Fetal Alcohol Spectrum Disorder, includ-
ing a requirement that health care pro-
viders involved in the delivery or care of 
such infants notify the child protective wel-
fare service system of the occurrence of 
such condition in such infants, except 
that— 
‘‘(I) child protective services shall 
undertake an investigation only when 
the findings of a family assessment 
warrant such investigation; and 
‘‘(II) such notification shall not 
be construed to— 
‘‘(aa) establish a definition 
under Federal law of what con-
stitutes child abuse or neglect; or 
‘‘(bb) require prosecution for 
any illegal action; 
‘‘(ii) the development of a multi-dis-
ciplinary plan of safe care for the infant 
born and identified as being affected by 
substance use or withdrawal symptoms or 
a Fetal Alcohol Spectrum Disorder to en-
sure the safety and well-being of such in-
fant following release from the care of 
health care providers, including through— 
‘‘(I) using a risk-based approach 
to develop each plan of safe care; 
‘‘(II) addressing, through coordi-
nated service delivery, the health and 
substance 
use 
disorder 
treatment 
needs of the infant and affected fam-
ily or caregiver as determined by a 
family assessment; and 
‘‘(III) the development and im-
plementation by the State of moni-
toring systems regarding the imple-
mentation of such plans of safe care 
to determine whether and in what 
manner local entities are providing, in 
accordance with State requirements, 
referrals to and delivery of appro-
priate services for the infant and af-
fected family or caregiver; 
‘‘(iii) policies and procedures to make 
available to the public on the State website 
the data, findings, and information about 
all cases of child abuse or neglect resulting
in a child fatality or near fatality, includ-
ing a description of— 
‘‘(I) how the State will not create 
an exception to such public disclosure, 
except in a case in which— 
‘‘(aa) the State would like to 
delay public release of case-spe-
cific findings or information (in-
cluding any previous reports of 
domestic violence and subsequent 
actions taken to assess and ad-
dress such reports) while a crimi-
nal investigation or prosecution 
of such a fatality or near fatality 
is pending; 
‘‘(bb) the State is protecting 
the identity of a reporter of child 
abuse or neglect; or 
‘‘(cc) the State is with-
holding identifying information of 
members of the victim’s family 
who are not perpetrators of the 
fatality or near fatality; and 
‘‘(II) how the State will ensure 
that in providing the public disclosure
required under this clause, the State 
will include— 
‘‘(aa) the cause and cir-
cumstances of the fatality or near 
fatality; 
‘‘(bb) the age and gender of 
the child; and 
‘‘(cc) any previous reports of 
child abuse or neglect investiga-
tions that are relevant to the 
child abuse or neglect that led to 
the fatality or near fatality; 
‘‘(iv) how the State will use data col-
lected on child abuse or neglect to prevent 
child fatalities and near fatalities; 
‘‘(v) how the State will implement ef-
forts to prevent child fatalities and near 
fatalities; 
‘‘(vi) the cooperation of State law en-
forcement officials, court of competent ju-
risdiction, and appropriate State agencies 
providing human services in the investiga-
tion, assessment, prosecution, and treat-
ment of child abuse and neglect;
‘‘(vii) the steps the State will take to 
improve the professional development, re-
tention, and supervision of caseworkers 
and how the State will measure the effec-
tiveness of such efforts; 
‘‘(viii) the State’s plan to ensure each 
child under the age of 3 who is involved in 
a substantiated case of child abuse or ne-
glect will be referred to the State’s child 
find system under section 635(a)(5) of the 
Individuals with Disabilities Education Act 
(20 U.S.C. 1435(a)(5)) in order to deter-
mine if the child is an infant or toddler 
with a disability (as defined in section 
632(5) of such Act (20 U.S.C. 1432(5))); 
‘‘(ix) the State’s plan to improve, as 
part of a comprehensive State strategy led 
by law enforcement, professional develop-
ment for child protective services workers 
and their appropriate role in identifying, 
assessing, and providing comprehensive 
services for children who are sex traf-
ficking victims, in coordination with law 
enforcement, juvenile justice agencies, run-
away and homeless youth shelters, and
health, mental health, and other social 
service agencies and providers; 
‘‘(x) the services to be provided under 
the grant to individuals, families, or com-
munities, either directly or through refer-
rals, aimed at preventing the occurrence of 
child abuse and neglect; 
‘‘(xi) the State’s efforts to ensure pro-
fessionals who are required to report sus-
pected cases of child abuse and neglect are 
aware of their responsibilities under sub-
paragraph (A)(i) and receive professional 
development relating to performing such 
responsibilities that is specific to their pro-
fession and workplace; 
‘‘(xii) policies and procedures encour-
aging the appropriate involvement of fami-
lies in decisionmaking pertaining to chil-
dren who experienced child abuse or ne-
glect; 
‘‘(xiii) the State’s efforts to improve 
appropriate collaboration among child pro-
tective services agencies, domestic violence 
services agencies, substance use disorder 
treatment agencies, and other agencies in
investigations, interventions, and the deliv-
ery of services and treatment provided to 
children and families affected by child 
abuse or neglect, including children ex-
posed to domestic violence, where appro-
priate; 
‘‘(xiv) policies and procedures regard-
ing the use of differential response, as ap-
plicable, to improve outcomes for children; 
and 
‘‘(xv) the State’s efforts to reduce ra-
cial bias in its child protective services sys-
tem.’’. 
(3) LIMITATIONS.—Paragraph (3) of section 
106(b) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(b)) is amended— 
(A) in the paragraph heading, by striking 
‘‘LIMITATION’’ and inserting ‘‘LIMITATIONS’’; 
(B) by striking ‘‘With regard to clauses 
(vi) and (vii) of paragraph (2)(B),’’ and insert-
ing the following: 
‘‘(A) DISCLOSURE
OF
CERTAIN
IDENTI-
FYING INFORMATION.—With regard to subpara-
graphs (A)(iv) and (D)(iii) of paragraph (2),’’;
(C) by striking the period at the end and 
inserting ‘‘; and’’; and 
(D) by adding at the end the following: 
‘‘(B) PUBLIC
ACCESS
TO
COURT
PRO-
CEEDINGS.—Nothing in paragraph (2) shall be 
construed to limit the State’s flexibility to de-
termine State policies relating to public access 
to court proceedings to determine child abuse 
and neglect, except that such policies shall, at 
a minimum, ensure the safety and well-being of 
the child, parents, and families.’’. 
(4) DEFINITIONS.—Paragraph (4) of section 
106(b) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(b)) is amended— 
(A) in the paragraph heading, by striking 
‘‘DEFINITIONS’’ and inserting ‘‘DEFINITION’’; 
(B) by striking ‘‘this subsection’’ and all 
that follows through ‘‘means an act’’ and in-
serting the following: ‘‘this subsection, the term 
‘near fatality’ means an act’’; 
(C) by striking ‘‘; and’’ and inserting a pe-
riod; and 
(D) by striking subparagraph (B).
(c) CITIZEN REVIEW PANELS.—Section 106(c) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(c)) is amended— 
(1) in paragraph (1)(B), by striking ‘‘EXCEP-
TIONS.’’ and all that follows through ‘‘A State may’’ 
and inserting ‘‘EXCEPTION.—A State may’’; 
(2) in paragraph (4)(A)— 
(A) in the matter preceding clause (i), by 
striking 
‘‘and 
where 
appropriate, 
specific 
cases,’’; and 
(B) in clause (iii)(I), by striking ‘‘foster 
care and adoption programs’’ and inserting 
‘‘foster care, prevention, and permanency pro-
grams’’; and 
(3) by amending the first sentence of paragraph 
(6) to read as follows: ‘‘Each panel established 
under paragraph (1) shall prepare and make avail-
able to the State and the public, on an annual basis, 
a report containing a summary of the activities of 
the panel, the criteria used for determining which 
activities the panel engaged in, and recommenda-
tions or observations to improve the child protective 
services system at the State and local levels, and the 
data upon which these recommendations or observa-
tions are based.’’.
(d) ANNUAL
STATE
DATA
REPORTS.—Section 
106(d) of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5106a(d)) is amended— 
(1) by amending paragraph (13) to read as fol-
lows: 
‘‘(13) The annual report containing the sum-
mary of the activities and recommendations of the 
citizen review panels of the State required by sub-
section (c)(6), and the actions taken by the State as 
a result of such recommendations.’’; 
(2) in paragraph (15), by striking ‘‘subsection 
(b)(2)(B)(ii)’’ 
and 
inserting 
‘‘subsection 
(b)(2)(D)(i)’’; 
(3) in paragraph (16), by striking ‘‘subsection 
(b)(2)(B)(xxi)’’ 
and 
inserting 
‘‘subsection 
(b)(2)(D)(viii)’’; 
(4) in paragraph (17), by striking ‘‘subsection 
(b)(2)(B)(xxiv)’’ 
and 
inserting 
‘‘subsection 
(b)(2)(A)(xv)’’; 
(5) in paragraph (18)— 
(A) in subparagraph (A), by striking ‘‘sub-
section (b)(2)(B)(ii)’’ and inserting ‘‘subsection 
(b)(2)(D)(i)’’;
(B) in subparagraph (B), by striking ‘‘sub-
section (b)(2)(B)(iii)’’ and inserting ‘‘subsection 
(b)(2)(D)(ii)’’; and 
(C) in subparagraph (C), by striking ‘‘sub-
section (b)(2)(B)(iii)’’ and inserting ‘‘subsection 
(b)(2)(D)(ii)’’; and 
(6) by adding at the end the following: 
‘‘(19) The number of child fatalities and near 
fatalities from maltreatment and related information 
in accordance with the uniform standards estab-
lished under section 103(d).’’. 
(e) ALLOTMENTS.—Section 106(f) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106a(f)) is 
amended by adding at the end the following: 
‘‘(6) LIMITATION.—For any fiscal year for 
which the amount allotted to a State or territory 
under this subsection exceeds the amount allotted to 
the State or territory under such subsection for fis-
cal year 2021, the State or territory may use not 
more than 2 percent of such excess amount for ad-
ministrative expenses.’’. 
SEC. 107. MISCELLANEOUS REQUIREMENTS. 
Section 108 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106d) is amended—