and Early Childhood Home Visiting programs, could 
help other countries realize greater gains in early 
childhood development; 
(3) negative early childhood experiences can ob-
struct lifelong health and opportunity; 
(4) well-developed and inquisitive children are 
the global leaders of tomorrow; 
(5) countries will only be able to reach and ex-
ceed their development goals if their youngest chil-
dren get a strong start; and 
(6) focused cross-sectoral coordination for pro-
moting early childhood development is essential for 
the efficiency, effectiveness, and sustainability of all 
early childhood development initiatives. 
SEC. 4. ASSISTANCE TO IMPROVE EARLY CHILDHOOD OUT-
COMES GLOBALLY. 
Chapter 1 of part I of the Foreign Assistance Act 
of 1961 (22 U.S.C. 2151 et seq.) is amended— 
(1) 
in 
section 
135(f)(1) 
(22 
U.S.C. 
2152f(f)(1)), by striking ‘‘2006 and 2007’’ and in-
serting ‘‘2020 through 2025’’; and 
(2) by adding at the end the following: 
‘‘SEC. 137. ASSISTANCE TO IMPROVE EARLY CHILDHOOD 
OUTCOMES GLOBALLY. 
‘‘(a) DEFINITIONS.—In this section: 
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‘‘(1) APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES.—The term ‘appropriate congressional com-
mittees’ means— 
‘‘(A) the Committee on Appropriations of 
the Senate; 
‘‘(B) the Committee on Foreign Relations 
of the Senate; 
‘‘(C) the Committee on Appropriations of 
the House of Representatives; and 
‘‘(D) the Committee on Foreign Affairs of 
the House of Representatives. 
‘‘(2) CHILDREN.—The term ‘children’ means 
persons who are younger than 18 years of age. 
‘‘(3) 
DEINSTITUTIONALIZATION.—The 
term 
‘deinstitutionalization’ 
means 
the 
process 
of 
transitioning from a child care protection system 
that relies on residential care to a system that pri-
marily supports family-based care. 
‘‘(4) EARLY CHILDHOOD DEVELOPMENT.—The 
term ‘early childhood development’ means the devel-
opment and learning of a child younger than 8 years 
of age, including physical, cognitive, social, and emo-
tional development and approaches to learning that 
allow a child to reach his or her full developmental 
potential. 
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‘‘(5) EARLY CHILDHOOD DEVELOPMENT PRO-
GRAM.—The term ‘early childhood development pro-
gram’ means a program that ensures that every 
child has the conditions for healthy growth, nur-
turing family-based care, development and learning, 
and protection from violence, exploitation, abuse, 
and neglect, including— 
‘‘(A) a health, clean water, sanitation, and 
hygiene program that serves pregnant women, 
children younger than 5 years of age, and the 
parents of such children; 
‘‘(B) a nutrition program, combined with 
stimulating child development activity; 
‘‘(C) age appropriate cognitive stimulation, 
especially for newborns, infants, and toddlers, 
including an early childhood intervention pro-
gram for children experiencing at-risk situa-
tions, developmental delays, disabilities, and be-
havioral and mental health conditions; 
‘‘(D) an early learning (36 months and 
younger), preschool, and basic education pro-
gram for children until they reach 8 years of 
age or complete primary school; and 
‘‘(E) a child protection program, with an 
emphasis on the promotion of permanent, safe, 
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and nurturing families, rather than placement 
in residential care or institutions, including for 
children with disabilities. 
‘‘(6) INCLUSIVE EARLY CHILDHOOD DEVELOP-
MENT.—The term ‘inclusive early childhood develop-
ment’ means the full and effective participation, ac-
cessibility, attendance, and achievement of all chil-
dren, especially children who are excluded or at risk 
of being marginalized, such as children with disabil-
ities. 
‘‘(7) RELEVANT EXECUTIVE BRANCH AGENCIES 
AND
OFFICIALS.—The term ‘relevant Executive 
branch agencies and officials’ means— 
‘‘(A) the Department of State; 
‘‘(B) the United States Agency for Inter-
national Development; 
‘‘(C) the Department of the Treasury; 
‘‘(D) the Department of Labor; 
‘‘(E) the Department of Education; 
‘‘(F) the Department of Agriculture; 
‘‘(G) the Department of Defense; 
‘‘(H) the Department of Health and 
Human Services, including— 
‘‘(i) the Centers for Disease Control 
and Prevention; and 
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‘‘(ii) 
the 
National 
Institutes 
of 
Health; 
‘‘(I) the Office of the Global AIDS Coordi-
nator; 
‘‘(J) the Chief Executive Officer of the 
Millennium Challenge Corporation; 
‘‘(K) the National Security Advisor; and 
‘‘(L) the Director of the Peace Corps. 
‘‘(8) RESIDENTIAL CARE.—The term ‘residen-
tial care’ means care provided in any nonfamily- 
based group setting, including orphanages, transit or 
interim care centers, children’s homes, children’s vil-
lages or cottage complexes, group homes, and board-
ing schools used primarily for care purposes as an 
alternative to a children’s home. 
‘‘(b) STATEMENT OF POLICY.—It is the policy of the 
United States— 
‘‘(1) to support early childhood development in 
all child-focused international assistance programs, 
in partnership with affected countries, other donor 
country governments, international financial institu-
tions, nongovernmental organizations, faith-based 
organizations, international organizations, multilat-
eral organizations, and the private sector; and 
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