(3) by inserting after paragraph (2) (as so re-
designated), the following: 
‘‘(3) Programs based within children’s hospitals 
or other pediatric and adolescent care facilities, that 
provide model approaches for improving medical di-
agnosis of child abuse and neglect and for health 
evaluations of children for whom a report of mal-
treatment has been substantiated.’’; and 
(4) in paragraph (4)(D), by striking ‘‘non-
profit’’.
(c) EVALUATION.—Section 105(c) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106(c)) is 
amended—
(1) in the first sentence, by striking ‘‘dem-
onstration’’; 
(2) in the second sentence, by inserting ‘‘or 
contract’’ after ‘‘or as a separate grant’’; and 
(3) by adding at the end the following: ‘‘In the 
case of an evaluation performed by the recipient of 
a grant, the Secretary shall make available technical 
assistance for the evaluation, where needed, includ-
ing the use of a rigorous application of scientific 
evaluation techniques.’’. 
(d) TECHNICAL AMENDMENT
TO HEADING.—The 
section heading for section 105 of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5106) is amended to 
read as follows: 
‘‘SEC. 105. GRANTS TO STATES AND PUBLIC OR PRIVATE 
AGENCIES AND ORGANIZATIONS.’’. 
SEC. 114. GRANTS TO STATES FOR CHILD ABUSE AND NE-
GLECT PREVENTION AND TREATMENT PRO-
GRAMS. 
(a) DEVELOPMENT AND OPERATION GRANTS.—Sec-
tion 106(a) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106a(a)) is amended—
(1) in paragraph (3)—
(A) by inserting ‘‘, including ongoing case 
monitoring,’’ after ‘‘case management’’; and 
(B) by inserting ‘‘and treatment’’ after 
‘‘and delivery of services’’; 
(2) in paragraph (4), by striking ‘‘improving’’ 
and all that follows through ‘‘referral systems’’ and 
inserting ‘‘developing, improving, and implementing 
risk and safety assessment tools and protocols’’; 
(3) by striking paragraph (7); 
(4) by redesignating paragraphs (5), (6), (8), 
and (9) as paragraphs (6), (8), (9), and (12), re-
spectively; 
(5) by inserting after paragraph (4), the fol-
lowing:
‘‘(5) developing and updating systems of tech-
nology that support the program and track reports 
of child abuse and neglect from intake through final 
disposition and allow interstate and intrastate infor-
mation exchange;’’; 
(6) in paragraph (6) (as so redesignated), by 
striking ‘‘opportunities’’ and all that follows through 
‘‘system’’ and inserting ‘‘including training regard-
ing research-based practices to promote collaboration 
with the families and the legal duties of such indi-
viduals’’; 
(7) by inserting after paragraph (6) (as so re-
designated) the following: 
‘‘(7) improving the skills, qualifications, and 
availability of individuals providing services to chil-
dren and families, and the supervisors of such indi-
viduals, through the child protection system, includ-
ing improvements in the recruitment and retention 
of caseworkers;’’; 
(8) by striking paragraph (9) (as so redesig-
nated), and inserting the following: 
‘‘(9) developing and facilitating research-based 
training protocols for individuals mandated to report 
child abuse or neglect;
‘‘(10) developing, implementing, or operating 
programs to assist in obtaining or coordinating nec-
essary services for families of disabled infants with 
life-threatening conditions, including—
‘‘(A) existing social and health services; 
‘‘(B) financial assistance; and 
‘‘(C) services necessary to facilitate adop-
tive placement of any such infants who have 
been relinquished for adoption; 
‘‘(11) developing and delivering information to 
improve public education relating to the role and re-
sponsibilities of the child protection system and the 
nature and basis for reporting suspected incidents of 
child abuse and neglect;’’; and 
(9) in paragraph (12) (as so redesignated), by 
striking the period and inserting a semicolon; 
(10) by adding at the end the following: 
‘‘(13) supporting and enhancing interagency 
collaboration between the child protection system 
and the juvenile justice system for improved delivery 
of services and treatment, including methods for 
continuity of treatment plan and services as children 
transition between systems; or 
‘‘(14) supporting and enhancing collaboration 
among public health agencies, the child protection
system, and private community-based programs to 
provide child abuse and neglect prevention and 
treatment services (including linkages with education 
systems) and to address the health needs, including 
mental health needs, of children identified as abused 
or neglected, including supporting prompt, com-
prehensive health and developmental evaluations for 
children who are the subject of substantiated child 
maltreatment reports.’’. 
(b) ELIGIBILITY REQUIREMENTS.—
(1) IN GENERAL.—Section 106(b) of the Child 
Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(b)) is amended—
(A) in paragraph (1)(B)—
(i) by striking ‘‘provide notice to the 
Secretary of any substantive changes’’ and 
inserting the following: ‘‘ provide notice to 
the Secretary—
‘‘(i) of any substantive changes; and’’; 
(ii) by striking the period and insert-
ing ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(ii) any significant changes to how 
funds provided under this section are used
to support the activities which may differ 
from the activities as described in the cur-
rent State application.’’; 
(B) in paragraph (2)(A)—
(i) by redesignating clauses (ii), (iii), 
(iv), (v), (vi), (vii), (viii), (ix), (x), (xi), 
(xii), and (xiii) as clauses (iii), (v), (vi), 
(vii), (ix), (x), (xi), (xii), (xiii), (xiv), (xv), 
and (xvi), respectively;
(ii) by inserting after clause (i), the 
following: 
‘‘(ii) policies and procedures (includ-
ing appropriate referrals to child protection 
service systems and for other appropriate 
services) to address the needs of infants 
born and identified as being physically af-
fected by illegal substance abuse or with-
drawal symptoms resulting from prenatal 
drug exposure and requirements for the 
development of a plan of safe care for the 
infant;’’; 
(iii) in clause (iii) (as so redesig-
nated), by inserting ‘‘risk and’’ before 
‘‘safety’’;
(iv) by inserting after clause (iii) (as 
so redesignated), the following: 
‘‘(iv) triage procedures for the appro-
priate referral of a child not at risk of im-
minent harm to a community organization 
or voluntary preventive service;’’; 
(v) in clause (vii)(II) (as so redesig-
nated), by striking ‘‘, having a need for 
such information in order to carry out its 
responsibilities under law to protect chil-
dren from abuse and neglect’’ and insert-
ing ‘‘, as described in clause (viii)’’; 
(vi) by inserting after clause (vii) (as 
so redesignated), the following: 
‘‘(viii) provisions to require a State to 
disclose confidential information to any 
Federal, State, or local government entity, 
or any agent of such entity, that has a 
need for such information in order to carry 
out its responsibilities under law to protect 
children from abuse and neglect;’’; 
(vii) in clause (xii) (as so redesig-
nated)—
(I) by inserting ‘‘who has re-
ceived training appropriate to the role, 
and’’ after ‘‘guardian ad litem,’’; and 
(II) by inserting ‘‘who has re-
ceived training appropriate to that 
role’’ after ‘‘advocate’’; 
(viii) in clause (xiv) (as so redesig-
nated), by striking ‘‘to be effective not 
later than 2 years after the date of enact-
ment of this section’’; 
(ix) in clause (xv) (as so redesig-
nated)—
(I) by striking ‘‘to be effective 
not later than 2 years after the date 
of enactment of this section’’; and 
(II) by striking ‘‘and’’ at the end; 
(x) in clause (xvi) (as so redesig-
nated), by striking ‘‘clause (xii)’’ each 
place that such appears and inserting 
‘‘clause (xv)’’; and 
(xi) by adding at the end the fol-
lowing: 
‘‘(xvii) provisions and procedures to 
require that a representative of the child 
protective services agency shall, at the ini-
tial time of contact with the individual sub-
ject to a child abuse and neglect investiga-
tion, advise the individual of the com-
plaints or allegations made against the in-
dividual, in a manner that is consistent 
with laws protecting the rights of the in-
formant; 
‘‘(xviii) 
provisions 
addressing 
the 
training of representatives of the child pro-
tective services system regarding the legal 
duties of the representatives, which may 
consist of various methods of informing 
such representatives of such duties, in 
order to protect the legal rights and safety 
of children and families from the initial 
time 
of 
contact 
during 
investigation 
through treatment; 
‘‘(xix) provisions and procedures for 
improving the training, retention, and su-
pervision of caseworkers; and 
‘‘(xx) not later than 2 years after the 
date of enactment of the Keeping Children 
and Families Safe Act of 2002, provisions 
and procedures for requiring criminal 
background record checks for prospective
foster and adoptive parents and other 
adult relatives and non-relatives residing in 
the household;’’; and 
(C) in paragraph (2), by adding at the end 
the following flush sentence: 
‘‘Nothing in subparagraph (A) shall be construed to 
limit the State’s flexibility to determine State poli-
cies relating to public access to court proceedings to 
determine child abuse and neglect.’’. 
(2) LIMITATION.—Section 106(b)(3) of the 
Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106a(b)(3)) is amended by striking ‘‘With 
regard to clauses (v) and (vi) of paragraph (2)(A)’’ 
and inserting ‘‘With regard to clauses (vi) and (vii) 
of paragraph (2)(A)’’. 
(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 (4)—
(A) in subparagraph (A)—
(i) in the matter preceding clause 
(i)—
(I) by striking ‘‘and procedures’’ 
and inserting ‘‘, procedures, and prac-
tices’’; and
(II) by striking ‘‘the agencies’’ 
and inserting ‘‘State and local child 
protection system agencies’’; and 
(ii) in clause (iii)(I), by striking 
‘‘State’’ and inserting ‘‘State and local’’; 
and 
(B) by adding at the end the following: 
‘‘(C) PUBLIC
OUTREACH.—Each panel 
shall provide for public outreach and comment 
in order to assess the impact of current proce-
dures and practices upon children and families 
in the community and in order to meet its obli-
gations under subparagraph (A).’’; and 
(2) in paragraph (6)—
(A) by striking ‘‘public’’ and inserting 
‘‘State and the public’’; and 
(B) by inserting before the period the fol-
lowing: ‘‘and recommendations to improve the 
child protection services system at the State 
and local levels. Not later than 6 months after 
the date on which a report is submitted by the 
panel to the State, the appropriate State agency 
shall submit a written response to the State 
and local child protection systems that describes 
whether or how the State will incorporate the
recommendations of such panel (where appro-
priate) to make measurable progress in improv-
ing the State and local child protective system’’. 
(d) ANNUAL
STATE
DATA
REPORTS.—Section 
106(d) of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5106a(d)) is amended by adding at the end 
the following: 
‘‘(13) The annual report containing the sum-
mary of the activities of the citizen review panels of 
the State required by subsection (c)(6).
‘‘(14) The number of children under the care of 
the State child protection system who are trans-
ferred into the custody of the State juvenile justice 
system.’’. 
(e) REPORT.—Not later than 2 years after the date 
of enactment of this Act, the Secretary of Health and 
Human Services shall prepare and submit to Congress a 
report that describes the extent to which States are imple-
menting the policies and procedures required under sec-
tion 106(b)(2)(B)(ii) of the Child Abuse Prevention and 
Treatment Act.
SEC. 115. MISCELLANEOUS REQUIREMENTS RELATING TO 
ASSISTANCE. 
Section 108 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106d) is amended by adding 
at the end the following: 
‘‘(d) GAO STUDY.—The Comptroller General of the 
United States shall conduct a survey of a wide range of 
State and local child protection service systems to evaluate 
and submit to Congress a report concerning the cross 
training of child protective service workers and court per-
sonnel. 
‘‘(e) SENSE OF CONGRESS.—It is the sense of Con-
gress that the Secretary should encourage all States and 
public and private agencies or organizations that receive 
assistance under this title to ensure that children and fam-
ilies with limited English proficiency who participate in 
programs under this title are provided materials and serv-
ices under such programs in an appropriate language 
other than English.’’. 
SEC. 116. AUTHORIZATION OF APPROPRIATIONS. 
(a) GENERAL AUTHORIZATION.—Section 112(a)(1) 
of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106h(a)(1)) is amended to read as follows: 
‘‘(1) GENERAL
AUTHORIZATION.—There are 
authorized to be appropriated to carry out this title 
$120,000,000 for fiscal year 2003 and such sums as
may be necessary for each of the fiscal years 2004 
through 2007.’’. 
(b) 
DEMONSTRATION
PROJECTS.—Section 
112(a)(2)(B) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106h(a)(2)(B)) is amended—
(1) by striking ‘‘Secretary make’’ and inserting 
‘‘Secretary shall make’’; and 
(2) by striking ‘‘section 106’’ and inserting 
‘‘section 104’’. 
SEC. 117. REPORTS. 
Section 110 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106f) is amended by adding 
at the end the following: 
‘‘(c) STUDY AND REPORT RELATING TO CITIZEN RE-
VIEW PANELS.—
‘‘(1) STUDY.—The Secretary shall conduct a 
study by random sample of the effectiveness of the 
citizen review panels established under section 
106(c). 
‘‘(2) REPORT.—Not later than 3 years after the 
date of enactment of the Keeping Children and 
Families Safe Act of 2002, the Secretary shall sub-
mit to the Committee on Education and the Work-
force of the House of Representatives and the Com-
mittee on Health, Education, Labor, and Pensions
of the Senate a report that contains the results of 
the study conducted under paragraph (1).’’. 
Subtitle 
B—Community-Based 
Grants for the Prevention of 
Child Abuse 
SEC. 121. PURPOSE AND AUTHORITY. 
(a) PURPOSE.—Section 201(a)(1) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5116(a)(1)) is 
amended to read as follows: 
‘‘(1) to support community-based efforts to de-
velop, operate, expand, enhance, and, where appro-
priate to network, initiatives aimed at the prevention 
of child abuse and neglect, and to support networks 
of coordinated resources and activities to better 
strengthen and support families to reduce the likeli-
hood of child abuse and neglect; and’’. 
(b) AUTHORITY.—Section 201(b) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5116(b)) is 
amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph 
(A) by striking ‘‘Statewide’’ and all that follows 
through the dash, and inserting ‘‘community-
based and prevention-focused programs and ac-
tivities designed to prevent child abuse and ne-
glect (through networks where appropriate) 
that are accessible, effective, culturally appro-
priate, and build upon existing strengths
that—’’; 
(B) in subparagraph (F), by striking 
‘‘and’’ at the end; and 
(C) by striking subparagraph (G) and in-
serting the following: 
‘‘(G) demonstrate a commitment to mean-
ingful parent leadership, including among par-
ents of children with disabilities, parents with 
disabilities, racial and ethnic minorities, and 
members of other underrepresented or under-
served groups; and 
‘‘(H) provide referrals to early health and 
developmental services;’’; and 
(2) in paragraph (4)—
(A) by inserting ‘‘through leveraging of 
funds’’ after ‘‘maximizing funding’’; 
(B) by striking ‘‘a Statewide network of 
community-based, prevention-focused’’ and in-
serting ‘‘community-based and prevention-fo-
cused’’; and 
(C) by striking ‘‘family resource and sup-
port program’’ and inserting ‘‘programs and ac-
tivities designed to prevent child abuse and ne-
glect (through networks where appropriate)’’. 
(c) TECHNICAL AMENDMENT TO TITLE HEADING.—
Title II of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5116) is amended by striking the heading for 
such title and inserting the following:
‘‘TITLE 
II—COMMUNITY–BASED 
GRANTS FOR THE PREVEN-
TION OF CHILD ABUSE AND 
NEGLECT’’. 
SEC. 122. ELIGIBILITY. 
Section 202 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116a) is amended—
(1) in paragraph (1)—
(A) in subparagraph (A)—
(i) by striking ‘‘a Statewide network 
of community-based, prevention-focused’’ 
and inserting ‘‘community-based and pre-
vention-focused’’; and 
(ii) by striking ‘‘family resource and 
support programs’’ and all that follows 
through the semicolon and inserting ‘‘pro-
grams and activities designed to prevent 
child abuse and neglect (through networks 
where appropriate);’’
(B) in subparagraph (B), by inserting 
‘‘that exists to strengthen and support families 
to prevent child abuse and neglect’’ after ‘‘writ-
ten authority of the State)’’; 
(2) in paragraph (2)—
(A) in subparagraph (A), by striking ‘‘a 
network of community-based family resource 
and support programs’’ and inserting ‘‘commu-
nity-based and prevention-focused programs 
and activities designed to prevent child abuse 
and neglect (through networks where appro-
priate)’’; 
(B) in subparagraph (B)—
(i) by striking ‘‘to the network’’; and 
(ii) by inserting ‘‘, and parents with 
disabilities’’ before the semicolon; 
(C) in subparagraph (C), by striking ‘‘to 
the network’’; and 
(3) in paragraph (3)—
(A) in subparagraph (A), by striking 
‘‘Statewide network of community-based, pre-
vention-focused, family resource and support 
programs’’ and inserting ‘‘community-based and 
prevention-focused programs and activities to
prevent child abuse and neglect (through net-
works where appropriate)’’; 
(B) in subparagraph (B), by striking 
‘‘Statewide network of community-based, pre-
vention-focused, family resource and support 
programs’’ and inserting ‘‘community-based and 
prevention-focused programs and activities to 
prevent child abuse and neglect (through net-
works where appropriate)’’; 
(C) in subparagraph (C), by striking ‘‘and 
training and technical assistance, to the State-
wide network of community-based, prevention-
focused, family resource and support programs’’ 
and inserting ‘‘training, technical assistance, 
and evaluation assistance, to community-based 
and prevention-focused programs and activities 
to prevent child abuse and neglect (through net-
works where appropriate)’’; and 
(D) in subparagraph (D), by inserting ‘‘, 
parents with disabilities,’’ after ‘‘children with 
disabilities’’. 
SEC. 123. AMOUNT OF GRANT. 
Section 203(b)(1)(B) of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5116b(b)(1)(B)) is amend-
ed—
(1) by striking ‘‘as the amount leveraged by the 
State from private, State, or other non-Federal 
sources and directed through the’’ and inserting ‘‘as 
the amount of private, State or other non-Federal 
funds leveraged and directed through the currently 
designated’’; and 
(2) by striking ‘‘the lead agency’’ and inserting 
‘‘the current lead agency’’. 
SEC. 124. EXISTING GRANTS. 
Section 204 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5115c) is repealed. 
SEC. 125. APPLICATION. 
Section 205 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116d) is amended—
(1) in paragraph (1), by striking ‘‘Statewide 
network of community-based, prevention-focused, 
family resource and support programs’’ and insert-
ing ‘‘community-based and prevention-focused pro-
grams and activities to prevent child abuse and ne-
glect (through networks where appropriate)’’; 
(2) in paragraph (2)—
(A) by striking ‘‘network of community-
based, prevention-focused, family resource and 
support programs’’ and inserting ‘‘community-
based and prevention-focused programs and ac-
tivities to prevent child abuse and neglect 
(through networks where appropriate)’’; and 
(B) by striking ‘‘, including those funded 
by programs consolidated under this Act,’’; 
(3) by striking paragraph (3), and inserting the 
following: 
‘‘(3) a description of the inventory of current 
unmet needs and current community-based and pre-
vention-focused programs and activities to prevent 
child abuse and neglect, and other family resource 
services operating in the State;’’; 
(4) in paragraph (4), by striking ‘‘State’s net-
work of community-based, prevention-focused, family 
resource and support programs’’ and inserting 
‘‘community-based and prevention-focused programs 
and activities designed to prevent child abuse and 
neglect’’; 
(5) in paragraph (5), by striking ‘‘Statewide 
network of community-based, prevention-focused, 
family resource and support programs’’ and insert-
ing ‘‘start up, maintenance, expansion, and redesign 
of community-based and prevention-focused pro-
grams and activities designed to prevent child abuse 
and neglect’’;
(6) in paragraph (7), by striking ‘‘individual 
community-based, prevention-focused, family re-
source and support programs’’ and inserting ‘‘com-
munity-based and prevention-focused programs and 
activities designed to prevent child abuse and ne-
glect’’;
(7) in paragraph (8), by striking ‘‘community-
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based 
and prevention-focused programs and activities de-
signed to prevent child abuse and neglect’’; 
(8) in paragraph (9), by striking ‘‘community-
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based 
and prevention-focused programs and activities de-
signed to prevent child abuse and neglect’’; 
(9) in paragraph (10), by inserting ‘‘(where ap-
propriate)’’ after ‘‘members’’; 
(10) in paragraph (11), by striking ‘‘preven-
tion-focused, family resource and support program’’ 
and inserting ‘‘community-based and prevention-fo-
cused programs and activities designed to prevent 
child abuse and neglect’’; and 
(11) by redesignating paragraph (13) as para-
graph (12).
SEC. 126. LOCAL PROGRAM REQUIREMENTS. 
Section 206(a) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116e(a)) is amended—
(1) in the matter preceding paragraph (1), by 
striking ‘‘prevention-focused, family resource and 
support programs’’ and inserting ‘‘and prevention-
focused programs and activities designed to prevent 
child abuse and neglect’’; 
(2) in paragraph (3)(B), by inserting ‘‘vol-
untary home visiting and’’ after ‘‘including’’; and 
(3) by striking paragraph (6) and inserting the 
following: 
‘‘(6) participate with other community-based 
and prevention-focused programs and activities to 
prevent child abuse and neglect in the development, 
operation and expansion of networks where appro-
priate.’’. 
SEC. 127. PERFORMANCE MEASURES. 
Section 207 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116f) is amended—
(1) in paragraph (1), by striking ‘‘a Statewide 
network of community-based, prevention-focused, 
family resource and support programs’’ and insert-
ing ‘‘community-based and prevention-focused pro-
grams and activities to prevent child abuse and ne-
glect’’;
AND NEGLECT.—Section 209 of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5116h) is amended 
by striking paragraphs (3) and (4) and inserting the fol-
lowing: 
‘‘(3) COMMUNITY-BASED AND PREVENTION-FO-
CUSED
PROGRAMS
AND
ACTIVITIES
TO
PREVENT 
CHILD ABUSE AND NEGLECT.—The term ‘commu-
nity-based and prevention-focused programs and ac-
tivities to prevent child abuse and neglect’ includes 
organizations such as family resource programs, 
family support programs, voluntary home visiting 
programs, respite care programs, parenting edu-
cation, mutual support programs, and other commu-
nity programs that provide activities that are de-
signed to prevent or respond to child abuse and ne-
glect.’’. 
SEC. 130. AUTHORIZATION OF APPROPRIATIONS. 
Section 210 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116i) is amended to read as 
follows: 
‘‘SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out 
this title $80,000,000 for fiscal year 2003 and such sums 
as may be necessary for each of the fiscal years 2004 
through 2007.’’.
TITLE II—ADOPTION 
OPPORTUNITIES 
SEC. 201. CONGRESSIONAL FINDINGS AND DECLARATION 
OF PURPOSE. 
Section 201 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5111) is amended—
(1) in subsection (a)—
(A) by striking paragraphs (1) through (4) 
and inserting the following: 
‘‘(1) the number of children in substitute care 
has increased by nearly 24 percent since 1994, as 
our Nation’s foster care population included more 
than 565,000 as of September of 2001; 
‘‘(2) children entering foster care have complex 
problems that require intensive services, with many 
such children having special needs because they are 
born to mothers who did not receive prenatal care, 
are born with life threatening conditions or disabil-
ities, are born addicted to alcohol or other drugs, or 
have been exposed to infection with the etiologic 
agent for the human immunodeficiency virus; 
‘‘(3) each year, thousands of children are in 
need of placement in permanent, adoptive homes;’’; 
(B) by striking paragraph (6);
(C) by striking paragraph (7)(A) and in-
serting the following: 
‘‘(7)(A) currently, there are 131,000 children 
waiting for adoption;’’; and 
(D) by redesignating paragraphs (5), (7), 
(8), (9), and (10) as paragraphs (4), (5), (6), 
(7), and (8) respectively; and 
(2) in subsection (b)—
(A) in the matter preceding paragraph (1), 
by inserting ‘‘, including geographic barriers,’’ 
after ‘‘barriers’’; and 
(B) in paragraph (2), by striking ‘‘a na-
tional’’ and inserting ‘‘an Internet-based na-
tional’’. 
SEC. 202. INFORMATION AND SERVICES. 
Section 203 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5113) is amended—
(1) by striking the section heading and insert-
ing the following: 
‘‘SEC. 203. INFORMATION AND SERVICES.’’; 
(2) by striking ‘‘SEC. 203. (a) The Secretary’’ 
and inserting the following: 
‘‘(a) IN GENERAL.—The Secretary’’; 
(3) in subsection (b)—
(A) by inserting ‘‘REQUIRED
ACTIVI-
TIES.—’’ after ‘‘(b)’’; 
(B) in paragraph (1), by striking ‘‘non-
profit’’ each place that such appears; 
(C) in paragraph (2), by striking ‘‘non-
profit’’; 
(D) in paragraph (3), by striking ‘‘non-
profit’’; 
(E) in paragraph (4), by striking ‘‘non-
profit’’; 
(F) in paragraph (6), by striking ‘‘study 
the nature, scope, and effects of’’ and insert 
‘‘support’’; 
(G) in paragraph (7), by striking ‘‘non-
profit’’; 
(H) in paragraph (9)—
(i) by striking ‘‘nonprofit’’; and 
(ii) by striking ‘‘and’’ at the end; 
(I) in paragraph (10)—
(i) by striking ‘‘nonprofit’’; each place 
that such appears; and 
(ii) by striking the period at the end 
and inserting ‘‘; and’’; and 
(J) by adding at the end the following:
‘‘(11) provide (directly or by grant to or con-
tract with States, local government entities, or pub-
lic or private licensed child welfare or adoption agen-
cies) for the implementation of programs that are 
intended to increase the number of older children 
(who are in foster care and with the goal of adop-
tion) placed in adoptive families, with a special em-
phasis on child-specific recruitment strategies, in-
cluding—
‘‘(A) outreach, public education, or media 
campaigns to inform the public of the needs 
and numbers of older youth available for adop-
tion; 
‘‘(B) training of personnel in the special 
needs of older youth and the successful strate-
gies of child-focused, child-specific recruitment 
efforts; and 
‘‘(C) recruitment of prospective families for 
such children.’’; 
(4) in subsection (c)—
(A) by striking ‘‘(c)(1) The Secretary’’ and 
inserting the following: 
‘‘(c) SERVICES FOR FAMILIES ADOPTING SPECIAL 
NEEDS CHILDREN.—
‘‘(1) IN GENERAL.—The Secretary’’;
(B) by striking ‘‘(2) Services’’ and insert-
ing the following: 
‘‘(2) SERVICES.—Services’’; and 
(C) in paragraph (2)—
(i) by realigning the margins of sub-
paragraphs (A) through (G) accordingly; 
(ii) in subparagraph (F), by striking 
‘‘and’’ at the end; 
(iii) in subparagraph (G), by striking 
the period and inserting a semicolon; and 
(iv) by adding at the end the fol-
lowing: 
‘‘(H) day treatment; and 
‘‘(I) respite care.’’; and 
(D) by striking ‘‘nonprofit’’; each place 
that such appears; 
(5) in subsection (d)—
(A) by striking ‘‘(d)(1) The Secretary’’ and 
inserting the following: 
‘‘(d) IMPROVING PLACEMENT RATE OF CHILDREN IN 
FOSTER CARE.—
‘‘(1) IN GENERAL.—The Secretary’’; 
(B) by striking ‘‘(2)(A) Each State’’ and 
inserting the following:
‘‘(2) APPLICATIONS; TECHNICAL
AND
OTHER 
ASSISTANCE.—
‘‘(A) APPLICATIONS.—Each State’’; 
(C) by striking ‘‘(B) The Secretary’’ and 
inserting the following: 
‘‘(B) TECHNICAL
AND
OTHER
ASSIST-
ANCE.—The Secretary’’; 
(D) in paragraph (2)(B)—
(i) by realigning the margins of 
clauses (i) and (ii) accordingly; and 
(ii) by striking ‘‘nonprofit’’; 
(E) by striking ‘‘(3)(A) Payments’’ and in-
serting the following: 
‘‘(3) PAYMENTS.—
‘‘(A) IN GENERAL.—Payments’’; and 
(F) by striking ‘‘(B) Any payment’’ and 
inserting the following: 
‘‘(B) REVERSION
OF
UNUSED
FUNDS.—
Any payment’’; and 
(6) by adding at the end the following: 
‘‘(e) ELIMINATION
OF BARRIERS
TO ADOPTIONS 
ACROSS JURISDICTIONAL BOUNDARIES.—
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to, or enter into contracts with, States, local 
government entities, public or private child welfare
or adoption agencies, adoption exchanges, or adop-
tion family groups to carry out initiatives to improve 
efforts to eliminate barriers to placing children for 
adoption across jurisdictional boundaries. 
‘‘(2) SERVICES
TO
SUPPLEMENT
NOT
SUP-
PLANT.—Services provided under grants made under 
this subsection shall supplement, not supplant, serv-
ices provided using any other funds made available 
for the same general purposes including—
‘‘(A) developing a uniform homestudy 
standard and protocol for acceptance of 
homestudies between States and jurisdictions; 
‘‘(B) developing models of financing cross-
jurisdictional placements; 
‘‘(C) expanding the capacity of all adoption 
exchanges to serve increasing numbers of chil-
dren; 
‘‘(D) developing training materials and 
training social workers on preparing and mov-
ing children across State lines; and 
‘‘(E) developing and supporting initiative 
models for networking among agencies, adop-
tion exchanges, and parent support groups 
across jurisdictional boundaries.’’.
SEC. 203. STUDY OF ADOPTION PLACEMENTS. 
Section 204 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5114) is amended—
(1) by striking ‘‘The’’ and inserting ‘‘(a) IN 
GENERAL.—The’’; 
(2) by striking ‘‘of this Act’’ and inserting ‘‘of 
the Keeping Children and Families Safe Act of 
2002’’; 
(3) by striking ‘‘to determine the nature’’ and 
inserting ‘‘to determine—
‘‘(1) the nature’’; 
(4) by striking ‘‘which are not licensed’’ and all 
that follows through ‘‘entity’’;’’; and 
(5) by adding at the end the following: 
‘‘(2) how interstate placements are being fi-
nanced across State lines; 
‘‘(3) recommendations on best practice models 
for both interstate and intrastate adoptions; and 
‘‘(4) how State policies in defining special needs 
children differentiate or group similar categories of 
children.’’. 
SEC. 204. STUDIES ON SUCCESSFUL ADOPTIONS. 
Section 204 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5114) is amended by adding at the end the following:
‘‘(b) DYNAMICS OF SUCCESSFUL ADOPTION.—The 
Secretary shall conduct research (directly or by grant to, 
or contract with, public or private nonprofit research agen-
cies or organizations) about adoption outcomes and the 
factors affecting those outcomes. The Secretary shall sub-
mit a report containing the results of such research to the 
appropriate committees of the Congress not later than the 
date that is 36 months after the date of the enactment 
of the Keeping Children and Families Safe Act of 2002. 
‘‘(c) INTERJURISDICTIONAL ADOPTION.—Not later 
than 1 year after the date of the enactment of the Keeping 
Children and Families Safe Act of 2002, the Secretary, 
in consultation with the Comptroller General, shall submit 
to the appropriate committees of the Congress a report 
that contains recommendations for an action plan to facili-
tate the interjurisdictional adoption of foster children.’’. 
SEC. 205. AUTHORIZATION OF APPROPRIATIONS. 
Section 205(a) of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5115(a)) is amended to read as follows: 
‘‘There 
are 
authorized 
to 
be 
appropriated 
$40,000,000 for fiscal year 2003 and such sums as may 
be necessary for fiscal years 2004 through 2007 to carry 
out programs and activities authorized under this sub-
title.’’.
TITLE III—ABANDONED INFANTS 
ASSISTANCE 
SEC. 301. FINDINGS. 
Section 2 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking paragraph (1); 
(2) in paragraph (2)—
(A) by inserting ‘‘studies indicate that a 
number of factors contribute to’’ before ‘‘the in-
ability of’’; 
(B) by inserting ‘‘some’’ after ‘‘inability 
of’’; 
(C) by striking ‘‘who abuse drugs’’; and 
(D) by striking ‘‘care for such infants’’ 
and inserting ‘‘care for their infants’’; 
(3) by amending paragraph (5) to read as fol-
lows: 
‘‘(5) appropriate training is needed for per-
sonnel working with infants and young children with 
life-threatening conditions and other special needs, 
including those who are infected with the human im-
munodeficiency virus (commonly known as ‘HIV’), 
those who have acquired immune deficiency syn-
drome (commonly know as ‘AIDS’), and those who 
have been exposed to dangerous drugs;’’;
(4) by striking paragraphs (6) and (7); 
(5) in paragraph (8), by inserting ‘‘by parents 
abusing drugs,’’ after ‘‘deficiency syndrome,’’; 
(6) in paragraph (9), by striking ‘‘comprehen-
sive services’’ and all that follows through the semi-
colon at the end and inserting ‘‘comprehensive sup-
port services for such infants and young children 
and their families and services to prevent the aban-
donment of such infants and young children, includ-
ing foster care services, case management services, 
family support services, respite and crisis interven-
tion services, counseling services, and group residen-
tial home services; and’’; 
(7) by striking paragraph (11); 
(8) by redesignating paragraphs (2), (3), (4), 
(5), (8), (9), and (10) as paragraphs (1) through 
(7), respectively; and 
(9) by adding at the end the following: 
‘‘(8) Private, Federal, State, and local resources 
should be coordinated to establish and maintain such 
services and to ensure the optimal use of all such re-
sources.’’. 
SEC. 302. ESTABLISHMENT OF LOCAL PROGRAMS. 
Section 101 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking the section heading and insert-
ing the following: 
‘‘SEC. 101. ESTABLISHMENT OF LOCAL PROGRAMS.’’; 
and 
(2) by striking subsection (b) and inserting the 
following: 
‘‘(b) PRIORITY IN PROVISION OF SERVICES.—The 
Secretary may not make a grant under subsection (a) un-
less the applicant for the grant agrees to give priority to 
abandoned infants and young children who—
‘‘(1) are infected with, or have been perinatally 
exposed to, the human immunodeficiency virus, or 
have a life-threatening illness or other special med-
ical need; or 
‘‘(2) have been perinatally exposed to a dan-
gerous drug.’’. 
SEC. 303. EVALUATIONS, STUDY, AND REPORTS BY SEC-
RETARY. 
Section 102 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended to read as fol-
lows: 
‘‘SEC. 102. EVALUATIONS, STUDY, AND REPORTS BY SEC-
RETARY. 
‘‘(a) EVALUATIONS OF LOCAL PROGRAMS.—The Sec-
retary shall, directly or through contracts with public and
nonprofit private entities, provide for evaluations of 
projects carried out under section 101 and for the dissemi-
nation of information developed as a result of such 
projects. 
‘‘(b) STUDY AND REPORT ON NUMBER OF ABAN-
DONED INFANTS AND YOUNG CHILDREN.—
‘‘(1) IN GENERAL.—The Secretary shall con-
duct a study for the purpose of determining—
‘‘(A) an estimate of the annual number of 
infants and young children relinquished, aban-
doned, or found deceased in the United States 
and the number of such infants and young chil-
dren who are infants and young children de-
scribed in section 223(b); 
‘‘(B) an estimate of the annual number of 
infants and young children who are victims of 
homicide; 
‘‘(C) characteristics and demographics of 
parents who have abandoned an infant within 1 
year of the infant’s birth; and 
‘‘(D) an estimate of the annual costs in-
curred by the Federal Government and by State 
and local governments in providing housing and 
care for abandoned infants and young children.
‘‘(2) DEADLINE.—Not later than 36 months 
after the date of the enactment of the Keeping Chil-
dren and Families Safe Act of 2002, the Secretary 
shall complete the study required under paragraph 
(1) and submit to the Congress a report describing 
the findings made as a result of the study. 
‘‘(c) EVALUATION.—The Secretary shall evaluate and 
report on effective methods of intervening before the aban-
donment of an infant or young child so as to prevent such 
abandonments, and effective methods for responding to 
the needs of abandoned infants and young children.’’. 
SEC. 304. AUTHORIZATION OF APPROPRIATIONS. 
Section 104 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking subsection (a) and inserting the 
following: 
‘‘(a) IN GENERAL.—
‘‘(1) AUTHORIZATION.—For the purpose of car-
rying out this Act, there are authorized to be appro-
priated $45,000,000 for fiscal year 2003 and such 
sums as may be necessary for fiscal years 2004 
through 2007. 
‘‘(2) LIMITATION.—Not more than 5 percent of 
the amounts appropriated under paragraph (1) for
any fiscal year may be obligated for carrying out 
section 224(a).’’; 
(2) by striking subsection (b); 
(3) in subsection (c)—
(A) in paragraph (1), by inserting ‘‘AU-
THORIZATION.—’’ after ‘‘(1)’’; and 
(B) in paragraph (2)—
(i) 
by 
inserting 
‘‘LIMITATION.—’’ 
after ‘‘(2)’’; and 
(ii) by striking ‘‘fiscal year 1991.’’ 
and inserting ‘‘fiscal year 2002.’’; and 
(4) by redesignating subsections (c) and (d) as 
subsections (b) and (c), respectively. 
SEC. 305. DEFINITIONS 
Section 103 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended to read as fol-
lows: 
‘‘SEC. 103. DEFINITIONS. 
‘‘For purposes of this Act: 
‘‘(1) The terms ‘abandoned’ and ‘abandon-
ment’, with respect to infants and young children, 
mean that the infants and young children are medi-
cally cleared for discharge from acute-care hospital 
settings, but remain hospitalized because of a lack of 
appropriate out-of-hospital placement alternatives.
‘‘(2) The term ‘acquired immune deficiency syn-
drome’ includes infection with the etiologic agent for 
such syndrome, any condition indicating that an in-
dividual is infected with such etiologic agent, and 
any condition arising from such etiologic agent. 
‘‘(3) The term ‘dangerous drug’ means a con-
trolled substance, as defined in section 102 of the 
Controlled Substances Act. 
‘‘(4) The term ‘natural family’ shall be broadly 
interpreted to include natural parents, grandparents, 
family members, guardians, children residing in the 
household, and individuals residing in the household 
on a continuing basis who are in a care-giving situa-
tion with respect to infants and young children cov-
ered under this subtitle. 
‘‘(5) The term ‘Secretary’ means the Secretary 
of Health and Human Services.’’.
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