I 
114TH CONGRESS 
2D SESSION 
H. R. 4843 
To amend the Child Abuse Prevention and Treatment Act to require certain 
monitoring and oversight, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 23, 2016 
Mr. BARLETTA (for himself, Mr. WALBERG, Mr. KLINE, Ms. CLARK of Massa-
chusetts, Mr. POLIS, and Mr. SCOTT of Virginia) introduced the following 
bill; which was referred to the Committee on Education and the Work-
force 
A BILL 
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, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Safe Care 
for the Prevention of Infant Abuse and Neglect 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— 
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(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 best practices relating to the development 
of plans of safe care as described in section 
106(b)(2)(B)(iii) for infants born and identified as 
being affected by illegal substance abuse or with-
drawal symptoms, or a Fetal Alcohol Spectrum Dis-
order;’’. 
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 period at the end the 
following: ‘‘to ensure the safety and well-being of such in-
fant following release from the care of healthcare pro-
viders, including through addressing the health of the af-
fected 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) The total number of infants— 
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‘‘(A) 
identified 
under 
subsection 
(b)(2)(B)(ii); 
‘‘(B) for whom a plan of safe care was de-
veloped under subsection (b)(2)(B)(iii); and 
‘‘(C) for whom referrals are made for ap-
propriate services, including services for the af-
fected family or caregiver, as may be necessary 
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— 
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‘‘(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— 
‘‘(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) information available on the Website 
of the State relating to its compliance with the 
requirements of section 106(b); 
‘‘(C) site visits, as may be necessary to 
carry out such monitoring; and 
‘‘(D) information available in the State’s 
Annual Progress and Services Report most re-
cently submitted under section 1357.16 of title 
45, Code of Federal Regulations (or successor 
regulations).’’. 
(b) TABLE OF CONTENTS.—The table of contents in 
section 1(b) of the Child Abuse Prevention and Treatment 
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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 shall be construed to authorize 
the Secretary of Health and Human Services or any other 
officer of the Federal Government to add new require-
ments to section 106(b) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106a(b)), as amended by this 
Act. 
Æ 
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