periences in parents and children in con-
tact with the child welfare system; and 
‘‘(B) may include the identification of— 
‘‘(i) various methods and procedures 
for the investigation, assessment, and pros-
ecution of child physical and sexual abuse 
cases; 
‘‘(ii) ways to mitigate psychological 
trauma to the child victim; 
‘‘(iii) effective programs carried out 
by the States under titles I and II; and 
‘‘(iv) effective approaches being uti-
lized to link child protective service agen-
cies with health care, mental health care, 
and developmental services and early inter-
vention to improve forensic diagnosis and 
health evaluations, and barriers and short-
ages to such linkages.’’; 
(3) in subsection (c), by striking paragraph (3); 
and 
(4) by striking subsection (e). 
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SEC. 105. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL 
ORGANIZATIONS, AND PUBLIC OR PRIVATE 
AGENCIES AND ORGANIZATIONS. 
Section 105 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106) is amended— 
(1) in subsection (a)— 
(A) by redesignating paragraph (7) as 
paragraph (11); 
(B) by striking paragraphs (1) through (6) 
and inserting the following: 
‘‘(1) PREVENTION
SERVICES.—The Secretary 
may award grants under this subsection to entities 
to establish or expand prevention services that re-
duce incidences of child maltreatment and strength-
en families. 
‘‘(2) TRAUMATIC STRESS.—The Secretary may 
award grants under this subsection to entities to ad-
dress instances of traumatic stress in families due to 
child abuse and neglect, especially for families with 
complex needs or families that exhibit high levels of 
adverse childhood experiences. 
‘‘(3) PROMOTING
A
HIGH-QUALITY
WORK-
FORCE.—The Secretary may award grants under 
this subsection to entities to carry out programs or 
strategies that promote a high-quality workforce in 
the child welfare system through–— 
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‘‘(A) improvements to recruitment, sup-
port, or retention efforts; or 
‘‘(B) education for professionals and para-
professionals in the prevention, identification, 
and treatment of child abuse and neglect. 
‘‘(4) IMPROVING
COORDINATION.—The Sec-
retary may award grants under this subsection to 
entities to carry out activities to improve intrastate 
coordination within the child welfare system. Such 
activities may include— 
‘‘(A) aligning information technology sys-
tems; 
‘‘(B) improving information sharing re-
garding child and family referrals; or 
‘‘(C) creating collaborative voluntary part-
nerships among public and private agencies, the 
State’s child protective services, local social 
service agencies, community-based family sup-
port programs, State and local legal agencies, 
developmental disability agencies, substance use 
disorder treatment providers, health care pro-
viders and agencies, domestic violence preven-
tion programs, mental health services, schools 
and early learning providers, religious entities, 
and other community-based programs. 
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‘‘(5) PRIMARY
PREVENTION.—The Secretary 
may award grants under this subsection to entities 
to carry out or expand primary prevention programs 
or strategies that address family or community pro-
tective factors. 
‘‘(6) NEGLECT
DUE
TO
ECONOMIC
INSECU-
RITY.—The Secretary may award grants under this 
subsection to entities to carry out programs or strat-
egies that reduce findings of child neglect due in full 
or in part to family economic insecurity. 
‘‘(7) EDUCATION
OF
MANDATORY
REPORT-
ERS.—The Secretary may award grants under this 
subsection to entities for projects that involve re-
search-based strategies for innovative education of 
mandated child abuse and neglect reporters, and for 
victims to understand mandatory reporting. 
‘‘(8) SENTINEL INJURIES.—The Secretary may 
award grants under this subsection to entities to 
identify and test effective practices to improve early 
detection and management of injuries indicative of 
potential abuse in infants to prevent future cases of 
child abuse and related fatalities. 
‘‘(9) INNOVATIVE
PARTNERSHIPS.—The Sec-
retary may award grants under this subsection to 
entities to carry out innovative programs or strate-
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gies to coordinate the delivery of services to help re-
duce child abuse and neglect via partnerships among 
health, mental health, education (including early 
learning and care programs as appropriate), and 
child welfare agencies and providers. 
‘‘(10) REDUCING CHILD ABUSE AND NEGLECT 
DUE TO THE SUBSTANCE USE DISORDER OF A PAR-
ENT
OR
CAREGIVER.—The Secretary may award 
grants under this subsection to entities to carry out 
activities to reduce child abuse and neglect due to 
the substance use disorder of a parent or care-
giver.’’; and 
(C) by adding at the end the following: 
‘‘(12) NATIONAL CHILD ABUSE HOTLINE.— 
‘‘(A) IN
GENERAL.—The Secretary may 
award a grant under this subsection to a non-
profit entity to provide for the ongoing oper-
ation of a 24-hour, national, toll-free telephone 
hotline to provide information and assistance to 
youth victims of child abuse or neglect, parents, 
caregivers, mandated reporters, and other con-
cerned community members, including through 
alternative modalities for communications (such 
as texting or chat services) with such victims 
and other information seekers. 
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‘‘(B) PRIORITY.—In awarding grants de-
scribed in this paragraph, the Secretary shall 
give priority to applicants with experience in 
operating a hotline that provides assistance to 
victims of child abuse, parents, caregivers, and 
mandated reporters. 
‘‘(C) APPLICATION.—To be eligible to re-
ceive a grant described in this paragraph, a 
nonprofit entity shall submit an application to 
the Secretary that shall— 
‘‘(i) contain such assurances and in-
formation, be in such form, and be sub-
mitted in such manner, as the Secretary 
shall prescribe; 
‘‘(ii) include a complete description of 
the entity’s plan for the operation of a na-
tional child abuse hotline, including de-
scriptions of— 
‘‘(I) the professional development 
program for hotline personnel, includ-
ing technology professional develop-
ment to ensure that all persons affili-
ated with the hotline are able to effec-
tively operate any technological sys-
tems used by the hotline; 
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‘‘(II) the qualifications for hot-
line personnel; 
‘‘(III) the methods for the cre-
ation, maintenance, and updating of a 
comprehensive list of prevention and 
treatment service providers; 
‘‘(IV) a plan for publicizing the 
availability of the hotline throughout 
the United States; 
‘‘(V) a plan for providing service 
to non-English speaking callers, in-
cluding service through hotline per-
sonnel who have non-English language 
capability; 
‘‘(VI) a plan for facilitating ac-
cess to the hotline and alternative mo-
dality services by persons with hearing 
impairments and disabilities; 
‘‘(VII) a plan for providing crisis 
counseling, general assistance, and re-
ferrals to youth victims of child abuse; 
and 
‘‘(VIII) a plan to offer alternative 
services to calling, such as texting or 
live chat; 
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‘‘(iii) demonstrate that the entity has 
the capacity and the expertise to maintain 
a child abuse hotline and a comprehensive 
list of service providers; 
‘‘(iv) demonstrate the ability to pro-
vide information and referrals for contacts, 
directly connect contacts to service pro-
viders, and employ crisis interventions; 
‘‘(v) demonstrate that the entity has a 
commitment to providing services to indi-
viduals in need; and 
‘‘(vi) demonstrate that the entity com-
plies with State privacy laws and has es-
tablished quality assurance practices.’’; and 
(2) by striking subsections (b) and (c) and in-
serting the following: 
‘‘(b) GOALS
AND PERFORMANCE.—The Secretary 
shall ensure that each entity receiving a grant under this 
section— 
‘‘(1) establishes quantifiable goals for the out-
come of the project funded with the grant; and 
‘‘(2) adequately measures the performance of 
the project relative to such goals. 
‘‘(c) PERFORMANCE REPORT REQUIRED.— 
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‘‘(1) IN GENERAL.—Each entity that receives a 
grant under this section shall submit to the Sec-
retary a performance report that includes— 
‘‘(A) an evaluation of the effectiveness of 
the project funded with the grant relative to the 
goals established for such project under sub-
section (b)(1); and 
‘‘(B) data supporting such evaluation. 
‘‘(2) SUBMISSION.—The report under para-
graph (1) shall be submitted to the Secretary at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
‘‘(d) CONTINUING GRANTS.—The Secretary may only 
award a continuing grant to an entity under this section 
if such entity submits a performance report required 
under subsection (c) that demonstrates effectiveness of the 
project funded.’’. 
SEC. 106. GRANTS TO STATES FOR CHILD ABUSE OR NE-
GLECT PREVENTION AND TREATMENT PRO-
GRAMS. 
(a) DEVELOPMENT AND OPERATION GRANTS.—Sub-
section (a) of section 106 of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5106a) is amended to read 
as follows: 
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‘‘(a) DEVELOPMENT AND OPERATION GRANTS.—The 
Secretary shall make grants to the States, from allotments 
under subsection (f) for each State that applies for a grant 
under this section, for purposes of assisting the States in 
improving and implementing a child protective services 
system that is family-centered, integrates community serv-
ices, and is capable of providing rapid response to high- 
risk cases, by carrying out the following: 
‘‘(1) Conducting the intake, assessment, screen-
ing, and investigation of reports of child abuse or 
neglect. 
‘‘(2) Ensuring that reports concerning a child’s 
living arrangements or subsistence needs are ad-
dressed through services or benefits and that no 
child is separated from such child’s parent for rea-
sons of poverty. 
‘‘(3) Creating and improving the use of multi-
disciplinary teams and interagency, intra-agency, 
interstate, and intrastate protocols to enhance fair 
investigations; and improving legal preparation and 
representation. 
‘‘(4) Complying with the assurances in section 
106(b)(2). 
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‘‘(5) Establishing State and local networks of 
child and family service providers that support child 
and family well-being, which shall— 
‘‘(A) include child protective services, as 
well as agencies and service providers, that ad-
dress family-strengthening, parenting skills, 
child development, early childhood care and 
learning, child advocacy, public health, mental 
health, substance use disorder treatment, do-
mestic violence, developmental disabilities, hous-
ing, juvenile justice, elementary and secondary 
education, and child placement; and 
‘‘(B) address instances of child abuse and 
neglect by incorporating evaluations that assess 
the development of a child, including language 
and communication, cognitive, physical, and so-
cial and emotional development, the need for 
mental health services, including trauma-related 
services, trauma-informed care, and parental 
needs. 
‘‘(6) Ensuring child protective services is ad-
dressing the safety of children and responding to 
parent and family needs, which shall include— 
‘‘(A) family-oriented efforts that emphasize 
case assessment and follow up casework focused 
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on child safety and child and parent well-being, 
which may include— 
‘‘(i) ensuring parents and children un-
dergo physical and mental health assess-
ments, as appropriate, and ongoing devel-
opmental monitoring; 
‘‘(ii) multidisciplinary approaches to 
assessing family needs and connecting the 
family with services, including prevention 
services under section 471 of the Social Se-
curity Act (42 U.S.C. 671); 
‘‘(iii) organizing a treatment team 
with the goal of preventing child abuse and 
neglect, and improving parent and child 
well-being; 
‘‘(iv) case monitoring that supports 
child well-being; and 
‘‘(v) differential response efforts; and 
‘‘(B) establishing and maintaining a rapid 
response system that responds promptly to all 
reports of child abuse or neglect, with special 
attention to cases involving children under 3 
years of age. 
‘‘(7) Educating caseworkers, community service 
providers, attorneys, health care professionals, par-
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ents, and others engaged in the prevention, interven-
tion, and treatment of child abuse and neglect, 
which shall include education on— 
‘‘(A) practices that help ensure child safety 
and well-being; 
‘‘(B) approaches to family-oriented preven-
tion, intervention, and treatment of child abuse 
and neglect; 
‘‘(C) early childhood, child, and adolescent 
development, and the impact of adverse child-
hood experiences on such development; 
‘‘(D) the relationship between child abuse 
and domestic violence, and support for non- 
abusing parents; 
‘‘(E) strategies to work with families im-
pacted by substance use disorder and mental 
health issues (and, when appropriate, be coordi-
nated with prevention efforts funded under sec-
tion 471 of the Social Security Act (42 U.S.C. 
671)); 
‘‘(F) effective use of multiple services to 
address family and child needs, including needs 
resulting from trauma; 
‘‘(G) efforts to improve family and child 
well-being; 
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‘‘(H) support for child welfare workers af-
fected by secondary trauma; and 
‘‘(I) supporting families and caregivers to 
combat 
and 
prevent 
unsubstantiated, 
un-
founded, or false reports, including through 
education on the rights of families and care-
givers. 
‘‘(8) Creating or improving data systems that 
allow for— 
‘‘(A) the identification of cases requiring 
prompt responses; 
‘‘(B) real-time case monitoring that tracks 
assessments, service referrals, follow-up, case 
reviews, and progress toward parent and child 
goals; and 
‘‘(C) sharing basic identifying data with 
law enforcement, as necessary. 
‘‘(9) Improving the general child protective sys-
tem by developing, improving, and implementing 
safety assessment tools, providing that such tools, 
protocols, and systems shall not authorize the sepa-
ration of any child from the legal parent or guardian 
of such child solely on the basis of poverty, or with-
out a judicial order, except in the case of imminent 
harm.’’. 
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(b) ELIGIBILITY REQUIREMENTS.— 
(1) STATE
PLAN.—Paragraph (1) of section 
106(b) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(b)) is amended to read 
as follows: 
‘‘(1) STATE PLAN.— 
‘‘(A) IN GENERAL.—To be eligible to re-
ceive a grant under this section, a State shall 
submit to the Secretary a State plan that— 
‘‘(i) specifies how the grant will be 
used, and the State’s strategic plan, to 
treat child abuse and neglect and enhance 
community-based, prevention-centered ap-
proaches that attempt to prevent child 
abuse and neglect while strengthening and 
supporting families whenever possible; and 
‘‘(ii) meets the requirements of this 
subsection. 
‘‘(B) 
COORDINATION
AND
CONSULTA-
TION.— 
‘‘(i) COORDINATION.—Each State, to 
the maximum extent practicable, shall co-
ordinate its State plan under this sub-
section with its State plan under part B of 
title IV of the Social Security Act (42 
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U.S.C. 621 et seq.) relating to child and 
family services and, in States electing to 
provide services under part E of title IV of 
the Social Security Act (42 U.S.C. 670 et 
seq.) relating to foster care prevention 
services, its State plan under such part E. 
‘‘(ii) CONSULTATION.—In developing 
a State plan under this subsection, a State 
shall consult with community-based pre-
vention and service agencies, parents and 
families affected by child abuse or neglect 
in the State, law enforcement, family court 
judges, prosecutors who handle criminal 
child abuse cases, and medical profes-
sionals engaged in the treatment of child 
abuse and neglect. 
‘‘(C) DURATION
AND
SUBMISSION
OF 
PLAN.—Each State plan shall— 
‘‘(i) be submitted not less than every 
5 years; and 
‘‘(ii) if necessary, revised by the State 
to inform the Secretary of any substantive 
changes, including— 
‘‘(I) any changes to State law or 
regulations, relating to the prevention 
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of child abuse and neglect that may 
affect the eligibility of the State under 
this section; or 
‘‘(II) any changes in the State’s 
activities, 
strategies, 
or 
programs 
under this section.’’. 
(2) CONTENTS.—Paragraph (2) of section 
106(b) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(b)) is amended to read 
as follows: 
‘‘(2) CONTENTS.—A State plan submitted 
under paragraph (1) shall contain a description of 
the activities that the State will carry out using 
amounts received under the grant to achieve the ob-
jectives of this title, including— 
‘‘(A) an assurance in the form of a certifi-
cation by the Governor of the State that the 
State has in effect and is enforcing a State law, 
or has in effect and is operating a statewide 
program, relating to child abuse and neglect 
that includes— 
‘‘(i) provisions or procedures for an 
individual to report known and suspected 
instances of child abuse and neglect, in-
cluding a State law for mandatory report-
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ing by individuals required to report such 
instances; 
‘‘(ii) procedures for the immediate 
screening, risk and safety assessment, and 
prompt investigation of such reports of al-
leged abuse and neglect in order to ensure 
the well-being and safety of children; 
‘‘(iii) procedures for immediate steps 
to be taken to ensure and protect the safe-
ty of a victim of child abuse or neglect and 
of any other child under the same care who 
may also be in danger of child abuse or ne-
glect and ensuring their placement in a 
safe environment; 
‘‘(iv) methods to preserve the con-
fidentiality of all records in order to pro-
tect the rights of the child and of the 
child’s parents or guardians, including re-
quirements ensuring that reports and 
records made and maintained pursuant to 
the purposes of this Act shall only be made 
available to— 
‘‘(I) individuals who are the sub-
ject of the report; 
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‘‘(II) Federal, State, or local gov-
ernment entities, or any agent of such 
entities, as described in clause (xi) of 
this subparagraph; 
‘‘(III) child abuse citizen review 
panels; 
‘‘(IV) child fatality review panels; 
‘‘(V) a grand jury or court, upon 
a finding that information in the 
record is necessary for the determina-
tion of an issue before the court or 
grand jury; and 
‘‘(VI) other entities or classes of 
individuals statutorily authorized by 
the State to receive such information 
pursuant to a legitimate State pur-
pose; 
‘‘(v) provisions and procedures requir-
ing that in every case involving a victim of 
child abuse or neglect which results in a 
judicial proceeding, a guardian ad litem, 
who has received education appropriate to 
the role, including education in early child-
hood, child, and adolescent development, 
and domestic violence, and who may be an 
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attorney or a court appointed special advo-
cate who has received education appro-
priate to that role (or both), shall be ap-
pointed to represent the child (who, for 
purposes of this section, shall have any age 
limit elected by the State pursuant to sec-
tion 475(8)(B)(iii) of the Social Security 
Act (42 U.S.C. 675(8)(B)(iii)) in such pro-
ceedings— 
‘‘(I) to obtain first-hand, a clear 
understanding of the situation and 
needs of such child; and 
‘‘(II) to make recommendations 
to the court concerning the best inter-
ests of such child; 
‘‘(vi) the establishment of citizen re-
view panels in accordance with subsection 
(c); 
‘‘(vii) provisions and procedures to re-
quire that a representative of the child pro-
tective services agency shall, at the initial 
time of contact with the individual subject 
to a child abuse or neglect investigation, 
advise the individual of the complaints or 
allegations made against the individual, in 
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a manner that is consistent with laws pro-
tecting the rights of the informant; 
‘‘(viii) provisions, procedures, and 
mechanisms— 
‘‘(I) for the expedited termi-
nation of parental rights in the case 
of any infant determined to be aban-
doned under State law; and 
‘‘(II) by which individuals who 
disagree with an official finding of 
child abuse or neglect can appeal such 
finding; 
‘‘(ix) provisions addressing the profes-
sional development of representatives of 
the child protective services system regard-
ing the legal duties of the representatives, 
which may consist of various methods of 
informing such representatives of such du-
ties (including providing such education in 
different languages if necessary), in order 
to protect the legal rights and safety of 
children and their parents and caregivers 
from the initial time of contact during in-
vestigation through treatment; 
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‘‘(x) provisions for immunity from 
civil or criminal liability under State and 
local laws and regulations for individuals 
making good faith reports of suspected or 
known instances of child abuse or neglect, 
or who otherwise provide information or 
assistance, including medical evaluations or 
consultations, in connection with a report, 
investigation, or legal intervention pursu-
ant to a good faith report of child abuse or 
neglect; 
‘‘(xi) provisions to require the 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 child abuse and neglect; 
‘‘(xii) provisions requiring, and proce-
dures in place that facilitate the prompt 
expungement of any records that are ac-
cessible to the general public or are used 
for purposes of employment or other back-
ground checks in cases determined to be 
unsubstantiated or false, except that noth-
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ing in this section shall prevent State child 
protective services agencies from keeping 
information on unsubstantiated reports in 
their casework files to assist in future risk 
and safety assessment; 
‘‘(xiii) provisions and procedures for 
requiring 
criminal 
background 
record 
checks that meet the requirements of sec-
tion 471(a)(20) of the Social Security Act 
(42 U.S.C. 671(a)(20)) for prospective fos-
ter and adoptive parents and other adult 
relatives and non-relatives residing in the 
household; 
‘‘(xiv) provisions for systems of tech-
nology that support the State child protec-
tive services system and track reports of 
child abuse and neglect from intake 
through final disposition; 
‘‘(xv) provisions and procedures re-
quiring identification and assessment of all 
reports involving children known or sus-
pected to be victims of sex trafficking (as 
defined in section 103(12) of the Traf-
ficking Victims Protection Act of 2000 (22 
U.S.C. 7102(12))); 
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‘‘(xvi) provisions, procedures, and 
mechanisms that assure that the State 
does not require reunification of a sur-
viving child with a parent who has been 
found by a court of competent jurisdic-
tion— 
‘‘(I) to have committed murder 
(which would have been an offense 
under section 1111(a) of title 18, 
United States Code, if the offense had 
occurred in the special maritime or 
territorial jurisdiction of the United 
States) of another child of such par-
ent; 
‘‘(II) to have committed vol-
untary manslaughter (which would 
have been an offense under section 
1112(a) of title 18, United States 
Code, if the offense had occurred in 
the special maritime or territorial ju-
risdiction of the United States) of an-
other child of such parent; 
‘‘(III) to have aided or abetted, 
attempted, conspired, or solicited to 
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commit such murder or voluntary 
manslaughter; 
‘‘(IV) to have committed a felony 
assault that results in the serious bod-
ily injury to the surviving child or an-
other child of such parent; 
‘‘(V) to have committed sexual 
abuse against the surviving child or 
another child of such parent; or 
‘‘(VI) to be required to register 
with a sex offender registry under sec-
tion 113(a) of the Adam Walsh Child 
Protection and Safety Act of 2006 
(34 U.S.C. 20913(a)); and 
‘‘(xvii) an assurance that, upon the 
implementation by the State of the provi-
sions, procedures, and mechanisms under 
clause (xvi), conviction of any one of the 
felonies listed in clause (xvi) constitute 
grounds under State law for the termi-
nation of parental rights of the convicted 
parent as to the surviving children (al-
though 
case-by-case 
determinations 
of 
whether or not to seek termination of pa-
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rental rights shall be within the sole discre-
tion of the State); 
‘‘(B) an assurance that the State has in 
place procedures for responding to the reporting 
of medical neglect (including instances of with-
holding of medically indicated treatment from 
infants with disabilities who have life-threat-
ening conditions), procedures or programs, or 
both (within the State child protective services 
system), to provide for— 
‘‘(i) coordination and consultation 
with individuals designated by and within 
appropriate health-care facilities; 
‘‘(ii) prompt notification by individ-
uals designated by and within appropriate 
health-care facilities of cases of suspected 
medical neglect (including instances of 
withholding of medically indicated treat-
ment from infants with disabilities who 
have life-threatening conditions); and 
‘‘(iii) authority, under State law, for 
the State child protective services system 
to pursue any legal remedies, including the 
authority to initiate legal proceedings in a 
court of competent jurisdiction, as may be 
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necessary to prevent the withholding of 
medically indicated treatment from infants 
with disabilities who have life-threatening 
conditions; 
‘‘(C) an assurance or certification that pro-
grams and education conducted under this title 
address the unique needs of unaccompanied 
homeless youth, including access to enrollment 
and support services and that such youth are 
eligible for under parts B and E of title IV of 
the Social Security Act (42 U.S.C. 621 et seq., 
670 et seq.) and meet the requirements of the 
McKinney-Vento Homeless Assistance Act (42 
U.S.C. 11301 et seq.); and 
‘‘(D) a description of— 
‘‘(i) policies and procedures (including 
appropriate referrals to child welfare serv-
ice systems and for other appropriate serv-
ices (including home visiting services and 
mutual support and parent partner pro-
grams) determined by a family assessment) 
to address the needs of infants born with 
and identified as being affected by sub-
stance use or withdrawal symptoms result-
ing from prenatal drug exposure, or a 
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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-
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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 
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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 
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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; 
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‘‘(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 
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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 
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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),’’; 
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(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). 
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(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.’’. 
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(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)’’; 
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(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— 
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(1) in subsection (b), by inserting ‘‘Indian 
tribes, and tribal organizations,’’ after ‘‘States,’’; 
(2) by redesignating subsections (c) through (e) 
as subsections (d) through (f), respectively; and 
(3) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) PROTECTING AGAINST SYSTEMIC CHILD SEX-
UAL ABUSE.— 
‘‘(1) REPORTING AND TASK FORCE.—Not later 
than 24 months after the date of the enactment of 
the Stronger Child Abuse Prevention and Treatment 
Act, each State task force established under section 
107(c) and expanded as described in paragraph (2) 
shall study and make recommendations on the fol-
lowing, with a focus on preventing systemic child 
sexual abuse: 
‘‘(A) How to detect systemic child sexual 
abuse that occurs in an organization. 
‘‘(B) How to prevent child sexual abuse 
and systemic child sexual abuse from occurring 
in organizations, which shall include rec-
ommendations to improve— 
‘‘(i) practices and policies for the edu-
cation of parents, caregivers, and victims, 
and age appropriate education of children, 
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about risk factors or signs of potential 
child sexual abuse; and 
‘‘(ii) the efficacy of applicable State 
laws and the role such laws play in deter-
ring or preventing incidences of child sex-
ual abuse. 
‘‘(C) The feasibility of making available 
the disposition of a perpetrator within an orga-
nization to— 
‘‘(i) the child alleging sexual abuse or 
the child’s family; or 
‘‘(ii) an adult who was a child at the 
time of the sexual abuse claim in question 
or the adult’s family. 
‘‘(2) TASK FORCE COMPOSITION.—For purposes 
of this subsection, a State task force shall include— 
‘‘(A) the members of the State task force 
described in section 107(c) for the State; and 
‘‘(B) the following: 
‘‘(i) Family court judges. 
‘‘(ii) Individuals from religious organi-
zations. 
‘‘(iii) Individuals from youth-serving 
organizations, including youth athletics or-
ganizations. 
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‘‘(3) REPORTING ON RECOMMENDATIONS.—Not 
later than 6 months after a State task force makes 
recommendations under paragraph (1), the State 
maintaining such State task force shall— 
‘‘(A) make public the recommendations of 
such report; 
‘‘(B) report to the Secretary on the status 
of adopting such recommendations; and 
‘‘(C) in a case in which the State declines 
to adopt a particular recommendation, make 
public the explanation for such declination. 
‘‘(4) DEFINITIONS.—For purposes of this sub-
section— 
‘‘(A) the terms ‘child sexual abuse’ and 
‘sexual abuse’ shall not be limited to an act or 
a failure to act on the part of a parent or care-
taker; 
‘‘(B) the term ‘organization’ means any 
entity that serves children; and 
‘‘(C) the term ‘systemic child sexual abuse’ 
means— 
‘‘(i) a pattern of informal or formal 
policy or de facto policy to not follow State 
and local requirements to report instances 
of child sexual abuse in violation of State 
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and local mandatory reporting laws or pol-
icy; or 
‘‘(ii) a pattern of assisting individual 
perpetrators in maintaining their careers 
despite substantiated evidence of child sex-
ual abuse.’’. 
SEC. 108. REPORTS. 
(a) SCALING
EVIDENCE-BASED
TREATMENT
OF 
CHILD ABUSE AND NEGLECT.—Section 110 of the Child 
Abuse Prevention and Treatment Act (42 U.S.C. 5106f) 
is amended to read as follows: 
‘‘SEC. 110. STUDY AND REPORT RELATING TO SCALING EVI-
DENCE-BASED TREATMENT OF CHILD ABUSE 
AND NEGLECT; STUDY AND REPORT ON MAR-
ITAL AGE OF CONSENT; STUDY AND REPORT 
ON STATE MANDATORY REPORTING LAWS. 
‘‘(a) IN GENERAL.—The Secretary shall conduct a 
study that examines challenges to, and best practices for, 
the scalability of treatments that reduce the trauma re-
sulting from child abuse and neglect and reduce the risk 
of revictimization, such as those allowable under sections 
105 and 106. 
‘‘(b) CONTENT OF STUDY.—The study described in 
subsection (a) shall be completed in a manner that con-
siders the variability among treatment programs and 
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among populations vulnerable to child abuse and neglect. 
The study shall include, at minimum: 
‘‘(1) A detailed synthesis of the existing re-
search literature examining barriers and challenges 
to, and best practices for the scalability of child wel-
fare programs and services as well as programs and 
services for vulnerable children and families in re-
lated fields, including healthcare and education. 
‘‘(2) Data describing state and local providers’ 
experiences with scaling treatments that reduce the 
trauma resulting from child abuse and neglect and 
reduce the risk of revictimization. 
‘‘(3) Consultation with experts in child welfare, 
healthcare, and education. 
‘‘(c) REPORT.—Not later than 3 years after the date 
of the enactment of the Stronger Child Abuse Prevention 
and Treatment Act, the Secretary shall submit to the 
Committee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Education and Labor 
of the House of Representatives a report that contains the 
results of the study conducted under subsection (a), in-
cluding recommendations for best practices for scaling 
treatments that reduce the trauma resulting from child 
abuse and neglect and reduce the risk of revictimization. 
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‘‘(d) STUDY AND REPORT ON MARITAL AGE OF CON-
SENT.— 
‘‘(1) STUDY.—The Secretary shall study, with 
respect to each State— 
‘‘(A) the State law regarding the minimum 
marriage age; and 
‘‘(B) the prevalence of marriage involving 
a child who is under the age of such minimum 
marriage age. 
‘‘(2) FACTORS.—The study required under 
paragraph (1) shall include an examination of— 
‘‘(A) the extent to which any statutory ex-
ceptions to the minimum marriage age in such 
laws contribute to the prevalence of marriage 
involving a child described in paragraph (1)(B); 
‘‘(B) whether such exceptions allow such a 
child to be married without the consent of such 
child; and 
‘‘(C) the impact of such exceptions on the 
safety of such children. 
‘‘(3) REPORT.—Not later than 1 year after the 
date of enactment of the Stronger Child Abuse Pre-
vention and Treatment Act, the Secretary shall sub-
mit to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on 
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Education and Labor of the House of Representa-
tives a report containing the findings of the study 
required by this subsection, including any best prac-
tices. 
‘‘(e) STUDY AND REPORT ON STATE MANDATORY 
REPORTING LAWS.— 
‘‘(1) STUDY.—The Secretary shall collect infor-
mation on and otherwise study State laws for man-
datory reporting of incidents of child abuse or ne-
glect. Such study shall examine trends in referrals 
and investigations of child abuse and neglect due to 
differences in such State laws with respect to the in-
clusion, as mandatory reporters, of the following in-
dividuals: 
‘‘(A) Individuals licensed or certified to 
practice in any health-related field licensed by 
the State, employees of health care facilities or 
providers licensed by the State, who are en-
gaged in the admission, examination, care or 
treatment of individuals, including mental 
health and emergency medical service providers. 
‘‘(B) Individuals employed by a school who 
have direct contact with children, including 
teachers, administrators, and independent con-
tractors. 
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‘‘(C) Peace officers and law enforcement 
personnel. 
‘‘(D) Clergy, including Christian Science 
practitioners, except where prohibited on ac-
count of clergy-penitent privilege. 
‘‘(E) Day care and child care operators 
and employees. 
‘‘(F) Employees of social services agencies 
who have direct contact with children in the 
course of employment. 
‘‘(G) Foster parents. 
‘‘(H) Court appointed special advocates 
(employees and volunteers). 
‘‘(I) Camp and after-school employees. 
‘‘(J) An individual, paid or unpaid, who, 
on the basis of the individual’s role as an inte-
gral part of a regularly scheduled program, ac-
tivity, or service, accepts responsibility for a 
child. 
‘‘(2) REPORT.—Not later than 4 years after the 
date of enactment of the Stronger Child Abuse Pre-
vention and Treatment Act, the Secretary shall sub-
mit to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on 
Education and Labor of the House of Representa-
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tives a report containing the findings of the study 
required by this subsection, including any best prac-
tices related to the inclusion, as mandatory report-
ers, of individuals described in paragraph (1).’’. 
(b) REPORT ON CHILD ABUSE AND NEGLECT IN IN-
DIAN TRIBAL COMMUNITIES.— 
(1) IN GENERAL.—Not later than 2 years after 
the date of the enactment of this Act, the Comp-
troller General, in consultation with the Indian 
tribes from each of the 12 regions of the Bureau of 
Indian Affairs, shall study child abuse and neglect in 
Indian Tribal communities for the purpose of identi-
fying vital information and making recommendations 
concerning issues relating to child abuse and neglect 
in such communities, and submit to the Committee 
on Health, Education, Labor, and Pensions and the 
Committee on Indian Affairs of the Senate and the 
Committee on Education and Labor and the Com-
mittee on Natural Resources of the House of Rep-
resentatives a report on such study, which shall in-
clude— 
(A) the number of Indian tribes providing 
primary child abuse and neglect prevention ac-
tivities; 
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(B) the number of Indian tribes providing 
secondary child abuse and neglect prevention 
activities; 
(C) promising practices of Indian tribes 
with respect to child abuse and neglect preven-
tion that are culturally-based or culturally- 
adapted; 
(D) information and recommendations on 
how such culturally-based or culturally-adapted 
child abuse and neglect prevention activities 
could become evidence-based; 
(E) the number of Indian tribes that have 
accessed Federal child abuse and neglect pre-
vention programs; 
(F) child abuse and neglect prevention ac-
tivities that Indian tribes provide using State 
funds; 
(G) child abuse and neglect prevention ac-
tivities that Indian tribes provide using Tribal 
funds; 
(H) Tribal access to State children’s trust 
fund resources, as described in section 202 of 
the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5116a); 
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(I) how a children’s trust fund model could 
be used to support prevention efforts regarding 
child abuse and neglect of American Indian and 
Alaska Native children; 
(J) Federal agency technical assistance ef-
forts to address child abuse and neglect preven-
tion and treatment of American Indian and 
Alaska Native children; 
(K) Federal agency cross-system collabora-
tion to address child abuse and neglect preven-
tion and treatment of American Indian and 
Alaska Native children; 
(L) Tribal access to child abuse and ne-
glect prevention research and demonstration 
grants under the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5101 et seq.); and 
(M) an examination of child abuse and ne-
glect data systems to identify what Tribal data 
is being submitted, barriers to submitting data, 
and recommendations on improving the collec-
tion of data from Indian Tribes. 
(2) DEFINITIONS.—In this subsection— 
(A) the term ‘‘Alaska Native’’ has the 
meaning given the term in section 111 of the 
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Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106g); and 
(B) the terms ‘‘child abuse and neglect’’ 
and ‘‘Indian tribe’’ have the meaning given the 
terms in section 3 of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5101 note). 
SEC. 109. AUTHORIZATION OF APPROPRIATIONS. 
Section 112(a) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106h(a)) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘to carry out’’ through 
‘‘fiscal year 2010’’ and inserting ‘‘to carry out 
this title $270,000,000 for fiscal year 2022’’; 
and 
(B) by striking ‘‘2011 through 2015’’ and 
inserting ‘‘2023 through 2027’’; and 
(2) by striking paragraph (2)(A) and inserting 
the following: 
‘‘(A) IN GENERAL.—Of the amounts ap-
propriated for a fiscal year under paragraph 
(1), the Secretary shall make available 30 per-
cent of such amounts, or $100,000,000, which-
ever is less, to fund discretionary activities 
under this title.’’. 
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SEC. 110. MONITORING AND OVERSIGHT. 
Section 114(1) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5108(1)) is amended— 
(1) in each of subparagraphs (A) and (B), by 
striking ‘‘and’’ at the end; and 
(2) by adding at the end the following: 
‘‘(C) include written guidance and tech-
nical assistance to support States, which shall 
include guidance on the requirements of this 
Act with respect to infants born with and iden-
tified as being affected by substance use or 
withdrawal symptoms, Neonatal Abstinence 
Syndrome, or Fetal Alcohol Spectrum Disorder, 
as described in clauses (i) and (ii) of section 
106(b)(2)(D), including by— 
‘‘(i) enhancing States’ understanding 
of requirements and flexibilities under the 
law, including by clarifying key terms; 
‘‘(ii) addressing State-identified chal-
lenges with developing, implementing, and 
monitoring plans of safe care; and 
‘‘(iii) disseminating best practices on 
implementation of plans of safe care, on 
such topics as differential response, col-
laboration and coordination, and identifica-
tion and delivery of services for different 
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populations, while recognizing needs of dif-
ferent populations and varying community 
approaches across States; and 
‘‘(D) include the submission of a report to 
the Committee on Education and Labor of the 
House of Representatives and the Committee 
on Health, Education, Labor, and Pensions of 
the Senate not later than 1 year after the date 
of the enactment of this Act that contains a de-
scription of the activities taken by the Secretary 
to comply with the requirements of subpara-
graph (C); and’’. 
SEC. 111. ELECTRONIC INTERSTATE DATA EXCHANGE SYS-
TEM. 
Title I of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5101 et seq.) is amended by adding at 
the end the following: 
‘‘SEC. 115. ELECTRONIC INTERSTATE DATA EXCHANGE SYS-
TEM. 
‘‘(a) INTERSTATE DATA EXCHANGE SYSTEM.— 
‘‘(1) IN GENERAL.—The Secretary of Health 
and Human Services shall consider the recommenda-
tions included in the reports required under para-
graph (8)(A) and subsection (b)(2) in developing an 
electronic interstate data exchange system that al-
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lows State entities responsible under State law for 
maintaining child abuse and neglect registries to 
communicate information across State lines. 
‘‘(2) STANDARDS.—In developing the electronic 
interstate data exchange system under paragraph 
(1), the Secretary shall— 
‘‘(A) use interoperable standards developed 
and maintained by intergovernmental partner-
ships, such as the National Information Ex-
change Model; 
‘‘(B) develop policies and governance 
standards that— 
‘‘(i) ensure consistency in types of in-
formation shared and not shared; and 
‘‘(ii) 
specify 
circumstances 
under 
which data should be shared through the 
interstate data exchange system; and 
‘‘(C) ensure that all standards and policies 
adhere to the privacy, security, and civil rights 
laws of each State and Federal law. 
‘‘(3) LIMITATION
ON
USE
OF
ELECTRONIC 
INTERSTATE DATA EXCHANGE SYSTEM.—The elec-
tronic interstate data exchange system may only be 
used for purposes relating to child safety. 
‘‘(4) PILOT PROGRAM.— 
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‘‘(A) IMPLEMENTATION.—Not later than 6 
months after the date of the enactment of this 
section, the Secretary of Health and Human 
Services shall begin implementation of a pilot 
program to generate recommendations for the 
full integration of the electronic interstate data 
exchange system. Such pilot program shall in-
clude not less than 10 States and not more 
than 15 States. 
‘‘(B) COMPLETION.—Not later than 30 
months after the date of the enactment of this 
section, the Secretary of Health and Human 
Services shall complete the pilot program de-
scribed in subparagraph (A). 
‘‘(5) INTEGRATION.—The Secretary of Health 
and Human Services may assist States in the inte-
gration of this system into the infrastructure of each 
State using funds appropriated under this sub-
section. 
‘‘(6) PARTICIPATION.—As a condition on eligi-
bility for receipt of funds under section 106, each 
State shall— 
‘‘(A) participate in the electronic interstate 
data exchange system to the fullest extent pos-
sible in accordance with State law (as deter-
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mined by the Secretary of Health and Human 
Services) not later than December 31, 2027; 
and 
‘‘(B) prior to the participation described in 
subparagraph (A), provide to the Secretary of 
Health and Human Services an assurance that 
the child abuse and neglect registry of such 
State provides procedural due process protec-
tions with respect to including individuals on 
such registry. 
‘‘(7) PROHIBITION.—The Secretary of Health 
and Human Services may not access or store data 
from the electronic interstate data exchange system, 
unless the State to which such data pertains volun-
tarily shares such data with the Secretary of Health 
and Human Services. 
‘‘(8) REPORTS.—The Secretary of Health and 
Human Services shall prepare and submit to Con-
gress— 
‘‘(A) not later than 3 years after the date 
of the enactment of this section, a report on the 
recommendations from the pilot program de-
scribed in paragraph (4); and 
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‘‘(B) not later than January 31, 2026, a 
report on the progress made in implementing 
this subsection. 
‘‘(9) AUTHORIZATION OF APPROPRIATIONS.—Of 
the funds appropriated under section 112 for a fiscal 
year— 
‘‘(A) for each of fiscal years 2022 and 
2023, $2,000,000 shall be reserved to carry out 
this section; and 
‘‘(B) for each of fiscal years 2024 through 
2027, $1,000,000 shall be reserved to carry out 
this section. 
‘‘(b) WORKING GROUP.— 
‘‘(1) IN
GENERAL.—Not later than 60 days 
after the date of the enactment of this section, the 
Secretary of Health and Human Services shall con-
vene a working group to study and make rec-
ommendations on the following: 
‘‘(A) The feasibility of making publicly 
available on the website of each State defini-
tions and standards of substantiated child 
abuse and neglect for the State. 
‘‘(B) Whether background check require-
ments under this Act, the Child Care and De-
velopment Block Grant Act of 1990 (42 U.S.C. 
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9858 et seq.), and part E of title IV of the So-
cial Security Act (42 U.S.C. 670 et seq.) are 
complementary or if there are discrepancies 
that need to be addressed. 
‘‘(C) How to improve communication be-
tween and across States, including through the 
use of technology and the use of the electronic 
interstate data exchange system established 
under subsection (a), to allow for more accurate 
and efficient exchange of child abuse and ne-
glect records. 
‘‘(D) How to reduce barriers and establish 
best practices for the State to provide timely re-
sponses to requests from other States for infor-
mation contained in the State’s child abuse and 
neglect registry through the electronic inter-
state data exchange system established under 
subsection (a). 
‘‘(E) How to ensure due process for any 
individual included in a State’s child abuse and 
neglect registry, including the following: 
‘‘(i) The level of evidence necessary 
for inclusion in the State’s child abuse and 
neglect registry. 
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‘‘(ii) The process for notifying such 
individual of inclusion in the State’s child 
abuse and neglect registry and the implica-
tions of such inclusion. 
‘‘(iii) The process for providing such 
individual the opportunity to challenge 
such inclusion, and the procedures for re-
solving such challenge. 
‘‘(iv) The length of time an individ-
ual’s record is to remain in the State’s 
child abuse and neglect registry, and the 
process for removing such individual’s 
record. 
‘‘(v) The criteria for when such indi-
vidual’s child abuse and neglect registry 
record may be— 
‘‘(I) made accessible to the gen-
eral public; 
‘‘(II) made available for purposes 
of an employment check; and 
‘‘(III) be shared for the purposes 
of participation in the electronic inter-
state data exchange system described 
in subsection (a). 
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‘‘(2) REPORT.—Not later than 18 months after 
the date of the enactment of this section, the work-
ing group convened under paragraph (1) shall sub-
mit a report containing its recommendations to the 
Secretary of Health and Human Services, the Com-
mittee on Health, Education, Labor, and Pensions 
of the Senate, and the Committee on Education and 
Labor of the House of Representatives. 
‘‘(3) CONSTRUCTION.—There shall be no re-
quirement for any State to adopt the recommenda-
tions of the working group, nor shall the Secretary 
of Health and Human Services incentivize or coerce 
any State to adopt any such recommendation.’’. 
SEC. 112. TECHNICAL AND CONFORMING AMENDMENTS. 
(a) TECHNICAL AMENDMENTS.—The Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5101 et seq.), 
as amended by the preceding provisions of this Act, is fur-
ther amended— 
(1) by striking ‘‘Committee on Education and 
the Workforce’’ each place it appears and inserting 
‘‘Committee on Education and Labor’’; 
(2) in section 103(c)(1)(F), by striking ‘‘abused 
and neglected children’’ and inserting ‘‘victims of 
child abuse or neglect’’; and 
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(3) in section 107(f), by striking ‘‘(42 U.S.C. 
10603a)’’ and inserting ‘‘(34 U.S.C. 20104)’’. 
(b) CONFORMING AMENDMENTS.— 
(1) SECTION
103.—Section 103(b)(5) (42 
U.S.C. 5104(b)(5)) is amended by striking ‘‘section 
106(b)(2)(B)(iii)’’ 
and 
inserting 
‘‘section 
106(b)(2)(D)(ii)’’. 
(2) SECTION
105.—Section 105(a)(11) (42 
U.S.C. 5106(a)(11) (as redesignated by section 
105(1)(A) of this Act) is amended— 
(A) in subparagraph (A), by striking ‘‘sec-
tion 106(b)(2)(B)(iii)’’ and inserting ‘‘section 
106(b)(2)(D)(ii)’’; 
(B) in subparagraph (C)— 
(i) in clause (i)(II), by striking ‘‘sec-
tion 106(b)(2)(B)(iii)’’ and inserting ‘‘sec-
tion 106(b)(2)(D)(ii)’’; 
(ii) in clause (i)(IV), by striking ‘‘sec-
tion 106(b)(2)(B)(iii)(II)’’ and inserting 
‘‘section 106(b)(2)(D)(ii)(II)’’; and 
(iii) in clause (ii), by striking ‘‘clauses 
(ii) and (iii) of section 106(b)(2)(B)’’ and 
inserting ‘‘clauses (i) and (ii) of section 
106(b)(2)(D)’’; 
(C) in subparagraph (D)— 
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(i) in clause (i)(I), by striking ‘‘sec-
tion 106(b)(2)(B)(iii)(I)’’ and inserting 
‘‘section 106(b)(2)(D)(ii)(I)’’; 
(ii) in clause (ii)(I), by striking ‘‘sec-
tion 106(b)(2)(B)(ii)’’ and inserting ‘‘sec-
tion 106(b)(2)(D)(i)’’; 
(iii) in clause (ii)(II), by striking ‘‘sec-
tion 106(b)(2)(B)(iii)’’ and inserting ‘‘sec-
tion 106(b)(2)(D)(ii)(I)’’; 
(iv) in clause (iii)(I), by striking ‘‘sec-
tion 106(b)(2)(B)(i)’’ and inserting ‘‘sec-
tion 106(b)(2)(A)(i)’’; 
(v) in clause (iii)(IV), by striking 
‘‘section 106(b)(2)(B)(iii)’’ and inserting 
‘‘section 106(b)(2)(D)(ii)’’; and 
(vi) in clause (v), by striking ‘‘section 
106(b)(2)(B)(iii)’’ and inserting ‘‘section 
106(b)(2)(D)(ii)’’; 
(D) in subparagraph (E), by striking ‘‘sec-
tion 106(b)(2)(B)(ii)’’ and inserting ‘‘section 
106(b)(2)(D)(i)’’; and 
(E) in subparagraph (G)(ii), by striking 
‘‘clauses (ii) and (iii) of section 106(b)(2)(B)’’ 
and inserting ‘‘clauses (i) and (ii) of section 
106(b)(2)(D)’’. 
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(3) SECTION
114.—Section 114(1)(B) (42 
U.S.C. 5108(1)(B)) is amended by striking ‘‘clauses 
(ii) and (iii) of section 106(b)(2)(B)’’ and inserting 
‘‘clauses (i) and (ii) of section 106(b)(2)(D)’’. 
(4) TABLE OF CONTENTS.—The table of con-
tents in section 1(b) of the Child Abuse Prevention 
and Treatment Act is amended— 
(A) by striking the items relating to sec-
tions 2 and 102; 
(B) by inserting after the item relating to 
section 114 the following: 
‘‘Sec. 115. Electronic interstate data exchange system.’’; 
and 
(C) by striking the item relating to section 
110, and inserting the following: 
‘‘Sec. 110. Study and report relating to scaling evidence-based treatment of 
child abuse and neglect; study and report on marital age of 
consent; study and report on State mandatory reporting laws.’’. 
TITLE 
II—COMMUNITY-BASED 
GRANTS FOR THE PREVEN-
TION OF CHILD ABUSE AND 
NEGLECT 
SEC. 201. PURPOSE AND AUTHORITY. 
Subsections (a) and (b) of section 201 of the Child 
Abuse Prevention and Treatment Act (42 U.S.C. 5116) 
are amended to read as follows: 
‘‘(a) PURPOSE.—The purposes of this title are— 
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‘‘(1) to establish and maintain support for com-
munity-based family strengthening services and 
statewide systems-building approaches to the extent 
practicable, to ensure the development, operation, 
expansion, coordination, and evaluation of quality 
services, initiatives, programs, and activities to pre-
vent child abuse and neglect; and 
‘‘(2) to promote improved access for diverse 
populations with demonstrated need, including low- 
income families, racial and ethnic minorities, fami-
lies with children or caregivers with disabilities, un-
derserved communities, and rural communities, to 
family strengthening services in order to more effec-
tively prevent child abuse and neglect. 
‘‘(b) AUTHORITY.—The Secretary shall make grants 
under this title on a formula basis to the entity designated 
by the State as the lead entity (referred to in this title 
as the ‘lead entity’) under section 202(1) for the following 
purposes: 
‘‘(1) Providing programs, activities, and initia-
tives to help families build protective factors linked 
to the prevention of child abuse and neglect, such as 
knowledge of parenting and child development, pa-
rental resilience, social connections, time-limited and 
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need-based concrete support, and social and emo-
tional development of children, that— 
‘‘(A) are accessible to diverse populations, 
effective, and culturally appropriate; 
‘‘(B) build upon existing strengths; 
‘‘(C) offer assistance to families; 
‘‘(D) provide early, comprehensive support 
for parents; 
‘‘(E) promote the development of healthy 
familial relationships and parenting skills, espe-
cially in young parents and parents with very 
young children; 
‘‘(F) increase family stability; 
‘‘(G) improve family access to formal and 
informal community-based resources, including 
health and mental health services, time-limited 
and need-based concrete supports, and services 
and supports to meet the needs of families with 
children or caregivers with disabilities; and 
‘‘(H) support the additional needs of fami-
lies with children with disabilities, including 
through respite care. 
‘‘(2) Fostering the development of a continuum 
of preventive services to strengthen families through 
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State- and community-based collaborations and both 
public and private partnerships. 
‘‘(3) Financing the start-up, maintenance, ex-
pansion, or redesign of core services described in 
section 205, where communities have identified gaps 
and decided to prioritize the establishment of such 
services, to the extent practicable given funding lev-
els and community priorities. 
‘‘(4) Maximizing funding through leveraging 
Federal, State, local, public, and private funds to 
carry out the purposes of this title. 
‘‘(5) Developing or enhancing statewide and 
local networks to operate, expand, or enhance com-
munity-based family strengthening services, initia-
tives, and activities that promote child, parent, fam-
ily, and community health and well-being and pre-
vent child abuse and neglect. 
‘‘(6) Promoting the development of, and coordi-
nation with, existing community coalitions of net-
works of family strengthening services that utilize 
culturally responsive providers in order to enhance 
child, family, and community well-being and prevent 
child abuse and neglect in all families. 
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‘‘(7) Financing public information activities 
that focus on parent and child development and 
child abuse and neglect prevention. 
‘‘(8) To the extent practicable— 
‘‘(A) promoting the development and im-
plementation of a statewide systems-building 
strategy to address the unmet needs identified 
in the inventory described in section 204(3), in-
cluding the participation of public and private 
stakeholders, community-based organizations, 
legislators, parents and other relevant stake-
holders, and State agencies, including the child 
welfare agency, the public health agency, hous-
ing agency, and the State education agency, to 
scale evidence-based, evidence-informed, and 
promising programs that expand access to fam-
ily strengthening services and reduce the num-
bers of children entering the foster care system; 
‘‘(B) developing comprehensive outreach 
strategies to engage families with various risk 
factors, including families who have experienced 
trauma or domestic violence, parents with sub-
stance use disorder, and families with children 
or caregivers with disabilities; and 
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‘‘(C) providing capacity-building supports 
to local programs to improve desired outcomes 
for children and families, such as— 
‘‘(i) technical assistance, including 
support for local programs to collect out-
come data that helps improve service deliv-
ery; 
‘‘(ii) professional development; and 
‘‘(iii) peer support networks, including 
through 
developing 
a 
problem-solving 
forum.’’. 
SEC. 202. ELIGIBILITY. 
Section 202 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116a) is amended— 
(1) in paragraph (1)— 
(A) by striking subparagraph (A) and in-
serting the following: 
‘‘(A) the Governor of the State has designated 
a lead entity to administer funds under this title for 
the purposes identified under the authority of this 
title, including to develop, implement, operate, en-
hance, or expand community-based family strength-
ening services designed to prevent child abuse and 
neglect;’’; and 
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assistance, and evaluation assistance, to com-
munity-based organizations;’’; and 
(D) by striking subparagraph (D) and in-
serting the following: 
‘‘(D) will integrate efforts with individuals 
and organizations experienced in working in 
partnership with low-income families, racial and 
ethnic minorities, families with children or care-
givers with disabilities, sexual and gender mi-
nority youth, victims of domestic violence, and 
with the child abuse and neglect prevention ac-
tivities in the State, and demonstrate a finan-
cial commitment to those activities; and 
‘‘(E) will take into consideration access for 
diverse populations and unmet need when dis-
tributing funds to local programs under section 
205.’’. 
SEC. 203. AMOUNT OF GRANT. 
Section 203 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116b) is amended— 
(1) by striking subsection (a) and inserting the 
following: 
‘‘(a) RESERVATION.—For the purpose of making al-
lotments to Indian tribes and tribal organizations and mi-
grant programs, the Secretary shall reserve 5 percent of 
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the amount appropriated under section 210(a) for each 
fiscal year, except that, if making such reservation would 
cause the total amount allotted to States under this sec-
tion for a fiscal year to be less than such total for fiscal 
year 2021, the Secretary shall reserve 1 percent of the 
amount appropriated under section 210(a) for the year for 
such purpose.’’; and 
(2) by adding at the end the following: 
‘‘(d) LIMITATION.—For any fiscal year for which the 
amount allotted to a State under subsection (b) exceeds 
the amount allotted to the State under such subsection 
for fiscal year 2021, the State’s lead entity may use not 
more than 10 percent of such excess amount for adminis-
trative expenses.’’. 
SEC. 204. APPLICATION. 
Section 204 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116d) is amended— 
(1) in the matter preceding paragraph (1), by 
striking ‘‘specified by the Secretary as essential to 
carrying out the provisions of section 202, includ-
ing’’ and inserting ‘‘and assurances required in 
paragraphs (2) and (3) of section 202 and types of 
information specified by the Secretary as essential in 
carrying out the provisions of section 201(b), includ-
ing’’; 
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(2) in paragraphs (1), (2), and (4), by striking 
‘‘community-based and prevention-focused programs 
and activities designed to strengthen and support 
families’’ and inserting ‘‘community-based family 
strengthening services designed’’; 
(3) in paragraph (3) by striking ‘‘community- 
based and prevention-focused programs and activi-
ties’’ 
and 
inserting 
‘‘community-based 
family 
strengthening services designed’’; 
(4) in paragraph (5), by striking ‘‘and preven-
tion-focused programs and activities designed to 
strengthen and support families to prevent child 
abuse and neglect;’’ and inserting ‘‘services and 
statewide strategies designed to strengthen and sup-
port families to promote child, family, and commu-
nity well-being and prevent child abuse and ne-
glect;’’; 
(5) by striking paragraph (6) and inserting the 
following: 
‘‘(6) a description of the State’s capacity and 
commitment to ensure the meaningful involvement 
of parents who are or have been consumers of pre-
ventative supports, including the involvement of par-
ents of diverse populations, such as low-income fami-
lies, families with children or caregivers with disabil-
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ities, racial and ethnic minorities, and members of 
other underrepresented or underserved groups, fam-
ily advocates, and adult victims of child abuse or ne-
glect who can provide leadership in the planning, im-
plementation, and evaluation of the programs and 
policy decisions of the applicant agency in accom-
plishing the desired outcomes for such efforts;’’; 
(6) by redesignating paragraph (12) as para-
graph (15); 
(7) by redesignating paragraphs (7) through 
(11) as paragraphs (8) through (12), respectively; 
(8) by inserting after paragraph (6) the fol-
lowing: 
‘‘(7) a description of the process and criteria 
the lead entity will use to identify and select commu-
nities in which to build a continuum of family 
strengthening services, including an assurance that 
the process will ensure access for all families, includ-
ing families in communities with high rates of child 
abuse and neglect relative to other communities in 
the State;’’; 
(9) by striking paragraph (9), as so redesig-
nated, and inserting the following: 
‘‘(9) a description of outreach activities that the 
lead entity and local grantees will undertake to 
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maximize the participation of low-income families, 
racial and ethnic minorities, families with children or 
caregivers with disabilities, sexual and gender minor-
ity youth, victims of domestic violence, homeless 
families and those at risk of homelessness, and 
members of other underserved or underrepresented 
groups;’’; 
(10) by striking paragraph (10), as so redesig-
nated, and inserting the following: 
‘‘(10) a plan for providing operational support, 
professional development, and technical assistance to 
grantees, other State and local programs and pro-
viders, families, and other entities involved in 
strengthening families and preventing child abuse 
and neglect;’’; 
(11) in paragraph (11), as so redesignated, by 
striking ‘‘and its members (where appropriate)’’ and 
inserting ‘‘of community-based family strengthening 
services and statewide initiatives’’; and 
(12) by striking paragraph (12), as so redesig-
nated, and inserting the following: 
‘‘(12) a description of the actions that the ap-
plicant entity will take to inform systemic changes in 
State policies, practices, procedures, and regulations 
to improve the delivery of community-based family 
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strengthening services designed to promote child, 
family, and community well-being, and to prevent 
child abuse and neglect; 
‘‘(13) a description of how the lead entity will 
incorporate research evidence in its process for se-
lecting community-based family strengthening serv-
ices; 
‘‘(14) an assurance that, in issuing regulations 
to improve the delivery of community-based family 
strengthening services designed to promote child, 
family, and community well-being, and to prevent 
child abuse and neglect, the State will— 
‘‘(A) take into account how such regula-
tions will impact activities funded under this 
Act; and 
‘‘(B) where appropriate, attempt to avoid 
duplication of efforts, minimize costs of compli-
ance with such regulations, and maximize local 
flexibility with respect to such regulations; 
and’’. 
SEC. 205. LOCAL PROGRAM REQUIREMENTS. 
Section 205 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116e) is amended to read as 
follows: 
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‘‘SEC. 205. LOCAL PROGRAM REQUIREMENTS. 
‘‘(a) IN GENERAL.—Grants from the lead entity 
made under this title shall be used to develop, implement, 
operate, expand, and enhance community-based family 
strengthening services designed to prevent child abuse and 
neglect that— 
‘‘(1) assess community assets and needs and 
develop a strategy to create a comprehensive con-
tinuum of effective services that strengthen and sup-
port families to prevent child abuse and neglect, 
through a planning process involving parents, local 
and public agencies, local nonprofit organizations 
and service providers, and private sector representa-
tives in meaningful ways; 
‘‘(2) develop or enhance existing place-based 
family strengthening services, other parenting sup-
port services, and connections and coordination 
among key family services in the community by 
reaching spaces familiar to such families; and 
‘‘(3) help families build protective factors that 
support child and family well-being and help prevent 
child abuse and neglect, including knowledge of par-
enting and child development, parental resilience, so-
cial connections, time-limited and need-based con-
crete support, and social and emotional development 
of children. 
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‘‘(b) LOCAL CONSIDERATION.—In awarding grants, 
the lead entity shall consider, consistent with the needs 
of the State and community, how the grantee— 
‘‘(1) demonstrates the ability to form collabora-
tions across a range of services or initiatives and the 
commitment to engage in long-term planning and 
strategic development for community-based family 
strengthening services as well as provide on-going 
problem solving support; 
‘‘(2) involves parents, including parents of chil-
dren with disabilities, diverse racial and ethnic 
groups, and members of other underrepresented or 
underserved populations, in the development, imple-
mentation, oversight, and evaluation of services; 
‘‘(3) addresses the need for place-based services 
and the need to reach families in hard-to-reach areas 
through 
approaches 
that 
provide 
core 
family 
strengthening services; 
‘‘(4) promotes improved access to family 
strengthening services for diverse populations and 
ensures that the services address identified needs of 
all families; and 
‘‘(5) demonstrates an understanding of the 
sources of child and family trauma and the strate-
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gies that mitigate the impact of and prevent adverse 
childhood experiences. 
‘‘(c) LOCAL USES OF FUNDS.—Grant funds from the 
lead entity shall be used for community-based family 
strengthening services designed to prevent child abuse and 
neglect, which may include the following: 
‘‘(1) Developing a strategy based on supporting 
a comprehensive continuum of preventive, family- 
centered services that strengthen and support fami-
lies to prevent child abuse and neglect, especially to 
young parents, to parents with young children, and 
to parents who are adult victims of domestic violence 
or child abuse or neglect, through public-private 
partnerships. 
‘‘(2) Addressing the needs of families in hard- 
to-reach areas by creating access to place-based fam-
ily strengthening services. 
‘‘(3) Performing an assessment of community 
needs, including by partnering, at the option of the 
grantee, with an organization that already has per-
formed a needs assessment (such as a Maternal, In-
fant and Early Childhood Home Visiting program 
under section 511 of the Social Security Act (42 
U.S.C. 711) or a Head Start program under the 
Head Start Act (42 U.S.C. 9831 et seq.)). 
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‘‘(4) Supporting outreach for services, including 
by coordinating with existing family strengthening 
services such as home visiting and other early inter-
vention programs. 
‘‘(5) Providing, promoting the development or 
enhancement of, or connecting families to, core serv-
ices that include— 
‘‘(A) parenting support and parent edu-
cation programs, including services that help 
parents and other caregivers support children’s 
development; 
‘‘(B) parent leadership skills development 
programs that support parents’ personal growth 
as leaders in their families and communities; 
‘‘(C) mutual support groups for parents, 
children, and parent partners; 
‘‘(D) respite and crisis care; and 
‘‘(E) referrals to optional community and 
social services, including— 
‘‘(i) domestic violence services; 
‘‘(ii) screening and referrals to early 
intervention; 
‘‘(iii) voluntary home visiting pro-
grams; 
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‘‘(iv) health and mental health serv-
ices, including referrals for information on 
the State Medicaid plan under title XIX of 
the Social Security Act (42 U.S.C. 1396 et 
seq.); 
‘‘(v) early care and learning programs 
including child care and Head Start pro-
grams and Early Head Start programs 
under the Head Start Act (42 U.S.C. 9831 
et seq.); 
‘‘(vi) nutrition programs, including 
the special supplemental nutrition program 
for women, infants, and children estab-
lished under section 17 of the Child Nutri-
tion Act of 1966 (42 U.S.C. 1786) and the 
supplemental nutrition assistance program 
established under the Food and Nutrition 
Act of 2008 (7 U.S.C. 2011 et seq.); 
‘‘(vii) education and workforce devel-
opment programs, including adult literacy, 
child development, wellness, and family so-
cioeconomic mobility programs; and 
‘‘(viii) services and supports to meet 
the needs of families with children or care-
givers with disabilities, such as early inter-
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vention services for infants and toddlers 
with disabilities and their families, as early 
intervention services are defined in section 
632 of the Individuals with Disabilities 
Education Act (20 U.S.C. 1432). 
‘‘(6) Providing leadership in mobilizing local 
public and private resources to support the provision 
of community-based family strengthening services 
designed to prevent child abuse and neglect. 
‘‘(7) Developing and maintaining meaningful 
partnerships with parents relating to the develop-
ment, operation, evaluation, and oversight of the 
programs and services. 
‘‘(8) Coordinating with other community-based 
family strengthening services designed to prevent 
child abuse and neglect in the development, oper-
ation, and expansion of networks where appropriate. 
‘‘(d) PRIORITY.—When awarding grants, a lead enti-
ty shall give priority to effective community-based efforts 
that serve low-income communities and are focused on 
comprehensive approaches to serving young parents or 
parents with young children.’’. 
SEC. 206. PERFORMANCE MEASURES. 
Section 206 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116f) is amended— 
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SEC. 207. NATIONAL NETWORK FOR COMMUNITY-BASED 
FAMILY RESOURCE PROGRAMS. 
Section 207 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116g) is amended— 
(1) in the matter preceding paragraph (1), by 
striking ‘‘such sums as may be necessary’’ and in-
serting ‘‘not more than 5 percent’’; and 
(2) in paragraph (3), by striking ‘‘community- 
based and prevention-focused programs and activi-
ties designed to strengthen and support families’’ 
and inserting ‘‘community-based family strength-
ening services designed’’. 
SEC. 208. DEFINITIONS. 
Section 208 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116h) is amended— 
(1) by redesignating paragraphs (1) and (2) as 
paragraphs (2) and (1), respectively, and transfer-
ring paragraph (1) as redesignated to appear before 
paragraph (2) as redesignated; and 
(2) by striking paragraph (1) (as so redesig-
nated) and inserting the following: 
‘‘(1) COMMUNITY-BASED
FAMILY
STRENGTH-
ENING SERVICES.—The term ‘community-based fam-
ily strengthening services’ includes organizations 
such as family resource programs, family support 
programs, voluntary home visiting programs, respite 
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care services, parenting education, mutual support 
groups for parents, children, parent partner pro-
grams, and other community programs or networks 
of such programs that provide activities that are de-
signed to prevent child abuse and neglect.’’. 
SEC. 209. RULE OF CONSTRUCTION. 
(a) IN GENERAL.—Title II of the Child Abuse Pre-
vention and Treatment Act (42 U.S.C. 5116 et seq.) is 
amended— 
(1) by redesignating section 209 as section 210; 
and 
(2) by inserting after section 208 the following: 
‘‘SEC. 209. RULE OF CONSTRUCTION. 
‘‘Nothing in this title shall be construed to prohibit 
grandparents, kinship care providers, foster parents, adop-
tive parents, or any other individual in a parenting role 
from receiving or participating in services and programs 
under this title.’’. 
(b) CONFORMING AMENDMENT.—The table of con-
tents in section 1(b) of the Child Abuse Prevention and 
Treatment Act is amended by striking the item relating 
to section 209 and inserting the following: 
‘‘Sec. 209. Rule of construction. 
‘‘Sec. 210. Authorization of appropriations.’’. 
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SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 
Section 210 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116 et seq.), as redesignated 
by section 209 of this Act, is amended— 
(1) by striking ‘‘There are’’ and inserting the 
following: 
‘‘(a) IN GENERAL.—There are’’; 
(2) by striking ‘‘to carry out’’ through ‘‘fiscal 
year 2010’’ and inserting ‘‘to carry out this title 
$270,000,000 for fiscal year 2022’’; 
(3) by striking ‘‘2011 through 2015’’ and in-
serting ‘‘2023 through 2027’’; and 
(4) by adding at the end the following: 
‘‘(b) TREATMENT OF NON-FEDERAL FUNDS IN CER-
TAIN FISCAL YEARS.—For any fiscal year for which the 
amount appropriated under subsection (a) exceeds the 
amount appropriated under such subsection for fiscal year 
2021, the Secretary shall consider non-Federal funds and 
in-kind contributions as part of the State contribution for 
the activities specified in section 204(4).’’. 
SEC. 211. STUDY AND REPORT. 
(a) STUDY RELATING TO NEW PREVENTION PRO-
GRAMS.— 
(1) IN GENERAL.—The Comptroller General of 
the United States shall complete a study, using data 
reported by States to the Secretary of Health and 
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Human Services under section 206 of the Child 
Abuse Prevention and Treatment Act (42 U.S.C. 
5116f), as amended by this Act— 
(A) to determine how many families and 
children in the first 3 years after the date of 
the enactment of this Act are served annually 
through programs funded under title II of the 
Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116 et seq.); and 
(B) to compare the number of such fami-
lies and children served annually in the first 3 
years after the date of the enactment of this 
Act to the number of such families and children 
served in fiscal year 2021. 
(2) CONTENTS.—The study required under 
paragraph (1) shall include the following for each of 
the first 3 years after the date of the enactment of 
this Act: 
(A) An examination of how many families 
received evidence-based programming under 
title II of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116 et seq.). 
(B) An examination of the extent to which 
local programs conduct evaluations using funds 
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provided under such title and the findings of 
such evaluations. 
(C) An examination of whether findings of 
effectiveness in evaluation studies vary by 
urban, suburban, or rural community type. 
(D) An examination of whether programs 
partnering with other entities are more effective 
than those that do not partner with other enti-
ties. 
(E) An examination of barriers to imple-
ment evidence-based programming or to con-
duct evaluations in instances where such activi-
ties do not occur. 
(b) REPORT.—Not later than 4 years after the date 
of the enactment of this Act, the Comptroller General of 
the United States shall submit to the Committee on 
Health, Education, Labor, and Pensions of the Senate and 
the Committee on Education and Labor of the House of 
Representatives a report that contains the results of the 
study conducted under paragraph (1). 
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100 
TITLE III—ADOPTION 
OPPORTUNITIES 
SEC. 301. 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 the section heading, by striking ‘‘CON-
GRESSIONAL FINDINGS AND DECLARATION OF 
PURPOSE’’ and inserting ‘‘PURPOSE’’; 
(2) by striking subsection (a); and 
(3) in subsection (b)— 
(A) by striking ‘‘(b) PURPOSE.—’’; 
(B) in the matter preceding paragraph (1), 
by inserting ‘‘sexual and gender minority 
youth’’ after ‘‘particularly older children, minor-
ity children,’’; and 
(C) in paragraph (1), by inserting ‘‘serv-
ices and,’’ after ‘‘post-legal adoption’’. 
SEC. 302. REPORT AND GUIDANCE ON UNREGULATED CUS-
TODY TRANSFERS. 
The Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5111 et seq.) 
is amended by inserting after section 201 the following: 
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