I 
115TH CONGRESS 
1ST SESSION H. R. 2824 
To amend title V of the Social Security Act to extend the Maternal, Infant, 
and Early Childhood Home Visiting Program. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 8, 2017 
Mr. SMITH of Nebraska (for himself, Mr. BURGESS, Mr. TIBERI, Mr. REED, 
Mr. MEEHAN, Mrs. NOEM, and Mrs. WALORSKI) introduced the following 
bill; which was referred to the Committee on Ways and Means, and in 
addition to the Committee on Energy and Commerce, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To amend title V of the Social Security Act to extend the 
Maternal, Infant, and Early Childhood Home Visiting 
Program. 
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 ‘‘Increasing Opportunity 
through Evidence-Based Home Visiting Act’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
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Sec. 1. Short title. 
Sec. 2. Table of contents. 
TITLE I—REAUTHORIZING THE MATERNAL, INFANT, AND EARLY 
CHILDHOOD HOME VISITING PROGRAM 
Sec. 101. Continuing evidence-based home visiting program. 
Sec. 102. Continuing to demonstrate results to help families. 
Sec. 103. Reviewing statewide needs to target resources. 
Sec. 104. Improving the likelihood of success in high-risk communities. 
Sec. 105. Building evidence to increase program effectiveness. 
Sec. 106. Measuring improvements in family economic self-sufficiency. 
Sec. 107. Option to fund evidence-based home visiting on a pay for outcome 
basis. 
Sec. 108. Strengthening evidence-based home visiting through state, local, and 
private partnerships. 
Sec. 109. Data exchange standards for improved interoperability. 
TITLE II—CONTROL UNLAWFUL FUGITIVE FELONS 
Sec. 201. Revisions to provisions limiting payment of benefits to fugitive felons 
under title XVI of the Social Security Act. 
TITLE I—REAUTHORIZING THE 
MATERNAL, 
INFANT, 
AND 
EARLY 
CHILDHOOD 
HOME 
VISITING PROGRAM 
SEC. 101. CONTINUING EVIDENCE-BASED HOME VISITING 
PROGRAM. 
Section 511(j)(1)(H) of the Social Security Act (42 
U.S.C. 711(j)(1)(H)) is amended by striking ‘‘fiscal year 
2017’’ and inserting ‘‘each of fiscal years 2017 through 
2022’’. 
SEC. 102. CONTINUING TO DEMONSTRATE RESULTS TO 
HELP FAMILIES. 
(a) REQUIRE SERVICE DELIVERY MODELS TO DEM-
ONSTRATE IMPROVEMENT IN APPLICABLE BENCHMARK 
AREAS.—Section 511 of the Social Security Act (42 
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U.S.C. 711) is amended in each of subsections (d)(1)(A) 
and (h)(4)(A) by striking ‘‘each of’’. 
(b) DEMONSTRATION OF IMPROVEMENTS IN SUBSE-
QUENT YEARS.—Section 511(d)(1) of such Act (42 U.S.C. 
711(d)(1)) is amended by adding at the end the following: 
‘‘(D) DEMONSTRATION OF IMPROVEMENTS 
IN SUBSEQUENT YEARS.— 
‘‘(i) CONTINUED
MEASUREMENT
OF 
IMPROVEMENT
IN
APPLICABLE
BENCH-
MARK
AREAS.—The eligible entity, after 
demonstrating improvements for eligible 
families as specified in subparagraphs (A) 
and (B), shall continue to track and report 
each year, subject to the approval of the 
Secretary, quantifiable, measurable bench-
marks for demonstrating that the program 
continues to result in improvements for the 
eligible families participating in the pro-
gram in at least 4 of the areas specified in 
subparagraph (A) that the service delivery 
model or models selected by the entity are 
intended to improve. 
‘‘(ii) CORRECTIVE ACTION PLAN.—If 
the eligible entity fails to demonstrate im-
provement in at least 4 of the areas speci-
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fied in subparagraph (A), the entity shall 
develop and implement a plan to improve 
outcomes in each of the areas specified in 
subparagraph (A) that the service delivery 
model or models selected by the entity are 
intended to improve, subject to approval by 
the Secretary. The plan shall include provi-
sions for the Secretary to monitor imple-
mentation of the plan and conduct contin-
ued oversight of the program, including 
through submission by the entity of reg-
ular reports to the Secretary. 
‘‘(iii) TECHNICAL
ASSISTANCE.—The 
Secretary shall provide an eligible entity 
required to develop and implement an im-
provement plan under clause (ii) with tech-
nical assistance to develop and implement 
the plan. The Secretary may provide the 
technical assistance directly or through 
grants, contracts, or cooperative agree-
ments. 
‘‘(iv) NO IMPROVEMENT OR FAILURE 
TO SUBMIT REPORT.—If the Secretary de-
termines after a period of time specified by 
the Secretary that an eligible entity imple-
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menting an improvement plan under clause 
(ii) has failed to demonstrate any improve-
ment in at least 4 of the areas specified in 
subparagraph (A), or if the Secretary de-
termines that an eligible entity has failed 
to submit the report required by clause (i), 
the Secretary shall terminate the grant 
made to the entity under this section and 
may include any unexpended grant funds 
in grants made to nonprofit organizations 
under subsection (h)(2)(B).’’. 
(c) INCLUDING
INFORMATION
ON
APPLICABLE 
BENCHMARKS
IN APPLICATION.—Section 511(e)(5) of 
such Act (42 U.S.C. 711(e)(5)) is amended by inserting 
‘‘that the service delivery model or models selected by the 
entity are intended to improve’’ before the period at the 
end. 
SEC. 103. REVIEWING STATEWIDE NEEDS TO TARGET RE-
SOURCES. 
Section 511(b)(1) of the Social Security Act (42 
U.S.C. 711(b)(1)) is amended by striking ‘‘Not later 
than’’ and all that follows through ‘‘statewide’’ the 2nd 
place it appears and inserting ‘‘Each State shall, as a con-
dition of receiving payments from an allotment for the 
State under section 502, conduct a statewide needs assess-
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ment not later than October 1, 2019, at least once every 
5 years (which may be separate from but in coordination 
with the statewide’’. 
SEC. 104. IMPROVING THE LIKELIHOOD OF SUCCESS IN 
HIGH-RISK COMMUNITIES. 
Section 511(d)(4)(A) of the Social Security Act (42 
U.S.C. 711(d)(4)(A)) is amended by inserting ‘‘, taking 
into account the staffing, community resource, and other 
requirements of the service delivery model or models that 
are necessary for the model to operate and demonstrate 
improvements for eligible families’’ before the period. 
SEC. 105. BUILDING EVIDENCE TO INCREASE PROGRAM EF-
FECTIVENESS. 
(a) ADDITION OF REPLICATED MODELS WITH SIZE-
ABLE IMPACTS ON OUTCOMES AS APPROVED SERVICE 
DELIVERY MODELS.—Section 511(d)(3)(A) of the Social 
Security Act (42 U.S.C. 711(d)(3)(A)) is amended— 
(1) in clause (i)— 
(A) by striking ‘‘(I) or in subclause (II)’’ 
and inserting ‘‘(I), in subclause (II), or in sub-
clause (III)’’; and 
(B) by redesignating subclause (II) as sub-
clause (III) and inserting after subclause (I) 
the following: 
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‘‘(II) The model meets the re-
quirements of subclause (I) and has 
been shown to produce statistically- 
significant, sizeable, and sustained ef-
fects on participant outcomes as de-
scribed in the benchmark areas speci-
fied in clauses (i) through (v) of para-
graph (1)(A) when evaluated using 
well-designed and rigorous randomized 
controlled research designs, the eval-
uation results have been published in 
a peer-reviewed journal, and the ef-
fects have been replicated across more 
than 1 study or study site with no 
strong countervailing evidence.’’; and 
(2) in clause (ii), by striking ‘‘(i)(II)’’ and in-
serting ‘‘(i))(III)’’. 
(b) RESEARCH AND EVALUATION ACTIVITIES TO IN-
CREASE
PROGRAM
EFFECTIVENESS.—Section 
511(h)(3)(A) of such Act (42 U.S.C. 711(h)(3)(A)) is 
amended by inserting ‘‘with a focus on testing the replica-
tion of service delivery models meeting the requirements 
of subsection (d)(3)(A)(i)(I) to determine whether the 
models 
meet 
the 
requirements 
of 
subsection 
(d)(3)(A)(i)(II),’’ before ‘‘using’’. 
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(c) 
REPORT
AND
RECOMMENDATION.—Section 
511(h)(4) of such Act (42 U.S.C. 711(h)(4)) is amend-
ed— 
(1) by striking ‘‘Not later than December 31, 
2015, the Secretary shall submit a report’’ and in-
serting ‘‘The Secretary shall submit annual reports’’; 
and 
(2) in subparagraph (B), by inserting ‘‘or 
(d)(1)(D)(iii)’’ after ‘‘(d)(1)(B)(iii)(I)’’. 
SEC. 106. MEASURING IMPROVEMENTS IN FAMILY ECO-
NOMIC SELF-SUFFICIENCY. 
Section 511(d)(1)(A)(v) of the Social Security Act 
(42 U.S.C. 711(d)(1)(A)(v)) is amended by inserting 
‘‘(which shall include measures of employment, earnings, 
and receipt of means-tested benefits)’’ before the period. 
SEC. 107. OPTION TO FUND EVIDENCE-BASED HOME VIS-
ITING ON A PAY FOR OUTCOME BASIS. 
(a) IN GENERAL.—Section 511(c) of the Social Secu-
rity Act (42 U.S.C. 711(c)) is amended by redesignating 
paragraphs (3) and (4) as paragraphs (4) and (5), respec-
tively, and by inserting after paragraph (2) the following: 
‘‘(3) AUTHORITY TO USE GRANT FOR A PAY 
FOR OUTCOMES INITIATIVE.—An eligible entity to 
which a grant is made under paragraph (1) may use 
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the grant for a pay for outcomes initiative that satis-
fies the requirements of subsection (d).’’. 
(b) DEFINITION
OF PAY
FOR OUTCOMES INITIA-
TIVE.—Section 511(k) of such Act (42 U.S.C. 711(k)) is 
amended by adding at the end the following: 
‘‘(4) PAY
FOR
OUTCOMES
INITIATIVE.—The 
term ‘pay for outcomes initiative’ means a perform-
ance-based grant, contract, or cooperative agreement 
awarded by a public entity in which a commitment 
is made to pay for improved outcomes that result in 
social benefit and direct cost savings or cost avoid-
ance to the public sector. Such an initiative shall in-
clude— 
‘‘(A) a feasibility study that describes how 
the proposed intervention is based on evidence 
of effectiveness; 
‘‘(B) a rigorous, third-party evaluation 
that uses experimental or quasi-experimental 
design or other research methodologies that 
allow for the strongest possible causal infer-
ences to determine whether the initiative has 
met its proposed outcomes; 
‘‘(C) an annual, publicly available report 
on the progress of the initiative; and 
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