I 

116TH CONGRESS 

1ST SESSION H. R. 2480 

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 

A BILL 

To reauthorize the Child Abuse Prevention and Treatment 

Act, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘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 


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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. National 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. 

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 

8 Treatment Act (42 U.S.C. 5102) is repealed. 


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1 SEC. 103. NATIONAL CLEARINGHOUSE FOR INFORMATION 

2 RELATING TO CHILD ABUSE. 

3 Section 103 of the Child Abuse Prevention and 

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

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

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

7 (2) in subsection (c)(1)(C)— 

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

9 end; 

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

11 end; and 

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

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

14 near fatalities due to maltreatment, as re15 ported by States in accordance with the 

16 uniform standards established pursuant to 

17 subsection (d), and any other relevant in18 formation related to such fatalities;’’; and 

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

20 ‘‘(d) UNIFORM STANDARDS FOR TRACKING AND RE21 PORTING OF CHILD FATALITIES RESULTING FROM MAL22 TREATMENT.— 

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

24 24 months after the date of the enactment of the 

25 Stronger Child Abuse Prevention and Treatment 

26 Act, the Secretary shall develop and issue final reguVerDate Sep 11 2014 21:50 May 06, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H2480.IH H2480

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1 lations establishing uniform standards for the track2 ing and reporting of child fatalities and near-fatali3 ties resulting from maltreatment. As a condition on 

4 eligibility for receipt of funds under section 105, 

5 106, or 107, the standards established under this 

6 paragraph shall be used by States for the tracking 

7 and reporting of such fatalities to the national clear8 inghouse established under subsection (a). 

9 ‘‘(2) MAINTENANCE OF STATE LAW.—Notwith10 standing the uniform standards developed under 

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

12 fatalities for any purpose other than tracking and 

13 reporting under this subsection may continue to use 

14 that definition or description for such purpose. 

15 ‘‘(3) NEGOTIATED RULEMAKING.—In devel16 oping regulations under paragraph (1), the Sec17 retary shall submit such regulations to a negotiated 

18 rulemaking process, which shall include the partici19 pants described in paragraph (4). 

20 ‘‘(4) PARTICIPANTS DESCRIBED.—The partici21 pants described in this paragraph are— 

22 ‘‘(A) State and county officials responsible 

23 for administering the State plans under this 

24 Act and parts B and E of title IV of the Social 


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

2 seq.); 

3 ‘‘(B) child welfare professionals with field 

4 experience; 

5 ‘‘(C) child welfare researchers; 

6 ‘‘(D) domestic violence researchers; 

7 ‘‘(E) domestic violence professionals; 

8 ‘‘(F) child development professionals; 

9 ‘‘(G) mental health professionals; 

10 ‘‘(H) emergency medicine physicians; 

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

12 by the American Board of Pediatrics, who spe13 cialize in treating victims of child abuse; 

14 ‘‘(J) forensic pathologists; 

15 ‘‘(K) public health administrators; 

16 ‘‘(L) public health researchers; 

17 ‘‘(M) law enforcement; 

18 ‘‘(N) family court judges; 

19 ‘‘(O) prosecutors; 

20 ‘‘(P) medical examiners and coroners; 

21 ‘‘(Q) a representative from the National 

22 Center for Fatality Review and Prevention; and 

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

24 the Secretary determines to be appropriate.’’. 


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1 SEC. 104. RESEARCH AND ASSISTANCE ACTIVITIES. 

2 Section 104 of the Child Abuse Prevention and 

3 Treatment Act (42 U.S.C. 5105) is amended— 

4 (1) in subsection (a)— 

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

6 follows: 

7 ‘‘(1) TOPICS.—The Secretary shall, in consulta8 tion with other Federal agencies and recognized ex9 perts in the field, carry out a continuing inter10 disciplinary program of research, including longitu11 dinal research, that is designed to provide informa12 tion needed to improve primary prevention of child 

13 abuse and neglect, better protect children from child 

14 abuse or neglect, and improve the well-being of vic15 tims of child abuse or neglect, with at least a portion 

16 of such research being field initiated. Such research 

17 program may focus on— 

18 ‘‘(A) disseminating evidence-based treat19 ment directed to individuals and families experi20 encing trauma due to child abuse and neglect, 

21 including efforts to improve the scalability of 

22 the treatments and programs being researched; 

23 ‘‘(B) developing a set of evidence-based ap24 proaches to support child and family well-being 

25 and developing ways to identify, relieve, and 


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1 mitigate stressors affecting families in rural, 

2 urban, and suburban communities; 

3 ‘‘(C) establishing methods to promote ra4 cial equity in the child welfare system, including 

5 a focus on how neglect is defined, how services 

6 are provided, and the unique impact on Native 

7 American, Alaska Native, and Native Hawaiian 

8 communities; 

9 ‘‘(D) improving service delivery or out10 comes for child protective service agencies en11 gaged with families experiencing domestic vio12 lence, substance use disorder, or other complex 

13 needs; 

14 ‘‘(E) the extent to which the number of 

15 unsubstantiated, unfounded, and false reported 

16 cases of child abuse or neglect have contributed 

17 to the inability of a State to respond effectively 

18 to serious cases of child abuse or neglect; 

19 ‘‘(F) the extent to which the lack of ade20 quate resources and the lack of adequate pro21 fessional development of individuals required by 

22 law to report suspected cases of child abuse and 

23 neglect have contributed to the inability of a 

24 State to respond effectively to serious cases of 

25 child abuse and neglect; 


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1 ‘‘(G) the extent to which unsubstantiated 

2 reports return as more serious cases of child 

3 abuse or neglect; 

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

5 abuse and neglect allegations reported within 

6 the context of divorce, custody, or other family 

7 court proceedings, and the interaction between 

8 family courts and the child protective services 

9 system; 

10 ‘‘(I) the information on the national inci11 dence of child abuse and neglect specified in 

12 clauses (i) through (xi) of subparagraph (J); 

13 and 

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

15 and neglect, including— 

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

17 child abuse and neglect are increasing or 

18 decreasing in number and severity; 

19 ‘‘(ii) the incidence of substantiated 

20 and unsubstantiated reported child abuse 

21 and neglect cases; 

22 ‘‘(iii) the number of substantiated 

23 cases that result in a judicial finding of 

24 child abuse or neglect or related criminal 

25 court convictions; 


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1 ‘‘(iv) the extent to which the number 

2 of unsubstantiated, unfounded and false 

3 reported cases of child abuse or neglect 

4 have contributed to the inability of a State 

5 to respond effectively to serious cases of 

6 child abuse or neglect; 

7 ‘‘(v) the extent to which the lack of 

8 adequate resources and the lack of ade9 quate education of individuals required by 

10 law to report suspected cases of child 

11 abuse and neglect have contributed to the 

12 inability of a State to respond effectively to 

13 serious cases of child abuse and neglect; 

14 ‘‘(vi) the number of unsubstantiated, 

15 false, or unfounded reports that have re16 sulted in a child being placed in substitute 

17 care, and the duration of such placement; 

18 ‘‘(vii) the extent to which unsubstan19 tiated reports return as more serious cases 

20 of child abuse or neglect; 

21 ‘‘(viii) the incidence and prevalence of 

22 physical, sexual, and emotional abuse and 

23 physical and emotional neglect in sub24 stitute care; 


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1 ‘‘(ix) the incidence and prevalence of 

2 child maltreatment by a wide array of de3 mographic characteristics such as age, sex, 

4 race, family structure, household relation5 ship (including the living arrangement of 

6 the resident parent and family size), school 

7 enrollment and education attainment, dis8 ability, grandparents as caregivers, labor 

9 force status, work status in previous year, 

10 and income in previous year; 

11 ‘‘(x) the extent to which reports of 

12 suspected or known instances of child 

13 abuse or neglect involving a potential com14 bination of jurisdictions, such as intra15 state, interstate, Federal-State, and State16 Tribal, are being screened out solely on the 

17 basis of the cross-jurisdictional complica18 tions; and 

19 ‘‘(xi) the incidence and outcomes of 

20 child abuse and neglect allegations re21 ported within the context of divorce, cus22 tody, or other family court proceedings, 

23 and the interaction between family courts 

24 and the child protective services system.’’; 


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1 (B) in paragraph (2), by striking ‘‘para2 graph (1)(O)’’ and inserting ‘‘paragraph 

3 (1)(J)’’; 

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

5 follows: 

6 ‘‘(3) REPORTING REQUIREMENTS.— 

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

8 after the date of the enactment of the Stronger 

9 Child Abuse Prevention and Treatment Act, the 

10 Secretary shall prepare and submit to the Com11 mittee on Education and Labor of the House of 

12 Representatives and the Committee on Health, 

13 Education, Labor, and Pensions of the Senate 

14 a report that contains the results of the re15 search conducted under paragraph (2). 

16 ‘‘(B) NATIONAL INCIDENCE.—The Sec17 retary shall ensure that research conducted, 

18 and data collected, under paragraph (1)(J) are 

19 reported in a way that will allow longitudinal 

20 comparisons as well as comparisons to reports 

21 issued on research conducted under section 

22 104(a)(1)(O) of this Act, as in effect before the 

23 effective date of the Stronger Child Abuse Pre24 vention and Treatment Act.’’; and 

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


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

2 (2) to read as follows: 

3 ‘‘(2) AREAS OF EMPHASIS; EVALUATION.—Such 

4 technical assistance— 

5 ‘‘(A) shall focus on— 

6 ‘‘(i) implementing strategies that can 

7 leverage existing community-based and 

8 State funded resources to prevent child 

9 abuse and neglect and providing education 

10 for individuals involved in prevention ac11 tivities; 

12 ‘‘(ii) reducing racial bias in child wel13 fare systems, including how such systems 

14 interact with health, law enforcement, and 

15 education systems; 

16 ‘‘(iii) promoting best practices for 

17 families experiencing domestic violence, 

18 substance use disorder, or other complex 

19 needs; and 

20 ‘‘(iv) providing professional develop21 ment and other technical assistance to 

22 child welfare agencies to improve the un23 derstanding of and to help address the ef24 fects of trauma and adverse childhood exVerDate Sep 11 2014 21:50 May 06, 2019 Jkt 089200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H2480.IH H2480

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1 periences in parents and children in con2 tact with the child welfare system; and 

3 ‘‘(B) may include an evaluation or identi4 fication of— 

5 ‘‘(i) various methods and procedures 

6 for the investigation, assessment, and pros7 ecution of child physical and sexual abuse 

8 cases; 

9 ‘‘(ii) ways to mitigate psychological 

10 trauma to the child victim; 

11 ‘‘(iii) effective programs carried out 

12 by the States under titles I and II; and 

13 ‘‘(iv) effective approaches being uti14 lized to link child protective service agen15 cies with health care, mental health care, 

16 and developmental services to improve fo17 rensic diagnosis and health evaluations, 

18 and barriers and shortages to such link19 ages.’’; 

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

21 and 

22 (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 

5 Treatment Act (42 U.S.C. 5106) is amended— 

6 (1) in subsection (a)— 

7 (A) by redesignating paragraph (7) as 

8 paragraph (10); and 

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 

13 to establish or expand prevention services that re14 duce incidences of child maltreatment and strength15 en families. 

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) PROFESSIONAL DEVELOPMENT.—The Sec23 retary may award grants under this subsection to 

24 entities to educate professionals and paraprofes25 sionals in prevention, identification, and treatment 

26 of child abuse and neglect. 


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1 ‘‘(4) IMPROVING COORDINATION.—The Sec2 retary may award grants under this subsection to 

3 entities to carry out activities to improve intrastate 

4 coordination among child welfare systems. Such ac5 tivities may include— 

6 ‘‘(A) aligning information technology sys7 tems; 

8 ‘‘(B) improving information sharing re9 garding child and family referrals; or 

10 ‘‘(C) creating collaborative voluntary part11 nerships among public and private agencies, the 

12 State’s child protective services, local social 

13 service agencies, community-based family sup14 port programs, State and local legal agencies, 

15 developmental disability agencies, substance use 

16 disorder treatment providers, health care pro17 viders and agencies, domestic violence preven18 tion programs, mental health services, schools 

19 and early learning providers, religious entities, 

20 and other community-based programs. 

21 ‘‘(5) PRIMARY PREVENTION.—The Secretary 

22 may award grants under this subsection to entities 

23 to carry out or expand primary prevention programs 

24 or strategies that address family or community pro25 tective factors. 


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1 ‘‘(6) NEGLECT DUE TO ECONOMIC INSECU2 RITY.—The Secretary may award grants under this 

3 subsection to entities to carry out programs or strat4 egies that reduce findings of child neglect due in full 

5 or in part to family economic insecurity. 

6 ‘‘(7) EDUCATION OF MANDATORY REPORT7 ERS.—The Secretary may award grants under this 

8 subsection to entities for projects that involve re9 search-based strategies for innovative education of 

10 mandated child abuse and neglect reporters, and for 

11 victims to understand mandatory reporting. 

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

13 award grants under this subsection to entities to 

14 identify and test effective practices to improve early 

15 detection and management of injuries indicative of 

16 potential abuse in infants to prevent future cases of 

17 child abuse and related fatalities. 

18 ‘‘(9) INNOVATIVE PARTNERSHIPS.—The Sec19 retary may award grants under this subsection to 

20 entities to carry out innovative programs or strate21 gies to coordinate the delivery of services to help re22 duce child abuse and neglect via partnerships among 

23 health, mental health, education (including early 

24 learning and care programs as appropriate), and 

25 child welfare agencies and providers.’’; and 


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1 (2) by striking subsections (b) and (c) and in2 serting the following: 

3 ‘‘(b) GOALS AND PERFORMANCE.—The Secretary 

4 shall ensure that each entity receiving a grant under this 

5 section— 

6 ‘‘(1) establishes quantifiable goals for the out7 come of the project funded with the grant; and 

8 ‘‘(2) adequately measures the performance of 

9 the project relative to such goals. 

10 ‘‘(c) PERFORMANCE REPORT REQUIRED.— 

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

12 grant under this section shall submit to the Sec13 retary a performance report that includes— 

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

15 the project funded with the grant relative to the 

16 goals established for such project under sub17 section (b)(1); and 

18 ‘‘(B) data supporting such evaluation. 

19 ‘‘(2) SUBMISSION.—The report under para20 graph (1) shall be submitted to the Secretary at 

21 such time, in such manner, and containing such in22 formation as the Secretary may require. 

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

24 award a continuing grant to an entity under this section 

25 if such entity submits a performance report required 


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1 under subsection (c) that demonstrates effectiveness of the 

2 project funded.’’. 

3 SEC. 106. GRANTS TO STATES FOR CHILD ABUSE OR NE4 GLECT PREVENTION AND TREATMENT PRO5 GRAMS. 

6 (a) DEVELOPMENT AND OPERATION GRANTS.—Sub7 section (a) of section 106 of the Child Abuse Prevention 

8 and Treatment Act (42 U.S.C. 5106a) is amended to read 

9 as follows: 

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

11 Secretary shall make grants to the States, from allotments 

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

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

14 improving and implementing a child protective services 

15 system that is family-centered, integrates community serv16 ices, and is capable of providing rapid response to high17 risk cases, by carrying out the following: 

18 ‘‘(1) Conducting the intake, assessment, screen19 ing, and investigation of reports of child abuse or 

20 neglect. 

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

22 living arrangements or subsistence needs are ad23 dressed through services or benefits and that no 

24 child is separated from such child’s parent for rea25 sons of poverty. 


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1 ‘‘(3) Creating and improving the use of multi2 disciplinary teams and interagency, intra-agency, 

3 interstate, and intrastate protocols to enhance fair 

4 investigations; and improving legal preparation and 

5 representation. 

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

7 106(b)(2). 

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

9 child and family service providers that support child 

10 and family well-being, which shall— 

11 ‘‘(A) include agencies, including child pro12 tective services, and service providers, that ad13 dress family-strengthening, parenting skills, 

14 child development, early childhood care and 

15 learning, child advocacy, public health, mental 

16 health, substance use disorder treatment, do17 mestic violence, developmental disabilities, juve18 nile justice, elementary and secondary edu19 cation, and child placement; and 

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

21 neglect by incorporating evaluations that assess 

22 the development of a child, including commu23 nication, social, and emotional skills, mental 

24 health services, trauma-related services, trau25 ma-informed care, and parental needs. 


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1 ‘‘(6) Ensuring child protective services is ad2 dressing the safety of children and responding to 

3 parent and family needs, which shall include— 

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

5 case assessment and follow up casework focused 

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

7 which may include— 

8 ‘‘(i) ensuring parents and children un9 dergo physical and mental health assess10 ments, as appropriate, and ongoing devel11 opmental monitoring; 

12 ‘‘(ii) multidisciplinary approaches to 

13 assessing family needs and connecting the 

14 family with services, including prevention 

15 services under section 471 of the Social Se16 curity Act (42 U.S.C. 671); 

17 ‘‘(iii) organizing a treatment team 

18 with the goal of preventing child abuse and 

19 neglect, and improving parent and child 

20 well-being; 

21 ‘‘(iv) case monitoring that observes 

22 child well-being; and 

23 ‘‘(v) differential response efforts; and 

24 ‘‘(B) establishing and maintaining a rapid 

25 response system that responds promptly to all 


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1 reports of child abuse or neglect, with special 

2 attention to cases involving children under 3 

3 years of age. 

4 ‘‘(7) Educating caseworkers, community service 

5 providers, attorneys, parents, and others engaged in 

6 the prevention, intervention, and treatment of child 

7 abuse and neglect, which shall include education 

8 on— 

9 ‘‘(A) practices that help ensure child safe10 ty; 

11 ‘‘(B) approaches to family-oriented preven12 tion, intervention, and treatment of child abuse 

13 and neglect; 

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

15 development, and the impact of adverse child16 hood experiences on such development; 

17 ‘‘(D) the relationship between child abuse 

18 and domestic violence, and support for non19 abusing parents; 

20 ‘‘(E) strategies to work with families im21 pacted by substance use disorder and mental 

22 health issues (and, when appropriate, be coordi23 nated with prevention efforts funded under sec24 tion 471 of the Social Security Act (42 U.S.C. 

25 671)); 


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1 ‘‘(F) effective use of multiple services to 

2 address family and child needs, including needs 

3 resulting from trauma; 

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

5 well-being; 

6 ‘‘(H) support for child welfare workers af7 fected by secondary trauma; and 

8 ‘‘(I) supporting families and caregivers to 

9 combat and prevent unsubstantiated, un10 founded, or false reports, including through 

11 education on the rights of families and care12 givers. 

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

14 can be shared with law enforcement and allow for— 

15 ‘‘(A) the identification of cases requiring 

16 prompt responses; and 

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

18 assessments, service referrals, follow-up, case 

19 reviews, and progress toward parent and child 

20 goals. 

21 ‘‘(9) Improving the general child protective sys22 tem by developing, improving, and implementing 

23 safety assessment tools, providing that such tools, 

24 protocols and systems shall not authorize the separa25 tion of any child from the legal parent or guardian 


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1 of such child without a judicial order, except in the 

2 case of imminent harm.’’. 

3 (b) ELIGIBILITY REQUIREMENTS.— 

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

5 106(b) of the Child Abuse Prevention and Treat6 ment Act (42 U.S.C. 5106a(b)) is amended to read 

7 as follows: 

8 ‘‘(1) STATE PLAN.— 

9 ‘‘(A) IN GENERAL.—To be eligible to re10 ceive a grant under this section, a State shall 

11 submit to the Secretary a State plan that— 

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

13 used, and the State’s strategic plan, to 

14 treat child abuse and neglect and enhance 

15 community-based, prevention-centered ap16 proaches that attempt to prevent child 

17 abuse and neglect while strengthening and 

18 supporting families whenever possible; and 

19 ‘‘(ii) meets the requirements of this 

20 subsection. 

21 ‘‘(B) COORDINATION AND CONSULTA22 TION.— 

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

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1 section with its State plan under part B of 

2 title IV of the Social Security Act (42 

3 U.S.C. 621 et seq.) relating to child wel4 fare services and family prevention services 

5 under part E of title IV of the Social Secu6 rity Act (42 U.S.C. 670 et seq.). 

7 ‘‘(ii) CONSULTATION.—In developing 

8 a State plan under this subsection, a State 

9 shall consult with community-based pre10 vention and service agencies, parents and 

11 families affected by child abuse or neglect 

12 in the State, law enforcement, including 

13 family court judges and prosecutors, and 

14 medical professionals engaged in the treat15 ment of child abuse and neglect. 

16 ‘‘(C) DURATION AND SUBMISSION OF

17 PLAN.—Each State plan shall— 

18 ‘‘(i) be submitted not less than every 

19 5 years; and 

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

21 to inform the Secretary of any substantive 

22 changes, including— 

23 ‘‘(I) any changes to State law or 

24 regulations, relating to the prevention 

25 of child abuse and neglect that may 


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1 affect the eligibility of the State under 

2 this section; or 

3 ‘‘(II) any changes in the State’s 

4 activities, strategies, or programs 

5 under this section.’’. 

6 (2) CONTENTS.—Paragraph (2) of section 

7 106(b) of the Child Abuse Prevention and Treat8 ment Act (42 U.S.C. 5106a(b)) is amended to read 

9 as follows: 

10 ‘‘(2) CONTENTS.—A State plan submitted 

11 under paragraph (1) shall contain a description of 

12 the activities that the State will carry out using 

13 amounts received under the grant to achieve the ob14 jectives of this title, including— 

15 ‘‘(A) an assurance in the form of a certifi16 cation by the Governor of the State that the 

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

18 or has in effect and is operating a statewide 

19 program, relating to child abuse and neglect 

20 that includes— 

21 ‘‘(i) provisions or procedures for an 

22 individual to report known and suspected 

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1 ing by individuals required to report such 

2 instances; 

3 ‘‘(ii) procedures for the immediate 

4 screening, risk and safety assessment, and 

5 prompt investigation of such reports of al6 leged abuse and neglect in order to ensure 

7 the well-being and safety of children; 

8 ‘‘(iii) procedures for immediate steps 

9 to be taken to ensure and protect the safe10 ty of a victim of child abuse or neglect and 

11 of any other child under the same care who 

12 may also be in danger of child abuse or ne13 glect and ensuring their placement in a 

14 safe environment; 

15 ‘‘(iv) methods to preserve the con16 fidentiality of all records in order to pro17 tect the rights of the child and of the 

18 child’s parents or guardians, including re19 quirements ensuring that reports and 

20 records made and maintained pursuant to 

21 the purposes of this Act shall only be made 

22 available to— 

23 ‘‘(I) individuals who are the sub24 ject of the report; 


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1 ‘‘(II) Federal, State, or local gov2 ernment entities, or any agent of such 

3 entities, as described in clause (xi) of 

4 this subparagraph; 

5 ‘‘(III) child abuse citizen review 

6 panels; 

7 ‘‘(IV) child fatality review panels; 

8 ‘‘(V) a grand jury or court, upon 

9 a finding that information in the 

10 record is necessary for the determina11 tion of an issue before the court or 

12 grand jury; and 

13 ‘‘(VI) other entities or classes of 

14 individuals statutorily authorized by 

15 the State to receive such information 

16 pursuant to a legitimate State pur17 pose; 

18 ‘‘(v) provisions and procedures requir19 ing that in every case involving a victim of 

20 child abuse or neglect which results in a 

21 judicial proceeding, a guardian ad litem, 

22 who has received education appropriate to 

23 the role, including education in early child24 hood, child, and adolescent development, 

25 and domestic violence, and who may be an 


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1 attorney or a court appointed special advo2 cate who has received education appro3 priate to that role (or both), shall be ap4 pointed to represent the child (who, for 

5 purposes of this section, shall have any age 

6 limit elected by the State pursuant to sec7 tion 475(8)(B)(iii) of the Social Security 

8 Act (42 U.S.C. 675(8)(B)(iii))) in such 

9 proceedings— 

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

11 understanding of the situation and 

12 needs of such child; and 

13 ‘‘(II) to make recommendations 

14 to the court concerning the best inter15 ests of such child; 

16 ‘‘(vi) the establishment of citizen re17 view panels in accordance with subsection 

18 (c); 

19 ‘‘(vii) provisions and procedures to re20 quire that a representative of the child pro21 tective services agency shall, at the initial 

22 time of contact with the individual subject 

23 to a child abuse or neglect investigation, 

24 advise the individual of the complaints or 

25 allegations made against the individual, in 


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1 a manner that is consistent with laws pro2 tecting the rights of the informant; 

3 ‘‘(viii) provisions, procedures, and 

4 mechanisms— 

5 ‘‘(I) for the expedited termi6 nation of parental rights in the case 

7 of any infant determined to be aban8 doned under State law; and 

9 ‘‘(II) by which individuals who 

10 disagree with an official finding of 

11 child abuse or neglect can appeal such 

12 finding; 

13 ‘‘(ix) provisions addressing the profes14 sional development of representatives of 

15 the child protective services system regard16 ing the legal duties of the representatives, 

17 which may consist of various methods of 

18 informing such representatives of such du19 ties (including providing such education in 

20 different languages if necessary), in order 

21 to protect the legal rights and safety of 

22 children and their parents and caregivers 

23 from the initial time of contact during in24 vestigation through treatment; 


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1 ‘‘(x) provisions for immunity from 

2 civil or criminal liability under State and 

3 local laws and regulations for individuals 

4 making good faith reports of suspected or 

5 known instances of child abuse or neglect, 

6 or who otherwise provide information or 

7 assistance, including medical evaluations or 

8 consultations, in connection with a report, 

9 investigation, or legal intervention pursu10 ant to a good faith report of child abuse or 

11 neglect; 

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

13 disclose confidential information to any 

14 Federal, State, or local government entity, 

15 or any agent of such entity, that has a 

16 need for such information in order to carry 

17 out its responsibilities under law to protect 

18 children from child abuse and neglect; 

19 ‘‘(xii) provisions requiring, and proce20 dures in place that facilitate the prompt 

21 expungement of any records that are ac22 cessible to the general public or are used 

23 for purposes of employment or other back24 ground checks in cases determined to be 

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1 ing in this section shall prevent State child 

2 protective services agencies from keeping 

3 information on unsubstantiated reports in 

4 their casework files to assist in future risk 

5 and safety assessment; 

6 ‘‘(xiii) provisions and procedures for 

7 requiring criminal background record 

8 checks that meet the requirements of sec9 tion 471(a)(20) of the Social Security Act 

10 (42 U.S.C. 671(a)(20)) for prospective fos11 ter and adoptive parents and other adult 

12 relatives and non-relatives residing in the 

13 household; 

14 ‘‘(xiv) provisions for systems of tech15 nology that support the State child protec16 tive services system and track reports of 

17 child abuse and neglect from intake 

18 through final disposition; 

19 ‘‘(xv) provisions and procedures re20 quiring identification and assessment of all 

21 reports involving children known or sus22 pected to be victims of sex trafficking (as 

23 defined in section 103(12) of the Traf24 ficking Victims Protection Act of 2000 (22 

25 U.S.C. 7102 (12))); 


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1 ‘‘(xvi) provisions, procedures, and 

2 mechanisms that assure that the State 

3 does not require reunification of a sur4 viving child with a parent who has been 

5 found by a court of competent jurisdic6 tion— 

7 ‘‘(I) to have committed murder 

8 (which would have been an offense 

9 under section 1111(a) of title 18, 

10 United States Code, if the offense had 

11 occurred in the special maritime or 

12 territorial jurisdiction of the United 

13 States) of another child of such par14 ent; 

15 ‘‘(II) to have committed vol16 untary manslaughter (which would 

17 have been an offense under section 

18 1112(a) of title 18, United States 

19 Code, if the offense had occurred in 

20 the special maritime or territorial ju21 risdiction of the United States) of an22 other child of such parent; 

23 ‘‘(III) to have aided or abetted, 

24 attempted, conspired, or solicited to 


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1 commit such murder or voluntary 

2 manslaughter; 

3 ‘‘(IV) to have committed a felony 

4 assault that results in the serious bod5 ily injury to the surviving child or an6 other child of such parent; 

7 ‘‘(V) to have committed sexual 

8 abuse against the surviving child or 

9 another child of such parent; or 

10 ‘‘(VI) to be required to register 

11 with a sex offender registry under sec12 tion 113(a) of the Adam Walsh Child 

13 Protection and Safety Act of 2006 

14 (42 U.S.C. 16913(a)); and 

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

16 implementation by the State of the provi17 sions, procedures, and mechanisms under 

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

19 felonies listed in clause (xvi) constitute 

20 grounds under State law for the termi21 nation of parental rights of the convicted 

22 parent as to the surviving children (al23 though case-by-case determinations of 

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1 rental rights shall be within the sole discre2 tion of the State); 

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

4 place procedures for responding to the reporting 

5 of medical neglect (including instances of with6 holding of medically indicated treatment from 

7 infants with disabilities who have life-threat8 ening conditions), procedures or programs, or 

9 both (within the State child protective services 

10 system), to provide for— 

11 ‘‘(i) coordination and consultation 

12 with individuals designated by and within 

13 appropriate health-care facilities; 

14 ‘‘(ii) prompt notification by individ15 uals designated by and within appropriate 

16 health-care facilities of cases of suspected 

17 medical neglect (including instances of 

18 withholding of medically indicated treat19 ment from infants with disabilities who 

20 have life-threatening conditions); and 

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

22 the State child protective services system 

23 to pursue any legal remedies, including the 

24 authority to initiate legal proceedings in a 

25 court of competent jurisdiction, as may be 


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1 necessary to prevent the withholding of 

2 medically indicated treatment from infants 

3 with disabilities who have life-threatening 

4 conditions; 

5 ‘‘(C) an assurance or certification that pro6 grams and education conducted under this title 

7 address the unique needs of unaccompanied 

8 homeless youth, including access to enrollment 

9 and support services and that such youth are 

10 eligible for under parts B and E of title IV of 

11 the Social Security Act (42 U.S.C. 621 et seq., 

12 670 et seq.) and meet the requirements of the 

13 McKinney-Vento Homeless Assistance Act (42 

14 U.S.C. 11301 et seq.); and 

15 ‘‘(D) a description of— 

16 ‘‘(i) policies and procedures (including 

17 appropriate referrals to child protective 

18 service systems and for other appropriate 

19 services (including home visiting services 

20 and mutual support and parent partner 

21 programs)) to address the needs of infants 

22 born with and identified as being affected 

23 by substance use disorder or withdrawal 

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1 order, including a requirement that health 

2 care providers involved in the delivery or 

3 care of such infants notify the child protec4 tive services system of the occurrence of 

5 such condition in such infants, except that 

6 such notification shall not be construed 

7 to— 

8 ‘‘(I) establish a definition under 

9 Federal law of what constitutes child 

10 abuse or neglect; or 

11 ‘‘(II) require prosecution for any 

12 illegal action; 

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

14 care for the infant born and identified as 

15 being affected by substance use disorder or 

16 withdrawal symptoms, or a Fetal Alcohol 

17 Spectrum Disorder to ensure the safety 

18 and well-being of such infant following re19 lease from the care of health care pro20 viders, including through— 

21 ‘‘(I) addressing the health and 

22 substance use disorder treatment 

23 needs of the infant and affected fam24 ily or caregiver; and 


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1 ‘‘(II) the development and imple2 mentation by the State of monitoring 

3 systems regarding the implementation 

4 of such plans to determine whether 

5 and in what manner local entities are 

6 providing, in accordance with State 

7 requirements, referrals to and delivery 

8 of appropriate services for the infant 

9 and affected family or caregiver; 

10 ‘‘(iii) policies and procedures to make 

11 available to the public on the State website 

12 the findings and information about the 

13 case of child abuse or neglect which has re14 sulted in a child fatality or near fatality, 

15 including a description of— 

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

17 an exception to such public disclosure, 

18 except in a case in which— 

19 ‘‘(aa) the State would like to 

20 delay public release of such find21 ings or information (including 

22 any previous reports of domestic 

23 violence and subsequent actions 

24 taken to assess and address such 

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1 tigation or prosecution of such a 

2 fatality or near fatality is pend3 ing; 

4 ‘‘(bb) the State is protecting 

5 the identity of a reporter of child 

6 abuse or neglect; or 

7 ‘‘(cc) the State is with8 holding identifying information of 

9 members of the victim’s family 

10 who are not perpetrators of the 

11 fatality or near fatality; and 

12 ‘‘(II) how the State will ensure 

13 that in providing the public disclosure 

14 required under this clause, the State 

15 will include— 

16 ‘‘(aa) the cause and cir17 cumstances of the fatality or near 

18 fatality; 

19 ‘‘(bb) the age and gender of 

20 the child; and 

21 ‘‘(cc) any previous reports or 

22 child abuse or neglect investiga23 tions that are relevant to the 

24 child abuse or neglect that led to 

25 the fatality or near fatality; 


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1 ‘‘(iv) how the State will use data col2 lected on child abuse or neglect to prevent 

3 child fatalities and near fatalities; 

4 ‘‘(v) how the State will implement ef5 forts to prevent child fatalities and near 

6 fatalities; 

7 ‘‘(vi) the cooperation of State law en8 forcement officials, court of competent ju9 risdiction, and appropriate State agencies 

10 providing human services in the investiga11 tion, assessment, prosecution, and treat12 ment of child abuse and neglect; 

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

14 improve the education, retention, and su15 pervision of caseworkers and how the State 

16 will measure the effectiveness of such ef17 forts; 

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

19 child under the age of 3 who is involved in 

20 a substantiated case of child abuse or ne21 glect will be referred to the State’s child 

22 find system under section 635(a)(5) of the 

23 Individuals with Disabilities Education Act 

24 (20 U.S.C. 1435(a)(5)) in order to deter25 mine if the child is an infant or toddler 


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1 with a disability (as defined in section 

2 632(5) of such Act (20 U.S.C. 1432(5))); 

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

4 part of a comprehensive State strategy, the 

5 professional development for child protec6 tive services workers in identifying, assess7 ing, and providing comprehensive services 

8 for children who are sex trafficking vic9 tims, including the role of child protective 

10 services, law enforcement, juvenile justice 

11 agencies, and social service agencies, such 

12 as runaway and homeless youth shelters; 

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

14 the grant to individuals, families, or com15 munities, either directly or through refer16 rals, aimed at preventing the occurrence of 

17 child abuse and neglect; 

18 ‘‘(xi) the State’s efforts to ensure pro19 fessionals who are required to report sus20 pected cases of child abuse and neglect are 

21 aware of their responsibilities under sub22 paragraph (A)(i) and receive professional 

23 development relating to performing such 

24 responsibilities that is specific to their pro25 fession and workplace; 


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1 ‘‘(xii) policies and procedures encour2 aging the appropriate involvement of fami3 lies in decisionmaking pertaining to chil4 dren who experienced child abuse or ne5 glect; 

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

7 appropriate collaboration among child pro8 tective services agencies, domestic violence 

9 services agencies, substance use disorder 

10 treatment agencies, and other agencies in 

11 investigations, interventions, and the deliv12 ery of services and treatment provided to 

13 children and families affected by child 

14 abuse or neglect, including children ex15 posed to domestic violence, where appro16 priate; 

17 ‘‘(xiv) policies and procedures regard18 ing the use of differential response, as ap19 plicable, to improve outcomes for children; 

20 and 

21 ‘‘(xv) the State’s efforts to reduce ra22 cial bias in its child protective services sys23 tem.’’. 


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

2 106(b) of the Child Abuse Prevention and Treat3 ment Act (42 U.S.C. 5106a(b)) is amended— 

4 (A) in the paragraph heading, by striking 

5 ‘‘Limitation’’ and inserting ‘‘Limitations’’; 

6 (B) by striking ‘‘With regard to clauses 

7 (vi) and (vii) of paragraph (2)(B),’’ and insert8 ing the following: 

9 ‘‘(A) DISCLOSURE OF CERTAIN IDENTI10 FYING INFORMATION.—With regard to subpara11 graphs (A)(iii) and (D)(iii) of paragraph (2),’’; 

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

13 inserting ‘‘; and’’; and 

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

15 ‘‘(B) PUBLIC ACCESS TO COURT PRO16 CEEDINGS.—Nothing in paragraph (2) shall be 

17 construed to limit the State’s flexibility to de18 termine State policies relating to public access 

19 to court proceedings to determine child abuse 

20 and neglect, except that such policies shall, at 

21 a minimum, ensure the safety and well-being of 

22 the child, parents, and families.’’. 

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

24 106(b) of the Child Abuse Prevention and Treat25 ment Act (42 U.S.C. 5106a(b)) is amended— 


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1 (A) in the paragraph heading, by striking 

2 ‘‘Definitions’’ and inserting ‘‘Definition’’; 

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

4 that follows through ‘‘means an act’’ and in5 serting the following: ‘‘this subsection, the term 

6 ‘near fatality’ means an act’’; 

7 (C) by striking ‘‘; and’’ and inserting a pe8 riod; and 

9 (D) by striking subparagraph (B). 

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

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

12 5106a(c)) is amended— 

13 (1) in paragraph (1)(B), by striking ‘‘EXCEP14 TIONS.’’ and all that follows through ‘‘A State may’’ 

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

16 (2) in paragraph (4)(A), by striking ‘‘and where 

17 appropriate, specific cases,’’; and 

18 (3) by amending the first sentence of paragraph 

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

20 under paragraph (1) shall prepare and make avail21 able to the State and the public, on an annual basis, 

22 a report containing a summary of the activities of 

23 the panel, the criteria used for determining which 

24 activities the panel engaged in, and recommenda25 tions or observations to improve the child protective 


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1 services system at the State and local levels, and the 

2 data upon which these recommendations or observa3 tions are based.’’. 

4 (d) ANNUAL STATE DATA REPORTS.—Section 

5 106(d) of the Child Abuse Prevention and Treatment Act 

6 (42 U.S.C. 5106a(d)) is amended— 

7 (1) by amending paragraph (13) to read as fol8 lows: 

9 ‘‘(13) The annual report containing the sum10 mary of the activities and recommendations of the 

11 citizen review panels of the State required by sub12 section (c)(6), and the actions taken by the State as 

13 a result of such recommendations.’’; 

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

15 (b)(2)(B)(ii)’’ and inserting ‘‘subsection 

16 (b)(2)(D)(i)’’; 

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

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

19 (b)(2)(D)(viii)’’; 

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

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

22 (b)(2)(D)(xv)’’; 

23 (5) in paragraph (18)— 


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1 (A) in subparagraph (A), by striking ‘‘sub2 section (b)(2)(B)(ii)’’ and inserting ‘‘subsection 

3 (b)(2)(D)(i)’’; 

4 (B) in subparagraph (B), by striking ‘‘sub5 section (b)(2)(B)(iii)’’ and inserting ‘‘subsection 

6 (b)(2)(D)(ii)’’; and 

7 (C) in subparagraph (C), by striking ‘‘sub8 section (b)(2)(B)(iii)’’ and inserting ‘‘subsection 

9 (b)(2)(D)(ii)’’; and 

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

11 ‘‘(19) The number of child fatalities and near 

12 fatalities from maltreatment and related information 

13 in accordance with the uniform standards estab14 lished under section 103(d).’’. 

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

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

17 amended by adding at the end the following: 

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

19 which the amount allotted to a State or territory 

20 under this subsection exceeds the amount allotted to 

21 the State or territory under such subsection for fis22 cal year 2019, the State or territory may use not 

23 more than 2 percent of such excess amount for ad24 ministrative expenses.’’. 


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1 SEC. 107. MISCELLANEOUS REQUIREMENTS. 

2 Section 108 of the Child Abuse Prevention and 

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

4 (1) by redesignating subsections (c) through (e) 

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

6 (2) by inserting after subsection (b) the fol7 lowing: 

8 ‘‘(c) PROTECTING AGAINST SYSTEMIC CHILD SEX9 UAL ABUSE.— 

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

11 than 24 months after the date of the enactment of 

12 the Stronger Child Abuse Prevention and Treatment 

13 Act, each State task force established under section 

14 107(c) and expanded as described in paragraph (2) 

15 shall study and make recommendations on the fol16 lowing, with a focus on preventing systemic child 

17 sexual abuse: 

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

19 abuse that occurs in an organization. 

20 ‘‘(B) How to prevent child sexual abuse 

21 and systemic child sexual abuse from occurring 

22 in organizations, which shall include rec23 ommendations to improve— 

24 ‘‘(i) practices and policies for the edu25 cation of parents, caregivers, and victims, 

26 and age appropriate education of children, 


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1 about risk factors or signs of potential 

2 child sexual abuse; and 

3 ‘‘(ii) the efficacy of applicable State 

4 laws and the role such laws play in deter5 ring or preventing incidences of child sex6 ual abuse. 

7 ‘‘(C) The feasibility of making available 

8 the disposition of a perpetrator within an orga9 nization to— 

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

11 the child’s family; or 

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

13 time of the sexual abuse claim in question 

14 or the adult’s family. 

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

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

17 ‘‘(A) the members of the State task force 

18 described in section 107(c) for the State; and 

19 ‘‘(B) the following: 

20 ‘‘(i) Family court judges. 

21 ‘‘(ii) Individuals from religious organi22 zations. 

23 ‘‘(iii) Individuals from organized 

24 youth athletics. 


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

2 later than 6 months after a State task force makes 

3 recommendations under paragraph (1), the State 

4 maintaining such State task force shall— 

5 ‘‘(A) make public the recommendations of 

6 such report; 

7 ‘‘(B) report to the Secretary on the status 

8 of adopting such recommendations; and 

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

10 to adopt a particular recommendation, make 

11 public the explanation for such declination. 

12 ‘‘(4) DEFINITIONS.—For purposes of this sub13 section— 

14 ‘‘(A) the terms ‘child sexual abuse’ and 

15 ‘sexual abuse’ shall not be limited to an act or 

16 a failure to act on the part of a parent or care17 taker; 

18 ‘‘(B) the term ‘organization’ means any 

19 entity that serves children; and 

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

21 means— 

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

23 policy or de facto policy to not follow State 

24 and local requirements to report instances 

25 of child sexual abuse in violation of State 


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1 and local mandatory reporting laws or pol2 icy; or 

3 ‘‘(ii) a pattern of assisting individual 

4 perpetrators in maintaining their careers 

5 despite substantiated evidence of child sex6 ual abuse.’’. 

7 SEC. 108. REPORTS. 

8 Section 110 of the Child Abuse Prevention and 

9 Treatment Act (42 U.S.C. 5106f) is amended to read as 

10 follows: 

11 ‘‘SEC. 110. STUDY AND REPORT RELATING TO SCALING EVI12 DENCE-BASED TREATMENT OF CHILD ABUSE 

13 AND NEGLECT. 

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

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

16 the scalability of treatments that reduce the trauma re17 sulting from child abuse and neglect and reduce the risk 

18 of revictimization, such as those allowable under sections 

19 105 and 106. 

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

21 subsection (a) shall be completed in a manner that con22 siders the variability among treatment programs and 

23 among populations vulnerable to child abuse and neglect. 

24 The study shall include, at a minimum: 


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1 ‘‘(1) A detailed synthesis of the existing re2 search literature examining barriers and challenges 

3 to, and best practices for the scalability of child wel4 fare programs and services as well as programs and 

5 services for vulnerable children and families in re6 lated fields, including healthcare and education. 

7 ‘‘(2) Data describing State and local providers’ 

8 experiences with scaling treatments that reduce the 

9 trauma resulting from child abuse and neglect and 

10 reduce the risk of revictimization. 

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

12 healthcare, and education. 

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

14 of the enactment of the Stronger Child Abuse Prevention 

15 and Treatment Act, the Secretary shall submit to the 

16 Committee on Health, Education, Labor, and Pensions of 

17 the Senate and the Committee on Education and Labor 

18 of the House of Representatives a report that contains the 

19 results of the study conducted under subsection (a), in20 cluding recommendations for best practices for scaling 

21 treatments that reduce the trauma resulting from child 

22 abuse and neglect and reduce the risk of revictimization.’’. 


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1 SEC. 109. AUTHORIZATION OF APPROPRIATIONS. 

2 (a) GENERAL AUTHORIZATION.—Section 112(a) of 

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

4 5106h(a)) is amended— 

5 (1) in paragraph (1)— 

6 (A) by striking ‘‘to carry out’’ through 

7 ‘‘fiscal year 2010’’ and inserting ‘‘to carry out 

8 this title $270,000,000 for fiscal year 2020’’; 

9 and 

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

11 inserting ‘‘2021 through 2025’’; and 

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

13 the following: 

14 ‘‘(A) IN GENERAL.—Of the amounts ap15 propriated for a fiscal year under paragraph 

16 (1), the Secretary shall make available 30 per17 cent of such amounts, or $100,000,000, which18 ever is less, to fund discretionary activities 

19 under this title.’’. 

20 SEC. 110. NATIONAL ELECTRONIC INTERSTATE DATA EX21 CHANGE SYSTEM. 

22 (a) INTERSTATE DATA EXCHANGE SYSTEM.— 

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

24 Human Services shall establish a national electronic 

25 interstate data exchange system that allows State 

26 entities responsible under State law for maintaining 


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1 child abuse and neglect registries to communicate in2 formation across State lines. 

3 (2) STANDARDS.—In establishing the national 

4 electronic interstate data exchange system under 

5 paragraph (1), the Secretary— 

6 (A) shall use interoperable standards devel7 oped and maintained by intergovernmental 

8 partnerships, such as the National Information 

9 Exchange Model; 

10 (B) shall develop data sharing policies and 

11 governance standards that ensure consistency in 

12 types of information shared and specify cir13 cumstances under which data should be shared; 

14 and 

15 (C) shall ensure that all standards and 

16 policies adhere to the privacy, security, and civil 

17 rights laws of each State. 

18 (3) PILOT PROGRAM.—Not later than 2 years 

19 after the date of the enactment of this Act, the Sec20 retary of Health and Human Services shall carry out 

21 and complete a pilot program to determine the best 

22 practices for developing the standards and policies 

23 required under paragraph (2) prior to the integra24 tion of the national electronic interstate data ex25 change system in all States. Such pilot program 


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1 shall include not less than 10 States and not more 

2 than 15 States. 

3 (4) INTEGRATION.—The Secretary of Health 

4 and Human Services may assist States in the inte5 gration of this system into the infrastructure of each 

6 State using funds appropriated under this sub7 section. 

8 (5) PARTICIPATION.—As a condition on eligi9 bility for receipt of funds under section 105, 106, or 

10 107 of the Child Abuse Prevention and Treatment 

11 Act (42 U.S.C. 5106, 5106a, 5106c), each State 

12 shall participate in to the national electronic inter13 state data exchange system to the fullest extent pos14 sible (as determined by the Secretary of Health and 

15 Human Services) not later than December 31, 2027. 

16 (6) REPORT.—Not later than January 31, 

17 2025, the Secretary of Health and Human Services 

18 shall prepare and submit to the Committee on 

19 Health, Education, Labor, and Pensions of the Sen20 ate, and the Committee on Education and Labor of 

21 the House of Representatives, a report on the 

22 progress made in implementing this subsection. 

23 (7) AUTHORIZATION OF APPROPRIATIONS.—Of 

24 the funds appropriated under section 112 for any 


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1 fiscal year, $1,333,000 shall be reserved to carry out 

2 this subsection. 

3 (b) WORKING GROUP.— 

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

5 the date of the enactment of this Act, the Secretary 

6 of Health and Human Services shall convene a 

7 working group to study and make recommendations 

8 on the following: 

9 (A) The feasibility of making publicly 

10 available on the website of each State defini11 tions and standards of substantiated child 

12 abuse and neglect for the State. 

13 (B) Whether requirements under the Child 

14 Abuse Prevention and Treatment Act (42 

15 U.S.C. 5101 et seq.), the Child Care and Devel16 opment Block Grant Act of 1990 (42 U.S.C. 

17 9858 et seq.), and part E of title IV of the So18 cial Security Act (42 U.S.C. 670 et seq.) are 

19 complementary or if there are discrepancies 

20 that need to be addressed. 

21 (C) How to improve communication be22 tween and across States, including through the 

23 use of technology and the use of the national 

24 electronic interstate data exchange system es25 tablished under subsection (a), to allow for 


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1 more accurate and efficient exchange of child 

2 abuse and neglect records. 

3 (D) How to reduce barriers and establish 

4 best practices for the State to provide timely re5 sponses to requests from other States for infor6 mation contained in the State’s child abuse and 

7 neglect registry through the national electronic 

8 interstate data exchange system established 

9 under subsection (a). 

10 (2) REPORT.—The working group convened 

11 under paragraph (1) shall submit a report con12 taining its recommendations to the Secretary of 

13 Health and Human Services, the Committee on 

14 Health, Education, Labor, and Pensions of the Sen15 ate, and the Committee on Education and Labor of 

16 the House of Representatives. 

17 (3) CONSTRUCTION.—There shall be no require18 ment for any State to adopt the recommendations of 

19 the working group, nor shall the Secretary of Health 

20 and Human Services incentivize or coerce any State 

21 to adopt any such recommendation. 

22 SEC. 111. TECHNICAL AND CONFORMING AMENDMENTS. 

23 (a) TECHNICAL AMENDMENTS.—The Child Abuse 

24 Prevention and Treatment Act (42 U.S.C. 5101 et seq.), 


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1 as amended by the preceding provisions of this Act, is fur2 ther amended— 

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

4 the Workforce’’ each place it appears and inserting 

5 ‘‘Committee on Education and Labor’’; and 

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

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

8 child abuse or neglect’’. 

9 (b) CONFORMING AMENDMENTS.— 

10 (1) SECTION 103.—Section 103(b)(5) (42 

11 U.S.C. 5104(b)(5)) is amended by striking ‘‘section 

12 106(b)(2)(B)(iii)’’ and inserting ‘‘section 

13 106(b)(2)(D)(ii)’’. 

14 (2) SECTION 105.—Section 105(a)(10) (25 

15 U.S.C. 5106(a)(10)) (as redesignated by section 

16 105(1)(A) of this Act) is amended— 

17 (A) in subparagraph (A), by striking ‘‘sec18 tion 106(b)(2)(B)(iii)’’ and inserting ‘‘section 

19 106(b)(2)(D)(ii)’’; 

20 (B) in subparagraph (C)— 

21 (i) in clause (i)(II), by striking ‘‘sec22 tion 106(b)(2)(B)(iii)’’ and inserting ‘‘sec23 tion 106(b)(2)(D)(ii)’’; 


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1 (ii) in clause (i)(IV), by striking ‘‘sec2 tion 106(b)(2)(B)(iii)(II)’’ and inserting 

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

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

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

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

7 106(b)(2)(D)’’; 

8 (C) in subparagraph (D)— 

9 (i) in clause (i)(I), by striking ‘‘sec10 tion 106(b)(2)(B)(iii)(I)’’ and inserting 

11 ‘‘section 106(b)(2)(D)(ii)(I)’’; 

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

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

17 ‘‘section 106(b)(2)(D)(ii)(I)’’; 

18 (iv) in clause (iii)(I), by striking ‘‘sec19 tion 106(b)(2)(B)(i)’’ and inserting ‘‘sec20 tion 106(b)(2)(A)(i)’’; 

21 (v) in clause (iii)(IV), by striking 

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

23 ‘‘section 106(b)(2)(D)(ii)’’; and 


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

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

3 106(b)(2)(D)(ii)’’; 

4 (D) in subparagraph (E), by striking ‘‘sec5 tion 106(b)(2)(B)(ii)’’ and inserting ‘‘section 

6 106(b)(2)(D)(i)’’; and 

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

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

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

10 106(b)(2)(D)’’. 

11 (3) SECTION 114.—Section 114(1)(B) (42 

12 U.S.C. 5108(1)(B)) is amended by striking ‘‘clauses 

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

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

15 (4) TABLE OF CONTENTS.—The table of con16 tents in section 1(b) of the Child Abuse Prevention 

17 and Treatment Act is amended by striking the items 

18 relating to sections 2 and 102. 


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1 TITLE II—COMMUNITY-BASED 

2 GRANTS FOR THE PREVEN3 TION OF CHILD ABUSE AND 

4 NEGLECT 

5 SEC. 201. PURPOSE AND AUTHORITY. 

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

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

8 are amended to read as follows: 

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

10 ‘‘(1) to establish and maintain support for com11 munity-based family strengthening services and 

12 statewide systems-building approaches to the extent 

13 practicable, to ensure the development, operation, 

14 expansion, coordination, and evaluation of quality 

15 services, initiatives, programs, and activities to pre16 vent child abuse and neglect; and 

17 ‘‘(2) to promote improved access for diverse 

18 populations with demonstrated need, including low19 income families, racial and ethnic minorities, fami20 lies with children or caregivers with disabilities, un21 derserved communities, and rural communities, to 

22 family strengthening services in order to more effec23 tively prevent child abuse and neglect. 

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

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


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

2 as the ‘lead entity’) under section 202(1) for the following 

3 purposes: 

4 ‘‘(1) Developing or enhancing statewide and 

5 local networks to operate, expand, or enhance com6 munity-based family strengthening services, initia7 tives, and activities that promote child, parent, fam8 ily, and community health and well-being, prevent 

9 child abuse and neglect, and that— 

10 ‘‘(A) are accessible to diverse populations; 

11 ‘‘(B) are effective; 

12 ‘‘(C) are culturally appropriate; and 

13 ‘‘(D) build upon existing strengths. 

14 ‘‘(2) Providing programs, activities, and initia15 tives to help families build protective factors linked 

16 to the prevention of child abuse and neglect, such as 

17 knowledge of parenting and child development, pa18 rental resilience, social connections, time-limited and 

19 need-based concrete support, and social and emo20 tional development of children that— 

21 ‘‘(A) offer assistance to families; 

22 ‘‘(B) provide early, comprehensive support 

23 for parents; 

24 ‘‘(C) promote the development of healthy 

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1 cially in young parents and parents with very 

2 young children; 

3 ‘‘(D) increase family stability; 

4 ‘‘(E) improve family access to formal and 

5 informal community-based resources, including 

6 health and mental health services, time-limited 

7 and need-based concrete supports, and services 

8 and supports to meet the needs of families with 

9 children or caregivers with disabilities; and 

10 ‘‘(F) support the additional needs of fami11 lies with children with disabilities, including 

12 through respite care. 

13 ‘‘(3) Fostering the development of a continuum 

14 of preventive services to strengthen families through 

15 State- and community-based collaborations and both 

16 public and private partnerships. 

17 ‘‘(4) Financing the start-up, maintenance, ex18 pansion, or redesign of core services described in 

19 section 205, where communities have identified gaps 

20 and decided to prioritize the establishment of such 

21 services, to the extent practicable given funding lev22 els and community priorities. 

23 ‘‘(5) Maximizing funding through leveraging 

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

25 carry out the purposes of this title. 


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1 ‘‘(6) Promoting the development of, and coordi2 nation with, existing community coalitions of net3 works of family strengthening services that utilize 

4 culturally responsive providers in order to enhance 

5 child, family, and community well-being and prevent 

6 child abuse and neglect in all families. 

7 ‘‘(7) Financing public information activities 

8 that focus on parent and child development and 

9 child abuse and neglect prevention. 

10 ‘‘(8) To the extent practicable— 

11 ‘‘(A) promoting the development and im12 plementation of a statewide systems-building 

13 strategy to address the unmet needs identified 

14 in the inventory described in section 204(3), in15 cluding the participation of public and private 

16 stakeholders, community-based organizations, 

17 legislators, parents and other relevant stake18 holders, and State agencies, including the child 

19 welfare agency, the health agency, housing 

20 agency, and the State education agency, to 

21 scale evidence-based, evidence-informed, and 

22 promising programs that expand access to fam23 ily strengthening services and reduce the num24 bers of children entering the foster care system; 


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1 ‘‘(B) developing comprehensive outreach 

2 strategies to engage families with various risk 

3 factors, including families who have experienced 

4 trauma, parents with substance use disorder, 

5 and families with children or caregivers with 

6 disabilities; and 

7 ‘‘(C) providing capacity-building supports 

8 to local programs to improve desired outcomes 

9 for children and family, such as— 

10 ‘‘(i) technical assistance, including 

11 support for local programs to collect out12 come data that helps improve service deliv13 ery; 

14 ‘‘(ii) professional development; and 

15 ‘‘(iii) peer support networks, including 

16 through developing a problem-solving 

17 forum.’’. 

18 SEC. 202. ELIGIBILITY. 

19 Section 202 of the Child Abuse Prevention and 

20 Treatment Act (42 U.S.C. 5116a) is amended— 

21 (1) in paragraph (1)— 

22 (A) by striking subparagraph (A) and in23 serting the following: 

24 ‘‘(A) the Governor of the State has designated 

25 a lead entity to administer funds under this title for 


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1 the purposes identified under the authority of this 

2 title, including to develop, implement, operate, en3 hance, or expand community-based family strength4 ening services designed to prevent child abuse and 

5 neglect;’’; and 

6 (B) by striking subparagraph (D) and in7 serting the following: 

8 ‘‘(D) the Governor of the State has given con9 sideration to the capacity and expertise of all entities 

10 requesting to be designated under subparagraph 

11 (A);’’; and 

12 (2) in paragraph (3)— 

13 (A) by striking subparagraph (A) and in14 serting the following: 

15 ‘‘(A) has demonstrated ongoing meaningful 

16 partnerships with parents in the development, 

17 operation, and oversight of State- and commu18 nity-based family strengthening services de19 signed to prevent child abuse and neglect;’’; 

20 (B) in subparagraph (B), by striking 

21 ‘‘community-based and prevention-focused pro22 grams and activities designed to strengthen and 

23 support families’’ and inserting ‘‘community24 based family strengthening services designed’’; 


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1 (C) by striking subparagraph (C) and in2 serting the following: 

3 ‘‘(C) has the capacity to provide oper4 ational support (both financial and pro5 grammatic) professional development, technical 

6 assistance, and evaluation assistance, to com7 munity-based organizations;’’; and 

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

10 ‘‘(D) will integrate efforts with individuals 

11 and organizations experienced in working in 

12 partnership with low-income families, racial and 

13 ethnic minorities, families with children or care14 givers with disabilities, sexual and gender mi15 nority youth, victims of domestic violence, and 

16 with the child abuse and neglect prevention ac17 tivities in the State, and demonstrate a finan18 cial commitment to those activities; and 

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

20 diverse populations and gaps in need when dis21 tributing funds to local programs under section 

22 205.’’. 

23 SEC. 203. AMOUNT OF GRANT. 

24 Section 203 of the Child Abuse Prevention and 

25 Treatment Act (42 U.S.C. 5116b) is amended— 


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

2 following: 

3 ‘‘(a) RESERVATION.—For the purpose of making al4 lotments to Indian tribes and tribal organizations and mi5 grant programs, the Secretary shall reserve 5 percent of 

6 the amount appropriated under section 210(a) for each 

7 fiscal year, except that, if making such reservation would 

8 cause the total amount allotted to States under this sec9 tion for a fiscal year to be less than such total for fiscal 

10 year 2019, the Secretary shall reserve 1 percent of the 

11 amount appropriated under section 210(a) for the year for 

12 such purpose.’’; and 

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

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

15 amount allotted to a State under subsection (b) exceeds 

16 the amount allotted to the State under such subsection 

17 for fiscal year 2019, the State’s lead entity may use not 

18 more than 4 percent of such excess amount for adminis19 trative expenses.’’. 

20 SEC. 204. APPLICATION. 

21 Section 204 of the Child Abuse Prevention and 

22 Treatment Act (42 U.S.C. 5116d) is amended— 

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

24 striking ‘‘specified by the Secretary as essential to 

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1 ing’’ and inserting ‘‘and assurances required in 

2 paragraphs (2) and (3) of section 202 and types of 

3 information specified by the Secretary as essential in 

4 carrying out the provisions of section 201(b), includ5 ing’’; 

6 (2) in paragraphs (1), (2), (3), and (4), by 

7 striking ‘‘community-based and prevention-focused 

8 programs and activities designed to strengthen and 

9 support families’’ and inserting ‘‘community-based 

10 family strengthening services designed’’; 

11 (3) in paragraph (5), by striking ‘‘and preven12 tion-focused programs and activities designed to 

13 strengthen and support families to prevent child 

14 abuse and neglect;’’ and inserting ‘‘services and 

15 statewide strategies designed to strengthen and sup16 port families to promote child, family, and commu17 nity well-being and prevent child abuse and ne18 glect;’’; 

19 (4) by striking paragraph (6) and inserting the 

20 following: 

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

22 commitment to ensure the meaningful involvement 

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1 lies, families with children or caregivers with disabil2 ities, racial and ethnic minorities, and members of 

3 other underrepresented or underserved groups, fam4 ily advocates, and adult former victims of child 

5 abuse or neglect who can provide leadership in the 

6 planning, implementation, and evaluation of the pro7 grams and policy decisions of the applicant agency 

8 in accomplishing the desired outcomes for such ef9 forts;’’; 

10 (5) by redesignating paragraph (12) as para11 graph (15); 

12 (6) by redesignating paragraphs (7) through 

13 (11) as paragraphs (8) through (12), respectively; 

14 (7) by inserting after paragraph (6) the fol15 lowing: 

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

17 the lead entity will use to identify and select commu18 nities in which to build a continuum of family 

19 strengthening services, including an assurance that 

20 the process will ensure access for all families, includ21 ing families in communities with high rates of child 

22 abuse and neglect relative to other communities in 

23 the State;’’; 

24 (8) by striking paragraph (9), as so redesig25 nated, and inserting the following: 


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

2 lead entity and local grantees will undertake to 

3 maximize the participation of low-income families, 

4 racial and ethnic minorities, families with children or 

5 caregivers with disabilities, sexual and gender minor6 ity youth, victims of domestic violence, homeless 

7 families and those at risk of homelessness, and 

8 members of other underserved or underrepresented 

9 groups;’’; 

10 (9) by striking paragraph (10), as so redesig11 nated, and inserting the following: 

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

13 professional development, and technical assistance to 

14 grantees, other State and local programs and pro15 viders, families, and other entities involved in 

16 strengthening families and preventing child abuse 

17 and neglect;’’; 

18 (10) in paragraph (11), as so redesignated, by 

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

20 inserting ‘‘of community-based family strengthening 

21 services and statewide initiatives’’; and 

22 (11) by striking paragraph (12), as so redesig23 nated, and inserting the following: 

24 ‘‘(12) a description of the actions that the ap25 plicant entity will take to inform systemic changes in 


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1 State policies, practices, procedures, and regulations 

2 to improve the delivery of community-based family 

3 strengthening services designed to promote child, 

4 family, and community well-being, and to prevent 

5 child abuse and neglect; 

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

7 incorporate research evidence in its process for se8 lecting community-based family strengthening serv9 ices; 

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

11 to improve the delivery of community-based family 

12 strengthening services designed to promote child, 

13 family, and community well-being, and to prevent 

14 child abuse and neglect, the State will— 

15 ‘‘(A) take into account how such regula16 tions will impact activities funded under this 

17 Act; and 

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

19 duplication of efforts, minimize costs of compli20 ance with such regulations, and maximize local 

21 flexibility with respect to such regulations; 

22 and’’. 


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1 SEC. 205. LOCAL PROGRAM REQUIREMENTS. 

2 Section 205 of the Child Abuse Prevention and 

3 Treatment Act (42 U.S.C. 5116e) is amended to read as 

4 follows: 

5 ‘‘SEC. 205. LOCAL PROGRAM REQUIREMENTS. 

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

7 made under this title shall be used to develop, implement, 

8 operate, expand, and enhance community-based family 

9 strengthening services designed to prevent child abuse and 

10 neglect that— 

11 ‘‘(1) assess community assets and needs and 

12 develop a strategy to create a comprehensive con13 tinuum of effective services that strengthen and sup14 port families to prevent child abuse and neglect, 

15 through a planning process involving parents, local 

16 and public agencies, local nonprofit organizations 

17 and service providers, and private sector representa18 tives in meaningful ways; 

19 ‘‘(2) develop or enhance existing place-based 

20 family strengthening services, other parenting sup21 port services, and connections and coordination 

22 among key family services in the community by 

23 reaching spaces familiar to such families; and 

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

25 support child and family well-being and help prevent 

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1 enting and child development, parental resilience, so2 cial connections, time-limited and need-based con3 crete support, and social and emotional development 

4 of children. 

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

6 the lead entity shall consider, consistent with the needs 

7 of the State and community, how the grantee— 

8 ‘‘(1) demonstrates the ability to form collabora9 tions across a range of services or initiatives and the 

10 commitment to engage in long-term planning and 

11 strategic development for community-based family 

12 strengthening services as well as provide ongoing 

13 troubleshooting support; 

14 ‘‘(2) involves parents, including parents of chil15 dren with disabilities, diverse racial and ethnic 

16 groups, and members of other underrepresented or 

17 underserved populations, in the development, imple18 mentation, oversight, and evaluation of services; 

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

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

21 through approaches that provide core family 

22 strengthening services; 

23 ‘‘(4) promotes improved access to family 

24 strengthening services for diverse populations and 


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1 ensures that the services address identified needs of 

2 all families; and 

3 ‘‘(5) demonstrates an understanding of the 

4 sources of child and family trauma and the strate5 gies that mitigate the impact of and prevent adverse 

6 childhood experiences. 

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

8 lead entity shall be used for community-based family 

9 strengthening services designed to prevent child abuse and 

10 neglect, which may include the following: 

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

12 a comprehensive continuum of preventive, family13 centered services that strengthen and support fami14 lies to prevent child abuse and neglect, especially to 

15 young parents, to parents with young children, and 

16 to parents who are adult former victims of domestic 

17 violence or child abuse or neglect, through public18 private partnerships. 

19 ‘‘(2) Addressing the needs of families in hard20 to-reach areas by creating access to place-based fam21 ily strengthening services. 

22 ‘‘(3) Performing an assessment of community 

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

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1 fant and Early Childhood Home Visiting program 

2 under section 511 of the Social Security Act (42 

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

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

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

6 by coordinating with existing family strengthening 

7 services such as home visiting and other early inter8 vention programs. 

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

10 enhancement of, or connecting families to, core serv11 ices that include— 

12 ‘‘(A) parenting support and parent edu13 cation programs, including services that help 

14 parents and other caregivers support children’s 

15 development; 

16 ‘‘(B) parent leadership skills development 

17 programs that support parents’ personal growth 

18 as leaders in their families and communities; 

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

20 their children and youth, and parent partners; 

21 ‘‘(D) respite and crisis care; and 

22 ‘‘(E) referrals to optional community and 

23 social services, including— 

24 ‘‘(i) domestic violence services; 


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1 ‘‘(ii) screening and referrals to early 

2 intervention; 

3 ‘‘(iii) voluntary home visiting pro4 grams; 

5 ‘‘(iv) health and mental health serv6 ices, including referrals for information on 

7 the State Medicaid plan under title XIX of 

8 the Social Security Act (42 U.S.C. 1396 et 

9 seq.); 

10 ‘‘(v) early care and learning programs 

11 including child care and Head Start pro12 grams and Early Head Start programs 

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

14 et seq.); 

15 ‘‘(vi) nutrition programs, including 

16 the special supplemental nutrition program 

17 for women, infants, and children estab18 lished under section 17 of the Child Nutri19 tion Act of 1966 (42 U.S.C. 1786) and the 

20 supplemental nutrition assistance program 

21 established under the Food and Nutrition 

22 Act of 2008 (7 U.S.C. 2011 et seq.); 

23 ‘‘(vii) education and workforce devel24 opment programs, including adult literacy, 


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1 child development, wellness, and family so2 cioeconomic mobility programs; and 

3 ‘‘(viii) services and supports to meet 

4 the needs of families with children or care5 givers with disabilities, such as early inter6 vention services for infants and toddlers 

7 with disabilities and their families, as early 

8 intervention services are defined in section 

9 632 of the Individuals with Disabilities 

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

11 ‘‘(6) Providing leadership in mobilizing local 

12 public and private resources to support the provision 

13 of community-based family strengthening services 

14 designed to prevent child abuse and neglect. 

15 ‘‘(7) Developing and maintaining meaningful 

16 partnerships with parents relating to the develop17 ment, operation, evaluation, and oversight of the 

18 programs and services. 

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

20 family strengthening services designed to prevent 

21 child abuse and neglect in the development, oper22 ation, and expansion of networks where appropriate. 

23 ‘‘(d) PRIORITY.—When awarding grants, a lead enti24 ty shall give priority to effective community-based efforts 

25 that serve low-income communities and are focused on 


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1 comprehensive approaches to serving young parents or 

2 parents with young children.’’. 

3 SEC. 206. PERFORMANCE MEASURES. 

4 Section 206 of the Child Abuse Prevention and 

5 Treatment Act (42 U.S.C. 5116f) is amended— 

6 (1) in paragraphs (1), (5), (6), and (8), by 

7 striking ‘‘community-based and prevention-focused 

8 programs and activities designed to strengthen and 

9 support families’’ and inserting ‘‘community-based 

10 family strengthening services designed’’; 

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

12 inserting ‘‘meet’’; 

13 (3) in paragraph (2), by striking ‘‘including 

14 core and optional services as described in section 

15 202’’; 

16 (4) in paragraph (3), by striking ‘‘section 

17 205(3)’’ and inserting ‘‘section 204’’; 

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

19 following: 

20 ‘‘(4) shall describe the number of families 

21 served, including families with children or caregivers 

22 with disabilities, and the involvement of a diverse 

23 representation of families in the design, operation, 

24 and evaluation of both community-based family 


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1 strengthening services and networks of such serv2 ices;’’; 

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

4 following: 

5 ‘‘(7) shall describe— 

6 ‘‘(A) the number of programs funded 

7 disaggregated by urban, suburban, and rural 

8 community type; 

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

10 served under each such program disaggregated 

11 by urban, suburban, and rural community type; 

12 and 

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

14 with outside entities and the services such out15 side entities provide;’’; 

16 (7) in paragraph (8)— 

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

18 ‘‘partnership with’’; and 

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

20 inserting ‘‘; and’’; and 

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

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

23 evidence to support the effectiveness of activities 

24 conducted under this title for the program’s in25 tended purpose, or, in instances where such evidence 


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1 is not available, shall describe barriers and chal2 lenges to developing evidence of effectiveness.’’. 

3 SEC. 207. NATIONAL NETWORK FOR COMMUNITY-BASED 

4 FAMILY RESOURCE PROGRAMS. 

5 Section 207 of the Child Abuse Prevention and 

6 Treatment Act (42 U.S.C. 5116fg) is amended— 

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

8 striking ‘‘such sums as may be necessary’’ and in9 serting ‘‘not more than 5 percent’’; and 

10 (2) in paragraph (3), by striking ‘‘community11 based and prevention-focused programs and activi12 ties designed to strengthen and support families’’ 

13 and inserting ‘‘community-based family strength14 ening services designed’’. 

15 SEC. 208. DEFINITIONS. 

16 Section 208 of the Child Abuse Prevention and 

17 Treatment Act (42 U.S.C. 5116h) is amended— 

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

19 paragraphs (2) and (1), respectively; and 

20 (2) by striking paragraph (1) (as so redesig21 nated) and inserting the following: 

22 ‘‘(1) COMMUNITY-BASED FAMILY STRENGTH23 ENING SERVICES.—The term ‘community-based fam24 ily strengthening services’ includes organizations 

25 such as family resource programs, family support 


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1 programs, voluntary home visiting programs, respite 

2 care services, parenting education, mutual support 

3 groups for parents, children, and youth, parent part4 ner programs, and other community programs or 

5 networks of such programs that provide activities 

6 that are designed to prevent child abuse and ne7 glect.’’. 

8 SEC. 209. RULE OF CONSTRUCTION. 

9 (a) IN GENERAL.—Title II of the Child Abuse Pre10 vention and Treatment Act (42 U.S.C. 5116 et seq.) is 

11 amended— 

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

13 and 

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

15 ‘‘SEC. 209. RULE OF CONSTRUCTION. 

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

17 grandparents, kinship care providers, foster parents, adop18 tive parents, or any other individual in a parenting role 

19 from receiving or participating in services and programs 

20 under this title.’’. 

21 (b) CONFORMING AMENDMENT.—The table of con22 tents in section 1(b) of the Child Abuse Prevention and 

23 Treatment Act is amended by striking the item relating 

24 to section 209 and inserting the following: 

‘‘Sec. 209. Rule of construction. 

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


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1 SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 

2 Section 210 of the Child Abuse Prevention and 

3 Treatment Act (42 U.S.C. 5116 et seq.), as redesignated 

4 by section 209 of this Act, is amended— 

5 (1) by striking ‘‘There are’’ and inserting the 

6 following: 

7 ‘‘(a) IN GENERAL.—There are’’; 

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

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

10 $270,000,000 for fiscal year 2020’’; 

11 (3) by striking ‘‘2011 through 2015’’ and in12 serting ‘‘2021 through 2025’’; and 

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

14 ‘‘(b) TREATMENT OF NON-FEDERAL FUNDS IN CER15 TAIN FISCAL YEARS.—For any fiscal year for which the 

16 amount appropriated under subsection (a) exceeds the 

17 amount appropriated under such subsection for fiscal year 

18 2019, the Secretary shall consider non-Federal funds and 

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

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

21 SEC. 211. STUDY AND REPORT. 

22 (a) STUDY RELATING TO NEW PREVENTION PRO23 GRAMS.— 

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

25 the United States shall complete a study, using data 

26 reported by States to the Secretary of Health and 


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1 Human Services under section 206 of the Child 

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

3 5116f), as amended by this Act— 

4 (A) to determine how many families and 

5 children in the first 3 years after the date of 

6 the enactment of this Act are served annually 

7 through programs funded under title II of the 

8 Child Abuse Prevention and Treatment Act (42 

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

10 (B) to compare the number of such fami11 lies and children served annually in the first 3 

12 years after the date of the enactment of this 

13 Act to the number of such families and children 

14 served in fiscal year 2019. 

15 (2) CONTENTS.—The study required under 

16 paragraph (1) shall include the following for each of 

17 the first 3 years after the date of the enactment of 

18 this Act: 

19 (A) An examination of how many families 

20 received evidence-based programming under 

21 title II of the Child Abuse Prevention and 

22 Treatment Act (42 U.S.C. 5116 et seq.). 

23 (B) An examination of the extent to which 

24 local programs conduct evaluations using funds 


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1 provided under such title and the findings of 

2 such evaluations. 

3 (C) An examination of whether findings of 

4 effectiveness in evaluation studies vary by 

5 urban, suburban, or rural community type. 

6 (D) An examination of whether programs 

7 partnering with other entities are more effective 

8 than those that do not partner with other enti9 ties. 

10 (E) An examination of barriers to imple11 ment evidence-based programming or to con12 duct evaluations in instances where such activi13 ties do not occur. 

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

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

16 the United States shall submit to the Committee on 

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

18 the Committee on Education and Labor of the House of 

19 Representatives a report that contains the results of the 

20 study conducted under paragraph (1). 


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1 TITLE III—ADOPTION 

2 OPPORTUNITIES 

3 SEC. 301. PURPOSE. 

4 Section 201 of the Child Abuse Prevention and 

5 Treatment and Adoption Reform Act of 1978 (42 U.S.C. 

6 5111) is amended— 

7 (1) in the heading, by striking ‘‘CONGRES8 SIONAL FINDINGS AND DECLARATION OF PUR9 POSE’’ and inserting ‘‘PURPOSE’’; 

10 (2) by striking subsection (a); and 

11 (3) in subsection (b)— 

12 (A) by striking ‘‘(b) PURPOSE.—’’; 

13 (B) in the matter preceding paragraph (1), 

14 by inserting ‘‘sexual and gender minority 

15 youth’’ after ‘‘particularly older children, minor16 ity children,’’; and 

17 (C) in paragraph (1), by inserting ‘‘serv18 ices and,’’ after ‘‘post-legal adoption’’. 

19 SEC. 302. REPORT AND GUIDANCE ON UNREGULATED CUS20 TODY TRANSFERS. 

21 The Child Abuse Prevention and Treatment and 

22 Adoption Reform Act of 1978 (42 U.S.C. 5111 et seq.) 

23 is amended by inserting after section 201 the following: 


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1 ‘‘SEC. 202. REPORT AND GUIDANCE ON UNREGULATED CUS2 TODY TRANSFERS. 

3 ‘‘(a) SENSE OF CONGRESS.—It is the sense of Con4 gress that: 

5 ‘‘(1) Some adopted children may be at risk of 

6 experiencing an unregulated custody transfer be7 cause the challenges associated with adoptions (in8 cluding the child’s mental health needs and the dif9 ficulties many families face in acquiring support 

10 services) may lead families to seek out unregulated 

11 custody transfers. 

12 ‘‘(2) Some adopted children experience trauma, 

13 and the disruption and placement in another home 

14 by unregulated custody transfer creates additional 

15 trauma and instability for children. 

16 ‘‘(3) Children who experience an unregulated 

17 custody transfer may be placed with families who 

18 have not completed required child welfare or crimi19 nal background checks or clearances. 

20 ‘‘(4) Social services agencies and courts are 

21 often unaware of the placement of children through 

22 unregulated custody transfer and therefore do not 

23 conduct assessments on the child’s safety and well24 being in such placements. 


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1 ‘‘(5) Such lack of placement oversight places a 

2 child at risk for future abuse and increases the 

3 chance that the child may experience— 

4 ‘‘(A) abuse or neglect; 

5 ‘‘(B) contact with unsafe adults or youth; 

6 and 

7 ‘‘(C) exposure to unsafe or isolated envi8 ronments. 

9 ‘‘(6) The caregivers with whom a child is placed 

10 through unregulated custody transfer often have no 

11 legal responsibility with respect to such child, plac12 ing the child at risk for additional unregulated cus13 tody transfers. 

14 ‘‘(7) Such caregivers also may not have com15 plete records with respect to such child, including 

16 the child’s birth, medical, or immigration records. 

17 ‘‘(8) A child adopted through intercountry 

18 adoption may be at risk of not acquiring United 

19 States citizenship if an unregulated custody transfer 

20 occurs before the adoptive parents complete all nec21 essary steps to finalize the adoption of such child. 

22 ‘‘(9) Engaging in, or offering to engage in, un23 regulated custody transfer places children at risk of 

24 harm. 

25 ‘‘(b) REPORT TO CONGRESS.— 


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1 ‘‘(1) IN GENERAL.—Not later than 1 year after 

2 the date of the enactment of this section, the Sec3 retary of Health and Human Services shall provide 

4 to the Committee on Education and Labor of the 

5 House of Representatives, the Committee on Ways 

6 and Means of the House of Representatives, and the 

7 Committee on Health, Education, Labor, and Pen8 sions of the Senate a report on unregulated custody 

9 transfers of children, including of adopted children. 

10 ‘‘(2) ELEMENTS.—The report required under 

11 paragraph (1) shall include— 

12 ‘‘(A) the causes, methods, and characteris13 tics of unregulated custody transfers, including 

14 the use of social media and the internet; 

15 ‘‘(B) the effects of unregulated custody 

16 transfer on children, including the lack of as17 sessment of a child’s safety and well-being by 

18 social services agencies and courts due to such 

19 unregulated custody transfer; 

20 ‘‘(C) the prevalence of unregulated custody 

21 transfers within each State and across all 

22 States; and 

23 ‘‘(D) recommended policies for preventing, 

24 identifying, and responding to unregulated cusVerDate Sep 11 2014 21:50 May 06, 2019 Jkt 089200 PO 00000 Frm 00087 Fmt 6652 Sfmt 6201 E:\BILLS\H2480.IH H2480

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1 tody transfers, including of adopted children, 

2 that include— 

3 ‘‘(i) amendments to Federal and State 

4 law to address unregulated custody trans5 fers; 

6 ‘‘(ii) amendments to child protection 

7 practices to address unregulated custody 

8 transfers; and 

9 ‘‘(iii) methods of providing the public 

10 information regarding adoption and child 

11 protection. 

12 ‘‘(c) GUIDANCE TO STATES.— 

13 ‘‘(1) IN GENERAL.—Not later than 180 days 

14 after the date specified in subsection (b)(1), the Sec15 retary shall issue guidance and technical assistance 

16 to States related to preventing, identifying, and re17 sponding to unregulated custody transfers, including 

18 of adopted children. 

19 ‘‘(2) ELEMENTS.—The guidance required under 

20 paragraph (1) shall include— 

21 ‘‘(A) education materials related to pre22 venting, identifying, and responding to unregu23 lated custody transfers for employees of State, 

24 local, and Tribal agencies that provide child 

25 welfare services; 


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1 ‘‘(B) guidance on appropriate pre-adoption 

2 education and post-adoption services for domes3 tic and international adoptive families to pro4 mote child permanency; and 

5 ‘‘(C) the assistance available through the 

6 National Resource Center for Special Needs 

7 Adoption under section 203(b)(9). 

8 ‘‘(d) DEFINITIONS.—In this section: 

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

10 the several States, the District of Columbia, and any 

11 commonwealth, territory, or possession of the United 

12 States. 

13 ‘‘(2) UNREGULATED CUSTODY TRANSFER.— 

14 The term ‘unregulated custody transfer’ means the 

15 abandonment of a child, by the child’s parent, legal 

16 guardian, or a person or entity acting on behalf, and 

17 with the consent, of such parent or guardian— 

18 ‘‘(A) by placing a child with a person who 

19 is not— 

20 ‘‘(i) the child’s parent, step-parent, 

21 grandparent, adult sibling, legal guardian, 

22 or other adult relative; 

23 ‘‘(ii) a friend of the family who is an 

24 adult and with whom the child is familiar; 

25 or 


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1 ‘‘(iii) a member of the Federally rec2 ognized Indian tribe of which the child is 

3 also a member; 

4 ‘‘(B) with the intent of severing the rela5 tionship between the child and the parent or 

6 guardian of such child; and 

7 ‘‘(C) without— 

8 ‘‘(i) reasonably ensuring the safety of 

9 the child and permanency of the placement 

10 of the child, including by conducting an of11 ficial home study, background check, and 

12 supervision; and 

13 ‘‘(ii) transferring the legal rights and 

14 responsibilities of parenthood or guardian15 ship under applicable Federal and State 

16 law to a person described in subparagraph 

17 (A).’’. 

18 SEC. 303. INFORMATION AND SERVICES. 

19 (a) NATIONAL RESOURCE CENTER FOR SPECIAL

20 NEEDS ADOPTION.—Section 203(b)(9) of the Child Abuse 

21 Prevention and Treatment and Adoption Reform Act of 

22 1978 (42 U.S.C. 5113(b)(9)) is amended by inserting ‘‘not 

23 later than 2 years after the date of the enactment of the 

24 Stronger Child Abuse Prevention and Treatment Act, es25 tablish and’’ before ‘‘maintain’’. 


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1 (b) PLACEMENT WITH ADOPTIVE FAMILIES.—Sec2 tion 203(b)(11)(C) of the Child Abuse Prevention and 

3 Treatment and Adoption Reform Act of 1978 (42 U.S.C. 

4 5113(b)(11)(C)) is amended by striking ‘‘such children’’ 

5 and inserting ‘‘the children and youth described in the 

6 matter preceding paragraph (1) of section 201’’. 

7 (c) PRE-ADOPTION SERVICES.—Section 203(c)(1) of 

8 the Child Abuse Prevention and Treatment and Adoption 

9 Reform Act of 1978 (42 U.S.C. 5113(c)(1)) is amended 

10 by striking ‘‘post’’ and inserting ‘‘pre- and post-’’. 

11 (d) SERVICES.—Section 203(c)(2) of the Child Abuse 

12 Prevention and Treatment and Adoption Reform Act of 

13 1978 (42 U.S.C. 5113(c)(2)) is amended by inserting 

14 ‘‘and the development of such services,’’ after ‘‘not sup15 plant, services’’. 

16 (e) ELIMINATION OF BARRIERS TO ADOPTION

17 ACROSS JURISDICTIONAL BOUNDARIES.—Section 

18 203(e)(1) of the Child Abuse Prevention and Treatment 

19 and Adoption Reform Act of 1978 (42 U.S.C. 5113(e)(1)) 

20 is amended— 

21 (1) by striking ‘‘with, States,’’ and inserting 

22 ‘‘with States, Indian Tribes,’’; and 

23 (2) by inserting ‘‘, including through the use of 

24 web-based tools such as the electronic interstate 

25 case-processing system referred to in section 437(g) 


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1 of the Social Security Act (42 U.S.C. 629g(g))’’ be2 fore the period at the end. 

3 SEC. 304. STUDY AND REPORT ON SUCCESSFUL ADOP4 TIONS. 

5 Section 204 of the Child Abuse Prevention and 

6 Treatment and Adoption Reform Act of 1978 (42 U.S.C. 

7 5114) is amended to read as follows: 

8 ‘‘SEC. 204. STUDY AND REPORT ON SUCCESSFUL ADOP9 TIONS. 

10 ‘‘(a) STUDY.—The Secretary shall conduct a study 

11 (directly or by grant to, or contract with, public or private 

12 nonprofit research agencies or organizations) on adoption 

13 outcomes and the factors affecting those outcomes. 

14 ‘‘(b) REPORT.—Not later than the date that is 36 

15 months after the date of the enactment of the Stronger 

16 Child Abuse Prevention and Treatment Act the Secretary 

17 shall submit a report to Congress that includes the results 

18 of the study required under subsection (a).’’. 

19 SEC. 305. AUTHORIZATION OF APPROPRIATIONS. 

20 Section 205(a) of the Child Abuse Prevention and 

21 Treatment and Adoption Reform Act of 1978 (42 U.S.C. 

22 5115(a)) is amended— 

23 (1) by striking ‘‘fiscal year 2010’’ and inserting 

24 ‘‘fiscal year 2020’’; and 


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1 (2) by striking ‘‘fiscal years 2011 through 

2 2015’’ and inserting ‘‘fiscal years 2021 through 

3 2025’’. 

Æ 


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