I 
108TH CONGRESS 
1ST SESSION 
H. R. 14
To amend the Child Abuse Prevention and Treatment Act to make improve-
ments to and reauthorize programs under that Act, and for other pur-
poses. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 7, 2003
Mr. HOEKSTRA (for himself, Mr. BOEHNER, Mr. DELAY, Mr. GEORGE MIL-
LER of California, and Mr. GREENWOOD) introduced the following bill; 
which was referred to the Committee on Education and the Workforce 
A BILL 
To amend the Child Abuse Prevention and Treatment Act 
to make improvements to and reauthorize programs 
under that Act, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Keeping Children and Families Safe Act of 2003’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows:
Sec. 1. Short title; table of contents. 
TITLE I—CHILD ABUSE PREVENTION AND TREATMENT ACT
Sec. 101. Findings. 
Subtitle A—General Program 
Sec. 111. National Clearinghouse for Information Relating to Child Abuse. 
Sec. 112. Research and assistance activities and demonstrations. 
Sec. 113. Grants to States and public or private agencies and organizations. 
Sec. 114. Grants to States for child abuse and neglect prevention and treat-
ment programs. 
Sec. 115. Authorization of appropriations. 
Sec. 116. Reports. 
Subtitle B—Community-Based Grants for the Prevention of Child Abuse 
Sec. 121. Purpose and authority. 
Sec. 122. Eligibility. 
Sec. 123. Amount of grant. 
Sec. 124. Existing grants. 
Sec. 125. Application. 
Sec. 126. Local program requirements. 
Sec. 127. Performance measures. 
Sec. 128. National network for community-based family resource programs. 
Sec. 129. Definitions. 
Sec. 130. Authorization of appropriations. 
Subtitle C—Conforming Amendments 
Sec. 141. Conforming amendments. 
TITLE II—ADOPTION OPPORTUNITIES 
Sec. 201. Congressional findings and declaration of purpose. 
Sec. 202. Information and services. 
Sec. 203. Study of adoption placements. 
Sec. 204. Studies on successful adoptions. 
Sec. 205. Authorization of appropriations. 
TITLE III—ABANDONED INFANTS ASSISTANCE 
Sec. 301. Findings. 
Sec. 302. Establishment of local programs. 
Sec. 303. Evaluations, study, and reports by Secretary. 
Sec. 304. Authorization of appropriations. 
Sec. 305. Definitions. 
TITLE IV—FAMILY VIOLENCE PREVENTION AND SERVICES ACT 
Sec. 401. State demonstration grants. 
Sec. 402. Secretarial responsibilities. 
Sec. 403. Evaluation. 
Sec. 404. Information and technical assistance centers. 
Sec. 405. Authorization of appropriations. 
Sec. 406. Grants for State domestic violence coalitions. 
Sec. 407. Evaluation and monitoring. 
Sec. 408. Family member abuse information and documentation project. 
Sec. 409. Model State leadership grants. 
Sec. 410. National domestic violence hotline grant. 
Sec. 411. Youth education and domestic violence.
Sec. 412. Demonstration grants for community initiatives. 
Sec. 413. Transitional housing assistance. 
Sec. 414. Technical and conforming amendments.
TITLE I—CHILD ABUSE PREVEN-
TION AND TREATMENT ACT 
SEC. 101. FINDINGS. 
Section 2 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5101 note) is amended—
(1) in paragraph (1), by striking ‘‘close to 
1,000,000’’ and inserting ‘‘approximately 900,000’’; 
(2) by redesignating paragraphs (2) through 
(11) as paragraphs (4) through (13), respectively; 
(3) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2)(A) more children suffer neglect than any 
other form of maltreatment; and 
‘‘(B) investigations have determined that ap-
proximately 63 percent of children who were victims 
of maltreatment in 2000 suffered neglect, 19 percent 
suffered physical abuse, 10 percent suffered sexual 
abuse, and 8 percent suffered emotional maltreat-
ment; 
‘‘(3)(A) child abuse can result in the death of 
a child; 
‘‘(B) in 2000, an estimated 1,200 children were 
counted by child protection services to have died as 
a result of abuse or neglect; and
‘‘(C) children younger than 1 year old com-
prised 44 percent of child abuse fatalities and 85 
percent of child abuse fatalities were younger than 
6 years of age;’’; 
(4) by striking paragraph (4) (as so redesig-
nated), and inserting the following: 
‘‘(4)(A) many of these children and their fami-
lies fail to receive adequate protection and treat-
ment; 
‘‘(B) slightly less than half of these children 
(45 percent in 2000) and their families fail to re-
ceive adequate protection or treatment; and 
‘‘(C) in fact, approximately 80 percent of all 
children removed from their homes and placed in 
foster care in 2000, as a result of an investigation 
or assessment conducted by the child protective serv-
ices agency, received no services;’’; 
(5) in paragraph (5) (as so redesignated)—
(A) in subparagraph (A), by striking ‘‘or-
ganizations’’ and inserting ‘‘community-based 
organizations’’; 
(B) in subparagraph (D), by striking ‘‘en-
sures’’ and all that follows through ‘‘knowl-
edge,’’ and inserting ‘‘recognizes the need for
properly trained staff with the qualifications 
needed’’; and 
(C) in subparagraph (E), by inserting be-
fore the semicolon the following: ‘‘, which may 
impact child rearing patterns, while at the same 
time, not allowing those differences to enable 
abuse’’; 
(6) in paragraph (7) (as so redesignated), by 
striking ‘‘this national child and family emergency’’ 
and inserting ‘‘child abuse and neglect’’; and 
(7) in paragraph (9) (as so redesignated)—
(A) by striking ‘‘intensive’’ and inserting 
‘‘needed’’; and 
(B) by striking ‘‘if removal has taken 
place’’ and inserting ‘‘where appropriate’’.
Subtitle A—General Program 
SEC. 111. NATIONAL CLEARINGHOUSE FOR INFORMATION 
RELATING TO CHILD ABUSE. 
(a) FUNCTIONS.—Section 103(b) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5104(b)) is 
amended—
(1) in paragraph (1), by striking ‘‘all pro-
grams,’’ and all that follows through ‘‘neglect; and’’ 
and inserting ‘‘all effective programs, including pri-
vate and community-based programs, that show
promise of success with respect to the prevention, 
assessment, identification, and treatment of child 
abuse and neglect and hold the potential for broad 
scale implementation and replication;’’; 
(2) in paragraph (2), by striking the period and 
inserting a semicolon; 
(3) by redesignating paragraph (2) as para-
graph (3); 
(4) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) maintain information about the best prac-
tices used for achieving improvements in child pro-
tective systems;’’; and 
(5) by adding at the end the following: 
‘‘(4) provide technical assistance upon request 
that may include an evaluation or identification of—
‘‘(A) various methods and procedures for 
the investigation, assessment, and prosecution 
of child physical and sexual abuse cases; 
‘‘(B) ways to mitigate psychological trau-
ma to the child victim; and 
‘‘(C) effective programs carried out by the 
States under this Act; and
‘‘(5) collect and disseminate information relat-
ing to various training resources available at the 
State and local level to—
‘‘(A) individuals who are engaged, or who 
intend to engage, in the prevention, identifica-
tion, and treatment of child abuse and neglect; 
and 
‘‘(B) appropriate State and local officials 
to assist in training law enforcement, legal, ju-
dicial, medical, mental health, education, and 
child welfare personnel.’’. 
(b) COORDINATION WITH AVAILABLE RESOURCES.—
Section 103(c)(1) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5104(c)(1)) is amended—
(1) in subparagraph (E), by striking ‘‘105(a); 
and’’ and inserting ‘‘104(a);’’; 
(2) by redesignating subparagraph (F) as sub-
paragraph (G); and 
(3) by inserting after subparagraph (E) the fol-
lowing: 
‘‘(F) collect and disseminate information 
that 
describes 
best 
practices 
being 
used 
throughout the Nation for making appropriate 
referrals related to, and addressing, the phys-
ical, developmental, and mental health needs of 
abused and neglected children; and’’. 
SEC. 112. RESEARCH AND ASSISTANCE ACTIVITIES AND 
DEMONSTRATIONS. 
(a) RESEARCH.—Section 104(a) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5105(a)) is 
amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph 
(A), in the first sentence, by inserting ‘‘, includ-
ing longitudinal research,’’ after ‘‘interdiscipli-
nary program of research’’; and 
(B) in subparagraph (B), by inserting be-
fore the semicolon the following: ‘‘, including 
the effects of abuse and neglect on a child’s de-
velopment and the identification of successful 
early intervention services or other services that 
are needed’’; 
(C) in subparagraph (C)—
(i) by striking ‘‘judicial procedures’’ 
and inserting ‘‘judicial systems, including 
multidisciplinary, 
coordinated 
decision-
making procedures’’; and 
(ii) by striking ‘‘and’’ at the end; and 
(D) in subparagraph (D)—
(i) in clause (viii), by striking ‘‘and’’ 
at the end; 
(ii) by redesignating clause (ix) as 
clause (x); and 
(iii) by inserting after clause (viii), the 
following: 
‘‘(ix) the incidence and prevalence of 
child maltreatment by a wide array of de-
mographic characteristics such as age, sex, 
race, family structure, household relation-
ship (including the living arrangement of 
the resident parent and family size), school 
enrollment and education attainment, dis-
ability, grandparents as caregivers, labor 
force status, work status in previous year, 
and income in previous year; and’’; 
(E) by redesignating subparagraph (D) as 
subparagraph (I); and 
(F) by inserting after subparagraph (C), 
the following: 
‘‘(D) the evaluation and dissemination of 
best practices consistent with the goals of 
achieving improvements in the child protective 
services systems of the States in accordance
with paragraphs (1) through (12) of section 
106(a); 
‘‘(E) effective approaches to interagency 
collaboration between the child protection sys-
tem and the juvenile justice system that im-
prove the delivery of services and treatment, in-
cluding methods for continuity of treatment 
plan and services as children transition between 
systems; 
‘‘(F) an evaluation of the redundancies 
and gaps in the services in the field of child 
abuse and neglect prevention in order to make 
better use of resources; 
‘‘(G) the nature, scope, and practice of vol-
untary relinquishment for foster care or State 
guardianship of low income children who need
health services, including mental health serv-
ices; 
‘‘(H) the information on the national inci-
dence of child abuse and neglect specified in 
clauses (i) through (xi) of subparagraph (H); 
and’’; 
(2) in paragraph (2), by striking subparagraph 
(B) and inserting the following:
‘‘(B) Not later than 2 years after the date 
of enactment of the Keeping Children and 
Families Safe Act of 2003, and every 2 years 
thereafter, the Secretary shall provide an oppor-
tunity for public comment concerning the prior-
ities proposed under subparagraph (A) and 
maintain an official record of such public com-
ment.’’; 
(3) by redesignating paragraph (2) as para-
graph (4); 
(4) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) RESEARCH.—The Secretary shall conduct 
research on the national incidence of child abuse and 
neglect, including the information on the national in-
cidence on child abuse and neglect specified in sub-
paragraphs (i) through (ix) of paragraph (1)(I). 
‘‘(3) REPORT.—Not later than 4 years after the 
date of the enactment of the Keeping Children and 
Families Safe Act of 2003, the Secretary shall pre-
pare and submit to the Committee on Education and 
the Workforce of the House of Representatives and 
the Committee on Health, Education, Labor and 
Pensions of the Senate a report that contains the re-
sults of the research conducted under paragraph 
(2).’’. 
(b) PROVISION OF TECHNICAL ASSISTANCE.—Sec-
tion 104(b) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5105(b)) is amended—
(1) in paragraph (1)—
(A) by striking ‘‘nonprofit private agencies 
and’’ and inserting ‘‘private agencies and com-
munity-based’’; and 
(B) by inserting ‘‘, including replicating 
successful program models,’’ after ‘‘programs 
and activities’’; and 
(2) in paragraph (2)—
(A) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (C), by striking the 
period and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(D) effective approaches being utilized to 
link child protective service agencies with health 
care, mental health care, and developmental 
services to improve forensic diagnosis and 
health evaluations, and barriers and shortages 
to such linkages.’’.
(c) DEMONSTRATION PROGRAMS AND PROJECTS.—
Section 104 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5105) is amended by adding at the end 
the following: 
‘‘(e) DEMONSTRATION PROGRAMS AND PROJECTS.—
The Secretary may award grants to, and enter into con-
tracts with, States or public or private agencies or organi-
zations (or combinations of such agencies or organiza-
tions) for time-limited, demonstration projects for the fol-
lowing: 
‘‘(1) PROMOTION OF SAFE, FAMILY-FRIENDLY 
PHYSICAL ENVIRONMENTS FOR VISITATION AND EX-
CHANGE.—The Secretary may award grants under 
this subsection to entities to assist such entities in 
establishing and operating safe, family-friendly phys-
ical environments—
‘‘(A) for court-ordered, supervised visita-
tion between children and abusing parents; and 
‘‘(B) to safely facilitate the exchange of 
children for visits with noncustodial parents in 
cases of domestic violence. 
‘‘(2) EDUCATION
IDENTIFICATION, 
PREVEN-
TION, AND TREATMENT.—The Secretary may award 
grants under this subsection to entities for projects 
that provide educational identification, prevention,
and treatment services in cooperation with preschool 
and elementary and secondary schools. 
‘‘(3) RISK AND SAFETY ASSESSMENT TOOLS.—
The Secretary may award grants under this sub-
section to entities for projects that provide for the 
development of research-based risk and safety as-
sessment tools relating to child abuse and neglect. 
‘‘(4) TRAINING.—The Secretary may award 
grants under this subsection to entities for projects 
that involve research-based innovative training for 
mandated child abuse and neglect reporters.’’. 
SEC. 113. GRANTS TO STATES AND PUBLIC OR PRIVATE 
AGENCIES AND ORGANIZATIONS. 
(a) DEMONSTRATION PROGRAMS AND PROJECTS.—
Section 105(a) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106(a)) is amended—
(1) in the subsection heading, by striking 
‘‘DEMONSTRATION’’ and inserting ‘‘GRANTS FOR’’; 
(2) in the matter preceding paragraph (1)—
(A) by inserting ‘‘States,’’ after ‘‘contracts 
with,’’; 
(B) by striking ‘‘nonprofit’’; and 
(C) by striking ‘‘time limited, demonstra-
tion’’; 
(3) in paragraph (1)—
(A) in subparagraph (A), by striking ‘‘law, 
education, social work, and other relevant 
fields’’ and inserting ‘‘law enforcement, judici-
ary, social work and child protection, education, 
and other relevant fields, or individuals such as 
court appointed special advocates (CASAs) and 
guardian ad litem,’’; 
(B) in subparagraph (B), by striking ‘‘non-
profit’’ and all that follows through ‘‘; and’’ and 
inserting ‘‘children, youth and family service or-
ganizations in order to prevent child abuse and 
neglect;’’; 
(C) in subparagraph (C), by striking the 
period and inserting a semicolon; 
(D) by adding at the end the following: 
‘‘(D) for training to support the enhance-
ment of linkages between child protective serv-
ice agencies and health care agencies, including
physical and mental health services, to improve 
forensic diagnosis and health evaluations and 
for innovative partnerships between child pro-
tective service agencies and health care agencies 
that offer creative approaches to using existing 
Federal, State, local, and private funding to 
meet the health evaluation needs of children
who have been subjects of substantiated cases 
of child abuse or neglect; 
‘‘(E) for the training of personnel in best 
practices to promote collaboration with the fam-
ilies from the initial time of contact during the 
investigation through treatment; 
‘‘(F) for the training of personnel regard-
ing the legal duties of such personnel and their 
responsibilities to protect the legal rights of 
children and families; 
‘‘(G) for improving the training of super-
visory and nonsupervisory child welfare work-
ers; 
‘‘(H) for enabling State child welfare agen-
cies to coordinate the provision of services with 
State and local health care agencies, alcohol 
and drug abuse prevention and treatment agen-
cies, mental health agencies, and other public 
and private welfare agencies to promote child 
safety, permanence, and family stability; 
‘‘(I) for cross training for child protective 
service workers in research-based methods for 
recognizing situations of substance abuse, do-
mestic violence, and neglect; and
‘‘(J) for developing, implementing, or oper-
ating information and education programs or 
training programs designed to improve the pro-
vision of services to disabled infants with life-
threatening conditions for—
‘‘(i) professionals and paraprofessional 
personnel concerned with the welfare of 
disabled infants with life-threatening con-
ditions, including personnel employed in 
child protective services programs and 
health care facilities; and 
‘‘(ii) the parents of such infants.’’; 
(4) by redesignating paragraph (2) and (3) as 
paragraphs (3) and (4), respectively; 
(5) by inserting after paragraph (1), the fol-
lowing: 
‘‘(2) TRIAGE
PROCEDURES.—The Secretary 
may award grants under this subsection to public 
and private agencies that demonstrate innovation in 
responding to reports of child abuse and neglect, in-
cluding programs of collaborative partnerships be-
tween the State child protective services agency, 
community social service agencies and family sup-
port programs, law enforcement agencies, develop-
mental disability agencies, substance abuse treat-
ment entities, health care entities, domestic violence 
prevention entities, mental health service entities, 
schools, churches and synagogues, and other commu-
nity agencies, to allow for the establishment of a 
triage system that—
‘‘(A) accepts, screens, and assesses reports 
received to determine which such reports re-
quire an intensive intervention and which re-
quire voluntary referral to another agency, pro-
gram, or project; 
‘‘(B) provides, either directly or through 
referral, a variety of community-linked services 
to assist families in preventing child abuse and 
neglect; and 
‘‘(C) provides further investigation and in-
tensive intervention where the child’s safety is 
in jeopardy.’’; 
(6) in paragraph (3) (as so redesignated), by 
striking ‘‘(such as Parents Anonymous)’’; 
(7) in paragraph (4) (as so redesignated)—
(A) by striking the paragraph heading; 
(B) by striking subparagraphs (A) and 
(C); and 
(C) in subparagraph (B)—
(i) 
by 
striking 
‘‘(B) 
KINSHIP
CARE.—’’ and inserting the following: 
‘‘(4) KINSHIP CARE.—
‘‘(A) IN GENERAL.—’’; and 
(ii) by striking ‘‘nonprofit’’; and 
(8) by adding at the end the following: 
‘‘(5) LINKAGES BETWEEN CHILD PROTECTIVE 
SERVICE AGENCIES AND PUBLIC HEALTH, MENTAL 
HEALTH, AND DEVELOPMENTAL DISABILITIES AGEN-
CIES.—The Secretary may award grants to entities 
that provide linkages between State or local child 
protective service agencies and public health, mental 
health, and developmental disabilities agencies, for 
the purpose of establishing linkages that are de-
signed to help assure that a greater number of sub-
stantiated victims of child maltreatment have their 
physical health, mental health, and developmental 
needs appropriately diagnosed and treated.’’. 
(b) DISCRETIONARY GRANTS.—Section 105(b) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 
5106(b)) is amended—
(1) by striking paragraph (1); 
(2) by redesignating paragraphs (2) and (3) as 
paragraphs (1) and (2), respectively;
(3) by inserting after paragraph (2) (as so re-
designated), the following: 
‘‘(3) Programs based within children’s hospitals 
or other pediatric and adolescent care facilities, that 
provide model approaches for improving medical di-
agnosis of child abuse and neglect and for health 
evaluations of children for whom a report of mal-
treatment has been substantiated.’’; and 
(4) in paragraph (4)(D), by striking ‘‘non-
profit’’. 
(c) EVALUATION.—Section 105(c) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106(c)) is 
amended—
(1) in the first sentence, by striking ‘‘dem-
onstration’’; 
(2) in the second sentence, by inserting ‘‘or 
contract’’ after ‘‘or as a separate grant’’; and 
(3) by adding at the end the following: ‘‘In the 
case of an evaluation performed by the recipient of
a grant, the Secretary shall make available technical 
assistance for the evaluation, where needed, includ-
ing the use of a rigorous application of scientific 
evaluation techniques.’’. 
(d) TECHNICAL AMENDMENT
TO HEADING.—The 
section heading for section 105 of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5106) is amended to 
read as follows: 
‘‘SEC. 105. GRANTS TO STATES AND PUBLIC OR PRIVATE 
AGENCIES AND ORGANIZATIONS.’’. 
SEC. 114. GRANTS TO STATES FOR CHILD ABUSE AND NE-
GLECT PREVENTION AND TREATMENT PRO-
GRAMS. 
(a) DEVELOPMENT AND OPERATION GRANTS.—Sec-
tion 106(a) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106a(a)) is amended—
(1) in paragraph (3)—
(A) by inserting ‘‘, including ongoing case 
monitoring,’’ after ‘‘case management’’; and 
(B) by inserting ‘‘and treatment’’ after 
‘‘and delivery of services’’; 
(2) in paragraph (4), by striking ‘‘improving’’ 
and all that follows through ‘‘referral systems’’ and 
inserting ‘‘developing, improving, and implementing 
risk and safety assessment tools and protocols’’; 
(3) by striking paragraph (7); 
(4) by redesignating paragraphs (5), (6), (8), 
and (9) as paragraphs (6), (8), (9), and (12), re-
spectively; 
(5) by inserting after paragraph (4), the fol-
lowing:
‘‘(5) developing and updating systems of tech-
nology that support the program and track reports 
of child abuse and neglect from intake through final 
disposition and allow interstate and intrastate infor-
mation exchange;’’; 
(6) in paragraph (6) (as so redesignated), by 
striking ‘‘opportunities’’ and all that follows through 
‘‘system’’ and inserting ‘‘including training regard-
ing research-based practices to promote collaboration 
with the families and the legal duties of such indi-
viduals’’; 
(7) by inserting after paragraph (6) (as so re-
designated) the following: 
‘‘(7) improving the skills, qualifications, and 
availability of individuals providing services to chil-
dren and families, and the supervisors of such indi-
viduals, through the child protection system, includ-
ing improvements in the recruitment and retention 
of caseworkers;’’; 
(8) by striking paragraph (9) (as so redesig-
nated), and inserting the following: 
‘‘(9) developing and facilitating research-based 
training protocols for individuals mandated to report 
child abuse or neglect;
‘‘(10) developing, implementing, or operating 
programs to assist in obtaining or coordinating nec-
essary services for families of disabled infants with 
life-threatening conditions, including—
‘‘(A) existing social and health services; 
‘‘(B) financial assistance; and 
‘‘(C) services necessary to facilitate adop-
tive placement of any such infants who have 
been relinquished for adoption; 
‘‘(11) developing and delivering information to 
improve public education relating to the role and re-
sponsibilities of the child protection system and the 
nature and basis for reporting suspected incidents of 
child abuse and neglect;’’; 
(9) in paragraph (12) (as so redesignated), by 
striking the period and inserting a semicolon; and 
(10) by adding at the end the following: 
‘‘(13) supporting and enhancing interagency 
collaboration between the child protection system 
and the juvenile justice system for improved delivery 
of services and treatment, including methods for 
continuity of treatment plan and services as children 
transition between systems; or 
‘‘(14) supporting and enhancing collaboration 
among public health agencies, the child protection
system, and private community-based programs to 
provide child abuse and neglect prevention and 
treatment services (including linkages with education 
systems) and to address the health needs, including 
mental health needs, of children identified as abused 
or neglected, including supporting prompt, com-
prehensive health and developmental evaluations for 
children who are the subject of substantiated child 
maltreatment reports.’’. 
(b) ELIGIBILITY REQUIREMENTS.—
(1) IN GENERAL.—Section 106(b) of the Child 
Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(b)) is amended—
(A) in paragraph (1)(B)—
(i) by striking ‘‘provide notice to the 
Secretary of any substantive changes’’ and 
inserting the following: ‘‘ provide notice to 
the Secretary—
‘‘(i) of any substantive changes; and’’; 
(ii) by striking the period and insert-
ing ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(ii) any significant changes to how 
funds provided under this section are used
to support the activities which may differ 
from the activities as described in the cur-
rent State application.’’; 
(B) in paragraph (2)(A)—
(i) by redesignating clauses (ii), (iii), 
(iv), (v), (vi), (vii), (viii), (ix), (x), (xi), 
(xii), and (xiii) as clauses (iii), (v), (vi), 
(vii), (ix), (x), (xi), (xii), (xiii), (xiv), (xv) 
and (xvi), respectively; 
(ii) by inserting after clause (i), the 
following: 
‘‘(ii) policies and procedures to ad-
dress the needs of infants born and identi-
fied with fetal alcohol effects, fetal alcohol 
syndrome, neonatal intoxication or with-
drawal syndrome, or neonatal physical or 
neurological harm resulting from prenatal 
drug exposure, including—
‘‘(I) the requirement that health 
care providers involved in the delivery 
or care of such infants notify the child 
protective services system of the oc-
currence of such condition in such in-
fants, except that such notification 
shall not be construed to create a defi-
nition under Federal law of what con-
stitutes child abuse and such notifica-
tion shall not be construed to require 
prosecution for any illegal action; and 
‘‘(II) the development of a safe 
plan of care for the infant under 
which consideration may be given to 
providing the mother with health serv-
ices (including mental health services), 
social services, parenting services, and 
substance abuse prevention and treat-
ment counseling and to providing the 
infant with referral to the statewide 
early intervention program funded 
under part C of the Individuals with 
Disabilities Education Act for an eval-
uation for the need for services pro-
vided under part C of such Act;’’; 
(iii) in clause (iii) (as so redesig-
nated), by inserting ‘‘risk and’’ before 
‘‘safety’’; 
(iv) by inserting after clause (iii) (as 
so redesignated), the following: 
‘‘(iv) triage procedures for the appro-
priate referral of a child not at risk of im-
minent harm to a community organization 
or voluntary preventive service;’’; 
(v) in clause (vii)(II) (as so redesig-
nated), by striking ‘‘, having a need for 
such information in order to carry out its 
responsibilities under law to protect chil-
dren from abuse and neglect’’ and insert-
ing ‘‘, as described in clause (viii)’’; 
(vi) by inserting after clause (vii) (as 
so redesignated), the following: 
‘‘(viii) provisions to require a State to 
disclose confidential information to any 
Federal, State, or local government entity, 
or any agent of such entity, that has a 
need for such information in order to carry 
out its responsibilities under law to protect 
children from abuse and neglect;’’; 
(vii) in clause (xii) (as so redesig-
nated)—
(I) by inserting ‘‘who has re-
ceived training appropriate to the role, 
and’’ after ‘‘guardian ad litem,’’; and 
(II) by inserting ‘‘who has re-
ceived training appropriate to that 
role’’ after ‘‘advocate’’;
(viii) in clause (xiv) (as so redesig-
nated), by striking ‘‘to be effective not 
later than 2 years after the date of enact-
ment of this section’’; 
(ix) in clause (xv) (as so redesig-
nated)—
(I) by striking ‘‘to be effective 
not later than 2 years after the date 
of enactment of this section’’; and 
(II) by striking ‘‘and’’ at the end; 
(x) in clause (xvi) (as so redesig-
nated), by striking ‘‘clause (xii)’’ each 
place that such appears and inserting 
‘‘clause (xv)’’; and 
(xi) by adding at the end the fol-
lowing: 
‘‘(xvii) provisions and procedures to 
require that a representative of the child 
protective services agency shall, at the ini-
tial time of contact with the individual sub-
ject to a child abuse and neglect investiga-
tion, advise the individual of the com-
plaints or allegations made against the in-
dividual, in a manner that is consistent
with laws protecting the rights of the in-
formant; 
‘‘(xviii) 
provisions 
addressing 
the 
training of representatives of the child pro-
tective services system regarding the legal 
duties of the representatives, which may 
consist of various methods of informing 
such representatives of such duties, in 
order to protect the legal rights and safety 
of children and families from the initial 
time 
of 
contact 
during 
investigation 
through treatment; 
‘‘(xix) provisions and procedures for 
improving the training, retention, and su-
pervision of caseworkers; 
‘‘(xx) provisions and procedures for 
referral of a child under the age of 3 who 
is involved in a substantiated case of child 
abuse or neglect to the statewide early 
intervention program funded under part C 
of the Individuals with Disabilities Edu-
cation Act for an evaluation for the need 
of services provided under part C of such 
Act; and
‘‘(xxi) not later than 2 years after the 
date of enactment of the Keeping Children 
and Families Safe Act of 2003, provisions 
and procedures for requiring criminal 
background record checks for prospective 
foster and adoptive parents and other 
adult relatives and non-relatives residing in 
the household;’’; and 
(C) in paragraph (2), by adding at the end 
the following flush sentence: 
‘‘Nothing in subparagraph (A) shall be construed to 
limit the State’s flexibility to determine State poli-
cies relating to public access to court proceedings to 
determine child abuse and neglect.’’. 
(2) LIMITATION.—Section 106(b)(3) of the 
Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106a(b)(3)) is amended by striking ‘‘With 
regard to clauses (v) and (vi) of paragraph (2)(A)’’ 
and inserting ‘‘With regard to clauses (vi) and (vii) 
of paragraph (2)(A)’’. 
(c) CITIZEN REVIEW PANELS.—Section 106(c) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(c)) is amended—
(1) in paragraph (4)—
(A) in subparagraph (A)—
(i) in the matter preceding clause 
(i)—
(I) by striking ‘‘and procedures’’ 
and inserting ‘‘, procedures, and prac-
tices’’; and 
(II) by striking ‘‘the agencies’’ 
and inserting ‘‘State and local child 
protection system agencies’’; and 
(ii) in clause (iii)(I), by striking 
‘‘State’’ and inserting ‘‘State and local’’; 
and 
(B) by adding at the end the following: 
‘‘(C) PUBLIC
OUTREACH.—Each panel 
shall provide for public outreach and comment 
in order to assess the impact of current proce-
dures and practices upon children and families 
in the community and in order to meet its obli-
gations under subparagraph (A).’’; and
(2) in paragraph (6)—
(A) by striking ‘‘public’’ and inserting 
‘‘State and the public’’; and 
(B) by inserting before the period the fol-
lowing: ‘‘and recommendations to improve the 
child protection services system at the State 
and local levels. Not later than 6 months after
the date on which a report is submitted by the 
panel to the State, the appropriate State agency 
shall submit a written response to the State 
and local child protection systems that describes 
whether or how the State will incorporate the 
recommendations of such panel (where appro-
priate) to make measurable progress in improv-
ing the State and local child protective system’’. 
(d) ANNUAL
STATE
DATA
REPORTS.—Section 
106(d) of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5106a(d)) is amended by adding at the end 
the following: 
‘‘(13) The annual report containing the sum-
mary of the activities of the citizen review panels of 
the State required by subsection (c)(6). 
‘‘(14) The number of children under the care of 
the State child protection system who are trans-
ferred into the custody of the State juvenile justice 
system.’’. 
(e) REPORT.—Not later than 2 years after the date 
of enactment of this Act, the Secretary of Health and 
Human Services shall prepare and submit to Congress a 
report that describes the extent to which States are imple-
menting the policies and procedures required under sec-
tion 106(b)(2)(B)(ii) of the Child Abuse Prevention and 
Treatment Act. 
SEC. 115. AUTHORIZATION OF APPROPRIATIONS. 
(a) GENERAL AUTHORIZATION.—Section 112(a)(1) 
of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106h(a)(1)) is amended to read as follows: 
‘‘(1) GENERAL
AUTHORIZATION.—There are 
authorized to be appropriated to carry out this title 
$120,000,000 for fiscal year 2004 and such sums as 
may be necessary for each of the fiscal years 2005 
through 2008.’’. 
(b) 
DEMONSTRATION
PROJECTS.—Section 
112(a)(2)(B) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106h(a)(2)(B)) is amended—
(1) by striking ‘‘Secretary make’’ and inserting 
‘‘Secretary shall make’’; and 
(2) by striking ‘‘section 106’’ and inserting 
‘‘section 104’’. 
SEC. 116. REPORTS. 
Section 110 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106f) is amended by adding 
at the end the following: 
‘‘(c) STUDY AND REPORT RELATING TO CITIZEN RE-
VIEW PANELS.—
‘‘(1) STUDY.—The Secretary shall conduct a 
study by random sample of the effectiveness of the 
citizen review panels established under section 
106(c). 
‘‘(2) REPORT.—Not later than 3 years after the 
date of enactment of the Keeping Children and 
Families Safe Act of 2003, the Secretary shall sub-
mit to the Committee on Education and the Work-
force of the House of Representatives and the Com-
mittee on Health, Education, Labor, and Pensions 
of the Senate a report that contains the results of 
the study conducted under paragraph (1).’’. 
Subtitle 
B—Community-Based 
Grants for the Prevention of 
Child Abuse 
SEC. 121. PURPOSE AND AUTHORITY. 
(a) PURPOSE.—Section 201(a)(1) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5116(a)(1)) is 
amended to read as follows: 
‘‘(1) to support community-based efforts to de-
velop, operate, expand, enhance, and, where appro-
priate to network, initiatives aimed at the prevention 
of child abuse and neglect, and to support networks 
of coordinated resources and activities to better
strengthen and support families to reduce the likeli-
hood of child abuse and neglect; and’’. 
(b) AUTHORITY.—Section 201(b) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5116(b)) is 
amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph 
(A) by striking ‘‘Statewide’’ and all that follows 
through the dash, and inserting ‘‘community-
based and prevention-focused programs and ac-
tivities designed to prevent child abuse and ne-
glect (through networks where appropriate) 
that are accessible, effective, culturally appro-
priate, and build upon existing strengths
that—’’; 
(B) in subparagraph (F), by striking 
‘‘and’’ at the end; and 
(C) by striking subparagraph (G) and in-
serting the following: 
‘‘(G) demonstrate a commitment to mean-
ingful parent leadership, including among par-
ents of children with disabilities, parents with 
disabilities, racial and ethnic minorities, and 
members of other underrepresented or under-
served groups; and
‘‘(H) provide referrals to early health and 
developmental services;’’; and 
(2) in paragraph (4)—
(A) by inserting ‘‘through leveraging of 
funds’’ after ‘‘maximizing funding’’; 
(B) by striking ‘‘a Statewide network of 
community-based, prevention-focused’’ and in-
serting ‘‘community-based and prevention-fo-
cused’’; and 
(C) by striking ‘‘family resource and sup-
port program’’ and inserting ‘‘programs and ac-
tivities designed to prevent child abuse and ne-
glect (through networks where appropriate)’’. 
(c) TECHNICAL AMENDMENT TO TITLE HEADING.—
Title II of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5116) is amended by striking the heading for 
such title and inserting the following:
‘‘TITLE 
II—COMMUNITY–BASED 
GRANTS FOR THE PREVEN-
TION OF CHILD ABUSE AND 
NEGLECT’’. 
SEC. 122. ELIGIBILITY. 
Section 202 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116a) is amended—
(1) in paragraph (1)—
(A) in subparagraph (A)—
(i) by striking ‘‘a Statewide network 
of community-based, prevention-focused’’ 
and inserting ‘‘community-based and pre-
vention-focused’’; and 
(ii) by striking ‘‘family resource and 
support programs’’ and all that follows 
through the semicolon and inserting ‘‘pro-
grams and activities designed to prevent 
child abuse and neglect (through networks 
where appropriate);’’
(B) in subparagraph (B), by inserting 
‘‘that exists to strengthen and support families 
to prevent child abuse and neglect’’ after ‘‘writ-
ten authority of the State)’’; 
(2) in paragraph (2)—
(A) in subparagraph (A), by striking ‘‘a 
network of community-based family resource 
and support programs’’ and inserting ‘‘commu-
nity-based and prevention-focused programs 
and activities designed to prevent child abuse 
and neglect (through networks where appro-
priate)’’; 
(B) in subparagraph (B)—
(i) by striking ‘‘to the network’’; and
(ii) by inserting ‘‘, and parents with 
disabilities’’ before the semicolon; 
(C) in subparagraph (C), by striking ‘‘to 
the network’’; and 
(3) in paragraph (3)—
(A) in subparagraph (A), by striking 
‘‘Statewide network of community-based, pre-
vention-focused, family resource and support 
programs’’ and inserting ‘‘community-based and 
prevention-focused programs and activities to 
prevent child abuse and neglect (through net-
works where appropriate)’’; 
(B) in subparagraph (B), by striking 
‘‘Statewide network of community-based, pre-
vention-focused, family resource and support 
programs’’ and inserting ‘‘community-based and 
prevention-focused programs and activities to 
prevent child abuse and neglect (through net-
works where appropriate)’’; 
(C) in subparagraph (C), by striking ‘‘and 
training and technical assistance, to the State-
wide network of community-based, prevention-
focused, family resource and support programs’’ 
and inserting ‘‘training, technical assistance, 
and evaluation assistance, to community-based
and prevention-focused programs and activities 
to prevent child abuse and neglect (through net-
works where appropriate)’’; and 
(D) in subparagraph (D), by inserting ‘‘, 
parents with disabilities,’’ after ‘‘children with 
disabilities’’. 
SEC. 123. AMOUNT OF GRANT. 
Section 203(b)(1)(B) of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5116b(b)(1)(B)) is amend-
ed—
(1) by striking ‘‘as the amount leveraged by the 
State from private, State, or other non-Federal 
sources and directed through the’’ and inserting ‘‘as 
the amount of private, State or other non-Federal 
funds leveraged and directed through the currently 
designated’’; and 
(2) by striking ‘‘the lead agency’’ and inserting 
‘‘the current lead agency’’. 
SEC. 124. EXISTING GRANTS. 
Section 204 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5115c) is repealed. 
SEC. 125. APPLICATION. 
Section 205 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116d) is amended—
(1) in paragraph (1), by striking ‘‘Statewide 
network of community-based, prevention-focused, 
family resource and support programs’’ and insert-
ing ‘‘community-based and prevention-focused pro-
grams and activities to prevent child abuse and ne-
glect (through networks where appropriate)’’; 
(2) in paragraph (2)—
(A) by striking ‘‘network of community-
based, prevention-focused, family resource and 
support programs’’ and inserting ‘‘community-
based and prevention-focused programs and ac-
tivities to prevent child abuse and neglect 
(through networks where appropriate)’’; and 
(B) by striking ‘‘, including those funded 
by programs consolidated under this Act,’’; 
(3) by striking paragraph (3), and inserting the 
following: 
‘‘(3) a description of the inventory of current 
unmet needs and current community-based and pre-
vention-focused programs and activities to prevent 
child abuse and neglect, and other family resource 
services operating in the State;’’; 
(4) in paragraph (4), by striking ‘‘State’s net-
work of community-based, prevention-focused, family 
resource and support programs’’ and inserting
‘‘community-based and prevention-focused programs 
and activities designed to prevent child abuse and 
neglect’’; 
(5) in paragraph (5), by striking ‘‘Statewide 
network of community-based, prevention-focused, 
family resource and support programs’’ and insert-
ing ‘‘start up, maintenance, expansion, and redesign 
of community-based and prevention-focused pro-
grams and activities designed to prevent child abuse 
and neglect’’; 
(6) in paragraph (7), by striking ‘‘individual 
community-based, prevention-focused, family re-
source and support programs’’ and inserting ‘‘com-
munity-based and prevention-focused programs and 
activities designed to prevent child abuse and ne-
glect’’;
(7) in paragraph (8), by striking ‘‘community-
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based 
and prevention-focused programs and activities de-
signed to prevent child abuse and neglect’’; 
(8) in paragraph (9), by striking ‘‘community-
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based
and prevention-focused programs and activities de-
signed to prevent child abuse and neglect’’; 
(9) in paragraph (10), by inserting ‘‘(where ap-
propriate)’’ after ‘‘members’’; 
(10) in paragraph (11), by striking ‘‘preven-
tion-focused, family resource and support program’’ 
and inserting ‘‘community-based and prevention-fo-
cused programs and activities designed to prevent 
child abuse and neglect’’; and 
(11) by redesignating paragraph (13) as para-
graph (12). 
SEC. 126. LOCAL PROGRAM REQUIREMENTS. 
Section 206(a) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116e(a)) is amended—
(1) in the matter preceding paragraph (1), by 
striking ‘‘prevention-focused, family resource and 
support programs’’ and inserting ‘‘and prevention-
focused programs and activities designed to prevent 
child abuse and neglect’’; 
(2) in paragraph (3)—
(A) in subparagraph (A)—
(i) in the matter preceding clause (i), 
by striking ‘‘family resource and support 
services’’ and inserting ‘‘family support
services for the prevention of child abuse 
and neglect’’; 
(ii) in clause (iii), by striking ‘‘and’’ 
at the end; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(v) respite care; 
‘‘(vi) home visiting; and 
‘‘(vii) family support services’’; and 
(B) in subparagraph (B), by inserting 
‘‘voluntary home visiting and’’ after ‘‘includ-
ing’’; and 
(3) by striking paragraph (6) and inserting the 
following: 
‘‘(6) participate with other community-based 
and prevention-focused programs and activities to 
prevent child abuse and neglect in the development, 
operation and expansion of networks where appro-
priate.’’. 
SEC. 127. PERFORMANCE MEASURES. 
Section 207 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116f) is amended—
(1) in paragraph (1), by striking ‘‘a Statewide 
network of community-based, prevention-focused, 
family resource and support programs’’ and insert-
ing ‘‘community-based and prevention-focused pro-
grams and activities to prevent child abuse and ne-
glect’’; 
(2) by striking paragraph (3), and inserting the 
following: 
‘‘(3) shall demonstrate that they will have ad-
dressed unmet needs identified by the inventory and 
description of current services required under section 
205(3);’’; 
(3) in paragraph (4), 
(A) by inserting ‘‘and parents with disabil-
ities,’’ after ‘‘children with disabilities,’’; and 
(B) by striking ‘‘evaluation of’’ the first 
place it appears and all that follows through 
‘‘under this title’’ and inserting ‘‘evaluation of 
community-based and prevention-focused pro-
grams and activities to prevent child abuse and 
neglect, and in the design, operation and eval-
uation of the networks of such community-
based and prevention-focused programs’’; 
(4) in paragraph (5), by striking ‘‘, prevention-
focused, family resource and support programs’’ and 
inserting ‘‘and prevention-focused programs and ac-
tivities designed to prevent child abuse and neglect’’;
(5) in paragraph (6), by striking ‘‘Statewide 
network of community-based, prevention-focused, 
family resource and support programs’’ and insert-
ing ‘‘community-based and prevention-focused pro-
grams and activities designed to prevent child abuse 
and neglect’’; and 
(6) in paragraph (8), by striking ‘‘community 
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based 
and prevention-focused programs and activities de-
signed to prevent child abuse and neglect’’. 
SEC. 128. NATIONAL NETWORK FOR COMMUNITY-BASED 
FAMILY RESOURCE PROGRAMS. 
Section 208(3) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116g(3)) is amended by strik-
ing ‘‘Statewide networks of community-based, prevention-
focused, family resource and support programs’’ and in-
serting ‘‘community-based and prevention-focused pro-
grams and activities designed to prevent child abuse and 
neglect’’. 
SEC. 129. DEFINITIONS. 
(a) CHILDREN WITH DISABILITIES.—Section 209(1) 
of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116h(1)) is amended by striking ‘‘given such term 
in section 602(a)(2)’’ and inserting ‘‘given the term ‘child
with a disability’ in section 602(3) or ‘infant or toddler 
with a disability’ in section 632(5)’’. 
(b) COMMUNITY-BASED AND PREVENTION-FOCUSED 
PROGRAMS AND ACTIVITIES TO PREVENT CHILD ABUSE 
AND NEGLECT.—Section 209 of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5116h) is amended 
by striking paragraphs (3) and (4) and inserting the fol-
lowing: 
‘‘(3) COMMUNITY-BASED AND PREVENTION-FO-
CUSED
PROGRAMS
AND
ACTIVITIES
TO
PREVENT 
CHILD ABUSE AND NEGLECT.—The term ‘commu-
nity-based and prevention-focused programs and ac-
tivities to prevent child abuse and neglect’ includes 
organizations such as family resource programs, 
family support programs, voluntary home visiting 
programs, respite care programs, parenting edu-
cation, mutual support programs, and other commu-
nity programs that provide activities that are de-
signed to prevent or respond to child abuse and ne-
glect.’’. 
SEC. 130. AUTHORIZATION OF APPROPRIATIONS. 
Section 210 of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116i) is amended to read as 
follows:
‘‘SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out 
this title $80,000,000 for fiscal year 2004 and such sums 
as may be necessary for each of the fiscal years 2005 
through 2008.’’. 
Subtitle C—Conforming 
Amendments 
SEC. 141. CONFORMING AMENDMENTS. 
The table of contents of the Child Abuse Prevention 
and Treatment Act, as contained in section 1(b) of such 
Act (42 U.S.C. 5101 note), is amended as follows: 
(1) By striking the item relating to section 105 
and inserting the following:
‘‘Sec. 105. Grants to States and public or private agencies and organizations.’’.
(2) By striking the item relating to title II and 
inserting the following:
‘‘TITLE II—COMMUNITY-BASED GRANTS FOR THE PREVENTION 
OF CHILD ABUSE AND NEGLECT’’.
(3) By striking the item relating to section 204.
TITLE II—ADOPTION 
OPPORTUNITIES 
SEC. 201. CONGRESSIONAL FINDINGS AND DECLARATION 
OF PURPOSE. 
Section 201 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5111) is amended—
(1) in subsection (a)—
(A) by striking paragraphs (1) through (4) 
and inserting the following: 
‘‘(1) the number of children in substitute care 
has increased by nearly 24 percent since 1994, as 
our Nation’s foster care population included more 
than 565,000 as of September of 2001; 
‘‘(2) children entering foster care have complex 
problems that require intensive services, with many 
such children having special needs because they are 
born to mothers who did not receive prenatal care, 
are born with life threatening conditions or disabil-
ities, are born addicted to alcohol or other drugs, or 
have been exposed to infection with the etiologic 
agent for the human immunodeficiency virus; 
‘‘(3) each year, thousands of children are in 
need of placement in permanent, adoptive homes;’’; 
(B) by striking paragraph (6);
(C) by striking paragraph (7)(A) and in-
serting the following: 
‘‘(7)(A) currently, there are 131,000 children 
waiting for adoption;’’; and 
(D) by redesignating paragraphs (5), (7), 
(8), (9), and (10) as paragraphs (4), (5), (6), 
(7), and (8) respectively; and 
(2) in subsection (b)—
(A) in the matter preceding paragraph (1), 
by inserting ‘‘, including geographic barriers,’’ 
after ‘‘barriers’’; and 
(B) in paragraph (2), by striking ‘‘a na-
tional’’ and inserting ‘‘an Internet-based na-
tional’’. 
SEC. 202. INFORMATION AND SERVICES. 
Section 203 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5113) is amended—
(1) by striking the section heading and insert-
ing the following: 
‘‘SEC. 203. INFORMATION AND SERVICES.’’; 
(2) by striking ‘‘SEC. 203. (a) The Secretary’’ 
and inserting the following: 
‘‘(a) IN GENERAL.—The Secretary’’; 
(3) in subsection (b)—
(A) by inserting ‘‘REQUIRED
ACTIVI-
TIES.—’’ after ‘‘(b)’’; 
(B) in paragraph (1), by striking ‘‘non-
profit’’ each place that such appears; 
(C) in paragraph (2), by striking ‘‘non-
profit’’; 
(D) in paragraph (3), by striking ‘‘non-
profit’’; 
(E) in paragraph (4), by striking ‘‘non-
profit’’; 
(F) in paragraph (6), by striking ‘‘study 
the nature, scope, and effects of’’ and insert 
‘‘support’’; 
(G) in paragraph (7), by striking ‘‘non-
profit’’; 
(H) in paragraph (9)—
(i) by striking ‘‘nonprofit’’; and 
(ii) by striking ‘‘and’’ at the end; 
(I) in paragraph (10)—
(i) by striking ‘‘nonprofit’’; each place 
that such appears; and 
(ii) by striking the period at the end 
and inserting ‘‘; and’’; and 
(J) by adding at the end the following:
‘‘(11) provide (directly or by grant to or con-
tract with States, local government entities, or pub-
lic or private licensed child welfare or adoption agen-
cies) for the implementation of programs that are 
intended to increase the number of older children 
(who are in foster care and with the goal of adop-
tion) placed in adoptive families, with a special em-
phasis on child-specific recruitment strategies, in-
cluding—
‘‘(A) outreach, public education, or media 
campaigns to inform the public of the needs 
and numbers of older youth available for adop-
tion; 
‘‘(B) training of personnel in the special 
needs of older youth and the successful strate-
gies of child-focused, child-specific recruitment 
efforts; and 
‘‘(C) recruitment of prospective families for 
such children.’’; 
(4) in subsection (c)—
(A) by striking ‘‘(c)(1) The Secretary’’ and 
inserting the following: 
‘‘(c) SERVICES FOR FAMILIES ADOPTING SPECIAL 
NEEDS CHILDREN.—
‘‘(1) IN GENERAL.—The Secretary’’;
(B) by striking ‘‘(2) Services’’ and insert-
ing the following: 
‘‘(2) SERVICES.—Services’’; and 
(C) in paragraph (2)—
(i) by realigning the margins of sub-
paragraphs (A) through (G) accordingly; 
(ii) in subparagraph (F), by striking 
‘‘and’’ at the end; 
(iii) in subparagraph (G), by striking 
the period and inserting a semicolon; and 
(iv) by adding at the end the fol-
lowing: 
‘‘(H) day treatment; and 
‘‘(I) respite care.’’; and 
(D) by striking ‘‘nonprofit’’; each place 
that such appears; 
(5) in subsection (d)—
(A) by striking ‘‘(d)(1) The Secretary’’ and 
inserting the following: 
‘‘(d) IMPROVING PLACEMENT RATE OF CHILDREN IN 
FOSTER CARE.—
‘‘(1) IN GENERAL.—The Secretary’’; 
(B) by striking ‘‘(2)(A) Each State’’ and 
inserting the following:
‘‘(2) APPLICATIONS; TECHNICAL
AND
OTHER 
ASSISTANCE.—
‘‘(A) APPLICATIONS.—Each State’’; 
(C) by striking ‘‘(B) The Secretary’’ and 
inserting the following: 
‘‘(B) TECHNICAL
AND
OTHER
ASSIST-
ANCE.—The Secretary’’; 
(D) in paragraph (2)(B)—
(i) by realigning the margins of 
clauses (i) and (ii) accordingly; and 
(ii) by striking ‘‘nonprofit’’; 
(E) by striking ‘‘(3)(A) Payments’’ and in-
serting the following: 
‘‘(3) PAYMENTS.—
‘‘(A) IN GENERAL.—Payments’’; and 
(F) by striking ‘‘(B) Any payment’’ and 
inserting the following: 
‘‘(B) REVERSION
OF
UNUSED
FUNDS.—
Any payment’’; and 
(6) by adding at the end the following: 
‘‘(e) ELIMINATION
OF BARRIERS
TO ADOPTIONS 
ACROSS JURISDICTIONAL BOUNDARIES.—
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to, or enter into contracts with, States, local 
government entities, public or private child welfare
or adoption agencies, adoption exchanges, or adop-
tion family groups to carry out initiatives to improve 
efforts to eliminate barriers to placing children for 
adoption across jurisdictional boundaries. 
‘‘(2) SERVICES
TO
SUPPLEMENT
NOT
SUP-
PLANT.—Services provided under grants made under 
this subsection shall supplement, not supplant, serv-
ices provided using any other funds made available 
for the same general purposes including—
‘‘(A) developing a uniform homestudy 
standard and protocol for acceptance of 
homestudies between States and jurisdictions; 
‘‘(B) developing models of financing cross-
jurisdictional placements; 
‘‘(C) expanding the capacity of all adoption 
exchanges to serve increasing numbers of chil-
dren; 
‘‘(D) developing training materials and 
training social workers on preparing and mov-
ing children across State lines; and 
‘‘(E) developing and supporting initiative 
models for networking among agencies, adop-
tion exchanges, and parent support groups 
across jurisdictional boundaries.’’.
SEC. 203. STUDY OF ADOPTION PLACEMENTS. 
Section 204 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5114) is amended—
(1) by striking ‘‘The’’ and inserting ‘‘(a) IN 
GENERAL.—The’’; 
(2) by striking ‘‘of this Act’’ and inserting ‘‘of 
the Keeping Children and Families Safe Act of 
2003’’; 
(3) by striking ‘‘to determine the nature’’ and 
inserting ‘‘to determine—
‘‘(1) the nature’’; 
(4) by striking ‘‘which are not licensed’’ and all 
that follows through ‘‘entity’’;’’; and 
(5) by adding at the end the following: 
‘‘(2) how interstate placements are being fi-
nanced across State lines; 
‘‘(3) recommendations on best practice models 
for both interstate and intrastate adoptions; and 
‘‘(4) how State policies in defining special needs 
children differentiate or group similar categories of 
children.’’. 
SEC. 204. STUDIES ON SUCCESSFUL ADOPTIONS. 
Section 204 of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5114) is amended by adding at the end the following:
‘‘(b) DYNAMICS OF SUCCESSFUL ADOPTION.—The 
Secretary shall conduct research (directly or by grant to, 
or contract with, public or private nonprofit research agen-
cies or organizations) about adoption outcomes and the 
factors affecting those outcomes. The Secretary shall sub-
mit a report containing the results of such research to the 
appropriate committees of the Congress not later than the 
date that is 36 months after the date of the enactment 
of the Keeping Children and Families Safe Act of 2003. 
‘‘(c) INTERJURISDICTIONAL ADOPTION.—Not later 
than 1 year after the date of the enactment of the Keeping 
Children and Families Safe Act of 2003, the Secretary, 
in consultation with the Comptroller General, shall submit 
to the appropriate committees of the Congress a report 
that contains recommendations for an action plan to facili-
tate the interjurisdictional adoption of foster children.’’. 
SEC. 205. AUTHORIZATION OF APPROPRIATIONS. 
Section 205(a) of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5115(a)) is amended to read as follows: 
‘‘There 
are 
authorized 
to 
be 
appropriated 
$40,000,000 for fiscal year 2004 and such sums as may 
be necessary for fiscal years 2005 through 2008 to carry 
out programs and activities authorized under this sub-
title.’’.
TITLE III—ABANDONED INFANTS 
ASSISTANCE 
SEC. 301. FINDINGS. 
Section 2 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking paragraph (1); 
(2) in paragraph (2)—
(A) by inserting ‘‘studies indicate that a 
number of factors contribute to’’ before ‘‘the in-
ability of’’; 
(B) by inserting ‘‘some’’ after ‘‘inability 
of’’; 
(C) by striking ‘‘who abuse drugs’’; and 
(D) by striking ‘‘care for such infants’’ 
and inserting ‘‘care for their infants’’; 
(3) by amending paragraph (5) to read as fol-
lows: 
‘‘(5) appropriate training is needed for per-
sonnel working with infants and young children with 
life-threatening conditions and other special needs, 
including those who are infected with the human im-
munodeficiency virus (commonly known as ‘HIV’), 
those who have acquired immune deficiency syn-
drome (commonly know as ‘AIDS’), and those who 
have been exposed to dangerous drugs;’’;
(4) by striking paragraphs (6) and (7); 
(5) in paragraph (8), by inserting ‘‘by parents 
abusing drugs,’’ after ‘‘deficiency syndrome,’’; 
(6) in paragraph (9), by striking ‘‘comprehen-
sive services’’ and all that follows through the semi-
colon at the end and inserting ‘‘comprehensive sup-
port services for such infants and young children 
and their families and services to prevent the aban-
donment of such infants and young children, includ-
ing foster care services, case management services, 
family support services, respite and crisis interven-
tion services, counseling services, and group residen-
tial home services; and’’; 
(7) by striking paragraph (11); 
(8) by redesignating paragraphs (2), (3), (4), 
(5), (8), (9), and (10) as paragraphs (1) through 
(7), respectively; and 
(9) by adding at the end the following: 
‘‘(8) Private, Federal, State, and local resources 
should be coordinated to establish and maintain such 
services and to ensure the optimal use of all such re-
sources.’’. 
SEC. 302. ESTABLISHMENT OF LOCAL PROGRAMS. 
Section 101 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking the section heading and insert-
ing the following: 
‘‘SEC. 101. ESTABLISHMENT OF LOCAL PROGRAMS.’’; and 
(2) by striking subsection (b) and inserting the 
following: 
‘‘(b) PRIORITY IN PROVISION OF SERVICES.—The 
Secretary may not make a grant under subsection (a) un-
less the applicant for the grant agrees to give priority to 
abandoned infants and young children who—
‘‘(1) are infected with, or have been perinatally 
exposed to, the human immunodeficiency virus, or 
have a life-threatening illness or other special med-
ical need; or 
‘‘(2) have been perinatally exposed to a dan-
gerous drug.’’. 
SEC. 303. EVALUATIONS, STUDY, AND REPORTS BY SEC-
RETARY. 
Section 102 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended to read as fol-
lows: 
‘‘SEC. 102. EVALUATIONS, STUDY, AND REPORTS BY SEC-
RETARY. 
‘‘(a) EVALUATIONS OF LOCAL PROGRAMS.—The Sec-
retary shall, directly or through contracts with public and 
nonprofit private entities, provide for evaluations of
projects carried out under section 101 and for the dissemi-
nation of information developed as a result of such 
projects. 
‘‘(b) STUDY AND REPORT ON NUMBER OF ABAN-
DONED INFANTS AND YOUNG CHILDREN.—
‘‘(1) IN GENERAL.—The Secretary shall con-
duct a study for the purpose of determining—
‘‘(A) an estimate of the annual number of 
infants and young children relinquished, aban-
doned, or found deceased in the United States 
and the number of such infants and young chil-
dren who are infants and young children de-
scribed in section 223(b); 
‘‘(B) an estimate of the annual number of 
infants and young children who are victims of 
homicide; 
‘‘(C) characteristics and demographics of 
parents who have abandoned an infant within 1 
year of the infant’s birth; and 
‘‘(D) an estimate of the annual costs in-
curred by the Federal Government and by State 
and local governments in providing housing and 
care for abandoned infants and young children. 
‘‘(2) DEADLINE.—Not later than 36 months 
after the date of the enactment of the Keeping Chil-
dren and Families Safe Act of 2003, the Secretary 
shall complete the study required under paragraph 
(1) and submit to the Congress a report describing 
the findings made as a result of the study. 
‘‘(c) EVALUATION.—The Secretary shall evaluate and 
report on effective methods of intervening before the aban-
donment of an infant or young child so as to prevent such 
abandonments, and effective methods for responding to 
the needs of abandoned infants and young children.’’. 
SEC. 304. AUTHORIZATION OF APPROPRIATIONS. 
Section 104 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking subsection (a) and inserting the 
following: 
‘‘(a) IN GENERAL.—
‘‘(1) AUTHORIZATION.—For the purpose of car-
rying out this Act, there are authorized to be appro-
priated $45,000,000 for fiscal year 2004 and such 
sums as may be necessary for fiscal years 2005 
through 2008. 
‘‘(2) LIMITATION.—Not more than 5 percent of 
the amounts appropriated under paragraph (1) for 
any fiscal year may be obligated for carrying out 
section 224(a).’’; 
(2) by striking subsection (b);
(3) in subsection (c)—
(A) in paragraph (1), by inserting ‘‘AU-
THORIZATION.—’’ after ‘‘(1)’’; and 
(B) in paragraph (2)—
(i) 
by 
inserting 
‘‘LIMITATION.—’’ 
after ‘‘(2)’’; and 
(ii) by striking ‘‘fiscal year 1991.’’ 
and inserting ‘‘fiscal year 2003.’’; and 
(4) by redesignating subsections (c) and (d) as 
subsections (b) and (c), respectively. 
SEC. 305. DEFINITIONS 
Section 103 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended to read as fol-
lows: 
‘‘SEC. 103. DEFINITIONS. 
‘‘For purposes of this Act: 
‘‘(1) The terms ‘abandoned’ and ‘abandon-
ment’, with respect to infants and young children, 
mean that the infants and young children are medi-
cally cleared for discharge from acute-care hospital 
settings, but remain hospitalized because of a lack of 
appropriate out-of-hospital placement alternatives. 
‘‘(2) The term ‘acquired immune deficiency syn-
drome’ includes infection with the etiologic agent for 
such syndrome, any condition indicating that an in-
dividual is infected with such etiologic agent, and 
any condition arising from such etiologic agent. 
‘‘(3) The term ‘dangerous drug’ means a con-
trolled substance, as defined in section 102 of the 
Controlled Substances Act. 
‘‘(4) The term ‘natural family’ shall be broadly 
interpreted to include natural parents, grandparents, 
family members, guardians, children residing in the 
household, and individuals residing in the household 
on a continuing basis who are in a care-giving situa-
tion with respect to infants and young children cov-
ered under this subtitle. 
‘‘(5) The term ‘Secretary’ means the Secretary 
of Health and Human Services.’’. 
TITLE 
IV—FAMILY 
VIOLENCE 
PREVENTION AND SERVICES 
ACT 
SEC. 401. STATE DEMONSTRATION GRANTS. 
(a) 
UNDERSERVED
POPULATIONS.—Section 
303(a)(2)(C) of the Family Violence Prevention and Serv-
ices Act (42 U.S.C. 10402(a)(2)(C)) is amended by strik-
ing ‘‘underserved populations,’’ and all that follows and 
inserting the following: ‘‘underserved populations, as de-
fined in section 2003 of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3796gg–2);’’.
(b) REPORT.—Section 303(a) of such Act (42 U.S.C. 
10402(a)) is amended by adding at the end the following: 
‘‘(5) Upon completion of the activities funded by a 
grant under this title, the State grantee shall submit to 
the Secretary a report that contains a description of the 
activities carried out under paragraph (2)(B)(i).’’. 
SEC. 402. SECRETARIAL RESPONSIBILITIES. 
Section 305(a) of the Family Violence Prevention and 
Services Act (42 U.S.C. 10404(a)) is amended—
(1) by striking ‘‘an employee’’ and inserting ‘‘1 
or more employees’’; 
(2) by striking ‘‘of this title.’’ and inserting ‘‘of 
this title, including carrying out evaluation and mon-
itoring under this title.’’; and 
(3) by striking ‘‘The individual’’ and inserting 
‘‘Any individual’’. 
SEC. 403. EVALUATION. 
Section 306 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10405) is amended in the first 
sentence by striking ‘‘Not later than two years after the 
date on which funds are obligated under section 303(a) 
for the first time after the date of the enactment of this 
title, and every two years thereafter,’’ and inserting 
‘‘Every 2 years,’’.
SEC. 404. INFORMATION AND TECHNICAL ASSISTANCE CEN-
TERS. 
Section 308 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10407) is amended by striking 
subsection (g). 
SEC. 405. AUTHORIZATION OF APPROPRIATIONS. 
(a) GENERAL AUTHORIZATION.—Section 310(a) of 
the Family Violence Prevention and Services Act (42 
U.S.C. 10409(a)) is amended to read as follows: 
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated to carry out this title $175,000,000 for each 
of the fiscal years 2004 through 2008.’’. 
(b) GRANTS FOR STATE DOMESTIC VIOLENCE COA-
LITIONS.—Section 311(g) of such Act (42 U.S.C. 
10410(g)) is amended to read as follows: 
‘‘(g) FUNDING.—Of the amount appropriated pursu-
ant to the authorization of appropriations under section 
310(a) for a fiscal year, not less than 10 percent of such 
amount shall be made available to award grants under this 
section.’’. 
SEC. 406. GRANTS FOR STATE DOMESTIC VIOLENCE COALI-
TIONS. 
Section 311 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10410) is amended by striking 
subsection (h).
‘‘(2) EXTENSION.—The Secretary may extend 
the duration of a grant under this section beyond 
the period described in paragraph (1) if, prior to 
such extension—
‘‘(A) the entity prepares and submits to 
the Secretary a report that evaluates the effec-
tiveness of the use of amounts received under 
the grant for the period described in paragraph 
(1) and contains any other information as the 
Secretary may prescribe; and 
‘‘(B) the report and other appropriate cri-
teria indicate that the entity is successfully op-
erating the hotline in accordance with sub-
section (a).’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
316(f) of such Act (42 U.S.C. 10416(f)) is amended in 
paragraph (1) by striking ‘‘fiscal years 2001 through 
2005’’ and inserting ‘‘fiscal years 2004 through 2008’’. 
SEC. 411. YOUTH EDUCATION AND DOMESTIC VIOLENCE. 
Section 317 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10417) is repealed.
SEC. 412. DEMONSTRATION GRANTS FOR COMMUNITY INI-
TIATIVES. 
(a) IN GENERAL.—Section 318(h) of the Family Vio-
lence Prevention and Services Act (42 U.S.C. 10418(h)) 
is amended to read as follows: 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$6,000,000 for each of the fiscal years 2004 through 
2008.’’. 
(b) REGULATIONS.—Section 318 of such Act (42 
U.S.C. 10418) is amended by striking subsection (i). 
SEC. 413. TRANSITIONAL HOUSING ASSISTANCE. 
Section 319(f) of the Family Violence Prevention and 
Services Act (42 U.S.C. 10419(f)) is amended by striking 
‘‘fiscal year 2001’’ and inserting ‘‘each of the fiscal years 
2004 through 2008’’. 
SEC. 414. TECHNICAL AND CONFORMING AMENDMENTS. 
The Family Violence Prevention and Services Act (42 
U.S.C. 10401 et seq.) is amended as follows: 
(1) In section 302(1) by striking ‘‘demonstrate 
the effectiveness of assisting’’ and inserting ‘‘assist’’. 
(2) In section 303(a)—
(A) in paragraph (2)—
(i) in subparagraph (C), by striking 
‘‘State domestic violence coalitions knowl-
edgeable individuals and interested organi-
zations’’ and inserting ‘‘State domestic vio-
lence coalitions, knowledgeable individuals, 
and interested organizations’’; and 
(ii) in subparagraph (F), by adding 
‘‘and’’ at the end; and 
(B) by aligning the margins of paragraph 
(4) with the margins of paragraph (3). 
(3) In section 305(b)(2)(A) by striking ‘‘provide 
for research, and into’’ and inserting ‘‘provide for 
research into’’. 
(4) In section 311(a)—
(A) in paragraph (2)(K), by striking 
‘‘other criminal justice professionals,;’’ and in-
serting ‘‘other criminal justice professionals;’’ 
and 
(B) in paragraph (3)—
(i) in the matter preceding subpara-
graph 
(A), 
by 
striking 
‘‘family 
law 
judges,,’’ 
and 
inserting 
‘‘family 
law 
judges,’’; 
(ii) in subparagraph (D), by inserting 
‘‘, criminal court judges,’’ after ‘‘family 
law judges’’; and 
(iii) in subparagraph (H), by striking 
‘‘supervised visitations that do not endan-
ger victims and their children’’ and insert-
ing ‘‘supervised visitations or denial of visi-
tation to protect against danger to victims 
or their children’’.
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