I 

111TH CONGRESS 

1ST SESSION H. R. 2205 

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 

APRIL 30, 2009 

Mr. DAVIS of Illinois (for himself, Mr. PLATTS, Mr. MCHUGH, Mr. CASTLE, 

and Mr. EHLERS) 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 

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 2009’’. 


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1 SEC. 2. FINDINGS AND PURPOSES. 

2 (a) FINDINGS.—Congress finds that— 

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

4 learning environment for children, and parents are 

5 their children’s first and most influential teacher; 

6 (2) parent education and family support can 

7 promote parents’ ability to enhance their children’s 

8 development from birth until entry into kinder9 garten, thereby helping parents to prepare their chil10 dren for success in school; 

11 (3) undiagnosed and unaddressed develop12 mental and health problems can impede overall child 

13 development and school readiness; 

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

15 (A) research-based information regarding 

16 child development; 

17 (B) enrichment opportunities with their 

18 children; and 

19 (C) early opportunities to become involved 

20 with their communities and schools; and 

21 (5) early childhood home visitation leads to 

22 positive outcomes for children and families, including 

23 readiness for school, improved child health and de24 velopment, positive parenting practices, and reduc25 tions in child maltreatment. 


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1 (b) PURPOSES.—The purposes of this Act are as fol2 lows: 

3 (1) To enable States, Indian tribes, tribal orga4 nizations, territories, or possessions to deliver qual5 ity programs of early childhood home visitation to 

6 pregnant women and parents of children from birth 

7 until entry into kindergarten in order to promote 

8 positive outcomes for children and families including: 

9 readiness for school, improved child health and de10 velopment, positive parenting practices, reductions in 

11 child maltreatment, and enhanced parenting abilities 

12 to support their children’s optimal cognitive, lan13 guage, social-emotional, and physical development. 

14 (2) To expand quality programs of early child15 hood home visitation so as to more effectively reach 

16 and serve families with English language learners. 

17 (3) To expand quality programs of early child18 hood home visitation so as to more effectively reach 

19 and serve families serving in the military. 

20 (4) To establish a public education and aware21 ness campaign concerning the importance of the 

22 proper care of infants and young children. 

23 SEC. 3. DEFINITIONS. 

24 In this Act: 


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1 (1) ELIGIBLE FAMILY.—The term ‘‘eligible 

2 family’’ means— 

3 (A) a woman who is pregnant and the fa4 ther of the child if the father is available; or 

5 (B) a parent or primary caregiver of a 

6 child under the age of entry into kindergarten, 

7 including grandparents or other relatives of the 

8 child, and foster parents (including kinship 

9 caregivers), who are serving as the primary 

10 caregiver, including a noncustodial parent who 

11 has an ongoing relationship with and, at times, 

12 provides physical care for such child. 

13 (2) ENGLISH LANGUAGE LEARNER.—The term 

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

15 individual, means an individual— 

16 (A) who— 

17 (i) was not born in the United States 

18 or whose native language is a language 

19 other than English; 

20 (ii)(I) is a Native American (as de21 fined in section 9101 of the Elementary 

22 and Secondary Education Act of 1965 (20 

23 U.S.C. 7801)), an Alaska Native, or a na24 tive resident of an outlying area (as de25 fined in such section 9101); and 


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1 (II) comes from an environment where 

2 a language other than English has had a 

3 significant impact on the individual’s level 

4 of English language proficiency; or 

5 (iii) is migratory, whose native lan6 guage is a language other than English, 

7 and who comes from an environment where 

8 a language other than English is domi9 nant; and 

10 (B) whose difficulties in speaking or un11 derstanding the English language may be suffi12 cient to deny such individual— 

13 (i) the ability to successfully achieve 

14 in a classroom in which the language of in15 struction is English; or 

16 (ii) the opportunity to participate fully 

17 in society. 

18 (3) HOME VISITATION.—The term ‘‘home visi19 tation’’ means services provided in the permanent or 

20 temporary residence, or in a mutually agreed upon 

21 location in the community, of the individual receiv22 ing such services. 

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

24 has the meaning given such term in section 4(e) of 


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1 the Indian Self-Determination and Education Assist2 ance Act (25 U.S.C. 450b). 

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

4 6, the term ‘‘Secretary’’ means the Secretary of 

5 Health and Human Services. 

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

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

8 Commonwealth of Puerto Rico. 

9 (7) TERRITORIES AND POSSESSIONS.—The 

10 term ‘‘territories and possessions’’ shall include 

11 American Samoa, the Commonwealth of the North12 ern Mariana Islands, Guam, and the United States 

13 Virgin Islands. 

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

15 organization’’ has the meaning given the term in 

16 section 4(l) of the Indian Self-Determination and 

17 Education Assistance Act (25 U.S.C. 450b). 

18 SEC. 4. GRANTS FOR EARLY CHILDHOOD HOME VISITA19 TION. 

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

21 with the Secretary of Education, shall make grants to 

22 States, Indian tribes, tribal organizations, territories and 

23 possessions to enable States, Indian tribes, tribal organi24 zations, territories and possessions to establish or expand 

25 quality programs of early childhood home visitation as 


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

2 the allotment determined under subsection (b). 

3 (b) DETERMINATION OF RESERVATIONS; AMOUNT OF

4 ALLOTMENTS; AUTHORIZATION OF APPROPRIATIONS.— 

5 (1) RESERVATIONS FROM APPROPRIATIONS.— 

6 From the total amount made available to carry out 

7 this section for a fiscal year, the Secretary shall re8 serve— 

9 (A) 3 percent for an independent evalua10 tion of the activities carried out under this Act, 

11 as specified in section 7; 

12 (B) not more than 3 percent for Federal 

13 administrative costs; 

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

15 appropriated for any fiscal year for payments to 

16 Indian tribes or tribal organizations with an ap17 proved application under this section; 

(D) not more than 1 18 ⁄2 of 1 percent of the 

19 funds appropriated for any fiscal year for pay20 ments to territories and possessions with an ap21 proved application under this section; and 

22 (E) 2 percent for training and technical 

23 assistance for States. 

24 (2) STATE ALLOTMENTS FOR EARLY CHILD25 HOOD HOME VISITATION.— 


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1 (A) IN GENERAL.—In accordance with 

2 subparagraph (B), the Secretary shall allot 

3 among each of the eligible States the total 

4 amount made available to carry out this section 

5 for any fiscal year and not reserved under para6 graph (1), to support early childhood home visi7 tation programs in accordance with this section. 

8 (B) DETERMINATION OF STATE ALLOT9 MENTS.—The Secretary shall allot the amount 

10 made available under subparagraph (A) for a 

11 fiscal year among the eligible States in propor12 tion to the number of children, aged from birth 

13 through 5 years from families whose income is 

14 below the poverty line, who reside within the 

15 State, compared to the number of such individ16 uals who reside in all such States for that fiscal 

17 year. 

18 (3) PAYMENTS TO TRIBES AND TERRITORIES.— 

19 (A) Out of the funds reserved under para20 graph (1)(C), the Secretary shall provide funds 

21 to each Indian tribe or tribal organization with 

22 an approved application under this section in 

23 accordance with the respective needs described 

24 in that application. 


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1 (B) Out of the funds reserved under para2 graph (1)(D), the Secretary shall provide funds 

3 to each territory or possession with an approved 

4 application under this section in accordance 

5 with the respective needs described in that ap6 plication. 

7 (4) APPLICATIONS OF INDIAN TRIBES, TRIBAL

8 ORGANIZATIONS, TERRITORIES, OR POSSESSIONS.— 

9 (A) Subject to subparagraph (B), the Sec10 retary shall approve an application of an Indian 

11 tribe, tribal organization, territory, or posses12 sion based on the quality of the application. 

13 (B) The Secretary may exempt an applica14 tion submitted by an Indian tribe, tribal organi15 zation, territory, or possession from any re16 quirement of this section that the Secretary de17 termines would be inappropriate to apply taking 

18 into account the resources, needs, and other cir19 cumstances of the Indian tribe, tribal organiza20 tion territory, or possession with the exception 

21 of the provision of quality early childhood home 

22 visitation and participation in the independent 

23 evaluation outlined in section 7. 

24 (5) AUTHORIZATION OF APPROPRIATIONS.— 

25 There are authorized to be appropriated to carry out 


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1 this section $150,000,000 for fiscal year 2010 and 

2 such sums as may be necessary for fiscal years 2011 

3 through 2014. 

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

5 tribal organization, territory, or possession that desires to 

6 receive a grant under this section shall submit an applica7 tion to the Secretary at such time, in such manner, and 

8 containing such information as the Secretary may require. 

9 For the purposes of this subsection, the term ‘‘State’’ in10 cludes Indian tribes, tribal organizations, territories, or 

11 possessions. The application shall contain the following in12 formation: 

13 (1) An assurance that the Governor of the 

14 State has designated a lead State agency, such as 

15 the State educational agency or the State health and 

16 human services agency, to carry out the activities 

17 under this section. 

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

19 percent of such grant for evaluation and will partici20 pate in the independent evaluation under section 7. 

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

22 percent of the grant funds for training and technical 

23 assistance to programs of early childhood home visi24 tation. 


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1 (4) An assurance that the State will authorize 

2 child care resource and referral agencies to refer 

3 parents seeking home visitation services. 

4 (5) An assurance that in supporting early child5 hood home visitation programs under this section 

6 the State shall identify and prioritize serving com7 munities that are in high need of such services, such 

8 as communities with— 

9 (A) low student achievement; 

10 (B) high rates of teen pregnancy; 

11 (C) high proportions of families; 

12 (D) high incidences of child abuse; 

13 (E) high rates of children with develop14 mental delays or disabilities; 

15 (F) large concentrations of individuals who 

16 are English language learners; 

17 (G) large concentrations of individuals cur18 rently serving in the Armed Forces; and 

19 (H) large concentrations of individuals who 

20 formerly served in the Armed Forces. 

21 (6) The results of a statewide needs assessment 

22 that describes— 

23 (A) the quality and capacity of existing 

24 programs of early childhood home visitation in 

25 the State; 


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1 (B) the number and types of eligible fami2 lies who are receiving services under such pro3 grams; and 

4 (C) the gaps in early childhood home visi5 tation in the State, including identification of 

6 communities that are in high need of such serv7 ices. 

8 (7) A State plan containing the following: 

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

10 prioritize establishing or expanding high quality 

11 programs of early childhood home visitation 

12 programs in communities that are in high need 

13 of such programs. 

14 (B) A description of the high quality pro15 grams of early childhood home visitation that 

16 will be supported by a grant under this section. 

17 (C) A description of how the proposed pro18 gram of early childhood home visitation will 

19 promote positive parenting skills and children’s 

20 early learning and development. 

21 (D) A description of how the proposed pro22 gram of early childhood home visitation will in23 corporate the authorized activities described in 

24 subsection (e). 


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1 (E) How the lead State agency will build 

2 on and promote coordination among existing 

3 programs of early childhood home visitation in 

4 an effort to promote an array of home visitation 

5 programs to ensure more eligible families are 

6 being served and are getting the most appro7 priate services to meet their needs. 

8 (F) How the lead State agency will pro9 mote collaboration among a broad range of 

10 child- and family-serving programs, including— 

11 (i) early childhood home visitation 

12 programs, including targeted grants 

13 awarded under sections 5 and 6; 

14 (ii) early childhood care and education 

15 programs; 

16 (iii) activities carried out under part 

17 C of the Individuals with Disabilities Edu18 cation Act (20 U.S.C. 1431 et seq.) and 

19 section 619 of the Individuals with Disabil20 ities Education Act (20 U.S.C. 1419); 

21 (iv) child abuse prevention and treat22 ment programs, and State and local child 

23 protection systems; 

24 (v) Medicaid and State Children’s 

25 Health Insurance programs; 


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1 (vi) nutrition assistance programs; 

2 (vii) parental substance abuse and 

3 mental health prevention and treatment 

4 programs; 

5 (viii) domestic and family violence 

6 prevention programs; 

7 (ix) child support enforcement pro8 grams; 

9 (x) workforce development programs; 

10 (xi) the State Temporary Assistance 

11 to Needy Families program; 

12 (xii) early childhood intervention pro13 grams, such as mental health prevention 

14 and treatment services; 

15 (xiii) State and local educational 

16 agencies; and 

17 (xiv) other appropriate child-serving 

18 programs in the State in order to facilitate 

19 the coordinated delivery of services for eli20 gible families. 

21 (G) How the lead State agency will provide 

22 for the training and technical assistance to pro23 grams of early childhood home visitation in24 volved in activities under this section to more 

25 effectively meet the needs of the eligible families 


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1 served, with sensitivity to cultural variations in 

2 attitudes toward formal support services and 

3 parenting norms. 

4 (H) How the lead State agency will evalu5 ate the activities supported under this section in 

6 order to assess outcomes including, but not lim7 ited to— 

8 (i) parental outcomes related to child 

9 health and development, including parent 

10 knowledge of early learning and develop11 ment; 

12 (ii) child health, cognitive, language, 

13 social-emotional, and physical development; 

14 (iii) child maltreatment; 

15 (iv) school readiness; and 

16 (v) links to community services. 

17 (I) A description of how the lead State 

18 agency will ensure home visitation programs 

19 prioritize outreach activities to target fathers 

20 and include fathers in the program where safe 

21 and appropriate. 

22 (J) A description of how the lead State 

23 agency will ensure that services are made avail24 able under the program to grandparents, other 

25 relatives or foster parents, of a child from birth 


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1 through age 5 who serve as the primary care2 giver of the child. 

3 (K) Such other information as the Sec4 retary may require. 

5 (d) APPROVAL OF APPLICATIONS.— 

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

7 an application under this section based on the rec8 ommendations of a peer review panel, as described 

9 in paragraph (2). 

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

11 panel shall include individuals with experience in 

12 varying models of home visitation, including not 

13 fewer than— 

14 (A) 3 individuals who are experts in the 

15 field of home visitation; 

16 (B) 2 individuals who are experts in early 

17 childhood development; 

18 (C) 1 individual with expertise imple19 menting a statewide program of early childhood 

20 home visitation; 

21 (D) 1 individual who is a board certified 

22 pediatrician or a developmental pediatrician; 

23 and 


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1 (E) 1 individual with experience in admin2 istering public or private (including community3 based) child maltreatment prevention programs. 

4 (3) RECOMMENDATIONS.—The panel shall rec5 ommend applicants to the Secretary based on the 

6 quality of their applications. In addition to ensuring 

7 that the application is complete, the panel shall con8 sider— 

9 (A) the quality of the statewide needs as10 sessment, described in subsection (c)(6); 

11 (B) the quality of the programs to be fund12 ed by the grant, described in subsection 

13 (c)(7)(B), and the capacity of such programs to 

14 establish or expand high quality home visitation 

15 services; 

16 (C) the plan to enhance and improve serv17 ices in the State through collaboration described 

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

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

20 communities in high need of home visitation 

21 programs; and 

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

23 training and technical assistance. 

24 (e) STATE USES OF FUNDS.—Each State that re25 ceives a grant under this section shall— 


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

2 State as practicable, voluntary early childhood home 

3 visitation, on not less frequently than a monthly 

4 basis with greater frequency of services for those eli5 gible families identified with additional needs, 

6 through the implementation of high quality pro7 grams of early childhood home visitation that— 

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

9 (i) is research-based; 

10 (ii) is grounded in empirically based 

11 knowledge related to home visiting and 

12 child health or child development; 

13 (iii) is linked to program-determined 

14 outcomes; 

15 (iv) is associated with a national orga16 nization or institution of higher education 

17 (as defined under section 101 of the High18 er Education Act of 1965), that has com19 prehensive home visitation program stand20 ards, including standardized training and 

21 ongoing professional development, that en22 sure high quality service delivery and con23 tinuous program quality improvement; 


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1 (v) has been evaluated, and the re2 sults of the evaluation have been published 

3 in a peer-reviewed journal; and 

4 (vi) has been in existence at least 3 

5 consecutive years prior to the program 

6 being funded under this Act; 

7 (B) employ well-trained and competent 

8 staff, as demonstrated by education or training, 

9 and the provision of ongoing and specific train10 ing on the model being delivered; 

11 (C) maintain high quality supervision that 

12 supports home visitor competencies; 

13 (D) show strong organizational capacity to 

14 implement the program involved; 

15 (E) establish appropriate linkages and re16 ferral networks to other community resources 

17 and supports; 

18 (F) monitor fidelity of program implemen19 tation to assure that services are delivered ac20 cording to the specified model; 

21 (G) establish procedures to promote par22 ticipation of fathers, where safe and appro23 priate; 

24 (H) are research-based and provide par25 ents with— 


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1 (i) knowledge of age-appropriate child 

2 development in cognitive, language, social3 emotional, and motor domains (including 

4 knowledge of second language acquisition, 

5 in the case of English language learners); 

6 (ii) knowledge of realistic expectations 

7 of age-appropriate child behaviors; 

8 (iii) knowledge of health and wellness 

9 issues for children and parents; 

10 (iv) modeling, consulting, and coach11 ing on parenting practices; 

12 (v) skills to interact with their child to 

13 enhance age-appropriate development; 

14 (vi) skills to recognize and seek help 

15 for issues related to health, developmental 

16 delays, and social, emotional, and behav17 ioral skills; 

18 (vii) activities designed to help par19 ents become full partners in the education 

20 of their children; and 

21 (viii) relevant information, consistent 

22 with State child welfare agency training, 

23 concerning child welfare and protective 

24 services resources if appropriate; 


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1 (I) ascertain what health and develop2 mental services the family receives and works 

3 with providers of such services to eliminate 

4 gaps in service by offering annual health, vi5 sion, hearing, and developmental screening for 

6 children from birth to entry into kindergarten, 

7 when not otherwise provided; 

8 (J) provide referrals for eligible families, 

9 as needed, to additional resources available in 

10 the community, such as center-based early edu11 cation programs, child care services, health or 

12 mental health services, family literacy pro13 grams, employment agencies, social services, fa14 therhood programs, and child care resource and 

15 referral agencies; and 

16 (K) offer group meetings (at program dis17 cretion) for eligible families that— 

18 (i) further enhance the information, 

19 activities, and skill-building addressed dur20 ing home visitation; and 

21 (ii) offer opportunities for parents to 

22 meet with and support each other. 

23 (2) reserve 10 percent of the grant funds to 

24 provide training and technical assistance, directly or 


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1 through contract, to early childhood home visitation 

2 programs relating to— 

3 (A) effective methods of implementing par4 ent education, conducting home visiting, and 

5 promoting positive early childhood development; 

6 (B) the relationship of health and well7 being of pregnant women to prenatal and early 

8 childhood development; 

9 (C) early childhood development with re10 spect to children from birth until entry into kin11 dergarten; 

12 (D) methods to help parents promote 

13 emergent literacy, including second language 

14 acquisition for English language learners, in 

15 their children from birth until entry into kin16 dergarten; 

17 (E) health, vision, hearing, and develop18 mental screenings; 

19 (F) strategies for helping eligible families 

20 with special needs or those eligible families cop21 ing with crisis; 

22 (G) recruiting, supervising, and retaining 

23 qualified staff; 

24 (H) increasing services for underserved 

25 populations; 


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1 (I) methods to help parents effectively re2 spond to their children’s needs and behaviors; 

3 (J) implementation of ongoing program 

4 quality improvement and evaluation of activities 

5 and outcomes; 

6 (K) relevant issues related to child welfare 

7 and protective services, with information pro8 vided being consistent with State or local child 

9 welfare agency training; 

10 (L) effective methods of successfully en11 gaging fathers in programs for parents; and 

12 (M) the relationship of father involvement 

13 to the health and well-being of pregnant women 

14 and to prenatal and early childhood develop15 ment; 

16 (3) ensure representatives from high quality 

17 programs of early childhood home visitation oper18 ating in the State are included in an existing State19 level early childhood coordinating body, such as the 

20 State Advisory Council on Early Childhood Care and 

21 Education (as defined in section 642B(b) of the 

22 Head Start Act), that meets regularly to address 

23 policy and implementation issues that will improve 

24 the coordination and effectiveness of a range of serv25 ices for children and families; and 


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

2 of grant funds received under this section for the ad3 ministration of the grant, including planning, admin4 istration, and annual reporting. 

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

6 to receive its full allotment of funds under this section for 

7 any fiscal year if the Secretary finds that the aggregate 

8 expenditures within the State for quality programs of 

9 early childhood home visitation for the fiscal year pre10 ceding the fiscal year for which the determination is made 

11 was not less than 100 percent of such aggregate expendi12 tures for the second fiscal year preceding the fiscal year 

13 for which the determination is made. 

14 (g)(1) STATE MATCH.—In order to receive an allot15 ment under subsection (b)(2), a State shall match the 

16 amount of such allotment with funds not derived from 

17 other Federal sources on the following basis: 

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

19 2011; 

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

21 2012; and 

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

23 2013. 


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1 (2) MATCH REQUIREMENT.—The funds resulting 

2 from the requirement in paragraph (1) shall be exported 

3 in accordance with the requirements of this section. 

4 (h) REPORTING REQUIREMENTS.—Each State that 

5 receives a grant under this section shall submit an annual 

6 report to the Secretary regarding the State’s progress in 

7 addressing the purposes of this Act. Such report shall in8 clude, at a minimum, a description of— 

9 (1) actual service delivery provided under the 

10 grant including— 

11 (A) program characteristics, including de12 scriptive information on the service model used 

13 and actual program performance; 

14 (B) provider characteristics, including staff 

15 qualifications, work experience, and demo16 graphic characteristics; and 

17 (C) recipient characteristics, including 

18 number, demographic characteristics, and fam19 ily retention; 

20 (2) recipient outcomes that are consistent with 

21 program goals, including, where appropriate given 

22 the program being evaluated— 

23 (A) parent knowledge of early learning and 

24 development; 


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1 (B) child health, cognitive, language, so2 cial-emotional, and physical developmental indi3 cators; 

4 (C) child maltreatment indicators; 

5 (D) school readiness indicators; and 

6 (E) links to community services; 

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

8 and activities being used in the activities funded 

9 under the grant; 

10 (4) the training and technical assistance, in11 cluding ongoing professional development, provided 

12 to programs supported under the grant; 

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

14 the grant, the results of evaluations described in 

15 subsection (c)(7)(H); and 

16 (6) the annual program implementation costs, 

17 including the cost per family served under the pro18 gram. 

19 SEC. 5. TARGETED GRANTS FOR EARLY CHILDHOOD HOME 

20 VISITATION FOR FAMILIES WITH ENGLISH 

21 LANGUAGE LEARNERS. 

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

23 with the Secretary of Education, shall make grants, on 

24 a competitive basis, to eligible applicants to enable such 

25 applicants to support and expand local efforts to deliver 


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1 services through quality programs of early childhood home 

2 visitation to eligible families with English language learn3 ers. 

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

5 ‘‘eligible applicant’’ means— 

6 (1) 1 or more local educational agencies (as de7 fined in section 9101 of the Elementary and Sec8 ondary Education Act of 1965 (20 U.S.C. 7801)); 

9 and 

10 (2) 1 or more public or private community11 based organizations or agencies that serve eligible 

12 families and are capable of establishing and imple13 menting high quality programs of early childhood 

14 home visitation. 

15 (c) APPLICATIONS.—An eligible applicant that de16 sires to receive a grant under this section shall submit an 

17 application to the Secretary at such time, in such manner, 

18 and containing such information as the Secretary may re19 quire. The application shall include a description of— 

20 (1) the results of a communitywide needs as21 sessment that demonstrates the need for services to 

22 eligible families with English language learners and 

23 describes— 

24 (A) community demographics; 


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1 (B) the quality and capacity of existing 

2 programs of early childhood home visitation for 

3 eligible families with English language learners 

4 in the community; 

5 (C) the gaps in programs of early child6 hood home visitation for eligible families with 

7 English language learners in the community; 

8 and 

9 (D) the type of program of early childhood 

10 home visitation necessary to address the gaps 

11 identified; 

12 (2) the program of early childhood home visita13 tion that will be supported by the grant under this 

14 section; 

15 (3) how the proposed program of early child16 hood home visitation will promote positive parenting 

17 skills and children’s early learning and development; 

18 (4) how the proposed program of early child19 hood home visitation will incorporate the authorized 

20 activities described in subsection (e); 

21 (5) how services provided through a grant 

22 under this section will use materials that are appro23 priate for eligible families with English language 

24 learners; 


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1 (6) how the activities under this section will 

2 build on and promote coordination among existing 

3 programs of early childhood home visitation, if such 

4 programs exist in the community, in an effort to 

5 promote an array of home visitation that ensures 

6 more eligible families with English language learners 

7 are being served and are getting the most appro8 priate services to meet their needs; 

9 (7) how the program will ensure that— 

10 (A) where appropriate to the program 

11 goals of the home visiting model, families par12 ticipating in early childhood home visitation 

13 programs with English language learners will 

14 be introduced to and connected with their local 

15 schools to encourage ongoing parental involve16 ment in their children’s education; and 

17 (B) the activities under this section will 

18 support the preparation of children for school; 

19 (8) how channels of communication will be es20 tablished between staff of programs of early child21 hood home visitation and staff of other early child22 hood education programs, such as Head Start pro23 grams carried out under the Head Start Act (42 

24 U.S.C. 9831 et seq.) and Early Head Start pro25 grams carried out under section 645A of such Act, 


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1 preschool programs, and child care programs, to fa2 cilitate the coordination of services for eligible fami3 lies with English language learners; 

4 (9) how eligible families with English language 

5 learners will be recruited and retained to receive 

6 services under this section; 

7 (10) how training and technical assistance will 

8 be provided to help the staff of programs of early 

9 childhood home visitation involved in activities under 

10 this section to more effectively serve eligible families 

11 with English language learners; 

12 (11) how the eligible applicant will evaluate the 

13 activities supported under this section in order to 

14 demonstrate outcomes related to the— 

15 (A) number of eligible families with 

16 English language learners served by programs 

17 of early childhood home visitation; 

18 (B) parental knowledge of early learning 

19 and development; 

20 (C) positive parenting practices related to 

21 early learning and development; and 

22 (D) children’s cognitive, language, social23 emotional, and physical development; 

24 (12) how the proposed program will conduct 

25 outreach activities to target both mothers and faVerDate Nov 24 2008 00:07 May 04, 2009 Jkt 079200 PO 00000 Frm 00030 Fmt 6652 Sfmt 6201 E:\BILLS\H2205.IH H2205

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1 thers and increase father involvement where safe 

2 and appropriate; and 

3 (13) such other information as the Secretary 

4 may require. 

5 (d) APPROVAL OF APPLICATIONS.— 

6 (1) IN GENERAL.—The Secretary shall select 

7 applicants for funding under this section based on 

8 the quality of the applications and the recommenda9 tions of a peer review panel, as described in para10 graph (2). 

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

12 panel shall include not fewer than— 

13 (A) 2 individuals who are experts in the 

14 field of home visitation; 

15 (B) 2 individuals who are experts in early 

16 childhood development; 

17 (C) 2 individuals who are experts in serv18 ing eligible families with English language 

19 learners; 

20 (D) 1 individual who is a board certified 

21 pediatrician or a developmental pediatrician; 

22 and 

23 (E) 1 individual with expertise in admin24 istering public or private (including community25 based) child maltreatment prevention programs. 


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1 (e) AUTHORIZED ACTIVITIES.—Each eligible appli2 cant that receives a grant under this section shall carry 

3 out the following activities: 

4 (1) Providing to as many eligible families with 

5 English language learners as practicable, voluntary 

6 early childhood home visitation, on not less fre7 quently than a monthly basis, through the imple8 mentation of quality programs of early childhood 

9 home visitation that are research-based that provide 

10 parents with— 

11 (A) knowledge of age-appropriate child de12 velopment in cognitive, language, social-emo13 tional, and motor domains; 

14 (B) knowledge of realistic expectations of 

15 age-appropriate child behaviors; 

16 (C) knowledge of health and wellness 

17 issues for children and parents; 

18 (D) modeling, consulting, and coaching on 

19 parenting practices; 

20 (E) skills to interact with their child to en21 hance age-appropriate development; 

22 (F) skills to recognize and seek help for 

23 issues related to health, developmental delays, 

24 and social, emotional, and behavioral skills; and 


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1 (G) activities designed to help parents be2 come full partners in the education of their chil3 dren. 

4 (2) Ascertaining what health and developmental 

5 services the family receives and working with these 

6 providers to eliminate gaps in service by offering an7 nual health, vision, hearing, and developmental 

8 screening for children from birth to entry into kin9 dergarten, when not otherwise provided. 

10 (3) Providing referrals for participating eligible 

11 families with English language learners, as needed, 

12 to additional resources available in the community, 

13 such as center-based early education programs, child 

14 care services, health or mental health services, fam15 ily literacy programs, employment agencies, social 

16 services, and child care resource and referral agen17 cies. 

18 (4) Offering group meetings (at program dis19 cretion), on not less frequently than a monthly basis, 

20 for eligible families with English language learners 

21 that— 

22 (A) further enhance the information, ac23 tivities, and skill-building addressed during 

24 home visitation; 


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1 (B) offer opportunities for parents to meet 

2 with and support each other; and 

3 (C) address challenges facing eligible fami4 lies with English language learners. 

5 (5) Providing training and technical assistance 

6 to early childhood home visitation staff relating to— 

7 (A) effective service to eligible families 

8 with English language learners, including skills 

9 to address challenges facing English language 

10 learners; 

11 (B) effective methods of implementing par12 ent education, conducting home visiting, and 

13 promoting quality early childhood development, 

14 with sensitivity to cultural variations in par15 enting norms and attitudes toward formal sup16 port services; 

17 (C) the relationship of health and well18 being of pregnant women to prenatal and early 

19 child development; 

20 (D) early childhood development with re21 spect to children from birth until entry into kin22 dergarten; 

23 (E) methods to help parents promote 

24 emergent literacy in their children from birth 

25 until entry into kindergarten; 


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1 (F) implementing strategies for helping eli2 gible families with English language learners 

3 coping with a crisis; 

4 (G) recruiting, supervising, and retaining 

5 qualified staff; 

6 (H) increasing services for underserved eli7 gible families with English language learners; 

8 (I) methods to help parents effectively re9 spond to their children’s needs and behaviors; 

10 (J) implementation of ongoing program 

11 quality improvement and evaluation of activities 

12 and outcomes; and 

13 (K) the relationship of father involvement 

14 to the health and well-being of pregnant women 

15 and to prenatal and early childhood develop16 ment. 

17 (6) Coordinating existing programs of early 

18 childhood home visitation in order to effectively and 

19 efficiently meet the needs of more eligible families 

20 with English language learners. 

21 (f) REPORTING REQUIREMENTS.—Each applicant 

22 that receives a grant under this section to carry out a pro23 gram shall submit an annual report to the Secretary, and 

24 the lead State agency as described in section 4(c)(1), re25 garding the progress of such program in addressing the 


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1 purposes of this Act. Such report shall include, at a min2 imum, a description of— 

3 (1) actual service delivery provided under the 

4 grant including— 

5 (A) program characteristics including de6 scriptive information on the service model used 

7 and actual program performance; 

8 (B) provider characteristics including staff 

9 qualifications, work experience, and demo10 graphic characteristics; 

11 (C) recipient characteristics including 

12 number, demographic characteristics, and rates 

13 of family retention in programs; and 

14 (D) an estimate of annual program imple15 mentation costs; 

16 (2) recipient outcomes that are consistent with 

17 program goals including, where appropriate given 

18 the program being evaluated— 

19 (A) parental practices; 

20 (B) child health and development indica21 tors; 

22 (C) child maltreatment indicators; 

23 (D) school readiness indicators; and 

24 (E) links to community services; 


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1 (3) the research-based instruction, materials, 

2 and activities being used in the activities funded 

3 under the grant; and 

4 (4) the training and technical assistance, in5 cluding ongoing professional development, provided 

6 to programs supported under the grant. 

7 (g) SUPPLEMENT NOT SUPPLANT.—Grant funds 

8 provided under this section shall be used to supplement, 

9 and not supplant, Federal and non-Federal funds available 

10 for carrying out the activities described in this section. 

11 (h) AUTHORIZATION OF APPROPRIATIONS.—There is 

12 authorized to be appropriated to carry out this section 

13 $20,000,000 for fiscal year 2010 and such sums for fiscal 

14 years 2011 through 2014. 

15 SEC. 6. TARGETED GRANTS FOR EARLY CHILDHOOD HOME 

16 VISITATION FOR MILITARY FAMILIES. 

17 (a) IN GENERAL.—The Secretary of Defense, in con18 sultation with the Secretary of Education and the Sec19 retary of Health and Human Services, shall make grants, 

20 on a competitive basis, to eligible applicants to enable such 

21 applicants to support and expand efforts to deliver services 

22 through high quality programs of early childhood home 

23 visitation to eligible families with a family member in the 

24 Armed Forces. 


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

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

3 (1) A local educational agency that receives 

4 payments under title VIII of the Elementary and 

5 Secondary Education Act of 1965 (20 U.S.C. 7701 

6 et seq.). 

7 (2) A school of the defense dependents’ edu8 cation system under the Defense Dependents’ Edu9 cation Act of 1978 (20 U.S.C. 921 et seq.). 

10 (3) A school established under section 2164 of 

11 title 10, United States Code. 

12 (4) A community-based organization serving 

13 families with a family member in the Armed Forces. 

14 (c) APPLICATIONS.—An eligible applicant that de15 sires to receive a grant under this section shall submit an 

16 application to the Secretary of Defense at such time, in 

17 such manner, and containing such information as the Sec18 retary of Defense may require. The application shall in19 clude a description of— 

20 (1) the results of a communitywide needs as21 sessment that demonstrates the need for services to 

22 eligible families with a family member in the Armed 

23 Forces and describes— 

24 (A) community demographics; 


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1 (B) the quality and capacity of existing 

2 programs of early childhood home visitation for 

3 eligible families with a family member in the 

4 Armed Forces; 

5 (C) the gaps in programs of early child6 hood home visitation for eligible families with a 

7 family member in the Armed Forces; and 

8 (D) the type of program of early childhood 

9 home visitation necessary to address the gaps 

10 identified; 

11 (2) the program of early childhood home visita12 tion that will be supported by the grant under this 

13 section; 

14 (3) how the proposed program of early child15 hood home visitation will promote positive parenting 

16 skills and children’s early learning and development; 

17 (4) how the proposed program of early child18 hood home visitation will incorporate the authorized 

19 activities described in subsection (f); 

20 (5) how services provided through a grant 

21 under this section will use materials that are appro22 priate toward eligible families with a family member 

23 in the Armed Forces; 

24 (6) how the activities under this section will 

25 build on and promote coordination with existing proVerDate Nov 24 2008 00:07 May 04, 2009 Jkt 079200 PO 00000 Frm 00039 Fmt 6652 Sfmt 6201 E:\BILLS\H2205.IH H2205

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1 grams of early childhood home visitation, if such 

2 programs exist in the community, in an effort to 

3 promote an array of home visitation that ensures 

4 more eligible families with a family member in the 

5 Armed Forces are being served and are getting the 

6 most appropriate services to meet their needs; 

7 (7) how the program will ensure that— 

8 (A) where appropriate to the program 

9 goals of the home visiting model, families par10 ticipating in early childhood home visitation 

11 programs with a family member in the Armed 

12 Forces will be introduced to and connected with 

13 their local schools to encourage ongoing paren14 tal involvement in their children’s education; 

15 and 

16 (B) the activities under this section will 

17 support the preparation of children for school; 

18 (8) how channels of communication will be es19 tablished between staff of programs of early child20 hood home visitation and staff of other early child21 hood education programs, such as Head Start pro22 grams carried out under the Head Start Act (42 

23 U.S.C. 9831 et seq.) and Early Head Start pro24 grams carried out under section 645A of such Act, 

25 preschool programs, family support programs, and 


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•HR 2205 IH

1 child care programs, to facilitate the coordination of 

2 services for eligible families with a family member in 

3 the Armed Forces; 

4 (9) how eligible families with a family member 

5 in the Armed Forces will be recruited and retained 

6 to receive services under this section; 

7 (10) how training and technical assistance will 

8 be provided to help programs of early childhood 

9 home visitation involved in activities under this sec10 tion to more effectively serve eligible families with a 

11 family member in the Armed Forces; 

12 (11) how the eligible applicant will evaluate the 

13 activities supported under this section in order to 

14 demonstrate outcomes related to the— 

15 (A) number of eligible families with a fam16 ily member in the Armed Forces served by pro17 grams of early childhood home visitation; 

18 (B) parental knowledge of early learning 

19 and development; 

20 (C) positive parenting practices related to 

21 early learning and development; and 

22 (D) children’s cognitive, language, social23 emotional, and physical development; 

24 (12) how the proposed program will conduct 

25 outreach activities to target both mothers and faVerDate Nov 24 2008 00:07 May 04, 2009 Jkt 079200 PO 00000 Frm 00041 Fmt 6652 Sfmt 6201 E:\BILLS\H2205.IH H2205

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•HR 2205 IH

1 thers and increase father involvement where safe 

2 and appropriate; and 

3 (13) such other information as the Secretary of 

4 Defense may require. 

5 (d) APPROVAL OF LOCAL APPLICATIONS.— 

6 (1) IN GENERAL.—The Secretary of Defense 

7 shall select applicants for funding under this section 

8 based on the quality of the applications and the rec9 ommendations of a peer review panel, as described 

10 in paragraph (2). 

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

12 panel shall include not fewer than— 

13 (A) 2 individuals who are experts in the 

14 field of home visitation; 

15 (B) 2 individuals who are experts in early 

16 childhood development; 

17 (C) 2 individuals who are experts in family 

18 support for military families; 

19 (D) 1 individual who is a board certified 

20 pediatrician or developmental pediatrician; and 

21 (E) 1 individual with expertise in admin22 istering public or private (including community23 based) child maltreatment prevention programs. 


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•HR 2205 IH

1 (e) AUTHORIZED ACTIVITIES.—Each eligible appli2 cant that receives a grant under this section shall carry 

3 out the following activities: 

4 (1) Providing to as many eligible families with 

5 a family member in the Armed Forces as prac6 ticable, voluntary early childhood home visitation, on 

7 not less frequently than a monthly basis, through 

8 the implementation of quality programs of early 

9 childhood home visitation that are research-based 

10 and that provide parents with— 

11 (A) knowledge of age-appropriate child de12 velopment in cognitive, language, social-emo13 tional, and motor domains; 

14 (B) knowledge of realistic expectations of 

15 age-appropriate child behaviors; 

16 (C) knowledge of health and wellness 

17 issues for children and parents; 

18 (D) modeling, consulting, and coaching on 

19 parenting practices; 

20 (E) skills to interact with their child to en21 hance age-appropriate development; 

22 (F) skills to recognize and seek help for 

23 issues related to health, developmental delays, 

24 and social, emotional, and behavioral skills; and 


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•HR 2205 IH

1 (G) activities designed to help parents be2 come full partners in the education of their chil3 dren. 

4 (2) Ascertaining what health and developmental 

5 services the family receives and working with these 

6 providers to eliminate gaps in service by offering an7 nual health, vision, hearing, and developmental 

8 screening for children from birth to entry into kin9 dergarten, when not otherwise provided. 

10 (3) Providing referrals for participating eligible 

11 families with a family member in the Armed Forces, 

12 as needed, to additional resources available in the 

13 community, such as center-based early education 

14 programs, child care services, health or mental 

15 health services, family literacy programs, employ16 ment agencies, social services, and child care re17 source and referral agencies. 

18 (4) Offering group meetings (at program dis19 cretion), on not less frequently than a monthly basis, 

20 for eligible families with a family member in the 

21 Armed Forces that— 

22 (A) further enhance the information, ac23 tivities, and skill-building addressed during 

24 home visitation; 


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•HR 2205 IH

1 (B) offer opportunities for parents to meet 

2 with and support each other; and 

3 (C) address challenges facing eligible fami4 lies with a family member in the Armed Forces. 

5 (5) Providing training and technical assistance 

6 to early childhood home visitation staff relating to— 

7 (A) effective service to eligible families 

8 with a family member in the Armed Forces; 

9 (B) effective methods of implementing par10 ent education, conducting home visiting, and 

11 promoting quality early childhood development, 

12 with sensitivity to cultural variations in par13 enting norms and attitudes toward formal sup14 port services; 

15 (C) the relationship of health and well16 being of pregnant women to prenatal and early 

17 child development; 

18 (D) early childhood development with re19 spect to children from birth until entry into kin20 dergarten; 

21 (E) methods to help parents promote 

22 emergent literacy in their children from birth 

23 until entry into kindergarten; 


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•HR 2205 IH

1 (F) implementing strategies for helping eli2 gible families with a family member in the 

3 Armed Forces coping with crisis; 

4 (G) recruiting, supervising, and retaining 

5 qualified staff; 

6 (H) increasing services for underserved eli7 gible families with a family member in the 

8 Armed Forces; 

9 (I) methods to help parents effectively re10 spond to their children’s needs and behaviors; 

11 (J) implementation of ongoing program 

12 quality improvement and evaluation of activities 

13 and outcomes; and 

14 (K) the relationship of father involvement 

15 to the health and well-being of pregnant women 

16 and to prenatal and early childhood develop17 ment. 

18 (6) Coordinating existing programs of early 

19 childhood home visitation in order to effectively and 

20 efficiently meet the needs of more eligible families 

21 with a family member in the Armed Forces. 

22 (f) REPORTING REQUIREMENTS.—Each applicant 

23 that receives a grant under this section to carry out a pro24 gram shall submit an annual report to the Secretary, and 

25 the lead State agency as described in section 4(c)(1), reVerDate Nov 24 2008 00:07 May 04, 2009 Jkt 079200 PO 00000 Frm 00046 Fmt 6652 Sfmt 6201 E:\BILLS\H2205.IH H2205

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1 garding the progress of such program in addressing the 

2 purposes of this Act. Such report shall include, at a min3 imum, a description of— 

4 (1) actual service delivery provided under the 

5 grant including— 

6 (A) program characteristics including de7 scriptive information on the service model used 

8 and actual program performance; 

9 (B) provider characteristics including staff 

10 qualifications, work experience, and demo11 graphic characteristics; 

12 (C) recipient characteristics including 

13 number, demographic characteristics, and fam14 ily retention; and 

15 (D) an estimate of annual program imple16 mentation costs; 

17 (2) recipient outcomes that are consistent with 

18 program goals including, where appropriate given 

19 the program being evaluated— 

20 (A) parental practices; 

21 (B) child health and development indica22 tors; 

23 (C) child maltreatment indicators; 

24 (D) school readiness indicators; and 

25 (E) links to community services; 


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•HR 2205 IH

1 (3) the research-based instruction, materials, 

2 and activities being used in the activities funded 

3 under the grant; and 

4 (4) the training and technical assistance, in5 cluding ongoing professional development, provided 

6 to programs supported under the grant. 

7 (g) SUPPLEMENT NOT SUPPLANT.—Grant funds 

8 provided under this section shall be used to supplement, 

9 and not supplant, Federal and non-Federal funds available 

10 for carrying out the activities described in this section. 

11 (h) AUTHORIZATION OF APPROPRIATIONS.—There 

12 are authorized to be appropriated to carry out this section 

13 $20,000,000 for fiscal year 2010 and such sums as may 

14 be necessary for fiscal years 2011 through 2014. 

15 SEC. 7. EVALUATION. 

16 (a) IN GENERAL.—From funds reserved under sec17 tion 4(b)(1)(A), the Secretary shall conduct, through 

18 grant or contract, an independent evaluation of the effec19 tiveness of home visitation programs carried out under 

20 this Act. 

21 (b) REPORTS.— 

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

23 after the date of enactment of this Act, the Sec24 retary shall submit an interim report on the evalua25 tion conducted pursuant to subsection (a) to the 


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1 Committee on Health, Education, Labor, and Pen2 sions of the Senate and the Committee on Education 

3 and Labor of the House of Representatives. 

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

5 after the date of enactment of this Act, the Sec6 retary shall submit a final report on the evaluation 

7 conducted pursuant to subsection (a) to the commit8 tees described in paragraph (1). 

9 (c) STUDY.—The independent evaluation conducted 

10 under this section shall examine the following: 

11 (1) The effect of home visiting programs on 

12 child and parent outcomes, consistent with program 

13 goals, including, where appropriate given the pro14 gram being evaluated, parental outcomes related to 

15 child health and development, parenting practices, 

16 child health and development, child maltreatment, 

17 school readiness, and links to community services. 

18 (2) The effectiveness of early childhood home 

19 visitation on different populations, including the ex20 tent to which variability exists in program ability to 

21 improve outcomes across programs and populations. 

22 SEC. 8. REPORTS TO CONGRESS. 

23 (a) IN GENERAL.—The Secretary shall annually pro24 vide a report to the Committee on Education and Labor 

25 in the House of Representatives and the Committee on 


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•HR 2205 IH

1 Health, Education, Labor, and Pensions in the Senate, in2 formation on the activities carried out under this Act. 

3 (b) CONTENT.—The reports submitted under this 

4 section shall, at a minimum, include information about the 

5 programs carried out under this Act, including informa6 tion on the following: 

7 (1) descriptions of the high need communities 

8 targeted by States for programs carried out under 

9 this Act; 

10 (2) the service delivery models funded under 

11 this Act; 

12 (3) program characteristics, including— 

13 (A) staff qualifications and demographic 

14 characteristics; and 

15 (B) recipient characteristics including the 

16 number of families served, the demographic 

17 characteristics of the families served, and fam18 ily retention and duration of services; 

19 (4) program-reported outcomes; 

20 (5) the findings from State evaluations; 

21 (6) the research-based instruction, materials, 

22 and activities being used in the activities funded 

23 under the grant; 


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1 (7) the training and technical activities, includ2 ing ongoing professional development, provided to 

3 programs; and 

4 (8) the annual program implementation costs, 

5 including the cost per family served under the pro6 gram. 

7 SEC. 9. SUPPORTING NEW PARENTS THROUGH HOSPITAL 

8 EDUCATION. 

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

10 implement a public information and educational campaign 

11 to inform the public and new parents about the impor12 tance of proper care for infants and children under 5 years 

13 of age, including healthy parent-child relationships, the de14 mands and stress associated with caring for infants, posi15 tive responses to infants’ challenging behaviors including 

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

17 awareness of the vulnerability of young children to abusive 

18 practices, and the signs and treatment of post-partum de19 pression. 

20 (b) ELEMENTS.— 

21 (1) IN GENERAL.—The campaign developed 

22 under subsection (a) shall include the following ele23 ments: 


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1 (A) The dissemination of educational and 

2 informational materials in print, audio, video, 

3 electronic, and other media. 

4 (B) The use of public service announce5 ments and advertisements. 

6 (C) The dissemination of effective child 

7 abuse prevention practices and techniques, in8 cluding information about research-based home 

9 visiting programs, respite care, crisis nurseries, 

10 and parent support networks, to parents, care11 givers, maternity hospitals, children’s hospitals, 

12 pediatricians, child care centers, organizations 

13 providing prenatal and postnatal care, and or14 ganizations providing parenting education and 

15 support services. 

16 (D) Connection to existing parental in17 volvement programs. 

18 (2) EXISTING PROGRAMS.—The Secretary, in 

19 implementing and executing the public information 

20 and educational campaign under this section, should 

21 seek collaboration with and referrals to existing pa22 rental involvement programs that specialize in 

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1 ment and existing prenatal and early childhood home 

2 visitation programs. 

3 (3) EXISTING STATE REQUIREMENTS.—The 

4 Secretary, in implementing and executing the public 

5 information and educational campaign under this 

6 section, shall consider with pre-existing State re7 quirements to ensure that no unnecessary burdens 

8 are placed on hospitals, military hospitals, and birth 

9 centers receiving educational materials. 

10 (c) AUTHORIZATION OF APPROPRIATIONS.—There 

11 are authorized to be appropriated to carry out this section 

12 such sums as may be necessary for fiscal years 2010 

13 through 2014. 

Æ 


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