[Congressional Record Volume 149, Number 54 (Thursday, April 3, 2003)]
[Senate]
[Pages S4872-S4879]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




             KEEPING CHILDREN AND FAMILIES SAFE ACT OF 2003

  Mr. FRIST. Mr. President, I ask the Chair to lay before the Senate a 
message from the House of Representatives on the bill (S. 342) to amend 
the Child Abuse Prevention and Treatment Act to make improvements to 
and reauthorize programs under that Act, and for other purposes.
  The Presiding Officer laid before the Senate the following message 
from the House of Representatives.

       Resolved, That the bill from the Senate (S. 342) entitled 
     ``An Act to amend the Child Abuse Prevention and Treatment 
     Act to make improvements to and reauthorize programs under 
     that Act, and for other purposes'', do pass with the 
     following amendment:
       Strike out all after the enacting clause and insert:

     SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

       (a) Short Title.--This Act may be cited as the ``Keeping 
     Children and Families Safe Act of 2003''.
       (b) Table of Contents.--The table of contents of this Act 
     is as follows:

Sec. 1. Short title; table of contents.

           TITLE I--CHILD ABUSE PREVENTION AND TREATMENT ACT

Sec. 101. Findings.

                      Subtitle A--General Program

Sec. 111. National Clearinghouse for Information Relating to Child 
              Abuse.
Sec. 112. Research and assistance activities and demonstrations.
Sec. 113. Grants to States and public or private agencies and 
              organizations.
Sec. 114. Grants to States for child abuse and neglect prevention and 
              treatment programs.
Sec. 115. Grants to States for programs relating to the investigation 
              and prosecution of child abuse and neglect cases.
Sec. 116. Miscellaneous requirements relating to assistance.
Sec. 117. Authorization of appropriations.
Sec. 118. Reports.

  Subtitle B--Community-Based Grants for the Prevention of Child Abuse

Sec. 121. Purpose and authority.
Sec. 122. Eligibility.
Sec. 123. Amount of grant.
Sec. 124. Existing grants.
Sec. 125. Application.
Sec. 126. Local program requirements.
Sec. 127. Performance measures.
Sec. 128. National network for community-based family resource 
              programs.
Sec. 129. Definitions.
Sec. 130. Authorization of appropriations.

                   Subtitle C--Conforming Amendments

Sec. 141. Conforming amendments.

                    TITLE II--ADOPTION OPPORTUNITIES

Sec. 201. Congressional findings and declaration of purpose.
Sec. 202. Information and services.
Sec. 203. Study of adoption placements.
Sec. 204. Studies on successful adoptions.
Sec. 205. Authorization of appropriations.

                TITLE III--ABANDONED INFANTS ASSISTANCE

Sec. 301. Findings.
Sec. 302. Establishment of local programs.
Sec. 303. Evaluations, study, and reports by Secretary.
Sec. 304. Authorization of appropriations.
Sec. 305. Definitions.

         TITLE IV--FAMILY VIOLENCE PREVENTION AND SERVICES ACT

Sec. 401. State demonstration grants.
Sec. 402. Secretarial responsibilities.
Sec. 403. Evaluation.
Sec. 404. Information and technical assistance centers.
Sec. 405. Authorization of appropriations.
Sec. 406. Grants for State domestic violence coalitions.
Sec. 407. Evaluation and monitoring.
Sec. 408. Family member abuse information and documentation project.
Sec. 409. Model State leadership grants.
Sec. 410. National domestic violence hotline grant.
Sec. 411. Youth education and domestic violence.
Sec. 412. Demonstration grants for community initiatives.
Sec. 413. Transitional housing assistance.
Sec. 414. Technical and conforming amendments.

           TITLE I--CHILD ABUSE PREVENTION AND TREATMENT ACT

     SEC. 101. FINDINGS.

       Section 2 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5101 note) is amended--
       (1) in paragraph (1), by striking ``close to 1,000,000'' 
     and inserting ``approximately 900,000'';
       (2) by redesignating paragraphs (2) through (11) as 
     paragraphs (4) through (13), respectively;
       (3) by inserting after paragraph (1) the following:
       ``(2)(A) more children suffer neglect than any other form 
     of maltreatment; and
       ``(B) investigations have determined that approximately 63 
     percent of children who were victims of maltreatment in 2000 
     suffered neglect, 19 percent suffered physical abuse, 10 
     percent suffered sexual abuse, and 8 percent suffered 
     emotional maltreatment;
       ``(3)(A) child abuse can result in the death of a child;
       ``(B) in 2000, an estimated 1,200 children were counted by 
     child protection services to have died as a result of abuse 
     or neglect; and
       ``(C) children younger than 1 year old comprised 44 percent 
     of child abuse fatalities and 85 percent of child abuse 
     fatalities were younger than 6 years of age;'';
       (4) by striking paragraph (4) (as so redesignated), and 
     inserting the following:
       ``(4)(A) many of these children and their families fail to 
     receive adequate protection and treatment;
       ``(B) slightly less than half of these children (45 percent 
     in 2000) and their families fail to receive adequate 
     protection or treatment; and
       ``(C) in fact, approximately 80 percent of all children 
     removed from their homes and placed in foster care in 2000, 
     as a result of an investigation or assessment conducted by 
     the child protective services agency, received no 
     services;'';
       (5) in paragraph (5) (as so redesignated)--
       (A) in subparagraph (A), by striking ``organizations'' and 
     inserting ``community-based organizations'';
       (B) in subparagraph (D), by striking ``ensures'' and all 
     that follows through ``knowledge,'' and inserting 
     ``recognizes the need for properly trained staff with the 
     qualifications needed''; and
       (C) in subparagraph (E), by inserting before the semicolon 
     the following: ``, which may impact child rearing patterns, 
     while at the same time, not allowing those differences to 
     enable abuse'';
       (6) in paragraph (7) (as so redesignated), by striking 
     ``this national child and family emergency'' and inserting 
     ``child abuse and neglect''; and
       (7) in paragraph (9) (as so redesignated)--
       (A) by striking ``intensive'' and inserting ``needed''; and
       (B) by striking ``if removal has taken place'' and 
     inserting ``where appropriate''.

                      Subtitle A--General Program

     SEC. 111. NATIONAL CLEARINGHOUSE FOR INFORMATION RELATING TO 
                   CHILD ABUSE.

       (a) Functions.--Section 103(b) of the Child Abuse 
     Prevention and Treatment Act (42 U.S.C. 5104(b)) is amended--
       (1) in paragraph (1), by striking ``all programs,'' and all 
     that follows through ``neglect; and'' and inserting ``all 
     effective programs, including private and community-based 
     programs,

[[Page S4873]]

     that show promise of success with respect to the prevention, 
     assessment, identification, and treatment of child abuse and 
     neglect and hold the potential for broad scale implementation 
     and replication;'';
       (2) in paragraph (2), by striking the period and inserting 
     a semicolon;
       (3) by redesignating paragraph (2) as paragraph (3);
       (4) by inserting after paragraph (1) the following:
       ``(2) maintain information about the best practices used 
     for achieving improvements in child protective systems;''; 
     and
       (5) by adding at the end the following:
       ``(4) provide technical assistance upon request that may 
     include an evaluation or identification of--
       ``(A) various methods and procedures for the investigation, 
     assessment, and prosecution of child physical and sexual 
     abuse cases;
       ``(B) ways to mitigate psychological trauma to the child 
     victim; and
       ``(C) effective programs carried out by the States under 
     this Act; and
       ``(5) collect 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, education, and child welfare personnel.''.
       (b) Coordination With Available Resources.--Section 
     103(c)(1) of the Child Abuse Prevention and Treatment Act (42 
     U.S.C. 5104(c)(1)) is amended--
       (1) in subparagraph (E), by striking ``105(a); and'' and 
     inserting ``104(a);'';
       (2) by redesignating subparagraph (F) as subparagraph (G); 
     and
       (3) by inserting after subparagraph (E) the following:
       ``(F) collect and disseminate information that describes 
     best practices being used throughout the Nation for making 
     appropriate referrals related to, and addressing, the 
     physical, developmental, and mental health needs of abused 
     and neglected children; and''.

     SEC. 112. RESEARCH AND ASSISTANCE ACTIVITIES AND 
                   DEMONSTRATIONS.

       (a) Research.--Section 104(a) of the Child Abuse Prevention 
     and Treatment Act (42 U.S.C. 5105(a)) is amended--
       (1) in paragraph (1)--
       (A) in the matter preceding subparagraph (A), in the first 
     sentence, by inserting ``, including longitudinal research,'' 
     after ``interdisciplinary program of research''; and
       (B) in subparagraph (B), by inserting before the semicolon 
     the following: ``, including the effects of abuse and neglect 
     on a child's development and the identification of successful 
     early intervention services or other services that are 
     needed'';
       (C) in subparagraph (C)--
       (i) by striking ``judicial procedures'' and inserting 
     ``judicial systems, including multidisciplinary, coordinated 
     decisionmaking procedures''; and
       (ii) by striking ``and'' at the end; and
       (D) in subparagraph (D)--
       (i) in clause (viii), by striking ``and'' at the end;
       (ii) by redesignating clause (ix) as clause (x); and
       (iii) by inserting after clause (viii), the following:
       ``(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; 
     and'';
       (E) by redesignating subparagraph (D) as subparagraph (I); 
     and
       (F) by inserting after subparagraph (C), the following:
       ``(D) the evaluation and dissemination of best practices 
     consistent with the goals of achieving improvements in the 
     child protective services systems of the States in accordance 
     with paragraphs (1) through (12) of section 106(a);
       ``(E) effective approaches to interagency collaboration 
     between the child protection system and the juvenile justice 
     system that improve the delivery of services and treatment, 
     including methods for continuity of treatment plan and 
     services as children transition between systems;
       ``(F) an evaluation of the redundancies and gaps in the 
     services in the field of child abuse and neglect prevention 
     in order to make better use of resources;
       ``(G) the nature, scope, and practice of voluntary 
     relinquishment for foster care or State guardianship of low 
     income children who need health services, including mental 
     health services;
       ``(H) the information on the national incidence of child 
     abuse and neglect specified in clauses (i) through (x) of 
     subparagraph (I); and'';
       (2) in paragraph (2), by striking subparagraph (B) and 
     inserting the following:
       ``(B) Not later than 2 years after the date of enactment of 
     the Keeping Children and Families Safe Act of 2003, and every 
     2 years thereafter, the Secretary shall provide an 
     opportunity for public comment concerning the priorities 
     proposed under subparagraph (A) and maintain an official 
     record of such public comment.'';
       (3) by redesignating paragraph (2) as paragraph (4);
       (4) by inserting after paragraph (1) the following:
       ``(2) Research.--The Secretary shall conduct research on 
     the national incidence of child abuse and neglect, including 
     the information on the national incidence on child abuse and 
     neglect specified in clauses (i) through (x) of paragraph 
     (1)(I).
       ``(3) Report.--Not later than 4 years after the date of the 
     enactment of the Keeping Children and Families Safe Act of 
     2003, the Secretary shall prepare and submit to the Committee 
     on Education and the Workforce of the House of 
     Representatives and the Committee on Health, Education, Labor 
     and Pensions of the Senate a report that contains the results 
     of the research conducted under paragraph (2).''.
       (b) Provision of Technical Assistance.--Section 104(b) of 
     the Child Abuse Prevention and Treatment Act (42 U.S.C. 
     5105(b)) is amended--
       (1) in paragraph (1)--
       (A) by striking ``nonprofit private agencies and'' and 
     inserting ``private agencies and community-based''; and
       (B) by inserting ``, including replicating successful 
     program models,'' after ``programs and activities''; and
       (2) in paragraph (2)--
       (A) in subparagraph (B), by striking ``and'' at the end;
       (B) in subparagraph (C), by striking the period and 
     inserting ``; and''; and
       (C) by adding at the end the following:
       ``(D) effective approaches being utilized 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.''.
       (c) Demonstration Programs and Projects.--Section 104 of 
     the Child Abuse Prevention and Treatment Act (42 U.S.C. 5105) 
     is amended by adding at the end the following:
       ``(e) Demonstration Programs and Projects.--The Secretary 
     may award grants to, and enter into contracts with, States or 
     public or private agencies or organizations (or combinations 
     of such agencies or organizations) for time-limited, 
     demonstration projects for the following:
       ``(1) Promotion of safe, family-friendly physical 
     environments for visitation and exchange.--The Secretary may 
     award grants under this subsection to entities to assist such 
     entities in establishing and operating safe, family-friendly 
     physical environments--
       ``(A) for court-ordered, supervised visitation between 
     children and abusing parents; and
       ``(B) to safely facilitate the exchange of children for 
     visits with noncustodial parents in cases of domestic 
     violence.
       ``(2) Education identification, prevention, and 
     treatment.--The Secretary may award grants under this 
     subsection to entities for projects that provide educational 
     identification, prevention, and treatment services in 
     cooperation with preschool and elementary and secondary 
     schools.
       ``(3) Risk and safety assessment tools.--The Secretary may 
     award grants under this subsection to entities for projects 
     that provide for the development of research-based risk and 
     safety assessment tools relating to child abuse and neglect.
       ``(4) Training.--The Secretary may award grants under this 
     subsection to entities for projects that involve research-
     based innovative training for mandated child abuse and 
     neglect reporters.''.

     SEC. 113. GRANTS TO STATES AND PUBLIC OR PRIVATE AGENCIES AND 
                   ORGANIZATIONS.

       (a) Demonstration Programs and Projects.--Section 105(a) of 
     the Child Abuse Prevention and Treatment Act (42 U.S.C. 
     5106(a)) is amended--
       (1) in the subsection heading, by striking 
     ``Demonstration'' and inserting ``Grants for'';
       (2) in the matter preceding paragraph (1)--
       (A) by inserting ``States,'' after ``contracts with,'';
       (B) by striking ``nonprofit''; and
       (C) by striking ``time limited, demonstration'';
       (3) in paragraph (1)--
       (A) in subparagraph (A), by striking ``law, education, 
     social work, and other relevant fields'' and inserting ``law 
     enforcement, judiciary, social work and child protection, 
     education, and other relevant fields, or individuals such as 
     court appointed special advocates (CASAs) and guardian ad 
     litem,'';
       (B) in subparagraph (B), by striking ``nonprofit'' and all 
     that follows through ``; and'' and inserting ``children, 
     youth and family service organizations in order to prevent 
     child abuse and neglect;'';
       (C) in subparagraph (C), by striking the period and 
     inserting a semicolon;
       (D) by adding at the end the following:
       ``(D) for training to support the enhancement of linkages 
     between child protective service agencies and health care 
     agencies, including physical and mental health services, to 
     improve forensic diagnosis and health evaluations and for 
     innovative partnerships between child protective service 
     agencies and health care agencies that offer creative 
     approaches to using existing Federal, State, local, and 
     private funding to meet the health evaluation needs of 
     children who have been subjects of substantiated cases of 
     child abuse or neglect;
       ``(E) for the training of personnel in best practices to 
     promote collaboration with the families from the initial time 
     of contact during the investigation through treatment;
       ``(F) for the training of personnel regarding the legal 
     duties of such personnel and their responsibilities to 
     protect the legal rights of children and families;
       ``(G) for improving the training of supervisory and 
     nonsupervisory child welfare workers;
       ``(H) for enabling State child welfare agencies to 
     coordinate the provision of services with State and local 
     health care agencies, alcohol and drug

[[Page S4874]]

     abuse prevention and treatment agencies, mental health 
     agencies, and other public and private welfare agencies to 
     promote child safety, permanence, and family stability;
       ``(I) for cross training for child protective service 
     workers in research-based methods for recognizing situations 
     of substance abuse, domestic violence, and neglect; and
       ``(J) for developing, implementing, or operating 
     information and education programs or training programs 
     designed to improve the provision of services to disabled 
     infants with life-threatening conditions for--
       ``(i) professionals and paraprofessional personnel 
     concerned with the welfare of disabled infants with life-
     threatening conditions, including personnel employed in child 
     protective services programs and health care facilities; and
       ``(ii) the parents of such infants.'';
       (4) by redesignating paragraph (2) and (3) as paragraphs 
     (3) and (4), respectively;
       (5) by inserting after paragraph (1), the following:
       ``(2) Triage procedures.--The Secretary may award grants 
     under this subsection to public and private agencies that 
     demonstrate innovation in responding to reports of child 
     abuse and neglect, including programs of collaborative 
     partnerships between the State child protective services 
     agency, community social service agencies and family support 
     programs, law enforcement agencies, developmental disability 
     agencies, substance abuse treatment entities, health care 
     entities, domestic violence prevention entities, mental 
     health service entities, schools, churches and synagogues, 
     and other community agencies, to allow for the establishment 
     of a triage system that--
       ``(A) accepts, screens, and assesses reports received to 
     determine which such reports require an intensive 
     intervention and which require voluntary referral to another 
     agency, program, or project;
       ``(B) provides, either directly or through referral, a 
     variety of community-linked services to assist families in 
     preventing child abuse and neglect; and
       ``(C) provides further investigation and intensive 
     intervention where the child's safety is in jeopardy.'';
       (6) in paragraph (3) (as so redesignated), by striking 
     ``(such as Parents Anonymous)'';
       (7) in paragraph (4) (as so redesignated)--
       (A) by striking the paragraph designation and heading;
       (B) by striking subparagraphs (A) and (C); and
       (C) in subparagraph (B)--
       (i) by striking ``(B) Kinship
     care.--'' and inserting the following:
       ``(4) Kinship care.--''; and
       (ii) by striking ``nonprofit''; and
       (8) by adding at the end the following:
       ``(5) Linkages between child protective service agencies 
     and public health, mental health, and developmental 
     disabilities agencies.--The Secretary may award grants to 
     entities that provide linkages between State or local child 
     protective service agencies and public health, mental health, 
     and developmental disabilities agencies, for the purpose of 
     establishing linkages that are designed to help assure that a 
     greater number of substantiated victims of child maltreatment 
     have their physical health, mental health, and developmental 
     needs appropriately diagnosed and treated.''.
       (b) Discretionary Grants.--Section 105(b) of the Child 
     Abuse Prevention and Treatment Act (42 U.S.C. 5106(b)) is 
     amended--
       (1) by striking paragraph (1);
       (2) by redesignating paragraphs (2) and (3) as paragraphs 
     (1) and (2), respectively;
       (3) by inserting after paragraph (2) (as so redesignated), 
     the following:
       ``(3) Programs based within children's hospitals or other 
     pediatric and adolescent care facilities, that provide model 
     approaches for improving medical diagnosis of child abuse and 
     neglect and for health evaluations of children for whom a 
     report of maltreatment has been substantiated.''; and
       (4) in paragraph (4)(D), by striking ``nonprofit''.
       (c) Evaluation.--Section 105(c) of the Child Abuse 
     Prevention and Treatment Act (42 U.S.C. 5106(c)) is amended--
       (1) in the first sentence, by striking ``demonstration'';
       (2) in the second sentence, by inserting ``or contract'' 
     after ``or as a separate grant''; and
       (3) by adding at the end the following: ``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.''.
       (d) Technical Amendment to Heading.--The section heading 
     for 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 AND PUBLIC OR PRIVATE AGENCIES 
                   AND ORGANIZATIONS.''.

     SEC. 114. GRANTS TO STATES FOR CHILD ABUSE AND NEGLECT 
                   PREVENTION AND TREATMENT PROGRAMS.

       (a) Development and Operation Grants.--Section 106(a) of 
     the Child Abuse Prevention and Treatment Act (42 U.S.C. 
     5106a(a)) is amended--
       (1) in paragraph (3)--
       (A) by inserting ``, including ongoing case monitoring,'' 
     after ``case management''; and
       (B) by inserting ``and treatment'' after ``and delivery of 
     services'';
       (2) in paragraph (4), by striking ``improving'' and all 
     that follows through ``referral systems'' and inserting 
     ``developing, improving, and implementing risk and safety 
     assessment tools and protocols'';
       (3) by striking paragraph (7);
       (4) by redesignating paragraphs (5), (6), (8), and (9) as 
     paragraphs (6), (8), (9), and (12), respectively;
       (5) by inserting after paragraph (4), the following:
       ``(5) developing and updating systems of technology that 
     support the program and track reports of child abuse and 
     neglect from intake through final disposition and allow 
     interstate and intrastate information exchange;'';
       (6) in paragraph (6) (as so redesignated), by striking 
     ``opportunities'' and all that follows through ``system'' and 
     inserting ``including training regarding research-based 
     practices to promote collaboration with the families and the 
     legal duties of such individuals'';
       (7) by inserting after paragraph (6) (as so redesignated) 
     the following:
       ``(7) improving the skills, qualifications, and 
     availability of individuals providing services to children 
     and families, and the supervisors of such individuals, 
     through the child protection system, including improvements 
     in the recruitment and retention of caseworkers;'';
       (8) by striking paragraph (9) (as so redesignated), and 
     inserting the following:
       ``(9) developing and facilitating research-based training 
     protocols for individuals mandated to report child abuse or 
     neglect;
       ``(10) developing, implementing, or operating programs to 
     assist in obtaining or coordinating necessary services for 
     families of disabled infants with life-threatening 
     conditions, including--
       ``(A) existing social and health services;
       ``(B) financial assistance; and
       ``(C) services necessary to facilitate adoptive placement 
     of any such infants who have been relinquished for adoption;
       ``(11) developing and delivering information to improve 
     public education relating to the role and responsibilities of 
     the child protection system and the nature and basis for 
     reporting suspected incidents of child abuse and neglect;'';
       (9) in paragraph (12) (as so redesignated), by striking the 
     period and inserting a semicolon; and
       (10) by adding at the end the following:
       ``(13) supporting and enhancing interagency collaboration 
     between the child protection system and the juvenile justice 
     system for improved delivery of services and treatment, 
     including methods for continuity of treatment plan and 
     services as children transition between systems; or
       ``(14) supporting and enhancing collaboration among public 
     health agencies, the child protection system, and private 
     community-based programs to provide child abuse and neglect 
     prevention and treatment services (including linkages with 
     education systems) and to address the health needs, including 
     mental health needs, of children identified as abused or 
     neglected, including supporting prompt, comprehensive health 
     and developmental evaluations for children who are the 
     subject of substantiated child maltreatment reports.''.
       (b) Eligibility Requirements.--
       (1) In general.--Section 106(b) of the Child Abuse 
     Prevention and Treatment Act (42 U.S.C. 5106a(b)) is 
     amended--
       (A) in paragraph (1)(B)--
       (i) by striking ``provide notice to the Secretary of any 
     substantive changes'' and inserting the following: ``provide 
     notice to the Secretary--
       ``(i) of any substantive changes'';
       (ii) by striking the period and inserting ``; and''; and
       (iii) by adding at the end the following:
       ``(ii) any significant changes to how funds provided under 
     this section are used to support the activities which may 
     differ from the activities as described in the current State 
     application.'';
       (B) in paragraph (2)(A)--
       (i) by redesignating clauses (ii), (iii), (iv), (v), (vi), 
     (vii), (viii), (ix), (x), (xi), (xii), and (xiii) as clauses 
     (iii), (v), (vi), (vii), (ix), (x), (xi), (xii), (xiii), 
     (xiv), (xv) and (xvi), respectively;
       (ii) by inserting after clause (i), the following:
       ``(ii) policies and procedures to address the needs of 
     infants born and identified with fetal alcohol effects, fetal 
     alcohol syndrome, neonatal intoxication or withdrawal 
     syndrome, or neonatal physical or neurological harm resulting 
     from prenatal drug exposure, including--

       ``(I) the requirement that health care providers involved 
     in the delivery or care of such infants notify the child 
     protective services system of the occurrence of such 
     condition in such infants, except that such notification 
     shall not be construed to create a definition under Federal 
     law of what constitutes child abuse and such notification 
     shall not be construed to require prosecution for any illegal 
     action; and
       ``(II) the development of a safe plan of care for the 
     infant under which consideration may be given to providing 
     the mother with health services (including mental health 
     services), social services, parenting services, and substance 
     abuse prevention and treatment counseling and to providing 
     the infant with referral to the statewide early intervention 
     program funded under part C of the Individuals with 
     Disabilities Education Act for an evaluation for the need for 
     services provided under part C of such Act;'';

       (iii) in clause (iii) (as so redesignated), by inserting 
     ``risk and'' before ``safety'';
       (iv) by inserting after clause (iii) (as so redesignated), 
     the following:
       ``(iv) triage procedures for the appropriate referral of a 
     child not at risk of imminent harm to a community 
     organization or voluntary preventive service;'';
       (v) in clause (vii)(II) (as so redesignated), by striking 
     ``, having a need for such information in order to carry out 
     its responsibilities under law to protect children from abuse 
     and neglect'' and inserting ``, as described in clause 
     (viii)'';
       (vi) by inserting after clause (vii) (as so redesignated), 
     the following:
       ``(viii) provisions to require a State to disclose 
     confidential information to any Federal, State,

[[Page S4875]]

     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 abuse and 
     neglect;'';
       (vii) in clause (xii) (as so redesignated)--

       (I) by inserting ``who has received training appropriate to 
     the role, and'' after ``guardian ad litem,''; and
       (II) by inserting ``who has received training appropriate 
     to that role'' after ``advocate'';

       (viii) in clause (xiv) (as so redesignated), by striking 
     ``to be effective not later than 2 years after the date of 
     the enactment of this section'';
       (ix) in clause (xv) (as so redesignated)--

       (I) by striking ``to be effective not later than 2 years 
     after the date of the enactment of this section''; and
       (II) by striking ``and'' at the end;

       (x) in clause (xvi) (as so redesignated), by striking 
     ``clause (xii)'' each place that such appears and inserting 
     ``clause (xv)''; and
       (xi) by adding at the end the following:
       ``(xvii) 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 and 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;
       ``(xviii) 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, in order to protect the legal rights and 
     safety of children and families from the initial time of 
     contact during investigation through treatment;
       ``(xix) provisions and procedures for improving the 
     training, retention, and supervision of caseworkers;
       ``(xx) 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 the statewide early intervention 
     program funded under part C of the Individuals with 
     Disabilities Education Act for an evaluation for the need of 
     services provided under part C of such Act; and
       ``(xxi) not later than 2 years after the date of enactment 
     of the Keeping Children and Families Safe Act of 2003, 
     provisions and procedures for requiring criminal background 
     record checks for prospective foster and adoptive parents and 
     other adult relatives and non-relatives residing in the 
     household;''; and
       (C) in paragraph (2), by adding at the end the following 
     flush sentence:
     ``Nothing in subparagraph (A) shall be construed to limit the 
     State's flexibility to determine State policies relating to 
     public access to court proceedings to determine child abuse 
     and neglect except that such policies shall, at a minimum, 
     ensure the safety and well-being of the child, parents, and 
     family.''.
       (2) Limitation.--Section 106(b)(3) of the Child Abuse 
     Prevention and Treatment Act (42 U.S.C. 5106a(b)(3)) is 
     amended by striking ``With regard to clauses (v) and (vi) of 
     paragraph (2)(A)'' and inserting ``With regard to clauses 
     (vi) and (vii) of paragraph (2)(A)''.
       (c) Citizen Review Panels.--Section 106(c) of the Child 
     Abuse Prevention and Treatment Act (42 U.S.C. 5106a(c)) is 
     amended--
       (1) in paragraph (4)--
       (A) in subparagraph (A)--
       (i) in the matter preceding clause (i)--

       (I) by striking ``and procedures'' and inserting ``, 
     procedures, and practices''; and
       (II) by striking ``the agencies'' and inserting ``State and 
     local child protection system agencies''; and

       (ii) in clause (iii)(I), by striking ``State'' and 
     inserting ``State and local''; and
       (B) by adding at the end the following:
       ``(C) 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).''; and
       (2) in paragraph (6)--
       (A) by striking ``public'' and inserting ``State and the 
     public''; and
       (B) by inserting before the period the following: ``and 
     recommendations to improve the child protection 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 the State and local child protection 
     systems that describes whether or how the State will 
     incorporate the recommendations of such panel (where 
     appropriate) to make measurable progress in improving the 
     State and local child protective system''.
       (d) Annual State Data Reports.--Section 106(d) of the Child 
     Abuse Prevention and Treatment Act (42 U.S.C. 5106a(d)) is 
     amended by adding at the end the following:
       ``(13) The annual report containing the summary of the 
     activities of the citizen review panels of the State required 
     by subsection (c)(6).
       ``(14) 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.''.
       (e) Report.--Not later than 2 years after the date of 
     enactment of this Act, the Secretary of Health and Human 
     Services shall prepare and submit to Congress a report that 
     describes the extent to which States are implementing the 
     policies and procedures required under section 
     106(b)(2)(B)(ii) of the Child Abuse Prevention and Treatment 
     Act.

     SEC. 115. GRANTS TO STATES FOR PROGRAMS RELATING TO THE 
                   INVESTIGATION AND PROSECUTION OF CHILD ABUSE 
                   AND NEGLECT CASES.

       Section 107(a) of the Child Abuse Prevention and Treatment 
     Act (42 U.S.C. 5106c(a)) is amended--
       (1) in paragraph (2), by striking ``and'' at the end;
       (2) in paragraph (3), by striking the period at the end and 
     inserting ``; and''; and
       (3) by adding at the end the following:
       ``(4) the handling of cases involving children with 
     disabilities or serious health-related problems who are 
     victims of abuse or neglect.''.

     SEC. 116. MISCELLANEOUS REQUIREMENTS RELATING TO ASSISTANCE.

       Section 108 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5106d) is amended by adding at the end the 
     following:
       ``(d) Sense of Congress.--It is the sense of Congress that 
     the Secretary should encourage all States and public and 
     private agencies or organizations that receive assistance 
     under this title to ensure that children and families with 
     limited English proficiency who participate in programs under 
     this title are provided materials and services under such 
     programs in an appropriate language other than English.''.

     SEC. 117. AUTHORIZATION OF APPROPRIATIONS.

       (a) General Authorization.--Section 112(a)(1) of the Child 
     Abuse Prevention and Treatment Act (42 U.S.C. 5106h(a)(1)) is 
     amended to read as follows:
       ``(1) General authorization.--There are authorized to be 
     appropriated to carry out this title $120,000,000 for fiscal 
     year 2004 and such sums as may be necessary for each of the 
     fiscal years 2005 through 2008.''.
       (b) Demonstration Projects.--Section 112(a)(2)(B) of the 
     Child Abuse Prevention and Treatment Act (42 U.S.C. 
     5106h(a)(2)(B)) is amended--
       (1) by striking ``Secretary make'' and inserting 
     ``Secretary shall make''; and
       (2) by striking ``section 106'' and inserting ``section 
     104''.

     SEC. 118. REPORTS.

       Section 110 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5106f) is amended by adding at the end the 
     following:
       ``(c) Study and Report Relating to Citizen Review Panels.--
       ``(1) Study.--The Secretary shall conduct a study by random 
     sample of the effectiveness of the citizen review panels 
     established under section 106(c).
       ``(2) Report.--Not later than 3 years after the date of 
     enactment of the Keeping Children and Families Safe Act of 
     2003, the Secretary shall submit to the Committee on 
     Education and the Workforce of the House of Representatives 
     and the Committee on Health, Education, Labor, and Pensions 
     of the Senate a report that contains the results of the study 
     conducted under paragraph (1).''.

  Subtitle B--Community-Based Grants for the Prevention of Child Abuse

     SEC. 121. PURPOSE AND AUTHORITY.

       (a) Purpose.--Section 201(a)(1) of the Child Abuse 
     Prevention and Treatment Act (42 U.S.C. 5116(a)(1)) is 
     amended to read as follows:
       ``(1) to support community-based efforts to develop, 
     operate, expand, enhance, and, where appropriate to network, 
     initiatives aimed at the prevention of child abuse and 
     neglect, and to support networks of coordinated resources and 
     activities to better strengthen and support families to 
     reduce the likelihood of child abuse and neglect; and''.
       (b) Authority.--Section 201(b) of the Child Abuse 
     Prevention and Treatment Act (42 U.S.C. 5116(b)) is amended--
       (1) in paragraph (1)--
       (A) in the matter preceding subparagraph (A) by striking 
     ``Statewide'' and all that follows through the dash, and 
     inserting ``community-based and prevention-focused programs 
     and activities designed to prevent child abuse and neglect 
     (through networks where appropriate) that are accessible, 
     effective, culturally appropriate, and build upon existing 
     strengths
     that--'';
       (B) in subparagraph (F), by striking ``and'' at the end; 
     and
       (C) by striking subparagraph (G) and inserting the 
     following:
       ``(G) demonstrate a commitment to meaningful parent 
     leadership, including among parents of children with 
     disabilities, parents with disabilities, racial and ethnic 
     minorities, and members of other underrepresented or 
     underserved groups; and
       ``(H) provide referrals to early health and developmental 
     services;''; and
       (2) in paragraph (4)--
       (A) by inserting ``through leveraging of funds'' after 
     ``maximizing funding'';
       (B) by striking ``a Statewide network of community-based, 
     prevention-focused'' and inserting ``community-based and 
     prevention-focused''; and
       (C) by striking ``family resource and support program'' and 
     inserting ``programs and activities designed to prevent child 
     abuse and neglect (through networks where appropriate)''.
       (c) Technical Amendment to Title Heading.--Title II of the 
     Child Abuse Prevention and Treatment Act (42 U.S.C. 5116) is 
     amended by striking the heading for such title and inserting 
     the following:

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

     SEC. 122. ELIGIBILITY.

       Section 202 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5116a) is amended--
       (1) in paragraph (1)--
       (A) in subparagraph (A)--
       (i) by striking ``a Statewide network of community-based, 
     prevention-focused'' and inserting ``community-based and 
     prevention-focused''; and
       (ii) by striking ``family resource and support programs'' 
     and all that follows through the semicolon and inserting 
     ``programs and activities designed to prevent child abuse and 
     neglect (through networks where appropriate);''

[[Page S4876]]

       (B) in subparagraph (B), by inserting ``that exists to 
     strengthen and support families to prevent child abuse and 
     neglect'' after ``written authority of the State)'';
       (2) in paragraph (2)--
       (A) in subparagraph (A), by striking ``a network of 
     community-based family resource and support programs'' and 
     inserting ``community-based and prevention-focused programs 
     and activities designed to prevent child abuse and neglect 
     (through networks where appropriate)'';
       (B) in subparagraph (B)--
       (i) by striking ``to the network''; and
       (ii) by inserting ``, and parents with disabilities'' 
     before the semicolon;
       (C) in subparagraph (C), by striking ``to the network''; 
     and
       (3) in paragraph (3)--
       (A) in subparagraph (A), by striking ``Statewide network of 
     community-based, prevention-focused, family resource and 
     support programs'' and inserting ``community-based and 
     prevention-focused programs and activities to prevent child 
     abuse and neglect (through networks where appropriate)'';
       (B) in subparagraph (B), by striking ``Statewide network of 
     community-based, prevention-focused, family resource and 
     support programs'' and inserting ``community-based and 
     prevention-focused programs and activities to prevent child 
     abuse and neglect (through networks where appropriate)'';
       (C) in subparagraph (C), by striking ``and training and 
     technical assistance, to the Statewide network of community-
     based, prevention-focused, family resource and support 
     programs'' and inserting ``training, technical assistance, 
     and evaluation assistance, to community-based and prevention-
     focused programs and activities to prevent child abuse and 
     neglect (through networks where appropriate)''; and
       (D) in subparagraph (D), by inserting ``, parents with 
     disabilities,'' after ``children with disabilities''.

     SEC. 123. AMOUNT OF GRANT.

       Section 203(b)(1)(B) of the Child Abuse Prevention and 
     Treatment Act (42 U.S.C. 5116b(b)(1)(B)) is amended--
       (1) by striking ``as the amount leveraged by the State from 
     private, State, or other non-Federal sources and directed 
     through the'' and inserting ``as the amount of private, State 
     or other non-Federal funds leveraged and directed through the 
     currently designated''; and
       (2) by striking ``the lead agency'' and inserting ``the 
     current lead agency''.

     SEC. 124. EXISTING GRANTS.

       Section 204 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5115c) is repealed.

     SEC. 125. APPLICATION.

       Section 205 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5116d) is amended--
       (1) in paragraph (1), by striking ``Statewide network of 
     community-based, prevention-focused, family resource and 
     support programs'' and inserting ``community-based and 
     prevention-focused programs and activities to prevent child 
     abuse and neglect (through networks where appropriate)'';
       (2) in paragraph (2)--
       (A) by striking ``network of community-based, prevention-
     focused, family resource and support programs'' and inserting 
     ``community-based and prevention-focused programs and 
     activities to prevent child abuse and neglect (through 
     networks where appropriate)''; and
       (B) by striking ``, including those funded by programs 
     consolidated under this Act,'';
       (3) by striking paragraph (3), and inserting the following:
       ``(3) a description of the inventory of current unmet needs 
     and current community-based and prevention-focused programs 
     and activities to prevent child abuse and neglect, and other 
     family resource services operating in the State;'';
       (4) in paragraph (4), by striking ``State's network of 
     community-based, prevention-focused, family resource and 
     support programs'' and inserting ``community-based and 
     prevention-focused programs and activities designed to 
     prevent child abuse and neglect'';
       (5) in paragraph (5), by striking ``Statewide network of 
     community-based, prevention-focused, family resource and 
     support programs'' and inserting ``start up, maintenance, 
     expansion, and redesign of community-based and prevention-
     focused programs and activities designed to prevent child 
     abuse and neglect'';
       (6) in paragraph (7), by striking ``individual community-
     based, prevention-focused, family resource and support 
     programs'' and inserting ``community-based and prevention-
     focused programs and activities designed to prevent child 
     abuse and neglect'';
       (7) in paragraph (8), by striking ``community-based, 
     prevention-focused, family resource and support programs'' 
     and inserting ``community-based and prevention-focused 
     programs and activities designed to prevent child abuse and 
     neglect'';
       (8) in paragraph (9), by striking ``community-based, 
     prevention-focused, family resource and support programs'' 
     and inserting ``community-based and prevention-focused 
     programs and activities designed to prevent child abuse and 
     neglect'';
       (9) in paragraph (10), by inserting ``(where appropriate)'' 
     after ``members'';
       (10) in paragraph (11), by striking ``prevention-focused, 
     family resource and support program'' and inserting 
     ``community-based and prevention-focused programs and 
     activities designed to prevent child abuse and neglect''; and
       (11) by redesignating paragraph (13) as paragraph (12).

     SEC. 126. LOCAL PROGRAM REQUIREMENTS.

       Section 206(a) of the Child Abuse Prevention and Treatment 
     Act (42 U.S.C. 5116e(a)) is amended--
       (1) in the matter preceding paragraph (1), by striking 
     ``prevention-focused, family resource and support programs'' 
     and inserting ``and prevention-focused programs and 
     activities designed to prevent child abuse and neglect'';
       (2) in paragraph (3)--
       (A) in subparagraph (A)--
       (i) in the matter preceding clause (i), by striking 
     ``family resource and support services'' and inserting 
     ``family support services for the prevention of child abuse 
     and neglect'';
       (ii) in clause (iii), by striking ``and'' at the end; and
       (iii) by adding at the end the following:
       ``(v) respite care;
       ``(vi) home visiting; and
       ``(vii) family support services;''; and
       (B) in subparagraph (B), by inserting ``voluntary home 
     visiting and'' after ``including''; and
       (3) by striking paragraph (6) and inserting the following:
       ``(6) participate with other community-based and 
     prevention-focused programs and activities to prevent child 
     abuse and neglect in the development, operation and expansion 
     of networks where appropriate.''.

     SEC. 127. PERFORMANCE MEASURES.

       Section 207 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5116f) is amended--
       (1) in paragraph (1), by striking ``a Statewide network of 
     community-based, prevention-focused, family resource and 
     support programs'' and inserting ``community-based and 
     prevention-focused programs and activities to prevent child 
     abuse and neglect'';
       (2) by striking paragraph (3), and inserting the following:
       ``(3) shall demonstrate that they will have addressed unmet 
     needs identified by the inventory and description of current 
     services required under section 205(3);'';
       (3) in paragraph (4),
       (A) by inserting ``and parents with disabilities,'' after 
     ``children with disabilities,''; and
       (B) by striking ``evaluation of'' the first place it 
     appears and all that follows through ``under this title'' and 
     inserting ``evaluation of community-based and prevention-
     focused programs and activities to prevent child abuse and 
     neglect, and in the design, operation and evaluation of the 
     networks of such community-based and prevention-focused 
     programs'';
       (4) in paragraph (5), by striking ``, prevention-focused, 
     family resource and support programs'' and inserting ``and 
     prevention-focused programs and activities designed to 
     prevent child abuse and neglect'';
       (5) in paragraph (6), by striking ``Statewide network of 
     community-based, prevention-focused, family resource and 
     support programs'' and inserting ``community-based and 
     prevention-focused programs and activities designed to 
     prevent child abuse and neglect''; and
       (6) in paragraph (8), by striking ``community based, 
     prevention-focused, family resource and support programs'' 
     and inserting ``community-based and prevention-focused 
     programs and activities designed to prevent child abuse and 
     neglect''.

     SEC. 128. NATIONAL NETWORK FOR COMMUNITY-BASED FAMILY 
                   RESOURCE PROGRAMS.

       Section 208(3) of the Child Abuse Prevention and Treatment 
     Act (42 U.S.C. 5116g(3)) is amended by striking ``Statewide 
     networks of community-based, prevention-focused, family 
     resource and support programs'' and inserting ``community-
     based and prevention-focused programs and activities designed 
     to prevent child abuse and neglect''.

     SEC. 129. DEFINITIONS.

       (a) Children With Disabilities.--Section 209(1) of the 
     Child Abuse Prevention and Treatment Act (42 U.S.C. 5116h(1)) 
     is amended by striking ``given such term in section 
     602(a)(2)'' and inserting ``given the term `child with a 
     disability' in section 602(3) or `infant or toddler with a 
     disability' in section 632(5)''.
       (b) Community-Based and Prevention-Focused Programs and 
     Activities to Prevent Child Abuse and Neglect.--Section 209 
     of the Child Abuse Prevention and Treatment Act (42 U.S.C. 
     5116h) is amended--
       (1) by striking paragraphs (3) and (4);
       (2) by inserting the following after paragraph (2):
       ``(3) Community-based and prevention-focused programs and 
     activities to prevent child abuse and neglect.--The term 
     `community-based and prevention-focused programs and 
     activities to prevent child abuse and neglect' includes 
     organizations such as family resource programs, family 
     support programs, voluntary home visiting programs, respite 
     care programs, parenting education, mutual support programs, 
     and other community programs that provide activities that are 
     designed to prevent or respond to child abuse and neglect.''; 
     and
       (3) by redesignating paragraph (5) as paragraph (4).

     SEC. 130. AUTHORIZATION OF APPROPRIATIONS.

       Section 210 of the Child Abuse Prevention and Treatment Act 
     (42 U.S.C. 5116i) is amended to read as follows:

     ``SEC. 210. AUTHORIZATION OF APPROPRIATIONS.

       ``There are authorized to be appropriated to carry out this 
     title $80,000,000 for fiscal year 2004 and such sums as may 
     be necessary for each of the fiscal years 2005 through 
     2008.''.

                   Subtitle C--Conforming Amendments

     SEC. 141. CONFORMING AMENDMENTS.

       The table of contents of the Child Abuse Prevention and 
     Treatment Act, as contained in section 1(b) of such Act (42 
     U.S.C. 5101 note), is amended as follows:
       (1) By striking the item relating to section 105 and 
     inserting the following:

``Sec. 105. Grants to States and public or private agencies and 
              organizations.''.

[[Page S4877]]

       (2) By striking the item relating to title II and inserting 
     the following:

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

       (3) By striking the item relating to section 204.

                    TITLE II--ADOPTION OPPORTUNITIES

     SEC. 201. CONGRESSIONAL FINDINGS AND DECLARATION OF PURPOSE.

       Section 201 of the Child Abuse Prevention and Treatment and 
     Adoption Reform Act of 1978 (42 U.S.C. 5111) is amended--
       (1) in subsection (a)--
       (A) by striking paragraphs (1) through (4) and inserting 
     the following:
       ``(1) the number of children in substitute care has 
     increased by nearly 24 percent since 1994, as our Nation's 
     foster care population included more than 565,000 as of 
     September of 2001;
       ``(2) children entering foster care have complex problems 
     that require intensive services, with many such children 
     having special needs because they are born to mothers who did 
     not receive prenatal care, are born with life threatening 
     conditions or disabilities, are born addicted to alcohol or 
     other drugs, or have been exposed to infection with the 
     etiologic agent for the human immunodeficiency virus;
       ``(3) each year, thousands of children are in need of 
     placement in permanent, adoptive homes;'';
       (B) by striking paragraph (6);
       (C) by striking paragraph (7)(A) and inserting the 
     following:
       ``(7)(A) currently, there are 131,000 children waiting for 
     adoption;''; and
       (D) by redesignating paragraphs (5), (7), (8), (9), and 
     (10) as paragraphs (4), (5), (6), (7), and (8) respectively; 
     and
       (2) in subsection (b)--
       (A) in the matter preceding paragraph (1), by inserting ``, 
     including geographic barriers,'' after ``barriers''; and
       (B) in paragraph (2), by striking ``a national'' and 
     inserting ``an Internet-based national''.

     SEC. 202. 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 the section heading and inserting the 
     following:

     ``SEC. 203. INFORMATION AND SERVICES.'';

       (2) by striking ``Sec. 203. (a) The Secretary'' and 
     inserting the following:
       ``(a) In General.--The Secretary'';
       (3) in subsection (b)--
       (A) by inserting ``Required Activities.--'' after ``(b)'';
       (B) in paragraph (1), by striking ``nonprofit'' each place 
     that such appears;
       (C) in paragraph (2), by striking ``nonprofit'';
       (D) in paragraph (3), by striking ``nonprofit'';
       (E) in paragraph (4), by striking ``nonprofit'';
       (F) in paragraph (6), by striking ``study the nature, 
     scope, and effects of'' and insert ``support'';
       (G) in paragraph (7), by striking ``nonprofit'';
       (H) in paragraph (9)--
       (i) by striking ``nonprofit''; and
       (ii) by striking ``and'' at the end;
       (I) in paragraph (10)--
       (i) by striking ``nonprofit''; each place that such 
     appears; and
       (ii) by striking the period at the end and inserting ``; 
     and''; and
       (J) by adding at the end the following:
       ``(11) provide (directly or by grant to or contract with 
     States, local government entities, or public or private 
     licensed child welfare or adoption agencies) for the 
     implementation of programs that are intended to increase the 
     number of older children (who are in foster care and with the 
     goal of adoption) placed in adoptive families, with a special 
     emphasis on child-specific recruitment strategies, 
     including--
       ``(A) outreach, public education, or media campaigns to 
     inform the public of the needs and numbers of older youth 
     available for adoption;
       ``(B) training of personnel in the special needs of older 
     youth and the successful strategies of child-focused, child-
     specific recruitment efforts; and
       ``(C) recruitment of prospective families for such 
     children.'';
       (4) in subsection (c)--
       (A) by striking ``(c)(1) The Secretary'' and inserting the 
     following:
       ``(c) Services for Families Adopting Special Needs 
     Children.--
       ``(1) In general.--The Secretary'';
       (B) by striking ``(2) Services'' and inserting the 
     following:
       ``(2) Services.--Services''; and
       (C) in paragraph (2)--
       (i) by realigning the margins of subparagraphs (A) through 
     (G) accordingly;
       (ii) in subparagraph (F), by striking ``and'' at the end;
       (iii) in subparagraph (G), by striking the period and 
     inserting a semicolon; and
       (iv) by adding at the end the following:
       ``(H) day treatment; and
       ``(I) respite care.''; and
       (D) by striking ``nonprofit''; each place that such 
     appears;
       (5) in subsection (d)--
       (A) by striking ``(d)(1) The Secretary'' and inserting the 
     following:
       ``(d) Improving Placement Rate of Children in Foster 
     Care.--
       ``(1) In general.--The Secretary'';
       (B) by striking ``(2)(A) Each State'' and inserting the 
     following:
       ``(2) Applications; technical and other assistance.--
       ``(A) Applications.--Each State'';
       (C) by striking ``(B) The Secretary'' and inserting the 
     following:
       ``(B) Technical and other assistance.--The Secretary'';
       (D) in paragraph (2)(B)--
       (i) by realigning the margins of clauses (i) and (ii) 
     accordingly; and
       (ii) by striking ``nonprofit'';
       (E) by striking ``(3)(A) Payments'' and inserting the 
     following:
       ``(3) Payments.--
       ``(A) In general.--Payments''; and
       (F) by striking ``(B) Any payment'' and inserting the 
     following:
       ``(B) Reversion of unused funds.--Any payment''; and
       (6) by adding at the end the following:
       ``(e) Elimination of Barriers to Adoptions Across 
     Jurisdictional Boundaries.--
       ``(1) In general.--The Secretary shall award grants to, or 
     enter into contracts with, States, local government entities, 
     public or private child welfare or adoption agencies, 
     adoption exchanges, or adoption family groups to carry out 
     initiatives to improve efforts to eliminate barriers to 
     placing children for adoption across jurisdictional 
     boundaries.
       ``(2) Services to supplement not supplant.--Services 
     provided under grants made under this subsection shall 
     supplement, not supplant, services provided using any other 
     funds made available for the same general purposes 
     including--
       ``(A) developing a uniform homestudy standard and protocol 
     for acceptance of homestudies between States and 
     jurisdictions;
       ``(B) developing models of financing cross-jurisdictional 
     placements;
       ``(C) expanding the capacity of all adoption exchanges to 
     serve increasing numbers of children;
       ``(D) developing training materials and training social 
     workers on preparing and moving children across State lines; 
     and
       ``(E) developing and supporting initiative models for 
     networking among agencies, adoption exchanges, and parent 
     support groups across jurisdictional boundaries.''.

     SEC. 203. STUDY OF ADOPTION PLACEMENTS.

       Section 204 of the Child Abuse Prevention and Treatment and 
     Adoption Reform Act of 1978 (42 U.S.C. 5114) is amended--
       (1) by striking ``The'' and inserting ``(a) In General.--
     The'';
       (2) by striking ``of this Act'' and inserting ``of the 
     Keeping Children and Families Safe Act of 2003'';
       (3) by striking ``to determine the nature'' and inserting 
     ``to determine--
       ``(1) the nature'';
       (4) by striking ``which are not licensed'' and all that 
     follows through ``entity''; and
       (5) by adding at the end the following:
       ``(2) how interstate placements are being financed across 
     State lines;
       ``(3) recommendations on best practice models for both 
     interstate and intrastate adoptions; and
       ``(4) how State policies in defining special needs children 
     differentiate or group similar categories of children.''.

     SEC. 204. STUDIES ON SUCCESSFUL ADOPTIONS.

       Section 204 of the Child Abuse Prevention and Treatment and 
     Adoption Reform Act of 1978 (42 U.S.C. 5114) is amended by 
     adding at the end the following:
       ``(b) Dynamics of Successful Adoption.--The Secretary shall 
     conduct research (directly or by grant to, or contract with, 
     public or private nonprofit research agencies or 
     organizations) about adoption outcomes and the factors 
     affecting those outcomes. The Secretary shall submit a report 
     containing the results of such research to the appropriate 
     committees of the Congress not later than the date that is 36 
     months after the date of the enactment of the Keeping 
     Children and Families Safe Act of 2003.
       ``(c) Interjurisdictional Adoption.--Not later than 1 year 
     after the date of the enactment of the Keeping Children and 
     Families Safe Act of 2003, the Secretary shall submit to the 
     appropriate committees of the Congress a report that contains 
     recommendations for an action plan to facilitate the 
     interjurisdictional adoption of foster children.''.

     SEC. 205. AUTHORIZATION OF APPROPRIATIONS.

       Section 205(a) of the Child Abuse Prevention and Treatment 
     and Adoption Reform Act of 1978 (42 U.S.C. 5115(a)) is 
     amended to read as follows:
       ``(a) There are authorized to be appropriated $40,000,000 
     for fiscal year 2004 and such sums as may be necessary for 
     fiscal years 2005 through 2008 to carry out programs and 
     activities authorized under this subtitle.''.

                TITLE III--ABANDONED INFANTS ASSISTANCE

     SEC. 301. FINDINGS.

       Section 2 of the Abandoned Infants Assistance Act of 1988 
     (42 U.S.C. 670 note) is amended--
       (1) by striking paragraph (1);
       (2) in paragraph (2)--
       (A) by inserting ``studies indicate that a number of 
     factors contribute to'' before ``the inability of'';
       (B) by inserting ``some'' after ``inability of'';
       (C) by striking ``who abuse drugs''; and
       (D) by striking ``care for such infants'' and inserting 
     ``care for their infants'';
       (3) by amending paragraph (5) to read as follows:
       ``(5) appropriate training is needed for personnel working 
     with infants and young children with life-threatening 
     conditions and other special needs, including those who are 
     infected with the human immunodeficiency virus (commonly 
     known as `HIV'), those who have acquired immune deficiency 
     syndrome (commonly know as `AIDS'), and those who have been 
     exposed to dangerous drugs;'';
       (4) by striking paragraphs (6) and (7);
       (5) in paragraph (8), by inserting ``by parents abusing 
     drugs,'' after ``deficiency syndrome,'';
       (6) in paragraph (9), by striking ``comprehensive 
     services'' and all that follows through the semicolon at the 
     end and inserting ``comprehensive support services for such 
     infants and young children and their families and services to 
     prevent the abandonment of such infants and

[[Page S4878]]

     young children, including foster care services, case 
     management services, family support services, respite and 
     crisis intervention services, counseling services, and group 
     residential home services; and'';
       (7) by striking paragraph (11);
       (8) by redesignating paragraphs (2), (3), (4), (5), (8), 
     (9), and (10) as paragraphs (1) through (7), respectively; 
     and
       (9) by adding at the end the following:
       ``(8) Private, Federal, State, and local resources should 
     be coordinated to establish and maintain such services and to 
     ensure the optimal use of all such resources.''.

     SEC. 302. ESTABLISHMENT OF LOCAL PROGRAMS.

       Section 101 of the Abandoned Infants Assistance Act of 1988 
     (42 U.S.C. 670 note) is amended--
       (1) by striking the section heading and inserting the 
     following:

     ``SEC. 101. ESTABLISHMENT OF LOCAL PROGRAMS.''; AND

       (2) by striking subsection (b) and inserting the following:
       ``(b) Priority in Provision of Services.--The Secretary may 
     not make a grant under subsection (a) unless the applicant 
     for the grant agrees to give priority to abandoned infants 
     and young children who--
       ``(1) are infected with, or have been perinatally exposed 
     to, the human immunodeficiency virus, or have a life-
     threatening illness or other special medical need; or
       ``(2) have been perinatally exposed to a dangerous drug.''.

     SEC. 303. EVALUATIONS, STUDY, AND REPORTS BY SECRETARY.

       Section 102 of the Abandoned Infants Assistance Act of 1988 
     (42 U.S.C. 670 note) is amended to read as follows:

     ``SEC. 102. EVALUATIONS, STUDY, AND REPORTS BY SECRETARY.

       ``(a) Evaluations of Local Programs.--The Secretary shall, 
     directly or through contracts with public and nonprofit 
     private entities, provide for evaluations of projects carried 
     out under section 101 and for the dissemination of 
     information developed as a result of such projects.
       ``(b) Study and Report on Number of Abandoned Infants and 
     Young Children.--
       ``(1) In general.--The Secretary shall conduct a study for 
     the purpose of determining--
       ``(A) an estimate of the annual number of infants and young 
     children relinquished, abandoned, or found deceased in the 
     United States and the number of such infants and young 
     children who are infants and young children described in 
     section 223(b);
       ``(B) an estimate of the annual number of infants and young 
     children who are victims of homicide;
       ``(C) characteristics and demographics of parents who have 
     abandoned an infant within 1 year of the infant's birth; and
       ``(D) an estimate of the annual costs incurred by the 
     Federal Government and by State and local governments in 
     providing housing and care for abandoned infants and young 
     children.
       ``(2) Deadline.--Not later than 36 months after the date of 
     the enactment of the Keeping Children and Families Safe Act 
     of 2003, the Secretary shall complete the study required 
     under paragraph (1) and submit to the Congress a report 
     describing the findings made as a result of the study.
       ``(c) Evaluation.--The Secretary shall evaluate and report 
     on effective methods of intervening before the abandonment of 
     an infant or young child so as to prevent such abandonments, 
     and effective methods for responding to the needs of 
     abandoned infants and young children.''.

     SEC. 304. AUTHORIZATION OF APPROPRIATIONS.

       Section 104 of the Abandoned Infants Assistance Act of 1988 
     (42 U.S.C. 670 note) is amended--
       (1) by striking subsection (a) and inserting the following:
       ``(a) In General.--
       ``(1) Authorization.--For the purpose of carrying out this 
     Act, there are authorized to be appropriated $45,000,000 for 
     fiscal year 2004 and such sums as may be necessary for fiscal 
     years 2005 through 2008.
       ``(2) Limitation.--Not more than 5 percent of the amounts 
     appropriated under paragraph (1) for any fiscal year may be 
     obligated for carrying out section 224(a).'';
       (2) by striking subsection (b);
       (3) in subsection (c)--
       (A) in paragraph (1), by inserting ``Authorization.--'' 
     after ``(1)''; and
       (B) in paragraph (2)--
       (i) by inserting ``Limitation.--'' after ``(2)''; and
       (ii) by striking ``fiscal year 1991.'' and inserting 
     ``fiscal year 2003.''; and
       (4) by redesignating subsections (c) and (d) as subsections 
     (b) and (c), respectively.

     SEC. 305. DEFINITIONS.

       Section 103 of the Abandoned Infants Assistance Act of 1988 
     (42 U.S.C. 670 note) is amended to read as follows:

     ``SEC. 103. DEFINITIONS.

       ``For purposes of this Act:
       ``(1) The terms `abandoned' and `abandonment', with respect 
     to infants and young children, mean that the infants and 
     young children are medically cleared for discharge from 
     acute-care hospital settings, but remain hospitalized because 
     of a lack of appropriate out-of-hospital placement 
     alternatives.
       ``(2) The term `acquired immune deficiency syndrome' 
     includes infection with the etiologic agent for such 
     syndrome, any condition indicating that an individual is 
     infected with such etiologic agent, and any condition arising 
     from such etiologic agent.
       ``(3) The term `dangerous drug' means a controlled 
     substance, as defined in section 102 of the Controlled 
     Substances Act.
       ``(4) The term `natural family' shall be broadly 
     interpreted to include natural parents, grandparents, family 
     members, guardians, children residing in the household, and 
     individuals residing in the household on a continuing basis 
     who are in a care-giving situation with respect to infants 
     and young children covered under this subtitle.
       ``(5) The term `Secretary' means the Secretary of Health 
     and Human Services.''.

         TITLE IV--FAMILY VIOLENCE PREVENTION AND SERVICES ACT

     SEC. 401. STATE DEMONSTRATION GRANTS.

       (a) Underserved Populations.--Section 303(a)(2)(C) of the 
     Family Violence Prevention and Services Act (42 U.S.C. 
     10402(a)(2)(C)) is amended by striking ``underserved 
     populations,'' and all that follows and inserting the 
     following: ``underserved populations, as defined in section 
     2003 of the Omnibus Crime Control and Safe Streets Act of 
     1968 (42 U.S.C. 3796gg-2);''.
       (b) Report.--Section 303(a) of such Act (42 U.S.C. 
     10402(a)) is amended by adding at the end the following:
       ``(5) Upon completion of the activities funded by a grant 
     under this title, the State grantee shall submit to the 
     Secretary a report that contains a description of the 
     activities carried out under paragraph (2)(B)(i).''.

     SEC. 402. SECRETARIAL RESPONSIBILITIES.

       Section 305(a) of the Family Violence Prevention and 
     Services Act (42 U.S.C. 10404(a)) is amended--
       (1) by striking ``an employee'' and inserting ``1 or more 
     employees'';
       (2) by striking ``of this title.'' and inserting ``of this 
     title, including carrying out evaluation and monitoring under 
     this title.''; and
       (3) by striking ``The individual'' and inserting ``Any 
     individual''.

     SEC. 403. EVALUATION.

       Section 306 of the Family Violence Prevention and Services 
     Act (42 U.S.C. 10405) is amended in the first sentence by 
     striking ``Not later than two years after the date on which 
     funds are obligated under section 303(a) for the first time 
     after the date of the enactment of this title, and every two 
     years thereafter,'' and inserting ``Every 2 years,''.

     SEC. 404. INFORMATION AND TECHNICAL ASSISTANCE CENTERS.

       Section 308 of the Family Violence Prevention and Services 
     Act (42 U.S.C. 10407) is amended by striking subsection (g).

     SEC. 405. AUTHORIZATION OF APPROPRIATIONS.

       (a) General Authorization.--Section 310(a) of the Family 
     Violence Prevention and Services Act (42 U.S.C. 10409(a)) is 
     amended to read as follows:
       ``(a) In General.--There are authorized to be appropriated 
     to carry out this title $175,000,000 for each of the fiscal 
     years 2004 through 2008.''.
       (b) Grants for State Domestic Violence Coalitions.--Section 
     311(g) of such Act (42 U.S.C. 10410(g)) is amended to read as 
     follows:
       ``(g) Funding.--Of the amount appropriated pursuant to the 
     authorization of appropriations under section 310(a) for a 
     fiscal year, not less than 10 percent of such amount shall be 
     made available to award grants under this section.''.

     SEC. 406. GRANTS FOR STATE DOMESTIC VIOLENCE COALITIONS.

       Section 311 of the Family Violence Prevention and Services 
     Act (42 U.S.C. 10410) is amended by striking subsection (h).

     SEC. 407. EVALUATION AND MONITORING.

       Section 312 of the Family Violence Prevention and Services 
     Act (42 U.S.C. 10412) is amended by adding at the end the 
     following:
       ``(c) Of the amount appropriated under section 310(a) for 
     each fiscal year, not more than 2.5 percent shall be used by 
     the Secretary for evaluation, monitoring, and other 
     administrative costs under this title.''.

     SEC. 408. FAMILY MEMBER ABUSE INFORMATION AND DOCUMENTATION 
                   PROJECT.

       Section 313 of the Family Violence Prevention and Services 
     Act (42 U.S.C. 10413) is repealed.

     SEC. 409. MODEL STATE LEADERSHIP GRANTS.

       Section 315 of the Family Violence Prevention and Services 
     Act (42 U.S.C. 10415) is repealed.

     SEC. 410. NATIONAL DOMESTIC VIOLENCE HOTLINE GRANT.

       (a) Duration.--Section 316(b) of the Family Violence 
     Prevention and Services Act (42 U.S.C. 10416(b)) is amended--
       (1) by striking ``A grant'' and inserting the following:
       ``(1) In general.--Except as provided in paragraph (2), a 
     grant''; and
       (2) by adding at the end the following:
       ``(2) Extension.--The Secretary may extend the duration of 
     a grant under this section beyond the period described in 
     paragraph (1) if, prior to such extension--
       ``(A) the entity prepares and submits to the Secretary a 
     report that evaluates the effectiveness of the use of amounts 
     received under the grant for the period described in 
     paragraph (1) and contains any other information as the 
     Secretary may prescribe; and
       ``(B) the report and other appropriate criteria indicate 
     that the entity is successfully operating the hotline in 
     accordance with subsection (a).''.
       (b) Authorization of Appropriations.--Section 316(f) of 
     such Act (42 U.S.C. 10416(f)) is amended in paragraph (1) by 
     striking ``fiscal years 2001 through 2005'' and inserting 
     ``fiscal years 2004 through 2008''.

     SEC. 411. YOUTH EDUCATION AND DOMESTIC VIOLENCE.

       Section 317 of the Family Violence Prevention and Services 
     Act (42 U.S.C. 10417) is repealed.

     SEC. 412. DEMONSTRATION GRANTS FOR COMMUNITY INITIATIVES.

       (a) In General.--Section 318(h) of the Family Violence 
     Prevention and Services Act (42 U.S.C. 10418(h)) is amended 
     to read as follows:

[[Page S4879]]

       ``(h) Authorization of Appropriations.--There are 
     authorized to be appropriated to carry out this section 
     $6,000,000 for each of the fiscal years 2004 through 2008.''.
       (b) Regulations.--Section 318 of such Act (42 U.S.C. 10418) 
     is amended by striking subsection (i).

     SEC. 413. TRANSITIONAL HOUSING ASSISTANCE.

       Section 319(f) of the Family Violence Prevention and 
     Services Act (42 U.S.C. 10419(f)) is amended by striking 
     ``fiscal year 2001'' and inserting ``each of the fiscal years 
     2004 through 2008''.

     SEC. 414. TECHNICAL AND CONFORMING AMENDMENTS.

       The Family Violence Prevention and Services Act (42 U.S.C. 
     10401 et seq.) is amended as follows:
       (1) In section 302(1) by striking ``demonstrate the 
     effectiveness of assisting'' and inserting ``assist''.
       (2) In section 303(a)--
       (A) in paragraph (2)--
       (i) in subparagraph (C), by striking ``State domestic 
     violence coalitions knowledgeable individuals and interested 
     organizations'' and inserting ``State domestic violence 
     coalitions, knowledgeable individuals, and interested 
     organizations''; and
       (ii) in subparagraph (F), by adding ``and'' at the end; and
       (B) by aligning the margins of paragraph (4) with the 
     margins of paragraph (3).
       (3) In section 305(b)(2)(A) by striking ``provide for 
     research, and into'' and inserting ``provide for research 
     into''.
       (4) In section 311(a)--
       (A) in paragraph (2)(K), by striking ``other criminal 
     justice professionals,;'' and inserting ``other criminal 
     justice professionals;'' and
       (B) in paragraph (3)--
       (i) in the matter preceding subparagraph (A), by striking 
     ``family law judges,,'' and inserting ``family law judges,'';
       (ii) in subparagraph (D), by inserting ``, criminal court 
     judges,'' after ``family law judges''; and
       (iii) in subparagraph (H), by striking ``supervised 
     visitations that do not endanger victims and their children'' 
     and inserting ``supervised visitations or denial of 
     visitation to protect against danger to victims or their 
     children''.

  Mr. FRIST. Mr. President, I ask unanimous consent that the Senate 
disagree with the House amendment and request a conference, and that 
the Chair be authorized to appoint conferees, with the ratio of 3 to 2.
  The PRESIDING OFFICER. Without objection, it is so ordered.
  The Presiding Officer (Mr. Talent) appointed Mr. Gregg, Mr. 
Alexander, Mr. DeWine, Mr. Kennedy, and Mr. Dodd conferees on the part 
of the Senate.

                          ____________________