the application for funding of the program sub-
mitted pursuant to this section most recently 
after the effective date of this paragraph in-
cludes the material described in subsection 
(e)(10). 
‘‘(B) STANDARDS FOR TRAINING APPLICA-
BLE
TO
VIRTUAL
SERVICE
DELIVERY.—The 
standards for training requirements applicable 
to virtual service delivery under a home visiting 
model shall be equivalent to those that apply to 
in-person service delivery under the model. 
‘‘(C) REPORTING REQUIREMENT.—A grant 
made under this section for the program may 
not be used for any virtual home visit during a 
year, unless the eligible entity to which the 
grant is made submits the report described in 
subsection (e)(8)(A) for the year. 
‘‘(D) VIRTUAL HOME VISIT DEFINED.—In 
this section, the term ‘virtual home visit’ means 
a visit conducted solely by use of electronic in-
formation and telecommunications technologies. 
‘‘(E) TECHNICAL
ASSISTANCE.—If the 
Secretary finds that an eligible entity has not 
complied with the assurance described in sub-
section (e)(10)(C), the Secretary shall, directly
or through grants, contracts, or cooperative 
agreements, provide the eligible entity with such 
technical assistance as is necessary to assist the 
eligible entity in doing so.’’. 
(3) 
PROGRAM
REQUIREMENT.—Section 
511(d)(3)(C) of such Act (42 U.S.C. 711(d)(3)(C)), 
as so redesignated by section 4 of this Act, is 
amended by adding at the end the following: 
‘‘(vii) If the application submitted by 
the eligible entity includes the assurance 
described in subsection (e)(10)(C) with re-
spect to the program, the program pro-
vides in-person service consistent with the 
assurances.’’. 
(4) REPORTS.—Section 511(e)(8)(A) of such 
Act (42 U.S.C. 711(e)(8)(A)) is amended by insert-
ing ‘‘, including the number of virtual home visits 
conducted under the program in the year covered by 
the report, disaggregated with respect to each home 
visiting model under which the virtual home visits 
are conducted’’ before the semicolon. 
(b) TRANSITION RULE.— 
(1) IN
GENERAL.—A virtual home visit con-
ducted before the effective date of the amendments 
made by this section under an early childhood home
visitation program funded under section 511 of the 
Social Security Act shall be considered a home visit 
for purposes of such section. 
(2) VIRTUAL HOME VISIT DEFINED.—In para-
graph (1), the term ‘‘virtual home visit’’ means a 
visit conducted solely by use of electronic informa-
tion and telecommunications technologies. 
SEC. 9. BUDGET OFFSET. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)) 
is 
amended 
by 
striking 
‘‘$7,308,000,000’’ and inserting ‘‘$4,418,000,000’’. 
SEC. 10. EFFECTIVE DATE. 
(a) IN GENERAL.—Except as provided in subsections 
(b) and (c), this Act and the amendments made by this 
Act shall take effect on October 1, 2022. 
(b) VIRTUAL HOME VISITING PROVISIONS.—The 
amendments made by section 8 shall take effect on Octo-
ber 1, 2023.
(c) BUDGET OFFSET.—The amendment made by sec-
tion 9 shall take effect on the date of the enactment of 
this Act. 
Passed the House of Representatives December 2, 
2022. 
Attest: 
Clerk.
117TH CONGRESS 
2D SESSION 
H. R. 8876 
AN ACT 
To reauthorize the Maternal, Infant, and Early 
Childhood Home Visiting program, and for other 
purposes.