II 

116TH CONGRESS 

1ST SESSION S. 568 

To amend the Child Care and Development Block Grant Act of 1990 and 

the Head Start Act to promote child care and early learning, and for 

other purposes. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 26, 2019 

Mrs. MURRAY (for herself, Mr. CASEY, Ms. HIRONO, Ms. BALDWIN, Mr. 

BLUMENTHAL, Mr. BOOKER, Mr. BROWN, Ms. CANTWELL, Mr. CARDIN, 

Mr. COONS, Ms. CORTEZ MASTO, Ms. DUCKWORTH, Mr. DURBIN, Mrs. 

FEINSTEIN, Mrs. GILLIBRAND, Ms. HARRIS, Ms. HASSAN, Ms. KLOBUCHAR, Mr. LEAHY, Mr. MARKEY, Mr. MENENDEZ, Mr. MERKLEY, Mr. 

MURPHY, Mr. PETERS, Mr. REED, Ms. ROSEN, Mr. SANDERS, Mr. 

SCHATZ, Mr. SCHUMER, Ms. SMITH, Mr. UDALL, Mr. VAN HOLLEN, Ms. 

WARREN, Mr. WHITEHOUSE, and Mr. WYDEN) introduced the following 

bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Child Care and Development Block Grant 

Act of 1990 and the Head Start Act to promote child 

care and early learning, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Child Care for Work5 ing Families Act’’. 


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1 TITLE I—CHILD CARE AND 

2 DEVELOPMENT ASSISTANCE 

3 SEC. 101. PURPOSES. 

4 Section 658A(b) of the Child Care and Development 

5 Block Grant Act of 1990 (42 U.S.C. 9801 note) is amend6 ed— 

7 (1) by striking paragraph (1) and inserting the 

8 following: 

9 ‘‘(1) to ensure that no low- to moderate-income 

10 family pays more than 7 percent of its household in11 come on child care;’’; 

12 (2) by striking paragraph (2) and inserting the 

13 following: 

14 ‘‘(2) to support working parents in making 

15 their own decisions regarding the child care services 

16 that best suit their family’s needs;’’; 

17 (3) in paragraph (4)— 

18 (A) by striking ‘‘high-quality,’’ and insert19 ing ‘‘high-quality and inclusive, and’’; and 

20 (B) by inserting ‘‘, including before- and 

21 after-school and summer care for school-age 

22 children,’’ after ‘‘services’’; 

23 (4) in paragraph (5), by inserting before the 

24 semicolon the following: ‘‘, and to help child care 


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1 programs meet evidence-based or national standards 

2 to improve the quality of child care’’; 

3 (5) in paragraph (6)— 

4 (A) by inserting ‘‘, including children with 

5 disabilities and infants and toddlers with dis6 abilities’’ before the semicolon; and 

7 (B) by striking ‘‘and’’ at the end; 

8 (6) in paragraph (7)— 

9 (A) by striking ‘‘high-quality’’ and insert10 ing ‘‘high-quality and inclusive’’; and 

11 (B) by striking the period at the end and 

12 inserting ‘‘; and’’; and 

13 (7) by adding at the end the following: 

14 ‘‘(8) to support statewide systems to support 

15 the needs of infants and toddlers with disabilities, 

16 better coordinate child care and other services, and 

17 assist States in increasing the number of child care 

18 providers that provide high-quality and inclusive 

19 care to families of infants or toddlers with disabil20 ities and families of children with disabilities.’’. 

21 SEC. 102. APPROPRIATIONS. 

22 Section 658B of the Child Care and Development 

23 Block Grant Act of 1990 (42 U.S.C. 9858) is amended 

24 by striking all that follows the section heading and insert25 ing the following: 


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1 ‘‘(a) IN GENERAL.—There are authorized to be ap2 propriated and there are appropriated to carry out this 

3 subchapter (other than paragraphs (1) and (2) of section 

4 658O(a)) $20,000,000,000 for fiscal year 2020, 

5 $30,000,000,000 for fiscal year 2021, $40,000,000,000 

6 for fiscal year 2022, and such sums as may be necessary 

7 for fiscal year 2023 and each subsequent fiscal year. 

8 ‘‘(b) TERRITORIES; INDIAN TRIBES.—There are au9 thorized to be appropriated and there are appropriated to 

10 carry out paragraphs (1) and (2) of section 658O(a) such 

11 sums as may be necessary for fiscal year 2020 and each 

12 subsequent fiscal year.’’. 

13 SEC. 103. ESTABLISHMENT OF PROGRAM. 

14 Section 658C of the Child Care and Development 

15 Block Grant Act of 1990 (42 U.S.C. 9858a) is amended 

16 to read as follows: 

17 ‘‘SEC. 658C. ESTABLISHMENT OF CHILD CARE PROGRAM. 

18 ‘‘The Secretary is authorized to administer a child 

19 care program under which families in the State shall be 

20 provided an opportunity to obtain child care for eligible 

21 children, subject to the requirements of this subchapter.’’. 

22 SEC. 104. LEAD AGENCY. 

23 Section 658D of the Child Care and Development 

24 Block Grant Act of 1990 (42 U.S.C. 9858b) is amended— 


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1 (1) in subsection (a), by striking ‘‘a grant’’ and 

2 inserting ‘‘payments’’; and 

3 (2) in subsection (b)(1)(A), by inserting before 

4 the semicolon the following: ‘‘, including by certi5 fying the eligibility of children’’. 

6 SEC. 105. APPLICATION AND PLAN. 

7 (a) PLAN REQUIREMENTS.—Section 658E(c) of the 

8 Child Care and Development Block Grant Act of 1990 (42 

9 U.S.C. 9858c(c)) is amended— 

10 (1) in paragraph (2)— 

11 (A) in subparagraph (A)— 

12 (i) by striking the matter preceding 

13 clause (i) and inserting the following: 

14 ‘‘(A) SUPPORTING WORKING PARENTS.— 

15 Support working parents by providing assur16 ances that—’’; and 

17 (ii) by striking clause (i)(II) and in18 serting the following: 

19 ‘‘(II) to enroll such child with a 

20 child care provider who has received a 

21 child care certificate from such parent 

22 or parents;’’; 

23 (B) in subparagraph (E)— 

24 (i) in clause (i)— 


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1 (I) by striking subclause (II) and 

2 inserting the following: 

3 ‘‘(II) the State’s tiered and 

4 transparent system for measuring the 

5 quality of child care providers, de6 scribed in subparagraph (W)(i), in7 cluding— 

8 ‘‘(aa) a description of the 

9 national standards or other 

10 equally rigorous and evidence11 based standards tied to child out12 comes that the State uses for 

13 purposes of subparagraph 

14 (W)(i)(II)(aa); 

15 ‘‘(bb) the payment rates re16 ferred to in paragraph (4), for 

17 providers at each tier of such 

18 system; and 

19 ‘‘(cc) the number and per20 centage of eligible providers at 

21 each tier of such system, in total 

22 and disaggregated by geographic 

23 location;’’; 

24 (II) in subclause (IV), by insert25 ing ‘‘the program carried out under 


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1 title II of the Child Care for Working 

2 Families Act,’’ after ‘‘9831 et seq.),’’; 

3 and 

4 (III) in subclause (VII), by strik5 ing ‘‘and’’ at the end; 

6 (ii) in clause (ii), by striking the pe7 riod at the end and inserting a semicolon; 

8 and 

9 (iii) by adding at the end the fol10 lowing: 

11 ‘‘(iii) information about the State’s 

12 wage ladder described in subparagraph 

13 (G)(iii); and 

14 ‘‘(iv) information on opportunities for 

15 staff of child care providers to improve 

16 their skills and credentials, including infor17 mation about training opportunities and 

18 professional organizations that provide 

19 such training.’’; 

20 (C) in subparagraph (G)— 

21 (i) in clause (i), by striking ‘‘and pro22 fessional development requirements’’ and 

23 inserting ‘‘, professional development, and 

24 compensation requirements’’; 

25 (ii) in clause (ii)(V)— 


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1 (I) by redesignating item (dd) as 

2 item (ee); 

3 (II) in item (cc), by striking 

4 ‘‘and’’; and 

5 (III) by inserting after item (cc) 

6 the following: 

7 ‘‘(dd) infants and toddlers 

8 with disabilities; and’’; 

9 (iii) by redesignating clauses (iii) and 

10 (iv) as clauses (v) and (vi), respectively; 

11 and 

12 (iv) by inserting after clause (ii) the 

13 following: 

14 ‘‘(iii) COMPENSATION.—The plan 

15 shall provide a description of the State’s 

16 wage ladder for staff of eligible child care 

17 providers, and an assurance that wages for 

18 such staff will, at a minimum, meet the re19 quirements of paragraph (4)(B)(iii)(II). 

20 ‘‘(iv) STAKEHOLDER ENGAGEMENT.— 

21 The plan shall demonstrate how the State 

22 will facilitate participation of staff of eligi23 ble child care providers in organizations 

24 that foster the professional development 


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1 and stakeholder engagement of the child 

2 care workforce.’’; 

3 (D) in subparagraph (I)— 

4 (i) in clause (i)(XI), by striking ‘‘and’’ 

5 at the end; 

6 (ii) in clause (ii), by striking the pe7 riod and inserting ‘‘; and’’; and 

8 (iii) by adding at the end the fol9 lowing: 

10 ‘‘(iii) may include a requirement to 

11 comply with the standards recommended in 

12 the Department of Health and Human 

13 Services’ report entitled ‘Caring for Our 

14 Children Basics: Health and Safety Foun15 dations for Early Care and Education’, 

16 issued on June 25, 2015.’’; 

17 (E) in subparagraph (K)(i), in the matter 

18 preceding subclause (I), by striking ‘‘, not later 

19 than 2 years after the date of enactment of the 

20 Child Care and Development Block Grant Act 

21 of 2014,’’; 

22 (F) in subparagraph (M)— 

23 (i) by adding ‘‘investment of quality 

24 child care amounts described in section 

25 658G(a)(1),’’ after ‘‘parents,’’; 


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1 (ii) by redesignating clause (iv) as 

2 clause (v); 

3 (iii) in clause (iii), by striking ‘‘, as 

4 defined by the State; and’’ and inserting a 

5 semicolon; and 

6 (iv) by inserting after clause (iii) the 

7 following: 

8 ‘‘(iv) infants and toddlers with disabil9 ities; and’’; 

10 (G) in subparagraph (N)— 

11 (i) in clause (i)(I), by striking ‘‘, if 

12 that family income does not exceed 85 per13 cent of the State median income for a fam14 ily of the same size’’; 

15 (ii) in clause (ii), by striking ‘‘(espe16 cially parents in families receiving assist17 ance under the program of block grants to 

18 States for temporary assistance for needy 

19 families under part A of title IV of the So20 cial Security Act (42 U.S.C. 601 et 

21 seq.))’’; and 

22 (iii) by striking clause (iv); 

23 (H) in subparagraph (O)— 

24 (i) in clause (i), by striking ‘‘with pro25 grams operating’’ and all that follows and 


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1 inserting ‘‘with programs, operating at the 

2 Federal, State, and local levels for chil3 dren, that are— 

4 ‘‘(I) preschool programs, pro5 grams funded under title II of the 

6 Child Care for Working Families Act, 

7 programs funded under section 657C 

8 of the Head Start Act, tribal early 

9 childhood programs, and other early 

10 childhood programs, including those 

11 serving infants and toddlers with dis12 abilities; 

13 ‘‘(II) programs serving homeless 

14 children and children in foster care; 

15 and 

16 ‘‘(III) programs funded under 

17 the Individuals with Disabilities Edu18 cation Act (20 U.S.C. 1400 et seq.).’’; 

19 (ii) by striking clause (ii); and 

20 (iii) by redesignating clause (iii) as 

21 clause (ii); 

22 (I) in subparagraph (Q)— 

23 (i) by striking ‘‘LOW-INCOME POPU24 LATIONS’’ and inserting ‘‘CHILDREN IN

25 UNDERSERVED AREAS, CHILDREN WITH


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1 DISABILITIES, AND INFANTS AND TOD2 DLERS WITH DISABILITIES’’; 

3 (ii) by striking ‘‘high-quality’’ and in4 serting ‘‘high-quality and inclusive’’; and 

5 (iii) by inserting before the period the 

6 following: ‘‘and to children with disabilities 

7 and infants and toddlers with disabilities’’; 

8 (J) by striking subparagraph (S) and in9 serting the following: 

10 ‘‘(S) PROHIBITION ON SUSPENSIONS, EX11 PULSIONS, AND AVERSIVE BEHAVIORAL INTER12 VENTIONS.—The State plan shall provide an as13 surance that the State will provide assistance to 

14 carry out this subchapter only to eligible child 

15 care providers that prohibit— 

16 ‘‘(i) the use of suspension and expul17 sion of children; and 

18 ‘‘(ii) the use of aversive behavioral 

19 interventions.’’; 

20 (K) in subparagraph (T)— 

21 (i) in clause (i)— 

22 (I) in the matter preceding sub23 clause (I), by striking ‘‘(or develop 

24 such guidelines if the State does not 

25 have such guidelines as of the date of 


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1 enactment of the Child Care and De2 velopment Block Grant Act of 2014)’’; 

3 and 

4 (II) in subclause (I), by striking 

5 ‘‘research-based’’ and inserting ‘‘evi6 dence-based’’; and 

7 (ii) in clause (iv)— 

8 (I) by striking subclauses (II) 

9 and (III); 

10 (II) by striking ‘‘Federal Govern11 ment’’ and all that follows through 

12 ‘‘mandate’’ and inserting ‘‘Federal 

13 Government to mandate’’; and 

14 (III) by striking ‘‘section;’’ and 

15 inserting ‘‘section.’’; 

16 (L) in subparagraph (U)— 

17 (i) in clause (ii), by inserting ‘‘the 

18 State’s lead agency established or des19 ignated under section 635(a)(10) of the In20 dividuals with Disabilities Education Act 

21 (20 U.S.C. 1435(a)(10)),’’ after ‘‘the State 

22 resource and referral system,’’; and 

23 (ii) in clause (iii)(I), by inserting ‘‘in24 fants and toddlers with disabilities,’’ after 

25 ‘‘children with disabilities,’’; and 


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1 (M) by adding at the end the following: 

2 ‘‘(W) TIERED AND TRANSPARENT SYSTEM

3 FOR MEASURING THE QUALITY OF CHILD CARE

4 PROVIDERS.—The State plan shall describe how 

5 the State will develop or revise with input from 

6 child care providers, from families, and from or7 ganizations representing child care directors, 

8 teachers, and other staff, within 3 years after 

9 the date of submission of the State application, 

10 systems for measuring the quality of eligible 

11 child care providers who provide services for 

12 which assistance is made available under this 

13 subchapter, that consist of— 

14 ‘‘(i) a tiered and transparent system 

15 for measuring the quality of eligible child 

16 care providers who serve eligible children, 

17 that— 

18 ‘‘(I) applies to eligible child care 

19 providers (except providers of family, 

20 friend, or neighbor care that elect to 

21 be covered under clause (ii)); 

22 ‘‘(II) includes a set of standards, 

23 for determining the tier of quality of 

24 a child care provider, that— 


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1 ‘‘(aa) uses the degree to 

2 which the provider meets national 

3 standards (which may be Head 

4 Start program performance 

5 standards described in section 

6 641A(a) of the Head Start Act 

7 (42 U.S.C. 9836a(a)) or stand8 ards for national accreditation of 

9 early learning programs) or other 

10 equally rigorous and evidence11 based standards that are tied to 

12 child outcomes; and 

13 ‘‘(bb) includes indicators 

14 that are appropriate for different 

15 types of providers, including child 

16 care centers and family child care 

17 providers, and are appropriate 

18 for providers serving different 

19 age groups (including mixed age 

20 groups) of children, while main21 taining a high level of quality 

22 child care by all of the different 

23 types of providers and for all of 

24 the different age groups (includ25 ing mixed age groups); 


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1 ‘‘(III) includes a different set of 

2 standards that includes different indi3 cators, to be applied, when appro4 priate, for care during nontraditional 

5 hours of operation; and 

6 ‘‘(IV) in conjunction with the in7 creasing payment rates under para8 graph (4) (increasing due to factors 

9 specified in paragraph (4) such as the 

10 cost estimation model and quality 

11 basis for payment rates), provides for 

12 sufficient resources to enable stand13 ards at the entry tier for such system 

14 to increase in rigor over time; and 

15 ‘‘(ii) a separate system of quality 

16 standards for providers concerning develop17 mentally appropriate and age-appropriate 

18 care that— 

19 ‘‘(I) applies to eligible child care 

20 providers of family, friend, or neigh21 bor care (except such providers that 

22 elect to be covered under clause (i)); 

23 and 

24 ‘‘(II) includes standards for care 

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1 ation and traditional hours of oper2 ation. 

3 ‘‘(X) PROHIBITION ON CHARGING MORE

4 THAN COPAYMENT.—The State plan shall pro5 vide that, after the systems described in sub6 paragraph (W) are in effect, child care pro7 viders receiving financial assistance under this 

8 subchapter may not charge the family of an eli9 gible child more than the total of— 

10 ‘‘(i) the financial assistance provided 

11 to the family under this subchapter; and 

12 ‘‘(ii) any applicable copayment pursu13 ant to paragraph (5). 

14 ‘‘(Y) POLICIES TO SUPPORT CHILDREN

15 WITH DISABILITIES AND INFANTS AND TOD16 DLERS WITH DISABILITIES.—The State plan 

17 shall provide a description of— 

18 ‘‘(i) how the State will ensure that eli19 gible child care providers, except for pro20 viders of family, friend, or neighbor care 

21 that elect to be covered under subpara22 graph (W)(ii), will prioritize children with 

23 disabilities and infants and toddlers with 

24 disabilities for slots in programs carried 

25 out by the providers; and 


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1 ‘‘(ii) how the State will work with the 

2 State’s lead agency established or des3 ignated under section 635(a)(10) of the In4 dividuals with Disabilities Education Act 

5 (20 U.S.C. 1435(a)(10)), local educational 

6 agencies, and early intervention services 

7 providers to provide services and supports 

8 described in the Individuals with Disabil9 ities Education Act (20 U.S.C. 1400 et 

10 seq.) in inclusive child care settings to chil11 dren with disabilities, and to infants and 

12 toddlers with disabilities, who are eligible 

13 children.’’; 

14 (2) in paragraph (3)— 

15 (A) in the paragraph heading, by striking 

16 ‘‘BLOCK GRANT’’; 

17 (B) in subparagraph (A), by striking ‘‘sub18 paragraphs (B) through (D)’’ and inserting 

19 ‘‘subparagraph (C)’’; 

20 (C) by striking subparagraph (B) and in21 serting the following: 

22 ‘‘(B) CHILD CARE SERVICES AND RELATED

23 ACTIVITIES.—The State shall use amounts pro24 vided to the State for each fiscal year under 

25 this subchapter for child care services, provided 


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1 on a sliding fee scale basis, and the activities 

2 described in section 658G.’’; 

3 (D) by striking subparagraph (C); 

4 (E) in subparagraph (D), by striking ‘‘pro5 vide assistance’’ and inserting ‘‘provide assist6 ance (including providing access to programs 

7 that meet the standards for a high tier of the 

8 system described in paragraph (2)(W)(i))’’; 

9 (F) by striking subparagraph (E); and 

10 (G) by redesignating subparagraph (D) as 

11 subparagraph (C); and 

12 (3) by striking paragraphs (4) and (5) and in13 serting the following: 

14 ‘‘(4) PAYMENT RATES.— 

15 ‘‘(A) IN GENERAL.—The State plan 

16 shall— 

17 ‘‘(i) certify that payment rates for the 

18 provision of child care services for which 

19 assistance is provided in accordance with 

20 this subchapter— 

21 ‘‘(I) will be based on a cost esti22 mation model that is described in sub23 paragraph (B) and is approved by the 

24 Secretary of Health and Human Serv25 ices; and 


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1 ‘‘(II) will correspond to dif2 ferences in quality based on the 

3 State’s tiered and transparent system 

4 for measuring the quality of child care 

5 providers, described in paragraph 

6 (2)(W)(i), and based on the standards 

7 described in paragraph (2)(W)(ii); and 

8 ‘‘(ii) specify whether the State is 

9 electing— 

10 ‘‘(I) to include, in those payment 

11 rates, a bonus for serving children 

12 during nontraditional hours; or 

13 ‘‘(II) to waive the copayment de14 scribed in paragraph (5) for a child 

15 who has been identified as eligible for 

16 assistance from child protective serv17 ices. 

18 ‘‘(B) COST ESTIMATION MODEL.—The 

19 State plan shall— 

20 ‘‘(i) demonstrate that the State has, 

21 after consulting with the entities and indi22 viduals described in subparagraph (D), de23 veloped and used (not earlier than 3 years 

24 before the date of the submission of the 

25 application containing the State plan) a 


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1 statistically valid and reliable cost esti2 mation model for the rates of such child 

3 care services in the State— 

4 ‘‘(I) for providers at each of the 

5 tiers of the State’s tiered and trans6 parent system for measuring the qual7 ity of child care providers described in 

8 paragraph (2)(W)(i) (which rates re9 flect variations in the cost of child 

10 care services by geographic area, type 

11 of provider, and age of child, and the 

12 additional costs associated with pro13 viding high-quality and inclusive child 

14 care services for children with disabil15 ities and infants and toddlers with 

16 disabilities); and 

17 ‘‘(II) for providers that meet the 

18 standards described in paragraph 

19 (2)(W)(ii); 

20 ‘‘(ii) demonstrate that the State pre21 pared a detailed report containing the child 

22 care costs estimated with the State cost es23 timation model pursuant to clause (i), and 

24 made the estimated costs widely available 

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1 tion of the estimation) through periodic 

2 means, including posting the estimated 

3 costs on the Internet; 

4 ‘‘(iii) describe how the State will set 

5 payment rates for child care services, for 

6 which assistance is provided in accordance 

7 with this subchapter— 

8 ‘‘(I) in accordance with the most 

9 recent estimates from the most recent 

10 cost estimation model used pursuant 

11 to clause (i), so that providers at each 

12 tier of the tiered and transparent sys13 tem for measuring program quality 

14 receive payment that is not less than 

15 the cost of meeting the requirements 

16 of such tier; and 

17 ‘‘(II) that maintain an effective 

18 and diverse workforce by ensuring 

19 wages for staff of child care providers 

20 that— 

21 ‘‘(aa) are comparable to 

22 wages for elementary educators 

23 with similar credentials and expe24 rience in the State; and 


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1 ‘‘(bb) at a minimum, provide 

2 a living wage for all staff of child 

3 care providers; and 

4 ‘‘(iv) describe how the State will pro5 vide for timely payment for child care serv6 ices provided under this subchapter. 

7 ‘‘(C) PAYMENT PRACTICES.—The State 

8 plan shall include— 

9 ‘‘(i) a certification that the payment 

10 practices of child care providers in the 

11 State that serve children who receive as12 sistance under this subchapter reflect gen13 erally accepted payment practices of child 

14 care providers in the State that serve chil15 dren who do not receive assistance under 

16 this subchapter, including the practice of 

17 paying the providers the payment rate de18 scribed in subparagraph (A)(i) based on 

19 the number of children enrolled and not 

20 the number of children in daily attendance, 

21 so as to provide stability of funding and 

22 encourage more child care providers to 

23 serve children who receive assistance under 

24 this subchapter; and 


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1 ‘‘(ii) an assurance that the State will 

2 implement enrollment and eligibility poli3 cies that support the fixed costs of pro4 viding child care services by delinking pro5 vider payment rates from an eligible child’s 

6 occasional absences due to holidays or un7 foreseen circumstances such as illness. 

8 ‘‘(D) ENTITIES AND INDIVIDUALS CON9 SULTED.—The entities and individuals referred 

10 to in subparagraph (B)(i) are the State Advi11 sory Council on Early Childhood Education and 

12 Care designated or established in section 

13 642B(b)(1)(A)(i) of the Head Start Act (42 

14 U.S.C. 9837b(b)(1)(A)(i)), administrators of 

15 local child care programs and Head Start pro16 grams, organizations representing child care di17 rectors, teachers, and other staff, local child 

18 care resource and referral agencies, organiza19 tions representing parents of children with dis20 abilities and parents of infants and toddlers 

21 with disabilities, the State interagency coordi22 nating council established under section 641 of 

23 the Individuals with Disabilities Education Act 

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1 viduals with Disabilities Education Act (20 

2 U.S.C. 1412(a)(21)), and other appropriate en3 tities. 

4 ‘‘(5) SLIDING SCALE FOR COPAYMENTS.— 

5 ‘‘(A) IN GENERAL.—Except as provided in 

6 subparagraphs (B)(i) and (C), the State plan 

7 shall provide an assurance that the State will 

8 require— 

9 ‘‘(i) a family receiving assistance 

10 under this subchapter to pay the copay11 ment referred to in paragraph (2)(X); or 

12 ‘‘(ii) another entity to pay the copay13 ment on behalf of the family, voluntarily or 

14 in accordance with Federal law. 

15 ‘‘(B) SLIDING SCALE.—Such copayment 

16 shall be based on a sliding scale that provides 

17 that, for a family with a family income— 

18 ‘‘(i) of not more than 75 percent of 

19 State median income, the family shall not 

20 pay a copayment, toward the cost of the 

21 child care involved for all eligible children 

22 in the family; 

23 ‘‘(ii) of more than 75 percent but not 

24 more than 100 percent of State median in25 come, the copayment shall be more than 0 


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1 but not more than 2 percent of that family 

2 income, toward such cost for all such chil3 dren; 

4 ‘‘(iii) of more than 100 percent but 

5 not more than 125 percent of State me6 dian income, the copayment shall be more 

7 than 2 but not more than 4 percent of that 

8 family income, toward such cost for all 

9 such children; and 

10 ‘‘(iv) of more than 125 percent but 

11 not more than 150 percent of State me12 dian income, the copayment shall be more 

13 than 4 but not more than 7 percent of that 

14 family income, toward such cost for all 

15 such children. 

16 ‘‘(C) SPECIAL RULE.—The State shall not 

17 require a family with a child that is eligible for 

18 a Head Start program under the Head Start 

19 Act (42 U.S.C. 9831 et seq.) to pay a copay20 ment under this paragraph for any eligible child 

21 in the family.’’. 

22 SEC. 106. LIMITATIONS. 

23 Section 658F is amended— 

24 (1) by striking the section heading and insert25 ing the following: 


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1 ‘‘SEC. 658F. LIMITATIONS.’’; 

2 and 

3 (2) in subsection (b)(1), by striking ‘‘section 

4 658O(c)(6)’’ and inserting ‘‘section 658O(b)(6)’’. 

5 SEC. 107. ACTIVITIES TO IMPROVE THE QUALITY OF CHILD 

6 CARE. 

7 Section 658G of the Child Care and Development 

8 Block Grant Act of 1990 (42 U.S.C. 9848e) is amended— 

9 (1) in subsection (a)— 

10 (A) in paragraph (1), by striking ‘‘A 

11 State’’ and all that follows through ‘‘for activi12 ties’’ and inserting ‘‘A State that receives a 

13 payment under section 658J shall reserve and 

14 use the quality child care amount described in 

15 paragraph (2) for activities’’; 

16 (i) by adding ‘‘for all age groups of el17 igible children’’ before ‘‘, and is in align18 ment with’’; and 

19 (B) by striking paragraphs (2) and (3) and 

20 inserting the following: 

21 ‘‘(2) QUALITY CHILD CARE AMOUNT.—Such 

22 State shall reserve and use— 

23 ‘‘(A) during fiscal years 2020 through 

24 2022, from each payment made to the State for 

25 a fiscal year, a quality child care amount equal 

26 to 50 percent of the allotment; and 


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1 ‘‘(B) during fiscal year 2023 and each sub2 sequent fiscal year, from each of the quarterly 

3 payments made to the State for a fiscal year, 

4 a quality child care amount equal to not more 

5 than 10 percent of 25 percent of the amount 

6 made available to the State to carry out this 

7 subchapter for the second preceding fiscal 

8 year.’’; and 

9 (2) by striking subsection (b) and inserting the 

10 following: 

11 ‘‘(b) ACTIVITIES.— 

12 ‘‘(1) IN GENERAL.—Quality child care amounts 

13 reserved under subsection (a) shall be used to carry 

14 out activities that— 

15 ‘‘(A) consist of— 

16 ‘‘(i) each of the activities described in 

17 subparagraphs (A) and (B) of paragraph 

18 (2), and the activities described in para19 graph (2)(C) under the circumstances de20 scribed in that paragraph; 

21 ‘‘(ii) the activities described in para22 graph (3); 

23 ‘‘(iii) at the election of the State, the 

24 activities described in paragraph (4); 


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1 ‘‘(iv) not fewer than one of the activi2 ties described in a subparagraph of para3 graph (5); 

4 ‘‘(v) not fewer than one of the activi5 ties described in a subparagraph of para6 graph (6), or in the matter preceding sub7 paragraph (A) of paragraph (6); 

8 ‘‘(vi) each of the activities described 

9 in paragraph (7); 

10 ‘‘(vii) one or more activities described 

11 in a subparagraph of paragraph (8); and 

12 ‘‘(viii) at the election of the State dur13 ing fiscal years 2020 through 2022— 

14 ‘‘(I) remodeling, renovation, or 

15 repair permitted under section 

16 658F(b); or 

17 ‘‘(II) construction or renovation 

18 permitted under section 658O(b)(6), 

19 with priority for funding for such con20 struction or renovation given to— 

21 ‘‘(aa) providers of high-qual22 ity and inclusive care for children 

23 with disabilities and infants and 

24 toddlers with disabilities; 


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1 ‘‘(bb) care during nontradi2 tional hours; 

3 ‘‘(cc) providers in rural 

4 areas; and 

5 ‘‘(dd) providers in under6 served areas or areas of con7 centrated poverty; and 

8 ‘‘(B) will improve the quality of child care 

9 services provided in the State. 

10 ‘‘(2) QUALITY IMPROVEMENT GRANTS.—A 

11 State shall use quality child care amounts to im12 prove the quality of child care providers across the 

13 State that are eligible for assistance under this sub14 chapter, including by— 

15 ‘‘(A) making startup grants (including, in 

16 the case of providers of family, friend, or neigh17 bor care, grants for activities described in para18 graph (8)(H)) to child care providers that are 

19 not yet participating in the tiered and trans20 parent system for measuring the quality of 

21 child care providers described in section 

22 658E(c)(2)(W)(i), in a fiscal year, and that 

23 commit to improve quality so that the provider 

24 involved can participate in that system in the 

25 subsequent fiscal year; 


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1 ‘‘(B) making quality improvement grants 

2 to child care providers that meet the require3 ments for a tier of the State tiered and trans4 parent system for measuring the quality of 

5 child care providers described in section 

6 658E(c)(2)(W)(i), in a fiscal year, and that 

7 commit to improve quality so that the provider 

8 involved can meet the requirements for a higher 

9 tier in the subsequent 3 fiscal years; and 

10 ‘‘(C) renewing a grant described in sub11 paragraph (A) or (B) at the end of the applica12 ble grant period, for a provider that dem13 onstrates sufficient progress in meeting the 

14 goals for the grant. 

15 ‘‘(3) ACTIVITIES TO ASSIST HOMELESS CHIL16 DREN AND CHILDREN IN FOSTER CARE.—A State 

17 shall use quality child care amounts for activities 

18 that improve access to child care services for home19 less children and children in foster care, including— 

20 ‘‘(A) the use of procedures to permit im21 mediate enrollment of homeless children and 

22 children in foster care while required docu23 mentation is obtained; 

24 ‘‘(B) training and technical assistance on 

25 identifying and serving homeless children and 


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1 their families, and children in foster care and 

2 their foster families; and 

3 ‘‘(C) specific outreach to homeless families 

4 and foster families. 

5 ‘‘(4) CHILD CARE RESOURCE AND REFERRAL

6 SYSTEM.— 

7 ‘‘(A) IN GENERAL.—A State may use qual8 ity child care amounts to establish or support 

9 a system of local or regional child care resource 

10 and referral organizations that is coordinated, 

11 to the extent determined appropriate by the 

12 State, by a statewide public or private non13 profit, community-based or regionally based, 

14 lead child care resource and referral organiza15 tion. 

16 ‘‘(B) LOCAL OR REGIONAL ORGANIZA17 TIONS.—The local or regional child care re18 source and referral organizations supported as 

19 described in subparagraph (A) shall— 

20 ‘‘(i) provide parents in the State with 

21 consumer education information referred 

22 to in section 658E(c)(2)(E) (except as oth23 erwise provided in that section), concerning 

24 the full range of child care options (includ25 ing faith-based and community-based child 


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1 care providers), analyzed by provider, in2 cluding child care provided during non3 traditional hours, child care provided 

4 through emergency child care centers, and 

5 inclusive child care options for children 

6 with disabilities and infants and toddlers 

7 with disabilities, in their political subdivi8 sions or regions; 

9 ‘‘(ii) to the extent practicable, work 

10 directly with families who receive assist11 ance under this subchapter to offer the 

12 families support and assistance, using in13 formation described in clause (i), to make 

14 an informed decision about which child 

15 care providers they will use, in an effort to 

16 ensure that the families are enrolling their 

17 children in the most appropriate child care 

18 setting to suit their needs and one that 

19 provides high-quality and inclusive care; 

20 ‘‘(iii) collect data and provide infor21 mation on the coordination of services and 

22 supports, including services provided under 

23 section 619 and part C of the Individuals 

24 with Disabilities Education Act (20 U.S.C. 

25 1419, 1431 et seq.), for children with disVerDate Sep 11 2014 01:07 Mar 07, 2019 Jkt 089200 PO 00000 Frm 00033 Fmt 6652 Sfmt 6201 E:\BILLS\S568.IS S568

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1 abilities and infants and toddlers with dis2 abilities, and services provided under the 

3 Elementary and Secondary Education Act 

4 of 1965 (20 U.S.C. 6301 et seq.); 

5 ‘‘(iv) collect data and provide informa6 tion on the supply of and demand for child 

7 care services in political subdivisions or re8 gions within the State and submit such in9 formation to the State; 

10 ‘‘(v) work to establish partnerships 

11 with public agencies and private entities, 

12 including faith-based and community-based 

13 child care providers, to increase the supply 

14 and quality of child care services in the 

15 State; 

16 ‘‘(vi) as appropriate, coordinate their 

17 activities with the activities of the State 

18 lead agency and local agencies that admin19 ister funds made available in accordance 

20 with this subchapter; and 

21 ‘‘(vii) work to establish partnerships 

22 with the parent resource centers estab23 lished under section 672 of the Individuals 

24 with Disabilities Education Act (20 U.S.C. 

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1 sive child care options for children with 

2 disabilities and infants and toddlers with 

3 disabilities, including children with more 

4 significant disabilities and children with 

5 complex medical needs. 

6 ‘‘(5) TRAINING AND PROFESSIONAL DEVELOP7 MENT.—A State shall use quality child care amounts 

8 for supporting the training and professional develop9 ment of the child care workforce through activities 

10 such as those included under section 658E(c)(2)(G), 

11 in addition to— 

12 ‘‘(A)(i) offering training, coaching, or pro13 fessional development opportunities for child 

14 care providers that relate to the use of evi15 dence-based, developmentally appropriate and 

16 age-appropriate strategies to promote the social, 

17 emotional, physical, adaptive, communication, 

18 and cognitive development of children, including 

19 key programmatic strategies; and 

20 ‘‘(ii) offering specialized training for child 

21 care providers caring for those populations 

22 prioritized in section 658E(c)(2)(Q), homeless 

23 children, children in foster care, children who 

24 are dual language learners, and children with 


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1 disabilities and infants and toddlers with dis2 abilities; 

3 ‘‘(B) incorporating the effective use of data 

4 to guide program improvement; 

5 ‘‘(C) implementing effective behavior man6 agement strategies (and related training), in7 cluding implementing multitiered systems of 

8 support such as support through positive behav9 ior interventions and supports, and trauma in10 formed care, that— 

11 ‘‘(i) promote positive social and emo12 tional development; 

13 ‘‘(ii) prevent and reduce challenging 

14 behaviors, including by setting consistent 

15 expectations for all students; and 

16 ‘‘(iii) eliminate suspensions, expul17 sions, and aversive behavioral interven18 tions; 

19 ‘‘(D) providing training and outreach on 

20 engaging parents and families in culturally and 

21 linguistically appropriate ways, including for 

22 parents and families of dual language learners, 

23 to expand their knowledge, skills, and capacity 

24 to become meaningful partners in supporting 

25 their children’s positive development; 


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1 ‘‘(E) providing training corresponding to 

2 the nutritional and physical activity needs of 

3 children to promote healthy development; 

4 ‘‘(F) providing training or professional de5 velopment for child care providers regarding the 

6 early neurological development of children; 

7 ‘‘(G) connecting staff members of child 

8 care providers with available Federal and State 

9 financial aid, or other resources, that would as10 sist the staff members in pursuing relevant 

11 postsecondary training; 

12 ‘‘(H) creating or expanding a statewide 

13 scholarship program for child care providers to 

14 obtain credentials related to child care; 

15 ‘‘(I) creating or expanding an apprentice16 ship program for child care providers in the 

17 early years of providing child care; 

18 ‘‘(J) providing training, scholarship oppor19 tunities, or apprenticeships for multilingual 

20 adults in order to expand the supply of high21 quality, dual-language child care programs; 

22 ‘‘(K) supporting articulation agreements 

23 between public institutions of higher education 

24 that offer 2-year programs and public institu25 tions of higher education that offer 4-year proVerDate Sep 11 2014 01:07 Mar 07, 2019 Jkt 089200 PO 00000 Frm 00037 Fmt 6652 Sfmt 6201 E:\BILLS\S568.IS S568

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1 grams, for the purposes of facilitating, for child 

2 care providers or individuals seeking to become 

3 such providers, the transfer of postsecondary 

4 credits for coursework related to child care 

5 from such institutions with 2-year programs to 

6 such institutions with 4-year programs; 

7 ‘‘(L) providing training and professional 

8 development on child developmental milestones 

9 and evidence-based developmental screening 

10 practices that help identify infants, toddlers, 

11 and children to be referred for evaluation con12 cerning eligibility for services under the Individ13 uals with Disabilities Education Act (20 U.S.C. 

14 1400 et seq.); or 

15 ‘‘(M) undertaking efforts to improve the 

16 diversity of staff of eligible providers, including 

17 efforts to recruit a more diverse workforce. 

18 ‘‘(6) PROGRAMS AND SERVICES FOR INFANTS

19 AND TODDLERS.—A State shall use quality child 

20 care amounts to promote and expand child care pro21 viders’ ability to provide developmentally appropriate 

22 services for infants and toddlers through activities 

23 that may include— 

24 ‘‘(A)(i) training and professional develop25 ment; and 


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1 ‘‘(ii) coaching and technical assistance on 

2 this age group’s unique needs from statewide 

3 networks of qualified infant-toddler specialists; 

4 ‘‘(B) improving infant and toddler compo5 nents within the State’s tiered and transparent 

6 system for measuring the quality of child care 

7 providers described in section 658E(c)(2)(W)(i), 

8 for child care providers for infants and toddlers, 

9 or developing infant and toddler components in 

10 a State’s child care licensing regulations or 

11 early learning and development guidelines; 

12 ‘‘(C) improving the ability of parents to ac13 cess transparent and easy to understand con14 sumer information about high-quality and inclu15 sive care for infants and toddlers; or 

16 ‘‘(D) carrying out other activities deter17 mined by the State to improve the quality of in18 fant and toddler care provided in the State, and 

19 for which there is evidence that the activities 

20 will lead to improved infant and toddler health 

21 and safety, infant and toddler cognitive and 

22 physical development, infant and toddler well23 being, or infant and toddler social and emo24 tional development, including providing health 

25 and safety training (including training in safe 


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1 sleep practices, first aid, and cardiopulmonary 

2 resuscitation) for providers and caregivers. 

3 ‘‘(7) INCLUSIVE CARE FOR CHILDREN WITH

4 DISABILITIES AND INFANTS AND TODDLERS WITH

5 DISABILITIES.—A State shall use quality child care 

6 amounts for activities to improve the supply of eligi7 ble child care providers that provide high-quality and 

8 inclusive care for children with disabilities and in9 fants and toddlers with disabilities through activi10 ties, which shall include— 

11 ‘‘(A) offering training, professional devel12 opment, or coaching opportunities for child care 

13 providers that relate to the use of evidence14 based, developmentally appropriate, and age-ap15 propriate strategies in inclusive settings to pro16 mote the social, emotional, physical, adaptive, 

17 communication, and cognitive development of 

18 children with disabilities and infants and tod19 dlers with disabilities, and their peers; 

20 ‘‘(B) improving the ability of parents to 

21 access transparent and easy-to-understand con22 sumer information about high-quality and inclu23 sive care for children with disabilities and in24 fants and toddlers with disabilities; and 


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1 ‘‘(C) promoting and expanding child care 

2 providers’ ability to provide developmentally ap3 propriate services for infants and toddlers with 

4 disabilities through improved coordination of 

5 systems, services, and other activities with the 

6 providers and individuals who provide services 

7 or supports under the Individuals with Disabil8 ities Education Act (20 U.S.C. 1400 et seq.). 

9 ‘‘(8) OTHER ACTIVITIES.—A State may use 

10 quality child care amounts for— 

11 ‘‘(A) improving upon the development or 

12 implementation of the early learning and devel13 opmental guidelines described in section 

14 658E(c)(2)(T) by providing technical assistance 

15 to eligible child care providers that enhances 

16 the cognitive, physical, social, and emotional de17 velopment, including early childhood develop18 ment, of participating preschool and school19 aged children and supports their overall well20 being; 

21 ‘‘(B) developing, implementing, or enhanc22 ing the State’s tiered and transparent system 

23 for measuring the quality of child care pro24 viders, as described in section 

25 658E(c)(2)(W)(i); 


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1 ‘‘(C) facilitating compliance with State re2 quirements for inspection, monitoring, training, 

3 and health and safety, and with State licensing 

4 standards; 

5 ‘‘(D) evaluating and assessing the quality 

6 and effectiveness of child care programs and 

7 services offered in the State, including evalu8 ating how such programs positively impact chil9 dren; 

10 ‘‘(E) supporting child care providers in the 

11 voluntary pursuit of accreditation by a national 

12 accrediting body with demonstrated, valid, and 

13 reliable program standards of high quality; 

14 ‘‘(F) supporting State or local efforts to 

15 develop or adopt high-quality program stand16 ards relating to health, mental health, social 

17 and emotional development, nutrition, physical 

18 activity, and physical development; 

19 ‘‘(G) activities that improve the availability 

20 of child care services, activities that improve ac21 cess to child care services, and any other activ22 ity that the State determines to be appropriate 

23 to meet the purposes of this subchapter, with 

24 priority being given for services (including giv25 ing priority access to services through providers 


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1 at the highest tier of the system described in 

2 section 658E(c)(2)(W)(i)) to homeless children, 

3 children in foster care, children of families with 

4 very low family incomes (taking into consider5 ation family size), children with disabilities, and 

6 infants and toddlers with disabilities; 

7 ‘‘(H) activities to improve the quality of 

8 providers of family, friend, or neighbor care, 

9 which may include— 

10 ‘‘(i) offering education, training, busi11 ness development, apprenticeship, men12 toring, or leadership development opportu13 nities for the providers; 

14 ‘‘(ii) conducting home visits and 

15 coaching that provide one-on-one advice 

16 and support; 

17 ‘‘(iii) conducting play and learn ses18 sions or other types of peer networking; 

19 ‘‘(iv) facilitating participation in the 

20 program carried out under this subchapter 

21 or the child and adult care food program 

22 established under section 17 of the Richard 

23 B. Russell National School Lunch Act (42 

24 U.S.C. 1766); 


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1 ‘‘(v) assistance in achieving licensure, 

2 if the provider wants to become licensed; 

3 and 

4 ‘‘(vi) recruiting providers of family, 

5 friend, or neighbor care to build the supply 

6 of high-quality and inclusive care by such 

7 providers; 

8 ‘‘(I)(i) supporting eligible child care pro9 viders to eliminate suspensions, expulsions, and 

10 aversive behavioral interventions, including 

11 through adaptations and interventions by spe12 cial educators, mental health consultants, and 

13 other community resources, such as behavior 

14 coaches, psychologists, and other appropriate 

15 specialists; and 

16 ‘‘(ii) promoting multitiered systems of sup17 port such as positive behavioral interventions 

18 and supports and trauma informed care that 

19 promote positive social and emotional develop20 ment and reduce challenging behaviors; 

21 ‘‘(J) activities to improve the supply and 

22 quality of child care programs and services to 

23 provide high-quality and inclusive care for 

24 school-age children, which may include— 


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1 ‘‘(i) establishing or expanding high2 quality and inclusive school-age child care 

3 standards and a system of supports for 

4 such care that align with best practices for 

5 before- and after-school care and summer 

6 care; 

7 ‘‘(ii) enhancing professional develop8 ment and technical assistance opportuni9 ties for providers of school-age care; and 

10 ‘‘(iii) improving the ability of parents 

11 to access transparent and easy to under12 stand consumer information about high13 quality and inclusive school-age care; 

14 ‘‘(K) establishing or expanding high-qual15 ity and inclusive community or neighborhood16 based family and child development centers, 

17 which shall serve as resources for child care 

18 providers in order to improve the quality of 

19 early childhood services provided to children 

20 from low-income families and to help eligible 

21 child care providers improve their capacity to 

22 offer high-quality and inclusive, age-appropriate 

23 care; 


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1 ‘‘(L) establishing or expanding the oper2 ation of community or neighborhood-based fam3 ily child care networks; or 

4 ‘‘(M) supporting eligible child care pro5 viders in providing accessible comprehensive 

6 services for children and their families, includ7 ing— 

8 ‘‘(i) screenings of vision, hearing, 

9 health (including mental health), dental 

10 health, and development (including early 

11 literacy and math skill development), which 

12 shall be coordinated with the activities car13 ried out through the comprehensive child 

14 find system under the Individuals with 

15 Disabilities Education Act (20 U.S.C. 

16 1400 et seq.); 

17 ‘‘(ii)(I) family engagement opportuni18 ties that take into account the language 

19 spoken in the child’s home, such as parent 

20 conferences (with opportunities for parents 

21 to provide input about the child’s develop22 ment); and 

23 ‘‘(II) support services, such as parent 

24 education, home visiting, and family lit25 eracy services; 


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1 ‘‘(iii)(I) nutrition services, including 

2 provision of nutritious meals and snack op3 tions aligned with the requirements in the 

4 most recent guidelines promulgated by the 

5 Secretary of Agriculture for the Child and 

6 Adult Care Food Program authorized 

7 under section 17 of the Richard B. Russell 

8 National School Lunch Act (42 U.S.C. 

9 1766); and 

10 ‘‘(II) regular, age-appropriate, nutri11 tion education for children and their fami12 lies; 

13 ‘‘(iv) programs, carried out in coordi14 nation with local educational agencies and 

15 entities providing services and supports au16 thorized under part B and part C of the 

17 Individuals with Disabilities Education Act 

18 (20 U.S.C. 1411 et seq.; 1431 et seq.), to 

19 ensure the full participation of infants and 

20 toddlers with disabilities and children with 

21 disabilities in high-quality and inclusive 

22 child care settings; 

23 ‘‘(v) physical activity programs that— 

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1 ommended by the Health and Medi2 cine Division of the National Acad3 emies of Sciences, Engineering, and 

4 Medicine; and 

5 ‘‘(II) take into account and ac6 commodate the needs of children with 

7 disabilities; and 

8 ‘‘(vi) on-site service coordination, to 

9 the maximum extent feasible.’’. 

10 SEC. 108. ADMINISTRATION AND ENFORCEMENT. 

11 Section 658I of the Child Care and Development 

12 Block Grant Act of 1990 (42 U.S.C. 9858g) is amended— 

13 (1) in subsection (a)— 

14 (A) in paragraph (2), by striking ‘‘child 

15 care standards’’ and inserting ‘‘standards for 

16 child care described in clauses (i) and (ii) of 

17 section 658E(c)(2)(W)’’; 

18 (B) in paragraph (3), by inserting ‘‘and’’ 

19 after the semicolon; 

20 (C) in paragraph (4), by striking ‘‘; and’’ 

21 and inserting a period; and 

22 (D) by striking paragraph (5); 

23 (2) in subsection (b)(2)(A), by striking ‘‘State 

24 allotment’’ and inserting ‘‘State payments’’; and 

25 (3) by striking subsection (c). 


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1 SEC. 109. STATE QUARTERLY PAYMENTS. 

2 (a) IN GENERAL.—Section 658J of the Child Care 

3 and Development Block Grant Act of 1990 (42 U.S.C. 

4 9858h) is amended to read as follows: 

5 ‘‘SEC. 658J. PAYMENTS TO STATES. 

6 ‘‘(a) DEFINITIONS.—In this section: 

7 ‘‘(1) FMAP.—The term ‘FMAP’ has the mean8 ing given the term in the first sentence of section 

9 1905(b) of the Social Security Act (42 U.S.C. 

10 1396d(b)). 

11 ‘‘(2) INFANT OR TODDLER.—The term ‘infant 

12 or toddler’ means a child under age 3. 

13 ‘‘(b) PAYMENTS TO STATES.— 

14 ‘‘(1) IN GENERAL.—Except as provided in para15 graphs (2) and (3), the Secretary shall pay to each 

16 State with an application approved under section 

17 658E an amount for each quarter equal to the 

18 FMAP of expenditures in the quarter— 

19 ‘‘(A) for child care assistance under the 

20 plan for eligible children, other than such chil21 dren who are infants or toddlers; and 

22 ‘‘(B) to carry out activities under section 

23 658G, subject to the limit specified in section 

24 658G(a)(2). 

25 ‘‘(2) CHILD CARE ASSISTANCE FOR INFANTS OR

26 TODDLERS.—The Secretary shall pay to each State 


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1 with such an approved application an amount for 

2 each quarter equal to 90 percent of expenditures in 

3 the quarter for child care assistance under the plan 

4 for eligible children who are infants or toddlers. 

5 ‘‘(3) ADMINISTRATION.—The Secretary shall 

6 pay to each State with such an approved application 

7 an amount for each quarter equal to 50 percent of 

8 expenditures in the quarter for the costs incurred by 

9 the State in carrying out sections 658H and 658K, 

10 and other reasonable costs incurred by the State to 

11 administer the plan. 

12 ‘‘(c) ADVANCE PAYMENT; RETROSPECTIVE ADJUST13 MENT.— 

14 ‘‘(1) IN GENERAL.—The Secretary may make 

15 payments under this section for each quarter on the 

16 basis of advance estimates of expenditures submitted 

17 by the State and such other investigation as the Sec18 retary may find necessary, and may reduce or in19 crease the payments as necessary to adjust for any 

20 overpayment or underpayment for previous quarters. 

21 ‘‘(2) LIMITATIONS.—The Secretary may not 

22 make such payments in a manner that prevents a 

23 State from complying with the requirement specified 

24 in section 658E(c)(3). 


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1 ‘‘(d) FLEXIBILITY IN SUBMITTAL OF CLAIMS.— 

2 Nothing in this section shall be construed as preventing 

3 a State from claiming as expenditures in a quarter ex4 penditures that were incurred in a previous quarter. 

5 ‘‘(e) STATE ENTITLEMENT.—This subchapter con6 stitutes budget authority in advance of appropriations 

7 Acts and represents the obligation of the Federal Govern8 ment to provide for payments to States under this section 

9 from amounts provided under section 658B(a).’’. 

10 (b) EFFECTIVE DATE.—The amendments made by 

11 this section take effect on October 1, 2020. 

12 SEC. 110. REPORTING. 

13 Section 658K(a)(1)(B) of the Child Care and Devel14 opment Block Grant Act of 1990 (42 U.S.C. 

15 9858i(a)(1)(B)) is amended— 

16 (1) in clause (x), by striking ‘‘and’’; 

17 (2) by transferring clause (xi) so as to appear 

18 after clause (x); 

19 (3) in clause (xi), by inserting ‘‘and’’ after the 

20 semicolon; and 

21 (4) by inserting after clause (xi) the following: 

22 ‘‘(xii) whether the children receiving 

23 assistance under this subchapter are either 

24 children with disabilities or infants and 

25 toddlers with disabilities;’’. 


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1 SEC. 111. PRIORITY; WEBSITE. 

2 Section 658L of the Child Care and Development 

3 Block Grant Act of 1990 (42 U.S.C. 9858j) is amended— 

4 (1) in subsection (a)— 

5 (A) in the first sentence, by striking 

6 ‘‘Committee on Education and the Workforce’’ 

7 and inserting ‘‘Committee on Education and 

8 Labor’’; and 

9 (B) in the third sentence, by striking 

10 ‘‘658E(c)(3)(B)’’ and inserting ‘‘section 

11 658G(b)(8)(G)’’; and 

12 (2) in subsection (b)(2)(B)— 

13 (A) in clause (ii), by striking ‘‘a Quality 

14 Rating and Improvement System’’ and inserting 

15 ‘‘a tiered and transparent system for measuring 

16 the quality of child care providers described in 

17 section 658E(c)(2)(W)(i) and’’; 

18 (B) in clause (iv), by striking ‘‘and’’ at the 

19 end; 

20 (C) in clause (v), by striking the period 

21 and inserting ‘‘; and’’; and 

22 (D) by inserting at the end the following: 

23 ‘‘(vi) information about— 

24 ‘‘(I) high-quality and inclusive 

25 care for children with disabilities and 

26 infants and toddlers with disabilities, 


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1 including child care with early inter2 vention services under part C of the 

3 Individuals with Disabilities Edu4 cation Act (20 U.S.C. 1431 et seq.) 

5 for infants and toddlers with disabil6 ities and their families, and child care 

7 with services and supports under part 

8 B of the Individuals with Disabilities 

9 Education Act (20 U.S.C. 1431 et 

10 seq.) for children with disabilities; and 

11 ‘‘(II) other Federal, State, or 

12 local programs that may support in13 clusive child care for infants and tod14 dlers, or children, referred to in sub15 clause (I).’’. 

16 SEC. 112. NONDISCRIMINATION. 

17 Section 658N of the Child Care and Development 

18 Block Grant Act of 1990 (42 U.S.C. 9858l) is amended— 

19 (1) in subsection (a)— 

20 (A) in paragraph (1)(A), by striking ‘‘this 

21 section’’ and inserting ‘‘this subsection’’; 

22 (B) by striking paragraph (2); 

23 (C) by redesignating paragraphs (3) and 

24 (4) as paragraphs (2) and (3), respectively; and 

25 (D) in paragraph (3)— 


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1 (i) in the paragraph heading, by strik2 ing ‘‘AND ADMISSION’’; 

3 (ii) by striking ‘‘(1)(B), (2), and (3)’’ 

4 and inserting ‘‘(1)(B) and (2)’’; 

5 (iii) by striking ‘‘and admissions’’; 

6 and 

7 (iv) by striking ‘‘or admissions’’; 

8 (2) in subsection (b)— 

9 (A) in the subsection heading, by striking 

10 ‘‘STATE LAW’’ and inserting ‘‘OTHER LAWS’’; 

11 (B) by striking ‘‘Nothing’’ and inserting 

12 the following: 

13 ‘‘(1) EXPENDITURES.—Nothing’’; and 

14 (C) by adding at the end the following: 

15 ‘‘(2) RIGHTS, REMEDIES, PROCEDURES, OR

16 STANDARDS.—Nothing in this subchapter shall be 

17 construed to invalidate or limit rights, remedies, pro18 cedures, or legal standards available to victims of 

19 discrimination in employment or in provision of pro20 grams and activities under any other Federal law or 

21 law of a State or political subdivision of a State, in22 cluding the Civil Rights Act of 1964 (42 U.S.C. 

23 2000a et seq.), title IX of the Education Amend24 ments of 1972 (20 U.S.C. 1681 et seq.), section 504 

25 or 505 of the Rehabilitation Act of 1973 (29 U.S.C. 


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1 794, 794a), or the Americans with Disabilities Act 

2 of 1990 (42 U.S.C. 12101 et seq.). The obligations 

3 imposed by this subchapter are in addition to those 

4 imposed by the Civil Rights Act of 1964 (42 U.S.C. 

5 2000a et seq.), title IX of the Education Amend6 ments of 1972 (20 U.S.C. 1681 et seq.), section 504 

7 of the Rehabilitation Act of 1973 (29 U.S.C. 794), 

8 and the Americans with Disabilities Act of 1990 (42 

9 U.S.C. 12101 et seq.).’’; and 

10 (3) by adding at the end the following: 

11 ‘‘(c) NONDISCRIMINATION IN PROGRAMS AND AC12 TIVITIES.— 

13 ‘‘(1) IN GENERAL.—Except as described in 

14 paragraph (2), no person in the United States shall, 

15 on the basis of actual or perceived race, color, reli16 gion, national origin, sex, sexual orientation, gender 

17 identity, or disability, be excluded from participation 

18 in, be denied the benefits of, or be subjected to dis19 crimination under any program or activity funded in 

20 whole or in part, with funds made available under 

21 this subchapter or with amounts appropriated for 

22 grants, contracts, or certificates administered with 

23 such funds. 

24 ‘‘(2) PREFERENCE IN ENROLLMENT.—If assist25 ance provided under this subchapter, and any other 


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1 Federal or State program, amounts to less than 80 

2 percent of the operating budget of a child care pro3 vider that receives such assistance, a child care pro4 vider may select children for child care slots that are 

5 not funded directly with assistance provided under 

6 this subchapter because such children or their family 

7 members participate on a regular basis in other ac8 tivities of the organization that owns or operates 

9 such provider.’’. 

10 SEC. 113. INDIAN TRIBES AND NATIONAL ACTIVITIES. 

11 (a) IN GENERAL.—Section 658O of the Child Care 

12 and Development Block Grant Act of 1990 (42 U.S.C. 

13 9858m) is amended— 

14 (1) by striking the heading and inserting the 

15 following: 

16 ‘‘SEC. 658O. INDIAN TRIBES AND NATIONAL ACTIVITIES.’’; 

17 (2) in subsection (a)— 

18 (A) in paragraph (1)— 

19 (i) by striking ‘‘one half of 1 percent 

20 of the amount appropriated under this 

21 subchapter’’ and inserting ‘‘a portion of 

22 the amount appropriated under section 

23 658B(b)’’; and 


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1 (ii) by striking ‘‘to be allotted’’ and all 

2 that follows and inserting the following: 

3 ‘‘to be allotted by the Secretary— 

4 ‘‘(A) in accordance with the respective 

5 needs of those territories; and 

6 ‘‘(B) taking into consideration— 

7 ‘‘(i) the population of eligible children, 

8 and the population of eligible children from 

9 low-income families, to be served by the 

10 territory involved; and 

11 ‘‘(ii) the cost of child care in the terri12 tory.’’; 

13 (B) in paragraph (2)— 

14 (i) by striking ‘‘(2) INDIANS TRIBES’’ 

15 and all that follows through ‘‘658B in’’ 

16 and inserting ‘‘(2) INDIAN TRIBES.—The 

17 Secretary shall reserve the remainder of 

18 the amount appropriated under section 

19 658B(b) in’’; 

20 (ii) by striking ‘‘subsection (c)’’ and 

21 inserting ‘‘subsection (b)’’; and 

22 (iii) by striking subparagraph (B); 

23 (C) in paragraph (3), by striking ‘‘reserve 

24 up to $1,500,000 of the amount appropriated 

25 under this subchapter’’ and inserting ‘‘reserve 


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1 and use such sums as the Secretary may deter2 mine to be necessary of the amount appro3 priated under section 658B(a)’’; 

4 (D) in paragraph (4), by striking ‘‘reserve 

up to 1 5 ⁄2 of 1 percent of the amount appro6 priated under this subchapter’’ and inserting 

7 ‘‘reserve and use such sums as the Secretary 

8 may determine to be necessary of the amount 

9 appropriated under section 658B(a)’’; and 

10 (E) in paragraph (5), by striking ‘‘reserve 

1 11 ⁄2 of 1 percent of the amount appropriated 

12 under this subchapter’’ and inserting ‘‘reserve 

13 and use such sums as the Secretary may deter14 mine to be necessary of the amount appro15 priated under section 658B(a)’’; 

16 (3) by striking subsection (b); 

17 (4) in subsection (c)— 

18 (A) in paragraph (3)— 

19 (i) in subparagraph (A), by striking 

20 ‘‘and’’ at the end; 

21 (ii) in subparagraph (B), by striking 

22 the period and inserting ‘‘; and’’; and 

23 (iii) by adding at the end the fol24 lowing: 


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1 ‘‘(C)(i) the population of Indian or Native 

2 Hawaiian eligible children, and the population 

3 of Indian or Native Hawaiian eligible children 

4 from low-income families, to be served by the 

5 Indian tribe or tribal organization; 

6 ‘‘(ii) the cost of child care in the area to 

7 be served by the tribe or organization; and 

8 ‘‘(iii) whether awarding a grant or contract 

9 to the tribe or organization will increase the 

10 number of programs that reach standards de11 scribed in subsection (a)(1)(B)(iii);’’; and 

12 (B) in paragraph (6)— 

13 (i) by inserting ‘‘(or other recipient of 

14 funds through a State payment under sec15 tion 658J (referred to in this paragraph as 

16 a ‘covered recipient’))’’ after ‘‘organiza17 tion’’ the first place it appears; and 

18 (ii) except as provided in subpara19 graph (A), by inserting ‘‘(or other covered 

20 recipient)’’ after ‘‘organization’’ each place 

21 it appears; 

22 (5) by redesignating subsection (c) as sub23 section (b); 

24 (6) by striking subsection (d); 

25 (7) in subsection (e)— 


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1 (A) by striking paragraphs (1) through 

2 (3); 

3 (B) by striking ‘‘(e) REALLOTMENTS.—’’ 

4 and all that follows through ‘‘Any’’ and insert5 ing ‘‘(e) REALLOTMENTS.—Any’’; and 

6 (C) by striking ‘‘subsection (c)’’ each place 

7 it appears and inserting ‘‘subsection (b)’’; and 

8 (8) by redesignating subsections (e) and (f) as 

9 subsections (c) and (d), respectively. 

10 (b) EFFECTIVE DATE.—This section takes effect on 

11 October 1, 2020. 

12 SEC. 114. DEFINITIONS. 

13 Section 658P of the Child Care and Development 

14 Block Grant Act of 1990 (42 U.S.C. 9858n) is amended— 

15 (1) in paragraph (2)— 

16 (A) by inserting ‘‘child care provider on be17 half of a’’ before ‘‘parent’’; and 

18 (B) by striking ‘‘who may use such certifi19 cate only as payment’’; 

20 (2) in paragraph (3)— 

21 (A) by striking subparagraph (B); and 

22 (B) by redesignating subparagraphs (C) 

23 and (D) as subparagraphs (B) and (C), respec24 tively; 


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1 (3) in paragraph (4)(B), by striking ‘‘85 per2 cent’’ and inserting ‘‘150 percent (100 percent for 

3 fiscal year 2020, 115 percent for fiscal year 2021, 

4 and 130 percent for fiscal year 2022)’’; and 

5 (4) by adding at the end the following: 

6 ‘‘(16) FOSTER CARE.— 

7 ‘‘(A) IN GENERAL.—The term ‘foster care’ 

8 means 24-hour substitute care for a child 

9 placed away from the child’s parents or guard10 ians and for whom the State agency has place11 ment and care responsibility. The term includes 

12 care through a placement in a foster family 

13 home, a foster home of a relative, a group 

14 home, an emergency shelter, a residential facil15 ity, a child care institution, or a pre-adoptive 

16 home. 

17 ‘‘(B) RULE.—A child shall be considered 

18 to be in foster care in accordance with subpara19 graph (A) regardless of— 

20 ‘‘(i) whether the foster care facility is 

21 licensed and payments are made by the 

22 State or local agency for the care of the 

23 child; 


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1 ‘‘(ii) whether adoption subsidy pay2 ments are being made prior to the finaliza3 tion of an adoption; or 

4 ‘‘(iii) whether there are Federal 

5 matching funds for any payments de6 scribed in clause (i) or (ii) that are made. 

7 ‘‘(17) GENDER IDENTITY.—The term ‘gender 

8 identity’ means the gender-related identity, appear9 ance, mannerisms, or other gender-related character10 istics of an individual, regardless of the individual’s 

11 designated sex at birth. 

12 ‘‘(18) HIGH-QUALITY AND INCLUSIVE CARE.— 

13 The term ‘high-quality and inclusive’, used with re14 spect to care (including child care), means care pro15 vided by an eligible child care provider— 

16 ‘‘(A) that is at the highest tier of the 

17 State’s tiered and transparent system for meas18 uring the quality of child care providers, under 

19 section 658E(c)(2)(W)(i); 

20 ‘‘(B) for whom the percentage of children 

21 served by the provider who are children with 

22 disabilities and infants and toddlers with dis23 abilities reflects the prevalence of children with 

24 disabilities and infants and toddlers with dis25 abilities among children within the State; and 


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1 ‘‘(C) that provides care for children with 

2 disabilities and infants and toddlers with dis3 abilities alongside children who are— 

4 ‘‘(i) not infants and toddlers with dis5 abilities; and 

6 ‘‘(ii) not children with disabilities. 

7 ‘‘(19) HOMELESS CHILD.—The term ‘homeless 

8 child’ means an individual who is a homeless child 

9 or youth under section 725 of the McKinney-Vento 

10 Homeless Assistance Act (42 U.S.C. 11434). 

11 ‘‘(20) INFANT OR TODDLER WITH A DIS12 ABILITY.—The term ‘infant or toddler with a dis13 ability’ has the meaning given the term in section 

14 632 of the Individuals with Disabilities Education 

15 Act (20 U.S.C. 1432). 

16 ‘‘(21) KEY PROGRAMMATIC STRATEGIES.—The 

17 term ‘key programmatic strategies’ means strategies 

18 related to— 

19 ‘‘(A) nutrition and physical activity; 

20 ‘‘(B) recommended practices for age-ap21 propriate exposure to screen media; and 

22 ‘‘(C) the integration and utilization of in23 structional methods to assist learning across 

24 disciplines, including methods that use the arts, 


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1 language, literacy, mathematics, science, and 

2 social studies. 

3 ‘‘(22) SEX.—The term ‘sex’ includes— 

4 ‘‘(A) a sex stereotype; 

5 ‘‘(B) pregnancy, childbirth, or a related 

6 medical condition; and 

7 ‘‘(C) sexual orientation or gender identity. 

8 ‘‘(23) SEXUAL ORIENTATION.—The term ‘sex9 ual orientation’ means homosexuality, hetero10 sexuality, or bisexuality.’’. 

11 SEC. 115. MISCELLANEOUS PROVISIONS. 

12 Section 658S of the Child Care and Development 

13 Block Grant Act of 1990 (42 U.S.C. 9858q) is amended— 

14 (1) by striking ‘‘Notwithstanding’’ and insert15 ing the following: 

16 ‘‘(a) CHILD CARE NOT TREATED AS INCOME.—Not17 withstanding’’; and 

18 (2) by adding at the end the following: 

19 ‘‘(b) RULE OF CONSTRUCTION FOR COLLECTIVE

20 BARGAINING.—Nothing in this subchapter shall be con21 strued to alter, diminish, or otherwise affect the rights, 

22 remedies, and procedures afforded to individuals employed 

23 by schools or local educational agencies, or teachers and 

24 other staff employed by child care providers— 


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1 ‘‘(1) under Federal, State, or local laws (includ2 ing applicable regulations or court orders); or 

3 ‘‘(2) under the terms of collective bargaining 

4 agreements, memoranda of understanding, or other 

5 agreements between schools, agencies, or providers 

6 that are referred to in this subsection, and their em7 ployees.’’. 

8 SEC. 116. CONFORMING AMENDMENT. 

9 The Child Care and Development Block Grant Act 

10 of 1990 (42 U.S.C. 9858 et seq.) is amended by striking 

11 the subchapter heading and inserting the following: 

12 ‘‘Subchapter C—Child Care and Development 

13 Assistance’’. 

14 SEC. 117. TRANSITION RULE. 

15 (a) IN GENERAL.—During fiscal years 2020 through 

16 2022, the Secretary of Health and Human Services— 

17 (1) shall make allotments and payments to 

18 States and Indian tribes under section 658J and 

19 658O of the Child Care and Development Block 

20 Grant Act of 1990 (42 U.S.C. 9858h, 9858m), as in 

21 effect immediately before the date of enactment of 

22 this Act, subject to subsection (b); and 

23 (2) shall carry out section 658E(c)(3) of that 

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1 graphs (C) and (E) of that section, as in effect on 

2 that day. 

3 (b) ADJUSTMENTS.—During fiscal years 2020 

4 through 2022, the Secretary shall have authority to make 

5 such adjustments as may be necessary to carry out sub6 section (a) and to transition to making quarterly payments 

7 under section 658J and allotments under 658O of the 

8 Child Care and Development Block Grant Act, as amend9 ed by this Act. 

10 SEC. 118. EFFECTIVE DATE. 

11 This title, and the amendments made by this title, 

12 take effect on October 1, 2019. 

13 TITLE II—HIGH-QUALITY 

14 PRESCHOOL 

15 SEC. 201. FORMULA GRANTS TO STATES TO ESTABLISH 

16 VOLUNTARY HIGH-QUALITY PRESCHOOL 

17 PROGRAMS. 

18 (a) DEFINITIONS.—In this section: 

19 (1) CHILD WITH A DISABILITY.—The term 

20 ‘‘child with a disability’’ has the meaning given the 

21 term in section 602 of the Individuals with Disabil22 ities Education Act (20 U.S.C. 1401). 

23 (2) DUAL LANGUAGE LEARNER.—The term 

24 ‘‘dual language learner’’ means an individual who is 


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1 limited English proficient, as defined in section 637 

2 of the Head Start Act (42 U.S.C. 9832). 

3 (3) ELIGIBLE CHILD.—The term ‘‘eligible 

4 child’’ means a child who is— 

5 (A) age 3, 4, or 5; 

6 (B) not yet enrolled in kindergarten; and 

7 (C) a member of a family with a family in8 come that does not exceed 150 percent of the 

9 State median income for a family of the same 

10 size. 

11 (4) ELIGIBLE PROVIDER.—The term ‘‘eligible 

12 provider’’ includes a local educational agency, Head 

13 Start program funded under the Head Start Act (42 

14 U.S.C. 9831 et seq.), licensed child care center, li15 censed family child care home, and community- or 

16 neighborhood-based family child care network, 

17 that— 

18 (A) participates in the State’s tiered and 

19 transparent system for measuring program 

20 quality described in section 658E(c)(2)(W)(i) of 

21 the Child Care and Development Block Grant 

22 Act of 1990 (42 U.S.C. 9858c(c)(2)(W)(i)); and 

23 (B) meets the highest tier of such system. 

24 (5) FOSTER CARE.— 


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1 (A) IN GENERAL.—The term ‘‘foster care’’ 

2 means 24-hour substitute care for a child 

3 placed away from the child’s parents or guard4 ians and for whom the State agency has place5 ment and care responsibility. The term includes 

6 care through a placement in a foster family 

7 home, a foster home of a relative, a group 

8 home, an emergency shelter, a residential facil9 ity, a child care institution, or a pre-adoptive 

10 home. 

11 (B) RULE.—A child shall be considered to 

12 be in foster care in accordance with subpara13 graph (A) regardless of— 

14 (i) whether the foster care facility is 

15 licensed and payments are made by the 

16 State or local agency for the care of the 

17 child; 

18 (ii) whether adoption subsidy pay19 ments are being made prior to the finaliza20 tion of an adoption; or 

21 (iii) whether there are Federal match22 ing funds for any payments described in 

23 clause (i) or (ii) that are made. 

24 (6) GOVERNOR.—The term ‘‘Governor’’ means 

25 the chief executive officer of a State. 


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1 (7) HIGH-NEED SCHOOL.—The term ‘‘high-need 

2 school’’ means an elementary school in which not 

3 less than 50 percent of the enrolled students are 

4 children from low-income families, as defined in sec5 tion 2221(b)(3)(B) of the Elementary and Sec6 ondary Education Act of 1965 (20 U.S.C. 

7 6641(b)(3)(B)). 

8 (8) HIGH-NEED LOCAL EDUCATIONAL AGEN9 CY.—The term ‘‘high-need local educational agency’’ 

10 means a local educational agency that serves a high 

11 percentage of high-need schools. 

12 (9) HOMELESS CHILD.—The term ‘‘homeless 

13 child’’ means an individual who is a homeless child 

14 or youth under section 725 of the McKinney-Vento 

15 Homeless Assistance Act (42 U.S.C. 11434). 

16 (10) INFANT OR TODDLER WITH A DIS17 ABILITY.—The term ‘‘infant or toddler with a dis18 ability’’ has the meaning given the term in section 

19 632 of the Individuals with Disabilities Education 

20 Act (20 U.S.C. 1432). 

21 (11) KEY PROGRAMMATIC STRATEGIES.—The 

22 term ‘‘key programmatic strategies’’ means strate23 gies related to— 

24 (A) nutrition and physical activity; 


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1 (B) recommended practices for age-appro2 priate exposure to screen media; and 

3 (C) the integration and utilization of in4 structional methods to assist learning across 

5 disciplines, including methods that use the arts, 

6 language, literacy, mathematics, science, and 

7 social studies. 

8 (12) LOW-INCOME CHILD.—The term ‘‘low-in9 come child’’ means a child who is a member of a 

10 family with a family income that is at or below 200 

11 percent of the poverty line. 

12 (13) OUTLYING AREAS.—The term ‘‘outlying 

13 areas’’ means the United States Virgin Islands, 

14 Guam, American Samoa, and the Commonwealth of 

15 the Northern Mariana Islands. 

16 (14) POVERTY LINE.—The term ‘‘poverty line’’ 

17 means the official poverty line (as defined by the Of18 fice of Management and Budget)— 

19 (A) adjusted to reflect the percentage 

20 change in the Consumer Price Index for All 

21 Urban Consumers, issued by the Bureau of 

22 Labor Statistics, occurring in the 1-year period 

23 or other interval immediately preceding the date 

24 such adjustment is made; and 

25 (B) adjusted for family size. 


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1 (15) SPECIALIZED INSTRUCTIONAL SUPPORT

2 PERSONNEL.—The term ‘‘specialized instructional 

3 support personnel’’ has the meaning given such term 

4 in section 8101(47)(A) of the Elementary and Sec5 ondary Education Act (20 U.S.C. 7801(47)). 

6 (16) STATE.—The term ‘‘State’’ means each of 

7 the 50 States, the District of Columbia, and the 

8 Commonwealth of Puerto Rico. 

9 (b) ALLOTMENTS TO STATES.— 

10 (1) RESERVATION.—From the total amount ap11 propriated to carry out this section for a fiscal year, 

12 the Secretary of Health and Human Services, in col13 laboration with the Secretary of Education, shall— 

14 (A) reserve not less than 1 percent and not 

15 more than 2 percent for payments to Indian 

16 tribes and tribal organizations; 

(B) reserve 1 17 ⁄2 of 1 percent for the outlying 

18 areas to be distributed among the outlying 

19 areas on the basis of their relative need, as de20 termined by the Secretary of Health and 

21 Human Services in accordance with the pur22 poses of this section; 

(C) reserve 1 23 ⁄2 of 1 percent for eligible 

24 local entities that serve children in families who 


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1 are engaged in migrant or seasonal agricultural 

2 labor; 

3 (D) reserve not more than 1 percent or 

4 $30,000,000, whichever amount is less, for na5 tional activities, including administration, tech6 nical assistance, and evaluation; and 

7 (E) reserve 5 percent for State leadership 

8 activities described in subsection (c), including 

9 the grants described in such subsection. 

10 (2) ALLOTMENT FORMULA.— 

11 (A) IN GENERAL.—Except as provided in 

12 subparagraph (B), from the total amount ap13 propriated to carry out this section for a fiscal 

14 year that remains after making the reservations 

15 under paragraph (1), the Secretary of Health 

16 and Human Services, in collaboration with the 

17 Secretary of Education, shall allot to each State 

18 for the fiscal year that has an application ap19 proved under subsection (d) an amount that 

20 bears the same ratio to such remainder as the 

21 number of children who are below the age of 6 

22 who reside within the State and whose families 

23 have an income at or below 200 percent of the 

24 poverty line for the most recent year for which 

25 satisfactory data are available, bears to the 


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1 number of such children who reside in all such 

2 States for such most recent fiscal year for 

3 which satisfactory data are available. 

4 (B) MINIMUM ALLOTMENT AMOUNT.—No 

5 State receiving an allotment under subpara6 graph (A) for a fiscal year shall receive less 

than 1 7 ⁄2 of 1 percent of the total amount allot8 ted under such subparagraph for the fiscal 

9 year. 

10 (c) STATE RESERVATION.— 

11 (1) IN GENERAL.—The State leadership activi12 ties described in this subsection shall improve equi13 table access to high-quality preschool programs oper14 ated by eligible providers across the State, including 

15 programs in high-need local educational agencies, 

16 which shall include— 

17 (A) ongoing professional development op18 portunities for school principals, school super19 intendents, teachers, specialized instructional 

20 support personnel, and teacher assistants to im21 prove their practices, which may include activi22 ties that— 

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1 priate practices and preparing classrooms 

2 with materials and equipment for young 

3 children; 

4 (ii) promote children’s development 

5 across all of the essential domains of early 

6 learning and development; 

7 (iii) improve curricula and teacher8 child interaction; 

9 (iv) incorporate the inclusion of key 

10 programmatic strategies into classroom in11 struction; 

12 (v) increase effective family engage13 ment, including for families of dual lan14 guage learners; 

15 (vi) provide culturally competent in16 struction, including effective instruction for 

17 children with disabilities and dual language 

18 learners; 

19 (vii) improve social and emotional de20 velopment; 

21 (viii) incorporate positive behavioral 

22 interventions and supports and principles 

23 of trauma-informed care; 

24 (ix) align preschool curricula with ele25 mentary school standards and curricula; 


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1 (x) engage teachers, teacher leaders, 

2 early childhood educators, and other pro3 fessionals in joint professional learning op4 portunities, as described in section 

5 2103(b)(3)(G) of the Elementary and Sec6 ondary Education Act of 1965 (20 U.S.C. 

7 6613(b)(3)(G)); and 

8 (xi) improve the transition of children 

9 from preschool to elementary school; 

10 (B) completing the Preschool Equity Re11 view and distributing grants as described in 

12 paragraph (2) in accordance with the results of 

13 such review; 

14 (C) expanding or establishing scholarships, 

15 counseling, and compensation initiatives to 

16 cover the cost of tuition, fees, materials, trans17 portation, and release time for staff of eligible 

18 providers to pursue credentials and degrees, in19 cluding bachelor’s degrees; and 

20 (D) partnerships between institutions of 

21 higher education and eligible providers, includ22 ing high-need local educational agencies, to im23 prove access to early childhood educators, in24 cluding educators serving dual language learn25 ers and children with disabilities. 


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1 (2) GRANTS TO IMPROVE EQUITABLE ACCESS

2 TO HIGH-QUALITY PRESCHOOL PROGRAMS.— 

3 (A) IN GENERAL.—From amounts reserved 

4 under subsection (b)(1)(E), a State shall make 

5 grants to rectify resource inequities in preschool 

6 programs and expand access to high-quality 

7 preschool programs for all children, including 

8 children described in items (aa) through (dd) of 

9 subparagraph (B)(ii)(I). Such grants shall be 

10 awarded to high-need local educational agencies 

11 in order to improve their capacity to offer high12 quality preschool programs for eligible children, 

13 which may include paying the costs of renova14 tion. 

15 (B) PRESCHOOL EQUITY REVIEW.— 

16 (i) IN GENERAL.—Each State making 

17 grants under subparagraph (A) shall com18 plete an annual Preschool Equity Review 

19 that informs the distribution of funds 

20 under such subparagraph. 

21 (ii) CONTENTS OF REVIEW.—Each 

22 Preschool Equity Review shall include data 

23 on— 

24 (I) the percentage of children 

25 participating in preschool programs 


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1 funded under this section, 

2 disaggregated by status as— 

3 (aa) children with disabil4 ities; 

5 (bb) low-income children; 

6 (cc) children from major 

7 ethnic and racial groups; and 

8 (dd) dual language learners; 

9 (II) the geographic location of 

10 preschool programs funded under this 

11 section; 

12 (III) the quality of preschool pro13 grams funded under the section, com14 pared to such programs not funded 

15 under this section; and 

16 (IV) resource inequities between 

17 preschool programs, including pro18 grams serving a high percentage of 

19 children described in items (aa) 

20 through (dd) of subclause (I). 

21 (d) STATE APPLICATION.—In order to receive an al22 lotment under this section, the Governor of a State shall 

23 submit an application at such time and in such manner 

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1 laboration with the Secretary of Education, may require. 

2 Such application shall include each of the following: 

3 (1) A description of how the State will provide 

4 access to high-quality preschool during the school 

5 day for eligible children in the State within 3 years, 

6 which shall include the following: 

7 (A) How the State plans to distribute 

8 funds from the State’s allotment to eligible pro9 viders, including an assurance that the Gov10 ernor will designate a State-level entity (such as 

11 an agency or joint interagency office) for the 

12 administration of the grant. 

13 (B) An explanation of how the State will 

14 ensure that eligible providers receiving funds 

15 under this section will use research-based cur16 ricula that are aligned with State early learning 

17 standards that are developmentally appropriate 

18 and include, at a minimum, each of the fol19 lowing domains: 

20 (i) Language development. 

21 (ii) Literacy. 

22 (iii) Mathematics. 

23 (iv) Science. 

24 (v) Creative arts. 

25 (vi) Social and emotional development. 


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1 (vii) Approaches to learning. 

2 (viii) Physical development. 

3 (C) How the State will coordinate services 

4 provided under this section with services and 

5 supports provided under the Child Care and 

6 Development Block Grant Act of 1990 (42 

7 U.S.C. 9858 et seq.), section 619 and part C of 

8 the Individuals with Disabilities Education Act 

9 (20 U.S.C. 1419; 1431 et seq.), the Head Start 

10 Act (42 U.S.C. 9831 et seq.), the Preschool De11 velopment Grants program under section 9212 

12 of the Every Student Succeeds Act (42 U.S.C. 

13 9831 note), the Elementary and Secondary 

14 Education Act of 1965 (20 U.S.C. 6301 et 

15 seq.), the McKinney-Vento Homeless Assistance 

16 Act (42 U.S.C. 11301 et seq.) and the mater17 nal, infant, and early childhood home visiting 

18 programs assisted under section 511 of the So19 cial Security Act (42 U.S.C. 711). 

20 (D) How the State will improve transitions 

21 from early childhood education to elementary 

22 school, including how the State will ensure that 

23 preschool programs— 


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1 (i) share relevant data between early 

2 childhood educators and kindergarten 

3 teachers; 

4 (ii) share instructional, behavioral, 

5 and other information between early child6 hood educators and kindergarten teachers 

7 to best support the transition of children 

8 with disabilities who may need services and 

9 supports provided under part B of the In10 dividuals with Disabilities Education Act 

11 (42 U.S.C. 1411 et seq.) into general edu12 cation settings; and 

13 (iii) share information about the pro14 ficiency of dual language learners in both 

15 English and their native language. 

16 (E) How the State will provide ongoing 

17 monitoring and support and conduct evalua18 tions of preschool programs funded under this 

19 section. 

20 (F) How the State has reviewed the stra21 tegic plan developed under section 9212 of the 

22 Every Student Succeeds Act (42 U.S.C. 9831 

23 note) or engaged in a similar strategy to facili24 tate coordination of existing early learning and 

25 care programs in a mixed delivery system. 


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1 (G) If the State funds full-day kinder2 garten programs, but such full-day kinder3 garten programs are not available to all chil4 dren who are eligible to attend such programs 

5 in the State, how the State plans to increase 

6 the number of children in the State who are en7 rolled in full-day kindergarten programs and a 

8 strategy to implement such a plan. 

9 (H) If the State does not fund full-day 

10 kindergarten programs, a description of how 

11 the State plans to establish such programs to 

12 strengthen the educational continuum for chil13 dren who will be involved in the State’s high14 quality preschool program supported under this 

15 title. 

16 (2) An assurance that all preschool programs 

17 funded under this section will— 

18 (A) offer programming that meets the du19 ration requirements in the program perform20 ance standards applicable to Head Start pro21 grams described in section 641A of the Head 

22 Start Act (42 U.S.C. 9836a); 

23 (B) adopt policies and practices to provide 

24 expedited enrollment, including prioritization, 

25 to— 


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1 (i) homeless children; 

2 (ii) children in foster care; and 

3 (iii) migratory children; 

4 (C) conduct outreach to families of— 

5 (i) homeless children; 

6 (ii) dual language learners; 

7 (iii) children in foster care; 

8 (iv) children with disabilities; 

9 (v) infants and toddlers with disabil10 ities; and 

11 (vi) migratory children; 

12 (D) provide salaries to staff of eligible pro13 viders that are on the same pay scale as ele14 mentary school educators with similar creden15 tials and experience; 

16 (E) require high staff qualifications for 

17 teachers, including, at a minimum, meeting the 

18 staff qualifications included in the quality 

19 standards of the National Institute for Early 

20 Education Research that are in effect on the 

21 date of enactment of this Act by not later than 

22 4 years after the date the State first receives an 

23 allotment under this section; and 

24 (F) determine whether children are dual 

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1 sure the full and effective participation of such 

2 learners and their families. 

3 (3) An assurance that the State will provide as4 sistance under this section only to eligible providers 

5 that prohibit the use of suspension, expulsion, and 

6 aversive behavioral interventions. 

7 (4) An assurance that the State will meet the 

8 requirements of clauses (ii) and (iii) of section 

9 658E(c)(2)(T) of the Child Care and Development 

10 Block Grant Act of 1990 (42 U.S.C. 

11 9858c(c)(2)(T)(ii) and (iii)). 

12 (e) USE OF FUNDS.—A State that receives an allot13 ment under subsection (b)(2) for a fiscal year shall use 

14 the allotment to carry out the activities described in the 

15 State’s application described in subsection (d). 

16 (f) MATCH REQUIRED.—A State that receives an al17 lotment under subsection (b)(2) for a fiscal year shall pro18 vide matching funds from non-Federal sources in an 

19 amount equal to 10 percent of the Federal funds that such 

20 State receives under such subsection for the fiscal year. 

21 (g) REPORTING.— 

22 (1) IN GENERAL.—Each State that receives an 

23 allotment under subsection (b)(2) shall prepare an 

24 annual report, in such manner and containing such 


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1 information as the Secretary of Health and Human 

2 Services may reasonably require. 

3 (2) CONTENTS.—A report prepared under para4 graph (1) shall contain, at a minimum— 

5 (A) a description of the manner in which 

6 the State has used the funds made available 

7 through the allotment and a report of the ex8 penditures made with the funds; 

9 (B) a summary of the State’s progress to10 ward providing access to high-quality preschool 

11 programs for eligible children; 

12 (C) an evaluation of the State’s progress 

13 towards improving equitable access to high14 quality preschool, as measured by the Preschool 

15 Equity Review described in subsection 

16 (c)(2)(B), disaggregated by the categories 

17 under subsection (c)(2)(B)(ii)(I); 

18 (D) the number and percentage of children 

19 in the State participating in eligible preschool 

20 programs, disaggregated by race, ethnicity, 

21 family income, child age, disability, and whether 

22 the children are homeless children, children in 

23 foster care, or dual language learners; 

24 (E) data on the number and percentage of 

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1 dergarten programs, disaggregated by race, 

2 family income, child age, disability, and whether 

3 the children are homeless children, children in 

4 foster care, or dual language learners, with in5 formation on whether such programs are of6 fered— 

7 (i) for a full day; and 

8 (ii) at no cost to families; and 

9 (F) data on the kindergarten readiness of 

10 children across the State. 

11 (h) MAINTENANCE OF EFFORT.— 

12 (1) IN GENERAL.—If a State reduces its com13 bined fiscal effort per child for its State preschool 

14 program or State supplemental assistance funds for 

15 Head Start programs assisted under the Head Start 

16 Act (42 U.S.C. 9831 et seq.) for any fiscal year that 

17 a State receives an allotment under subsection 

18 (b)(2) relative to the previous fiscal year, the Sec19 retary of Health and Human Services, in collabora20 tion with the Secretary of Education, shall reduce 

21 support for such State under such subsection by the 

22 same amount as the decline in State effort for such 

23 fiscal year. 

24 (2) WAIVER.—The Secretary of Health and 

25 Human Services, in collaboration with the Secretary 


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1 of Education, may waive the requirements of para2 graph (1) if— 

3 (A) the Secretaries determine that a waiv4 er would be appropriate due to a precipitous de5 cline in the financial resources of a State as a 

6 result of unforeseen economic hardship or a 

7 natural disaster that has necessitated across8 the-board reductions in State services during 

9 the 5-year period preceding the date of the de10 termination, including for early childhood edu11 cation programs; or 

12 (B) due to the circumstances of a State re13 quiring reductions in specific programs, includ14 ing early childhood education, the State pre15 sents to the Secretaries a justification and dem16 onstration why other programs could not be re17 duced and how early childhood programs in the 

18 State will not be disproportionately harmed by 

19 such State action. 

20 (i) SUPPLEMENT NOT SUPPLANT.—Funds received 

21 under this section shall be used to supplement and not 

22 supplant other Federal, State, and local public funds ex23 pended on early childhood education programs in the 

24 State. 


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1 (j) APPROPRIATIONS.—There is authorized to be ap2 propriated, and there is appropriated, to carry out this 

3 section, $8,000,000,000 for each of fiscal years 2020 

4 through 2030. 

5 TITLE III—HEAD START 

6 EXTENDED DURATION 

7 SEC. 301. EXTENDED DURATION. 

8 (a) IN GENERAL.—The Head Start Act (42 U.S.C. 

9 9801 et seq.) is amended— 

10 (1) by redesignating section 657C (42 U.S.C. 

11 9852c) as section 657D; and 

12 (2) by inserting after section 657B (42 U.S.C. 

13 9852b) the following: 

14 ‘‘SEC. 657C. EXTENDED DURATION. 

15 ‘‘(a) IN GENERAL.—The Secretary shall make grants 

16 to Head Start (including Early Head Start) agencies 

17 funded under this subchapter to enable such agencies— 

18 ‘‘(1) to provide access to a full school year and 

19 a full school day of services; 

20 ‘‘(2) in the case of a migrant and seasonal 

21 Head Start agency, to provide access to additional 

22 service hours to ensure continuous Head Start serv23 ices as determined by the Secretary; or 

24 ‘‘(3) in the case of a Head Start agency (in25 cluding Early Head Start agency) that already 


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1 meets the full-day, full-year services needs within its 

2 community, to enhance the quality of Head Start 

3 services (including Early Head Start services) pro4 vided to children served by such agency. 

5 ‘‘(b) APPLICATION.— 

6 ‘‘(1) IN GENERAL.—To be eligible to receive a 

7 grant under this section, a Head Start agency shall 

8 submit an application at such time and in such man9 ner as the Secretary may require. Such application 

10 shall include— 

11 ‘‘(A) evidence of— 

12 ‘‘(i) the number and percentage of 

13 slots— 

14 ‘‘(I) in the agency’s Head Start 

15 center-based programs (that are not 

16 Early Head Start programs)— 

17 ‘‘(aa) that are currently 

18 funded (as of the date of submis19 sion of the application); and 

20 ‘‘(bb) in which services are 

21 provided for at least the equiva22 lent of 1,020 hours per year; and 

23 ‘‘(II) in the agency’s Early Head 

24 Start center-based programs— 


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1 ‘‘(aa) that are currently 

2 funded (as of that date); and 

3 ‘‘(bb) in which services are 

4 provided for at least the equiva5 lent of 1,380 hours per year; and 

6 ‘‘(ii) the number and percentage of 

7 slots, in the agency’s Head Start family 

8 child care programs— 

9 ‘‘(I) that are currently funded 

10 (as of that date); and 

11 ‘‘(II) in which services are pro12 vided for at least the equivalent of 

13 1,380 hours per year; 

14 ‘‘(B) a description of an approach, using 

15 the current community-wide strategic planning 

16 and needs assessment described in section 

17 640(g)(1)(C) of the Head Start Act (42 U.S.C. 

18 9835(g)(1)(C)) and current program schedule 

19 (current as of the date of submission of the ap20 plication), that transitions all of the agency’s 

21 Head Start programs to a full school day, full 

22 school year program schedule; and 

23 ‘‘(C) a budget justification that estimates 

24 the supplemental funding necessary to provide 

25 for incremental ongoing operating costs for the 


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1 extended hours of service under such a program 

2 schedule for the current enrollment in the agen3 cy’s Head Start programs. 

4 ‘‘(2) EXCEPTIONS.— 

5 ‘‘(A) MIGRANT AND SEASONAL HEAD

6 START.— 

7 ‘‘(i) IN GENERAL.—A migrant and 

8 seasonal Head Start agency may apply for 

9 a grant described in subsection (a) without 

10 meeting the requirements specified in para11 graph (1) to ensure continuous Head Start 

12 services are provided to children enrolled in 

13 a migrant and seasonal Head Start pro14 gram. To be eligible to receive the grant, 

15 the agency shall submit an application at 

16 such time and in such manner as the Sec17 retary may require. 

18 ‘‘(ii) PRIORITY.—In making grants to 

19 applicants described in clause (i), the Sec20 retary shall give priority to a migrant and 

21 seasonal Head Start agency operating for 

22 fewer than 8 months per year. 

23 ‘‘(B) FULL-DAY, FULL-YEAR HEAD START

24 AGENCIES.— 


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1 ‘‘(i) IN GENERAL.—A Head Start 

2 agency (including an Early Head Start 

3 agency) that certifies to the Secretary that 

4 it is meeting the full-day, full-year need 

5 within its community may apply for a 

6 grant to enhance the quality of services 

7 provided to children enrolled in its Head 

8 Start program (including its Early Head 

9 Start program) in accordance with sub10 section (c)(2). 

11 ‘‘(ii) APPLICATION.—A Head Start 

12 (including Early Head Start) agency that 

13 meets the requirements of clause (i) shall 

14 submit an application, which shall in15 clude— 

16 ‘‘(I) the proposed uses of funds 

17 in accordance with subsection (c)(2); 

18 and 

19 ‘‘(II) how such uses of funds re20 late to the community-wide strategic 

21 planning and needs assessment de22 scribed under section 640(g)(1)(C). 

23 ‘‘(c) USE OF FUNDS.— 

24 ‘‘(1) EXTENDED DURATION.—A Head Start 

25 agency that meets the requirements of paragraph 


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1 (1) or (2) of subsection (a) receiving a grant under 

2 this section shall use the grant funds to cover the 

3 costs associated with extending those hours of serv4 ice for the current enrollment, such as additional 

5 costs for— 

6 ‘‘(A) the purchase, rental, renovation, and 

7 maintenance of additional facilities; 

8 ‘‘(B) ongoing purchases of classroom sup9 plies; 

10 ‘‘(C) staff providing services during the ex11 tended hours; and 

12 ‘‘(D) professional development to staff 

13 transitioning to providing services during the 

14 extended hours. 

15 ‘‘(2) ENHANCING PROGRAM QUALITY.—A Head 

16 Start (including Early Head Start) agency that 

17 meets the requirements of subsection (a)(3) shall use 

18 funds for the activities authorized under section 

19 640(a)(5)(B). 

20 ‘‘(3) EXCEPTION.—The Head Start agency 

21 shall not use the grant funds to expand the number 

22 of children served in the Head Start program (in23 cluding Early Head Start programs) of the agency. 

24 ‘‘(d) RESERVATIONS.— 


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1 ‘‘(1) ACTIVITIES.—From the total amount ap2 propriated to carry out this section, the Secretary 

3 shall— 

4 ‘‘(A) for making grants for the activities 

5 described in subsection (c)(1)(A), reserve 

6 $4,000,000,000 of the funds appropriated for 

7 fiscal year 2020; and 

8 ‘‘(B) for making grants for the activities 

9 described in any of subparagraphs (B) through 

10 (D) of subsection (c)(1), reserve— 

11 ‘‘(i) $490,000,000 of the funds appro12 priated for fiscal year 2020; 

13 ‘‘(ii) $780,000,000 of the funds ap14 propriated for fiscal year 2021; and 

15 ‘‘(iii) $1,070,000,000 of the funds ap16 propriated for fiscal year 2022. 

17 ‘‘(2) PRIORITY.—The Secretary shall prioritize 

18 Head Start agencies (including Early Head Start 

19 agencies) that are applying to use funds to carry out 

20 the activities described in subsection (a)(1). 

21 ‘‘(3) MIGRANT OR SEASONAL HEAD START PRO22 GRAMS.—From the amount appropriated to carry 

23 out this section for a fiscal year and reserved under 

24 paragraph (1)(B), the Secretary shall reserve 4.5 


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1 percent for migrant or seasonal Head Start pro2 grams. 

3 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

4 are authorized to be appropriated to carry out this sec5 tion— 

6 ‘‘(1) $3,876,000,000 for fiscal year 2020; 

7 ‘‘(2) $648,000,000 for fiscal year 2021; and 

8 ‘‘(3) $1,019,000,000 for fiscal year 2022. 

9 ‘‘(f) DEFINITIONS.—In this section: 

10 ‘‘(1) FULL SCHOOL DAY; FULL SCHOOL

11 YEAR.—The terms ‘full school day’ and ‘full school 

12 year’ mean such a day and year, respectively, within 

13 the meaning of the Head Start Program Perform14 ance standards issued under section 641A(a). 

15 ‘‘(2) MIGRANT AND SEASONAL HEAD START

16 AGENCY.—The term ‘migrant and seasonal Head 

17 Start agency’ means an agency that is funded under 

18 this subchapter to provide a migrant and seasonal 

19 Head Start program.’’. 

20 (b) CONFORMING AMENDMENTS.—Section 640 of the 

21 Head Start Act (42 U.S.C. 9835) is amended— 

22 (1) in subsection (a)(6), by striking ‘‘appro23 priated under this subchapter’’ each place it appears 

24 and inserting ‘‘appropriated under section 639’’; and 

25 (2) in subsection (g)(3)(A)— 


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1 (A) by striking ‘‘amount appropriated’’ 

2 each place it appears and inserting ‘‘amount 

3 appropriated under section 639’’; 

4 (B) by striking ‘‘services provided under 

5 this subchapter’’ and inserting ‘‘services pro6 vided under this subchapter (other than section 

7 657C)’’; and 

8 (C) by striking ‘‘agency under this sub9 chapter’’ and inserting ‘‘agency under this sub10 chapter (other than section 657C)’’. 

11 TITLE IV—APPROPRIATIONS 

12 FOR SUPPORTS AND SERV13 ICES FOR INCLUSIVE CHILD 

14 CARE FOR INFANTS, TOD15 DLERS, AND CHILDREN WITH 

16 DISABILITIES 

17 SEC. 401. APPROPRIATIONS FOR SUPPORTS AND SERVICES 

18 FOR INCLUSIVE CHILD CARE FOR INFANTS, 

19 TODDLERS, AND CHILDREN WITH DISABIL20 ITIES. 

21 There is authorized to be appropriated and there is 

22 appropriated for each State for each quarter an amount 

23 that is equal to 5 percent of the payment to such State 

24 for such quarter under section 658J of the Child Care and 


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1 Development Block Grant Act of 1990 (42 U.S.C. 9858h) 

2 to be used by— 

3 (1) the State’s lead agency designated or estab4 lished under section 635(a)(10) of the Individuals 

5 with Disabilities Education Act (20 U.S.C. 

6 1435(a)(10)) to provide early intervention services 

7 for infants and toddlers with disabilities (as defined 

8 in section 632 of the Individuals with Disabilities 

9 Education Act (20 U.S.C. 1432)) and their families 

10 in settings that provide high-quality inclusive care to 

11 such children; and 

12 (2) the State to provide services and supports 

13 to children with disabilities (as defined in section 

14 658P of the Child Care and Development Block 

15 Grant Act of 1990 (42 U.S.C. 9858n)) in settings 

16 that provide high-quality inclusive care to such chil17 dren. 

18 TITLE V—MATERNAL, INFANT, 

19 AND EARLY CHILDHOOD 

20 HOME VISITING PROGRAM 

21 SEC. 501. SENSE OF SENATE. 

22 It is the sense of the Senate that— 

23 (1) from the prenatal period to the first day of 

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1 gresses at a pace exceeding that of any subsequent 

2 stage of life; 

3 (2) as reported by the National Academy of 

4 Sciences in 2001, striking disparities exist in what 

5 children know and can do that are evident well be6 fore they enter kindergarten; these differences are 

7 strongly associated with social and economic cir8 cumstances, and they are predictive of subsequent 

9 academic performance; 

10 (3) research has consistently demonstrated that 

11 investments in high-quality programs that serve in12 fants and toddlers better position those children for 

13 success in elementary, secondary, and postsecondary 

14 education as well as helping children develop the 

15 critical physical, emotional, social, and cognitive 

16 skills that they will need for the rest of their lives; 

17 (4) in 2011, there were 11,000,000 infants and 

18 toddlers living in the United States and 49 percent 

19 of these children came from low-income families liv20 ing with incomes at or below 200 percent of the 

21 Federal poverty guidelines; 

22 (5) the Maternal, Infant, and Early Childhood 

23 Home Visiting (MIECHV) program was authorized 

24 by Congress to facilitate collaboration and partner25 ship at the Federal, State, and community levels to 


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1 improve health and development outcomes for at-risk 

2 children, including those from low-income families, 

3 through evidence-based home visiting programs; 

4 (6) MIECHV is an evidence-based policy initia5 tive and its authorizing legislation requires that at 

6 least 75 percent of funds dedicated to the program 

7 must support programs to implement evidence-based 

8 home visiting models, which includes the home-based 

9 model of Early Head Start; 

10 (7) in fiscal year 2016, MIECHV served ap11 proximately 160,000 parents and children, which is 

12 only a small portion of those eligible, in 893 counties 

13 covering all 50 States, the District of Columbia, and 

14 5 territories; and 

15 (8) Congress should increase its investment in 

16 MIECHV to support the work of States to help 

17 more at-risk families voluntarily receive home visits 

18 from home visitors to— 

19 (A) promote maternal, infant, and child 

20 health; 

21 (B) improve school readiness and achieve22 ment; 

23 (C) prevent potential child abuse or neglect 

24 and injuries; 


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1 (D) support family economic self-suffi2 ciency; 

3 (E) reduce crime or domestic violence; and 

4 (F) improve coordination or referrals for 

5 community resources and supports. 

Æ 


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