I 
117TH CONGRESS 
2D SESSION 
H. R. 8876 
To reauthorize the Maternal, Infant, and Early Childhood Home Visiting 
program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 19, 2022 
Mr. DANNY K. DAVIS of Illinois (for himself, Mr. WENSTRUP, Mr. NEAL, Mr. 
BRADY, Mr. PALLONE, Mrs. RODGERS of Washington, Ms. ESHOO, Mr. 
GUTHRIE, Mr. THOMPSON of California, Mr. BUCHANAN, Ms. DEGETTE, 
Mr. BILIRAKIS, Mr. LARSON of Connecticut, Mr. SMITH of Nebraska, Ms. 
CASTOR of Florida, Mr. BUCSHON, Mr. BLUMENAUER, Mr. KELLY of 
Pennsylvania, Mr. HUDSON, Mr. KIND, Mr. SMITH of Missouri, Mr. CAR-
TER of Georgia, Mr. PASCRELL, Mr. RICE of South Carolina, Mr. DUNN, 
Ms. SA´NCHEZ, Mr. SCHWEIKERT, Mr. PENCE, Mr. HIGGINS of New York, 
Mr. LAHOOD, Ms. SEWELL, Mr. FERGUSON, Ms. DELBENE, Mr. ESTES, 
Ms. CHU, Mr. SMUCKER, Ms. MOORE of Wisconsin, Mrs. MILLER of West 
Virginia, Mr. KILDEE, Mr. MURPHY of North Carolina, Mr. BRENDAN 
F. BOYLE of Pennsylvania, Mr. KUSTOFF, Mr. BEYER, Mr. EVANS, Mr. 
SCHNEIDER, Mr. SUOZZI, Mr. PANETTA, Mrs. MURPHY of Florida, Mr. 
GOMEZ, Mr. HORSFORD, and Ms. PLASKETT) introduced the following 
bill; which was referred to the Committee on Ways and Means, and in 
addition to the Committee on Energy and Commerce, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To reauthorize the Maternal, Infant, and Early Childhood 
Home Visiting program, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as ‘‘The Jackie Walorski Ma-
ternal and Child Home Visiting Reauthorization Act of 
2022’’. 
SEC. 2. OUTCOMES DASHBOARD. 
Section 511(d)(1) of the Social Security Act (42 
U.S.C. 711(d)(1)) is amended— 
(1) in the paragraph heading, by striking 
‘‘BENCHMARK AREAS’’ and inserting ‘‘BENCHMARK 
AREAS
RELATED
TO
INDIVIDUAL
FAMILY
OUT-
COMES’’; 
(2) in subparagraph (D)(i), by striking ‘‘(B)’’ 
and inserting ‘‘(C)’’; and 
(3) 
by 
redesignating 
subparagraphs 
(B) 
through (D) as subparagraphs (C) through (E), re-
spectively, and inserting after subparagraph (A) the 
following: 
‘‘(B) OUTCOMES DASHBOARDS.—The Sec-
retary shall, directly or by grant or contract, es-
tablish and operate a website accessible to the 
public that includes an annually updated dash-
board that— 
‘‘(i) provides easy-to-understand infor-
mation on the outcomes achieved by each 
eligible entity with respect to each of the 
benchmarks described in subparagraph (A) 
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of this paragraph that apply to the eligible 
entity, which shall be based on only the 
data elements or types of data collected be-
fore the date of the enactment of this sec-
tion unless administering agencies and the 
Secretary agree pursuant to subsection 
(h)(6) that additional data is required; 
‘‘(ii) includes a template provided by 
the Secretary that will enable comparison 
among eligible entities not referred to in 
subsection (k)(2)(A) of— 
‘‘(I) a profile of each eligible en-
tity showing outcome indicators and 
how the outcomes compare to bench-
marks described in subclause (II); 
‘‘(II) information on the outcome 
indicators and requisite outcome levels 
established for each eligible entity; 
‘‘(III) information on each model 
employed in the program operated by 
each eligible entity, and regarding 
each benchmark area described in 
subsection (d)(1)(A) in which the 
model used by the eligible entity is ex-
pected to affect participant outcomes; 
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‘‘(IV) the most recently available 
information from the report required 
by subparagraph (E) of this para-
graph; 
‘‘(V) an electronic link to the 
State needs assessment under sub-
section (b)(1); and 
‘‘(VI) information regarding any 
penalty imposed, or other corrective 
action taken, by the Secretary against 
a State for failing to achieve a req-
uisite outcome level or any other re-
quirement imposed by or under this 
section, and an indication as to 
whether the eligible entity is operating 
under a corrective action plan under 
subparagraph (E)(ii) of this para-
graph, and if so, a link to the plan, an 
explanation of the reason for the im-
plementation of the plan, and a report 
on any progress made in operating 
under the plan; 
‘‘(iii) includes information relating to 
those eligible entities for which funding is 
reserved under subsection (k)(2)(A), with 
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modifications as necessary to reflect tribal 
sovereignty, data privacy, and participant 
confidentiality; and 
‘‘(iv) protects data privacy and con-
fidentiality of participant families.’’. 
SEC. 3. FUNDING. 
(a) GRANT AMOUNTS.— 
(1) IN GENERAL.—Section 511(c)(4) of the So-
cial Security Act (42 U.S.C. 711(c)(4)) is amended 
to read as follows: 
‘‘(4) GRANT AMOUNTS.— 
‘‘(A) BASE GRANTS.— 
‘‘(i) IN GENERAL.— 
‘‘(I) GENERAL RULE.—With re-
spect to each of fiscal years 2023 
through 2027 for which an eligible en-
tity not referred to in subsection 
(k)(2)(A) is awarded a base grant 
under this section, the amount of the 
grant payable to the eligible entity for 
the fiscal year is the amount described 
by clause (ii) of this subparagraph 
with respect to the eligible entity, ex-
cept as provided in subclause (II) of 
this clause. 
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‘‘(II) SUBSTITUTION
OF
SUC-
CESSOR ELIGIBLE ENTITY FOR PRED-
ECESSOR.—If the 1st fiscal year for 
which an eligible entity is awarded a 
base grant under this section for a 
program operated in a State is among 
fiscal years 2024 through 2027, the 
amount described by clause (ii) with 
respect to the eligible entity is the 
amount of the base grant for which a 
program operated in the State was eli-
gible under this subparagraph for fis-
cal year 2023. 
‘‘(ii) AMOUNT DESCRIBED.— 
‘‘(I) GENERAL RULE.—Subject to 
the succeeding provisions of this 
clause, the amount described by this 
clause with respect to an eligible enti-
ty is— 
‘‘(aa) 
the 
amount 
made 
available under subsection (k) for 
base grants for fiscal year 2023 
that remains after making the 
reservations required by sub-
section (k)(2) or any other reduc-
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tions required by Federal law for 
fiscal year 2023; multiplied by 
‘‘(bb) the percentage of chil-
dren in all States who have not 
attained 5 years of age (as deter-
mined by the Secretary on the 
basis of the data most recently 
available before fiscal year 2023) 
that is represented by the num-
ber of such children in the State 
in which the eligible entity is op-
erating a program pursuant to 
this section (as so determined). 
‘‘(II) ADJUSTMENTS TO ENSURE 
STABLE
FUNDING.—If the amount 
otherwise payable to an eligible entity 
under subclause (I) for fiscal year 
2023 is less than 90 percent, or great-
er than 110 percent, of the amount 
payable under this section to the eligi-
ble entity for the program for fiscal 
year 2021, the Secretary shall in-
crease the amount otherwise so pay-
able to 90 percent, or decrease the 
amount otherwise so payable to 110 
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percent, as the case may be, of the 
amount otherwise so payable. 
‘‘(III) ADJUSTMENT TO ENSURE 
ALL BASE GRANT FUNDS ARE ALLO-
CATED.—If the amount described by 
subclause (I)(aa) is different than the 
total of the amounts otherwise de-
scribed by subclause (I) after applying 
subclause (II), the Secretary shall in-
crease or decrease the amounts other-
wise so described after applying sub-
clause (II) by such equal percentage 
as is necessary to reduce that dif-
ference to zero. 
‘‘(IV) MINIMUM
BASE
GRANT 
AMOUNT.—Notwithstanding the pre-
ceding provisions of this clause, the 
amount described by this clause with 
respect to an eligible entity shall be 
not less than $1,000,000. 
‘‘(B) MATCHING GRANTS.— 
‘‘(i) AMOUNT OF GRANT.— 
‘‘(I) GENERAL RULE.—With re-
spect to each of fiscal years 2024 
through 2027 for which an eligible en-
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tity not referred to in subsection 
(k)(2)(A) is awarded a grant under 
this section, the Secretary shall in-
crease the amount of the grant pay-
able to the eligible entity for the fiscal 
year under subparagraph (A) of this 
paragraph by the matching amount (if 
any) determined under subclause (II) 
of this clause with respect to the eligi-
ble entity for the fiscal year and the 
additional matching amount (if any) 
determined under clause (iii) of this 
subparagraph with respect to the eli-
gible entity for the fiscal year. 
‘‘(II) MATCHING AMOUNT.— 
‘‘(aa) IN
GENERAL.—Sub-
ject to item (bb) of this sub-
clause, the matching amount 
with respect to an eligible entity 
for a fiscal year is 75 percent of 
the sum of— 
‘‘(AA) the total amount 
obligated by the eligible enti-
ty for home visiting services 
in the State for the fiscal 
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year, from Federal funds 
made available for the fiscal 
year under this subpara-
graph; and 
‘‘(BB) the total amount 
so obligated by the eligible 
entity 
from 
non-Federal 
funds, 
determined 
under 
subclause (III). 
‘‘(bb) 
LIMITATION.—The 
matching amount with respect to 
an eligible entity for a fiscal year 
shall not exceed the allotment 
under subclause (IV) for the 
State in which the eligible entity 
is operating a program under 
this section for the fiscal year. 
‘‘(III) DETERMINATION OF OBLI-
GATIONS
FROM
NON-FEDERAL 
FUNDS.—For purposes of this clause, 
the total amount obligated by an eligi-
ble entity from non-Federal funds is 
the total of the amounts that are obli-
gated by the eligible entity from non- 
Federal sources, to the extent that— 
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‘‘(aa) the services are deliv-
ered in compliance with sub-
sections (d)(2) and (d)(3); 
‘‘(bb) the eligible entity has 
reported the obligations to the 
Secretary; and 
‘‘(cc) the amount is not 
counted 
toward 
meeting 
the 
maintenance of effort require-
ment in subsection (f). 
‘‘(IV) STATE ALLOTMENTS.—The 
amount allotted under this subclause 
for a State in which an eligible entity 
is operating a program under this sec-
tion for a fiscal year is— 
‘‘(aa) the minimum match-
ing grant allocation amount for 
the fiscal year; plus 
‘‘(bb)(AA) the amount (if 
any) by which the amount made 
available under subsection (k) for 
matching grants for the fiscal 
year that remains after making 
the reservations required by sub-
section (k)(2) or any other reduc-
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tion required by Federal law for 
the fiscal year exceeds the sum of 
the minimum matching grant al-
location amounts for all eligible 
entities for the fiscal year; multi-
plied by 
‘‘(BB) the percentage of 
children in all States who have 
not attained 5 years of age and 
are members of families with in-
come not exceeding the poverty 
line (as determined by the Sec-
retary on the basis of the most 
recently available data) that is 
represented by the number of 
such children in the State (as so 
determined). 
‘‘(V) MINIMUM MATCHING GRANT 
ALLOCATION
AMOUNT.—Subject 
to 
subclause (VI), for purposes of sub-
clause (IV), the minimum matching 
grant allocation amount for a fiscal 
year is— 
‘‘(aa) in the case of fiscal 
year 2024, $776,000; 
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‘‘(bb) in the case of fiscal 
year 2025, $1,000,000; 
‘‘(cc) in the case of fiscal 
year 2026, $1,500,000; and 
‘‘(dd) in the case of fiscal 
year 2027, $2,000,000. 
‘‘(VI) SPECIAL RULE.—If, after 
making any reductions otherwise re-
quired by law for a fiscal year, the 
amount made available for matching 
grants under this clause for the fiscal 
year is insufficient to provide the min-
imum 
matching 
grant 
allocation 
amount to each eligible entity oper-
ating a program under this section for 
the fiscal year, the Secretary may 
make a proportionate adjustment to 
the minimum matching grant alloca-
tion amount for the fiscal year to ac-
commodate the reductions. 
‘‘(ii) SUBMISSION OF STATEMENT EX-
PRESSING
INTEREST
IN
ADDITIONAL 
MATCHING FUNDS IF AVAILABLE.—Before 
the beginning of a fiscal year for which an 
eligible entity desires a matching grant 
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‘‘(II) STATE ALLOTMENTS.—The 
Secretary shall allot to each eligible 
entity that has made such a submis-
sion for a fiscal year— 
‘‘(aa) the total amount (if 
any) made available under sub-
clause (I) for the fiscal year; 
multiplied by 
‘‘(bb) the percentage of chil-
dren who have not attained 5 
years of age and are members of 
families with income not exceed-
ing the poverty line (as deter-
mined by the Secretary on the 
basis of the most recently avail-
able data) in all of the States in 
which any eligible entity that has 
made such a submission is so op-
erating a program, that is rep-
resented by the number of such 
children in the State (as so deter-
mined) in which the eligible enti-
ty is operating such a program. 
‘‘(III) ADDITIONAL
MATCHING 
AMOUNT.— 
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‘‘(aa) IN
GENERAL.—Sub-
ject to item (bb) of this sub-
clause, the additional matching 
amount with respect to an eligi-
ble entity for a fiscal year is 75 
percent of the sum of— 
‘‘(AA) the total amount 
obligated by the eligible enti-
ty for home visiting services 
in the State for the fiscal 
year, from Federal funds 
made available for the fiscal 
year under this subpara-
graph; and 
‘‘(BB) the total amount 
so obligated by the eligible 
entity 
from 
non-Federal 
funds, 
determined 
under 
clause (i)(III), 
that are not taken into account 
in 
determining 
the 
matching 
amount with respect to the eligi-
ble entity under clause (i). 
‘‘(bb) 
LIMITATION.—The 
additional matching amount with 
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respect to an eligible entity for a 
fiscal year shall not exceed the 
allotment under subclause (II) 
for the State in which the eligible 
entity is operating a program 
under this section for the fiscal 
year.’’. 
(2) MAINTENANCE OF EFFORT.—Section 511(f) 
of such Act (42 U.S.C. 711) is amended to read as 
follows: 
‘‘(f) MAINTENANCE OF EFFORT.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of this section, the Secretary may not 
make a grant to an eligible entity under this section 
for a fiscal year if the total amount of non-Federal 
funds obligated by the eligible entity in the State in 
the fiscal year for a program operated pursuant to 
this section is less than the total amount of non- 
Federal funds reported to have been expended by 
any eligible entity for such a program in the State 
in fiscal year 2019 or 2021, whichever is the lesser. 
‘‘(2) PUBLICATION
OF
AMOUNTS.—Not later 
than June 30, 2023, the Secretary shall cause to 
have published in the Federal Register the amount 
of non-Federal funds expended as described in this 
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section that has been reported by each eligible entity 
not referred to in subsection (k)(2)(A) for each of 
fiscal years 2019 and 2021. 
‘‘(3) GRACE PERIOD.—The Secretary may, in 
exceptional circumstances, allow an eligible entity a 
period to come into compliance with this subsection. 
The Secretary shall provide technical assistance to 
any eligible entity to assist the entity in doing so.’’. 
(b) RESERVATIONS OF FUNDS FOR CERTAIN PUR-
POSES.—Section 511(j)(2) of such Act (42 U.S.C. 
711(j)(2)) is amended— 
(1) in the matter preceding subparagraph (A), 
by striking ‘‘the amount’’ and inserting ‘‘each 
amount made available for base grants and each 
amount made available for matching grants’’; 
(2) in subparagraph (A)— 
(A) by striking ‘‘3’’ and inserting ‘‘6’’; and 
(B) by striking ‘‘and’’ at the end; and 
(3) by striking subparagraph (B) and inserting 
the following: 
‘‘(B) 2 percent of such amount for pur-
poses of providing technical assistance, directly 
or through grants or contracts, for purposes as 
otherwise 
described 
in 
subsections 
(c)(5), 
(d)(1)(C)(iii), (d)(1)(E)(iii), and (d)(4)(E); 
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‘‘(C) 2 percent of such amount for pur-
poses of workforce support, retention, and case 
management, including workforce-related tech-
nical assistance, research and evaluation, and 
program administration, directly or through 
grants or contracts; and 
‘‘(D) 3 percent of such amount for pur-
poses of research and evaluation (directly or 
through grants or contracts), and for admin-
istering this section (directly, through contracts, 
or otherwise).’’. 
(c) APPROPRIATIONS.—Section 511(j)(1) of such Act 
(42 U.S.C. 711(j)(1)) is amended by striking subpara-
graphs (A) through (H) and inserting the following: 
‘‘(A) for fiscal year 2023, $500,000,000 
for base grants; 
‘‘(B) for fiscal year 2024, $550,000,000, 
of which $500,000,000 shall be for base grants 
and $50,000,000 shall be for matching grants; 
‘‘(C) for fiscal year 2025, $600,000,000, of 
which $500,000,000 shall be for base grants 
and $100,000,000 shall be for matching grants; 
‘‘(D) for fiscal year 2026, $650,000,000, 
of which $500,000,000 shall be for base grants 
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and $150,000,000 shall be for matching grants; 
and 
‘‘(E) for fiscal year 2027, $800,000,000, 
of which $500,000,000 shall be for base grants 
and $300,000,000 shall be for matching 
grants.’’. 
(d) DISPOSITION OF EXCESS FUNDS RESERVED FOR 
RESEARCH, EVALUATION, AND ADMINISTRATION.—Sec-
tion 511(j) of such Act (42 U.S.C. 711(j)) is amended by 
adding at the end the following: 
‘‘(3) DISPOSITION
OF
EXCESS
FUNDS
RE-
SERVED FOR RESEARCH, EVALUATION, AND ADMIN-
ISTRATION.—To the extent that the amounts re-
served under paragraph (2)(D) for a fiscal year are 
not obligated in the fiscal year, the Secretary may 
use the funds for any purpose described in this sec-
tion or to offset any reduction with respect to this 
section that is required by Federal law.’’. 
SEC. 4. REQUIREMENT THAT HOME VISITING PROGRAMS 
BE TARGETED AND INTENSIVE. 
Section 511(d)(3) of the Social Security Act (42 
U.S.C. 711(d)(3)) is amended by redesignating subpara-
graph (B) as subparagraph (C) and inserting after sub-
paragraph (A) the following: 
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