II 
Calendar No. 527 
114TH CONGRESS 
2D SESSION 
H. R. 5456 
IN THE SENATE OF THE UNITED STATES 
JUNE 22, 2016 
Received; read the first time 
JUNE 23, 2016 
Read the second time and placed on the calendar 
AN ACT 
To amend parts B and E of title IV of the Social Security 
Act to invest in funding prevention and family services 
to help keep children safe and supported at home, to 
ensure that children in foster care are placed in the 
least restrictive, most family-like, and appropriate set-
tings, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Family First Preven-
tion Services Act of 2016’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents for this Act is as follows: 
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Sec. 1. Short title. 
Sec. 2. Table of contents. 
TITLE I—INVESTING IN PREVENTION AND FAMILY SERVICES 
Sec. 101. Purpose. 
Subtitle A—Prevention Activities Under Title IV–E 
Sec. 111. Foster care prevention services and programs. 
Sec. 112. Foster care maintenance payments for children with parents in a li-
censed residential family-based treatment facility for substance 
abuse. 
Sec. 113. Title IV–E payments for evidence-based kinship navigator programs. 
Subtitle B—Enhanced Support Under Title IV–B 
Sec. 121. Elimination of time limit for family reunification services while in fos-
ter care and permitting time-limited family reunification serv-
ices when a child returns home from foster care. 
Sec. 122. Reducing bureaucracy and unnecessary delays when placing children 
in homes across State lines. 
Sec. 123. Enhancements to grants to improve well-being of families affected by 
substance abuse. 
Subtitle C—Miscellaneous 
Sec. 131. Reviewing and improving licensing standards for placement in a rel-
ative foster family home. 
Sec. 132. Development of a statewide plan to prevent child abuse and neglect 
fatalities. 
Sec. 133. Modernizing the title and purpose of title IV–E. 
Sec. 134. Effective dates. 
TITLE II—ENSURING THE NECESSITY OF A PLACEMENT THAT IS 
NOT IN A FOSTER FAMILY HOME 
Sec. 201. Limitation on Federal financial participation for placements that are 
not in foster family homes. 
Sec. 202. Assessment and documentation of the need for placement in a quali-
fied residential treatment program. 
Sec. 203. Protocols to prevent inappropriate diagnoses. 
Sec. 204. Additional data and reports regarding children placed in a setting 
that is not a foster family home. 
Sec. 205. Effective dates; application to waivers. 
TITLE III—CONTINUING SUPPORT FOR CHILD AND FAMILY 
SERVICES 
Sec. 301. Supporting and retaining foster families for children. 
Sec. 302. Extension of child and family services programs. 
Sec. 303. Improvements to the John H. Chafee Foster Care Independence Pro-
gram and related provisions. 
TITLE IV—CONTINUING INCENTIVES TO STATES TO PROMOTE 
ADOPTION AND LEGAL GUARDIANSHIP 
Sec. 401. Reauthorizing adoption and legal guardianship incentive programs. 
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TITLE V—TECHNICAL CORRECTIONS 
Sec. 501. Technical corrections to data exchange standards to improve program 
coordination. 
Sec. 502. Technical corrections to State requirement to address the develop-
mental needs of young children. 
TITLE VI—ENSURING STATES REINVEST SAVINGS RESULTING 
FROM INCREASE IN ADOPTION ASSISTANCE 
Sec. 601. Delay of adoption assistance phase-in. 
Sec. 602. GAO study and report on State reinvestment of savings resulting 
from increase in adoption assistance. 
TITLE I—INVESTING IN PREVEN-
TION AND FAMILY SERVICES 
SEC. 101. PURPOSE. 
The purpose of this title is to enable States to use 
Federal funds available under parts B and E of title IV 
of the Social Security Act to provide enhanced support to 
children and families and prevent foster care placements 
through the provision of mental health and substance 
abuse prevention and treatment services, in-home parent 
skill-based programs, and kinship navigator services. 
Subtitle A—Prevention Activities 
Under Title IV–E 
SEC. 111. FOSTER CARE PREVENTION SERVICES AND PRO-
GRAMS. 
(a) STATE OPTION.—Section 471 of the Social Secu-
rity Act (42 U.S.C. 671) is amended— 
(1) in subsection (a)(1), by striking ‘‘and’’ and 
all that follows through the semicolon and inserting 
‘‘, adoption assistance in accordance with section 
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473, and, at the option of the State, services or pro-
grams specified in subsection (e)(1) of this section 
for children who are candidates for foster care or 
who are pregnant or parenting foster youth and the 
parents or kin caregivers of the children, in accord-
ance with the requirements of that subsection;’’; and 
(2) by adding at the end the following: 
‘‘(e) PREVENTION AND FAMILY SERVICES AND PRO-
GRAMS.— 
‘‘(1) IN GENERAL.—Subject to the succeeding 
provisions of this subsection, the Secretary may 
make a payment to a State for providing the fol-
lowing services or programs for a child described in 
paragraph (2) and the parents or kin caregivers of 
the child when the need of the child, such a parent, 
or such a caregiver for the services or programs are 
directly related to the safety, permanence, or well- 
being of the child or to preventing the child from en-
tering foster care: 
‘‘(A) MENTAL
HEALTH
AND
SUBSTANCE 
ABUSE
PREVENTION
AND
TREATMENT
SERV-
ICES.—Mental health and substance abuse pre-
vention and treatment services provided by a 
qualified clinician for not more than a 12- 
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month period that begins on any date described 
in paragraph (3) with respect to the child. 
‘‘(B) IN-HOME PARENT SKILL-BASED PRO-
GRAMS.—In-home parent skill-based programs 
for not more than a 12-month period that be-
gins on any date described in paragraph (3) 
with respect to the child and that include par-
enting skills training, parent education, and in-
dividual and family counseling. 
‘‘(2) CHILD
DESCRIBED.—For purposes of 
paragraph (1), a child described in this paragraph is 
the following: 
‘‘(A) A child who is a candidate for foster 
care (as defined in section 475(13)) but can re-
main safely at home or in a kinship placement 
with receipt of services or programs specified in 
paragraph (1). 
‘‘(B) A child in foster care who is a preg-
nant or parenting foster youth. 
‘‘(3) DATE DESCRIBED.—For purposes of para-
graph (1), the dates described in this paragraph are 
the following: 
‘‘(A) The date on which a child is identi-
fied in a prevention plan maintained under 
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paragraph (4) as a child who is a candidate for 
foster care (as defined in section 475(13)). 
‘‘(B) The date on which a child is identi-
fied in a prevention plan maintained under 
paragraph (4) as a pregnant or parenting foster 
youth in need of services or programs specified 
in paragraph (1). 
‘‘(4) REQUIREMENTS RELATED TO PROVIDING 
SERVICES AND PROGRAMS.—Services and programs 
specified in paragraph (1) may be provided under 
this subsection only if specified in advance in the 
child’s prevention plan described in subparagraph 
(A) and the requirements in subparagraphs (B) 
through (E) are met: 
‘‘(A) 
PREVENTION
PLAN.—The 
State 
maintains a written prevention plan for the 
child that meets the following requirements (as 
applicable): 
‘‘(i) CANDIDATES.—In the case of a 
child who is a candidate for foster care de-
scribed in paragraph (2)(A), the prevention 
plan shall— 
‘‘(I) identify the foster care pre-
vention strategy for the child so that 
the child may remain safely at home, 
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live temporarily with a kin caregiver 
until 
reunification 
can 
be 
safely 
achieved, or live permanently with a 
kin caregiver; 
‘‘(II) list the services or pro-
grams to be provided to or on behalf 
of the child to ensure the success of 
that prevention strategy; and 
‘‘(III) comply with such other re-
quirements as the Secretary shall es-
tablish. 
‘‘(ii) PREGNANT OR PARENTING FOS-
TER YOUTH.—In the case of a child who is 
a pregnant or parenting foster youth de-
scribed in paragraph (2)(B), the preven-
tion plan shall— 
‘‘(I) be included in the child’s 
case plan required under section 
475(1); 
‘‘(II) list the services or pro-
grams to be provided to or on behalf 
of the youth to ensure that the youth 
is prepared (in the case of a pregnant 
foster youth) or able (in the case of a 
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parenting foster youth) to be a par-
ent; 
‘‘(III) describe the foster care 
prevention strategy for any child born 
to the youth; and 
‘‘(IV) comply with such other re-
quirements as the Secretary shall es-
tablish. 
‘‘(B) TRAUMA-INFORMED.—The services or 
programs to be provided to or on behalf of a 
child are provided under an organizational 
structure and treatment framework that in-
volves understanding, recognizing, and respond-
ing to the effects of all types of trauma and in 
accordance with recognized principles of a trau-
ma-informed 
approach 
and 
trauma-specific 
interventions to address trauma’s consequences 
and facilitate healing. 
‘‘(C) ONLY SERVICES AND PROGRAMS PRO-
VIDED IN ACCORDANCE WITH PROMISING, SUP-
PORTED, OR WELL-SUPPORTED PRACTICES PER-
MITTED.— 
‘‘(i) IN
GENERAL.—Only State ex-
penditures for services or programs speci-
fied in subparagraph (A) or (B) of para-
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graph (1) that are provided in accordance 
with practices that meet the requirements 
specified in clause (ii) of this subparagraph 
and that meet the requirements specified 
in clause (iii), (iv), or (v), respectively, for 
being a promising, supported, or well-sup-
ported practice, shall be eligible for a Fed-
eral matching payment under section 
474(a)(6)(A). 
‘‘(ii) GENERAL
PRACTICE
REQUIRE-
MENTS.—The general practice require-
ments specified in this clause are the fol-
lowing: 
‘‘(I) The practice has a book, 
manual, or other available writings 
that specify the components of the 
practice protocol and describe how to 
administer the practice. 
‘‘(II) There is no empirical basis 
suggesting that, compared to its likely 
benefits, the practice constitutes a 
risk of harm to those receiving it. 
‘‘(III) If multiple outcome studies 
have been conducted, the overall 
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weight of evidence supports the bene-
fits of the practice. 
‘‘(IV) Outcome measures are reli-
able and valid, and are administrated 
consistently and accurately across all 
those receiving the practice. 
‘‘(V) There is no case data sug-
gesting a risk of harm that was prob-
ably caused by the treatment and that 
was severe or frequent. 
‘‘(iii) PROMISING PRACTICE.—A prac-
tice shall be considered to be a ‘promising 
practice’ if the practice is superior to an 
appropriate comparison practice using con-
ventional standards of statistical signifi-
cance (in terms of demonstrated meaning-
ful improvements in validated measures of 
important child and parent outcomes, such 
as mental health, substance abuse, and 
child safety and well-being), as established 
by the results or outcomes of at least one 
study that— 
‘‘(I) was rated by an independent 
systematic review for the quality of 
the study design and execution and 
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determined to be well-designed and 
well-executed; and 
‘‘(II) utilized some form of con-
trol (such as an untreated group, a 
placebo group, or a wait list study). 
‘‘(iv) SUPPORTED PRACTICE.—A prac-
tice shall be considered to be a ‘supported 
practice’ if— 
‘‘(I) the practice is superior to an 
appropriate comparison practice using 
conventional standards of statistical 
significance (in terms of demonstrated 
meaningful improvements in validated 
measures of important child and par-
ent outcomes, such as mental health, 
substance abuse, and child safety and 
well-being), as established by the re-
sults or outcomes of at least one study 
that— 
‘‘(aa) was rated by an inde-
pendent systematic review for the 
quality of the study design and 
execution and determined to be 
well-designed and well-executed; 
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‘‘(bb) was a rigorous ran-
dom-controlled trial (or, if not 
available, a study using a rig-
orous 
quasi-experimental 
re-
search design); and 
‘‘(cc) was carried out in a 
usual care or practice setting; 
and 
‘‘(II) the study described in sub-
clause (I) established that the practice 
has a sustained effect (when com-
pared to a control group) for at least 
6 months beyond the end of the treat-
ment. 
‘‘(v) WELL-SUPPORTED PRACTICE.—A 
practice shall be considered to be a ‘well- 
supported practice’ if— 
‘‘(I) the practice is superior to an 
appropriate comparison practice using 
conventional standards of statistical 
significance (in terms of demonstrated 
meaningful improvements in validated 
measures of important child and par-
ent outcomes, such as mental health, 
substance abuse, and child safety and 
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well-being), as established by the re-
sults or outcomes of at least two stud-
ies that— 
‘‘(aa) were rated by an inde-
pendent systematic review for the 
quality of the study design and 
execution and determined to be 
well-designed and well-executed; 
‘‘(bb) were rigorous random- 
controlled trials (or, if not avail-
able, studies using a rigorous 
quasi-experimental research de-
sign); and 
‘‘(cc) were carried out in a 
usual care or practice setting; 
and 
‘‘(II) at least one of the studies 
described in subclause (I) established 
that the practice has a sustained ef-
fect (when compared to a control 
group) for at least 1 year beyond the 
end of treatment. 
‘‘(D) GUIDANCE ON PRACTICES CRITERIA 
AND
PRE-APPROVED
SERVICES
AND
PRO-
GRAMS.— 
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‘‘(i) IN GENERAL.—Not later than Oc-
tober 1, 2018, the Secretary shall issue 
guidance to States regarding the practices 
criteria required for services or programs 
to satisfy the requirements of subpara-
graph (C). The guidance shall include a 
pre-approved list of services and programs 
that satisfy the requirements. 
‘‘(ii) UPDATES.—The Secretary shall 
issue updates to the guidance required by 
clause (i) as often as the Secretary deter-
mines necessary. 
‘‘(E) OUTCOME ASSESSMENT AND REPORT-
ING.—The State shall collect and report to the 
Secretary the following information with respect 
to each child for whom, or on whose behalf 
mental health and substance abuse prevention 
and treatment services or in-home parent skill- 
based programs are provided during a 12- 
month period beginning on the date the child is 
determined by the State to be a child described 
in paragraph (2): 
‘‘(i) The specific services or programs 
provided and the total expenditures for 
each of the services or programs. 
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‘‘(ii) The duration of the services or 
programs provided. 
‘‘(iii) In the case of a child described 
in paragraph (2)(A), the child’s placement 
status at the beginning, and at the end, of 
the 1-year period, respectively, and wheth-
er the child entered foster care within 2 
years after being determined a candidate 
for foster care. 
‘‘(5) STATE PLAN COMPONENT.— 
‘‘(A) IN
GENERAL.—A State electing to 
provide services or programs specified in para-
graph (1) shall submit as part of the State plan 
required by subsection (a) a prevention services 
and programs plan component that meets the 
requirements of subparagraph (B). 
‘‘(B) PREVENTION
SERVICES
AND
PRO-
GRAMS PLAN COMPONENT.—In order to meet 
the requirements of this subparagraph, a pre-
vention services and programs plan component, 
with respect to each 5-year period for which the 
plan component is in operation in the State, 
shall include the following: 
‘‘(i) How providing services and pro-
grams specified in paragraph (1) is ex-
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pected to improve specific outcomes for 
children and families. 
‘‘(ii) How the State will monitor and 
oversee the safety of children who receive 
services and programs specified in para-
graph (1), including through periodic risk 
assessments throughout the period in 
which the services and programs are pro-
vided on behalf of a child and reexamina-
tion of the prevention plan maintained for 
the child under paragraph (4) for the pro-
vision of the services or programs if the 
State determines the risk of the child en-
tering foster care remains high despite the 
provision of the services or programs. 
‘‘(iii) With respect to the services and 
programs specified in subparagraphs (A) 
and (B) of paragraph (1), information on 
the specific promising, supported, or well- 
supported practices the State plans to use 
to provide the services or programs, includ-
ing a description of— 
‘‘(I) the services or programs and 
whether the practices used are prom-
ising, supported, or well-supported; 
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‘‘(II) how the State plans to im-
plement the services or programs, in-
cluding how implementation of the 
services or programs will be continu-
ously monitored to ensure fidelity to 
the practice model and to determine 
outcomes achieved and how informa-
tion learned from the monitoring will 
be used to refine and improve prac-
tices; 
‘‘(III) how the State selected the 
services or programs; 
‘‘(IV) the target population for 
the services or programs; and 
‘‘(V) how each service or pro-
gram provided will be evaluated 
through a well-designed and rigorous 
process, which may consist of an on-
going, cross-site evaluation approved 
by the Secretary. 
‘‘(iv) A description of the consultation 
that the State agencies responsible for ad-
ministering the State plans under this part 
and part B engage in with other State 
agencies 
responsible 
for 
administering 
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health programs, including mental health 
and substance abuse prevention and treat-
ment services, and with other public and 
private agencies with experience in admin-
istering child and family services, including 
community-based organizations, in order to 
foster a continuum of care for children de-
scribed in paragraph (2) and their parents 
or kin caregivers. 
‘‘(v) A description of how the State 
shall assess children and their parents or 
kin caregivers to determine eligibility for 
services or programs specified in para-
graph (1). 
‘‘(vi) A description of how the services 
or programs specified in paragraph (1) 
that are provided for or on behalf of a 
child and the parents or kin caregivers of 
the child will be coordinated with other 
child and family services provided to the 
child and the parents or kin caregivers of 
the child under the State plan under part 
B. 
‘‘(vii) Descriptions of steps the State 
is taking to support and enhance a com-
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petent, skilled, and professional child wel-
fare workforce to deliver trauma-informed 
and evidence-based services, including— 
‘‘(I) ensuring that staff is quali-
fied to provide services or programs 
that are consistent with the prom-
ising, supported, or well-supported 
practice models selected; and 
‘‘(II) developing appropriate pre-
vention plans, and conducting the risk 
assessments required under clause 
(iii). 
‘‘(viii) A description of how the State 
will provide training and support for case-
workers in assessing what children and 
their families need, connecting to the fami-
lies served, knowing how to access and de-
liver the needed trauma-informed and evi-
dence-based services, and overseeing and 
evaluating the continuing appropriateness 
of the services. 
‘‘(ix) A description of how caseload 
size and type for prevention caseworkers 
will be determined, managed, and overseen. 
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‘‘(x) An assurance that the State will 
report to the Secretary such information 
and data as the Secretary may require 
with respect to the provision of services 
and programs specified in paragraph (1), 
including information and data necessary 
to determine the performance measures for 
the State under paragraph (6) and compli-
ance with paragraph (7). 
‘‘(C) 
REIMBURSEMENT
FOR
SERVICES 
UNDER THE PREVENTION PLAN COMPONENT.— 
‘‘(i) LIMITATION.—Except as provided 
in subclause (ii), a State may not receive 
a Federal payment under this part for a 
given promising, supported, or well-sup-
ported practice unless (in accordance with 
subparagraph (B)(iii)(V)) the plan includes 
a well-designed and rigorous evaluation 
strategy for that practice. 
‘‘(ii) WAIVER
OF
LIMITATION.—The 
Secretary may waive the requirement for a 
well-designed and rigorous evaluation of 
any well-supported practice if the Sec-
retary deems the evidence of the effective-
ness of the practice to be compelling and 
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the State meets the continuous quality im-
provement requirements included in sub-
paragraph (B)(iii)(II) with regard to the 
practice. 
‘‘(6) PREVENTION SERVICES MEASURES.— 
‘‘(A) 
ESTABLISHMENT; 
ANNUAL
UP-
DATES.—Beginning with fiscal year 2021, and 
annually thereafter, the Secretary shall estab-
lish the following prevention services measures 
based on information and data reported by 
States that elect to provide services and pro-
grams specified in paragraph (1): 
‘‘(i) PERCENTAGE
OF
CANDIDATES 
FOR FOSTER CARE WHO DO NOT ENTER 
FOSTER
CARE.—The percentage of can-
didates for foster care for whom, or on 
whose behalf, the services or programs are 
provided who do not enter foster care, in-
cluding those placed with a kin caregiver 
outside of foster care, during the 12-month 
period in which the services or programs 
are provided and through the end of the 
succeeding 12-month-period. 
‘‘(ii) 
PER-CHILD
SPENDING.—The 
total amount of expenditures made for 
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mental health and substance abuse preven-
tion and treatment services or in-home 
parent skill-based programs, respectively, 
for, or on behalf of, each child described in 
paragraph (2). 
‘‘(B) DATA.—The Secretary shall establish 
and annually update the prevention services 
measures— 
‘‘(i) based on the median State values 
of the information reported under each 
clause of subparagraph (A) for the 3 then 
most recent years; and 
‘‘(ii) taking into account State dif-
ferences in the price levels of consumption 
goods and services using the most recent 
regional price parities published by the Bu-
reau of Economic Analysis of the Depart-
ment of Commerce or such other data as 
the Secretary determines appropriate. 
‘‘(C) PUBLICATION OF STATE PREVENTION 
SERVICES MEASURES.—The Secretary shall an-
nually make available to the public the preven-
tion services measures of each State. 
‘‘(7) MAINTENANCE
OF
EFFORT
FOR
STATE 
FOSTER CARE PREVENTION EXPENDITURES.— 
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‘‘(A) IN GENERAL.—If a State elects to 
provide services and programs specified in para-
graph (1) for a fiscal year, the State foster care 
prevention expenditures for the fiscal year shall 
not be less than the amount of the expenditures 
for fiscal year 2014. 
‘‘(B) STATE
FOSTER
CARE
PREVENTION 
EXPENDITURES.—The term ‘State foster care 
prevention expenditures’ means the following: 
‘‘(i) TANF; IV–B; SSBG.—State ex-
penditures for foster care prevention serv-
ices and activities under the State program 
funded under part A (including from 
amounts made available by the Federal 
Government), under the State plan devel-
oped under part B (including any such 
amounts), or under the Social Services 
Block Grant Programs under subtitle A of 
title XX (including any such amounts). 
‘‘(ii) OTHER
STATE
PROGRAMS.— 
State expenditures for foster care preven-
tion services and activities under any State 
program that is not described in clause (i) 
(other than any State expenditures for fos-
ter care prevention services and activities 
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under the State program under this part 
(including under a waiver of the pro-
gram)). 
‘‘(C) STATE
EXPENDITURES.—The term 
‘State expenditures’ means all State or local 
funds that are expended by the State or a local 
agency including State or local funds that are 
matched or reimbursed by the Federal Govern-
ment and State or local funds that are not 
matched or reimbursed by the Federal Govern-
ment. 
‘‘(D) DETERMINATION
OF
PREVENTION 
SERVICES
AND
ACTIVITIES.—The Secretary 
shall require each State that elects to provide 
services and programs specified in paragraph 
(1) to report the expenditures specified in sub-
paragraph (B) for fiscal year 2014 and for such 
fiscal years thereafter as are necessary to deter-
mine whether the State is complying with the 
maintenance of effort requirement in subpara-
graph (A). The Secretary shall specify the spe-
cific services and activities under each program 
referred to in subparagraph (B) that are ‘pre-
vention services and activities’ for purposes of 
the reports. 
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‘‘(8) PROHIBITION AGAINST USE OF STATE FOS-
TER CARE PREVENTION EXPENDITURES AND FED-
ERAL IV–E PREVENTION FUNDS FOR MATCHING OR 
EXPENDITURE REQUIREMENT.—A State that elects 
to provide services and programs specified in para-
graph (1) shall not use any State foster care preven-
tion expenditures for a fiscal year for the State 
share of expenditures under section 474(a)(6) for a 
fiscal year. 
‘‘(9) ADMINISTRATIVE
COSTS.—Expenditures 
described in section 474(a)(6)(B)— 
‘‘(A) shall not be eligible for payment 
under subparagraph (A), (B), or (E) of section 
474(a)(3); and 
‘‘(B) shall be eligible for payment under 
section 474(a)(6)(B) without regard to whether 
the expenditures are incurred on behalf of a 
child who is, or is potentially, eligible for foster 
care maintenance payments under this part. 
‘‘(10) APPLICATION.—The provision of services 
or programs under this subsection to or on behalf of 
a child described in paragraph (2) shall not be con-
sidered to be receipt of aid or assistance under the 
State plan under this part for purposes of eligibility 
for any other program established under this Act.’’. 
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(b) DEFINITION.—Section 475 of such Act (42 
U.S.C. 675) is amended by adding at the end the fol-
lowing: 
‘‘(13) The term ‘child who is a candidate for 
foster care’ means, a child who is identified in a pre-
vention plan under section 471(e)(4)(A) as being at 
imminent risk of entering foster care (without re-
gard to whether the child would be eligible for foster 
care maintenance payments under section 472 or is 
or would be eligible for adoption assistance or kin-
ship guardianship assistance payments under section 
473) but who can remain safely in the child’s home 
or in a kinship placement as long as services or pro-
grams specified in section 471(e)(1) that are nec-
essary to prevent the entry of the child into foster 
care are provided. The term includes a child whose 
adoption or guardianship arrangement is at risk of 
a disruption or dissolution that would result in a 
foster care placement.’’. 
(c) PAYMENTS UNDER TITLE IV–E.—Section 474(a) 
of such Act (42 U.S.C. 674(a)) is amended— 
(1) in paragraph (5), by striking the period at 
the end and inserting ‘‘; plus’’; and 
(2) by adding at the end the following: 
‘‘(6) subject to section 471(e)— 
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‘‘(A) for each quarter— 
‘‘(i) subject to clause (ii)— 
‘‘(I) beginning after September 
30, 2019, and before October 1, 2025, 
an amount equal to 50 percent of the 
total amount expended during the 
quarter for the provision of services or 
programs specified in subparagraph 
(A) or (B) of section 471(e)(1) that 
are provided in accordance with prom-
ising, supported, or well-supported 
practices that meet the applicable cri-
teria specified for the practices in sec-
tion 471(e)(4)(C); and 
‘‘(II) beginning after September 
30, 2025, an amount equal to the 
Federal medical assistance percentage 
(which shall be as defined in section 
1905(b), in the case of a State other 
than the District of Columbia, or 70 
percent, in the case of the District of 
Columbia) of the total amount ex-
pended during the quarter for the pro-
vision of services or programs speci-
fied in subparagraph (A) or (B) of 
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section 471(e)(1) that are provided in 
accordance with promising, supported, 
or well-supported practices that meet 
the applicable criteria specified for the 
practices in section 471(e)(4)(C) (or, 
with respect to the payments made 
during the quarter under a coopera-
tive agreement or contract entered 
into by the State and an Indian tribe, 
tribal organization, or tribal consor-
tium for the administration or pay-
ment of funds under this part, an 
amount equal to the Federal medical 
assistance 
percentage 
that 
would 
apply under section 479B(d) (in this 
paragraph referred to as the ‘tribal 
FMAP’) if the Indian tribe, tribal or-
ganization, or tribal consortium made 
the payments under a program oper-
ated under that section, unless the 
tribal FMAP is less than the Federal 
medical assistance percentage that ap-
plies to the State); except that 
‘‘(ii) not less than 50 percent of the 
total amount payable to a State under 
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clause (i) for a fiscal year shall be for the 
provision of services or programs specified 
in subparagraph (A) or (B) of section 
471(e)(1) that are provided in accordance 
with well-supported practices; plus 
‘‘(B) for each quarter specified in subpara-
graph (A), an amount equal to the sum of the 
following proportions of the total amount ex-
pended during the quarter: 
‘‘(i) 50 percent of so much of the ex-
penditures as are found necessary by the 
Secretary for the proper and efficient ad-
ministration of the State plan for the pro-
vision of services or programs specified in 
section 471(e)(1), including expenditures 
for activities approved by the Secretary 
that promote the development of necessary 
processes and procedures to establish and 
implement the provision of the services and 
programs for individuals who are eligible 
for the services and programs and expendi-
tures attributable to data collection and re-
porting; and 
‘‘(ii) 50 percent of so much of the ex-
penditures with respect to the provision of 
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services and programs specified in section 
471(e)(1) as are for training of personnel 
employed or preparing for employment by 
the State agency or by the local agency ad-
ministering the plan in the political sub-
division and of the members of the staff of 
State-licensed or State-approved child wel-
fare agencies providing services to children 
described in section 471(e)(2) and their 
parents or kin caregivers, including on how 
to determine who are individuals eligible 
for the services or programs, how to iden-
tify and provide appropriate services and 
programs, and how to oversee and evaluate 
the ongoing appropriateness of the services 
and programs.’’. 
(d) TECHNICAL ASSISTANCE AND BEST PRACTICES, 
CLEARINGHOUSE, AND DATA COLLECTION AND EVALUA-
TIONS.—Section 476 of such Act (42 U.S.C. 676) is 
amended by adding at the end the following: 
‘‘(d) TECHNICAL ASSISTANCE AND BEST PRACTICES, 
CLEARINGHOUSE, DATA COLLECTION, AND EVALUATIONS 
RELATING TO PREVENTION SERVICES AND PROGRAMS.— 
‘‘(1) TECHNICAL ASSISTANCE AND BEST PRAC-
TICES.—The Secretary shall provide to States and, 
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as applicable, to Indian tribes, tribal organizations, 
and tribal consortia, technical assistance regarding 
the provision of services and programs described in 
section 471(e)(1) and shall disseminate best prac-
tices with respect to the provision of the services and 
programs, including how to plan and implement a 
well-designed and rigorous evaluation of a prom-
ising, supported, or well-supported practice. 
‘‘(2) CLEARINGHOUSE
OF
PROMISING, SUP-
PORTED, AND
WELL-SUPPORTED
PRACTICES.—The 
Secretary shall, directly or through grants, con-
tracts, or interagency agreements, evaluate research 
on the practices specified in clauses (iii), (iv), and 
(v), respectively, of section 471(e)(4)(C), and pro-
grams that meet the requirements described in sec-
tion 427(a)(1), including culturally specific, or 
location- or population-based adaptations of the 
practices, to identify and establish a public clearing-
house of the practices that satisfy each category de-
scribed by such clauses. In addition, the clearing-
house shall include information on the specific out-
comes associated with each practice, including 
whether the practice has been shown to prevent child 
abuse and neglect and reduce the likelihood of foster 
care placement by supporting birth families and kin-
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ship families and improving targeted supports for 
pregnant and parenting youth and their children. 
‘‘(3) DATA COLLECTION AND EVALUATIONS.— 
The Secretary, directly or through grants, contracts, 
or interagency agreements, may collect data and 
conduct evaluations with respect to the provision of 
services and programs described in section 471(e)(1) 
for purposes of assessing the extent to which the 
provision of the services and programs— 
‘‘(A) reduces the likelihood of foster care 
placement; 
‘‘(B) increases use of kinship care arrange-
ments; or 
‘‘(C) improves child well-being. 
‘‘(4) REPORTS TO CONGRESS.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
submit to the Committee on Finance of the 
Senate and the Committee on Ways and Means 
of the House of Representatives periodic reports 
based on the provision of services and programs 
described in section 471(e)(1) and the activities 
carried out under this subsection. 
‘‘(B) PUBLIC
AVAILABILITY.—The Sec-
retary shall make the reports to Congress sub-
mitted under this paragraph publicly available. 
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‘‘(5) APPROPRIATION.—Out of any money in 
the Treasury of the United States not otherwise ap-
propriated, there is appropriated to the Secretary 
$1,000,000 for fiscal year 2016 and each fiscal year 
thereafter to carry out this subsection.’’. 
(e) APPLICATION TO PROGRAMS OPERATED BY IN-
DIAN TRIBAL ORGANIZATIONS.— 
(1) IN GENERAL.—Section 479B of such Act 
(42 U.S.C. 679c) is amended— 
(A) in subsection (c)(1)— 
(i) in subparagraph (C)(i)— 
(I) in subclause (II), by striking 
‘‘and’’ after the semicolon; 
(II) in subclause (III), by strik-
ing the period at the end and insert-
ing ‘‘; and’’; and 
(III) by adding at the end the 
following: 
‘‘(IV) at the option of the tribe, 
organization, or consortium, services 
and programs specified in section 
471(e)(1) to children described in sec-
tion 471(e)(2) and their parents or 
kin caregivers, in accordance with sec-
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tion 471(e) and subparagraph (E).’’; 
and 
(ii) by adding at the end the fol-
lowing: 
‘‘(E) PREVENTION
SERVICES
AND
PRO-
GRAMS
FOR
CHILDREN
AND
THEIR
PARENTS 
AND KIN CAREGIVERS.— 
‘‘(i) IN GENERAL.—In the case of a 
tribe, organization, or consortium that 
elects to provide services and programs 
specified in section 471(e)(1) to children 
described in section 471(e)(2) and their 
parents or kin caregivers under the plan, 
the Secretary shall specify the require-
ments applicable to the provision of the 
services and programs. The requirements 
shall, to the greatest extent practicable, be 
consistent with the requirements applicable 
to States under section 471(e) and shall 
permit the provision of the services and 
programs in the form of services and pro-
grams that are adapted to the culture and 
context of the tribal communities served. 
‘‘(ii) PERFORMANCE MEASURES.—The 
Secretary shall establish specific perform-
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ance measures for each tribe, organization, 
or consortium that elects to provide serv-
ices and programs specified in section 
471(e)(1). 
The 
performance 
measures 
shall, to the greatest extent practicable, be 
consistent with the prevention services 
measures required for States under section 
471(e)(6) but shall allow for consideration 
of factors unique to the provision of the 
services by tribes, organizations, or con-
sortia.’’; and 
(B) in subsection (d)(1), by striking ‘‘and 
(5)’’ and inserting ‘‘(5), and (6)(A)’’. 
(2) CONFORMING AMENDMENT.—The heading 
for subsection (d) of section 479B of such Act (42 
U.S.C. 679c) is amended by striking ‘‘FOR FOSTER 
CARE MAINTENANCE AND ADOPTION ASSISTANCE 
PAYMENTS’’. 
SEC. 112. FOSTER CARE MAINTENANCE PAYMENTS FOR 
CHILDREN WITH PARENTS IN A LICENSED 
RESIDENTIAL 
FAMILY-BASED 
TREATMENT 
FACILITY FOR SUBSTANCE ABUSE. 
(a) IN GENERAL.—Section 472 of the Social Security 
Act (42 U.S.C. 672) is amended— 
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(1) in subsection (a)(2)(C), by striking ‘‘or’’ 
and inserting ‘‘, with a parent residing in a licensed 
residential family-based treatment facility, but only 
to the extent permitted under subsection (j), or in 
a’’; and 
(2) by adding at the end the following: 
‘‘(j) CHILDREN PLACED WITH A PARENT RESIDING 
IN
A LICENSED RESIDENTIAL FAMILY-BASED TREAT-
MENT FACILITY FOR SUBSTANCE ABUSE.— 
‘‘(1) IN GENERAL.—Notwithstanding the pre-
ceding provisions of this section, a child who is eligi-
ble for foster care maintenance payments under this 
section, or who would be eligible for the payments if 
the eligibility were determined without regard to 
paragraphs (1)(B) and (3) of subsection (a), shall be 
eligible for the payments for a period of not more 
than 12 months during which the child is placed 
with a parent who is in a licensed residential family- 
based treatment facility for substance abuse, but 
only if— 
‘‘(A) the recommendation for the place-
ment is specified in the child’s case plan before 
the placement; 
‘‘(B) the treatment facility provides, as 
part of the treatment for substance abuse, par-
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enting skills training, parent education, and in-
dividual and family counseling; and 
‘‘(C) the substance abuse treatment, par-
enting skills training, parent education, and in-
dividual and family counseling is provided 
under an organizational structure and treat-
ment framework that involves understanding, 
recognizing, and responding to the effects of all 
types of trauma and in accordance with recog-
nized principles of a trauma-informed approach 
and trauma-specific interventions to address the 
consequences of trauma and facilitate healing. 
‘‘(2) APPLICATION.—With respect to children 
for whom foster care maintenance payments are 
made under paragraph (1), only the children who 
satisfy the requirements of paragraphs (1)(B) and 
(3) of subsection (a) shall be considered to be chil-
dren with respect to whom foster care maintenance 
payments are made under this section for purposes 
of subsection (h) or section 473(b)(3)(B).’’. 
(b) CONFORMING AMENDMENT.—Section 474(a)(1) 
of such Act (42 U.S.C. 674(a)(1)) is amended by inserting 
‘‘subject to section 472(j),’’ before ‘‘an amount equal to 
the Federal’’ the first place it appears. 
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SEC. 113. TITLE IV–E PAYMENTS FOR EVIDENCE-BASED 
KINSHIP NAVIGATOR PROGRAMS. 
Section 474(a) of the Social Security Act (42 U.S.C. 
674(a)), as amended by section 111(c), is amended— 
(1) in paragraph (6), by striking the period at 
the end and inserting ‘‘; plus’’; and 
(2) by adding at the end the following: 
‘‘(7) an amount equal to 50 percent of the 
amounts expended by the State during the quarter 
as the Secretary determines are for kinship navi-
gator programs that meet the requirements de-
scribed in section 427(a)(1) and that the Secretary 
determines are operated in accordance with prom-
ising, supported, or well-supported practices that 
meet the applicable criteria specified for the prac-
tices in section 471(e)(4)(C), without regard to 
whether the expenditures are incurred on behalf of 
children who are, or are potentially, eligible for fos-
ter care maintenance payments under this part.’’. 
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