
                agencies and where appropriate, specific cases, the 
                extent to which State and local child protective 
                services system agencies are effectively discharging 
                their child protection responsibilities in accordance 
                with--
                            ``(i) the State plan under subsection (b);
                            ``(ii) any other criteria that the panel 
                        considers important to ensure the protection of 
                        children, including--
                                    ``(I) a review of the extent to 
                                which the State and local child 
                                protective services system is 
                                coordinated with the foster care, 
                                prevention, and permanency program 
                                established under part E of title IV of 
                                the Social Security Act (42 U.S.C. 670 
                                et seq.); and
                                    ``(II) a review of child fatalities 
                                and near fatalities due to child abuse 
                                and neglect and State and local efforts 
                                to change policies, procedures, and 
                                practices to prevent future fatalities 
                                and near fatalities.
                    ``(B) Alternative pathways.--In carrying out the 
                requirements of subparagraph (A), each panel shall 
                examine the policies, procedures, and practices of 
                State and local child protective services system 
                agencies that result in substantial numbers of families 
                being unnecessarily investigated for child abuse and 
                neglect (including by examining racial bias) and shall 
                develop recommendations to the State, in accordance 
                with paragraph (5), regarding how State and local child 
                protective services agencies can become a more 
                effective system of appropriate and immediate response 
                for children who are at most serious risk of child 
                abuse and neglect and eliminate child abuse fatalities 
                and near fatalities.
                    ``(C) Confidentiality.--
                            ``(i) In general.--The members and staff of 
                        a panel established under paragraph (1)--
                                    ``(I) shall not disclose to any 
                                person or government official any 
                                identifying information about any 
                                specific child protection case with 
                                respect to which the panel is provided 
                                information; and
                                    ``(II) shall not make public other 
                                information unless authorized by State 
                                statute.
                            ``(ii) Civil sanctions.--Each State that 
                        establishes a panel pursuant to paragraph (1) 
                        shall establish civil sanctions for a violation 
                        of clause (i).
                    ``(D) Public outreach.--Each panel shall provide 
                for public outreach and comment in order to assess the 
                impact of current procedures and practices upon 
                children and families in the community and in order to 
                meet its obligations under subparagraph (A).
            ``(4) State assistance.--Each State that establishes a 
        panel pursuant to paragraph (1)--
                    ``(A) shall develop a memorandum of understanding 
                with each panel, clearly outlining the panel's roles 
                and responsibilities, and identifying any support from 
                the State;
                    ``(B) shall provide the panel access to information 
                on cases that the panel desires to review if such 
                information is necessary for the panel to carry out its 
                functions under paragraph (3); and
                    ``(C) shall provide the panel, upon its request, 
                staff assistance for the performance of the duties of 
                the panel.
            ``(5) Reports.--Each citizen review panel established under 
        paragraph (1) shall annually prepare and make available to the 
        State and the public, which activities may be carried out 
        collectively by a combination of such panels, a report 
        containing a summary of the activities of the panel and 
        recommendations to improve the child protective services system 
        at the State and local levels. Not later than 3 months after 
        the date on which a report is submitted by the panel to the 
        State, the appropriate State agency shall submit a written 
        response to State and local child protective services systems 
        and the panel that describes how the State will incorporate the 
        recommendations of such panel (where appropriate) to make 
        measurable progress in improving the State and local child 
        protective services systems, which response may include 
        providing examples of efforts to implement the panel's 
        recommendations.
    ``(d) Annual State Data Reports.--
            ``(1) In general.--Subject to paragraph (2), each State to 
        which a grant is made under this section shall annually submit 
        a report to the Secretary containing, at a minimum, the data 
        elements described in paragraph (3).
            ``(2) Waivers and technical assistance.--
                    ``(A) In general.--In working with States to 
                implement the requirement in paragraph (1), the 
                Secretary shall have the authority to waive such 
                requirements for any data element required in paragraph 
                (3) if the Secretary determines that reporting such 
                information is not feasible or is insufficient to yield 
                statistically reliable information.
                    ``(B) Guidance.--The Secretary shall issue guidance 
                to States and provide technical assistance to support 
                States in submitting accurate and comparable data under 
                this subsection and maximizing such States' reporting 
                of data elements required under paragraph (3).
            ``(3) Required data elements.--The following data elements 
        shall annually be reported by States to the Secretary, in 
        accordance with paragraph (1) at the aggregate and case-
        specific level:
                    ``(A) The number of children who were reported to 
                the State during the year as victims of child abuse or 
                neglect, disaggregated, where available, by demographic 
                characteristics including age, sex, race and ethnicity, 
                disability, caregiver risk factors, caregiver 
                relationship, living arrangement, and relation of 
                victim to their perpetrator.
                    ``(B) Of the number of children described in 
                subparagraph (A), the number with respect to whom such 
                reports were--
                            ``(i) substantiated;
                            ``(ii) unsubstantiated; or
                            ``(iii) determined to be false.
                    ``(C) Of the number of children described in 
                subparagraph (A)--
                            ``(i) the number that did not receive 
                        services during the year under the State 
                        program funded under this section or an 
                        equivalent State program;
                            ``(ii) the number that received services 
                        during the year under the State program funded 
                        under this section or an equivalent State 
                        program; and
                            ``(iii) the number that were removed from 
                        their families during the year by disposition 
                        of the case.
                    ``(D) The number of families that were served 
                through differential response, from the State, during 
                the year.
                    ``(E) The number of child fatalities and near 
                fatalities in the State during the year resulting from 
                child abuse or neglect, which shall include--
                            ``(i) the number of child fatalities and 
                        near fatalities due to child abuse and neglect 
                        (disaggregated by such type of incident) that--
                                    ``(I) is compiled by the State 
                                child protective services agency for 
                                submission under this subsection; and
                                    ``(II) are derived from data 
                                sources which--
                                            ``(aa) includes data from 
                                        State vital statistics 
                                        departments, child death review 
                                        teams, law enforcement 
                                        agencies, and offices of 
                                        medical examiners or coroners, 
                                        in accordance with the 
                                        requirements of section 
                                        422(b)(19) of the Social 
                                        Security Act (42 U.S.C. 
                                        622(b)(19)); and
                                            ``(bb) may include 
                                        information from hospitals, 
                                        health departments, juvenile 
                                        justice departments, and 
                                        prosecutor and attorney general 
                                        offices;
                            ``(ii) case-specific information (and the 
                        sources used to provide such information) about 
                        the circumstances under which a child fatality 
                        or near fatality occurred due to abuse and 
                        neglect, including--
                                    ``(I) the cause of the death listed 
                                on the death certificate in the case of 
                                a child fatality, and the type of life-
                                threatening injury in the case of a 
                                near fatality;
                                    ``(II) whether the child and such 
                                child's siblings were reported to the 
                                State child protective services system;
                                    ``(III) the responses taken by the 
                                child protective services agency (which 
                                may include services or investigations, 
                                as applicable), including any 
                                determinations by such agency;
                                    ``(IV) the child's living 
                                arrangement or placement at the time of 
                                the incident;
                                    ``(V) the perpetrator's 
                                relationship to the child;
                                    ``(VI) any known previous child 
                                abuse and neglect of the child by other 
                                perpetrators and of any child abuse and 
                                neglect of other children by the 
                                perpetrator;
                                    ``(VII) the demographics and 
                                relevant characteristics of the child, 
                                perpetrator, and family, including 
                                whether substance use disorder or 
                                domestic violence were present and 
                                whether services were provided to 
                                address those needs;
                                    ``(VIII) the child's encounters 
                                with the health care system prior to 
                                the incident; and
                                    ``(IX) other relevant data as 
                                determined by the Secretary designed to 
                                inform prevention efforts.
                    ``(F) Of the number of children described in 
                subparagraph (E), the number of such children who were 
                in foster care at the time of the incident reported 
                under such subparagraph.
                    ``(G)(i) The number of child protective service 
                personnel responsible for the--
                            ``(I) intake of reports filed in the 
                        previous year;
                            ``(II) screening of such reports;
                            ``(III) assessment of such reports; and
                            ``(IV) investigation of such reports.
                    ``(ii) The average caseload for the personnel 
                described in clause (i).
                    ``(H) The agency response time with respect to each 
                such report with respect to initial investigation of 
                reports of child abuse or neglect.
                    ``(I) The response time with respect to the 
                provision of services to families and children where an 
                allegation of child abuse or neglect has been made.
                    ``(J) For child protective service personnel 
                responsible for intake, screening, assessment, and 
                investigation of child abuse and neglect reports in the 
                State--
                            ``(i) information on the education, 
                        qualifications, and training requirements 
                        established by the State for child protective 
                        service professionals, including for entry and 
                        advancement in the profession, including 
                        advancement to supervisory positions;
                            ``(ii) data on the education, 
                        qualifications, and training of such personnel;
                            ``(iii) demographic information of the 
                        child protective service personnel; and
                            ``(iv) information on caseload or workload 
                        requirements for such personnel, including 
                        requirements for average number and maximum 
                        number of cases per child protective service 
                        worker and supervisor.
                    ``(K) With respect to children reunited with their 
                families or receiving family preservation services, 
                within the 5-year period preceding submission of the 
                report--
                            ``(i) the number of reports to the State 
                        child protective services agency for suspected 
                        child abuse and neglect;
                            ``(ii) the number of substantiated reports 
                        of child abuse or neglect; and
                            ``(iii) the number of fatalities or near 
                        fatalities of such children due to child abuse 
                        or neglect.
                    ``(L) The number of children for whom individuals 
                were appointed by the court to represent the best 
                interests of such children and the average number of 
                out of court contacts between such individuals and 
                children.
                    ``(M) The annual report containing the summary of 
                the activities and recommendations of the citizen 
                review panels of the State required by subsection 
                (c)(5).
                    ``(N) The number of children under the care of the 
                State child protection system who are transferred into 
                the custody of the State juvenile justice system.
                    ``(O) The number of children that had a family care 
                plan in accordance with section 402(c), and who were 
                referred to the child protective services system.
                    ``(P) The number of children determined to be 
                victims of sex trafficking.
            ``(4) NCANDS files.--Within 6 months after receiving a 
        State report under this subsection, the Secretary shall publish 
        the data reported by the State under paragraph (3) in the 
        following formats:
                    ``(A) the agency file that contains aggregate data; 
                and
                    ``(B) the child file that contains case-specific 
                information.
    ``(e) Annual State Reports.--A State that receives funds under 
subsection (a) shall annually prepare and submit to the Secretary a 
report describing the manner in which funding provided under this 
section, alone or in combination with other Federal funds, was used to 
address the purposes and achieve the objectives of this section, 
including--
            ``(1) the amount of such funding used by the State to 
        provide services to individuals, families, or communities to 
        strengthen families and prevent child abuse and neglect, 
        directly or through referrals, and a description of how the 
        State implemented systems-building approaches to strategically 
        coordinate such services with State and local agencies and 
        relevant public entities to develop and maintain a continuum of 
        prevention programs and services aimed at preventing the 
        occurrence of child abuse and neglect;
            ``(2) a description of how the State uses differential 
        response, as applicable, and alternative pathways for families 
        seeking support;
            ``(3) a description of the State's efforts to reduce racial 
        bias and disparities in its child protective services system, 
        including changes in the rates of overrepresentation of 
        children or youth in the child protective services system by 
        race or ethnicity;
            ``(4) a description of the State's efforts to safely reduce 
        unnecessary investigations of families, through the child 
        protective system, solely based on circumstances related to--
                    ``(A) poverty; and
                    ``(B) housing status;
            ``(5) the number of children under the age of 3 who are 
        involved in a substantiated case of child abuse or neglect and 
        who the State child protective services agency referred for 
        early intervention services funded under part C of the 
        Individuals with Disabilities Education Act (20 U.S.C. 1431 et 
        seq.), disaggregated, where available, by demographic 
        characteristics including race and ethnicity, and, for children 
        not referred for such services, a description of why such 
        children were not referred; and
            ``(6) a description of how the State used such funding to 
        implement effective strategies to enhance collaboration among 
        child protective services and social services, legal services, 
        health care services (including mental health and substance use 
        disorder services), domestic violence services, and educational 
        agencies, and community-based organizations, that contribute to 
        improvements to the overall well-being of children and 
        families.
    ``(f) Annual Report by the Secretary.--Annually, and not later than 
6 months after receiving the State reports under subsections (d) and 
(e), the Secretary shall--
            ``(1) prepare a report based on information provided by the 
        States for the fiscal year under such subsections and the 
        results of the State monitoring requirements in section 111; 
        and
            ``(2) make the report and such information available to the 
        Committee on Health, Education, Labor, and Pensions of the 
        Senate, the Committee on Education and Labor of the House of 
        Representatives, and the national clearinghouse described in 
        section 103.
    ``(g) Allotments.--
            ``(1) Definitions.--In this subsection:
                    ``(A) State.--The term `State' means each of the 
                several States, the District of Columbia, and the 
                Commonwealth of Puerto Rico.
                    ``(B) Territory.--The term `territory' means Guam, 
                American Samoa, the United States Virgin Islands, and 
                the Commonwealth of the Northern Mariana Islands.
            ``(2) In general.--The Secretary shall make an allotment to 
        each State and territory that applies for a grant under this 
        section, in an amount equal to the sum of--
                    ``(A) $50,000; and
                    ``(B) an amount that bears the same relationship to 
                any grant funds remaining after all such States and 
                territories have received $50,000, as the number of 
                children under the age of 18 in the State or territory 
                bears to the number of such children in all States and 
                territories that apply for such a grant.
            ``(3) Minimum allotments to states.--The Secretary shall 
        adjust the allotments under paragraph (2), as necessary, such 
        that no State that applies for a grant under this section 
        receives an allotment in an amount that is less than 
        $150,000.''.

SEC. 107. GRANTS FOR INVESTIGATION AND PROSECUTION OF CHILD ABUSE AND 
              NEGLECT.

    (a) Grants to States.--Section 107(a) of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5106c(a)) is amended by striking 
paragraphs (1) through (4) and inserting the following:
            ``(1) the assessment, investigation, and prosecution of 
        suspected child abuse and neglect cases, including cases of 
        suspected child sexual abuse, exploitation, and child sex 
        trafficking, in a manner that limits additional trauma to the 
        child and the child's family;
            ``(2) the assessment, investigation, and prosecution of 
        cases of suspected child abuse-related fatalities and suspected 
        child neglect-related fatalities, including through a child 
        abuse investigative multidisciplinary review team, such as team 
        from the State child death review program; and
            ``(3) the assessment, investigation, and prosecution of 
        cases involving children with disabilities or serious health-
        related problems, or other vulnerable populations, who are 
        suspected victims of child abuse or neglect.''.
    (b) State Task Forces.--Section 107(c)(1) (42 U.S.C. 5106c(c)(1)) 
is amended--
            (1) in subparagraph (I), by striking ``and'' at the end;
            (2) in subparagraph (J), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(K) individuals experienced in working with 
                children or youth overrepresented in the child welfare 
                system.''.
    (c) State Task Force Study.--Section 107(d)(1) (42 U.S.C. 
5106c(d)(1)) is amended by striking ``and exploitation,'' and inserting 
``exploitation, and child sex trafficking,''.
    (d) Adoption of State Task Force Recommendations.--Section 
107(e)(1) (42 U.S.C. 5106c(e)(1)) is amended--
            (1) in subparagraph (A), by striking ``and exploitation,'' 
        and inserting ``exploitation, and child sex trafficking,'';
            (2) in subparagraph (B), by striking ``and'' at the end;
            (3) in subparagraph (C)--
                    (A) by striking ``and exploitation,'' and inserting 
                ``exploitation, and child sex trafficking,''; and
                    (B) by striking the period at the end and inserting 
                ``; and''; and
            (4) by adding at the end the following:
                    ``(D) improving coordination among agencies 
                regarding reports of child abuse and neglect to ensure 
                both law enforcement and child protective services 
                agencies have ready access to full information 
                regarding past reports, which may be done in 
                coordination with other States, Indian Tribes, or 
                agencies for other geographic regions.''.

SEC. 108. MISCELLANEOUS REQUIREMENTS RELATING TO ASSISTANCE.

    Section 109 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106d), as so redesignated by section 105 of this Act, is 
amended by striking subsection (e).

SEC. 109. REPORTS.

    Section 111 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106f), as so redesignated by section 105 of this Act, is 
amended--
            (1) in subsection (a), by striking ``CAPTA Reauthorization 
        Act of 2010'' and inserting ``CAPTA Reauthorization Act of 
        2021'';
            (2) in subsection (b)--
                    (A) by striking ``(b)'' and all that follows 
                through ``Not'' and inserting the following:
    ``(b) Activities and Technical Assistance.--Not''; and
                    (B) by striking ``Senate a report'' and all that 
                follows and inserting ``Senate a report on technical 
                assistance activities for programs that support State 
                efforts to meet the needs and objectives of section 
                106.''; and
            (3) by striking subsections (c) and (d) and inserting the 
        following:
    ``(c) Report on State Mandatory Reporting Laws.--Not later than 4 
years after the date of enactment of the CAPTA Reauthorization Act of 
2021, 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 
information on--
            ``(1) the type, duration, and evidence basis of training 
        supported by this Act, and through other relevant Federal 
        programs, for mandated reporters of child abuse or neglect;
            ``(2) State efforts to improve reporting on, and responses 
        to reports of, child abuse or neglect; and
            ``(3) barriers, if any, affecting mandatory reporting of 
        child abuse or neglect.
    ``(d) Report Relating to Injuries Indicating the Presence of Child 
Abuse.--Not later than 2 years after the date of enactment of the CAPTA 
Reauthorization Act of 2021, the Secretary shall submit to the 
Committee on Health, Education, Labor, and Pensions of the Senate and 
the Committee on Education and Labor of the House of Representatives a 
report that contains--
            ``(1) information on best practices developed by medical 
        institutions and other multidisciplinary partners to identify 
        and appropriately respond to injuries indicating the presence 
        of potential physical abuse in children, particularly among 
        infants, including--
                    ``(A) the identification and assessment of such 
                injuries by health care professionals and appropriate 
                child protective services referral and notification 
                processes in response to such injuries; and
                    ``(B) an identification of effective programs 
                replicating such best practices, and barriers or 
                challenges to implementing such programs; and
            ``(2) data on any outcomes associated with the practices 
        described in paragraph (1), including data on subsequent 
        revictimization and child fatalities.
    ``(e) Report Relating to Child Abuse and Neglect in Indian Tribal 
Communities.--Not later than 2 years after the date of enactment of the 
CAPTA Reauthorization Act of 2021, the Comptroller General of the 
United States, taking into consideration the perspectives of Indian 
Tribes from each of the 12 Bureau of Indian Affairs Regions, shall 
submit a report to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Education and Labor of the 
House of Representatives that contains--
            ``(1) information about such Indian Tribes and related 
        Tribal organizations providing child abuse and neglect 
        prevention activities, including types of programming and 
        number of such Tribes and Tribal organizations providing 
        activities;
            ``(2) a description of promising practices used by such 
        Tribes and related Tribal organizations for child abuse and 
        neglect prevention;
            ``(3) information about the child abuse and neglect 
        prevention activities such Indian Tribes and related Tribal 
        organizations are providing, including those activities 
        supported by Federal, Tribal, and State funds;
            ``(4) information on ways to support prevention efforts 
        regarding child abuse and neglect of children who are Indians, 
        including Alaska Natives, which may include the use of the 
        children's trust fund model;
            ``(5) an assessment of Federal agency collaboration and 
        technical assistance efforts to address child abuse and neglect 
        prevention and treatment of children who are Indians, including 
        Alaska Natives;
            ``(6) an examination of access to child abuse and neglect 
        prevention research and demonstration grants by Indian tribes 
        and related Tribal organizations under this Act; and
            ``(7) an examination of Federal child abuse and neglect 
        data systems to identify what Tribal data is being submitted to 
        the Department of Health and Human Services, or other relevant 
        agencies, as applicable, any barriers to the submission of such 
        data, and recommendations on improving the submission of such 
        data.
    ``(f) Report Relating to Court Appointments.--
            ``(1) Study.--Not later than 2 years after the date of 
        enactment of the CAPTA Reauthorization Act of 2021, the 
        Comptroller General of the United States shall conduct a study 
        of--
                    ``(A) policies in selected States regarding the 
                appointment of guardians ad litem and attorneys ad 
                litem as described in section 106(b)(2)(A)(xii); and
                    ``(B) successes and challenges in selected States 
                regarding the appointment of a guardian ad litem and 
                attorney ad litem in each case involving a victim of 
                child abuse or neglect that results in judicial 
                proceeding.
            ``(2) Report.--Not later than 1 year after completion of 
        the study under paragraph (1), 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 summarizes the study under paragraph (1) and includes 
        recommendations, as appropriate, for improving access for such 
        victims to guardians ad litem and attorneys ad litem.
    ``(g) Report on Citizen Review Panels.--Not later than 4 years 
after the date of enactment of the CAPTA Reauthorization Act of 2021, 
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 an 
evaluation of the effectiveness of citizen review panels required 
section 106(c)(1) to improve the child protective services system, 
including an analysis of the extent to which--
            ``(1) reports developed by such citizen review panels drive 
        changes to State and local child protective services systems 
        and identify issues that otherwise would not have been 
        identified; and
            ``(2) States act upon recommendations of such panels (where 
        appropriate) to make measurable progress in improving the State 
        and local child protective services systems.''.

SEC. 110. MONITORING AND OVERSIGHT.

    Title I of the Child Abuse Prevention and Treatment Act is amended 
by striking section 112 (42 U.S.C. 5106g), as so redesignated by 
section 105 of this Act, and inserting the following:

``SEC. 112. MONITORING AND OVERSIGHT.

    ``(a) Monitoring.--The Secretary shall conduct monitoring to ensure 
that each State that receives a grant under section 106 is in 
compliance with the requirements of section 106(b), which shall--
            ``(1) be in addition to the review of the State plan upon 
        its submission under section 106(b)(1)(A); and
            ``(2) include monitoring of State policies and procedures 
        required under sections 106(b)(2)(B)(xxiii) and section 402.
    ``(b) Biannual Reporting.--The Secretary shall submit a biannual 
report to the Committee on Health, Education, Labor, and Pensions and 
the Committee on Appropriations of the Senate and the Committee on 
Education and Labor and the Committee on Appropriations of the House of 
Representatives that includes a summary of the monitoring conducted 
under this section.''.

SEC. 111. AUTHORIZATION OF APPROPRIATIONS.

    Section 113 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106h), as so redesignated by section 105 of this Act, is 
amended by striking subsection (a) and inserting the following:
    ``(a) In General.--
            ``(1) General authorization.--In addition to any funds 
        appropriated under paragraph (3), there are authorized to be 
        appropriated to carry out this title $270,000,000 for fiscal 
        year 2022 and such sums as may be necessary for each of the 
        fiscal years 2023 through 2027.
            ``(2) Discretionary activities.--Of the amounts 
        appropriated for a fiscal year under paragraph (1), the 
        Secretary shall make available 30 percent of such amounts to 
        fund discretionary activities under this title.
            ``(3) Hotline authorization.--There are authorized to be 
        appropriated to carry out section 108 such sums as may be 
        necessary for each of fiscal years 2022 through 2027.''.

SEC. 112. CONFORMING AMENDMENTS.

    Section 633 of the Mentoring Matches for Youth Act of 2006 (34 
U.S.C. 20990) is amended--
            (1) in subsection (c)(2)(B), by striking ``clauses (viii) 
        and (ix) of section 106(b)(2)(A) of the Child Abuse Prevention 
        and Treatment Act (42 U.S.C. 5106(b)(2)(A) (viii) and (ix))'' 
        and inserting ``clauses (v) and (vi) of section 106(b)(2)(B) of 
        the Child Abuse Prevention and Treatment Act (42 U.S.C. 
        5106a(b)(2)(B))''; and
            (2) in subsection (f), by striking ``clauses (viii) and 
        (ix) of section 106(b)(2)(A) of the Child Abuse Prevention and 
        Treatment Act (42 U.S.C. 5106(b)(2)(A) (viii) and (ix))'' and 
        inserting ``clauses (v) and (vi) of section 106(b)(2)(B) of the 
        Child Abuse Prevention and Treatment Act (42 U.S.C. 
        5106a(b)(2)(B))''.

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

SEC. 201. AMENDMENTS TO TITLE II OF THE CHILD ABUSE PREVENTION AND 
              TREATMENT ACT.

    Title II of the Child Abuse Prevention and Treatment Act (42 U.S.C. 
5116 et seq.) is amended to read as follows:

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

``SEC. 201. PURPOSES.

    ``The purposes of this title are--
            ``(1) to support community-based family strengthening 
        services and statewide systems-building approaches to ensure 
        the development, operation, expansion, evaluation, and 
        coordination of initiatives, programs, and activities to 
        prevent child abuse and neglect; and
            ``(2) to increase access to a continuum of prevention 
        programs and services for diverse populations, including 
        families with low incomes, families who are racial or ethnic 
        minorities, families that include children with disabilities or 
        caregivers with disabilities, children and youth 
        overrepresented in the child welfare system, families 
        experiencing homelessness or at risk of homelessness, families 
        experiencing substance use disorders, families with parents who 
        have experienced violence or trauma, families with individuals 
        with personal experience in the child welfare system, and 
        families in rural communities, that help strengthen families 
        and prevent child abuse and neglect.

``SEC. 202. AUTHORIZATION OF GRANTS.

    ``(a) Authority.--The Secretary shall make grants under this title 
on a formula basis, from allotments made in accordance with subsection 
(c), to the entities designated by the States as the lead entities 
under section 203(b) for the purposes of--
            ``(1) supporting community-based family strengthening 
        services, to assist families to build protective factors linked 
        to the prevention of child abuse and neglect, that--
                    ``(A) are accessible to diverse populations, 
                effective, trauma-informed, and culturally responsive;
                    ``(B) build upon the strengths of families;
                    ``(C) provide families with early, comprehensive 
                support;
                    ``(D) promote the development of healthy familial 
                relationships and parenting skills, especially for 
                young parents and parents of young children;
                    ``(E) increase family stability;
                    ``(F) improve family access to other formal and 
                informal community-based resources, such as referral to 
                early childhood health and developmental services, 
                health care (including mental health and substance use 
                disorder services), and supports to meet the needs of 
                families that include children with disabilities or 
                caregivers with disabilities; and
                    ``(G) meaningfully involve parents in the planning, 
                implementation, and evaluation of such services, 
                including the parents of families with low incomes, 
                parents who are racial or ethnic minorities, parents of 
                children with disabilities, parents with disabilities, 
                parents of children and youth overrepresented in the 
                child welfare system, parents experiencing homelessness 
                or at risk of homelessness, parents of families 
                experiencing substance use disorders, parents who have 
                experienced violence or trauma, parents who are 
                individuals with personal experience in the child 
                welfare system, and parents in rural communities;
            ``(2) promoting the development of a continuum of 
        prevention programs and services for families, through State- 
        and community-based collaborations, public-private 
        partnerships, and the leveraging of Federal, State, local, and 
        private funds;
            ``(3) financing the establishment, maintenance, expansion, 
        or redesign of core services described in section 205(d)(3)(A), 
        to address unmet needs described in the inventory in section 
        204(b)(1)(C)(i);
            ``(4) financing public information and education activities 
        that focus on the healthy and positive development of parents 
        and children and the promotion of child abuse and neglect 
        prevention activities, including--
                    ``(A) comprehensive outreach strategies to engage 
                diverse populations; and
                    ``(B) efforts to increase awareness, of adults who 
                work with children in a professional or volunteer 
                capacity, regarding the availability of community-based 
                family strengthening services; and
            ``(5) providing professional development and technical 
        assistance (including activities to support the implementation 
        of services) to improve the effectiveness of community-based 
        family strengthening services including on the use of evidence-
        based or evidence-informed practices, public health approaches 
        to preventing child abuse and neglect, and culturally 
        responsive practices.
    ``(b) Reservation.--
            ``(1) In general.--The Secretary shall reserve 1 percent of 
        the amount appropriated under section 209 for a fiscal year to 
        make awards to Indian Tribes and Tribal organizations and for 
        migrant programs.
            ``(2) Exception.--Notwithstanding paragraph (1), for any 
        fiscal year for which the amount appropriated under section 209 
        exceeds the amount appropriated under section 209 for fiscal 
        year 2021 by more than $4,000,000, the Secretary shall reserve, 
        from the total amount appropriated--
                    ``(A) 5 percent for awards to Indian Tribes and 
                Tribal organizations to strengthen families and prevent 
                child abuse and neglect; and
                    ``(B) 1 percent for migrant programs to strengthen 
                families and prevent child abuse and neglect.
    ``(c) Allotments to States.--The Secretary shall allot the amount 
appropriated under section 209 for a fiscal year and remaining after 
the reservations under subsection (b) and section 207 among the States 
as follows:
            ``(1) 70 percent.--70 percent of such remaining amount 
        shall be allotted among the States by allotting to each State 
        an amount that bears the same proportion to such remaining 
        amount as the number of children under the age of 18 residing 
        in the State bears to the total number of children under the 
        age of 18 residing in all States (except that no State shall 
        receive less than $200,000 under this paragraph).
            ``(2) 30 percent.--30 percent of such remaining amount 
        shall be allotted among the States by allotting to each State 
        an amount that bears the same proportion to such remaining 
        amount as the amount of private, State, or other non-Federal 
        funds leveraged and directed in the preceding fiscal year 
        through the lead entity (as designated for the preceding fiscal 
        year) of the State bears to the total of the amounts of 
        private, State, or other non-Federal sources leveraged and 
        directed in the preceding fiscal year through such an entity of 
        all States.
    ``(d) Terms.--Funds allotted by the Secretary to a State under this 
section shall be--
            ``(1) for a 3-year period; and
            ``(2) provided to the State on an annual basis.

``SEC. 203. LEAD ENTITY.

    ``(a) Definition of Lead Entity.--In this title, the term `lead 
entity' means a public, quasi-public, or nonprofit private entity 
(which may be an entity that has not been established pursuant to State 
legislation, executive order, or any other written authority of the 
State) that--
            ``(1) exists to strengthen and support families to prevent 
        child abuse and neglect and has a demonstrated ability to work 
        with State and local public agencies and community-based 
        nonprofit organizations to provide professional development and 
        technical assistance; and
            ``(2) has the capacity and commitment to partner 
        meaningfully with family advocates, parents who are or have 
        been recipients of community-based family strengthening 
        services, and individuals with personal experience in the child 
        welfare system to provide leadership in the planning, 
        implementation, and evaluation of the programs and policy 
        decisions of the entity described in this subsection.
    ``(b) Designation.--
            ``(1) In general.--A State shall be eligible for a grant 
        under this title for a fiscal year if the Governor of a State 
        has designated a lead entity to administer funds under this 
        title for the purposes identified under section 201, including 
        to develop, implement, operate, enhance, or expand community-
        based family strengthening services.
            ``(2) Designation considerations.--In designating a lead 
        entity under paragraph (1) the Governor shall--
                    ``(A) take into consideration the capacity and 
                expertise of potential lead entities; and
                    ``(B) take into consideration (equally) whether a 
                potential lead entity is--
                            ``(i) a trust fund advisory board of the 
                        State; or
                            ``(ii) an existing entity that--
                                    ``(I) leverages Federal, State, 
                                local, and private funds for a broad 
                                range of child abuse and neglect 
                                prevention activities and family 
                                resource programs; and
                                    ``(II) is directed by an 
                                interdisciplinary, public-private 
                                entity that includes participants from 
                                communities to be served by the lead 
                                entity.
    ``(c) Assurances.--On designating a lead entity under this title, 
the Governor of the State shall provide assurances to the Secretary as 
part of the application submitted by the lead entity under section 204 
that the lead entity--
            ``(1) will provide or will be responsible for providing--
                    ``(A) community-based family strengthening 
                services, in accordance with section 205, including 
                through collaborative, public-private partnerships with 
                community-based providers;
                    ``(B) leadership to elevate the importance of 
                prevention of child abuse and neglect across the State 
                through an interdisciplinary, collaborative, public-
                private structure with balanced representation from 
                private and public sector members, and representation 
                of parents, individuals with personal experience in the 
                child welfare system, community-based providers, and 
                parents with disabilities; and
                    ``(C) direction and oversight of programs of 
                community-based family strengthening services supported 
                by grant funds under this title through the use of 
                identified goals and objectives, clear lines of 
                communication and accountability, the provision of 
                leveraged or combined funding from Federal, State, 
                local, and private sources, centralized assessment and 
                planning activities, the provision of training and 
                technical assistance, and reporting and evaluation 
                functions;
            ``(2) has a demonstrated commitment to parental leadership 
        in the development, operation, and oversight of the community-
        based family strengthening services;
            ``(3) has a demonstrated ability to work with State and 
        local public agencies and community-based nonprofit 
        organizations to develop and maintain a continuum of prevention 
        programs and services designed to support children and 
        families;
            ``(4) has the capacity to provide operational support (both 
        financial and programmatic), professional development, 
        technical assistance, and evaluation assistance to community-
        based providers, through innovative, interagency funding and 
        interdisciplinary service delivery mechanisms;
            ``(5) will integrate its efforts with individuals and 
        organizations experienced in working in partnership with 
        diverse populations, including families with low incomes, 
        families who are racial or ethnic minorities, families that 
        include children with disabilities or caregivers with 
        disabilities, children and youth overrepresented in the child 
        welfare system, families experiencing homelessness or at risk 
        of homelessness, families experiencing substance use disorders, 
        families with parents who have experienced violence or trauma, 
        families with individuals with personal experience in the child 
        welfare system, and families in rural communities; and
            ``(6) will engage with diverse populations to identify and 
        address unmet needs when developing the inventory required 
        under section 204(b)(1)(C)(i) and when distributing funds to 
        community-based providers under section 205.

``SEC. 204. APPLICATION.

    ``(a) In General.--To receive a grant under this title, a lead 
entity shall, not less than once every 3 years, submit an application 
to the Secretary at such time, in such form, and containing such 
information as the Secretary may require, including the contents 
described in subsection (b).
    ``(b) Contents.--Each application submitted under subsection (a) by 
a lead entity shall include each of the following:
            ``(1) A description of--
                    ``(A) the lead entity responsible for the 
                administration of funds provided under this title, 
                including how the lead entity will conduct oversight of 
                community-based providers that receive subgrants under 
                section 205;
                    ``(B) how the lead entity will ensure community-
                based family strengthening services supported by grant 
                funds under this title will be integrated into a 
                continuum of prevention programs and services for 
                children and families, including how the lead entity 
                will--
                            ``(i) utilize statewide and local systems-
                        building approaches to increase access to 
                        community-based family strengthening services 
                        for diverse populations;
                            ``(ii) determine which communities to 
                        serve;
                            ``(iii) support place-based approaches to 
                        meeting the needs of children and families; and
                            ``(iv) ensure such services are designed to 
                        serve children and families in hard-to-reach 
                        areas;
                    ``(C) an inventory as of the date of submission of 
                such application, that includes a description of--
                            ``(i) the unmet needs in the State, 
                        identified through engagement with diverse 
                        populations; and
                            ``(ii) the community-based family 
                        strengthening services supported by grant funds 
                        under this title and other relevant services 
                        provided in the State;
                    ``(D) how the lead entity will ensure, in the 
                policy decision-making, implementation, and evaluation 
                of community-based providers supported by grant funds 
                under this title, the meaningful involvement of--
                            ``(i) parents who are or who have been 
                        recipients of community-based family 
                        strengthening services;
                            ``(ii) family advocates; and
                            ``(iii) individuals with personal 
                        experience in the child welfare system;
                    ``(E) the criteria the lead entity will use to 
                select and fund community-based providers, including 
                how the lead entity will take into consideration a 
                provider's ability to--
                            ``(i) collaborate with State and local 
                        public agencies and community-based nonprofit 
                        organizations and engage in long-term and 
                        strategic planning to support the development 
                        of a continuum of prevention programs and 
                        services across the State;
                            ``(ii) meaningfully partner with parents in 
                        the development, implementation, and evaluation 
                        of community-based family strengthening 
                        services; and
                            ``(iii) incorporate evidence-based or 
                        evidence-informed practices;
                    ``(F) outreach activities the lead entity and 
                community-based providers will undertake to maximize 
                the participation of diverse populations, including 
                families with low incomes, families who are racial or 
                ethnic minorities, families that include children with 
                disabilities or caregivers with disabilities, children 
                and youth overrepresented in the child welfare system, 
                families experiencing homelessness or at risk of 
                homelessness, families experiencing substance use 
                disorders, families with parents who have experienced 
                violence or trauma, families with individuals with 
                personal experience in the child welfare system, and 
                families in rural communities;
                    ``(G) how the performance of the State program will 
                be assessed using the measures described in section 206 
                and by other measures that may be established by the 
                lead entity;
                    ``(H) the actions the lead entity will take to 
                advocate for systemic changes in State policies, 
                practices, procedures, and regulations to--
                            ``(i) improve the delivery of community-
                        based family strengthening services; and
                            ``(ii) promote prevention activities to 
                        strengthen and support families in order to 
                        reduce child abuse and neglect and contact with 
                        the child protective services system; and
                    ``(I) the lead entity's plan for providing 
                operational support, professional development, and 
                technical assistance to community-based providers, 
                related to the use of trauma-informed practices, public 
                health approaches to preventing child abuse and 
                neglect, culturally responsive practices, and the use 
                of evidence-based or evidence-informed practices.
            ``(2) A budget for the development, operation, and 
        expansion of the community-based family strengthening services 
        that demonstrates that the State will expend, in non-Federal 
        funds, an amount (in cash or in kind) equal to not less than 20 
        percent of the amount received under this title for activities 
        under this title.
            ``(3) An assurance that--
                    ``(A) the lead entity will use grant funds received 
                under this title to provide community-based family 
                strengthening services in accordance with section 205 
                in a manner that--
                            ``(i) helps families build protective 
                        factors that are linked to the prevention of 
                        child abuse and neglect, including knowledge of 
                        parenting and child development (including 
                        social and emotional development), parental 
                        resilience, social connections, and time-
                        limited and need-based concrete support 
                        available to families;
                            ``(ii) is trauma-informed, culturally 
                        responsive, and takes into consideration the 
                        assets and needs of communities in which the 
                        lead entity serves; and
                            ``(iii) promotes coordination between 
                        community-based providers, State and local 
                        public agencies, community-based nonprofit 
                        organizations, and relevant private entities to 
                        develop and expand a continuum of prevention 
                        programs and services that promote child, 
                        parent, and family well-being, with a focus on 
                        increasing access to those supports for diverse 
                        populations;
                    ``(B) funds received under this title will be used 
                to supplement, not supplant, other State and local 
                public funds designated for the establishment, 
                maintenance, expansion, and redesign of community-based 
                family strengthening services; and
                    ``(C) the lead entity will provide the Secretary 
                with reports at such time and containing such 
                information as the Secretary may require.
            ``(4) The assurances described in section 203(c).

``SEC. 205. USES OF FUNDS.

    ``(a) In General.--A lead entity that receives a grant under this 
title shall use the grant funds to develop, implement, operate, expand, 
and enhance community-based family strengthening services, including by 
providing subgrants to community-based providers described in 
subsection (b).
    ``(b) Community-based Provider.--In this title, the term 
`community-based provider' means an entity that provides community-
based family strengthening services, including an entity that is a 
State or local public agency or a community-based nonprofit 
organization.
    ``(c) Priority.--In awarding subgrants under this section, a lead 
entity shall give priority to community-based providers proposing 
evidence-based or evidence-informed local programs to serve low-income 
communities or to serve young parents or parents of young children.
    ``(d) Uses of Funds.--A lead entity or a community-based provider 
that receives funds under this section shall use the funds to develop, 
implement, operate, expand, and enhance community-based family 
strengthening services, which may include--
            ``(1) assessing community assets and needs through a 
        planning process that--
                    ``(A) involves other relevant community-based 
                organizations, including those that have already 
                performed a local needs assessment and can positively 
                contribute to the planning process;
                    ``(B) meaningfully involves parents; and
                    ``(C) uses information and expertise from local 
                public agencies, local nonprofit organizations, and 
                local private sector representatives;
            ``(2) developing a comprehensive strategy, which may 
        leverage public-private partnerships, to provide a continuum of 
        prevention programs and services to children and families, 
        especially to families experiencing difficulty meeting basic 
        needs or with other risk factors linked with child abuse and 
        neglect, such as families with young parents, parents of young 
        children, or parents who experienced domestic violence or child 
        abuse or neglect as children;
            ``(3)(A) providing, directly or through community referral 
        services, core child abuse and neglect prevention services, 
        such as--
                    ``(i) parent support and education programs that 
                build protective factors linked to the prevention of 
                child abuse and neglect;
                    ``(ii) mutual support and self-help programs;
                    ``(iii) parental leadership skills development 
                programs that support parents as leaders in their 
                families and communities;
                    ``(iv) respite care services; and
                    ``(v) outreach and follow up services, which may 
                include voluntary home visiting services; and
            ``(B) connecting individuals and families to community 
        referral services, including referral to--
                    ``(i) early childhood care and education programs 
                such as a child care program, a Head Start program 
                (including an Early Head Start program) carried out 
                under the Head Start Act (42 U.S.C. 9831 et seq.), a 
                developmental screening program, or a program carried 
                out under section 619 or part C of the Individuals with 
                Disabilities Education Act (20 U.S.C. 1419, 1431 et 
                seq.);
                    ``(ii) services and supports to meet the additional 
                needs of families with children with disabilities or 
                caregivers with disabilities;
                    ``(iii) nutrition programs, which may include the 
                special supplemental nutrition program for women, 
                infants, and children program under section 17 of the 
                Child Nutrition Act of 1966 (42 U.S.C. 1786) and the 
                supplemental nutrition assistance program under the 
                Food and Nutrition Act of 2008 (7 U.S.C. 2011 et seq.);
                    ``(iv) educational services, academic tutoring, 
                adult education and literacy services, and workforce 
                development activities, such as activities described in 
                section 134 of the Workforce Innovation and Opportunity 
                Act (29 U.S.C. 3174);
                    ``(v) self-sufficiency and life management skills 
                training;
                    ``(vi) health care (including mental health and 
                substance use disorder services);
                    ``(vii) peer counseling;
                    ``(viii) domestic violence service programs that 
                provide services and treatment to children and their 
                nonabusing caregivers; and
                    ``(ix) adoption services for individuals interested 
                in adopting a child;
            ``(4) developing and maintaining leadership roles for the 
        meaningful involvement of parents and other individuals with 
        personal experience in the child welfare system in the 
        development, operation, evaluation, and oversight of the 
        services provided by the lead entity or community-based 
        providers;
            ``(5) providing leadership in mobilizing local public and 
        private resources to support the provision of community-based 
        family strengthening services; and
            ``(6) coordinating services with State and local public 
        agencies, community-based nonprofit organizations, and relevant 
        private entities, to promote child, parent, and family well-
        being, including coordinating services through the development, 
        operation, and expansion of State and local systems to develop 
        a continuum of prevention programs and services to strengthen 
        families and to prevent child abuse and neglect.

``SEC. 206. PERFORMANCE MEASURES.

    ``(a) Measures.--Each lead entity receiving a grant under this 
title shall collect information on the extent to which the State 
program carried out under this title meets measures relating to--
            ``(1) the effective development, operation, and expansion 
        of community-based family strengthening services that meet the 
        requirements of this title, including the use of systems-
        building approaches to increase access to such services for 
        diverse populations;
            ``(2) the community-based family strengthening services 
        supported under this title and an inventory of the types of 
        such services provided in accordance with section 205 and a 
        description that shall specify whether those services are 
        evidence-based or evidence-informed;
            ``(3) the extent to which the lead entity has addressed the 
        unmet needs identified by the inventory required under section 
        204(b)(1)(C)(i);
            ``(4)(A) the involvement of a diverse representation of 
        families in the design, operation, and evaluation of community-
        based family strengthening services supported by grant funds 
        under this title; and
            ``(B) the continued leadership of parents and other 
        individuals with personal experience in the child welfare 
        system in the ongoing planning, implementation, and evaluation 
        of such community-based family strengthening services supported 
        by grant funds under this title, demonstrated in an 
        implementation plan;
            ``(5) the satisfaction among families who received 
        community-based family strengthening services supported by 
        grant funds under this title;
            ``(6) the establishment or maintenance of innovative 
        funding mechanisms that blend Federal, State, local, and 
        private funds, and of innovative, interdisciplinary service 
        delivery mechanisms, for the development, operation, expansion, 
        and enhancement of the community-based family strengthening 
        services;
            ``(7) the effectiveness of activities conducted under this 
        title in meeting the purposes of the program, demonstrated 
        through the results of evaluation, or the outcomes of 
        monitoring, conducted by the lead entity; and
            ``(8) the number of children and families that received 
        community-based family strengthening services funded under this 
        title, including a disaggregated count of families with 
        children with disabilities and families with caregivers with 
        disabilities.
    ``(b) Reports.--The lead entity shall submit to the Secretary a 
report containing the information described in subsection (a).

``SEC. 207. NATIONAL TECHNICAL ASSISTANCE FOR COMMUNITY-BASED FAMILY 
              STRENGTHENING SERVICES.

    ``From the amount appropriated under section 209 for a fiscal year 
and remaining after the reservation under section 202(b), the Secretary 
may reserve not more than 5 percent to support, directly or through 
grants or contracts, the activities of lead entities--
            ``(1) to create, operate, and maintain a peer review 
        process;
            ``(2) to create, operate, and maintain a national resource 
        center;
            ``(3) to fund a yearly symposium on State system change 
        efforts that result from the provision of the community-based 
        family strengthening services;
            ``(4) to establish, operate, and maintain a computerized 
        communication system between lead entities; and
            ``(5) to contribute to funding State-to-State technical 
        assistance and trainings.

``SEC. 208. RULE OF CONSTRUCTION.

    ``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.

``SEC. 209. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this title 
$270,000,000 for fiscal year 2022 and such sums as may be necessary for 
each of fiscal years 2023 through 2027.''.

SEC. 202. CONFORMING AMENDMENTS.

    Section 511 of the Social Security Act (42 U.S.C. 711) is amended 
in subsection (b)(2)--
            (1) by striking ``of current unmet'' and all that follows 
        through ``operating in the State''; and
            (2) by striking ``section 205(3)'' and inserting ``section 
        204(b)(1)(C)''.

   TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT CHILD 
     FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND NEGLECT

SEC. 301. IDENTIFYING AND PREVENTING CHILD FATALITIES AND NEAR 
              FATALITIES DUE TO CHILD ABUSE AND NEGLECT.

    The Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 et 
seq.) is amended by adding at the end the following:

  ``TITLE III--PUBLIC HEALTH APPROACHES TO IDENTIFY AND PREVENT CHILD 
     FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND NEGLECT

``SEC. 301. PURPOSE.

    ``The purpose of this title is to develop coordinated leadership 
and shared responsibility at the Federal, State, Tribal, and local 
levels to implement data-driven strategies and reforms to prevent child 
fatalities and near fatalities due to child abuse and neglect from 
occurring in the future through the use of improved collection, 
reporting, and analysis of data on all child fatalities and near 
fatalities due to child abuse and neglect.

``SEC. 302. FEDERAL WORK GROUP ON PUBLIC HEALTH SURVEILLANCE OF CHILD 
              FATALITIES AND NEAR FATALITIES DUE TO CHILD ABUSE AND 
              NEGLECT.

    ``(a) Establishment.--The Secretary shall establish the Federal 
Work Group on Public Health Surveillance of Child Fatalities and Near 
Fatalities Due to Child Abuse and Neglect (referred to in this title as 
the `Work Group').
    ``(b) In General.--
            ``(1) Composition.--
                    ``(A) In general.--Not later than 120 days after 
                the date of enactment of the CAPTA Reauthorization Act 
                of 2021, the Secretary shall appoint representatives to 
                the Work Group from the Administration for Children and 
                Families, the Centers for Disease Control and 
                Prevention, and the Health Resources and Services 
                Administration.
                    ``(B) Other federal agencies.--The Work Group may 
                include representatives from the Department of Justice, 
                appointed by the Attorney General, and such other 
                Federal agencies as the Secretary determines, appointed 
                by the head of the agency involved.
            ``(2) Consultation.--In carrying out the duties described 
        in subsection (c), the Work Group shall consult with--
                    ``(A) experts determined by the Secretary who meet 
                the qualifications described in section 3(b)(1)(B) of 
                the Protect our Kids Act of 2012 (Public Law 112-275; 
                126 Stat. 2460); and
                    ``(B) representatives of State and local child 
                protective services agencies and other relevant public 
                agencies.
    ``(c) Duties.--The Work Group shall--
            ``(1) oversee the development of uniform public health data 
        standards that are designed to promote consistent data 
        collection related to child fatalities and near fatalities due 
        to child abuse and neglect as described in section 303(c), and 
        make related recommendations to the Secretary;
            ``(2) oversee the development of the case registry 
        described in section 303(a), and make related recommendations 
        to the Secretary;
            ``(3) make recommendations to the Secretary for the 
        operation and evaluation of the grant program described in 
        section 304;
            ``(4) examine all Federal data collections related to child 
        fatalities and near fatalities due to child abuse and neglect 
        and make recommendations to the Secretary regarding--
                    ``(A) how to improve the accuracy, uniformity, and 
                comparability of data regarding child fatalities and 
                near fatalities due to child abuse and neglect, within 
                and across States and Indian Tribes;
                    ``(B) how to assure that such data collections are 
                informative and effectively utilized by Federal, State, 
                and local policymakers, and the public to make data-
                driven decisions to prevent such fatalities and near 
                fatalities; and
                    ``(C) after analysis of the purposes and roles of 
                data systems existing on the date of the 
                recommendations, how to improve such data systems or 
                next-generation data systems to more effectively meet 
                the goals described in subparagraphs (A) and (B); and
            ``(5) identify, and recommend to the Secretary, strategies, 
        resources, and supports to improve State and Tribal responses 
        to child fatalities and near fatalities due to child abuse and 
        neglect among Indian (including Alaska Native) and Native 
        Hawaiian children in a manner that includes consultation and 
        coordination with Indian Tribes, Tribal organizations, and 
        Native Hawaiian organizations (as such term is defined in 
        section 6207 of the Elementary and Secondary Education Act of 
        1965 (20 U.S.C. 7517)).
    ``(d) Annual Report to Secretary.--The Work Group shall annually 
prepare and submit to the Secretary a report on the activities carried 
out under subsection (c), including recommendations for improving 
public health surveillance of child fatalities and near fatalities due 
to child abuse and neglect.

``SEC. 303. CASE REGISTRY FOR CHILD FATALITIES AND NEAR FATALITIES DUE 
              TO CHILD ABUSE AND NEGLECT.

    ``(a) In General.--The Secretary shall operate and expand a 
national case registry designed to support public health surveillance 
of child fatalities and near fatalities to collect complete data on 
such incidents due to child abuse and neglect for the purposes of--
            ``(1) supporting the systematic collection and analysis of 
        data regarding child fatalities and near fatalities due to 
        child abuse and neglect, within and across States and Indian 
        Tribes;
            ``(2) enabling States, Indian Tribes, and Tribal 
        organizations to review data on all child fatalities and near 
        fatalities for the presence of child abuse and neglect in 
        accordance with uniform public health data standards, including 
        by reviewing--
                    ``(A) cases where an incident involving a child was 
                reported to a State, Indian Tribe, or Tribal 
                organization child protective services system;
                    ``(B) cases where an incident involving a child was 
                not reported to the State, Indian Tribe, or Tribal 
                organization child protective services system but in 
                which child abuse and neglect may have been present; 
                and
                    ``(C) cases that may or may not meet criminal or 
                civil definitions of child abuse or neglect for 
                purposes of substantiation or prosecution;
            ``(3) enabling analysis of data collected through such 
        registry to support reforms of Federal, State, and local 
        policies and procedures intended to prevent future child 
        fatalities and near fatalities due to child abuse and neglect; 
        and
            ``(4) increasing transparency and shared responsibility 
        across public agencies that serve children and families by 
        making data collected through such registry accessible by the 
        public, to the extent permitted by applicable privacy law.
    ``(b) Integration With Existing Data Systems.--In operating the 
case registry described in subsection (a), the Secretary may integrate 
or append data from such case registry into or onto data of data 
systems supported by the Health Resources and Services Administration 
or Centers for Disease Control and Prevention, as appropriate.
    ``(c) Uniform Public Health Data Standards.--
            ``(1) In general.--For the purposes of operating the case 
        registry described in subsection (a), the Secretary shall 
        develop uniform public health data standards that are designed 
        to promote consistent data collection related to child 
        fatalities and near fatalities due to child abuse and neglect 
        and include, as determined by the Secretary, uniform 
        definitions, operational standards, standards for consistent 
        procedures, and comprehensive data elements for public health 
        surveillance of fatalities and near fatalities due to child 
        abuse and neglect.
            ``(2) Definitions.--The uniform public health data 
        standards described in paragraph (1) shall be designed for 
        public health purposes and not rely solely on criminal or civil 
        definitions of child abuse and neglect.
            ``(3) Technical assistance.--The Secretary shall provide 
        (including through grants, contracts, or cooperative 
        agreements) technical assistance, training, and resources to 
        encourage the adoption and implementation of the standards 
        described in this subsection and support the participation of 
        States, Indian Tribes, and Tribal organizations in the national 
        case registry described in subsection (a).
            ``(4) Child fatality and near-fatality investigation 
        protocol.--As part of the uniform public health data standards 
        described in paragraph (1), the Secretary may develop a 
        standardized child fatality and near-fatality investigation 
        protocol for use by medical examiners, coroners, health care 
        professionals, first responders, and other entities determined 
        appropriate by the Secretary, to improve public health 
        surveillance of child fatalities and near fatalities due to 
        child abuse and neglect.

``SEC. 304. GRANTS FOR STATE, INDIAN TRIBE, AND TRIBAL ORGANIZATION 
              CHILD DEATH REVIEW OF CHILD ABUSE AND NEGLECT FATALITIES 
              AND NEAR FATALITIES.

    ``(a) Program Authorized.--
            ``(1) In general.--The Secretary may award grants or 
        cooperative agreements to States, Indian Tribes, and Tribal 
        organizations for the purposes of assisting such States, Indian 
        Tribes, and Tribal organizations in--
                    ``(A) supporting entities carrying out child death 
                review programs (which entities are referred to 
                individually in this title as a `child death review 
                program'), including at the local level, in the review 
                of all incidents of child fatalities and near 
                fatalities due to child abuse or neglect, including 
                incidents in which the child victim was known by or 
                referred to a child protective services agency;
                    ``(B) improving data collection and reporting 
                related to child fatalities and near fatalities due to 
                child abuse and neglect, including intrastate and 
                interstate data comparability;
                    ``(C) encouraging voluntary reporting to the case 
                registry authorized under section 303(a); and
                    ``(D) developing coordinated leadership and shared 
                responsibility across State, Tribal, and local public 
                agencies that support children and families to 
                implement data-driven strategies and reforms in order 
                to prevent child fatalities and near fatalities due to 
                child abuse and neglect from occurring in the future.
            ``(2) Capacity building grants.--The Secretary may reserve 
        a portion of funds appropriated under section 306, and not 
        reserved under section 305, to award grants or cooperative 
        agreements to States, Indian Tribes, and Tribal organizations 
        for the purposes of increasing the capacity of such States, 
        Indian Tribes, and Tribal Organizations to conduct reviews of 
        child near fatalities due to child abuse and neglect.
    ``(b) Application.--A State, Indian Tribe, or Tribal organization 
desiring a grant or cooperative agreement under subsection (a)(1) shall 
submit to the Secretary an application at such time, in such manner, 
and containing such information as the Secretary may require, 
including--
            ``(1) the State, Indian Tribe, or Tribal organization's 
        fatality review plan to ensure--
                    ``(A) the corresponding child death review program 
                will, for the purposes of identifying fatalities and 
                near fatalities due to child abuse and neglect and 
                preventing such incidents in the future, conduct 
                comprehensive and multidisciplinary reviews of all 
                cases of child fatalities and near fatalities within 
                the State or Indian Tribe, as the case may be, within a 
                reasonable timeframe, and allow the State, Indian 
                Tribe, or Tribal organization to increase the number of 
                cases reviewed over time and review all such cases for 
                child abuse and neglect utilizing the consistent 
                procedures described in paragraph (2); and
                    ``(B) the State, Indian Tribe, or Tribal 
                organization will submit information for each case of a 
                fatality or near fatality due to child abuse or neglect 
                identified by the reviews described in paragraph (A) to 
                the case registry described in section 303(a), in 
                alignment with the consistent procedures described in 
                paragraph (2), including information about the 
                circumstances in which each case occurred, such as--
                            ``(i) the cause of the death listed on the 
                        death certificate in the case of a child 
                        fatality, and the type of life-threatening 
                        injury in the case of a child near fatality;
                            ``(ii) whether the child was reported to 
                        the State, Indian Tribe, or Tribal organization 
                        child protective services system;
                            ``(iii) the responses made by the State, 
                        Indian Tribe, or Tribal organization child 
                        protective services agency, (which may include 
                        services or investigations, as applicable), 
                        including any determinations by such agency;
                            ``(iv) the child's living arrangement or 
                        placement at the time of the incident;
                            ``(v) the perpetrator's relationship to the 
                        child;
                            ``(vi) any known previous child abuse or 
                        neglect of the child by other perpetrators and 
                        of any child abuse or neglect of other children 
                        by the perpetrator;
                            ``(vii) the demographics and relevant 
                        characteristics of the child, perpetrator, and 
                        family;
                            ``(viii) the child's encounters with the 
                        health care system within the past 12 months 
                        prior to the incident involved for suspected or 
                        confirmed child abuse or neglect; and
                            ``(ix) other relevant data as determined by 
                        the Secretary designed to inform future 
                        prevention efforts;
            ``(2) a description of how the State, Indian Tribe, or 
        Tribal organization will, within a timeframe established by the 
        Secretary, develop consistent procedures to conduct the reviews 
        described in paragraph (1)(A) that are aligned with the uniform 
        public health data standards developed under section 303(c) for 
        the purposes of developing a public health approach to the 
        identification of child abuse and neglect that--
                    ``(A) does not rely solely on criminal or civil 
                definitions of child abuse and neglect for the purposes 
                of substantiation; and
                    ``(B) reduces human error and bias, particularly 
                racial bias, in carrying out such reviews;
            ``(3) a description of how the State, Indian Tribe, or 
        Tribal organization's child death review program will ensure 
        such program--
                    ``(A) will coordinate activities with relevant 
                entities to collect data from medical examiners, 
                coroners, vital statistics personnel, law enforcement, 
                medical professionals, hospitals, first responders, the 
                State, Indian Tribe, or Tribal organization's child 
                protective services agency, and other agencies that 
                possess relevant data, and how the program and such 
                entities will examine the circumstances surrounding a 
                child fatality or near fatality due to child abuse or 
                neglect;
                    ``(B) will make information collected by such 
                program publicly accessible to support data-informed 
                strategies and reforms, across public agencies of 
                States, Indian Tribes, Tribal organizations, and local 
                governments, that are designed to prevent future child 
                fatalities and near fatalities due to child abuse and 
                neglect; and
                    ``(C) will provide all information collected by the 
                State, Indian Tribe, or Tribal organization's child 
                death review program under the grant to the State, 
                Indian Tribe, or Tribal organization's child protective 
                services agency to support such agency's reporting of 
                data under section 106(d)(3)(E)(i)(II)(bb);
            ``(4) a description of how the State, Indian Tribe, or 
        Tribal organization's child death review program will improve 
        and standardize the identification of near fatalities due to 
        child abuse and neglect across the State or Indian Tribe 
        involved, as the case may be, including--
                    ``(A) how the State, Indian Tribe, or Tribal 
                organization will collect information regarding life-
                threatening injuries related to child abuse and neglect 
                and report such information to the State, Indian Tribe, 
                or Tribal organization's child death review program; 
                and
                    ``(B) how the State, Indian Tribe, or Tribal 
                organization will coordinate with health care 
                professionals and child protective services agencies in 
                identifying life-threatening injuries related to child 
                abuse and neglect and reporting relevant information to 
                the State, Indian Tribe, or Tribal organization's child 
                death review program; and
            ``(5) an assurance that the State, Indian Tribe, or Tribal 
        organization will develop a fatality and near-fatality 
        prevention plan (in alignment with the requirements of section 
        422(b)(19)(B) of the Social Security Act (42 U.S.C. 
        622(b)(19)(B)) that is designed to implement data-driven 
        strategies and reforms across the State or the Indian Tribe 
        served, as the case may be, in order to prevent child 
        fatalities and near fatalities due to child abuse and neglect 
        from occurring in the future, which plan shall include--
                    ``(A) an analysis of the data collected under the 
                State, Indian Tribe, and Tribal organization plan 
                described in paragraph (1) and data from other relevant 
                sources in order to identify the children at the 
                highest risk of child fatalities and near fatalities 
                due to child abuse and neglect, including an analysis 
                that--
                            ``(i) identifies--
                                    ``(I) individual, family, and 
                                community risk factors;
                                    ``(II) protective factors; and
                                    ``(III) other circumstances 
                                associated with such data; and
                            ``(ii) examines relevant State, Indian 
                        Tribe, and Tribal organization policies and 
                        practices associated with cases in which such a 
                        fatality or near fatality occurred, including 
                        systemic failures across public agencies 
                        related to such cases; and
                    ``(B) a description of how the State, Indian Tribe, 
                or Tribal organization's child protective services 
                agency will update its policies and procedures in 
                response to the data analysis described in subparagraph 
                (A) to prioritize safety screenings for children who 
                match characteristics identified in the analysis as at 
                the highest risk and implement other necessary reforms 
                responsive to the findings of the analysis; and
            ``(6) a description of how the State, Indian Tribe, or 
        Tribal organization will coordinate the leadership of the 
        State, Indian Tribe, or Tribal organization's public agencies 
        that support children and families, to develop shared 
        responsibility to protect children at the highest risk of child 
        fatalities and near fatalities due to child abuse and neglect 
        and to implement changes in State, Indian Tribe, and Tribal 
        organization policies and practices in response to the findings 
        of the analysis described in paragraph (5)(A) to prevent such 
        incidents, which changes may include improvements in policies 
        and practices related to child protection, health care 
        (including mental health care), substance use disorders, 
        domestic violence, law enforcement, education, social services, 
        and formal and informal support systems that have contact with 
        children and families.
    ``(c) Uses of Funds.--A State, Indian Tribe, or Tribal organization 
receiving a grant or cooperative agreement under subsection (a)(1)--
            ``(1) shall use such funds to--
                    ``(A) implement the State, Indian Tribe, or Tribal 
                organization's fatality review plan described in 
                subsection (b)(1), including by--
                            ``(i) increasing the capacity of the State, 
                        Indian Tribe, or Tribal organization's child 
                        death review program to conduct reviews of all 
                        cases of child fatalities and near fatalities 
                        for child abuse and neglect, regardless of the 
                        involvement of such cases with the State, 
                        Indian Tribe, or Tribal organization's child 
                        protective services system; and
                            ``(ii) enabling the submission of required 
                        data under such plan to the case registry 
                        described in section 303(a);
                    ``(B) support the development and adoption of 
                consistent procedures described in subsection (b)(2) to 
                ensure that all cases of child fatalities and near 
                fatalities due to child abuse and neglect are reviewed 
                consistently within the State or Indian Tribe, as the 
                case may be;
                    ``(C) supporting coordination between the State, 
                Indian Tribe, or Tribal organization's child death 
                review program and the State, Indian Tribe, or Tribal 
                organization's child protective services agency, 
                including by providing all relevant child welfare 
                information and information collected by the State, 
                Indian Tribe, or Tribal organization's child death 
                review program to each such agency in accordance with 
                subsection (b)(3)(C); and
                    ``(D) developing the State, Indian Tribe, or Tribal 
                organization's fatality and near-fatality prevention 
                plan described in (b)(5), including conducting 
                necessary data analysis and examination; and
            ``(2) may use such funds to--
                    ``(A) conduct research related to the data 
                described in the State, Indian Tribe, or Tribal 
                organization's fatality review plan;
                    ``(B) identify protective factors associated with 
                the prevention of child abuse and neglect, and support 
                changes in the State, Indian Tribe, or Tribal 
                organization's policies and practices, across public 
                agencies that serve children and families to support 
                the development of such factors; and
                    ``(C) develop, implement, or scale real-time 
                electronic data sharing or improvements in increased 
                interoperability of relevant data among State, Indian 
                Tribe, Tribal organization, and local agencies that 
                serve children and families, to improve submission and 
                analysis of data required under this section.
    ``(d) Reporting.--
            ``(1) State, indian tribe, and tribal organization 
        reporting.--Each State, Indian Tribe, or Tribal organization 
        that receives funds under subsection (a)(1), for each year such 
        funds are received, shall provide a report to the Secretary 
        containing such information, in such manner as the Secretary 
        may require, including, at a minimum--
                    ``(A) a description of how such State, Indian 
                Tribe, or Tribal organization utilized funds provided 
                under subsection (a)(1), including the number and 
                percentage of all cases of child fatalities and near 
                fatalities within the State or the Indian Tribe 
                involved, as the case may be, that were--
                            ``(i) reviewed for child abuse and neglect 
                        using such funds; and
                            ``(ii) so reviewed and identified, using 
                        such funds, as due to child abuse and neglect 
                        in accordance with the State, Indian Tribe, or 
                        Tribal organization's consistent procedures 
                        described in subsection (b)(2);
                    ``(B) a description of the State, Indian Tribe, or 
                Tribal organization's progress in--
                            ``(i) implementing its fatality review plan 
                        described in subsection (b)(1), including 
                        submitting data required under such plan to the 
                        case registry described in section 303(a);
                            ``(ii) developing and implementing the 
                        State, Indian Tribe, or Tribal organization's 
                        consistent procedures described in subsection 
                        (b)(2), including the extent to which such 
                        consistent procedures are aligned with the 
                        uniform public health data standards described 
                        in section 303(c); and
                            ``(iii) identifying and standardizing the 
                        identification of near fatalities described in 
                        subsection (b)(4); and
                            ``(iv) developing the State, Indian Tribe, 
                        or Tribal organization's fatality and near-
                        fatality prevention plan required under 
                        subsection (b)(5), including conducting data 
                        analysis to identify children in the State, 
                        Indian Tribe, or Tribal organization at the 
                        highest risk of child fatalities and near 
                        fatalities due to child abuse and neglect, and 
                        identifying potential reforms in accordance 
                        with such plan's requirements; and
                    ``(C) a description of how the State, Indian Tribe, 
                or Tribal organization coordinated the leadership of 
                the public agencies that support children and families, 
                to develop shared responsibility to protect children at 
                the highest risk of child fatalities and near 
                fatalities due to child abuse and neglect, and 
                implemented changes in policies and practices in 
                response to the findings of the analysis described in 
                subsection (b)(5)(A) and the activities supported under 
                this section.
            ``(2) Secretary's report to congress.--The Secretary shall 
        submit an annual report to the Committee on Health, Education, 
        Labor, and Pensions and the Committee on Appropriations of the 
        Senate and the Committee on Education and Labor and the 
        Committee on Appropriations of the House of Representatives, 
        that includes a summary of reports submitted by States, Indian 
        Tribes, and Tribal organizations under paragraph (1) and the 
        Secretary's recommendations or observations on the challenges, 
        successes, and lessons derived from--
                    ``(A) the recommendations of the Work Group 
                described in section 302(c);
                    ``(B) operation of the case registry described in 
                section 303(a); and
                    ``(C) implementation of the grant program 
                authorized under subsection (a)(1).

``SEC. 305. ASSISTING STATE, INDIAN TRIBE, AND TRIBAL ORGANIZATION 
              IMPLEMENTATION.

    ``The Secretary shall reserve not more than 15 percent of funds 
appropriated under section 306 to provide guidance and technical 
assistance, directly or through grants or cooperative agreements, to 
support States, Indian Tribes, and Tribal organizations in--
            ``(1) submitting uniform and comparable data to the case 
        registry authorized under section 303(a);
            ``(2) developing applications for the program authorized 
        under section 304 and implementing such program;
            ``(3) developing and supporting the adoption of consistent 
        procedures described under section 304(b)(2), to assure that 
        all child fatalities and near fatalities due to child abuse and 
        neglect are reviewed consistently within States and Indian 
        Tribes, which procedures shall be aligned with uniform public 
        health data standards described in section 303(c); and
            ``(4) carrying out such other activities under this Act as 
        the Secretary determines appropriate.

``SEC. 306. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this title 
$25,000,000 for fiscal year 2022 and such sums as may be necessary for 
each of fiscal years 2023 through 2027.''.

 TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY SUBSTANCE USE 
                                DISORDER

SEC. 401. AMENDING THE CAPTA TO PROVIDE FOR A PUBLIC HEALTH RESPONSE TO 
              INFANTS AFFECTED BY SUBSTANCE USE DISORDER.

    The Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 et 
seq.) is amended by inserting after title III, as added by section 301, 
the following:

``TITLE IV--PUBLIC HEALTH RESPONSE TO INFANTS AFFECTED BY SUBSTANCE USE 
                                DISORDER

``SEC. 401. PURPOSE.

    ``The purpose of this title is to ensure the safety, permanency, 
and well-being of infants affected by substance use by supporting 
States in providing a public health response to the impact of substance 
use on infants, mothers, and families by--
            ``(1) supporting the health and well-being of infants, 
        mothers, and their families rather than penalizing the family;
            ``(2) developing comprehensive family care plans to address 
        the needs of infants, children, and families;
            ``(3) increasing access to treatment support and other 
        services for mothers with a substance use disorder and their 
        children, including ensuring that mothers can access necessary 
        prenatal services;
            ``(4) supporting mothers and caregivers in building 
        protective factors so that infants are at a low risk of child 
        abuse or neglect;
            ``(5) providing access to appropriate screening, 
        assessment, and intervention services for infants affected by 
        substance use disorder, including alcohol use disorder; and
            ``(6) improving the capacity of health care professionals, 
        child welfare workers, and other personnel involved in the 
        development, implementation, and monitoring of family care 
        plans.

``SEC. 402. REQUIREMENTS.

    ``(a) In General.--Each State receiving Federal funds under section 
106 or section 404 shall have in effect policies and procedures that 
meet the requirements of this section.
    ``(b) Designation.--The Governor of the State shall designate a 
lead agency to work collaboratively with public health agencies, 
substance abuse agencies, child welfare agencies, and maternal and 
child health agencies to carry out the State's public health response 
to strengthen families and ensure the safety and well-being of--
            ``(1) infants born with, and identified as being affected 
        by, substance use disorder, including alcohol use disorder; and
            ``(2) the families and caregivers of such infants.
    ``(c) Family Care Plans.--At the same time a State submits a State 
plan under section 106(b)(1), the lead agency designated by the 
Governor under subsection (b) shall provide to the Secretary a 
description of the State's policies and procedures to ensure the safety 
and well-being of infants born with, and identified as being affected 
by, substance use disorder, including alcohol use disorder, and the 
well-being of the families and caregivers of such infants, including a 
description of--
            ``(1) how the State is implementing and monitoring family 
        care plans, including by--
                    ``(A) developing family care plans prior to the 
                expected delivery of the infant; and
                    ``(B) conducting necessary follow up to ensure that 
                families are able to access supports and services, and 
                to ensure the safety and well-being of infants and the 
                caregivers of such infants;
            ``(2) the State's policies and procedures for requiring 
        providers involved in the delivery or care of infants born 
        with, and identified as being affected by, substance use 
        disorder, including alcohol use disorder, to notify the lead 
        agency designated under subsection (b) of the occurrence of 
        such condition in such infants;
            ``(3) the State's policies and procedures to ensure the 
        development of a multi-disciplinary family care plan for the 
        infant born with, and identified as being affected by, 
        substance use disorder, and such infant's affected family 
        member or caregiver, to ensure the safety and well-being of 
        such infant following release from the care of health care 
        providers, including by--
                    ``(A) using a family assessment approach to develop 
                each family care plan;
                    ``(B) addressing, through coordinated service 
                delivery, the health, well-being, and substance use 
                disorder treatment needs of the infant and affected 
                family member or caregiver; and
                    ``(C) the development and implementation by the 
                State of monitoring systems regarding the 
                implementation of such plans 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 member or caregiver; and
            ``(4) the State's plan to develop a system for purposes of 
        notifications required by paragraph (2) that is distinct and 
        separate from the system used in the State to report child 
        abuse and neglect, and designed to promote a public health 
        response to infants born with, and identified as being affected 
        by, substance use disorder, including alcohol use disorder, and 
        not for the purpose of initiating an investigation of child 
        abuse or neglect.
    ``(d) Special Rule.--Nothing in this section shall be construed 
to--
            ``(1) establish a definition under Federal law of what 
        constitutes child abuse or neglect; or
            ``(2) require investigation or prosecution for any illegal 
        action, including a response by the State's child protective 
        services system.
    ``(e) Annual Report.--The lead agency of a State designated by the 
Governor under subsection (b) shall annually work with the Secretary to 
provide a report that provides the number of infants--
            ``(1) identified under subsection (c)(2);
            ``(2) for whom a family care plan was developed under 
        subsection (c)(3); and
            ``(3) for whom a referral was made for appropriate 
        services, including services for the affected family or 
        caregiver, under subsection (c)(3).

``SEC. 403. NATIONAL TECHNICAL ASSISTANCE AND REPORTING.

    ``(a) Technical Assistance.--The Secretary shall provide technical 
assistance to support States in complying with the requirements of 
section 402(c) that includes--
            ``(1) disseminating best practices on implementation of 
        multidisciplinary family care plans;
            ``(2) addressing State-identified challenges with 
        developing, implementing, and monitoring family care plans;
            ``(3) supporting collaboration and coordination across 
        substance abuse agencies, child welfare agencies, maternal and 
        child health agencies, family courts, and other community 
        partners;
            ``(4) supporting State efforts to develop information 
        technology systems to manage family care plans; and
            ``(5) providing technical assistance in accordance with the 
        infants with prenatal substance- exposure initiative developed 
        by the National Center on Substance Abuse and Child Welfare.
    ``(b) Secretary's Report to Congress.--The Secretary shall submit 
an annual report to the Committee on Health, Education, Labor, and 
Pensions and the Committee on Appropriations of the Senate and the 
Committee on Education and Labor, the Committee on Appropriations of 
the House of Representatives, and the Committee on Energy and Commerce 
of the House of Representatives that includes, at a minimum, 
information on--
            ``(1) the activities of the Secretary under subsection (a);
            ``(2) the progress of States in developing, implementing, 
        and monitoring family care plans to ensure a public health 
        response to addressing the needs of infants born with, and 
        identified as being affected by, substance use disorder, 
        including alcohol use disorder, and the families of such 
        infants, and as appropriate, recommendations for improving such 
        practices; and
            ``(3) the progress of States in safely reducing the number 
        of infants affected by substance use disorder, including 
        alcohol use disorder, entering the child protective services 
        system.

``SEC. 404. GRANT PROGRAM AUTHORIZED.

    ``(a) In General.--The Secretary is authorized to award grants to 
States for the purpose of assisting the Governor's designated lead 
agency in coordinating a partnership with maternal and child health 
agencies, child welfare agencies, public health agencies, mental health 
agencies, social services agencies, substance abuse agencies, health 
care facilities with labor and delivery units, and health care 
providers to facilitate collaboration in developing, updating, 
implementing, and monitoring family care plans described in section 
402(c).
    ``(b) Distribution of Funds.--
            ``(1) Reservations.--Of the amounts made available to carry 
        out subsection (a), the Secretary shall reserve--
                    ``(A) no more than 3 percent for the purposes 
                described in subsection (g); and
                    ``(B) no less than 3 percent for grants to Indian 
                Tribes and Tribal organizations to address the needs of 
                infants identified as being affected by substance use 
                disorder, including alcohol use disorder, and their 
                families or caregivers, which, to the extent 
                practicable, shall be consistent with the uses of funds 
                described under subsection (d).
            ``(2) Allotments to states and territories.--The Secretary 
        shall allot the amount made available to carry out subsection 
        (a) that remains after application of paragraph (1) to each 
        State that applies for such a grant, in an amount equal to the 
        sum of--
                    ``(A) $500,000; and
                    ``(B) an amount that bears the same relationship to 
                any funds made available to carry out subsection (a) 
                and remaining after application of paragraph (1) and 
                subparagraph (A), as the number of live births in the 
                State in the previous calendar year bears to the number 
                of live births in all States in such year.
            ``(3) Ratable reduction.--If the amount made available to 
        carry out subsection (a) is insufficient to satisfy the 
        requirements of paragraph (2)(A), the Secretary shall ratably 
        reduce each allotment to a State.
    ``(c) Application.--A State desiring a grant under this subsection 
shall submit an application to the Secretary at such time and in such 
manner as the Secretary may require. Such application shall include, at 
a minimum--
            ``(1) a description of--
                    ``(A) how the lead agency designated under section 
                402(b) will coordinate with relevant State entities and 
                programs (including maternal and child health 
                providers, the child welfare agency, public health 
                agencies, mental health agencies, the State substance 
                abuse agency, health care facilities with labor and 
                delivery units, health care providers, programs funded 
                by the Substance Abuse and Mental Health Services 
                Administration that provide substance use disorder 
                treatment for women, maternal and child health programs 
                funded by the Health Services Resources Administration, 
                the State Medicaid program, the State agency 
                administering the block grant program under title V of 
                the Social Security Act (42 U.S.C. 701 et seq.), the 
                State agency administering the programs funded under 
                part C of the Individuals with Disabilities Education 
                Act (20 U.S.C. 1431 et seq.), the maternal, infant, and 
                early childhood home visiting program under section 511 
                of the Social Security Act (42 U.S.C. 711), Early Head 
                Start, the State judicial system, domestic violence 
                agencies, and other agencies, as determined by the 
                Secretary) and any Indian Tribes and Tribal 
                organizations located in the State to develop the 
                application under this subsection and implement the 
                activities under this section;
                    ``(B) how the State plans to use funds for 
                activities described in subsection (d) for the purposes 
                of meeting the requirements of section 402(c);
                    ``(C) if applicable, how the State plans to utilize 
                funding authorized under part E of title IV of the 
                Social Security Act (42 U.S.C. 670 et seq.) to assist 
                in carrying out any family care plan, including funding 
                authorized under section 471(e) of such Act for mental 
                health and substance use disorder prevention and 
                treatment services and in-home parent skill-based 
                programs and funding authorized under such section 
                472(j) for children with a parent in a licensed 
                residential family-based treatment facility for 
                substance use disorder; and
                    ``(D) the treatment and other services and programs 
                available in the State to effectively carry out any 
                family care plan developed, including identification of 
                needed treatment, and other services and programs to 
                ensure the well-being of young children and their 
                families affected by substance use disorder, such as 
                programs carried out under part C of the Individuals 
                with Disabilities Education Act (20 U.S.C. 1431 et 
                seq.) and comprehensive early childhood development 
                services and programs such as Head Start programs; and
            ``(2) an assurance that the State will comply with 
        requirements to refer a child identified as substance-exposed 
        to early intervention services as required pursuant to a grant 
        under part C of the Individuals with Disabilities Education Act 
        (20 U.S.C. 1431 et seq.).
    ``(d) Uses of Funds.--Funds awarded to a State under this 
subsection may be used for the following activities, which may be 
carried out by the State directly, or through grants or subgrants, 
contracts, or cooperative agreements:
            ``(1) Improving State and local systems with respect to the 
        development and implementation of family care plans, which--
                    ``(A) shall address the health and substance use 
                disorder treatment needs of the infant and affected 
                family member or caregiver and include parent and 
                caregiver engagement, regarding available treatment and 
                service options and include resources available for 
                pregnant, perinatal, and postnatal women; and
                    ``(B) may include activities such as--
                            ``(i) developing policies, procedures, or 
                        protocols for the administration or development 
                        of evidence-based and validated screening tools 
                        for infants who may be affected by substance 
                        use disorder, including alcohol use disorder, 
                        and pregnant, perinatal, and postnatal women 
                        whose infants may be affected by substance use 
                        disorder, including alcohol use disorder;
                            ``(ii) improving assessments used to 
                        determine the needs of the infant, birth 
                        parents, and family members, including kinship 
                        or other caregivers;
                            ``(iii) improving ongoing case management 
                        services;
                            ``(iv) improving access to treatment 
                        services, which may be initiated prior to the 
                        pregnant woman's delivery date;
                            ``(v) keeping families safely together when 
                        it is in the best interest of the child; and
                            ``(vi) developing the notification pathway 
                        as an alternative to a child maltreatment 
                        report, as described in subsection 402(c)(2).
            ``(2) Establishing partnerships, agreements, or memoranda 
        of understanding between the lead agency and other entities 
        (including health professionals, health care facilities, child 
        welfare professionals, juvenile and family court judges, 
        substance use and mental disorder treatment programs, early 
        childhood education programs, maternal and child health and 
        early intervention professionals (including home visiting 
        providers), peer-to-peer recovery programs such as parent 
        mentoring programs, domestic violence agencies, and housing 
        agencies) to facilitate the successful development, 
        implementation, and monitoring of family care plans, including 
        development of plans prior to the expected delivery of the 
        infant, by--
                    ``(A) developing a comprehensive, multi-
                disciplinary assessment and intervention process for 
                infants, pregnant women, and their families who are 
                affected by substance use disorder, including alcohol 
                use disorder, that includes meaningful engagement with, 
                and takes into account the unique needs of, each family 
                and addresses differences between medically supervised 
                substance use (including for the treatment of substance 
                use disorder) and substance use disorder;
                    ``(B) ensuring that treatment approaches for 
                serving infants, pregnant women, and perinatal and 
                postnatal women whose infants may be affected by 
                substance use disorder, including alcohol use disorder, 
                are designed to, where appropriate, keep infants in the 
                custody of their mothers during both inpatient and 
                outpatient treatment;
                    ``(C) increasing access to all evidence-based 
                medications to treat substance use disorder, including 
                alcohol use disorder, including medications for opioid 
                use disorder approved by the Food and Drug 
                Administration, behavioral therapy, and counseling 
                services for the treatment of substance use disorders, 
                as appropriate; and
                    ``(D) increasing access to residential treatment 
                programs designed to keep infants with their parents 
                during inpatient residential treatment.
            ``(3) Developing policies, procedures, or protocols in 
        consultation and coordination with health professionals, public 
        and private health care facilities, and substance abuse 
        agencies to ensure that--
                    ``(A) appropriate notification to the appropriate 
                agency determined by the Governor's office is made in a 
                timely manner, as required under section 402(c)(2).
                    ``(B) a family care plan is in place, in accordance 
                with section 402(c)(3) before the infant is discharged 
                from the birth or health care facility; and
                    ``(C) such health and related agency professionals 
                are trained on how to follow such protocols and are 
                aware of the supports that may be provided under a 
                family care plan.
            ``(4) Training health professionals and health system 
        leaders, early intervention professionals, child welfare 
        workers, substance abuse treatment agencies, and other related 
        professionals such as home visiting agency staff and law 
        enforcement in relevant topics, including--
                    ``(A) the referral and process requirements for 
                notification to the appropriate agency as determined by 
                the Governor when child abuse or neglect reporting is 
                not mandated, including training on how such 
                notification pathway is distinct and separate from the 
                pathway used in the State to report child abuse and 
                neglect;
                    ``(B) the co-occurrence of pregnancy and substance 
                use disorder, and implications of prenatal exposure;
                    ``(C) the evidence-based clinical guidance from 
                nationally-recognized standard setting organizations 
                about treating substance use disorder in pregnant and 
                postpartum women;
                    ``(D) appropriate screening and interventions for 
                infants affected by substance use disorder, including 
                alcohol use disorder, and the requirements section 
                402(c) and
                    ``(E) appropriate multigenerational strategies to 
                address the mental health needs of the parent and child 
                together.
            ``(5) Developing and updating systems of technology for 
        improved data collection and monitoring of family care plans, 
        including existing electronic medical records, to measure the 
        outcomes achieved through the family care plans, including 
        monitoring systems to meet the requirements of this title and 
        submission of performance measures.
    ``(e) Reporting.--Each State that receives funds under this 
section, for each year such funds are received, shall submit a report 
to the Secretary that includes--
            ``(1) the impact of substance use disorder in such State, 
        including with respect to the substance or class of substances 
        with the highest incidence of abuse in the previous year in 
        such State, including--
                    ``(A) the prevalence of substance use disorder in 
                such State;
                    ``(B) the aggregate rate of births in the State of 
                infants affected by substance use disorder, including 
                alcohol use disorder (as determined by hospitals, 
                insurance claims, claims submitted to the State 
                Medicaid program, or other records), if available and 
                to the extent practicable;
                    ``(C) the number and percentage of infants 
                identified, for whom a family care plan was developed, 
                and for whom a referral was made for appropriate 
                services;
                    ``(D) the number and percentage of family care 
                plans developed prior to the expected delivery of an 
                infant affected by substance use disorder, including 
                alcohol use disorder; and
                    ``(E) the challenges the State faces in developing, 
                implementing, and monitoring family care plans in 
                accordance with section 402(c);
            ``(2) data disaggregated by geographic location, economic 
        status, race and ethnicity, except that such disaggregation 
        shall not be required if the results would reveal personally 
        identifiable information on, with respect to infants identified 
        under section 402(c)--
                    ``(A) the number who experienced removal associated 
                with parental substance use;
                    ``(B) the number who experienced removal and 
                subsequently are reunified with parents, and the length 
                of time between such removal and reunification;
                    ``(C) the number who are referred to community 
                providers without a child protection case;
                    ``(D) the number who receive services while in the 
                care of their birth parents;
                    ``(E) the number who receive post-reunification 
                services within 1 year after a reunification has 
                occurred; and
                    ``(F) the number who experienced a return to out-
                of-home care within 1 year after reunification.
    ``(f) Secretary's Report to Congress.--The Secretary shall submit 
an annual report to the Committee on Health, Education, Labor, and 
Pensions and the Committee on Appropriations of the Senate and the 
Committee on Education and Labor, the Committee on Appropriations of 
the House of Representatives, and the Committee on Energy and Commerce 
of the House of Representatives that includes the information described 
in subsection (e) and recommendations or observations on the 
challenges, successes, and lessons derived from implementation of the 
grant program.
    ``(g) Evaluation.--The Secretary shall use the amount reserved 
under subsection (b)(1)(A) to carry out an independent evaluation to 
measure the effectiveness of the program assisted under this subsection 
in--
            ``(1) developing comprehensive family care plans to support 
        the needs of infants, children, and families;
            ``(2) increasing access to treatment support and other 
        services for mothers with a substance use disorder and their 
        children;
            ``(3) providing access to appropriate screening, 
        assessment, and intervention services for infants affected by 
        substance use disorder, including alcohol use disorder;
            ``(4) improving the capacity of health care professionals, 
        child welfare workers, and other personnel involved in the 
        development, implementation, and monitoring of family care 
        plans; and
            ``(5) safely reducing the number of infants who are placed 
        in out-of-home care.

``SEC. 405. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this title 
$60,000,000 for fiscal year 2022 and such sums as may be necessary for 
each of fiscal years 2023 through 2027.''.

                    TITLE V--ADOPTION OPPORTUNITIES

SEC. 501. PURPOSE.

    Section 201 of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5111) is amended--
            (1) by striking the section heading and inserting the 
        following:

``SEC. 201. PURPOSE.'';

            (2) by striking subsection (a); and
            (3) in subsection (b)--
                    (A) by striking the following:
    ``(b) Purpose.--'';
                    (B) in the matter preceding paragraph (1), by 
                striking ``particularly'' and all that follows through 
                ``, by providing'' and inserting ``particularly for 
                children facing barriers to adoption, by providing'';
                    (C) in paragraph (2), by striking ``and'' at the 
                end;
                    (D) in paragraph (3), by striking the period at the 
                end and inserting a semicolon; and
                    (E) by adding at the end the following:
            ``(4) support the development and implementation of 
        evidence-based and evidence-informed post-legal adoption 
        services for families that adopt children, in order to increase 
        permanency in adoptive placements; and
            ``(5) support the recruitment of racially and ethnically 
        diverse prospective foster and adoptive parents.''.

SEC. 502. DEFINITIONS.

    Title II of the Child Abuse Prevention and Treatment and Adoption 
Reform Act of 1978 is amended by inserting after section 201 (42 U.S.C. 
5111) the following:

``SEC. 202. DEFINITIONS.

    ``In this title:
            ``(1) Child facing a barrier to adoption.--The term `child 
        facing a barrier to adoption' includes an older child, a child 
        who is a racial or ethnic minority, a child with a disability, 
        a child or youth who belongs to a population that is the focus 
        of research efforts authorized under section 404N of the 21st 
        Century Cures Act (42 U.S.C. 283p) and defined in Notice NOT-
        OD-19-139, issued by the National Institutes of Health on 
        August 28, 2019, and a child with special needs as defined in 
        section 473(c) of the Social Security Act (42 U.S.C. 673(c)).
            ``(2) Secretary.--The term `Secretary' means the Secretary 
        of Health and Human Services.''.

SEC. 503. INFORMATION AND SERVICES.

    Section 203 of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5113) is amended--
            (1) by striking subsection (a) and inserting the following:
    ``(a) Program Authorization.--
            ``(1) In general.--The Secretary shall establish an 
        appropriate administrative arrangement to provide a centralized 
        focus for carrying out the provisions of this title and for 
        planning and coordinating all departmental activities affecting 
        adoption and foster care, including--
                    ``(A) services to facilitate the adoption of 
                children facing barriers to adoption;
                    ``(B) services to families considering adoption of 
                such children; and
                    ``(C) pre- and post-legal adoption services for 
                families to provide permanent, safe, and caring home 
                environments for children who would benefit from 
                adoption.
            ``(2) Technical assistance.--The Secretary shall make 
        available such consultant services, on-site technical 
        assistance and personnel, together with payment of appropriate 
        administrative expenses, including salaries and travel costs, 
        as are necessary for carrying out departmental activities 
        described in paragraph (1).'';
            (2) in subsection (b)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``connection with'';
                    (B) in paragraph (1), by striking ``and prepare'' 
                and all that follows and inserting the following: 
                ``including--
                    ``(A) adoption competency training that supports 
                the mental health needs of adoptive families to promote 
                permanency, including the evaluation and updating of 
                adoption competency training curricula for child 
                welfare and mental health professionals; and
                    ``(B) the development of information and education 
                and training materials, regarding adoption, adoption 
                assistance programs, and post-legal adoption services, 
                and dissemination of the materials to all interested 
                parties, public and private agencies and organizations 
                (including hospitals, health care providers, and social 
                services agencies), and governmental bodies;'';
                    (C) in paragraph (2)--
                            (i) by striking ``conduct, directly'' and 
                        inserting ``conduct (directly'';
                            (ii) by striking ``private organizations, 
                        ongoing, extensive recruitment efforts'' and 
                        inserting ``private agencies or organizations) 
                        ongoing, extensive public awareness and 
                        recruitment efforts'';
                            (iii) by striking ``to promote the adoption 
                        of older children, minority children, and 
                        children with special needs, develop national 
                        public awareness efforts to unite'' and 
                        inserting the following: ``to--
                    ``(A) promote the adoption of children facing 
                barriers to adoption;
                    ``(B) unite''; and
                            (iv) by striking ``parents, and establish'' 
                        and inserting ``parents; and
                    ``(C) establish'';
                    (D) in paragraph (3)--
                            (i) by striking ``for (A) the'' and 
                        inserting the following ``for--
                    ``(A) the'';
                            (ii) by striking ``and (B) the'' and 
                        inserting the following ``and
                    ``(B) the'';
                    (E) in paragraph (4)--
                            (i) by striking ``groups and minority 
                        groups)'' and inserting ``groups and 
                        organizations that represent families who are 
                        racial or ethnic minorities)''; and
                            (ii) by striking ``of minorities'' and 
                        inserting ``of people who are racial or ethnic 
                        minorities'';
                    (F) in paragraph (5), by striking ``corporations 
                and'' and inserting ``large and'';
                    (G) in paragraph (7)--
                            (i) by striking ``increase'' and inserting 
                        ``identify best practices for'';
                            (ii) by striking ``for the recruitment of'' 
                        and inserting ``to recruit''; and
                            (iii) by striking ``older children'' and 
                        all that follows and inserting ``children 
                        facing barriers to adoption;'';
                    (H) in paragraph (8), by striking ``in order'';
                    (I) in paragraph (9)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``Special Needs'' and 
                        inserting ``Children Facing Barriers to'';
                            (ii) in subparagraph (A), by inserting 
                        ``people who are racial or ethnic'' before 
                        ``minorities'';
                            (iii) in subparagraph (B), by striking 
                        ``with special needs'' and inserting ``facing 
                        barriers to adoption''; and
                            (iv) by striking subparagraph (D) and 
                        inserting the following:
                    ``(D) identify and disseminate best practices to 
                reduce adoption disruption and dissolution, and 
                increase permanency, including best practices related 
                to pre- and post-legal adoption services;'';
                    (J) in paragraph (10)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by inserting ``racial or 
                                ethnic'' before ``minority 
                                populations'';
                                    (II) by striking ``minority 
                                children'' and inserting ``children who 
                                are racial or ethnic minorities''; and
                                    (III) by striking ``minority 
                                families'' and inserting ``racially and 
                                ethnically diverse families'';
                            (ii) in subparagraph (A)--
                                    (I) in clause (ii), by striking ``, 
                                including'' and all that follows and 
                                inserting a semicolon;
                                    (II) by redesignating clauses (iii) 
                                through (ix) as clauses (iv) through 
                                (x);
                                    (III) by inserting after clause 
                                (ii) the following:
                            ``(iii) developing and using procedures, 
                        including family finding strategies, to notify 
                        family and relatives when a child enters the 
                        child welfare system, and to identify such 
                        family and relatives who are willing to adopt 
                        or provide a permanent, safe, and caring home 
                        for such child to improve permanency;'';
                                    (IV) in clause (vi), as so 
                                redesignated, by inserting ``, 
                                including such groups for prospective 
                                kinship caregivers'' before the 
                                semicolon;
                                    (V) in clause (vii), as so 
                                redesignated, by striking ``training of 
                                personnel'' and inserting ``training on 
                                working with diverse cultural, racial, 
                                linguistic, and socioeconomic 
                                communities, for'';
                                    (VI) in clause (vii)(III), as so 
                                redesignated, by striking ``with 
                                experience'' and all that follows and 
                                inserting a semicolon;
                                    (VII) in clause (ix), as so 
                                redesignated, by inserting ``, 
                                including such groups for kinship 
                                caregivers'' before the semicolon; and
                                    (VIII) in clause (x), as so 
                                redesignated, by striking ``Act'' and 
                                inserting ``title''; and
                    (K) in paragraph (11)--
                            (i) in the matter preceding subparagraph 
                        (A), by inserting ``Indian Tribes, Tribal 
                        organizations,'' after ``States,'';
                            (ii) in subparagraph (B), by striking 
                        ``and'' at the end;
                            (iii) in subparagraph (C), by striking the 
                        period at the end and inserting ``; and''; and
                            (iv) by adding at the end the following:
                    ``(D) procedures to identify and support potential 
                kinship care arrangements.'';
            (3) in subsection (c)--
                    (A) by striking the subsection header and inserting 
                the following:
    ``(c) Services for Families Adopting Children Facing Barriers to 
Adoption.--'';
                    (B) in paragraph (1), by striking ``special needs 
                children'' and inserting ``children facing barriers to 
                adoption''; and
                    (C) in paragraph (2)(G), by inserting ``, including 
                such parents, children, and siblings in kinship care 
                arrangements'' before the semicolon;
            (4) in subsection (d)--
                    (A) by striking the subsection header and inserting 
                the following:
    ``(d) Improving Placement Rate of Children in Foster Care and 
Improving Post-legal Adoption Services.--'';
                    (B) in paragraph (1), by inserting ``including 
                through the improvement of post-legal adoption 
                services,'' after ``adoption,'';
                    (C) in paragraph (2)--
                            (i) in subparagraph (A)--
                                    (I) in clause (i), by inserting ``, 
                                including plans to assess the need for 
                                and provide post-legal adoption 
                                services in order to improve 
                                permanency'' before the semicolon;
                                    (II) in clause (ii), by striking 
                                ``older children'' and all that follows 
                                and inserting ``children facing 
                                barriers to adoption, who are legally 
                                free for adoption;'';
                                    (III) in clause (iv), by striking 
                                ``section 473'' and all that follows 
                                and inserting ``subpart 2 of part B of 
                                title IV of the Social Security Act (42 
                                U.S.C. 629 et seq.) and part E of such 
                                title IV (42 U.S.C. 670 et seq.).''; 
                                and
                            (ii) in subparagraph (B)--
                                    (I) in clause (i), by striking 
                                ``older children'' and all that follows 
                                through ``special needs,'' and 
                                inserting ``children facing barriers to 
                                adoption;''; and
                                    (II) in clause (ii), by striking 
                                ``successful'' and inserting 
                                ``evidence-based and evidence-
                                informed''; and
                    (D) in paragraph (3)--
                            (i) in subparagraph (A)--
                                    (I) by striking the first sentence; 
                                and
                                    (II) in the last sentence, by 
                                striking ``section 205(a)'' and 
                                inserting ``section 206(a)''; and
                            (ii) in subparagraph (B), by striking 
                        ``this Act'' and inserting ``this title''; and
            (5) in subsection (e)(1), by inserting before the period at 
        the end the following: ``, such as through the use of an 
        electronic interstate case processing system''.

SEC. 504. STUDIES AND REPORTS.

    Section 204 of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5114) is amended to read as 
follows:

``SEC. 204. STUDIES AND REPORTS.

    ``(a) Report on the Outcomes of Individuals Who Were Adopted From 
Foster Care.--Not later than 2 years after the date of enactment of the 
CAPTA Reauthorization Act of 2021, the Secretary shall prepare and 
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 on research and data regarding--
            ``(1) the outcomes of individuals who were adopted from 
        foster care as children; and
            ``(2) a summary of the post-adoption services available to 
        families that adopted children from foster care regarding the 
        extent to which such services are evidence-based or evidence-
        informed.
    ``(b) Report on Adoption Disruption and Dissolution.--
            ``(1) In general.--Not later than 18 months after the date 
        of enactment of the CAPTA Reauthorization Act of 2021, the 
        Secretary shall prepare and 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 
        on children who enter into foster care under the supervision of 
        a State after prior finalization of an adoption or legal 
        guardianship, including adoptions of foster youth and 
        international adoptions.
            ``(2) Information.--The Secretary shall include in such 
        report information, to the extent that such information is 
        available through the Adoption and Foster Care Analysis and 
        Reporting System and other data sources, regarding the 
        incidence of adoption disruption and dissolution impacting 
        children described in paragraph (1) and factors associated with 
        such circumstances, including--
                    ``(A) whether affected individuals received pre- or 
                post-legal adoption services; and
                    ``(B) other relevant information, such as the age 
                of the child involved.''.

SEC. 505. UNREGULATED CUSTODY TRANSFERS.

    Title II of the Child Abuse Prevention and Treatment and Adoption 
Reform Act of 1978 (42 U.S.C. 5111 et seq.) is amended--
            (1) by redesignating section 205 (42 U.S.C. 5115) as 
        section 206; and
            (2) by inserting after section 204 the following:

``SEC. 205. SENSE OF CONGRESS, TECHNICAL ASSISTANCE, AND REPORT ON 
              UNREGULATED CUSTODY TRANSFERS.

    ``(a) Sense of Congress.--It is the sense of Congress that--
            ``(1) there are challenges associated with adoptions 
        (including the child's mental health needs and the difficulties 
        many families face in accessing support services) and some 
        families may seek out an unregulated transfer of physical 
        custody of an adoptive child without any formal supervision by 
        child welfare agencies or courts;
            ``(2) adopted children experience trauma, and the 
        disruption and placement in another home due to such a transfer 
        may contribute to additional trauma and instability for such 
        children;
            ``(3) unregulated custody transfers may not include certain 
        safety measures that are required as part of formal adoption 
        proceedings;
            ``(4) child welfare agencies and courts may be unaware of 
        the placement of children through unregulated custody transfers 
        and, as a result, may not conduct assessments on children's 
        safety and well-being in such subsequent placements;
            ``(5) the lack of such assessments may result in the 
        placement of children in homes in which the children may be 
        exposed to unsafe environments;
            ``(6) the caregivers with whom a child is placed through an 
        unregulated custody transfer may have no legal responsibility 
        with respect to such child and may not have complete records, 
        including the child's birth, medical, or other records, with 
        respect to such child;
            ``(7) 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;
            ``(8) unregulated custody transfers pose significant 
        challenges for children who experience such transfers; and
            ``(9) the Department of Health and Human Services should 
        support States in preventing, identifying, and responding to 
        unregulated custody transfers, including of adopted children.
    ``(b) Definition.--For the purpose of this section, the term 
`unregulated custody transfer' means the abandonment of a child, by the 
child's parent or legal guardian, or a person or entity acting on 
behalf, and with the consent, of such parent or guardian--
            ``(1) by placing the child with a person who is not--
                    ``(A) the child's parent, stepparent, grandparent, 
                adult sibling, legal guardian, or other adult relative;
                    ``(B) a friend of the family who is an adult and 
                with whom the child is familiar; or
                    ``(C) a member of the federally recognized Indian 
                Tribe of which the child is also a member;
            ``(2) with the intent of severing the relationship between 
        the child and the parent or guardian of such child; and
            ``(3) without--
                    ``(A) 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
                    ``(B) transferring the legal rights and 
                responsibilities of parenthood or guardianship under 
                applicable Federal and State law to a person described 
                in subparagraph (A), (B), or (C) of paragraph (1).
    ``(c) Technical Assistance and Public Awareness.--The Secretary, in 
coordination with the heads of other relevant departments of the 
Federal Government--
            ``(1) shall improve public awareness related to preventing 
        adoption disruption and dissolution, including preventing 
        unregulated custody transfers of adopted children; and
            ``(2) in carrying out paragraph (1), shall update Federal 
        resources, including internet websites, to provide--
                    ``(A) employees of State, local, and Tribal 
                agencies that provide child welfare services with 
                education and training materials related to preventing, 
                identifying, and responding to unregulated custody 
                transfers; and
                    ``(B) prospective adoptive families with 
                information on pre-adoption training and post-legal 
                adoption services from State, local, and private 
                resources to promote child permanency.
    ``(d) Report to Congress.--
            ``(1) In general.--Not later than 1 year after the date of 
        enactment of the CAPTA Reauthorization Act of 2021, the 
        Secretary, in consultation with the Secretary of State, shall 
        prepare and submit to the Committee on Health, Education, 
        Labor, and Pensions of the Senate, the Committee on Finance of 
        the Senate, the Committee on Education and Labor of the House 
        of Representatives, and the Committee on Ways and Means of the 
        House of Representatives, a report on unregulated custody 
        transfers of children, including of adopted children.
            ``(2) Elements.--The report required under paragraph (1) 
        shall include--
                    ``(A) information on the causes, methods, and 
                characteristics of unregulated custody transfers, 
                including the use of social media and the internet;
                    ``(B) information on the effects of unregulated 
                custody transfer on children, including the effects of 
                the lack of assessment of a child's safety and well-
                being by social services agencies and courts due to 
                such unregulated custody transfer;
                    ``(C) data on the prevalence of unregulated custody 
                transfers within each State and across all States;
                    ``(D) recommended policies for preventing, 
                identifying, and responding to unregulated custody 
                transfers, including of adopted children, that 
                include--
                            ``(i) suggested changes or updates to 
                        Federal and State law to address unregulated 
                        custody transfers;
                            ``(ii) suggested changes or updates to 
                        child protection practices to address 
                        unregulated custody transfers; and
                            ``(iii) methods of providing to the public 
                        information regarding adoption and child 
                        protection; and
                    ``(E) a description of the activities carried out 
                under subsection (c).''.

SEC. 506. AUTHORIZATION OF APPROPRIATIONS.

    Section 206 of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5115) is amended to read as 
follows:

``SEC. 206. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--There are authorized to be appropriated 
$50,000,000 for fiscal year 2022 and such sums as may be necessary for 
each of fiscal years 2023 through 2027 to carry out programs and 
activities authorized under this title.
    ``(b) Allocation.--Not less than 35 percent and not more than 50 
percent of the funds appropriated under subsection (a) shall be 
allocated for activities under subsections (b)(10) and (c) of section 
203.
    ``(c) Availability.--Funds appropriated pursuant to authorizations 
in this title shall remain available until expended for the purposes 
for which the funds were appropriated.''.
                                                       Calendar No. 165

117th CONGRESS

  1st Session

                                S. 1927

_______________________________________________________________________

                                 A BILL

         To amend the Child Abuse Prevention and Treatment Act.

_______________________________________________________________________

                           November 15, 2021

                       Reported with an amendment