IB 

Union Calendar No. 423 

114TH CONGRESS 

2D SESSION H. R. 4843 

[Report No. 114–548] 

To amend the Child Abuse Prevention and Treatment Act to require certain 

monitoring and oversight, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 23, 2016 

Mr. BARLETTA (for himself, Mr. WALBERG, Mr. KLINE, Ms. CLARK of Massachusetts, Mr. POLIS, and Mr. SCOTT of Virginia) introduced the following 

bill; which was referred to the Committee on Education and the Workforce 

MAY 10, 2016 

Additional sponsors: Mr. THOMPSON of Pennsylvania, Mr. CUMMINGS, Mr. 

ROKITA, Mr. SEAN PATRICK MALONEY of New York, Mr. BUCSHON, Mr. 

KILMER, Mr. DESAULNIER, Mr. BRADY of Pennsylvania, Mr. MEEHAN, 

Mr. RENACCI, Mr. BISHOP of Michigan, Mr. MESSER, Ms. STEFANIK, 

Ms. FOXX, Mr. COSTELLO of Pennsylvania, Mr. ROTHFUS, Mr. WILSON

of South Carolina, Mr. GUTHRIE, and Mr. TURNER

MAY 10, 2016 

Reported with an amendment, committed to the Committee of the Whole 

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

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

[For text of introduced bill, see copy of bill as introduced on March 23, 2016] 


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•HR 4843 RH

A BILL 

To amend the Child Abuse Prevention and Treatment Act 

to require certain monitoring and oversight, and for 

other purposes. 


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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 ‘‘Infant Plan of Safe Care 

5 Improvement Act’’. 

6 SEC. 2. BEST PRACTICES FOR DEVELOPMENT OF PLANS OF 

7 SAFE CARE. 

8 Section 103(b) of the Child Abuse Prevention and 

9 Treatment Act (42 U.S.C. 5104(b)) is amended— 

10 (1) by redesignating paragraphs (5) through (8) 

11 as paragraphs (6) through (9), respectively; and 

12 (2) by inserting after paragraph (4), the fol13 lowing: 

14 ‘‘(5) maintain and disseminate information 

15 about the requirements of section 106(b)(2)(B)(iii) 

16 and best practices relating to the development of 

17 plans of safe care as described in such section for in18 fants born and identified as being affected by illegal 

19 substance abuse or withdrawal symptoms, or a Fetal 

20 Alcohol Spectrum Disorder;’’. 

21 SEC. 3. STATE PLANS. 

22 Section 106(b)(2)(B)(iii) of the Child Abuse Preven23 tion and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(iii)) is 

24 amended by inserting before the semicolon at the end the 

25 following: ‘‘to ensure the safety and well-being of such inVerDate Sep 11 2014 01:17 May 11, 2016 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6203 E:\BILLS\H4843.RH H4843

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1 fant following release from the care of healthcare providers, 

2 including through—’’ 

3 ‘‘(I) addressing the health and 

4 substance use disorder treatment needs 

5 of the infant and affected family or 

6 caregiver; and 

7 ‘‘(II) the development and imple8 mentation by the State of monitoring 

9 systems regarding the implementation 

10 of such plans to determine whether and 

11 in what manner local entities are pro12 viding, in accordance with State re13 quirements, referrals to and delivery of 

14 appropriate services for the infant and 

15 affected family or caregiver’’. 

16 SEC. 4. DATA REPORTS. 

17 (a) IN GENERAL.—Section 106(d) of the Child Abuse 

18 Prevention and Treatment Act (42 U.S.C. 5106a(d)) is 

19 amended by adding at the end of the following: 

20 ‘‘(17)(A) The number of infants identified under 

21 subsection (b)(2)(B)(ii). 

22 ‘‘(B) The number of infants for whom a plan of 

23 safe care was developed under subsection 

24 (b)(2)(B)(iii). 


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1 ‘‘(C) The number of infants for whom a referral 

2 was made for appropriate services, including services 

3 for the affected family or caregiver, under subsection 

4 (b)(2)(B)(iii).’’. 

5 (b) REDESIGNATION.—Effective on May 29, 2017, sec6 tion 106(d) of the Child Abuse Prevention and Treatment 

7 Act (42 U.S.C. 5106a(d)) is amended by redesignating 

8 paragraph (17) (as added by subsection (a)) as paragraph 

9 (18). 

10 SEC. 5. MONITORING AND OVERSIGHT. 

11 (a) AMENDMENT.—Title I of the Child Abuse Preven12 tion and Treatment Act (42 U.S.C. 5101 et seq.) is further 

13 amended by adding at the end the following: 

14 ‘‘SEC. 114. MONITORING AND OVERSIGHT. 

15 ‘‘The Secretary shall conduct monitoring to ensure 

16 that each State that receives a grant under section 106 is 

17 in compliance with the requirements of section 106(b), 

18 which— 

19 ‘‘(1) shall— 

20 ‘‘(A) be in addition to the review of the 

21 State plan upon its submission under section 

22 106(b)(1)(A); and 

23 ‘‘(B) include monitoring of State policies 

24 and procedures required under clauses (ii) and 

25 (iii) of section 106(b)(2)(B); and 


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1 ‘‘(2) may include— 

2 ‘‘(A) a comparison of activities carried out 

3 by the State to comply with the requirements of 

4 section 106(b) with the State plan most recently 

5 approved under section 432 of the Social Secu6 rity Act; 

7 ‘‘(B) a review of information available on 

8 the Website of the State relating to its compli9 ance with the requirements of section 106(b); 

10 ‘‘(C) site visits, as may be necessary to 

11 carry out such monitoring; and 

12 ‘‘(D) a review of information available in 

13 the State’s Annual Progress and Services Report 

14 most recently submitted under section 1357.16 of 

15 title 45, Code of Federal Regulations (or suc16 cessor regulations).’’. 

17 (b) TABLE OF CONTENTS.—The table of contents in 

18 section 1(b) of the Child Abuse Prevention and Treatment 

19 Act (42 U.S.C. 5101 note) is amended by inserting after 

20 the item relating to section 113, the following: 

‘‘Sec. 114. Monitoring and oversight.’’. 

21 SEC. 6. RULE OF CONSTRUCTION. 

22 Nothing in this Act, or the amendments made by this 

23 Act, shall be construed to authorize the Secretary of Health 

24 and Human Services or any other officer of the Federal 

25 Government to add new requirements to section 106(b) of 


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1 the Child Abuse Prevention and Treatment Act (42 U.S.C. 

2 5106a(b)), as amended by this Act. 


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Union Calendar No. 423 

114TH CONGRESS 

2D SESSION H. R. 4843 

[Report No. 114–548] 

A BILL 

To amend the Child Abuse Prevention and Treatsight, and for other purposes. ment Act to require certain monitoring and overMAY 10, 2016 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


SSpencer on DSK4SPTVN1PROD with BILLS