IB 

Union Calendar No. 50 

116TH CONGRESS 

1ST SESSION H. R. 2480 

[Report No. 116–74] 

To reauthorize the Child Abuse Prevention and Treatment Act, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 2, 2019 

Ms. SCHRIER (for herself, Mr. COMER, Mrs. TRAHAN, Mr. JOHNSON of South 

Dakota, Ms. BONAMICI, Ms. STEFANIK, Mr. SCOTT of Virginia, and Ms. 

FOXX of North Carolina) introduced the following bill; which was referred 

to the Committee on Education and Labor 

MAY 20, 2019 

Additional sponsors: Mr. FITZPATRICK, Mr. GUTHRIE, Mr. WALBERG, Mr. 

BANKS, Mr. TAYLOR, Mr. MEUSER, Mr. TIMMONS, Mr. MORELLE, Ms. 

WILSON of Florida, Mrs. HAYES, Ms. OMAR, Mr. TRONE, Mr. TAKANO, 

Mr. DESAULNIER, Mrs. DAVIS of California, Ms. WILD, Mr. LEVIN of 

Michigan, Mr. THOMPSON of Pennsylvania, Mr. SMUCKER, Mr. WATKINS, 

Mr. WRIGHT, Ms. JAYAPAL, Mr. HARDER of California, Ms. SHALALA, 

Mrs. LEE of Nevada, Ms. STEVENS, Mr. HUFFMAN, Mr. LANGEVIN, Mr. 

STIVERS, Mr. ALLEN, Mr. BYRNE, Mr. ROONEY of Florida, Mrs. 

MCBATH, Mr. CASTRO of Texas, Ms. ADAMS, Mr. LIPINSKI, Ms. NORTON, Mr. SEAN PATRICK MALONEY of New York, Ms. PORTER, Ms. 

SCANLON, Ms. FINKENAUER, and Mr. SHERMAN

MAY 20, 2019 

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 May 2, 2019] 


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A BILL 

To reauthorize the Child Abuse Prevention and Treatment 

Act, 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 ‘‘Stronger Child Abuse 

5 Prevention and Treatment Act’’. 

6 SEC. 2. TABLE OF CONTENTS. 

7 The table of contents of this Act is as follows: 

Sec. 1. Short title. 

Sec. 2. Table of contents. 

TITLE I—GENERAL PROGRAM 

Sec. 101. Repeal of findings. 

Sec. 102. Repeal of Advisory Board on Child Abuse and Neglect. 

Sec. 103. National clearinghouse for information relating to child abuse. 

Sec. 104. Research and assistance activities. 

Sec. 105. Grants to States, Indian Tribes or tribal organizations, and public or 

private agencies and organizations. 

Sec. 106. Grants to States for child abuse or neglect prevention and treatment 

programs. 

Sec. 107. Miscellaneous requirements. 

Sec. 108. Reports. 

Sec. 109. Authorization of appropriations. 

Sec. 110. Electronic interstate data exchange system. 

Sec. 111. Technical and conforming amendments. 

TITLE II—COMMUNITY-BASED GRANTS FOR THE PREVENTION OF 

CHILD ABUSE AND NEGLECT 

Sec. 201. Purpose and authority. 

Sec. 202. Eligibility. 

Sec. 203. Amount of grant. 

Sec. 204. Application. 

Sec. 205. Local program requirements. 

Sec. 206. Performance measures. 

Sec. 207. National network for community-based family resource programs. 

Sec. 208. Definitions. 

Sec. 209. Rule of construction. 

Sec. 210. Authorization of appropriations. 

Sec. 211. Study and report. 

TITLE III—ADOPTION OPPORTUNITIES 

Sec. 301. Purpose. 

Sec. 302. Report and guidance on unregulated custody transfers. 

Sec. 303. Information and services. 

Sec. 304. Study and report on successful adoptions. 

Sec. 305. Authorization of appropriations. 


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1 TITLE I—GENERAL PROGRAM 

2 SEC. 101. REPEAL OF FINDINGS. 

3 Section 2 of the Child Abuse Prevention and Treat4 ment Act (42 U.S.C. 5101 note) is repealed. 

5 SEC. 102. REPEAL OF ADVISORY BOARD ON CHILD ABUSE 

6 AND NEGLECT. 

7 Section 102 of the Child Abuse Prevention and Treat8 ment Act (42 U.S.C. 5102) is repealed. 

9 SEC. 103. NATIONAL CLEARINGHOUSE FOR INFORMATION 

10 RELATING TO CHILD ABUSE. 

11 Section 103 of the Child Abuse Prevention and Treat12 ment Act (42 U.S.C. 5104) is amended— 

13 (1) in subsection (b)(1), by inserting ‘‘early 

14 learning programs and’’ after ‘‘including’’; 

15 (2) in subsection (c)(1)(C)— 

16 (A) in clause (iii), by striking ‘‘and’’ at the 

17 end; 

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

19 end; and 

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

21 ‘‘(v) the number of child fatalities and 

22 near fatalities due to maltreatment, as re23 ported by States in accordance with the 

24 uniform standards established pursuant to 


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1 subsection (d), and any other relevant infor2 mation related to such fatalities;’’; and 

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

4 ‘‘(d) UNIFORM STANDARDS FOR TRACKING AND RE5 PORTING OF CHILD FATALITIES RESULTING FROM MAL6 TREATMENT.— 

7 ‘‘(1) REGULATIONS REQUIRED.—Not later than 

8 24 months after the date of the enactment of the 

9 Stronger Child Abuse Prevention and Treatment Act, 

10 the Secretary shall develop and issue final regulations 

11 establishing uniform standards for the tracking and 

12 reporting of child fatalities and near-fatalities result13 ing from maltreatment. As a condition on eligibility 

14 for receipt of funds under section 106, the standards 

15 established under this paragraph shall be used by 

16 States for the tracking and reporting of such fatalities 

17 under subsection (d) of such section. 

18 ‘‘(2) MAINTENANCE OF STATE LAW.—Notwith19 standing the uniform standards developed under 

20 paragraph (1), a State that defines or describes such 

21 fatalities for any purpose other than tracking and re22 porting under this subsection may continue to use 

23 that definition or description for such purpose. 

24 ‘‘(3) NEGOTIATED RULEMAKING.—In developing 

25 regulations under paragraph (1), the Secretary shall 


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1 submit such regulations to a negotiated rulemaking 

2 process, which shall include the participants described 

3 in paragraph (4). 

4 ‘‘(4) PARTICIPANTS DESCRIBED.—The partici5 pants described in this paragraph are— 

6 ‘‘(A) State and county officials responsible 

7 for administering the State plans under this Act 

8 and parts B and E of title IV of the Social Secu9 rity Act (42 U.S.C. 621 et seq., 670 et seq.); 

10 ‘‘(B) child welfare professionals with field 

11 experience; 

12 ‘‘(C) child welfare researchers; 

13 ‘‘(D) domestic violence researchers; 

14 ‘‘(E) domestic violence professionals; 

15 ‘‘(F) child development professionals; 

16 ‘‘(G) mental health professionals; 

17 ‘‘(H) pediatric emergency medicine physi18 cians; 

19 ‘‘(I) child abuse pediatricians, as certified 

20 by the American Board of Pediatrics, who spe21 cialize in treating victims of child abuse; 

22 ‘‘(J) forensic pathologists; 

23 ‘‘(K) public health administrators; 

24 ‘‘(L) public health researchers; 

25 ‘‘(M) law enforcement; 


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1 ‘‘(N) family court judges; 

2 ‘‘(O) prosecutors; 

3 ‘‘(P) medical examiners and coroners; 

4 ‘‘(Q) a representative from the National 

5 Center for Fatality Review and Prevention; and 

6 ‘‘(R) such other individuals and entities as 

7 the Secretary determines to be appropriate.’’. 

8 SEC. 104. RESEARCH AND ASSISTANCE ACTIVITIES. 

9 Section 104 of the Child Abuse Prevention and Treat10 ment Act (42 U.S.C. 5105) is amended— 

11 (1) in subsection (a)— 

12 (A) by amending paragraph (1) to read as 

13 follows: 

14 ‘‘(1) TOPICS.—The Secretary shall, in consulta15 tion with other Federal agencies and recognized ex16 perts in the field, carry out a continuing inter17 disciplinary program of research, including longitu18 dinal research, that is designed to provide informa19 tion needed to improve primary prevention of child 

20 abuse and neglect, better protect children from child 

21 abuse or neglect, and improve the well-being of vic22 tims of child abuse or neglect, with at least a portion 

23 of such research being field initiated. Such research 

24 program may focus on— 


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1 ‘‘(A) disseminating evidence-based treat2 ment directed to individuals and families experi3 encing trauma due to child abuse and neglect, 

4 including efforts to improve the scalability of the 

5 treatments and programs being researched; 

6 ‘‘(B) developing a set of evidence-based ap7 proaches to support child and family well-being 

8 and developing ways to identify, relieve, and 

9 mitigate stressors affecting families in rural, 

10 urban, and suburban communities; 

11 ‘‘(C) establishing methods to promote racial 

12 equity in the child welfare system, including a 

13 focus on how neglect is defined, how services are 

14 provided, and the unique impact on Native 

15 American, Alaska Native, and Native Hawaiian 

16 communities; 

17 ‘‘(D) improving service delivery or outcomes 

18 for child welfare service agencies engaged with 

19 families experiencing domestic violence, sub20 stance use disorder, or other complex needs; 

21 ‘‘(E) the extent to which the number of un22 substantiated, unfounded, and false reported 

23 cases of child abuse or neglect have contributed 

24 to the inability of a State to respond effectively 

25 to serious cases of child abuse or neglect; 


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1 ‘‘(F) the extent to which the lack of ade2 quate resources and the lack of adequate profes3 sional development of individuals required by 

4 law to report suspected cases of child abuse and 

5 neglect have contributed to the inability of a 

6 State to respond effectively to serious cases of 

7 child abuse and neglect; 

8 ‘‘(G) the extent to which unsubstantiated re9 ports return as more serious cases of child abuse 

10 or neglect; 

11 ‘‘(H) the incidence and outcomes of child 

12 abuse and neglect allegations reported within the 

13 context of divorce, custody, or other family court 

14 proceedings, and the interaction between family 

15 courts and the child protective services system; 

16 ‘‘(I) the information on the national inci17 dence of child abuse and neglect specified in 

18 clauses (i) through (xi) of subparagraph (J); and 

19 ‘‘(J) the national incidence of child abuse 

20 and neglect, including— 

21 ‘‘(i) the extent to which incidents of 

22 child abuse and neglect are increasing or 

23 decreasing in number and severity; 


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1 ‘‘(ii) the incidence of substantiated and 

2 unsubstantiated reported child abuse and 

3 neglect cases; 

4 ‘‘(iii) the number of substantiated cases 

5 that result in a judicial finding of child 

6 abuse or neglect or related criminal court 

7 convictions; 

8 ‘‘(iv) the extent to which the number of 

9 unsubstantiated, unfounded and false re10 ported cases of child abuse or neglect have 

11 contributed to the inability of a State to re12 spond effectively to serious cases of child 

13 abuse or neglect; 

14 ‘‘(v) the extent to which the lack of ade15 quate resources and the lack of adequate 

16 education of individuals required by law to 

17 report suspected cases of child abuse and ne18 glect have contributed to the inability of a 

19 State to respond effectively to serious cases 

20 of child abuse and neglect; 

21 ‘‘(vi) the number of unsubstantiated, 

22 false, or unfounded reports that have re23 sulted in a child being placed in substitute 

24 care, and the duration of such placement; 


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1 ‘‘(vii) the extent to which unsubstan2 tiated reports return as more serious cases 

3 of child abuse or neglect; 

4 ‘‘(viii) the incidence and prevalence of 

5 physical, sexual, and emotional abuse and 

6 physical and emotional neglect in substitute 

7 care; 

8 ‘‘(ix) the incidence and prevalence of 

9 child maltreatment by a wide array of de10 mographic characteristics such as age, sex, 

11 race, family structure, household relation12 ship (including the living arrangement of 

13 the resident parent and family size), school 

14 enrollment and education attainment, dis15 ability, grandparents as caregivers, labor 

16 force status, work status in previous year, 

17 and income in previous year; 

18 ‘‘(x) the extent to which reports of sus19 pected or known instances of child abuse or 

20 neglect involving a potential combination of 

21 jurisdictions, such as intrastate, interstate, 

22 Federal-State, and State-Tribal, are being 

23 screened out solely on the basis of the cross24 jurisdictional complications; and 


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1 ‘‘(xi) the incidence and outcomes of 

2 child abuse and neglect allegations reported 

3 within the context of divorce, custody, or 

4 other family court proceedings, and the 

5 interaction between family courts and the 

6 child protective services system.’’; 

7 (B) in paragraph (2), by striking ‘‘para8 graph (1)(O)’’ and inserting ‘‘paragraph (1)(J)’’; 

9 (C) by amending paragraph (3) to read as 

10 follows: 

11 ‘‘(3) REPORTING REQUIREMENTS.— 

12 ‘‘(A) IN GENERAL.—Not later than 4 years 

13 after the date of the enactment of the Stronger 

14 Child Abuse Prevention and Treatment Act, the 

15 Secretary shall prepare and submit to the Com16 mittee on Education and Labor of the House of 

17 Representatives and the Committee on Health, 

18 Education, Labor and Pensions of the Senate a 

19 report that contains the results of the research 

20 conducted under paragraph (2). 

21 ‘‘(B) NATIONAL INCIDENCE.—The Secretary 

22 shall ensure that research conducted, and data 

23 collected, under paragraph (1)(J) are reported in 

24 a way that will allow longitudinal comparisons 


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1 as well as comparisons to the national incidence 

2 studies conducted under this title.’’; and 

3 (D) by striking the second paragraph (4); 

4 (2) in subsection (b), by amending paragraph 

5 (2) to read as follows: 

6 ‘‘(2) AREAS OF EMPHASIS.—Such technical as7 sistance— 

8 ‘‘(A) shall focus on— 

9 ‘‘(i) implementing strategies that can 

10 leverage existing community-based and 

11 State funded resources to prevent child 

12 abuse and neglect and providing education 

13 for individuals involved in prevention ac14 tivities; 

15 ‘‘(ii) reducing racial bias in child wel16 fare systems, including how such systems 

17 interact with health, law enforcement, and 

18 education systems; 

19 ‘‘(iii) promoting best practices for fam20 ilies experiencing domestic violence, sub21 stance use disorder, or other complex needs; 

22 and 

23 ‘‘(iv) providing professional develop24 ment and other technical assistance to child 

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1 standing of and to help address the effects 

2 of trauma and adverse childhood experi3 ences in parents and children in contact 

4 with the child welfare system; and 

5 ‘‘(B) may include the identification of— 

6 ‘‘(i) various methods and procedures 

7 for the investigation, assessment, and pros8 ecution of child physical and sexual abuse 

9 cases; 

10 ‘‘(ii) ways to mitigate psychological 

11 trauma to the child victim; 

12 ‘‘(iii) effective programs carried out by 

13 the States under titles I and II; and 

14 ‘‘(iv) effective approaches being utilized 

15 to link child protective service agencies with 

16 health care, mental health care, and devel17 opmental services and early intervention to 

18 improve forensic diagnosis and health eval19 uations, and barriers and shortages to such 

20 linkages.’’; 

21 (3) in subsection (c), by striking paragraph (3); 

22 and 

23 (4) by striking subsection (e). 


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1 SEC. 105. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL 

2 ORGANIZATIONS, AND PUBLIC OR PRIVATE 

3 AGENCIES AND ORGANIZATIONS. 

4 Section 105 of the Child Abuse Prevention and Treat5 ment Act (42 U.S.C. 5106) is amended— 

6 (1) in subsection (a)— 

7 (A) by redesignating paragraph (7) as 

8 paragraph (11); 

9 (B) by striking paragraphs (1) through (6) 

10 and inserting the following: 

11 ‘‘(1) PREVENTION SERVICES.—The Secretary 

12 may award grants under this subsection to entities to 

13 establish or expand prevention services that reduce 

14 incidences of child maltreatment and strengthen fami15 lies. 

16 ‘‘(2) TRAUMATIC STRESS.—The Secretary may 

17 award grants under this subsection to entities to ad18 dress instances of traumatic stress in families due to 

19 child abuse and neglect, especially for families with 

20 complex needs or families that exhibit high levels of 

21 adverse childhood experiences. 

22 ‘‘(3) PROMOTING A HIGH-QUALITY WORK23 FORCE.—The Secretary may award grants under this 

24 subsection to entities to carry out programs or strate25 gies that promote a high-quality workforce in the 

26 child welfare system through–— 


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1 ‘‘(A) improvements to recruitment, support, 

2 or retention efforts; or 

3 ‘‘(B) education for professionals and para4 professionals in the prevention, identification, 

5 and treatment of child abuse and neglect. 

6 ‘‘(4) IMPROVING COORDINATION.—The Secretary 

7 may award grants under this subsection to entities to 

8 carry out activities to improve intrastate coordina9 tion within the child welfare system. Such activities 

10 may include— 

11 ‘‘(A) aligning information technology sys12 tems; 

13 ‘‘(B) improving information sharing re14 garding child and family referrals; or 

15 ‘‘(C) creating collaborative voluntary part16 nerships among public and private agencies, the 

17 State’s child protective services, local social serv18 ice agencies, community-based family support 

19 programs, State and local legal agencies, devel20 opmental disability agencies, substance use dis21 order treatment providers, health care providers 

22 and agencies, domestic violence prevention pro23 grams, mental health services, schools and early 

24 learning providers, religious entities, and other 

25 community-based programs. 


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1 ‘‘(5) PRIMARY PREVENTION.—The Secretary may 

2 award grants under this subsection to entities to 

3 carry out or expand primary prevention programs or 

4 strategies that address family or community protec5 tive factors. 

6 ‘‘(6) NEGLECT DUE TO ECONOMIC INSECURITY.— 

7 The Secretary may award grants under this sub8 section to entities to carry out programs or strategies 

9 that reduce findings of child neglect due in full or in 

10 part to family economic insecurity. 

11 ‘‘(7) EDUCATION OF MANDATORY REPORTERS.— 

12 The Secretary may award grants under this sub13 section to entities for projects that involve research14 based strategies for innovative education of mandated 

15 child abuse and neglect reporters, and for victims to 

16 understand mandatory reporting. 

17 ‘‘(8) SENTINEL INJURIES.—The Secretary may 

18 award grants under this subsection to entities to iden19 tify and test effective practices to improve early detec20 tion and management of injuries indicative of poten21 tial abuse in infants to prevent future cases of child 

22 abuse and related fatalities. 

23 ‘‘(9) INNOVATIVE PARTNERSHIPS.—The Sec24 retary may award grants under this subsection to en25 tities to carry out innovative programs or strategies 


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1 to coordinate the delivery of services to help reduce 

2 child abuse and neglect via partnerships among 

3 health, mental health, education (including early 

4 learning and care programs as appropriate), and 

5 child welfare agencies and providers. 

6 ‘‘(10) REDUCING CHILD ABUSE AND NEGLECT

7 DUE TO THE SUBSTANCE USE DISORDER OF A PARENT

8 OR CAREGIVER.—The Secretary may award grants 

9 under this subsection to entities to carry out activities 

10 to reduce child abuse and neglect due to the substance 

11 use disorder of a parent or caregiver.’’; and 

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

13 ‘‘(12) NATIONAL CHILD ABUSE HOTLINE.— 

14 ‘‘(A) IN GENERAL.—The Secretary may 

15 award a grant under this subsection to a non16 profit entity to provide for the ongoing operation 

17 of a 24-hour, national, toll-free telephone hotline 

18 to provide information and assistance to youth 

19 victims of child abuse or neglect, parents, care20 givers, mandated reporters, and other concerned 

21 community members, including through alter22 native modalities for communications (such as 

23 texting or chat services) with such victims and 

24 other information seekers. 


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1 ‘‘(B) PRIORITY.—In awarding grants de2 scribed in this paragraph, the Secretary shall 

3 give priority to applicants with experience in 

4 operating a hotline that provides assistance to 

5 victims of child abuse, parents, caregivers, and 

6 mandated reporters. 

7 ‘‘(C) APPLICATION.—To be eligible to re8 ceive a grant described in this paragraph, a non9 profit entity shall submit an application to the 

10 Secretary that shall— 

11 ‘‘(i) contain such assurances and infor12 mation, be in such form, and be submitted 

13 in such manner, as the Secretary shall pre14 scribe; 

15 ‘‘(ii) include a complete description of 

16 the entity’s plan for the operation of a na17 tional child abuse hotline, including de18 scriptions of— 

19 ‘‘(I) the professional development 

20 program for hotline personnel, includ21 ing technology professional develop22 ment to ensure that all persons affili23 ated with the hotline are able to effec24 tively operate any technological sys25 tems used by the hotline; 


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1 ‘‘(II) the qualifications for hotline 

2 personnel; 

3 ‘‘(III) the methods for the cre4 ation, maintenance, and updating of a 

5 comprehensive list of prevention and 

6 treatment service providers; 

7 ‘‘(IV) a plan for publicizing the 

8 availability of the hotline throughout 

9 the United States; 

10 ‘‘(V) a plan for providing service 

11 to non-English speaking callers, in12 cluding service through hotline per13 sonnel who have non-English language 

14 capability; 

15 ‘‘(VI) a plan for facilitating ac16 cess to the hotline and alternative mo17 dality services by persons with hearing 

18 impairments and disabilities; 

19 ‘‘(VII) a plan for providing crisis 

20 counseling, general assistance, and re21 ferrals to youth victims of child abuse; 

22 and 

23 ‘‘(VIII) a plan to offer alternative 

24 services to calling, such as texting or 

25 live chat; 


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1 ‘‘(iii) demonstrate that the entity has 

2 the capacity and the expertise to maintain 

3 a child abuse hotline and a comprehensive 

4 list of service providers; 

5 ‘‘(iv) demonstrate the ability to provide 

6 information and referrals for contacts, di7 rectly connect contacts to service providers, 

8 and employ crisis interventions; 

9 ‘‘(v) demonstrate that the entity has a 

10 commitment to providing services to indi11 viduals in need; and 

12 ‘‘(vi) demonstrate that the entity com13 plies with State privacy laws and has es14 tablished quality assurance practices.’’; and 

15 (2) by striking subsections (b) and (c) and in16 serting the following: 

17 ‘‘(b) GOALS AND PERFORMANCE.—The Secretary shall 

18 ensure that each entity receiving a grant under this sec19 tion— 

20 ‘‘(1) establishes quantifiable goals for the out21 come of the project funded with the grant; and 

22 ‘‘(2) adequately measures the performance of the 

23 project relative to such goals. 

24 ‘‘(c) PERFORMANCE REPORT REQUIRED.— 


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1 ‘‘(1) IN GENERAL.—Each entity that receives a 

2 grant under this section shall submit to the Secretary 

3 a performance report that includes— 

4 ‘‘(A) an evaluation of the effectiveness of the 

5 project funded with the grant relative to the 

6 goals established for such project under sub7 section (b)(1); and 

8 ‘‘(B) data supporting such evaluation. 

9 ‘‘(2) SUBMISSION.—The report under paragraph 

10 (1) shall be submitted to the Secretary at such time, 

11 in such manner, and containing such information as 

12 the Secretary may require. 

13 ‘‘(d) CONTINUING GRANTS.—The Secretary may only 

14 award a continuing grant to an entity under this section 

15 if such entity submits a performance report required under 

16 subsection (c) that demonstrates effectiveness of the project 

17 funded.’’. 

18 SEC. 106. GRANTS TO STATES FOR CHILD ABUSE OR NE19 GLECT PREVENTION AND TREATMENT PRO20 GRAMS. 

21 (a) DEVELOPMENT AND OPERATION GRANTS.—Sub22 section (a) of section 106 of the Child Abuse Prevention and 

23 Treatment Act (42 U.S.C. 5106a) is amended to read as 

24 follows: 


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1 ‘‘(a) DEVELOPMENT AND OPERATION GRANTS.—The 

2 Secretary shall make grants to the States, from allotments 

3 under subsection (f) for each State that applies for a grant 

4 under this section, for purposes of assisting the States in 

5 improving and implementing a child protective services sys6 tem that is family-centered, integrates community services, 

7 and is capable of providing rapid response to high-risk 

8 cases, by carrying out the following: 

9 ‘‘(1) Conducting the intake, assessment, screen10 ing, and investigation of reports of child abuse or ne11 glect. 

12 ‘‘(2) Ensuring that reports concerning a child’s 

13 living arrangements or subsistence needs are ad14 dressed through services or benefits and that no child 

15 is separated from such child’s parent for reasons of 

16 poverty. 

17 ‘‘(3) Creating and improving the use of multi18 disciplinary teams and interagency, intra-agency, 

19 interstate, and intrastate protocols to enhance fair in20 vestigations; and improving legal preparation and 

21 representation. 

22 ‘‘(4) Complying with the assurances in section 

23 106(b)(2). 


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1 ‘‘(5) Establishing State and local networks of 

2 child and family service providers that support child 

3 and family well-being, which shall— 

4 ‘‘(A) include child protective services, as 

5 well as agencies and service providers, that ad6 dress family-strengthening, parenting skills, 

7 child development, early childhood care and 

8 learning, child advocacy, public health, mental 

9 health, substance use disorder treatment, domes10 tic violence, developmental disabilities, housing, 

11 juvenile justice, elementary and secondary edu12 cation, and child placement; and 

13 ‘‘(B) address instances of child abuse and 

14 neglect by incorporating evaluations that assess 

15 the development of a child, including language 

16 and communication, cognitive, physical, and so17 cial and emotional development, the need for 

18 mental health services, including trauma-related 

19 services, trauma-informed care, and parental 

20 needs. 

21 ‘‘(6) Ensuring child protective services is ad22 dressing the safety of children and responding to par23 ent and family needs, which shall include— 

24 ‘‘(A) family-oriented efforts that emphasize 

25 case assessment and follow up casework focused 


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1 on child safety and child and parent well-being, 

2 which may include— 

3 ‘‘(i) ensuring parents and children un4 dergo physical and mental health assess5 ments, as appropriate, and ongoing develop6 mental monitoring; 

7 ‘‘(ii) multidisciplinary approaches to 

8 assessing family needs and connecting the 

9 family with services, including prevention 

10 services under section 471 of the Social Se11 curity Act (42 U.S.C. 671); 

12 ‘‘(iii) organizing a treatment team 

13 with the goal of preventing child abuse and 

14 neglect, and improving parent and child 

15 well-being; 

16 ‘‘(iv) case monitoring that supports 

17 child well-being; and 

18 ‘‘(v) differential response efforts; and 

19 ‘‘(B) establishing and maintaining a rapid 

20 response system that responds promptly to all re21 ports of child abuse or neglect, with special at22 tention to cases involving children under 3 years 

23 of age. 

24 ‘‘(7) Educating caseworkers, community service 

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1 ents, and others engaged in the prevention, interven2 tion, and treatment of child abuse and neglect, which 

3 shall include education on— 

4 ‘‘(A) practices that help ensure child safety 

5 and well-being; 

6 ‘‘(B) approaches to family-oriented preven7 tion, intervention, and treatment of child abuse 

8 and neglect; 

9 ‘‘(C) early childhood, child, and adolescent 

10 development, and the impact of adverse child11 hood experiences on such development; 

12 ‘‘(D) the relationship between child abuse 

13 and domestic violence, and support for non-abus14 ing parents; 

15 ‘‘(E) strategies to work with families im16 pacted by substance use disorder and mental 

17 health issues (and, when appropriate, be coordi18 nated with prevention efforts funded under sec19 tion 471 of the Social Security Act (42 U.S.C. 

20 671)); 

21 ‘‘(F) effective use of multiple services to ad22 dress family and child needs, including needs re23 sulting from trauma; 

24 ‘‘(G) efforts to improve family and child 

25 well-being; 


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1 ‘‘(H) support for child welfare workers af2 fected by secondary trauma; and 

3 ‘‘(I) supporting families and caregivers to 

4 combat and prevent unsubstantiated, unfounded, 

5 or false reports, including through education on 

6 the rights of families and caregivers. 

7 ‘‘(8) Creating or improving data systems that 

8 allow for— 

9 ‘‘(A) the identification of cases requiring 

10 prompt responses; 

11 ‘‘(B) real-time case monitoring that tracks 

12 assessments, service referrals, follow-up, case re13 views, and progress toward parent and child 

14 goals; and 

15 ‘‘(C) sharing basic identifying data with 

16 law enforcement, as necessary. 

17 ‘‘(9) Improving the general child protective sys18 tem by developing, improving, and implementing 

19 safety assessment tools, providing that such tools, pro20 tocols, and systems shall not authorize the separation 

21 of any child from the legal parent or guardian of such 

22 child solely on the basis of poverty, or without a judi23 cial order, except in the case of imminent harm.’’. 

24 (b) ELIGIBILITY REQUIREMENTS.— 


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1 (1) STATE PLAN.—Paragraph (1) of section 

2 106(b) of the Child Abuse Prevention and Treatment 

3 Act (42 U.S.C. 5106a(b)) is amended to read as fol4 lows: 

5 ‘‘(1) STATE PLAN.— 

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

7 a grant under this section, a State shall submit 

8 to the Secretary a State plan that— 

9 ‘‘(i) specifies how the grant will be 

10 used, and the State’s strategic plan, to treat 

11 child abuse and neglect and enhance com12 munity-based, prevention-centered ap13 proaches that attempt to prevent child abuse 

14 and neglect while strengthening and sup15 porting families whenever possible; and 

16 ‘‘(ii) meets the requirements of this 

17 subsection. 

18 ‘‘(B) COORDINATION AND CONSULTATION.— 

19 ‘‘(i) COORDINATION.—Each State, to 

20 the maximum extent practicable, shall co21 ordinate its State plan under this sub22 section with its State plan under part B of 

23 title IV of the Social Security Act (42 

24 U.S.C. 621 et seq.) relating to child and 

25 family services and, in States electing to 


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1 provide services under part E of title IV of 

2 the Social Security Act (42 U.S.C. 670 et 

3 seq.) relating to foster care prevention serv4 ices, its State plan under such part E. 

5 ‘‘(ii) CONSULTATION.—In developing a 

6 State plan under this subsection, a State 

7 shall consult with community-based preven8 tion and service agencies, parents and fami9 lies affected by child abuse or neglect in the 

10 State, law enforcement, family court judges, 

11 prosecutors who handle criminal child abuse 

12 cases, and medical professionals engaged in 

13 the treatment of child abuse and neglect. 

14 ‘‘(C) DURATION AND SUBMISSION OF

15 PLAN.—Each State plan shall— 

16 ‘‘(i) be submitted not less than every 5 

17 years; and 

18 ‘‘(ii) if necessary, revised by the State 

19 to inform the Secretary of any substantive 

20 changes, including— 

21 ‘‘(I) any changes to State law or 

22 regulations, relating to the prevention 

23 of child abuse and neglect that may af24 fect the eligibility of the State under 

25 this section; or 


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1 ‘‘(II) any changes in the State’s 

2 activities, strategies, or programs 

3 under this section.’’. 

4 (2) CONTENTS.—Paragraph (2) of section 106(b) 

5 of the Child Abuse Prevention and Treatment Act (42 

6 U.S.C. 5106a(b)) is amended to read as follows: 

7 ‘‘(2) CONTENTS.—A State plan submitted under 

8 paragraph (1) shall contain a description of the ac9 tivities that the State will carry out using amounts 

10 received under the grant to achieve the objectives of 

11 this title, including— 

12 ‘‘(A) an assurance in the form of a certifi13 cation by the Governor of the State that the 

14 State has in effect and is enforcing a State law, 

15 or has in effect and is operating a statewide pro16 gram, relating to child abuse and neglect that in17 cludes— 

18 ‘‘(i) provisions or procedures for an in19 dividual to report known and suspected in20 stances of child abuse and neglect, including 

21 a State law for mandatory reporting by in22 dividuals required to report such instances; 

23 ‘‘(ii) procedures for the immediate 

24 screening, risk and safety assessment, and 

25 prompt investigation of such reports of alVerDate Sep 11 2014 01:42 May 21, 2019 Jkt 089200 PO 00000 Frm 00030 Fmt 6652 Sfmt 6203 E:\BILLS\H2480.RH H2480

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1 leged abuse and neglect in order to ensure 

2 the well-being and safety of children; 

3 ‘‘(iii) procedures for immediate steps 

4 to be taken to ensure and protect the safety 

5 of a victim of child abuse or neglect and of 

6 any other child under the same care who 

7 may also be in danger of child abuse or ne8 glect and ensuring their placement in a safe 

9 environment; 

10 ‘‘(iv) methods to preserve the confiden11 tiality of all records in order to protect the 

12 rights of the child and of the child’s parents 

13 or guardians, including requirements ensur14 ing that reports and records made and 

15 maintained pursuant to the purposes of this 

16 Act shall only be made available to— 

17 ‘‘(I) individuals who are the sub18 ject of the report; 

19 ‘‘(II) Federal, State, or local gov20 ernment entities, or any agent of such 

21 entities, as described in clause (xi) of 

22 this subparagraph; 

23 ‘‘(III) child abuse citizen review 

24 panels; 

25 ‘‘(IV) child fatality review panels; 


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1 ‘‘(V) a grand jury or court, upon 

2 a finding that information in the 

3 record is necessary for the determina4 tion of an issue before the court or 

5 grand jury; and 

6 ‘‘(VI) other entities or classes of 

7 individuals statutorily authorized by 

8 the State to receive such information 

9 pursuant to a legitimate State purpose; 

10 ‘‘(v) provisions and procedures requir11 ing that in every case involving a victim of 

12 child abuse or neglect which results in a ju13 dicial proceeding, a guardian ad litem, who 

14 has received education appropriate to the 

15 role, including education in early childhood, 

16 child, and adolescent development, and do17 mestic violence, and who may be an attor18 ney or a court appointed special advocate 

19 who has received education appropriate to 

20 that role (or both), shall be appointed to 

21 represent the child (who, for purposes of this 

22 section, shall have any age limit elected by 

23 the State pursuant to section 475(8)(B)(iii) 

24 of the Social Security Act (42 U.S.C. 

25 675(8)(B)(iii)) in such proceedings— 


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1 ‘‘(I) to obtain first-hand, a clear 

2 understanding of the situation and 

3 needs of such child; and 

4 ‘‘(II) to make recommendations to 

5 the court concerning the best interests 

6 of such child; 

7 ‘‘(vi) the establishment of citizen re8 view panels in accordance with subsection 

9 (c); 

10 ‘‘(vii) provisions and procedures to re11 quire that a representative of the child pro12 tective services agency shall, at the initial 

13 time of contact with the individual subject 

14 to a child abuse or neglect investigation, ad15 vise the individual of the complaints or alle16 gations made against the individual, in a 

17 manner that is consistent with laws pro18 tecting the rights of the informant; 

19 ‘‘(viii) provisions, procedures, and 

20 mechanisms— 

21 ‘‘(I) for the expedited termination 

22 of parental rights in the case of any 

23 infant determined to be abandoned 

24 under State law; and 


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1 ‘‘(II) by which individuals who 

2 disagree with an official finding of 

3 child abuse or neglect can appeal such 

4 finding; 

5 ‘‘(ix) provisions addressing the profes6 sional development of representatives of the 

7 child protective services system regarding 

8 the legal duties of the representatives, which 

9 may consist of various methods of inform10 ing such representatives of such duties (in11 cluding providing such education in dif12 ferent languages if necessary), in order to 

13 protect the legal rights and safety of chil14 dren and their parents and caregivers from 

15 the initial time of contact during investiga16 tion through treatment; 

17 ‘‘(x) provisions for immunity from 

18 civil or criminal liability under State and 

19 local laws and regulations for individuals 

20 making good faith reports of suspected or 

21 known instances of child abuse or neglect, or 

22 who otherwise provide information or as23 sistance, including medical evaluations or 

24 consultations, in connection with a report, 

25 investigation, or legal intervention pursuant 


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1 to a good faith report of child abuse or ne2 glect; 

3 ‘‘(xi) provisions to require the State to 

4 disclose confidential information to any 

5 Federal, State, or local government entity, 

6 or any agent of such entity, that has a need 

7 for such information in order to carry out 

8 its responsibilities under law to protect chil9 dren from child abuse and neglect; 

10 ‘‘(xii) provisions requiring, and proce11 dures in place that facilitate the prompt 

12 expungement of any records that are acces13 sible to the general public or are used for 

14 purposes of employment or other back15 ground checks in cases determined to be un16 substantiated or false, except that nothing 

17 in this section shall prevent State child pro18 tective services agencies from keeping infor19 mation on unsubstantiated reports in their 

20 casework files to assist in future risk and 

21 safety assessment; 

22 ‘‘(xiii) provisions and procedures for 

23 requiring criminal background record 

24 checks that meet the requirements of section 

25 471(a)(20) of the Social Security Act (42 


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1 U.S.C. 671(a)(20)) for prospective foster 

2 and adoptive parents and other adult rel3 atives and non- relatives residing in the 

4 household; 

5 ‘‘(xiv) provisions for systems of tech6 nology that support the State child protec7 tive services system and track reports of 

8 child abuse and neglect from intake through 

9 final disposition; 

10 ‘‘(xv) provisions and procedures re11 quiring identification and assessment of all 

12 reports involving children known or sus13 pected to be victims of sex trafficking (as 

14 defined in section 103(12) of the Trafficking 

15 Victims Protection Act of 2000 (22 U.S.C. 

16 7102 (12)); 

17 ‘‘(xvi) provisions, procedures, and 

18 mechanisms that assure that the State does 

19 not require reunification of a surviving 

20 child with a parent who has been found by 

21 a court of competent jurisdiction— 

22 ‘‘(I) to have committed murder 

23 (which would have been an offense 

24 under section 1111(a) of title 18, 

25 United States Code, if the offense had 


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1 occurred in the special maritime or 

2 territorial jurisdiction of the United 

3 States) of another child of such parent; 

4 ‘‘(II) to have committed voluntary 

5 manslaughter (which would have been 

6 an offense under section 1112(a) of 

7 title 18, United States Code, if the of8 fense had occurred in the special mari9 time or territorial jurisdiction of the 

10 United States) of another child of such 

11 parent; 

12 ‘‘(III) to have aided or abetted, 

13 attempted, conspired, or solicited to 

14 commit such murder or voluntary 

15 manslaughter; 

16 ‘‘(IV) to have committed a felony 

17 assault that results in the serious bod18 ily injury to the surviving child or an19 other child of such parent; 

20 ‘‘(V) to have committed sexual 

21 abuse against the surviving child or 

22 another child of such parent; or 

23 ‘‘(VI) to be required to register 

24 with a sex offender registry under sec25 tion 113(a) of the Adam Walsh Child 


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1 Protection and Safety Act of 2006 (42 

2 U.S.C. 16913(a)); and 

3 ‘‘(xvii) an assurance that, upon the 

4 implementation by the State of the provi5 sions, procedures, and mechanisms under 

6 clause (xvi), conviction of any one of the 

7 felonies listed in clause (xvi) constitute 

8 grounds under State law for the termi9 nation of parental rights of the convicted 

10 parent as to the surviving children (al11 though case-by-case determinations of 

12 whether or not to seek termination of paren13 tal rights shall be within the sole discretion 

14 of the State); 

15 ‘‘(B) an assurance that the State has in 

16 place procedures for responding to the reporting 

17 of medical neglect (including instances of with18 holding of medically indicated treatment from 

19 infants with disabilities who have life-threat20 ening conditions), procedures or programs, or 

21 both (within the State child protective services 

22 system), to provide for— 

23 ‘‘(i) coordination and consultation 

24 with individuals designated by and within 

25 appropriate health-care facilities; 


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1 ‘‘(ii) prompt notification by individ2 uals designated by and within appropriate 

3 health-care facilities of cases of suspected 

4 medical neglect (including instances of 

5 withholding of medically indicated treat6 ment from infants with disabilities who 

7 have life-threatening conditions); and 

8 ‘‘(iii) authority, under State law, for 

9 the State child protective services system to 

10 pursue any legal remedies, including the 

11 authority to initiate legal proceedings in a 

12 court of competent jurisdiction, as may be 

13 necessary to prevent the withholding of 

14 medically indicated treatment from infants 

15 with disabilities who have life-threatening 

16 conditions; 

17 ‘‘(C) an assurance or certification that pro18 grams and education conducted under this title 

19 address the unique needs of unaccompanied 

20 homeless youth, including access to enrollment 

21 and support services and that such youth are eli22 gible for under parts B and E of title IV of the 

23 Social Security Act (42 U.S.C. 621 et seq., 670 

24 et seq.) and meet the requirements of the McKinVerDate Sep 11 2014 01:42 May 21, 2019 Jkt 089200 PO 00000 Frm 00039 Fmt 6652 Sfmt 6203 E:\BILLS\H2480.RH H2480

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1 ney-Vento Homeless Assistance Act (42 U.S.C. 

2 11301 et seq.); 

3 ‘‘(D) a description of— 

4 ‘‘(i) policies and procedures (including 

5 appropriate referrals to child welfare service 

6 systems and for other appropriate services 

7 (including home visiting services and mu8 tual support and parent partner pro9 grams)) to address the needs of infants born 

10 with and identified as being affected by sub11 stance use or withdrawal symptoms result12 ing from prenatal drug exposure, or a Fetal 

13 Alcohol Spectrum Disorder, including a re14 quirement that health care providers in15 volved in the delivery or care of such in16 fants notify the child welfare services system 

17 of the occurrence of such condition in such 

18 infants, except that such notification shall 

19 not be construed to— 

20 ‘‘(I) establish a definition under 

21 Federal law of what constitutes child 

22 abuse or neglect; or 

23 ‘‘(II) require prosecution for any 

24 illegal action; 


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1 ‘‘(ii) the development of a plan of safe 

2 care for the infant born and identified as 

3 being affected by substance use or with4 drawal symptoms, or a Fetal Alcohol Spec5 trum Disorder to ensure the safety and well6 being of such infant following release from 

7 the care of health care providers, including 

8 through— 

9 ‘‘(I) addressing the health and 

10 substance use disorder treatment needs 

11 of the infant and affected family or 

12 caregiver; and 

13 ‘‘(II) the development and imple14 mentation by the State of monitoring 

15 systems regarding the implementation 

16 of such plans to determine whether and 

17 in what manner local entities are pro18 viding, in accordance with State re19 quirements, referrals to and delivery of 

20 appropriate services for the infant and 

21 affected family or caregiver; 

22 ‘‘(iii) policies and procedures to make 

23 available to the public on the State website 

24 the data, findings, and information about 

25 all cases of child abuse or neglect resulting 


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1 in a child fatality or near fatality, includ2 ing a description of— 

3 ‘‘(I) how the State will not create 

4 an exception to such public disclosure, 

5 except in a case in which— 

6 ‘‘(aa) the State would like to 

7 delay public release of case-spe8 cific findings or information (in9 cluding any previous reports of 

10 domestic violence and subsequent 

11 actions taken to assess and ad12 dress such reports) while a crimi13 nal investigation or prosecution of 

14 such a fatality or near fatality is 

15 pending; 

16 ‘‘(bb) the State is protecting 

17 the identity of a reporter of child 

18 abuse or neglect; or 

19 ‘‘(cc) the State is withholding 

20 identifying information of mem21 bers of the victim’s family who 

22 are not perpetrators of the fatality 

23 or near fatality; and 

24 ‘‘(II) how the State will ensure 

25 that in providing the public disclosure 


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1 required under this clause, the State 

2 will include— 

3 ‘‘(aa) the cause and cir4 cumstances of the fatality or near 

5 fatality; 

6 ‘‘(bb) the age and gender of 

7 the child; and 

8 ‘‘(cc) any previous reports of 

9 child abuse or neglect investiga10 tions that are relevant to the child 

11 abuse or neglect that led to the fa12 tality or near fatality; 

13 ‘‘(iv) how the State will use data col14 lected on child abuse or neglect to prevent 

15 child fatalities and near fatalities; 

16 ‘‘(v) how the State will implement ef17 forts to prevent child fatalities and near fa18 talities; 

19 ‘‘(vi) the cooperation of State law en20 forcement officials, court of competent juris21 diction, and appropriate State agencies 

22 providing human services in the investiga23 tion, assessment, prosecution, and treatment 

24 of child abuse and neglect; 


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1 ‘‘(vii) the steps the State will take to 

2 improve the professional development, reten3 tion, and supervision of caseworkers and 

4 how the State will measure the effectiveness 

5 of such efforts; 

6 ‘‘(viii) the State’s plan to ensure each 

7 child under the age of 3 who is involved in 

8 a substantiated case of child abuse or ne9 glect will be referred to the State’s child find 

10 system under section 635(a)(5) of the Indi11 viduals with Disabilities Education Act (20 

12 U.S.C. 1435(a)(5)) in order to determine if 

13 the child is an infant or toddler with a dis14 ability (as defined in section 632(5) of such 

15 Act (20 U.S.C. 1432(5))); 

16 ‘‘(ix) the State’s plan to improve, as 

17 part of a comprehensive State strategy led 

18 by law enforcement, professional develop19 ment for child protective services workers 

20 and their appropriate role in identifying, 

21 assessing, and providing comprehensive 

22 services for children who are sex trafficking 

23 victims, in coordination with law enforce24 ment, juvenile justice agencies, runaway 

25 and homeless youth shelters, and health, 


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1 mental health, and other social service agen2 cies and providers; 

3 ‘‘(x) the services to be provided under 

4 the grant to individuals, families, or com5 munities, either directly or through refer6 rals, aimed at preventing the occurrence of 

7 child abuse and neglect; 

8 ‘‘(xi) the State’s efforts to ensure pro9 fessionals who are required to report sus10 pected cases of child abuse and neglect are 

11 aware of their responsibilities under sub12 paragraph (A)(i) and receive professional 

13 development relating to performing such re14 sponsibilities that is specific to their profes15 sion and workplace; 

16 ‘‘(xii) policies and procedures encour17 aging the appropriate involvement of fami18 lies in decisionmaking pertaining to chil19 dren who experienced child abuse or neglect; 

20 ‘‘(xiii) the State’s efforts to improve 

21 appropriate collaboration among child pro22 tective services agencies, domestic violence 

23 services agencies, substance use disorder 

24 treatment agencies, and other agencies in 

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1 ery of services and treatment provided to 

2 children and families affected by child abuse 

3 or neglect, including children exposed to do4 mestic violence, where appropriate; 

5 ‘‘(xiv) policies and procedures regard6 ing the use of differential response, as ap7 plicable, to improve outcomes for children; 

8 and 

9 ‘‘(xv) the State’s efforts to reduce racial 

10 bias in its child protective services system.’’. 

11 (3) LIMITATIONS.—Paragraph (3) of section 

12 106(b) of the Child Abuse Prevention and Treatment 

13 Act (42 U.S.C. 5106a(b)) is amended— 

14 (A) in the paragraph heading, by striking 

15 ‘‘LIMITATION’’ and inserting ‘‘LIMITATIONS’’; 

16 (B) by striking ‘‘With regard to clauses (vi) 

17 and (vii) of paragraph (2)(B),’’ and inserting 

18 the following: 

19 ‘‘(A) DISCLOSURE OF CERTAIN IDENTIFYING

20 INFORMATION.—With regard to subparagraphs 

21 (A)(iv) and (D)(iii) of paragraph (2),’’; 

22 (C) by striking the period at the end and 

23 inserting ‘‘; and’’; and 

24 (D) by adding at the end the following: 


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1 ‘‘(B) PUBLIC ACCESS TO COURT PRO2 CEEDINGS.—Nothing in paragraph (2) shall be 

3 construed to limit the State’s flexibility to deter4 mine State policies relating to public access to 

5 court proceedings to determine child abuse and 

6 neglect, except that such policies shall, at a min7 imum, ensure the safety and well-being of the 

8 child, parents, and families.’’. 

9 (4) DEFINITIONS.—Paragraph (4) of section 

10 106(b) of the Child Abuse Prevention and Treatment 

11 Act (42 U.S.C. 5106a(b)) is amended— 

12 (A) in the paragraph heading, by striking 

13 ‘‘DEFINITIONS’’ and inserting ‘‘DEFINITION’’; 

14 (B) by striking ‘‘this subsection’’ and all 

15 that follows through ‘‘means an act’’ and insert16 ing the following: ‘‘this subsection, the term ‘near 

17 fatality’ means an act’’; 

18 (C) by striking ‘‘; and’’ and inserting a pe19 riod; and 

20 (D) by striking subparagraph (B). 

21 (c) CITIZEN REVIEW PANELS.—Section 106(c) of the 

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

23 5106a(c)) is amended— 


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1 (1) in paragraph (1)(B), by striking ‘‘EXCEP2 TIONS.’’ and all that follows through ‘‘A State may’’ 

3 and inserting ‘‘EXCEPTION.—A State may’’; 

4 (2) in paragraph (4)(A)— 

5 (A) in the matter preceding clause (i), by 

6 striking ‘‘and where appropriate, specific cases,’’; 

7 and 

8 (B) in clause (iii)(I), by striking ‘‘foster 

9 care and adoption programs’’ and inserting ‘‘fos10 ter care, prevention, and permanency pro11 grams’’; and 

12 (3) by amending the first sentence of paragraph 

13 (6) to read as follows: ‘‘Each panel established under 

14 paragraph (1) shall prepare and make available to 

15 the State and the public, on an annual basis, a report 

16 containing a summary of the activities of the panel, 

17 the criteria used for determining which activities the 

18 panel engaged in, and recommendations or observa19 tions to improve the child protective services system 

20 at the State and local levels, and the data upon which 

21 these recommendations or observations are based.’’. 

22 (d) ANNUAL STATE DATA REPORTS.—Section 106(d) 

23 of the Child Abuse Prevention and Treatment Act (42 

24 U.S.C. 5106a(d)) is amended— 


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1 (1) by amending paragraph (13) to read as fol2 lows: 

3 ‘‘(13) The annual report containing the sum4 mary of the activities and recommendations of the cit5 izen review panels of the State required by subsection 

6 (c)(6), and the actions taken by the State as a result 

7 of such recommendations.’’; 

8 (2) in paragraph (15), by striking ‘‘subsection 

9 (b)(2)(B)(ii)’’ and inserting ‘‘subsection (b)(2)(D)(i)’’; 

10 (3) in paragraph (16), by striking ‘‘subsection 

11 (b)(2)(B)(xxi)’’ and inserting ‘‘subsection 

12 (b)(2)(D)(viii)’’; 

13 (4) in paragraph (17), by striking ‘‘subsection 

14 (b)(2)(B)(xxiv)’’ and inserting ‘‘subsection 

15 (b)(2)(A)(xv)’’; and 

16 (5) in paragraph (18)— 

17 (A) in subparagraph (A), by striking ‘‘sub18 section (b)(2)(B)(ii)’’ and inserting ‘‘subsection 

19 (b)(2)(D)(i)’’; 

20 (B) in subparagraph (B), by striking ‘‘sub21 section (b)(2)(B)(iii)’’ and inserting ‘‘subsection 

22 (b)(2)(D)(ii)’’; and 

23 (C) in subparagraph (C), by striking ‘‘sub24 section (b)(2)(B)(iii)’’ and inserting ‘‘subsection 

25 (b)(2)(D)(ii)’’; and 


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

2 ‘‘(19) The number of child fatalities and near fa3 talities from maltreatment and related information in 

4 accordance with the uniform standards established 

5 under section 103(d).’’. 

6 (e) ALLOTMENTS.—Section 106(f) of the Child Abuse 

7 Prevention and Treatment Act (42 U.S.C. 5106a(f)) is 

8 amended by adding at the end the following: 

9 ‘‘(6) LIMITATION.—For any fiscal year for which 

10 the amount allotted to a State or territory under this 

11 subsection exceeds the amount allotted to the State or 

12 territory under such subsection for fiscal year 2019, 

13 the State or territory may use not more than 2 per14 cent of such excess amount for administrative ex15 penses.’’. 

16 SEC. 107. MISCELLANEOUS REQUIREMENTS. 

17 Section 108 of the Child Abuse Prevention and Treat18 ment Act (42 U.S.C. 5106d) is amended— 

19 (1) in subsection (b), by inserting ‘‘Indian tribes, 

20 and tribal organizations,’’ after ‘‘States,’’; 

21 (2) by redesignating subsections (c) through (e) 

22 as subsections (d) through (f), respectively; and 

23 (3) by inserting after subsection (b) the fol24 lowing: 


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1 ‘‘(c) PROTECTING AGAINST SYSTEMIC CHILD SEXUAL

2 ABUSE.— 

3 ‘‘(1) REPORTING AND TASK FORCE.—Not later 

4 than 24 months after the date of the enactment of the 

5 Stronger Child Abuse Prevention and Treatment Act, 

6 each State task force established under section 107(c) 

7 and expanded as described in paragraph (2) shall 

8 study and make recommendations on the following, 

9 with a focus on preventing systemic child sexual 

10 abuse: 

11 ‘‘(A) How to detect systemic child sexual 

12 abuse that occurs in an organization. 

13 ‘‘(B) How to prevent child sexual abuse and 

14 systemic child sexual abuse from occurring in or15 ganizations, which shall include recommenda16 tions to improve— 

17 ‘‘(i) practices and policies for the edu18 cation of parents, caregivers, and victims, 

19 and age appropriate education of children, 

20 about risk factors or signs of potential child 

21 sexual abuse; and 

22 ‘‘(ii) the efficacy of applicable State 

23 laws and the role such laws play in deter24 ring or preventing incidences of child sexual 

25 abuse. 


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1 ‘‘(C) The feasibility of making available the 

2 disposition of a perpetrator within an organiza3 tion to— 

4 ‘‘(i) the child alleging sexual abuse or 

5 the child’s family; or 

6 ‘‘(ii) an adult who was a child at the 

7 time of the sexual abuse claim in question 

8 or the adult’s family. 

9 ‘‘(2) TASK FORCE COMPOSITION.—For purposes 

10 of this subsection, a State task force shall include— 

11 ‘‘(A) the members of the State task force de12 scribed in section 107(c) for the State; and 

13 ‘‘(B) the following: 

14 ‘‘(i) Family court judges. 

15 ‘‘(ii) Individuals from religious orga16 nizations. 

17 ‘‘(iii) Individuals from youth-serving 

18 organizations, including youth athletics or19 ganizations. 

20 ‘‘(3) REPORTING ON RECOMMENDATIONS.—Not 

21 later than 6 months after a State task force makes 

22 recommendations under paragraph (1), the State 

23 maintaining such State task force shall— 

24 ‘‘(A) make public the recommendations of 

25 such report; 


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1 ‘‘(B) report to the Secretary on the status of 

2 adopting such recommendations; and 

3 ‘‘(C) in a case in which the State declines 

4 to adopt a particular recommendation, make 

5 public the explanation for such declination. 

6 ‘‘(4) DEFINITIONS.—For purposes of this sub7 section— 

8 ‘‘(A) the terms ‘child sexual abuse’ and ‘sex9 ual abuse’ shall not be limited to an act or a 

10 failure to act on the part of a parent or care11 taker; 

12 ‘‘(B) the term ‘organization’ means any en13 tity that serves children; and 

14 ‘‘(C) the term ‘systemic child sexual abuse’ 

15 means— 

16 ‘‘(i) a pattern of informal or formal 

17 policy or de facto policy to not follow State 

18 and local requirements to report instances 

19 of child sexual abuse in violation of State 

20 and local mandatory reporting laws or pol21 icy; or 

22 ‘‘(ii) a pattern of assisting individual 

23 perpetrators in maintaining their careers 

24 despite substantiated evidence of child sex25 ual abuse.’’. 


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1 SEC. 108. REPORTS. 

2 (a) SCALING EVIDENCE-BASED TREATMENT OF CHILD

3 ABUSE AND NEGLECT.—Section 110 of the Child Abuse 

4 Prevention and Treatment Act (42 U.S.C. 5106f) is amend5 ed to read as follows: 

6 ‘‘SEC. 110. STUDY AND REPORT RELATING TO SCALING EVI7 DENCE-BASED TREATMENT OF CHILD ABUSE 

8 AND NEGLECT; STUDY AND REPORT ON MAR9 ITAL AGE OF CONSENT; STUDY AND REPORT 

10 ON STATE MANDATORY REPORTING LAWS. 

11 ‘‘(a) IN GENERAL.—The Secretary shall conduct a 

12 study that examines challenges to, and best practices for, 

13 the scalability of treatments that reduce the trauma result14 ing from child abuse and neglect and reduce the risk of re15 victimization, such as those allowable under sections 105 

16 and 106. 

17 ‘‘(b) CONTENT OF STUDY.—The study described in 

18 subsection (a) shall be completed in a manner that considers 

19 the variability among treatment programs and among pop20 ulations vulnerable to child abuse and neglect. The study 

21 shall include, at minimum: 

22 ‘‘(1) A detailed synthesis of the existing research 

23 literature examining barriers and challenges to, and 

24 best practices for the scalability of child welfare pro25 grams and services as well as programs and services 


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1 for vulnerable children and families in related fields, 

2 including healthcare and education. 

3 ‘‘(2) Data describing state and local providers’ 

4 experiences with scaling treatments that reduce the 

5 trauma resulting from child abuse and neglect and re6 duce the risk of revictimization. 

7 ‘‘(3) Consultation with experts in child welfare, 

8 healthcare, and education. 

9 ‘‘(c) REPORT.—Not later than 3 years after the date 

10 of the enactment of the Stronger Child Abuse Prevention 

11 and Treatment Act, the Secretary shall submit to the Com12 mittee on Health, Education, Labor, and Pensions of the 

13 Senate and the Committee on Education and Labor of the 

14 House of Representatives a report that contains the results 

15 of the study conducted under subsection (a), including rec16 ommendations for best practices for scaling treatments that 

17 reduce the trauma resulting from child abuse and neglect 

18 and reduce the risk of revictimization. 

19 ‘‘(d) STUDY AND REPORT ON MARITAL AGE OF CON20 SENT.— 

21 ‘‘(1) STUDY.—The Secretary shall study, with 

22 respect to each State— 

23 ‘‘(A) the State law regarding the minimum 

24 marriage age; and 


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1 ‘‘(B) the prevalence of marriage involving a 

2 child who is under the age of such minimum 

3 marriage age. 

4 ‘‘(2) FACTORS.—The study required under para5 graph (1) shall include an examination of— 

6 ‘‘(A) the extent to which any statutory ex7 ceptions to the minimum marriage age in such 

8 laws contribute to the prevalence of marriage in9 volving a child described in paragraph (1)(B); 

10 ‘‘(B) whether such exceptions allow such a 

11 child to be married without the consent of such 

12 child; and 

13 ‘‘(C) the impact of such exceptions on the 

14 safety of such children. 

15 ‘‘(3) REPORT.—Not later than 1 year after the 

16 date of enactment of the Stronger Child Abuse Preven17 tion and Treatment Act, the Secretary shall submit to 

18 the Committee on Health, Education, Labor, and 

19 Pensions of the Senate and the Committee on Edu20 cation and Labor of the House of Representatives a 

21 report containing the findings of the study required 

22 by this subsection, including any best practices. 

23 ‘‘(e) STUDY AND REPORT ON STATE MANDATORY RE24 PORTING LAWS.— 


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1 ‘‘(1) STUDY.—The Secretary shall collect infor2 mation on and otherwise study State laws for manda3 tory reporting of incidents of child abuse or neglect. 

4 Such study shall examine trends in referrals and in5 vestigations of child abuse and neglect due to dif6 ferences in such State laws with respect to the inclu7 sion, as mandatory reporters, of the following individ8 uals: 

9 ‘‘(A) Individuals licensed or certified to 

10 practice in any health-related field licensed by 

11 the State, employees of health care facilities or 

12 providers licensed by the State, who are engaged 

13 in the admission, examination, care or treatment 

14 of individuals, including mental health and 

15 emergency medical service providers. 

16 ‘‘(B) Individuals employed by a school who 

17 have direct contact with children, including 

18 teachers, administrators, and independent con19 tractors. 

20 ‘‘(C) Peace officers and law enforcement 

21 personnel. 

22 ‘‘(D) Clergy, including Christian Science 

23 practitioners, except where prohibited on account 

24 of clergy-penitent privilege. 


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1 ‘‘(E) Day care and child care operators and 

2 employees. 

3 ‘‘(F) Employees of social services agencies 

4 who have direct contact with children in the 

5 course of employment. 

6 ‘‘(G) Foster parents. 

7 ‘‘(H) Court appointed special advocates 

8 (employees and volunteers). 

9 ‘‘(I) Camp and after-school employees. 

10 ‘‘(J) An individual, paid or unpaid, who, 

11 on the basis of the individual’s role as an inte12 gral part of a regularly scheduled program, ac13 tivity, or service, accepts responsibility for a 

14 child. 

15 ‘‘(2) REPORT.—Not later than 4 years after the 

16 date of enactment of the Stronger Child Abuse Preven17 tion and Treatment Act, the Secretary shall submit to 

18 the Committee on Health, Education, Labor, and 

19 Pensions of the Senate and the Committee on Edu20 cation and Labor of the House of Representatives a 

21 report containing the findings of the study required 

22 by this subsection, including any best practices re23 lated to the inclusion, as mandatory reporters, of in24 dividuals described in paragraph (1).’’. 


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1 (b) REPORT ON CHILD ABUSE AND NEGLECT IN IN2 DIAN TRIBAL COMMUNITIES.— 

3 (1) IN GENERAL.—Not later than 2 years after 

4 the date of the enactment of this Act, the Comptroller 

5 General, in consultation with the Indian tribes from 

6 each of the 12 regions of the Bureau of Indian Affairs, 

7 shall study child abuse and neglect in Indian Tribal 

8 communities for the purpose of identifying vital in9 formation and making recommendations concerning 

10 issues relating to child abuse and neglect in such com11 munities, and submit to the Committee on Health, 

12 Education, Labor, and Pensions and the Committee 

13 on Indian Affairs of the Senate and the Committee on 

14 Education and Labor and the Committee on Natural 

15 Resources of the House of Representatives a report on 

16 such study, which shall include— 

17 (A) the number of Indian tribes providing 

18 primary child abuse and neglect prevention ac19 tivities; 

20 (B) the number of Indian tribes providing 

21 secondary child abuse and neglect prevention ac22 tivities; 

23 (C) promising practices of Indian tribes 

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1 tion that are culturally-based or culturally2 adapted; 

3 (D) information and recommendations on 

4 how such culturally-based or culturally-adapted 

5 child abuse and neglect prevention activities 

6 could become evidence-based; 

7 (E) the number of Indian tribes that have 

8 accessed Federal child abuse and neglect preven9 tion programs; 

10 (F) child abuse and neglect prevention ac11 tivities that Indian tribes provide using State 

12 funds; 

13 (G) child abuse and neglect prevention ac14 tivities that Indian tribes provide using Tribal 

15 funds; 

16 (H) Tribal access to State children’s trust 

17 fund resources, as described in section 202 of the 

18 Child Abuse Prevention and Treatment Act (42 

19 U.S.C. 5116a); 

20 (I) how a children’s trust fund model could 

21 be used to support prevention efforts regarding 

22 child abuse and neglect of American Indian and 

23 Alaska Native children; 

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1 tion and treatment of American Indian and 

2 Alaska Native children; 

3 (K) Federal agency cross-system collabora4 tion to address child abuse and neglect preven5 tion and treatment of American Indian and 

6 Alaska Native children; 

7 (L) Tribal access to child abuse and neglect 

8 prevention research and demonstration grants 

9 under the Child Abuse Prevention and Treat10 ment Act (42 U.S.C. 5101 et seq.); and 

11 (M) an examination of child abuse and ne12 glect data systems to identify what Tribal data 

13 is being submitted, barriers to submitting data, 

14 and recommendations on improving the collec15 tion of data from Indian Tribes. 

16 (2) DEFINITIONS.—In this subsection— 

17 (A) the term ‘‘Alaska Native’’ has the mean18 ing given the term in section 111 of the Child 

19 Abuse Prevention and Treatment Act (42 U.S.C. 

20 5106g); and 

21 (B) the terms ‘‘child abuse and neglect’’ and 

22 ‘‘Indian tribe’’ have the meaning given the terms 

23 in section 3 of the Child Abuse Prevention and 

24 Treatment Act (42 U.S.C. 5101 note). 


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1 SEC. 109. AUTHORIZATION OF APPROPRIATIONS. 

2 Section 112(a) of the Child Abuse Prevention and 

3 Treatment Act (42 U.S.C. 5106h(a)) is amended— 

4 (1) in paragraph (1)— 

5 (A) by striking ‘‘to carry out’’ through ‘‘fis6 cal year 2010’’ and inserting ‘‘to carry out this 

7 title $270,000,000 for fiscal year 2020’’; and 

8 (B) by striking ‘‘2011 through 2015’’ and 

9 inserting ‘‘2021 through 2025’’; and 

10 (2) by striking paragraph (2)(A) and inserting 

11 the following: 

12 ‘‘(A) IN GENERAL.—Of the amounts appro13 priated for a fiscal year under paragraph (1), 

14 the Secretary shall make available 30 percent of 

15 such amounts, or $100,000,000, whichever is less, 

16 to fund discretionary activities under this title.’’. 

17 SEC. 110. ELECTRONIC INTERSTATE DATA EXCHANGE SYS18 TEM. 

19 Title I of the Child Abuse Prevention and Treatment 

20 Act (42 U.S.C. 5101 et seq.) is amended by adding at the 

21 end the following: 

22 ‘‘SEC. 115. ELECTRONIC INTERSTATE DATA EXCHANGE SYS23 TEM. 

24 ‘‘(a) INTERSTATE DATA EXCHANGE SYSTEM.— 

25 ‘‘(1) IN GENERAL.—The Secretary of Health and 

26 Human Services shall consider the recommendations 


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1 included in the reports required under paragraph 

2 (8)(A) and subsection (b)(2) in developing an elec3 tronic interstate data exchange system that allows 

4 State entities responsible under State law for main5 taining child abuse and neglect registries to commu6 nicate information across State lines. 

7 ‘‘(2) STANDARDS.—In developing the electronic 

8 interstate data exchange system under paragraph (1), 

9 the Secretary shall— 

10 ‘‘(A) use interoperable standards developed 

11 and maintained by intergovernmental partner12 ships, such as the National Information Ex13 change Model; 

14 ‘‘(B) develop policies and governance stand15 ards that— 

16 ‘‘(i) ensure consistency in types of in17 formation shared and not shared; and 

18 ‘‘(ii) specify circumstances under 

19 which data should be shared through the 

20 interstate data exchange system; and 

21 ‘‘(C) ensure that all standards and policies 

22 adhere to the privacy, security, and civil rights 

23 laws of each State and Federal law. 

24 ‘‘(3) LIMITATION ON USE OF ELECTRONIC INTER25 STATE DATA EXCHANGE SYSTEM.—The electronic 


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1 interstate data exchange system may only be used for 

2 purposes relating to child safety. 

3 ‘‘(4) PILOT PROGRAM.— 

4 ‘‘(A) IMPLEMENTATION.—Not later than 6 

5 months after the date of the enactment of this 

6 section, the Secretary of Health and Human 

7 Services shall begin implementation of a pilot 

8 program to generate recommendations for the 

9 full integration of the electronic interstate data 

10 exchange system. Such pilot program shall in11 clude not less than 10 States and not more than 

12 15 States. 

13 ‘‘(B) COMPLETION.—Not later than 30 

14 months after the date of the enactment of this 

15 section, the Secretary of Health and Human 

16 Services shall complete the pilot program de17 scribed in subparagraph (A). 

18 ‘‘(5) INTEGRATION.—The Secretary of Health 

19 and Human Services may assist States in the inte20 gration of this system into the infrastructure of each 

21 State using funds appropriated under this subsection. 

22 ‘‘(6) PARTICIPATION.—As a condition on eligi23 bility for receipt of funds under section 106, each 

24 State shall— 


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1 ‘‘(A) participate in the electronic interstate 

2 data exchange system to the fullest extent possible 

3 in accordance with State law (as determined by 

4 the Secretary of Health and Human Services) 

5 not later than December 31, 2027; and 

6 ‘‘(B) prior to the participation described in 

7 subparagraph (A), provide to the Secretary of 

8 Health and Human Services an assurance that 

9 the child abuse and neglect registry of such State 

10 provides procedural due process protections with 

11 respect to including individuals on such registry. 

12 ‘‘(7) PROHIBITION.—The Secretary of Health 

13 and Human Services may not access or store data 

14 from the electronic interstate data exchange system, 

15 unless the State to which such data pertains volun16 tarily shares such data with the Secretary of Health 

17 and Human Services. 

18 ‘‘(8) REPORTS.—The Secretary of Health and 

19 Human Services shall prepare and submit to Con20 gress— 

21 ‘‘(A) not later than 3 years after the date 

22 of the enactment of this section, a report on the 

23 recommendations from the pilot program de24 scribed in paragraph (4); and 


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1 ‘‘(B) not later than January 31, 2025, a re2 port on the progress made in implementing this 

3 subsection. 

4 ‘‘(9) AUTHORIZATION OF APPROPRIATIONS.—Of 

5 the funds appropriated under section 112 for a fiscal 

6 year— 

7 ‘‘(A) for each of fiscal years 2020 and 2021, 

8 $2,000,000 shall be reserved to carry out this sec9 tion; and 

10 ‘‘(B) for each of fiscal years 2022 through 

11 2025, $1,000,000 shall be reserved to carry out 

12 this section. 

13 ‘‘(b) WORKING GROUP.— 

14 ‘‘(1) IN GENERAL.— Not later than 60 days after 

15 the date of the enactment of this section, the Secretary 

16 of Health and Human Services shall convene a work17 ing group to study and make recommendations on the 

18 following: 

19 ‘‘(A) The feasibility of making publicly 

20 available on the website of each State definitions 

21 and standards of substantiated child abuse and 

22 neglect for the State. 

23 ‘‘(B) Whether background check require24 ments under this Act, the Child Care and Devel25 opment Block Grant Act of 1990 (42 U.S.C. 


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1 9858 et seq.), and part E of title IV of the Social 

2 Security Act (42 U.S.C. 670 et seq.) are com3 plementary or if there are discrepancies that 

4 need to be addressed. 

5 ‘‘(C) How to improve communication be6 tween and across States, including through the 

7 use of technology and the use of the electronic 

8 interstate data exchange system established 

9 under subsection (a), to allow for more accurate 

10 and efficient exchange of child abuse and neglect 

11 records. 

12 ‘‘(D) How to reduce barriers and establish 

13 best practices for the State to provide timely re14 sponses to requests from other States for infor15 mation contained in the State’s child abuse and 

16 neglect registry through the electronic interstate 

17 data exchange system established under sub18 section (a). 

19 ‘‘(E) How to ensure due process for any in20 dividual included in a State’s child abuse and 

21 neglect registry, including the following: 

22 ‘‘(i) The level of evidence necessary for 

23 inclusion in the State’s child abuse and ne24 glect registry. 


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1 ‘‘(ii) The process for notifying such in2 dividual of inclusion in the State’s child 

3 abuse and neglect registry and the implica4 tions of such inclusion. 

5 ‘‘(iii) The process for providing such 

6 individual the opportunity to challenge such 

7 inclusion, and the procedures for resolving 

8 such challenge. 

9 ‘‘(iv) The length of time an individ10 ual’s record is to remain in the State’s child 

11 abuse and neglect registry, and the process 

12 for removing such individual’s record. 

13 ‘‘(v) The criteria for when such indi14 vidual’s child abuse and neglect registry 

15 record may be— 

16 ‘‘(I) made accessible to the general 

17 public; 

18 ‘‘(II) made available for purposes 

19 of an employment check; and 

20 ‘‘(III) be shared for the purposes 

21 of participation in the electronic inter22 state data exchange system described in 

23 subsection (a). 

24 ‘‘(2) REPORT.—Not later than 18 months after 

25 the date of the enactment of this section, the working 


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1 group convened under paragraph (1) shall submit a 

2 report containing its recommendations to the Sec3 retary of Health and Human Services, the Committee 

4 on Health, Education, Labor, and Pensions of the 

5 Senate, and the Committee on Education and Labor 

6 of the House of Representatives. 

7 ‘‘(3) CONSTRUCTION.—There shall be no require8 ment for any State to adopt the recommendations of 

9 the working group, nor shall the Secretary of Health 

10 and Human Services incentivize or coerce any State 

11 to adopt any such recommendation.’’. 

12 SEC. 111. TECHNICAL AND CONFORMING AMENDMENTS. 

13 (a) TECHNICAL AMENDMENTS.— The Child Abuse Pre14 vention and Treatment Act (42 U.S.C. 5101 et seq.), as 

15 amended by the preceding provisions of this Act, is further 

16 amended— 

17 (1) by striking ‘‘Committee on Education and 

18 the Workforce’’ each place it appears and inserting 

19 ‘‘Committee on Education and Labor’’; 

20 (2) in section 103(c)(1)(F), by striking ‘‘abused 

21 and neglected children’’ and inserting ‘‘victims of 

22 child abuse or neglect’’; and 

23 (3) in section 107(f), by striking ‘‘(42 U.S.C. 

24 10603a)’’ and inserting ‘‘(34 U.S.C. 20104)’’. 

25 (b) CONFORMING AMENDMENTS.— 


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1 (1) SECTION 103.—Section 103(b)(5) (42 U.S.C. 

2 5104(b)(5)) is amended by striking ‘‘section 

3 106(b)(2)(B)(iii)’’ and inserting ‘‘section 

4 106(b)(2)(D)(ii)’’. 

5 (2) SECTION 105.—Section 105(a)(11) (42 U.S.C. 

6 5106(a)(11) (as redesignated by section 105(1)(A) of 

7 this Act) is amended— 

8 (A) in subparagraph (A), by striking ‘‘sec9 tion 106(b)(2)(B)(iii)’’ and inserting ‘‘section 

10 106(b)(2)(D)(ii)’’; 

11 (B) in subparagraph (C)— 

12 (i) in clause (i)(II), by striking ‘‘sec13 tion 106(b)(2)(B)(iii)’’ and inserting ‘‘sec14 tion 106(b)(2)(D)(ii)’’; 

15 (ii) in clause (i)(IV), by striking ‘‘sec16 tion 106(b)(2)(B)(iii)(II)’’ and inserting 

17 ‘‘section 106(b)(2)(D)(ii)(II)’’; and 

18 (iii) in clause (ii), by striking ‘‘clauses 

19 (ii) and (iii) of section 106(b)(2)(B)’’ and 

20 inserting ‘‘clauses (i) and (ii) of section 

21 106(b)(2)(D)’’; 

22 (C) in subparagraph (D)— 

23 (i) in clause (i)(I), by striking ‘‘section 

24 106(b)(2)(B)(iii)(I)’’ and inserting ‘‘section 

25 106(b)(2)(D)(ii)(I)’’; 


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1 (ii) in clause (ii)(I), by striking ‘‘sec2 tion 106(b)(2)(B)(ii)’’ and inserting ‘‘sec3 tion 106(b)(2)(D)(i)’’; 

4 (iii) in clause (ii)(II), by striking ‘‘sec5 tion 106(b)(2)(B)(iii)’’ and inserting ‘‘sec6 tion 106(b)(2)(D)(ii)(I)’’; 

7 (iv) in clause (iii)(I), by striking ‘‘sec8 tion 106(b)(2)(B)(i)’’ and inserting ‘‘section 

9 106(b)(2)(A)(i)’’; 

10 (v) in clause (iii)(IV), by striking ‘‘sec11 tion 106(b)(2)(B)(iii)’’ and inserting ‘‘sec12 tion 106(b)(2)(D)(ii)’’; and 

13 (vi) in clause (v), by striking ‘‘section 

14 106(b)(2)(B)(iii)’’ and inserting ‘‘section 

15 106(b)(2)(D)(ii)’’; 

16 (D) in subparagraph (E), by striking ‘‘sec17 tion 106(b)(2)(B)(ii)’’ and inserting ‘‘section 

18 106(b)(2)(D)(i)’’; and 

19 (E) in subparagraph (G)(ii), by striking 

20 ‘‘clauses (ii) and (iii) of section 106(b)(2)(B)’’ 

21 and inserting ‘‘clauses (i) and (ii) of section 

22 106(b)(2)(D)’’. 

23 (3) SECTION 114.—Section 114(1)(B) (42 U.S.C. 

24 5108(1)(B)) is amended by striking ‘‘clauses (ii) and 


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1 (iii) of section 106(b)(2)(B)’’ and inserting ‘‘clauses 

2 (i) and (ii) of section 106(b)(2)(D)’’. 

3 (4) TABLE OF CONTENTS.—The table of contents 

4 in section 1(b) of the Child Abuse Prevention and 

5 Treatment Act is amended— 

6 (A) by striking the items relating to sections 

7 2 and 102; 

8 (B) by inserting after the item relating to 

9 section 114 the following: 

‘‘Sec. 115. Electronic interstate data exchange system.’’; and 

10 (C) by striking the item relating to section 

11 110, and inserting the following: 

‘‘Sec. 110. Study and report relating to scaling evidence-based treatment of child 

abuse and neglect; study and report on marital age of consent; 

study and report on State mandatory reporting laws.’’. 

12 TITLE II—COMMUNITY-BASED 

13 GRANTS FOR THE PREVEN14 TION OF CHILD ABUSE AND 

15 NEGLECT 

16 SEC. 201. PURPOSE AND AUTHORITY. 

17 Subsections (a) and (b) of section 201 of the Child 

18 Abuse Prevention and Treatment Act (42 U.S.C. 5116) are 

19 amended to read as follows: 

20 ‘‘(a) PURPOSE.—The purposes of this title are— 

21 ‘‘(1) to establish and maintain support for com22 munity-based family strengthening services and state23 wide systems-building approaches to the extent pracVerDate Sep 11 2014 01:42 May 21, 2019 Jkt 089200 PO 00000 Frm 00072 Fmt 6652 Sfmt 6203 E:\BILLS\H2480.RH H2480

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1 ticable, to ensure the development, operation, expan2 sion, coordination, and evaluation of quality services, 

3 initiatives, programs, and activities to prevent child 

4 abuse and neglect; and 

5 ‘‘(2) to promote improved access for diverse pop6 ulations with demonstrated need, including low-in7 come families, racial and ethnic minorities, families 

8 with children or caregivers with disabilities, under9 served communities, and rural communities, to fam10 ily strengthening services in order to more effectively 

11 prevent child abuse and neglect. 

12 ‘‘(b) AUTHORITY.—The Secretary shall make grants 

13 under this title on a formula basis to the entity designated 

14 by the State as the lead entity (referred to in this title as 

15 the ‘lead entity’) under section 202(1) for the following pur16 poses: 

17 ‘‘(1) Providing programs, activities, and initia18 tives to help families build protective factors linked to 

19 the prevention of child abuse and neglect, such as 

20 knowledge of parenting and child development, paren21 tal resilience, social connections, time-limited and 

22 need-based concrete support, and social and emotional 

23 development of children, that— 

24 ‘‘(A) are accessible to diverse populations, 

25 effective, and culturally appropriate; 


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1 ‘‘(B) build upon existing strengths; 

2 ‘‘(C) offer assistance to families; 

3 ‘‘(D) provide early, comprehensive support 

4 for parents; 

5 ‘‘(E) promote the development of healthy fa6 milial relationships and parenting skills, espe7 cially in young parents and parents with very 

8 young children; 

9 ‘‘(F) increase family stability; 

10 ‘‘(G) improve family access to formal and 

11 informal community-based resources, including 

12 health and mental health services, time-limited 

13 and need-based concrete supports, and services 

14 and supports to meet the needs of families with 

15 children or caregivers with disabilities; and 

16 ‘‘(H) support the additional needs of fami17 lies with children with disabilities, including 

18 through respite care. 

19 ‘‘(2) Fostering the development of a continuum 

20 of preventive services to strengthen families through 

21 State- and community-based collaborations and both 

22 public and private partnerships. 

23 ‘‘(3) Financing the start-up, maintenance, ex24 pansion, or redesign of core services described in sec25 tion 205, where communities have identified gaps and 


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1 decided to prioritize the establishment of such services, 

2 to the extent practicable given funding levels and 

3 community priorities. 

4 ‘‘(4) Maximizing funding through leveraging 

5 Federal, State, local, public, and private funds to 

6 carry out the purposes of this title. 

7 ‘‘(5) Developing or enhancing statewide and 

8 local networks to operate, expand, or enhance commu9 nity-based family strengthening services, initiatives, 

10 and activities that promote child, parent, family, and 

11 community health and well-being and prevent child 

12 abuse and neglect. 

13 ‘‘(6) Promoting the development of, and coordi14 nation with, existing community coalitions of net15 works of family strengthening services that utilize cul16 turally responsive providers in order to enhance child, 

17 family, and community well-being and prevent child 

18 abuse and neglect in all families. 

19 ‘‘(7) Financing public information activities 

20 that focus on parent and child development and child 

21 abuse and neglect prevention. 

22 ‘‘(8) To the extent practicable— 

23 ‘‘(A) promoting the development and imple24 mentation of a statewide systems-building strat25 egy to address the unmet needs identified in the 


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1 inventory described in section 204(3), including 

2 the participation of public and private stake3 holders, community-based organizations, legisla4 tors, parents and other relevant stakeholders, and 

5 State agencies, including the child welfare agen6 cy, the public health agency, housing agency, 

7 and the State education agency, to scale evi8 dence-based, evidence-informed, and promising 

9 programs that expand access to family strength10 ening services and reduce the numbers of chil11 dren entering the foster care system; 

12 ‘‘(B) developing comprehensive outreach 

13 strategies to engage families with various risk 

14 factors, including families who have experienced 

15 trauma or domestic violence, parents with sub16 stance use disorder, and families with children 

17 or caregivers with disabilities; and 

18 ‘‘(C) providing capacity-building supports 

19 to local programs to improve desired outcomes 

20 for children and families, such as— 

21 ‘‘(i) technical assistance, including 

22 support for local programs to collect out23 come data that helps improve service deliv24 ery; 

25 ‘‘(ii) professional development; and 


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1 ‘‘(iii) peer support networks, including 

2 through developing a problem-solving 

3 forum.’’. 

4 SEC. 202. ELIGIBILITY. 

5 Section 202 of the Child Abuse Prevention and Treat6 ment Act (42 U.S.C. 5116a) is amended— 

7 (1) in paragraph (1)— 

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

10 ‘‘(A) the Governor of the State has designated a 

11 lead entity to administer funds under this title for the 

12 purposes identified under the authority of this title, 

13 including to develop, implement, operate, enhance, or 

14 expand community-based family strengthening serv15 ices designed to prevent child abuse and neglect;’’; and 

16 (B) by striking subparagraph (D) and in17 serting the following: 

18 ‘‘(D) the Governor of the State has given consid19 eration to the capacity and expertise of all entities re20 questing to be designated under subparagraph (A);’’; 

21 and 

22 (2) in paragraph (3)— 

23 (A) by striking subparagraph (A) and in24 serting the following: 


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1 ‘‘(A) has demonstrated ongoing meaningful 

2 partnerships with parents in the development, 

3 operation, and oversight of State- and commu4 nity-based family strengthening services designed 

5 to prevent child abuse and neglect;’’; 

6 (B) in subparagraph (B), by striking ‘‘com7 munity-based and prevention-focused programs 

8 and activities designed to strengthen and support 

9 families’’ and inserting ‘‘community-based fam10 ily strengthening services designed’’; 

11 (C) by striking subparagraph (C) and in12 serting the following: 

13 ‘‘(C) has the capacity to provide operational 

14 support (both financial and programmatic), pro15 fessional development, technical assistance, and 

16 evaluation assistance, to community-based orga17 nizations;’’; and 

18 (D) by striking subparagraph (D) and in19 serting the following: 

20 ‘‘(D) will integrate efforts with individuals 

21 and organizations experienced in working in 

22 partnership with low-income families, racial and 

23 ethnic minorities, families with children or care24 givers with disabilities, sexual and gender mi25 nority youth, victims of domestic violence, and 


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1 with the child abuse and neglect prevention ac2 tivities in the State, and demonstrate a financial 

3 commitment to those activities; and 

4 ‘‘(E) will take into consideration access for 

5 diverse populations and unmet need when dis6 tributing funds to local programs under section 

7 205.’’. 

8 SEC. 203. AMOUNT OF GRANT. 

9 Section 203 of the Child Abuse Prevention and Treat10 ment Act (42 U.S.C. 5116b) is amended— 

11 (1) by striking subsection (a) and inserting the 

12 following: 

13 ‘‘(a) RESERVATION.—For the purpose of making allot14 ments to Indian tribes and tribal organizations and mi15 grant programs, the Secretary shall reserve 5 percent of the 

16 amount appropriated under section 210(a) for each fiscal 

17 year, except that, if making such reservation would cause 

18 the total amount allotted to States under this section for 

19 a fiscal year to be less than such total for fiscal year 2019, 

20 the Secretary shall reserve 1 percent of the amount appro21 priated under section 210(a) for the year for such purpose.’’; 

22 and 

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

24 ‘‘(d) LIMITATION.—For any fiscal year for which the 

25 amount allotted to a State under subsection (b) exceeds the 


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1 amount allotted to the State under such subsection for fiscal 

2 year 2019, the State’s lead entity may use not more than 

3 10 percent of such excess amount for administrative ex4 penses.’’. 

5 SEC. 204. APPLICATION. 

6 Section 204 of the Child Abuse Prevention and Treat7 ment Act (42 U.S.C. 5116d) is amended— 

8 (1) in the matter preceding paragraph (1), by 

9 striking ‘‘specified by the Secretary as essential to 

10 carrying out the provisions of section 202, including’’ 

11 and inserting ‘‘and assurances required in para12 graphs (2) and (3) of section 202 and types of infor13 mation specified by the Secretary as essential in car14 rying out the provisions of section 201(b), including’’; 

15 (2) in paragraphs (1), (2), and (4), by striking 

16 ‘‘community-based and prevention-focused programs 

17 and activities designed to strengthen and support 

18 families’’ and inserting ‘‘community-based family 

19 strengthening services designed’’; 

20 (3) in paragraph (3) by striking ‘‘community21 based and prevention-focused programs and activi22 ties’’ and inserting ‘‘community-based family 

23 strengthening services designed’’; 

24 (4) in paragraph (5), by striking ‘‘and preven25 tion-focused programs and activities designed to 


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1 strengthen and support families to prevent child 

2 abuse and neglect;’’ and inserting ‘‘services and state3 wide strategies designed to strengthen and support 

4 families to promote child, family, and community 

5 well-being and prevent child abuse and neglect;’’; 

6 (5) by striking paragraph (6) and inserting the 

7 following: 

8 ‘‘(6) a description of the State’s capacity and 

9 commitment to ensure the meaningful involvement of 

10 parents who are or have been consumers of preventa11 tive supports, including the involvement of parents of 

12 diverse populations, such as low-income families, 

13 families with children or caregivers with disabilities, 

14 racial and ethnic minorities, and members of other 

15 underrepresented or underserved groups, family advo16 cates, and adult victims of child abuse or neglect who 

17 can provide leadership in the planning, implementa18 tion, and evaluation of the programs and policy deci19 sions of the applicant agency in accomplishing the de20 sired outcomes for such efforts;’’; 

21 (6) by redesignating paragraph (12) as para22 graph (15); 

23 (7) by redesignating paragraphs (7) through (11) 

24 as paragraphs (8) through (12), respectively; 


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1 (8) by inserting after paragraph (6) the fol2 lowing: 

3 ‘‘(7) a description of the process and criteria the 

4 lead entity will use to identify and select communities 

5 in which to build a continuum of family strength6 ening services, including an assurance that the proc7 ess will ensure access for all families, including fami8 lies in communities with high rates of child abuse 

9 and neglect relative to other communities in the 

10 State;’’; 

11 (9) by striking paragraph (9), as so redesig12 nated, and inserting the following: 

13 ‘‘(9) a description of outreach activities that the 

14 lead entity and local grantees will undertake to maxi15 mize the participation of low-income families, racial 

16 and ethnic minorities, families with children or care17 givers with disabilities, sexual and gender minority 

18 youth, victims of domestic violence, homeless families 

19 and those at risk of homelessness, and members of 

20 other underserved or underrepresented groups;’’. 

21 (10) by striking paragraph (10), as so redesig22 nated, and inserting the following: 

23 ‘‘(10) a plan for providing operational support, 

24 professional development, and technical assistance to 

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1 viders, families, and other entities involved in 

2 strengthening families and preventing child abuse 

3 and neglect;’’; 

4 (11) in paragraph (11), as so redesignated, by 

5 striking ‘‘and its members (where appropriate)’’ and 

6 inserting ‘‘of community-based family strengthening 

7 services and statewide initiatives’’; and 

8 (12) by striking paragraph (12), as so redesig9 nated, and inserting the following: 

10 ‘‘(12) a description of the actions that the appli11 cant entity will take to inform systemic changes in 

12 State policies, practices, procedures, and regulations 

13 to improve the delivery of community-based family 

14 strengthening services designed to promote child, fam15 ily, and community well-being, and to prevent child 

16 abuse and neglect; 

17 ‘‘(13) a description of how the lead entity will 

18 incorporate research evidence in its process for select19 ing community-based family strengthening services; 

20 ‘‘(14) an assurance that, in issuing regulations 

21 to improve the delivery of community-based family 

22 strengthening services designed to promote child, fam23 ily, and community well-being, and to prevent child 

24 abuse and neglect, the State will— 


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1 ‘‘(A) take into account how such regulations 

2 will impact activities funded under this Act; and 

3 ‘‘(B) where appropriate, attempt to avoid 

4 duplication of efforts, minimize costs of compli5 ance with such regulations, and maximize local 

6 flexibility with respect to such regulations; and’’. 

7 SEC. 205. LOCAL PROGRAM REQUIREMENTS. 

8 Section 205 of the Child Abuse Prevention and Treat9 ment Act (42 U.S.C. 5116e) is amended to read as follows: 

10 ‘‘SEC. 205. LOCAL PROGRAM REQUIREMENTS. 

11 ‘‘(a) IN GENERAL.—Grants from the lead entity made 

12 under this title shall be used to develop, implement, operate, 

13 expand, and enhance community-based family strength14 ening services designed to prevent child abuse and neglect 

15 that— 

16 ‘‘(1) assess community assets and needs and de17 velop a strategy to create a comprehensive continuum 

18 of effective services that strengthen and support fami19 lies to prevent child abuse and neglect, through a 

20 planning process involving parents, local and public 

21 agencies, local nonprofit organizations and service 

22 providers, and private sector representatives in mean23 ingful ways; 

24 ‘‘(2) develop or enhance existing place-based fam25 ily strengthening services, other parenting support 


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1 services, and connections and coordination among key 

2 family services in the community by reaching spaces 

3 familiar to such families; and 

4 ‘‘(3) help families build protective factors that 

5 support child and family well-being and help prevent 

6 child abuse and neglect, including knowledge of par7 enting and child development, parental resilience, so8 cial connections, time-limited and need-based concrete 

9 support, and social and emotional development of 

10 children. 

11 ‘‘(b) LOCAL CONSIDERATION.—In awarding grants, 

12 the lead entity shall consider, consistent with the needs of 

13 the State and community, how the grantee— 

14 ‘‘(1) demonstrates the ability to form collabora15 tions across a range of services or initiatives and the 

16 commitment to engage in long-term planning and 

17 strategic development for community-based family 

18 strengthening services as well as provide on-going 

19 problem solving support; 

20 ‘‘(2) involves parents, including parents of chil21 dren with disabilities, diverse racial and ethnic 

22 groups, and members of other underrepresented or un23 derserved populations, in the development, implemen24 tation, oversight, and evaluation of services; 


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1 ‘‘(3) addresses the need for place-based services 

2 and the need to reach families in hard-to-reach areas 

3 through approaches that provide core family strength4 ening services; 

5 ‘‘(4) promotes improved access to family 

6 strengthening services for diverse populations and en7 sures that the services address identified needs of all 

8 families; and 

9 ‘‘(5) demonstrates an understanding of the 

10 sources of child and family trauma and the strategies 

11 that mitigate the impact of and prevent adverse child12 hood experiences. 

13 ‘‘(c) LOCAL USES OF FUNDS.—Grant funds from the 

14 lead entity shall be used for community-based family 

15 strengthening services designed to prevent child abuse and 

16 neglect, which may include the following: 

17 ‘‘(1) Developing a strategy based on supporting 

18 a comprehensive continuum of preventive, family-cen19 tered services that strengthen and support families to 

20 prevent child abuse and neglect, especially to young 

21 parents, to parents with young children, and to par22 ents who are adult victims of domestic violence or 

23 child abuse or neglect, through public-private partner24 ships. 


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1 ‘‘(2) Addressing the needs of families in hard-to2 reach areas by creating access to place-based family 

3 strengthening services. 

4 ‘‘(3) Performing an assessment of community 

5 needs, including by partnering, at the option of the 

6 grantee, with an organization that already has per7 formed a needs assessment (such as a Maternal, In8 fant and Early Childhood Home Visiting program 

9 under section 511 of the Social Security Act (42 

10 U.S.C. 711) or a Head Start program under the 

11 Head Start Act (42 U.S.C. 9831 et seq.). 

12 ‘‘(4) Supporting outreach for services, including 

13 by coordinating with existing family strengthening 

14 services such as home visiting and other early inter15 vention programs. 

16 ‘‘(5) Providing, promoting the development or 

17 enhancement of, or connecting families to, core serv18 ices that include— 

19 ‘‘(A) parenting support and parent edu20 cation programs, including services that help 

21 parents and other caregivers support children’s 

22 development; 

23 ‘‘(B) parent leadership skills development 

24 programs that support parents’ personal growth 

25 as leaders in their families and communities; 


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1 ‘‘(C) mutual support groups for parents, 

2 children, and parent partners; 

3 ‘‘(D) respite and crisis care; and 

4 ‘‘(E) referrals to optional community and 

5 social services, including— 

6 ‘‘(i) domestic violence services; 

7 ‘‘(ii) screening and referrals to early 

8 intervention; 

9 ‘‘(iii) voluntary home visiting pro10 grams; 

11 ‘‘(iv) health and mental health services, 

12 including referrals for information on the 

13 State Medicaid plan under title XIX of the 

14 Social Security Act (42 U.S.C. 1396 et 

15 seq.); 

16 ‘‘(v) early care and learning programs 

17 including child care and Head Start pro18 grams and Early Head Start programs 

19 under the Head Start Act (42 U.S.C. 9831 

20 et seq.); 

21 ‘‘(vi) nutrition programs, including 

22 the special supplemental nutrition program 

23 for women, infants, and children established 

24 under section 17 of the Child Nutrition Act 

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1 mental nutrition assistance program estab2 lished under the Food and Nutrition Act of 

3 2008 (7 U.S.C. 2011 et seq.); 

4 ‘‘(vii) education and workforce develop5 ment programs, including adult literacy, 

6 child development, wellness, and family so7 cioeconomic mobility programs; and 

8 ‘‘(viii) services and supports to meet 

9 the needs of families with children or care10 givers with disabilities, such as early inter11 vention services for infants and toddlers 

12 with disabilities and their families, as early 

13 intervention services are defined in section 

14 632 of the Individuals with Disabilities 

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

16 ‘‘(6) Providing leadership in mobilizing local 

17 public and private resources to support the provision 

18 of community-based family strengthening services de19 signed to prevent child abuse and neglect. 

20 ‘‘(7) Developing and maintaining meaningful 

21 partnerships with parents relating to the develop22 ment, operation, evaluation, and oversight of the pro23 grams and services. 

24 ‘‘(8) Coordinating with other community-based 

25 family strengthening services designed to prevent 


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1 child abuse and neglect in the development, operation, 

2 and expansion of networks where appropriate. 

3 ‘‘(d) PRIORITY.—When awarding grants, a lead entity 

4 shall give priority to effective community-based efforts that 

5 serve low-income communities and are focused on com6 prehensive approaches to serving young parents or parents 

7 with young children.’’. 

8 SEC. 206. PERFORMANCE MEASURES. 

9 Section 206 of the Child Abuse Prevention and Treat10 ment Act (42 U.S.C. 5116f) is amended— 

11 (1) in paragraphs (1), (5), (6), and (8), by strik12 ing ‘‘community-based and prevention-focused pro13 grams and activities designed to strengthen and sup14 port families’’ and inserting ‘‘community-based fam15 ily strengthening services designed’’; 

16 (2) in paragraph (1), by striking ‘‘meets’’ and 

17 inserting ‘‘meet’’; 

18 (3) in paragraph (2), by striking ‘‘including core 

19 and optional services as described in section 202’’; 

20 (4) by striking paragraph (3) and inserting the 

21 following: 

22 ‘‘(3) shall demonstrate how they have addressed 

23 unmet needs identified by the inventory required 

24 under section 204;’’. 


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1 (5) by striking paragraph (4) and inserting the 

2 following: 

3 ‘‘(4) shall describe the number of families served, 

4 including families with children or caregivers with 

5 disabilities, and the involvement of a diverse represen6 tation of families in the design, operation, and eval7 uation of both community-based family strengthening 

8 services and networks of such services;’’; 

9 (6) by striking paragraph (7) and inserting the 

10 following: 

11 ‘‘(7) shall describe— 

12 ‘‘(A) the number of programs funded 

13 disaggregated by urban, suburban, and rural 

14 community type; 

15 ‘‘(B) the number of children and families 

16 served under each such program disaggregated by 

17 urban, suburban, and rural community type; 

18 and 

19 ‘‘(C) the number of programs that partner 

20 with outside entities and the services such out21 side entities provide;’’; 

22 (7) in paragraph (8)— 

23 (A) by striking ‘‘leadership of’’ and insert 

24 ‘‘partnership with’’; and 


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

2 inserting ‘‘; and’’; and 

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

4 ‘‘(9) shall describe the extent to which there is 

5 evidence to support the effectiveness of activities con6 ducted under this title for the program’s intended 

7 purpose, or, in instances where such evidence is not 

8 available, shall describe barriers and challenges to de9 veloping evidence of effectiveness.’’. 

10 SEC. 207. NATIONAL NETWORK FOR COMMUNITY-BASED 

11 FAMILY RESOURCE PROGRAMS. 

12 Section 207 of the Child Abuse Prevention and Treat13 ment Act (42 U.S.C. 5116g) is amended— 

14 (1) in the matter preceding paragraph (1), by 

15 striking ‘‘such sums as may be necessary’’ and insert16 ing ‘‘not more than 5 percent’’; and 

17 (2) in paragraph (3), by striking ‘‘community18 based and prevention-focused programs and activities 

19 designed to strengthen and support families’’ and in20 serting ‘‘community-based family strengthening serv21 ices designed’’. 

22 SEC. 208. DEFINITIONS. 

23 Section 208 of the Child Abuse Prevention and Treat24 ment Act (42 U.S.C. 5116h) is amended— 


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1 (1) by redesignating paragraphs (1) and (2) as 

2 paragraphs (2) and (1), respectively, and transferring 

3 paragraph (1) as redesignated to appear before para4 graph (2) as redesignated; and 

5 (2) by striking paragraph (1) (as so redesig6 nated) and inserting the following: 

7 ‘‘(1) COMMUNITY-BASED FAMILY STRENGTH8 ENING SERVICES.—The term ‘community-based fam9 ily strengthening services’ includes organizations such 

10 as family resource programs, family support pro11 grams, voluntary home visiting programs, respite 

12 care services, parenting education, mutual support 

13 groups for parents, children, parent partner pro14 grams, and other community programs or networks of 

15 such programs that provide activities that are de16 signed to prevent child abuse and neglect.’’. 

17 SEC. 209. RULE OF CONSTRUCTION. 

18 (a) IN GENERAL.—Title II of the Child Abuse Preven19 tion and Treatment Act (42 U.S.C. 5116 et seq.) is amend20 ed— 

21 (1) by redesignating section 209 as section 210; 

22 and 

23 (2) by inserting after section 208 the following: 


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1 ‘‘SEC. 209. RULE OF CONSTRUCTION. 

2 ‘‘Nothing in this title shall be construed to prohibit 

3 grandparents, kinship care providers, foster parents, adop4 tive parents, or any other individual in a parenting role 

5 from receiving or participating in services and programs 

6 under this title.’’. 

7 (b) CONFORMING AMENDMENT.—The table of contents 

8 in section 1(b) of the Child Abuse Prevention and Treat9 ment Act is amended by striking the item relating to section 

10 209 and inserting the following: 

‘‘Sec. 209. Rule of construction. 

‘‘Sec. 210. Authorization of appropriations.’’. 

11 SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 

12 Section 210 of the Child Abuse Prevention and Treat13 ment Act (42 U.S.C. 5116 et seq.), as redesignated by sec14 tion 209 of this Act, is amended— 

15 (1) by striking ‘‘There are’’ and inserting the fol16 lowing: 

17 ‘‘(a) IN GENERAL.—There are’’; 

18 (2) by striking ‘‘to carry out’’ through ‘‘fiscal 

19 year 2010’’ and inserting ‘‘to carry out this title 

20 $270,000,000 for fiscal year 2020’’; 

21 (3) by striking ‘‘2011 through 2015’’ and insert22 ing ‘‘2021 through 2025’’; and 

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


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1 ‘‘(b) TREATMENT OF NON-FEDERAL FUNDS IN CER2 TAIN FISCAL YEARS.—For any fiscal year for which the 

3 amount appropriated under subsection (a) exceeds the 

4 amount appropriated under such subsection for fiscal year 

5 2019, the Secretary shall consider non-Federal funds and 

6 in-kind contributions as part of the State contribution for 

7 the activities specified in section 204(4).’’. 

8 SEC. 211. STUDY AND REPORT. 

9 (a) STUDY RELATING TO NEW PREVENTION PRO10 GRAMS.— 

11 (1) IN GENERAL.—The Comptroller General of 

12 the United States shall complete a study, using data 

13 reported by States to the Secretary of Health and 

14 Human Services under section 206 of the Child Abuse 

15 Prevention and Treatment Act (42 U.S.C. 5116f), as 

16 amended by this Act— 

17 (A) to determine how many families and 

18 children in the first 3 years after the date of the 

19 enactment of this Act are served annually 

20 through programs funded under title II of the 

21 Child Abuse Prevention and Treatment Act (42 

22 U.S.C. 5116 et seq.); and 

23 (B) to compare the number of such families 

24 and children served annually in the first 3 years 

25 after the date of the enactment of this Act to the 


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1 number of such families and children served in 

2 fiscal year 2019. 

3 (2) CONTENTS.—The study required under para4 graph (1) shall include the following for each of the 

5 first 3 years after the date of the enactment of this 

6 Act: 

7 (A) An examination of how many families 

8 received evidence-based programming under title 

9 II of the Child Abuse Prevention and Treatment 

10 Act (42 U.S.C. 5116 et seq.). 

11 (B) An examination of the extent to which 

12 local programs conduct evaluations using funds 

13 provided under such title and the findings of 

14 such evaluations. 

15 (C) An examination of whether findings of 

16 effectiveness in evaluation studies vary by urban, 

17 suburban, or rural community type. 

18 (D) An examination of whether programs 

19 partnering with other entities are more effective 

20 than those that do not partner with other enti21 ties. 

22 (E) An examination of barriers to imple23 ment evidence-based programming or to conduct 

24 evaluations in instances where such activities do 

25 not occur. 


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1 (b) REPORT.—Not later than 4 years after the date 

2 of the enactment of this Act, the Comptroller General of the 

3 United States shall submit to the Committee on Health, 

4 Education, Labor, and Pensions of the Senate and the Com5 mittee on Education and Labor of the House of Representa6 tives a report that contains the results of the study con7 ducted under paragraph (1). 

8 TITLE III—ADOPTION 

9 OPPORTUNITIES 

10 SEC. 301. PURPOSE. 

11 Section 201 of the Child Abuse Prevention and Treat12 ment and Adoption Reform Act of 1978 (42 U.S.C. 5111) 

13 is amended— 

14 (1) in the section heading, by striking ‘‘CON15 GRESSIONAL FINDINGS AND DECLARATION OF

16 PURPOSE’’ and inserting ‘‘PURPOSE’’; 

17 (2) by striking subsection (a); and 

18 (3) in subsection (b)— 

19 (A) by striking ‘‘(b) PURPOSE.—’’; 

20 (B) in the matter preceding paragraph (1), 

21 by inserting ‘‘sexual and gender minority youth’’ 

22 after ‘‘particularly older children, minority chil23 dren,’’; and 

24 (C) in paragraph (1), by inserting ‘‘services 

25 and,’’ after ‘‘post-legal adoption’’. 


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1 SEC. 302. REPORT AND GUIDANCE ON UNREGULATED CUS2 TODY TRANSFERS. 

3 The Child Abuse Prevention and Treatment and Adop4 tion Reform Act of 1978 (42 U.S.C. 5111 et seq.) is amended 

5 by inserting after section 201 the following: 

6 ‘‘SEC. 202. REPORT AND GUIDANCE ON UNREGULATED CUS7 TODY TRANSFERS. 

8 ‘‘(a) SENSE OF CONGRESS.—It is the sense of Congress 

9 that: 

10 ‘‘(1) Some adopted children may be at risk of ex11 periencing an unregulated custody transfer because 

12 the challenges associated with adoptions (including 

13 the child’s mental health needs and the difficulties 

14 many families face in acquiring support services) 

15 may lead families to seek out unregulated custody 

16 transfers. 

17 ‘‘(2) Some adopted children experience trauma, 

18 and the disruption and placement in another home by 

19 unregulated custody transfer creates additional trau20 ma and instability for children. 

21 ‘‘(3) Children who experience an unregulated 

22 custody transfer may be placed with families who 

23 have not completed required child welfare or criminal 

24 background checks or clearances. 

25 ‘‘(4) Social services agencies and courts are often 

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1 lated custody transfer and therefore do not conduct 

2 assessments on the child’s safety and well-being in 

3 such placements. 

4 ‘‘(5) Such lack of placement oversight places a 

5 child at risk for future abuse and increases the chance 

6 that the child may experience— 

7 ‘‘(A) abuse or neglect; 

8 ‘‘(B) contact with unsafe adults or youth; 

9 and 

10 ‘‘(C) exposure to unsafe or isolated environ11 ments. 

12 ‘‘(6) The caregivers with whom a child is placed 

13 through unregulated custody transfer often have no 

14 legal responsibility with respect to such child, placing 

15 the child at risk for additional unregulated custody 

16 transfers. 

17 ‘‘(7) Such caregivers also may not have complete 

18 records with respect to such child, including the 

19 child’s birth, medical, or immigration records. 

20 ‘‘(8) A child adopted through intercountry adop21 tion may be at risk of not acquiring United States 

22 citizenship if an unregulated custody transfer occurs 

23 before the adoptive parents complete all necessary 

24 steps to finalize the adoption of such child. 


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1 ‘‘(9) Engaging in, or offering to engage in, un2 regulated custody transfer places children at risk of 

3 harm. 

4 ‘‘(b) REPORT TO CONGRESS.— 

5 ‘‘(1) IN GENERAL.—Not later than 1 year after 

6 the date of the enactment of this section, the Secretary 

7 of Health and Human Services shall provide to the 

8 Committee on Education and Labor of the House of 

9 Representatives, the Committee on Ways and Means 

10 of the House of Representatives, the Committee on Fi11 nance of the Senate, and the Committee on Health, 

12 Education, Labor and Pensions of the Senate a report 

13 on unregulated custody transfers of children, includ14 ing of adopted children. 

15 ‘‘(2) ELEMENTS.—The report required under 

16 paragraph (1) shall include— 

17 ‘‘(A) the causes, methods, and characteris18 tics of unregulated custody transfers, including 

19 the use of social media and the internet; 

20 ‘‘(B) the effects of unregulated custody 

21 transfers on children, including the lack of as22 sessment of a child’s safety and well-being by so23 cial services agencies and courts due to such un24 regulated custody transfer; 


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1 ‘‘(C) the prevalence of unregulated custody 

2 transfers within each State and across all States; 

3 and 

4 ‘‘(D) recommended policies for preventing, 

5 identifying, and responding to unregulated cus6 tody transfers, including of adopted children, 

7 that include— 

8 ‘‘(i) amendments to Federal and State 

9 law to address unregulated custody trans10 fers; 

11 ‘‘(ii) amendments to child protection 

12 practices to address unregulated custody 

13 transfers; and 

14 ‘‘(iii) methods of providing the public 

15 information regarding adoption and child 

16 protection. 

17 ‘‘(c) GUIDANCE TO STATES.— 

18 ‘‘(1) IN GENERAL.—Not later than 180 days 

19 after the date specified in subsection (b)(1), the Sec20 retary shall issue guidance and technical assistance to 

21 States related to preventing, identifying, and respond22 ing to unregulated custody transfers, including of 

23 adopted children. 

24 ‘‘(2) ELEMENTS.—The guidance required under 

25 paragraph (1) shall include— 


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1 ‘‘(A) education materials related to pre2 venting, identifying, and responding to unregu3 lated custody transfers for employees of State, 

4 local, and Tribal agencies that provide child wel5 fare services; 

6 ‘‘(B) guidance on appropriate pre-adoption 

7 education and post-adoption services for domes8 tic and international adoptive families to pro9 mote child permanency; and 

10 ‘‘(C) the assistance available through the 

11 National Resource Center for Special Needs 

12 Adoption under section 203(b)(9). 

13 ‘‘(d) DEFINITIONS.—In this section: 

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

15 several States, the District of Columbia, and any 

16 commonwealth, territory, or possession of the United 

17 States. 

18 ‘‘(2) UNREGULATED CUSTODY TRANSFER.—The 

19 term ‘unregulated custody transfer’ means the aban20 donment of a child, by the child’s parent, legal guard21 ian, or a person or entity acting on behalf, and with 

22 the consent, of such parent or guardian— 

23 ‘‘(A) by placing a child with a person who 

24 is not— 


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1 ‘‘(i) the child’s parent, step–parent, 

2 grandparent, adult sibling, legal guardian, 

3 or other adult relative; 

4 ‘‘(ii) a friend of the family who is an 

5 adult and with whom the child is familiar; 

6 or 

7 ‘‘(iii) a member of the Federally recog8 nized Indian tribe of which the child is also 

9 a member; 

10 ‘‘(B) with the intent of severing the rela11 tionship between the child and the parent or 

12 guardian of such child; and 

13 ‘‘(C) without— 

14 ‘‘(i) reasonably ensuring the safety of 

15 the child and permanency of the placement 

16 of the child, including by conducting an of17 ficial home study, background check, and 

18 supervision; and 

19 ‘‘(ii) transferring the legal rights and 

20 responsibilities of parenthood or guardian21 ship under applicable Federal and State 

22 law to a person described in subparagraph 

23 (A).’’. 


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1 SEC. 303. INFORMATION AND SERVICES. 

2 (a) NATIONAL RESOURCE CENTER FOR SPECIAL

3 NEEDS ADOPTION.—Section 203(b)(9) of the Child Abuse 

4 Prevention and Treatment and Adoption Reform Act of 

5 1978 (42 U.S.C. 5113(b)(9)) is amended by inserting ‘‘not 

6 later than 2 years after the date of the enactment of the 

7 Stronger Child Abuse Prevention and Treatment Act, estab8 lish and’’ before ‘‘maintain’’. 

9 (b) PLACEMENT WITH ADOPTIVE FAMILIES.—Section 

10 203(b)(11)(C) of the Child Abuse Prevention and Treatment 

11 and Adoption Reform Act of 1978 (42 U.S.C. 

12 5113(b)(11)(C)) is amended by striking ‘‘such children’’ 

13 and inserting ‘‘the children and youth described in the mat14 ter preceding paragraph (1) of section 201’’. 

15 (c) PRE-ADOPTION SERVICES.—Section 203(c)(1) of 

16 the Child Abuse Prevention and Treatment and Adoption 

17 Reform Act of 1978 (42 U.S.C. 5113(c)(1)) is amended by 

18 striking ‘‘post’’ and inserting ‘‘pre- and post-’’. 

19 (d) SERVICES.—Section 203(c)(2) of the Child Abuse 

20 Prevention and Treatment and Adoption Reform Act of 

21 1978 (42 U.S.C. 5113(c)(2)) is amended by inserting ‘‘and 

22 the development of such services,’’ after ‘‘not supplant, serv23 ices’’. 

24 (e) ELIMINATION OF BARRIERS TO ADOPTION ACROSS

25 JURISDICTIONAL BOUNDARIES.—Section 203(e)(1) of the 


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1 Child Abuse Prevention and Treatment and Adoption Re2 form Act of 1978 (42 U.S.C. 5113(e)(1)) is amended— 

3 (1) by striking ‘‘with, States,’’ and inserting 

4 ‘‘with States, Indian Tribes,’’; and 

5 (2) by inserting ‘‘, including through the use of 

6 web-based tools such as the electronic interstate case7 processing system referred to in section 437(g) of the 

8 Social Security Act (42 U.S.C. 629g(g))’’ before the 

9 period at the end. 

10 SEC. 304. STUDY AND REPORT ON SUCCESSFUL ADOP11 TIONS. 

12 Section 204 of the Child Abuse Prevention and Treat13 ment and Adoption Reform Act of 1978 (42 U.S.C. 5114) 

14 is amended to read as follows: 

15 ‘‘SEC. 204. STUDY AND REPORT ON SUCCESSFUL ADOP16 TIONS. 

17 ‘‘(a) STUDY.—The Secretary shall conduct a study (di18 rectly or by grant to, or contract with, public or private 

19 nonprofit research agencies or organizations) on adoption 

20 outcomes and the factors (including parental substance use 

21 disorder) affecting those outcomes. 

22 ‘‘(b) REPORT.—Not later than the date that is 36 

23 months after the date of the enactment of the Stronger Child 

24 Abuse Prevention and Treatment Act the Secretary shall 


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1 submit a report to Congress that includes the results of the 

2 study required under subsection (a).’’. 

3 SEC. 305. AUTHORIZATION OF APPROPRIATIONS. 

4 Section 205(a) of the Child Abuse Prevention and 

5 Treatment and Adoption Reform Act of 1978 (42 U.S.C. 

6 5115(a)) is amended— 

7 (1) by striking ‘‘fiscal year 2010’’ and inserting 

8 ‘‘fiscal year 2020’’; and 

9 (2) by striking ‘‘fiscal years 2011 through 2015’’ 

10 and inserting ‘‘fiscal years 2021 through 2025’’. 


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Union Calendar No. 50 

116TH CONGRESS 

1ST SESSION H. R. 2480 

[Report No. 116–74] 

A BILL 

To reauthorize the Child Abuse Prevention and 

Treatment Act, and for other purposes. 

MAY 20, 2019 

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


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