IB 

Union Calendar No. 559 

110TH CONGRESS 

2D SESSION H. R. 2343 

[Report No. 110–818, Part I] 

To expand quality programs of early childhood home visitation that increase 

school readiness, child abuse and neglect prevention, and early identification of developmental and health delays, including potential mental health 

concerns, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 16, 2007 

Mr. DAVIS of Illinois (for himself and Mr. PLATTS) introduced the following 

bill; which was referred to the Committee on Education and Labor, and 

in addition to the Committee on Armed Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such 

provisions as fall within the jurisdiction of the committee concerned 

AUGUST 1, 2008 

Reported from the Committee on Education and Labor with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

AUGUST 1, 2008 

Referral to the Committee on Armed Services extended for a period ending 

not later than September 12, 2008 

SEPTEMBER 12, 2008 

Referral to the Committee on Armed Services extended for a period ending 

not later than September 19, 2008 

SEPTEMBER 19, 2008 

Additional sponsors: Mr. LARSON of Connecticut, Mr. EDWARDS, Mr. BISHOP

of Georgia, Mr. CLAY, Mr. MCCOTTER, Mr. LAHOOD, Mr. HULSHOF, 

Mrs. DAVIS of California, Mr. BOSWELL, Mr. BOUCHER, Mr. PRICE of 

North Carolina, Mr. MOORE of Kansas, Mr. GONZALEZ, Mr. HINOJOSA, 

Mr. HONDA, Mr. JEFFERSON, Mr. MILLER of North Carolina, Mr. 

PETRI, Mr. KUCINICH, Mr. MCHUGH, Mr. CARNAHAN, Ms. WOOLSEY, 

Mr. GRIJALVA, Ms. LINDA T. SA ́NCHEZ of California, Mr. MICHAUD, Ms. 


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DELAURO, Mr. ABERCROMBIE, Mr. SOUDER, Mrs. MCCARTHY of New 

York, Ms. CORRINE BROWN of Florida, Mr. BRADY of Pennsylvania, Mr. 

EHLERS, Mr. CONYERS, Ms. HOOLEY, Mr. CUMMINGS, Mr. ALLEN, Ms. 

SCHAKOWSKY, Mr. HARE, Mr. ALTMIRE, Mr. COOPER, Mr. DOGGETT, 

Ms. BALDWIN, Mr. PAYNE, Mr. HINCHEY, Mrs. CHRISTENSEN, Mr. KENNEDY, Mr. SCOTT of Virginia, Mr. KUHL of New York, Mr. RUSH, Mr. 

MCDERMOTT, Ms. JACKSON-LEE of Texas, Mr. MCNULTY, Mr. EMANUEL, Mr. BERRY, Mr. INSLEE, Mr. RENZI, Mr. LOEBSACK, Ms. HIRONO, 

Mr. WAMP, Mr. TIERNEY, Mr. HOLT, Mr. JOHNSON of Georgia, Mr. KILDEE, Mr. WU, Mr. MURTHA, and Ms. MOORE of Wisconsin 

SEPTEMBER 19, 2008 

Committee on Armed Services discharged; committed to the Committee of the 

Whole House on the State of the Union and ordered to be printed 

[For text of introduced bill, see copy of bill as introduced on May 16, 2007] 

A BILL 

To expand quality programs of early childhood home visitation that increase school readiness, child abuse and neglect prevention, and early identification of developmental 

and health delays, including potential mental health concerns, 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 ‘‘Education Begins at 

5 Home Act of 2008’’. 

6 SEC. 2. FINDINGS AND PURPOSES. 

7 (a) FINDINGS.—Congress finds that— 

8 (1) the home is the first and most important 

9 learning environment for children, and parents are 

10 their children’s first and most influential teacher; 


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1 (2) parent education and family support can 

2 promote parents’ ability to enhance their children’s 

3 development from birth until entry into kindergarten, 

4 thereby helping parents to prepare their children for 

5 success in school; 

6 (3) undiagnosed and unaddressed developmental 

7 and health problems can impede overall child develop8 ment and school readiness; 

9 (4) all parents deserve and can benefit from— 

10 (A) research-based information regarding 

11 child development; 

12 (B) enrichment opportunities with their 

13 children; and 

14 (C) early opportunities to become involved 

15 with their communities and schools; and 

16 (5) early childhood home visitation leads to posi17 tive outcomes for children and families, including 

18 readiness for school, improved child health and devel19 opment, positive parenting practices, and reductions 

20 in child maltreatment. 

21 (b) PURPOSES.—The purposes of this Act are as fol22 lows: 

23 (1) To enable States, Indian tribes, tribal orga24 nizations, territories, or possessions to deliver quality 

25 programs of early childhood home visitation to pregVerDate Aug 31 2005 21:52 Sep 22, 2008 Jkt 069200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6203 E:\BILLS\H2343.RH H2343

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1 nant women and parents of children from birth until 

2 entry into kindergarten in order to promote positive 

3 outcomes for children and families including: readi4 ness for school, improved child health and develop5 ment, positive parenting practices, reductions in child 

6 maltreatment, and enhanced parenting abilities to 

7 support their children’s optimal cognitive, language, 

8 social-emotional, and physical development. 

9 (2) To expand quality programs of early child10 hood home visitation so as to more effectively reach 

11 and serve families with English language learners. 

12 (3) To expand quality programs of early child13 hood home visitation so as to more effectively reach 

14 and serve families serving in the military. 

15 (4) To establish a public education and aware16 ness campaign concerning the importance of the prop17 er care of infants and young children. 

18 SEC. 3. DEFINITIONS. 

19 In this Act: 

20 (1) ELIGIBLE FAMILY.—The term ‘‘eligible fam21 ily’’ means— 

22 (A) a woman who is pregnant and the fa23 ther of the child if the father is available; or 

24 (B) a parent or primary caregiver of a 

25 child under the age of entry into kindergarten, 


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1 including grandparents or other relatives of the 

2 child, and foster parents (including kinship care3 givers), who are serving as the primary care4 giver, including a noncustodial parent who has 

5 an on-going relationship with and, at times, pro6 vides physical care for such child. 

7 (2) ENGLISH LANGUAGE LEARNER.—The term 

8 ‘‘English language learner’’, used with respect to an 

9 individual, means an individual— 

10 (A) who— 

11 (i) was not born in the United States 

12 or whose native language is a language 

13 other than English; 

14 (ii)(I) is a Native American (as de15 fined in section 9101 of the Elementary and 

16 Secondary Education Act of 1965 (20 

17 U.S.C. 7801)), an Alaska Native, or a na18 tive resident of an outlying area (as defined 

19 in such section 9101); and 

20 (II) comes from an environment where 

21 a language other than English has had a 

22 significant impact on the individual’s level 

23 of English language proficiency; or 

24 (iii) is migratory, whose native lan25 guage is a language other than English, and 


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1 who comes from an environment where a 

2 language other than English is dominant; 

3 and 

4 (B) whose difficulties in speaking or under5 standing the English language may be sufficient 

6 to deny such individual— 

7 (i) the ability to successfully achieve in 

8 a classroom in which the language of in9 struction is English; or 

10 (ii) the opportunity to participate 

11 fully in society. 

12 (3) HOME VISITATION.—The term ‘‘home visita13 tion’’ means services provided in the permanent or 

14 temporary residence, or in a mutually agreed upon 

15 location in the community, of the individual receiving 

16 such services. 

17 (4) INDIAN TRIBE.—The term ‘‘Indian tribe’’ has 

18 the meaning given such term in section 4(e) of the In19 dian Self-Determination and Education Assistance 

20 Act (25 U.S.C. 450b). 

21 (5) SECRETARY.—Except as provided in section 

22 6, the term ‘‘Secretary’’ means the Secretary of 

23 Health and Human Services. 


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

2 50 States, the District of Columbia, and the Common3 wealth of Puerto Rico. 

4 (7) TERRITORIES AND POSSESSIONS.—The term 

5 ‘‘territories and possessions’’ shall include American 

6 Samoa, the Commonwealth of the Northern Mariana 

7 Islands, Guam, and the United States Virgin Islands. 

8 (8) TRIBAL ORGANIZATION.—The term ‘‘tribal 

9 organization’’ has the meaning given the term in sec10 tion 4(l) of the Indian Self-Determination and Edu11 cation Assistance Act (25 U.S.C. 450b). 

12 SEC. 4. GRANTS FOR EARLY CHILDHOOD HOME VISITATION. 

13 (a) AUTHORIZATION.—The Secretary, in consultation 

14 with the Secretary of Education, shall make grants to 

15 States, Indian tribes, tribal organizations, territories and 

16 possessions to enable States, Indian tribes, tribal organiza17 tions, territories and possessions to establish or expand 

18 quality programs of early childhood home visitation as 

19 specified under subsection (e). Each grant shall consist of 

20 the allotment determined under subsection (b). 

21 (b) DETERMINATION OF RESERVATIONS; AMOUNT OF

22 ALLOTMENTS; AUTHORIZATION OF APPROPRIATIONS.— 

23 (1) RESERVATIONS FROM APPROPRIATIONS.— 

24 From the total amount made available to carry out 


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1 this section for a fiscal year, the Secretary shall re2 serve— 

3 (A) 3 percent for an independent evaluation 

4 of the activities carried out under this Act, as 

5 specified in section 7; 

6 (B) not more than 3 percent for Federal ad7 ministrative costs; 

8 (C) not more than 2 percent of the funds 

9 appropriated for any fiscal year for payments to 

10 Indian tribes or tribal organizations with an ap11 proved application under this section; 

(D) not more than 1 12 ⁄2 of 1 percent of the 

13 funds appropriated for any fiscal year for pay14 ments to territories and possessions with an ap15 proved application under this section; and 

16 (E) 2 percent for training and technical as17 sistance for States. 

18 (2) STATE ALLOTMENTS FOR EARLY CHILDHOOD

19 HOME VISITATION.— 

20 (A) IN GENERAL.—In accordance with sub21 paragraph (B), the Secretary shall allot among 

22 each of the eligible States the total amount made 

23 available to carry out this section for any fiscal 

24 year and not reserved under paragraph (1), to 


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1 support early childhood home visitation pro2 grams in accordance with this section. 

3 (B) DETERMINATION OF STATE ALLOT4 MENTS.—The Secretary shall allot the amount 

5 made available under subparagraph (A) for a 

6 fiscal year among the eligible States in propor7 tion to the number of children, aged from birth 

8 through 5 years from families whose income is 

9 below the poverty line, who reside within the 

10 State, compared to the number of such individ11 uals who reside in all such States for that fiscal 

12 year. 

13 (3) PAYMENTS TO TRIBES AND TERRITORIES.— 

14 (A) Out of the funds reserved under para15 graph (1)(C), the Secretary shall provide funds 

16 to each Indian tribe or tribal organization with 

17 an approved application under this section in 

18 accordance with the respective needs described in 

19 that application. 

20 (B) Out of the funds reserved under para21 graph (1)(D), the Secretary shall provide funds 

22 to each territory or possession with an approved 

23 application under this section in accordance 

24 with the respective needs described in that appli25 cation. 


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1 (4) APPLICATIONS OF INDIAN TRIBES, TRIBAL

2 ORGANIZATIONS, TERRITORIES, OR POSSESSIONS.— 

3 (A) Subject to subparagraph (B), the Sec4 retary shall approve an application of an Indian 

5 tribe, tribal organization, territory, or possession 

6 based on the quality of the application. 

7 (B) The Secretary may exempt an applica8 tion submitted by an Indian tribe, tribal organi9 zation, territory, or possession from any require10 ment of this section that the Secretary deter11 mines would be inappropriate to apply taking 

12 into account the resources, needs, and other cir13 cumstances of the Indian tribe, tribal organiza14 tion territory, or possession with the exception of 

15 the provision of quality early childhood home 

16 visitation and participation in the independent 

17 evaluation outlined in section 7. 

18 (5) AUTHORIZATION OF APPROPRIATIONS.— 

19 There are authorized to be appropriated to carry out 

20 this section $150,000,000 for fiscal year 2009 and 

21 such sums as may be necessary for fiscal years 2010 

22 through 2013. 

23 (c) GRANT APPLICATIONS.—A State, Indian tribe, 

24 tribal organization, territory, or possession that desires to 

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1 tion to the Secretary at such time, in such manner, and 

2 containing such information as the Secretary may require. 

3 For the purposes of this subsection, the term ‘‘State’’ in4 cludes Indian tribes, tribal organizations, territories, or 

5 possessions. The application shall contain the following in6 formation: 

7 (1) An assurance that the Governor of the State 

8 has designated a lead State agency, such as the State 

9 educational agency or the State health and human 

10 services agency, to carry out the activities under this 

11 section. 

12 (2) An assurance that the State will reserve 3 

13 percent of such grant for evaluation and will partici14 pate in the independent evaluation under section 7. 

15 (3) An assurance that the State will reserve 10 

16 percent of the grant funds for training and technical 

17 assistance to programs of early childhood home visita18 tion. 

19 (4) An assurance that the State will authorize 

20 child care resource and referral agencies to refer par21 ents seeking home visitation services. 

22 (5) An assurance that in supporting early child23 hood home visitation programs under this section the 

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1 nities that are in high need of such services, such as 

2 communities with— 

3 (A) low student achievement; 

4 (B) high rates of teen pregnancy; 

5 (C) high proportions of low income families; 

6 (D) high incidences of child abuse; 

7 (E) high rates of children with develop8 mental delays or disabilities; 

9 (F) large concentrations of individuals who 

10 are English language learners; 

11 (G) large concentrations of individuals cur12 rently serving in the Armed Forces; and 

13 (H) large concentrations of individuals who 

14 formerly served in the Armed Forces. 

15 (6) The results of a statewide needs assessment 

16 that describes— 

17 (A) the quality and capacity of existing 

18 programs of early childhood home visitation in 

19 the State; 

20 (B) the number and types of eligible fami21 lies who are receiving services under such pro22 grams; and 

23 (C) the gaps in early childhood home visita24 tion in the State, including identification of 


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1 communities that are in high need of such serv2 ices. 

3 (7) A State plan containing the following: 

4 (A) A description of the State’s plan to 

5 prioritize establishing or expanding high quality 

6 programs of early childhood home visitation pro7 grams in communities that are in high need of 

8 such programs. 

9 (B) A description of the high quality pro10 grams of early childhood home visitation that 

11 will be supported by a grant under this section. 

12 (C) A description of how the proposed pro13 gram of early childhood home visitation will 

14 promote positive parenting skills and children’s 

15 early learning and development. 

16 (D) A description of how the proposed pro17 gram of early childhood home visitation will in18 corporate the authorized activities described in 

19 subsection (e). 

20 (E) How the lead State agency will build 

21 on and promote coordination among existing 

22 programs of early childhood home visitation in 

23 an effort to promote an array of home visitation 

24 programs to ensure more eligible families are 


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1 being served and are getting the most appro2 priate services to meet their needs. 

3 (F) How the lead State agency will promote 

4 collaboration among a broad range of child- and 

5 family-serving programs, including— 

6 (i) early childhood home visitation 

7 programs, including targeted grants award8 ed under sections 5 and 6; 

9 (ii) early childhood care and education 

10 programs; 

11 (iii) activities carried out under part 

12 C of the Individuals with Disabilities Edu13 cation Act (20 U.S.C. 1431 et seq.) and sec14 tion 619 of the Individuals with Disabilities 

15 Education Act (20 U.S.C. 1419); 

16 (iv) child abuse prevention and treat17 ment programs, and State and local child 

18 protection systems; 

19 (v) Medicaid and State Children’s 

20 Health Insurance programs; 

21 (vi) nutrition assistance programs; 

22 (vii) parental substance abuse and 

23 mental health prevention and treatment 

24 programs; 


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1 (viii) domestic and family violence 

2 prevention programs; 

3 (ix) child support enforcement pro4 grams; 

5 (x) workforce development programs; 

6 (xi) the State Temporary Assistance to 

7 Needy Families program; 

8 (xii) early childhood intervention pro9 grams, such as mental health prevention 

10 and treatment services; 

11 (xiii) State and local educational 

12 agencies; and 

13 (xiv) other appropriate child-serving 

14 programs in the State in order to facilitate 

15 the coordinated delivery of services for eligi16 ble families. 

17 (G) How the lead State agency will provide 

18 for the training and technical assistance to pro19 grams of early childhood home visitation in20 volved in activities under this section to more ef21 fectively meet the needs of the eligible families 

22 served, with sensitivity to cultural variations in 

23 attitudes toward formal support services and 

24 parenting norms. 


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1 (H) How the lead State agency will evalu2 ate the activities supported under this section in 

3 order to assess outcomes including, but not lim4 ited to— 

5 (i) parental outcomes related to child 

6 health and development, including parent 

7 knowledge of early learning and develop8 ment; 

9 (ii) child health, cognitive, language, 

10 social-emotional, and physical development; 

11 (iii) child maltreatment; 

12 (iv) school readiness; and 

13 (v) links to community services. 

14 (I) A description of how the lead State 

15 agency will ensure home visitation programs 

16 prioritize outreach activities to target fathers 

17 and include fathers in the program where safe 

18 and appropriate. 

19 (J) A description of how the lead State 

20 agency will ensure that services are made avail21 able under the program to grandparents, other 

22 relatives or foster parents, of a child from birth 

23 through age 5 who serve as the primary care24 giver of the child. 


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1 (K) Such other information as the Secretary 

2 may require. 

3 (d) APPROVAL OF APPLICATIONS.— 

4 (1) IN GENERAL.—The Secretary shall approve 

5 an application under this section based on the rec6 ommendations of a peer review panel, as described in 

7 paragraph (2). 

8 (2) PEER REVIEW PANEL.—The peer review 

9 panel shall include individuals with experience in 

10 varying models of home visitation, including not 

11 fewer than— 

12 (A) 3 individuals who are experts in the 

13 field of home visitation; 

14 (B) 2 individuals who are experts in early 

15 childhood development; 

16 (C) 1 individual with expertise imple17 menting a statewide program of early childhood 

18 home visitation; 

19 (D) 1 individual who is a board certified 

20 pediatrician or a developmental pediatrician; 

21 and 

22 (E) 1 individual with experience in admin23 istering public or private (including community24 based) child maltreatment prevention programs. 


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1 (3) RECOMMENDATIONS.—The panel shall rec2 ommend applicants to the Secretary based on the 

3 quality of their applications. In addition to ensuring 

4 that the application is complete, the panel shall con5 sider— 

6 (A) the quality of the statewide needs assess7 ment, described in subsection (c)(6); 

8 (B) the quality of the programs to be funded 

9 by the grant, described in subsection (c)(7)(B), 

10 and the capacity of such programs to establish or 

11 expand high quality home visitation services; 

12 (C) the plan to enhance and improve serv13 ices in the State through collaboration described 

14 in subsections (c)(7)(E) and (c)(7)(F); 

15 (D) the State’s plan to prioritize serving 

16 communities in high need of home visitation 

17 programs; and 

18 (E) the State’s plan for delivering effective 

19 training and technical assistance. 

20 (e) STATE USES OF FUNDS.—Each State that receives 

21 a grant under this section shall— 

22 (1) provide to as many eligible families in the 

23 State as practicable, voluntary early childhood home 

24 visitation, on not less frequently than a monthly basis 

25 with greater frequency of services for those eligible 


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1 families identified with additional needs, through the 

2 implementation of high quality programs of early 

3 childhood home visitation that— 

4 (A) adopt a clear, consistent model that— 

5 (i) is research-based; 

6 (ii) is grounded in empirically-based 

7 knowledge related to home visiting and 

8 child health or child development; 

9 (iii) is linked to program-determined 

10 outcomes; 

11 (iv) is associated with a national orga12 nization or institution of higher education 

13 (as defined under section 101 of the Higher 

14 Education Act of 1965), that has com15 prehensive home visitation program stand16 ards, including standardized training and 

17 on-going professional development, that en18 sure high quality service delivery and con19 tinuous program quality improvement; 

20 (v) has been evaluated, and the results 

21 of the evaluation have been published in a 

22 peer-reviewed journal; and 

23 (vi) has been in existence at least 3 

24 consecutive years prior to the program 

25 being funded under this Act; 


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1 (B) employ well-trained and competent 

2 staff, as demonstrated by education or training, 

3 and the provision of ongoing and specific train4 ing on the model being delivered; 

5 (C) maintain high quality supervision that 

6 supports home visitor competencies; 

7 (D) show strong organizational capacity to 

8 implement the program involved; 

9 (E) establish appropriate linkages and re10 ferral networks to other community resources 

11 and supports; 

12 (F) monitor fidelity of program implemen13 tation to assure that services are delivered ac14 cording to the specified model; 

15 (G) establish procedures to promote partici16 pation of fathers, where safe and appropriate; 

17 (H) are research-based and provide parents 

18 with— 

19 (i) knowledge of age-appropriate child 

20 development in cognitive, language, social21 emotional, and motor domains (including 

22 knowledge of second language acquisition, 

23 in the case of English language learners); 

24 (ii) knowledge of realistic expectations 

25 of age-appropriate child behaviors; 


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1 (iii) knowledge of health and wellness 

2 issues for children and parents; 

3 (iv) modeling, consulting, and coaching 

4 on parenting practices; 

5 (v) skills to interact with their child to 

6 enhance age-appropriate development; 

7 (vi) skills to recognize and seek help for 

8 issues related to health, developmental 

9 delays, and social, emotional, and behav10 ioral skills; 

11 (vii) activities designed to help parents 

12 become full partners in the education of 

13 their children; and 

14 (viii) relevant information, consistent 

15 with State child welfare agency training, 

16 concerning child welfare and protective 

17 services resources if appropriate; 

18 (I) ascertain what health and developmental 

19 services the family receives and works with pro20 viders of such services to eliminate gaps in serv21 ice by offering annual health, vision, hearing, 

22 and developmental screening for children from 

23 birth to entry into kindergarten, when not other24 wise provided; 


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1 (J) provide referrals for eligible families, as 

2 needed, to additional resources available in the 

3 community, such as center-based early education 

4 programs, child care services, health or mental 

5 health services, family literacy programs, em6 ployment agencies, social services, fatherhood 

7 programs, and child care resource and referral 

8 agencies; and 

9 (K) offer group meetings (at program dis10 cretion) for eligible families that— 

11 (i) further enhance the information, 

12 activities, and skill-building addressed dur13 ing home visitation; and 

14 (ii) offer opportunities for parents to 

15 meet with and support each other. 

16 (2) reserve 10 percent of the grant funds to pro17 vide training and technical assistance, directly or 

18 through contract, to early childhood home visitation 

19 programs relating to— 

20 (A) effective methods of implementing par21 ent education, conducting home visiting, and 

22 promoting positive early childhood development; 

23 (B) the relationship of health and well-being 

24 of pregnant women to prenatal and early child25 hood development; 


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1 (C) early childhood development with re2 spect to children from birth until entry into kin3 dergarten; 

4 (D) methods to help parents promote emer5 gent literacy, including second language acquisi6 tion for English language learners, in their chil7 dren from birth until entry into kindergarten; 

8 (E) health, vision, hearing, and develop9 mental screenings; 

10 (F) strategies for helping eligible families 

11 with special needs or those eligible families cop12 ing with crisis; 

13 (G) recruiting, supervising, and retaining 

14 qualified staff; 

15 (H) increasing services for underserved pop16 ulations; 

17 (I) methods to help parents effectively re18 spond to their children’s needs and behaviors; 

19 (J) implementation of ongoing program 

20 quality improvement and evaluation of activities 

21 and outcomes; 

22 (K) relevant issues related to child welfare 

23 and protective services, with information pro24 vided being consistent with State or local child 

25 welfare agency training; 


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1 (L) effective methods of successfully engag2 ing fathers in programs for parents; and 

3 (M) the relationship of father involvement 

4 to the health and well-being of pregnant women 

5 and to prenatal and early childhood develop6 ment; 

7 (3) ensure representatives from high quality pro8 grams of early childhood home visitation operating in 

9 the State are included in an existing State-level early 

10 childhood coordinating body, such as the State Advi11 sory Council on Early Childhood Care and Education 

12 (as defined in section 642B(b) of the Head Start Act), 

13 that meets regularly to address policy and implemen14 tation issues that will improve the coordination and 

15 effectiveness of a range of services for children and 

16 families; and 

17 (4) use not more than 5 percent of the amount 

18 of grant funds received under this section for the ad19 ministration of the grant, including planning, ad20 ministration, and annual reporting. 

21 (f) MAINTENANCE OF EFFORT.—A State is entitled to 

22 receive its full allotment of funds under this section for any 

23 fiscal year if the Secretary finds that the aggregate expendi24 tures within the State for quality programs of early child25 hood home visitation for the fiscal year preceding the fiscal 


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1 year for which the determination is made was not less than 

2 100 percent of such aggregate expenditures for the second 

3 fiscal year preceding the fiscal year for which the deter4 mination is made. 

5 (g)(1) STATE MATCH.—In order to receive an allot6 ment under subsection (b)(2), a State shall match the 

7 amount of such allotment with funds not derived from other 

8 Federal sources on the following basis: 

9 (A) 10 percent of such allotment for fiscal year 

10 2011; 

11 (B) 20 percent of such allotment for fiscal year 

12 2012; and 

13 (C) 30 percent of such allotment for fiscal year 

14 2013. 

15 (2) MATCH REQUIREMENT.—The funds resulting from 

16 the requirement in paragraph (1) shall be exported in ac17 cordance with the requirements of this section. 

18 (h) REPORTING REQUIREMENTS.—Each State that re19 ceives a grant under this section shall submit an annual 

20 report to the Secretary regarding the State’s progress in ad21 dressing the purposes of this Act. Such report shall include, 

22 at a minimum, a description of— 

23 (1) actual service delivery provided under the 

24 grant including— 


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1 (A) program characteristics, including de2 scriptive information on the service model used 

3 and actual program performance; 

4 (B) provider characteristics, including staff 

5 qualifications, work experience, and demographic 

6 characteristics; and 

7 (C) recipient characteristics, including 

8 number, demographic characteristics, and family 

9 retention; 

10 (2) recipient outcomes that are consistent with 

11 program goals, including, where appropriate given 

12 the program being evaluated— 

13 (A) parent knowledge of early learning and 

14 development; 

15 (B) child health, cognitive, language, social16 emotional, and physical developmental indica17 tors; 

18 (C) child maltreatment indicators; 

19 (D) school readiness indicators; and 

20 (E) links to community services; 

21 (3) the research-based instruction, materials, and 

22 activities being used in the activities funded under the 

23 grant; 


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1 (4) the training and technical assistance, includ2 ing ongoing professional development, provided to 

3 programs supported under the grant; 

4 (5) beginning at the end of the second year of the 

5 grant, the results of evaluations described in sub6 section (c)(7)(H); and 

7 (6) the annual program implementation costs, 

8 including the cost per family served under the pro9 gram. 

10 SEC. 5. TARGETED GRANTS FOR EARLY CHILDHOOD HOME 

11 VISITATION FOR FAMILIES WITH ENGLISH 

12 LANGUAGE LEARNERS. 

13 (a) IN GENERAL.—The Secretary, in consultation with 

14 the Secretary of Education, shall make grants, on a com15 petitive basis, to eligible applicants to enable such appli16 cants to support and expand local efforts to deliver services 

17 through quality programs of early childhood home visita18 tion to eligible families with English language learners. 

19 (b) ELIGIBLE APPLICANT.—In this section, the term 

20 ‘‘eligible applicant’’ means— 

21 (1) 1 or more local educational agencies (as de22 fined in section 9101 of the Elementary and Sec23 ondary Education Act of 1965 (20 U.S.C. 7801)); and 

24 (2) 1 or more public or private community-based 

25 organizations or agencies that serve eligible families 


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1 and are capable of establishing and implementing 

2 high quality programs of early childhood home visita3 tion. 

4 (c) APPLICATIONS.—An eligible applicant that desires 

5 to receive a grant under this section shall submit an appli6 cation to the Secretary at such time, in such manner, and 

7 containing such information as the Secretary may require. 

8 The application shall include a description of— 

9 (1) the results of a communitywide needs assess10 ment that demonstrates the need for services to eligible 

11 families with English language learners and de12 scribes— 

13 (A) community demographics; 

14 (B) the quality and capacity of existing 

15 programs of early childhood home visitation for 

16 eligible families with English language learners 

17 in the community; 

18 (C) the gaps in programs of early childhood 

19 home visitation for eligible families with English 

20 language learners in the community; and 

21 (D) the type of program of early childhood 

22 home visitation necessary to address the gaps 

23 identified; 


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1 (2) the program of early childhood home visita2 tion that will be supported by the grant under this 

3 section; 

4 (3) how the proposed program of early childhood 

5 home visitation will promote positive parenting skills 

6 and children’s early learning and development; 

7 (4) how the proposed program of early childhood 

8 home visitation will incorporate the authorized activi9 ties described in subsection (e); 

10 (5) how services provided through a grant under 

11 this section will use materials that are appropriate 

12 for eligible families with English language learners; 

13 (6) how the activities under this section will 

14 build on and promote coordination among existing 

15 programs of early childhood home visitation, if such 

16 programs exist in the community, in an effort to pro17 mote an array of home visitation that ensures more 

18 eligible families with English language learners are 

19 being served and are getting the most appropriate 

20 services to meet their needs; 

21 (7) how the program will ensure that— 

22 (A) where appropriate to the program goals 

23 of the home visiting model, families partici24 pating in early childhood home visitation pro25 grams with English language learners will be inVerDate Aug 31 2005 21:52 Sep 22, 2008 Jkt 069200 PO 00000 Frm 00029 Fmt 6652 Sfmt 6203 E:\BILLS\H2343.RH H2343

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1 troduced to and connected with their local schools 

2 to encourage ongoing parental involvement in 

3 their children’s education; and 

4 (B) the activities under this section will 

5 support the preparation of children for school; 

6 (8) how channels of communication will be es7 tablished between staff of programs of early childhood 

8 home visitation and staff of other early childhood edu9 cation programs, such as Head Start programs car10 ried out under the Head Start Act (42 U.S.C. 9831 

11 et seq.) and Early Head Start programs carried out 

12 under section 645A of such Act, preschool programs, 

13 and child care programs, to facilitate the coordina14 tion of services for eligible families with English lan15 guage learners; 

16 (9) how eligible families with English language 

17 learners will be recruited and retained to receive serv18 ices under this section; 

19 (10) how training and technical assistance will 

20 be provided to help the staff of programs of early 

21 childhood home visitation involved in activities under 

22 this section to more effectively serve eligible families 

23 with English language learners; 


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1 (11) how the eligible applicant will evaluate the 

2 activities supported under this section in order to 

3 demonstrate outcomes related to the— 

4 (A) number of eligible families with English 

5 language learners served by programs of early 

6 childhood home visitation; 

7 (B) parental knowledge of early learning 

8 and development; 

9 (C) positive parenting practices related to 

10 early learning and development; and 

11 (D) children’s cognitive, language, social12 emotional, and physical development; 

13 (12) how the proposed program will conduct out14 reach activities to target both mothers and fathers and 

15 increase father involvement where safe and appro16 priate; and 

17 (13) such other information as the Secretary 

18 may require. 

19 (d) APPROVAL OF APPLICATIONS.— 

20 (1) IN GENERAL.—The Secretary shall select ap21 plicants for funding under this section based on the 

22 quality of the applications and the recommendations 

23 of a peer review panel, as described in paragraph (2). 

24 (2) PEER REVIEW PANEL.—The peer review 

25 panel shall include not fewer than— 


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1 (A) 2 individuals who are experts in the 

2 field of home visitation; 

3 (B) 2 individuals who are experts in early 

4 childhood development; 

5 (C) 2 individuals who are experts in serv6 ing eligible families with English language 

7 learners; 

8 (D) 1 individual who is a board certified 

9 pediatrician or a developmental pediatrician; 

10 and 

11 (E) 1 individual with expertise in admin12 istering public or private (including community13 based) child maltreatment prevention programs. 

14 (e) AUTHORIZED ACTIVITIES.—Each eligible appli15 cant that receives a grant under this section shall carry 

16 out the following activities: 

17 (1) Providing to as many eligible families with 

18 English language learners as practicable, voluntary 

19 early childhood home visitation, on not less frequently 

20 than a monthly basis, through the implementation of 

21 quality programs of early childhood home visitation 

22 that are research-based that provide parents with— 

23 (A) knowledge of age-appropriate child de24 velopment in cognitive, language, social-emo25 tional, and motor domains; 


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1 (B) knowledge of realistic expectations of 

2 age-appropriate child behaviors; 

3 (C) knowledge of health and wellness issues 

4 for children and parents; 

5 (D) modeling, consulting, and coaching on 

6 parenting practices; 

7 (E) skills to interact with their child to en8 hance age-appropriate development; 

9 (F) skills to recognize and seek help for 

10 issues related to health, developmental delays, 

11 and social, emotional, and behavioral skills; and 

12 (G) activities designed to help parents be13 come full partners in the education of their chil14 dren. 

15 (2) Ascertaining what health and developmental 

16 services the family receives and working with these 

17 providers to eliminate gaps in service by offering an18 nual health, vision, hearing, and developmental 

19 screening for children from birth to entry into kinder20 garten, when not otherwise provided. 

21 (3) Providing referrals for participating eligible 

22 families with English language learners, as needed, to 

23 additional resources available in the community, such 

24 as center-based early education programs, child care 

25 services, health or mental health services, family litVerDate Aug 31 2005 21:52 Sep 22, 2008 Jkt 069200 PO 00000 Frm 00033 Fmt 6652 Sfmt 6203 E:\BILLS\H2343.RH H2343

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1 eracy programs, employment agencies, social services, 

2 and child care resource and referral agencies. 

3 (4) Offering group meetings (at program discre4 tion), on not less frequently than a monthly basis, for 

5 eligible families with English language learners 

6 that— 

7 (A) further enhance the information, activi8 ties, and skill-building addressed during home 

9 visitation; 

10 (B) offer opportunities for parents to meet 

11 with and support each other; and 

12 (C) address challenges facing eligible fami13 lies with English language learners. 

14 (5) Providing training and technical assistance 

15 to early childhood home visitation staff relating to— 

16 (A) effective service to eligible families with 

17 English language learners, including skills to ad18 dress challenges facing English language learn19 ers; 

20 (B) effective methods of implementing par21 ent education, conducting home visiting, and 

22 promoting quality early childhood development, 

23 with sensitivity to cultural variations in par24 enting norms and attitudes toward formal sup25 port services; 


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1 (C) the relationship of health and well-being 

2 of pregnant women to prenatal and early child 

3 development; 

4 (D) early childhood development with re5 spect to children from birth until entry into kin6 dergarten; 

7 (E) methods to help parents promote emer8 gent literacy in their children from birth until 

9 entry into kindergarten; 

10 (F) implementing strategies for helping eli11 gible families with English language learners 

12 coping with a crisis; 

13 (G) recruiting, supervising, and retaining 

14 qualified staff; 

15 (H) increasing services for underserved eli16 gible families with English language learners; 

17 (I) methods to help parents effectively re18 spond to their children’s needs and behaviors; 

19 (J) implementation of ongoing program 

20 quality improvement and evaluation of activities 

21 and outcomes; and 

22 (K) the relationship of father involvement to 

23 the health and well-being of pregnant women 

24 and to prenatal and early childhood develop25 ment. 


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1 (6) Coordinating existing programs of early 

2 childhood home visitation in order to effectively and 

3 efficiently meet the needs of more eligible families 

4 with English language learners. 

5 (f) REPORTING REQUIREMENTS.—Each applicant that 

6 receives a grant under this section to carry out a program 

7 shall submit an annual report to the Secretary, and the 

8 lead State agency as described in section 4(c)(1), regarding 

9 the progress of such program in addressing the purposes of 

10 this Act. Such report shall include, at a minimum, a de11 scription of— 

12 (1) actual service delivery provided under the 

13 grant including— 

14 (A) program characteristics including de15 scriptive information on the service model used 

16 and actual program performance; 

17 (B) provider characteristics including staff 

18 qualifications, work experience, and demographic 

19 characteristics; 

20 (C) recipient characteristics including num21 ber, demographic characteristics, and rates of 

22 family retention in programs; and 

23 (D) an estimate of annual program imple24 mentation costs; 


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1 (2) recipient outcomes that are consistent with 

2 program goals including, where appropriate given the 

3 program being evaluated— 

4 (A) parental practices; 

5 (B) child health and development indica6 tors; 

7 (C) child maltreatment indicators; 

8 (D) school readiness indicators; and 

9 (E) links to community services; 

10 (3) the research-based instruction, materials, and 

11 activities being used in the activities funded under the 

12 grant; and 

13 (4) the training and technical assistance, includ14 ing ongoing professional development, provided to 

15 programs supported under the grant. 

16 (g) SUPPLEMENT NOT SUPPLANT.—Grant funds pro17 vided under this section shall be used to supplement, and 

18 not supplant, Federal and non-Federal funds available for 

19 carrying out the activities described in this section. 

20 (h) AUTHORIZATION OF APPROPRIATIONS.—There is 

21 authorized to be appropriated to carry out this section 

22 $20,000,000 for fiscal year 2009 and such sums for fiscal 

23 years 2010 through 2013. 


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1 SEC. 6. TARGETED GRANTS FOR EARLY CHILDHOOD HOME 

2 VISITATION FOR MILITARY FAMILIES. 

3 (a) IN GENERAL.—The Secretary of Defense, in con4 sultation with the Secretary of Education and the Secretary 

5 of Health and Human Services, shall make grants, on a 

6 competitive basis, to eligible applicants to enable such ap7 plicants to support and expand efforts to deliver services 

8 through high quality programs of early childhood home visi9 tation to eligible families with a family member in the 

10 Armed Forces. 

11 (b) ELIGIBLE APPLICANT.—In this section, the term 

12 ‘‘eligible applicant’’ means any of the following: 

13 (1) A local educational agency that receives pay14 ments under title VIII of the Elementary and Sec15 ondary Education Act of 1965 (20 U.S.C. 7701 et 

16 seq.). 

17 (2) A school of the defense dependents’ education 

18 system under the Defense Dependents’ Education Act 

19 of 1978 (20 U.S.C. 921 et seq.). 

20 (3) A school established under section 2164 of 

21 title 10, United States Code. 

22 (4) A community-based organization serving 

23 families with a family member in the Armed Forces. 

24 (c) APPLICATIONS.—An eligible applicant that desires 

25 to receive a grant under this section shall submit an appli26 cation to the Secretary of Defense at such time, in such 


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•HR 2343 RH

1 manner, and containing such information as the Secretary 

2 of Defense may require. The application shall include a de3 scription of— 

4 (1) the results of a communitywide needs assess5 ment that demonstrates the need for services to eligible 

6 families with a family member in the Armed Forces 

7 and describes— 

8 (A) community demographics; 

9 (B) the quality and capacity of existing 

10 programs of early childhood home visitation for 

11 eligible families with a family member in the 

12 Armed Forces; 

13 (C) the gaps in programs of early childhood 

14 home visitation for eligible families with a fam15 ily member in the Armed Forces; and 

16 (D) the type of program of early childhood 

17 home visitation necessary to address the gaps 

18 identified; 

19 (2) the program of early childhood home visita20 tion that will be supported by the grant under this 

21 section; 

22 (3) how the proposed program of early childhood 

23 home visitation will promote positive parenting skills 

24 and children’s early learning and development; 


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1 (4) how the proposed program of early childhood 

2 home visitation will incorporate the authorized activi3 ties described in subsection (f); 

4 (5) how services provided through a grant under 

5 this section will use materials that are appropriate 

6 toward eligible families with a family member in the 

7 Armed Forces; 

8 (6) how the activities under this section will 

9 build on and promote coordination with existing pro10 grams of early childhood home visitation, if such pro11 grams exist in the community, in an effort to promote 

12 an array of home visitation that ensures more eligible 

13 families with a family member in the Armed Forces 

14 are being served and are getting the most appropriate 

15 services to meet their needs; 

16 (7) how the program will ensure that— 

17 (A) where appropriate to the program goals 

18 of the home visiting model, families partici19 pating in early childhood home visitation pro20 grams with a family member in the Armed 

21 Forces will be introduced to and connected with 

22 their local schools to encourage ongoing parental 

23 involvement in their children’s education; and 

24 (B) the activities under this section will 

25 support the preparation of children for school; 


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•HR 2343 RH

1 (8) how channels of communication will be es2 tablished between staff of programs of early childhood 

3 home visitation and staff of other early childhood edu4 cation programs, such as Head Start programs car5 ried out under the Head Start Act (42 U.S.C. 9831 

6 et seq.) and Early Head Start programs carried out 

7 under section 645A of such Act, preschool programs, 

8 family support programs, and child care programs, to 

9 facilitate the coordination of services for eligible fami10 lies with a family member in the Armed Forces; 

11 (9) how eligible families with a family member 

12 in the Armed Forces will be recruited and retained to 

13 receive services under this section; 

14 (10) how training and technical assistance will 

15 be provided to help programs of early childhood home 

16 visitation involved in activities under this section to 

17 more effectively serve eligible families with a family 

18 member in the Armed Forces; 

19 (11) how the eligible applicant will evaluate the 

20 activities supported under this section in order to 

21 demonstrate outcomes related to the— 

22 (A) number of eligible families with a fam23 ily member in the Armed Forces served by pro24 grams of early childhood home visitation; 


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•HR 2343 RH

1 (B) parental knowledge of early learning 

2 and development; 

3 (C) positive parenting practices related to 

4 early learning and development; and 

5 (D) children’s cognitive, language, social6 emotional, and physical development; 

7 (12) how the proposed program will conduct out8 reach activities to target both mothers and fathers and 

9 increase father involvement where safe and appro10 priate; and 

11 (13) such other information as the Secretary of 

12 Defense may require. 

13 (d) APPROVAL OF LOCAL APPLICATIONS.— 

14 (1) IN GENERAL.—The Secretary of Defense shall 

15 select applicants for funding under this section based 

16 on the quality of the applications and the rec17 ommendations of a peer review panel, as described in 

18 paragraph (2). 

19 (2) PEER REVIEW PANEL.—The peer review 

20 panel shall include not fewer than— 

21 (A) 2 individuals who are experts in the 

22 field of home visitation; 

23 (B) 2 individuals who are experts in early 

24 childhood development; 


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•HR 2343 RH

1 (C) 2 individuals who are experts in family 

2 support for military families; 

3 (D) 1 individual who is a board certified 

4 pediatrician or developmental pediatrician; and 

5 (E) 1 individual with expertise in admin6 istering public or private (including community7 based) child maltreatment prevention programs. 

8 (e) AUTHORIZED ACTIVITIES.—Each eligible appli9 cant that receives a grant under this section shall carry 

10 out the following activities: 

11 (1) Providing to as many eligible families with 

12 a family member in the Armed Forces as practicable, 

13 voluntary early childhood home visitation, on not less 

14 frequently than a monthly basis, through the imple15 mentation of quality programs of early childhood 

16 home visitation that are research-based and that pro17 vide parents with— 

18 (A) knowledge of age-appropriate child de19 velopment in cognitive, language, social-emo20 tional, and motor domains; 

21 (B) knowledge of realistic expectations of 

22 age-appropriate child behaviors; 

23 (C) knowledge of health and wellness issues 

24 for children and parents; 


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1 (D) modeling, consulting, and coaching on 

2 parenting practices; 

3 (E) skills to interact with their child to en4 hance age-appropriate development; 

5 (F) skills to recognize and seek help for 

6 issues related to health, developmental delays, 

7 and social, emotional, and behavioral skills; and 

8 (G) activities designed to help parents be9 come full partners in the education of their chil10 dren. 

11 (2) Ascertaining what health and developmental 

12 services the family receives and working with these 

13 providers to eliminate gaps in service by offering an14 nual health, vision, hearing, and developmental 

15 screening for children from birth to entry into kinder16 garten, when not otherwise provided. 

17 (3) Providing referrals for participating eligible 

18 families with a family member in the Armed Forces, 

19 as needed, to additional resources available in the 

20 community, such as center-based early education pro21 grams, child care services, health or mental health 

22 services, family literacy programs, employment agen23 cies, social services, and child care resource and refer24 ral agencies. 


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•HR 2343 RH

1 (4) Offering group meetings (at program discre2 tion), on not less frequently than a monthly basis, for 

3 eligible families with a family member in the Armed 

4 Forces that— 

5 (A) further enhance the information, activi6 ties, and skill-building addressed during home 

7 visitation; 

8 (B) offer opportunities for parents to meet 

9 with and support each other; and 

10 (C) address challenges facing eligible fami11 lies with a family member in the Armed Forces. 

12 (5) Providing training and technical assistance 

13 to early childhood home visitation staff relating to— 

14 (A) effective service to eligible families with 

15 a family member in the Armed Forces; 

16 (B) effective methods of implementing par17 ent education, conducting home visiting, and 

18 promoting quality early childhood development, 

19 with sensitivity to cultural variations in par20 enting norms and attitudes toward formal sup21 port services; 

22 (C) the relationship of health and well-being 

23 of pregnant women to prenatal and early child 

24 development; 


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1 (D) early childhood development with re2 spect to children from birth until entry into kin3 dergarten; 

4 (E) methods to help parents promote emer5 gent literacy in their children from birth until 

6 entry into kindergarten; 

7 (F) implementing strategies for helping eli8 gible families with a family member in the 

9 Armed Forces coping with crisis; 

10 (G) recruiting, supervising, and retaining 

11 qualified staff; 

12 (H) increasing services for underserved eli13 gible families with a family member in the 

14 Armed Forces; 

15 (I) methods to help parents effectively re16 spond to their children’s needs and behaviors; 

17 (J) implementation of ongoing program 

18 quality improvement and evaluation of activities 

19 and outcomes; and 

20 (K) the relationship of father involvement to 

21 the health and well-being of pregnant women 

22 and to prenatal and early childhood develop23 ment. 

24 (6) Coordinating existing programs of early 

25 childhood home visitation in order to effectively and 


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47 

•HR 2343 RH

1 efficiently meet the needs of more eligible families 

2 with a family member in the Armed Forces. 

3 (f) REPORTING REQUIREMENTS.—Each applicant that 

4 receives a grant under this section to carry out a program 

5 shall submit an annual report to the Secretary, and the 

6 lead State agency as described in section 4(c)(1), regarding 

7 the progress of such program in addressing the purposes of 

8 this Act. Such report shall include, at a minimum, a de9 scription of— 

10 (1) actual service delivery provided under the 

11 grant including— 

12 (A) program characteristics including de13 scriptive information on the service model used 

14 and actual program performance; 

15 (B) provider characteristics including staff 

16 qualifications, work experience, and demographic 

17 characteristics; 

18 (C) recipient characteristics including num19 ber, demographic characteristics, and family re20 tention; and 

21 (D) an estimate of annual program imple22 mentation costs; 

23 (2) recipient outcomes that are consistent with 

24 program goals including, where appropriate given the 

25 program being evaluated— 


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1 (A) parental practices; 

2 (B) child health and development indica3 tors; 

4 (C) child maltreatment indicators; 

5 (D) school readiness indicators; and 

6 (E) links to community services; 

7 (3) the research-based instruction, materials, and 

8 activities being used in the activities funded under the 

9 grant; and 

10 (4) the training and technical assistance, includ11 ing ongoing professional development, provided to 

12 programs supported under the grant. 

13 (g) SUPPLEMENT NOT SUPPLANT.—Grant funds pro14 vided under this section shall be used to supplement, and 

15 not supplant, Federal and non-Federal funds available for 

16 carrying out the activities described in this section. 

17 (h) AUTHORIZATION OF APPROPRIATIONS.—There are 

18 authorized to be appropriated to carry out this section 

19 $20,000,000 for fiscal year 2009 and such sums as may be 

20 necessary for fiscal years 2010 through 2013. 

21 SEC. 7. EVALUATION. 

22 (a) IN GENERAL.—From funds reserved under section 

23 4(b)(1)(A), the Secretary shall conduct, through grant or 

24 contract, an independent evaluation of the effectiveness of 

25 home visitation programs carried out under this Act. 


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1 (b) REPORTS.— 

2 (1) INTERIM REPORT.—Not later than 2 years 

3 after the date of enactment of this Act, the Secretary 

4 shall submit an interim report on the evaluation con5 ducted pursuant to subsection (a) to the Committee on 

6 Health, Education, Labor, and Pensions of the Senate 

7 and the Committee on Education and Labor of the 

8 House of Representatives. 

9 (2) FINAL REPORT.—Not later than 4 years after 

10 the date of enactment of this Act, the Secretary shall 

11 submit a final report on the evaluation conducted 

12 pursuant to subsection (a) to the committees described 

13 in paragraph (1). 

14 (c) STUDY.—The independent evaluation conducted 

15 under this section shall examine the following: 

16 (1) The effect of home visiting programs on child 

17 and parent outcomes, consistent with program goals, 

18 including, where appropriate given the program being 

19 evaluated, parental outcomes related to child health 

20 and development, parenting practices, child health 

21 and development, child maltreatment, school readi22 ness, and links to community services. 

23 (2) The effectiveness of early childhood home visi24 tation on different populations, including the extent 


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1 to which variability exists in program ability to im2 prove outcomes across programs and populations. 

3 SEC. 8. REPORTS TO CONGRESS. 

4 (a) IN GENERAL.—The Secretary shall annually pro5 vide a report to the Committee on Education and Labor 

6 in the House of Representatives and the Committee on 

7 Health, Education, Labor, and Pensions in the Senate, in8 formation on the activities carried out under this Act. 

9 (b) CONTENT.—The reports submitted under this sec10 tion shall, at a minimum, include information about the 

11 programs carried out under this Act, including information 

12 on the following: 

13 (1) descriptions of the high need communities 

14 targeted by States for programs carried out under 

15 this Act; 

16 (2) the service delivery models funded under this 

17 Act; 

18 (3) program characteristics, including— 

19 (A) staff qualifications and demographic 

20 characteristics; and 

21 (B) recipient characteristics including the 

22 number of families served, the demographic char23 acteristics of the families served, and family re24 tention and duration of services; 

25 (4) program-reported outcomes; 


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1 (5) the findings from State evaluations; 

2 (6) the research-based instruction, materials, and 

3 activities being used in the activities funded under the 

4 grant; 

5 (7) the training and technical activities, includ6 ing on-going professional development, provided to 

7 programs; and 

8 (8) the annual program implementation costs, 

9 including the cost per family served under the pro10 gram. 

11 SEC. 9. SUPPORTING NEW PARENTS THROUGH HOSPITAL 

12 EDUCATION. 

13 (a) IN GENERAL.—The Secretary shall develop and 

14 implement a public information and educational campaign 

15 to inform the public and new parents about the importance 

16 of proper care for infants and children under 5 years of 

17 age, including healthy parent-child relationships, the de18 mands and stress associated with caring for infants, posi19 tive responses to infants’ challenging behaviors including 

20 awareness of their social, emotional, and physical needs, 

21 awareness of the vulnerability of young children to abusive 

22 practices, and the signs and treatment of post-partum de23 pression. 

24 (b) ELEMENTS.— 


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1 (1) IN GENERAL.—The campaign developed 

2 under subsection (a) shall include the following ele3 ments: 

4 (A) The dissemination of educational and 

5 informational materials in print, audio, video, 

6 electronic, and other media. 

7 (B) The use of public service announcements 

8 and advertisements. 

9 (C) The dissemination of effective child 

10 abuse prevention practices and techniques, in11 cluding information about research-based home 

12 visiting programs, respite care, crisis nurseries, 

13 and parent support networks, to parents, care14 givers, maternity hospitals, children’s hospitals, 

15 pediatricians, child care centers, organizations 

16 providing prenatal and postnatal care, and or17 ganizations providing parenting education and 

18 support services. 

19 (D) Connection to existing parental involve20 ment programs. 

21 (2) EXISTING PROGRAMS.—The Secretary, in im22 plementing and executing the public information and 

23 educational campaign under this section, should seek 

24 collaboration with and referrals to existing parental 

25 involvement programs that specialize in strengthening 


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1 children’s cognitive skills, early literacy skills, social 

2 or emotional and physical development and existing 

3 prenatal and early childhood home visitation pro4 grams. 

5 (3) EXISTING STATE REQUIREMENTS.—The Sec6 retary, in implementing and executing the public in7 formation and educational campaign under this sec8 tion, shall consider with pre-existing State require9 ments to ensure that no unnecessary burdens are 

10 placed on hospitals, military hospitals, and birth cen11 ters receiving educational materials. 

12 (c) AUTHORIZATION OF APPROPRIATIONS.—There are 

13 authorized to be appropriated to carry out this section such 

14 sums as may be necessary for fiscal years 2009 through 

15 2013. 


hsrobinson on PROD1PC76 with BILLS
Union Calendar No. 559 

110TH CONGRESS 

2D SESSION H. R. 2343 

[Report No. 110–818, Part I] 

A BILL 

To expand quality programs of early childhood 

for other purposes. including potential mental health concerns, and identification of developmental and health delays, child abuse and neglect prevention, and early home visitation that increase school readiness, 

SEPTEMBER 19, 2008 

Committee on Armed Services discharged; committed to 

Union and ordered to be printed the Committee of the Whole House on the State of the 


hsrobinson on PROD1PC76 with BILLS