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[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 2054 Introduced in Senate (IS)]

113th CONGRESS
  2d Session
                                S. 2054

  To require certain standards and enforcement provisions to prevent 
    child abuse and neglect in residential programs, and for other 
                               purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                           February 27, 2014

Mr. Murphy (for himself and Mr. Harkin) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL

 
  To require certain standards and enforcement provisions to prevent 
    child abuse and neglect in residential programs, and for other 
                               purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stop Child Abuse in Residential 
Programs for Teens Act of 2014''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Assistant secretary.--The term ``Assistant Secretary'' 
        means the Assistant Secretary for Children and Families of the 
        Department of Health and Human Services.
            (2) Child.--The term ``child'' means an individual who has 
        not attained the age of 18.
            (3) Child abuse and neglect.--The term ``child abuse and 
        neglect'' has the meaning given such term in section 3 of the 
        Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 note).
            (4) Covered program.--
                    (A) In general.--The term ``covered program'' means 
                each location of a program operated by a public or 
                private entity that, with respect to one or more 
                children who are unrelated to the owner or operator of 
                the program--
                            (i) provides a residential environment, 
                        such as--
                                    (I) a program with a wilderness or 
                                outdoor experience, expedition, or 
                                intervention;
                                    (II) a boot camp experience or 
                                other experience designed to simulate 
                                characteristics of basic military 
                                training or correctional regimes;
                                    (III) a therapeutic boarding 
                                school; or
                                    (IV) a behavioral modification 
                                program; and
                            (ii) operates with a focus on serving 
                        children with--
                                    (I) emotional, behavioral, or 
                                mental health problems or disorders; or
                                    (II) problems with alcohol or 
                                substance abuse.
                    (B) Exclusion.--The term ``covered program'' does 
                not include--
                            (i) a hospital licensed by the State; or
                            (ii) a foster family home that provides 24-
                        hour substitute care for children placed away 
                        from their parents or guardians and for whom 
                        the State child welfare services agency has 
                        placement and care responsibility and that is 
                        licensed and regulated by the State as a foster 
                        family home.
            (5) Protection and advocacy system.--The term ``protection 
        and advocacy system'' means a protection and advocacy system 
        established under section 143 of the Developmental Disabilities 
        Assistance and Bill of Rights Act of 2000 (42 U.S.C. 15043).
            (6) State.--The term ``State'' has the meaning given such 
        term in section 3 of the Child Abuse Prevention and Treatment 
        Act (42 U.S.C. 5101 note).

SEC. 3. STANDARDS AND ENFORCEMENT.

    (a) Minimum Standards.--
            (1) In general.--Not later than 180 days after the date of 
        enactment of this Act, the Assistant Secretary for Children and 
        Families of the Department of Health and Human Services shall 
        require each covered program, in order to provide for the basic 
        health and safety of children at such a program, to meet the 
        following minimum standards:
                    (A) Child abuse and neglect shall be prohibited.
                    (B) Disciplinary techniques or other practices that 
                involve the withholding of essential food, water, 
                clothing, shelter, or medical care necessary to 
                maintain physical health, mental health, and general 
                safety, shall be prohibited.
                    (C) The protection and promotion of the right of 
                each child at such a program to be free from physical 
                restraints and mechanical restraints and seclusion (as 
                such terms are defined in section 595 of the Public 
                Health Service Act (42 U.S.C. 290jj)), and restraints 
                that impair breathing, to the same extent and in the 
                same manner as a non-medical, community-based facility 
                for children and youth is required to protect and 
                promote the right of its residents to be free from such 
                restraints and seclusion under such section 595, 
                including the prohibitions and limitations described in 
                subsection (b)(3) of such section.
                    (D) Acts of physical or mental abuse designed to 
                humiliate, degrade, or undermine a child's self-respect 
                shall be prohibited.
                    (E) Each child at such a program shall have 
                reasonable access to a telephone, and be informed of 
                their right to such access, for making and receiving 
                phone calls with as much privacy as possible, and shall 
                have access to the appropriate State or local child 
                abuse reporting hotline number, and the national 
                hotline number referred to in subsection (c)(2).
                    (F) Each staff member, including volunteers, at 
                such a program shall be required, as a condition of 
                employment, to become familiar with what constitutes 
                child abuse and neglect, as defined by State law.
                    (G) Each staff member, including volunteers, at 
                such a program shall be required, as a condition of 
                employment, to become familiar with the requirements, 
                including with State law relating to mandated 
                reporters, and procedures for reporting child abuse and 
                neglect in the State in which such a program is 
                located.
                    (H) Full disclosure, in writing, of staff 
                qualifications and their roles and responsibilities at 
                such program, including medical, emergency response, 
                and mental health training, shall be given to parents 
                or legal guardians of children at such a program, 
                including providing information on any staff changes, 
                including changes to any staff member's qualifications, 
                roles, or responsibilities, not later than 10 days 
                after such changes occur.
                    (I) Each staff member at a covered program 
                described in subclause (I) or (II) of section 
                2(4)(A)(i) shall be required, as a condition of 
                employment, to be familiar with the signs, symptoms, 
                and appropriate responses associated with heatstroke, 
                dehydration, hypothermia, and common medical 
                emergencies including burns, drowning, and insect and 
                animal bites.
                    (J) Each staff member, including volunteers, shall 
                be required, as a condition of employment, to submit to 
                a criminal history check, including a name-based search 
                of the National Sex Offender Registry established 
                pursuant to the Adam Walsh Child Protection and Safety 
                Act of 2006 (42 U.S.C. 16901 et seq.), a search of the 
                State criminal registry or repository in the State in 
                which the covered program is operating, and a Federal 
                Bureau of Investigation fingerprint check. An 
                individual shall be ineligible to serve in a position 
                with any contact with children at a covered program if 
                any such record check reveals a felony conviction for 
                child abuse or neglect, spousal abuse, a crime against 
                children (including child pornography), or a crime 
                involving violence, including rape, sexual assault, or 
                homicide, but not including other physical assault or 
                battery.
                    (K) The covered program shall provide an 
                independent process by which an applicant or staff 
                member who is determined to be ineligible as a result 
                of a criminal history check under subparagraph (J) 
                shall have the right--
                            (i) to obtain a copy of the report 
                        resulting from the check; and
                            (ii) within 10 business days after receipt 
                        of the report, to appeal, in order to dispute 
                        the accuracy of the information obtained 
                        through the check.
                    (L) Each staff member at a covered program shall be 
                required to understand the policies and procedures for 
                the provision of emergency medical care, including 
                policies for staff protocols for implementing emergency 
                responses.
                    (M) All promotional and informational materials 
                produced by such a program shall include a hyperlink to 
                or the URL address of the website created by the 
                Assistant Secretary pursuant to subsection (c)(1)(A).
                    (N) Policies to require--
                            (i) parents or legal guardians of a child 
                        attending such a program to notify, in writing, 
                        such program of any medication the child is 
                        taking;
                            (ii) such program--
                                    (I) to obtain consent from the 
                                parents or legal guardians of the child 
                                to make any change to the child's 
                                medical treatment, except in the case 
                                of an emergency; and
                                    (II) in the case of an emergency, 
                                to notify the parents or guardians 
                                within 24 hours after any change to the 
                                child's medical treatment and the 
                                reason for such change; and
                            (iii) such program to notify the parents or 
                        guardians within 24 hours after any missed 
                        dosage of prescribed medication.
                    (O) Procedures for notifying immediately, to the 
                maximum extent practicable, but not later than within 
                48 hours, parents or legal guardians with children at 
                such a program of any--
                            (i) on-site investigation of a report of 
                        child abuse and neglect;
                            (ii) violation of the health and safety 
                        standards described in this paragraph; and
                            (iii) violation of State licensing 
                        standards developed pursuant to section 
                        114(b)(1) of the Child Abuse Prevention and 
                        Treatment Act, as added by section 7 of this 
                        Act.
                    (P) Other standards the Assistant Secretary 
                determines appropriate to provide for the basic health 
                and safety of children at such a program.
            (2) Regulations.--
                    (A) Interim regulations.--Not later than 180 days 
                after the date of enactment of this Act, the Assistant 
                Secretary shall promulgate and enforce interim 
                regulations to carry out paragraph (1).
                    (B) Public comment.--The Assistant Secretary shall, 
                for a 90-day period beginning on the date of the 
                promulgation of interim regulations under subparagraph 
                (A) of this paragraph, solicit and accept public 
                comment concerning such regulations. Such public 
                comment shall be submitted in written form.
                    (C) Final regulations.--Not later than 90 days 
                after the conclusion of the 90-day period referred to 
                in subparagraph (B) of this paragraph, the Assistant 
                Secretary shall promulgate and enforce final 
                regulations to carry out paragraph (1).
    (b) Monitoring and Enforcement.--
            (1) On-going review process.--Not later than 180 days after 
        the date of enactment of this Act, the Assistant Secretary 
        shall implement an on-going review process for investigating 
        and evaluating reports of child abuse and neglect at covered 
        programs received by the Assistant Secretary from the 
        appropriate State, in accordance with section 114(b)(3) of the 
        Child Abuse Prevention and Treatment Act, as added by section 7 
        of this Act. Such review process shall--
                    (A) include an investigation to determine if a 
                violation of the standards required under subsection 
                (a)(1) has occurred;
                    (B) include an assessment of the State's 
                performance with respect to appropriateness of response 
                to and investigation of reports of child abuse and 
                neglect at covered programs and appropriateness of 
                legal action against responsible parties in such cases;
                    (C) be completed not later than 60 days after 
                receipt by the Assistant Secretary of such a report;
                    (D) not interfere with an investigation by the 
                State or a subdivision thereof; and
                    (E) be implemented in each State in which a covered 
                program operates until such time as each such State has 
                satisfied the requirements under section 114(c) of the 
                Child Abuse Prevention and Treatment Act, as added by 
                section 7 of this Act, as determined by the Assistant 
                Secretary, or 2 years has elapsed from the date that 
                such review process is implemented, whichever is later.
            (2) Civil penalties.--Not later than 180 days after the 
        date of enactment of this Act, the Assistant Secretary shall 
        promulgate regulations establishing civil penalties for 
        violations of the standards required under subsection (a)(1). 
        The regulations establishing such penalties shall incorporate 
        the following:
                    (A) Any owner or operator of a covered program at 
                which the Assistant Secretary has found a violation of 
                the standards required under subsection (a)(1) may be 
                assessed a civil penalty not to exceed $50,000 per 
                violation.
                    (B) All penalties collected under this subsection 
                shall be deposited in the appropriate account of the 
                Treasury of the United States.
    (c) Dissemination of Information.--The Assistant Secretary shall 
establish, maintain, and disseminate information about the following:
            (1) Websites made available to the public that contain, at 
        a minimum, the following:
                    (A) The name and each location of each covered 
                program, and the name of each owner and operator of 
                each such program, operating in each State, and 
                information regarding--
                            (i) each such program's history of 
                        violations of--
                                    (I) regulations promulgated 
                                pursuant to subsection (a); and
                                    (II) section 114(b)(1) of the Child 
                                Abuse Prevention and Treatment Act, as 
                                added by section 7 of this Act;
                            (ii) each such program's current status 
                        with the State licensing requirements under 
                        section 114(b)(1) of the Child Abuse Prevention 
                        and Treatment Act, as added by section 7 of 
                        this Act;
                            (iii) any deaths that occurred to a child 
                        while under the care of such a program, 
                        including any such deaths that occurred in the 
                        5-year period immediately preceding the date of 
                        enactment of this Act, and including the cause 
                        of each such death;
                            (iv) each owner or operator of a covered 
                        program that was found to be in violation of 
                        the standards required under subsection (a)(1), 
                        or a violation of the licensing standards 
                        developed pursuant to section 114(b)(1) of the 
                        Child Abuse Prevention and Treatment Act, as 
                        added by section 7 of this Act, and who 
                        subsequently owns or operates another covered 
                        program; and
                            (v) any penalties levied under subsection 
                        (b)(2) and any other penalties levied by the 
                        State, against each such program.
                    (B) Information on best practices for helping 
                adolescents with mental health disorders, conditions, 
                behavioral challenges, or alcohol or substance abuse, 
                including information to help families access effective 
                resources in their communities.
            (2) A national toll-free telephone hotline to receive 
        complaints of child abuse and neglect at covered programs and 
        violations of the standards required under subsection (a)(1).
    (d) Action.--The Assistant Secretary shall establish a process to--
            (1) ensure complaints of child abuse and neglect received 
        by the hotline established pursuant to subsection (c)(2) are 
        promptly reviewed by persons with expertise in evaluating such 
        types of complaints;
            (2) immediately notify the State, appropriate local law 
        enforcement, and the appropriate protection and advocacy system 
        of any credible complaint of child abuse and neglect at a 
        covered program received by the hotline;
            (3) investigate any such credible complaint not later than 
        30 days after receiving such complaint to determine if a 
        violation of the standards required under subsection (a)(1) has 
        occurred; and
            (4) ensure the collaboration and cooperation of the hotline 
        established pursuant to subsection (c)(2) with other 
        appropriate National, State, and regional hotlines, and, as 
        appropriate and practicable, with other hotlines that might 
        receive calls about child abuse and neglect at covered 
        programs.

SEC. 4. ENFORCEMENT BY THE ATTORNEY GENERAL.

    If the Assistant Secretary determines that a violation of 
subsection (a)(1) of section 3 has not been remedied through the 
enforcement process described in subsection (b)(2) of such section, the 
Assistant Secretary shall refer such violation to the Attorney General 
for appropriate action. Regardless of whether such a referral has been 
made, the Attorney General may, sua sponte, file a complaint in any 
court of competent jurisdiction seeking equitable relief or any other 
relief authorized by this Act for such violation.

SEC. 5. REPORT.

    Not later than 1 year after the date of enactment of this Act and 
annually thereafter, the Secretary of Health and Human Services, in 
coordination with the Attorney General shall submit to the Committee on 
Education and Labor of the House of Representatives and the Committee 
on Health, Education, Labor, and Pensions of the Senate, a report on 
the activities carried out by the Assistant Secretary and the Attorney 
General under this Act, including--
            (1) a summary of findings from on-going reviews conducted 
        by the Assistant Secretary pursuant to section 3(b)(1), 
        including a description of the number and types of covered 
        programs investigated by the Assistant Secretary pursuant to 
        such section;
            (2) a description of types of violations of health and 
        safety standards found by the Assistant Secretary and any 
        penalties assessed;
            (3) a summary of State progress in meeting the requirements 
        of this Act, including the requirements under section 114 of 
        the Child Abuse Prevention and Treatment Act, as added by 
        section 7 of this Act;
            (4) a summary of the Secretary's oversight activities and 
        findings conducted pursuant to subsection (d) of such section 
        114; and
            (5) a description of the activities undertaken by the 
        national toll-free telephone hotline established pursuant to 
        section 3(c)(2).

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    There is authorized to be appropriated to the Secretary of Health 
and Human Services $15,000,000 for each of fiscal years 2015 through 
2019 to carry out this Act (excluding the amendment made by section 7 
of this Act and section 8 of this Act). The Secretary of Health and 
Human Services shall reserve a portion of the appropriated funds and 
make the portion available to the Comptroller General of the United 
States to carry out section 9.

SEC. 7. ADDITIONAL ELIGIBILITY REQUIREMENTS FOR GRANTS TO STATES TO 
              PREVENT CHILD ABUSE AND NEGLECT AT RESIDENTIAL PROGRAMS.

    (a) In General.--Title I of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5101 et seq.) is amended by adding at the end 
the following new section:

``SEC. 114. ADDITIONAL ELIGIBILITY REQUIREMENTS FOR GRANTS TO STATES TO 
              PREVENT CHILD ABUSE AND NEGLECT AT RESIDENTIAL PROGRAMS.

    ``(a) Definitions.--In this section:
            ``(1) Child.--The term `child' means an individual who has 
        not attained the age of 18.
            ``(2) Covered program.--
                    ``(A) In general.--The term `covered program' means 
                each location of a program operated by a public or 
                private entity that, with respect to one or more 
                children who are unrelated to the owner or operator of 
                the program--
                            ``(i) provides a residential environment, 
                        such as--
                                    ``(I) a program with a wilderness 
                                or outdoor experience, expedition, or 
                                intervention;
                                    ``(II) a boot camp experience or 
                                other experience designed to simulate 
                                characteristics of basic military 
                                training or correctional regimes;
                                    ``(III) a therapeutic boarding 
                                school; or
                                    ``(IV) a behavioral modification 
                                program; and
                            ``(ii) operates with a focus on serving 
                        children with--
                                    ``(I) emotional, behavioral, or 
                                mental health problems or disorders; or
                                    ``(II) problems with alcohol or 
                                substance abuse.
                    ``(B) Exclusion.--The term `covered program' does 
                not include--
                            ``(i) a hospital licensed by the State; or
                            ``(ii) a foster family home that provides 
                        24-hour substitute care for children placed 
                        away from their parents or guardians and for 
                        whom the State child welfare services agency 
                        has placement and care responsibility and that 
                        is licensed and regulated by the State as a 
                        foster family home.
            ``(3) Protection and advocacy system.--The term `protection 
        and advocacy system' means a protection and advocacy system 
        established under section 143 of the Developmental Disabilities 
        Assistance and Bill of Rights Act of 2000 (42 U.S.C. 15043).
    ``(b) Eligibility Requirements.--To be eligible to receive a grant 
under section 106, a State shall--
            ``(1) not later than 3 years after the date of enactment of 
        this section, develop policies and procedures to prevent child 
        abuse and neglect at covered programs operating in such State, 
        including having in effect health and safety licensing 
        requirements applicable to and necessary for the operation of 
        each location of such covered programs that include, at a 
        minimum--
                    ``(A) standards that meet or exceed the standards 
                required under section 3(a)(1) of the Stop Child Abuse 
                in Residential Programs for Teens Act of 2014;
                    ``(B) the provision of essential food, water, 
                clothing, shelter, and medical care necessary to 
                maintain physical health, mental health, and general 
                safety of children at such programs;
                    ``(C) policies for emergency medical care 
                preparedness and response, including minimum staff 
                training and qualifications for such responses; and
                    ``(D) notification to appropriate staff at covered 
                programs if their position of employment meets the 
                definition of mandated reporter, as defined by the 
                State;
            ``(2) develop policies and procedures to monitor and 
        enforce compliance with the licensing requirements developed in 
        accordance with paragraph (1), including--
                    ``(A) designating an agency to be responsible, in 
                collaboration and consultation with State agencies 
                providing human services (including child protective 
                services, and services to children with emotional, 
                psychological, developmental, or behavioral 
                dysfunctions, impairments, disorders, or alcohol or 
                substance abuse), State law enforcement officials, the 
                appropriate protection and advocacy system, and courts 
                of competent jurisdiction, for monitoring and enforcing 
                such compliance;
                    ``(B) establishing a State licensing application 
                process through which any individual seeking to operate 
                a covered program would be required to disclose all 
                previous substantiated reports of child abuse and 
                neglect and all child deaths at any businesses 
                previously or currently owned or operated by such 
                individual, except that substantiated reports of child 
                abuse and neglect may remain confidential and all 
                reports shall not contain any personally identifiable 
                information relating to the identity of individuals who 
                were the victims of such child abuse and neglect;
                    ``(C) conducting unannounced site inspections not 
                less often than once every 2 years at each location of 
                a covered program;
                    ``(D) creating a non-public database, to be 
                integrated with the annual State data reports required 
                under section 106(d), of reports of child abuse and 
                neglect at covered programs operating in the State, 
                except that such reports shall not contain any 
                personally identifiable information relating to the 
                identity of individuals who were the victims of such 
                child abuse and neglect; and
                    ``(E) implementing a policy of graduated sanctions, 
                including fines and suspension and revocation of 
                licenses, against covered programs operating in the 
                State that are out of compliance with such health and 
                safety licensing requirements;
            ``(3) if the State is not yet satisfying the requirements 
        of this subsection, in accordance with a determination made 
        pursuant to subsection (c), develop policies and procedures for 
        notifying the Secretary and the appropriate protection and 
        advocacy system of any report of child abuse and neglect at a 
        covered program operating in the State not later than 30 days 
        after the appropriate State entity, or subdivision thereof, 
        determines such report should be investigated and not later 
        than 48 hours in the event of a fatality;
            ``(4) if the Secretary determines that the State is 
        satisfying the requirements of this subsection, in accordance 
        with a determination made pursuant to subsection (c), develop 
        policies and procedures for notifying the Secretary if--
                    ``(A) the State determines there is evidence of a 
                pattern of violations of the standards required under 
                paragraph (1) at a covered program operating in the 
                State or by an owner or operator of such a program; or
                    ``(B) there is a child fatality at a covered 
                program operating in the State;
            ``(5) develop policies and procedures for establishing and 
        maintaining a publicly available database of all covered 
        programs operating in the State, including the name and each 
        location of each such program and the name of the owner and 
        operator of each such program, information on reports of 
        substantiated child abuse and neglect at such programs (except 
        that such reports shall not contain any personally identifiable 
        information relating to the identity of individuals who were 
        the victims of such child abuse and neglect and that such 
        database shall include and provide the definition of 
        `substantiated' used in compiling the data in cases that have 
        not been finally adjudicated), violations of standards required 
        under paragraph (1), and all penalties levied against such 
        programs;
            ``(6) annually submit to the Secretary a report that 
        includes--
                    ``(A) the name and each location of all covered 
                programs, including the names of the owners and 
                operators of such programs, operating in the State, and 
                any violations of State licensing requirements 
                developed pursuant to subsection (b)(1); and
                    ``(B) a description of State activities to monitor 
                and enforce such State licensing requirements, 
                including the names of owners and operators of each 
                covered program that underwent a site inspection by the 
                State, and a summary of the results and any actions 
                taken; and
            ``(7) if the Secretary determines that the State is 
        satisfying the requirements of this subsection, in accordance 
        with a determination made pursuant to subsection (c), develop 
        policies and procedures to report to the appropriate protection 
        and advocacy system any case of the death of an individual 
        under the control or supervision of a covered program not later 
        than 48 hours after the State is informed of such death.
    ``(c) Secretarial Determination.--The Secretary shall not determine 
that a State's licensing requirements, monitoring, and enforcement of 
covered programs operating in the State satisfy the requirements of 
subsection (b) unless--
            ``(1) the State implements licensing requirements for such 
        covered programs that meet or exceed the standards required 
        under subsection (b)(1);
            ``(2) the State designates an agency to be responsible for 
        monitoring and enforcing compliance with such licensing 
        requirements;
            ``(3) the State conducts unannounced site inspections of 
        each location of such covered programs not less often than once 
        every 2 years;
            ``(4) the State creates a non-public database of such 
        covered programs, to include information on reports of child 
        abuse and neglect at such programs (except that such reports 
        shall not contain any personally identifiable information 
        relating to the identity of individuals who were the victims of 
        such child abuse and neglect);
            ``(5) the State implements a policy of graduated sanctions, 
        including fines and suspension and revocation of licenses 
        against such covered programs that are out of compliance with 
        the health and safety licensing requirements under subsection 
        (b)(1); and
            ``(6) after a review of assessments conducted under section 
        3(b)(1)(B) of the Stop Child Abuse in Residential Programs for 
        Teens Act of 2014, the Secretary determines the State is 
        appropriately investigating and responding to allegations of 
        child abuse and neglect at such covered programs.
    ``(d) Oversight.--
            ``(1) In general.--Beginning 2 years after the date of 
        enactment of the Stop Child Abuse in Residential Programs for 
        Teens Act of 2014, the Secretary shall implement a process for 
        continued monitoring of each State that is determined to be 
        satisfying the licensing, monitoring, and enforcement 
        requirements of subsection (b), in accordance with a 
        determination made pursuant to subsection (c), with respect to 
        the performance of each such State regarding--
                    ``(A) preventing child abuse and neglect at covered 
                programs operating in each such State; and
                    ``(B) enforcing the licensing standards described 
                in subsection (b)(1).
            ``(2) Evaluations.--The process required under paragraph 
        (1) shall include in each State, at a minimum--
                    ``(A) an investigation not later than 60 days after 
                receipt by the Secretary of a report from a State, or a 
                subdivision thereof, of child abuse and neglect at a 
                covered program operating in the State, and submission 
                of findings to appropriate law enforcement or other 
                local entity where necessary, if the report indicates--
                            ``(i) a child fatality at such program; or
                            ``(ii) there is evidence of a pattern of 
                        violations of the standards required under 
                        subsection (b)(1) at such program or by an 
                        owner or operator of such program;
                    ``(B) an annual review by the Secretary of cases of 
                reports of child abuse and neglect investigated at 
                covered programs operating in the State to assess the 
                State's performance with respect to the appropriateness 
                of response to and investigation of reports of child 
                abuse and neglect at covered programs and the 
                appropriateness of legal actions taken against 
                responsible parties in such cases; and
                    ``(C) unannounced site inspections of covered 
                programs operating in the State to monitor compliance 
                with the standards required under section 3(a) of the 
                Stop Child Abuse in Residential Programs for Teens Act 
                of 2014.
            ``(3) Enforcement.--If the Secretary determines, pursuant 
        to an evaluation under this subsection, that a State is not 
        adequately implementing, monitoring, and enforcing the 
        licensing requirements of subsection (b)(1), the Secretary 
        shall require, for a period of not less than 1 year, that--
                    ``(A) the State shall inform the Secretary of each 
                instance there is a report to be investigated of child 
                abuse and neglect at a covered program operating in the 
                State; and
                    ``(B) the Secretary and the appropriate local 
                agency shall jointly investigate such report.''.
    (b) Authorization of Appropriations.--Section 112(a)(1) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 5106h(a)(1)) is 
amended by striking ``$120,000,000'' and all that follows through the 
period and inserting ``$235,000,000 for each of fiscal years 2015 
through 2019.''.
    (c) Conforming Amendments.--
            (1) Coordination with available resources.--Section 
        103(c)(1)(D) of the Child Abuse Prevention and Treatment Act 
        (42 U.S.C. 5104(c)(1)(D)) is amended by inserting after 
        ``specific'' the following: ``(including reports of child abuse 
        and neglect occurring at covered programs (except that such 
        reports shall not contain any personally identifiable 
        information relating to the identity of individuals who were 
        the victims of such child abuse and neglect), as such term is 
        defined in section 114)''.
            (2) Further requirement.--Section 106(b)(1) of the Child 
        Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(1)) is 
        amended by adding at the end the following new subparagraph:
                    ``(D) Further requirement.--To be eligible to 
                receive a grant under this section, a State shall 
                comply with the requirements under section 114(b) and 
                shall include in the State plan submitted pursuant to 
                subparagraph (A) a description of the activities the 
                State will carry out to comply with the requirements 
                under such section 114(b).''.
            (3) Annual state data reports.--Section 106(d) of the Child 
        Abuse Prevention and Treatment Act (42 U.S.C. 5106a(d)) is 
        amended--
                    (A) in paragraph (1), by inserting before the 
                period at the end the following: ``(including reports 
                of child abuse and neglect occurring at covered 
                programs (except that such reports shall not contain 
                any personally identifiable information relating to the 
                identity of individuals who were the victims of such 
                child abuse and neglect), as such term is defined in 
                section 114)''; and
                    (B) in paragraph (6), by inserting before the 
                period at the end the following: ``or who were in the 
                care of a covered program, as such term is defined in 
                section 114''.
    (d) Clerical Amendment.--Section 1(b) of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5101 note) is amended by inserting after 
the item relating to section 113 the following new item:

``Sec. 114. Additional eligibility requirements for grants to States to 
                            prevent child abuse and neglect at 
                            residential programs.''.

SEC. 8. STUDY AND REPORT ON OUTCOMES IN COVERED PROGRAMS.

    (a) Study.--The Secretary of Health and Human Services shall 
conduct a study, in consultation with relevant agencies and experts, to 
examine the outcomes for children in both private and public covered 
programs under this Act (including the amendment made by this Act) 
encompassing a broad representation of treatment facilities and 
geographic regions.
    (b) Report.--Not later than 1 year after the date of enactment of 
this Act, the Secretary of Health and Human Services shall submit to 
the Committee on Education and the Workforce of the House of 
Representatives and the Committee on Health, Education, Labor, and 
Pensions of the Senate a report that contains the results of the study 
conducted under subsection (a).

SEC. 9. STUDY AND REPORT ON EFFECTIVENESS OF RESIDENTIAL TREATMENT 
              PROGRAMS.

    (a) Study.--
            (1) In general.--The Comptroller General of the United 
        States shall conduct a study on the implementation of this Act 
        and the effectiveness of the covered programs under this Act 
        (including the amendment made by this Act).
            (2) Matters to be included.--The study shall include all of 
        the following items:
                    (A) A review of the effectiveness of all Federal 
                programs to improve conditions and eliminate child 
                abuse within the covered programs.
                    (B) An assessment of the progress made by States 
                and covered programs to comply with this Act, including 
                the regulations promulgated by the Assistant Secretary.
                    (C) A review and assessment of the circumstances of 
                all deaths to program participants that--
                            (i) were not caused by natural causes; and
                            (ii) occurred while the participants were 
                        in the care of a covered program.
                    (D) Collection of information on the number of 
                substantiated reports of child abuse within the covered 
                programs, the nature of the child abuse involved, and 
                the demographic makeup of youth served by the covered 
                program.
                    (E) An assessment of the effectiveness of the 
                covered programs in reducing recidivism rates for the 
                youth served by the programs.
    (b) Consultation.--The Comptroller General shall consult with the 
relevant agencies, experts, and nongovernmental organizations for 
purposes of conducting the study.
    (c) Report.--Not later than 1 year after the date of enactment of 
this Act, the Comptroller General shall submit to the Committee on 
Education and the Workforce of the House of Representatives and the 
Committee on Health, Education, Labor, and Pensions of the Senate, a 
report that contains the results of the study conducted under 
subsection (a) and recommendations to improve oversight and 
implementation of this Act.
                                 <all>
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