IIB 
114TH CONGRESS 
2D SESSION 
H. R. 4843 
IN THE SENATE OF THE UNITED STATES 
MAY 12, 2016 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend the Child Abuse Prevention and Treatment Act 
to require certain monitoring and oversight, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Infant Plan of Safe 
Care Improvement Act’’. 
SEC. 2. BEST PRACTICES FOR DEVELOPMENT OF PLANS OF 
SAFE CARE. 
Section 103(b) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5104(b)) is amended— 
(1) by redesignating paragraphs (5) through 
(8) as paragraphs (6) through (9), respectively; and 
(2) by inserting after paragraph (4), the fol-
lowing: 
‘‘(5) maintain and disseminate information 
about the requirements of section 106(b)(2)(B)(iii) 
and best practices relating to the development of 
plans of safe care as described in such section for 
infants born and identified as being affected by ille-
gal substance abuse or withdrawal symptoms, or a 
Fetal Alcohol Spectrum Disorder;’’. 
SEC. 3. STATE PLANS. 
Section 106(b)(2)(B)(iii) of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(iii)) 
is amended by inserting before the semicolon at the end 
the following: ‘‘to ensure the safety and well-being of such 
infant following release from the care of healthcare pro-
viders, including through—’’ 
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‘‘(I) addressing the health and 
substance 
use 
disorder 
treatment 
needs of the infant and affected fam-
ily or caregiver; and 
‘‘(II) the development and imple-
mentation by the State of monitoring 
systems regarding the implementation 
of such plans to determine whether 
and in what manner local entities are 
providing, in accordance with State 
requirements, referrals to and delivery 
of appropriate services for the infant 
and affected family or caregiver’’. 
SEC. 4. DATA REPORTS. 
(a) IN GENERAL.—Section 106(d) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106a(d)) is 
amended by adding at the end of the following: 
‘‘(17)(A) The number of infants identified 
under subsection (b)(2)(B)(ii). 
‘‘(B) The number of infants for whom a plan 
of safe care was developed under subsection 
(b)(2)(B)(iii). 
‘‘(C) The number of infants for whom a referral 
was made for appropriate services, including services 
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for the affected family or caregiver, under subsection 
(b)(2)(B)(iii).’’. 
(b) REDESIGNATION.—Effective on May 29, 2017, 
section 106(d) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(d)) is amended by redesig-
nating paragraph (17) (as added by subsection (a)) as 
paragraph (18). 
SEC. 5. MONITORING AND OVERSIGHT. 
(a) AMENDMENT.—Title I of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5101 et seq.) is fur-
ther amended by adding at the end the following: 
‘‘SEC. 114. MONITORING AND OVERSIGHT. 
‘‘The Secretary shall conduct monitoring to ensure 
that each State that receives a grant under section 106 
is in compliance with the requirements of section 106(b), 
which— 
‘‘(1) shall— 
‘‘(A) be in addition to the review of the 
State plan upon its submission under section 
106(b)(1)(A); and 
‘‘(B) include monitoring of State policies 
and procedures required under clauses (ii) and 
(iii) of section 106(b)(2)(B); and 
‘‘(2) may include— 
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‘‘(A) a comparison of activities carried out 
by the State to comply with the requirements of 
section 106(b) with the State plan most re-
cently approved under section 432 of the Social 
Security Act; 
‘‘(B) a review of information available on 
the Website of the State relating to its compli-
ance with the requirements of section 106(b); 
‘‘(C) site visits, as may be necessary to 
carry out such monitoring; and 
‘‘(D) a review of information available in 
the State’s Annual Progress and Services Re-
port most recently submitted under section 
1357.16 of title 45, Code of Federal Regula-
tions (or successor regulations).’’. 
(b) TABLE OF CONTENTS.—The table of contents in 
section 1(b) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5101 note) is amended by inserting after 
the item relating to section 113, the following: 
‘‘Sec. 114. Monitoring and oversight.’’. 
SEC. 6. RULE OF CONSTRUCTION. 
Nothing in this Act, or the amendments made by this 
Act, shall be construed to authorize the Secretary of 
Health and Human Services or any other officer of the 
Federal Government to add new requirements to section 
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106(b) of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5106a(b)), as amended by this Act. 
Passed the House of Representatives May 11, 2016. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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