I 
111TH CONGRESS 
1ST SESSION H. R. 2205 
To expand quality programs of early childhood home visitation that increase 
school readiness, child abuse and neglect prevention, and early identifica-
tion of developmental and health delays, including potential mental health 
concerns, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 30, 2009 
Mr. DAVIS of Illinois (for himself, Mr. PLATTS, Mr. MCHUGH, Mr. CASTLE, 
and Mr. EHLERS) introduced the following bill; which was referred to the 
Committee on Education and Labor, and in addition to the Committee 
on Armed Services, 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 concerned 
A BILL 
To expand quality programs of early childhood home visita-
tion that increase school readiness, child abuse and ne-
glect prevention, and early identification of developmental 
and health delays, including potential mental health con-
cerns, 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. 
This Act may be cited as the ‘‘Education Begins at 
Home Act of 2009’’. 
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SEC. 2. FINDINGS AND PURPOSES. 
(a) FINDINGS.—Congress finds that— 
(1) the home is the first and most important 
learning environment for children, and parents are 
their children’s first and most influential teacher; 
(2) parent education and family support can 
promote parents’ ability to enhance their children’s 
development from birth until entry into kinder-
garten, thereby helping parents to prepare their chil-
dren for success in school; 
(3) undiagnosed and unaddressed develop-
mental and health problems can impede overall child 
development and school readiness; 
(4) all parents deserve and can benefit from— 
(A) research-based information regarding 
child development; 
(B) enrichment opportunities with their 
children; and 
(C) early opportunities to become involved 
with their communities and schools; and 
(5) early childhood home visitation leads to 
positive outcomes for children and families, including 
readiness for school, improved child health and de-
velopment, positive parenting practices, and reduc-
tions in child maltreatment. 
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(b) PURPOSES.—The purposes of this Act are as fol-
lows: 
(1) To enable States, Indian tribes, tribal orga-
nizations, territories, or possessions to deliver qual-
ity programs of early childhood home visitation to 
pregnant women and parents of children from birth 
until entry into kindergarten in order to promote 
positive outcomes for children and families including: 
readiness for school, improved child health and de-
velopment, positive parenting practices, reductions in 
child maltreatment, and enhanced parenting abilities 
to support their children’s optimal cognitive, lan-
guage, social-emotional, and physical development. 
(2) To expand quality programs of early child-
hood home visitation so as to more effectively reach 
and serve families with English language learners. 
(3) To expand quality programs of early child-
hood home visitation so as to more effectively reach 
and serve families serving in the military. 
(4) To establish a public education and aware-
ness campaign concerning the importance of the 
proper care of infants and young children. 
SEC. 3. DEFINITIONS. 
In this Act: 
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(1) ELIGIBLE
FAMILY.—The term ‘‘eligible 
family’’ means— 
(A) a woman who is pregnant and the fa-
ther of the child if the father is available; or 
(B) a parent or primary caregiver of a 
child under the age of entry into kindergarten, 
including grandparents or other relatives of the 
child, and foster parents (including kinship 
caregivers), who are serving as the primary 
caregiver, including a noncustodial parent who 
has an ongoing relationship with and, at times, 
provides physical care for such child. 
(2) ENGLISH LANGUAGE LEARNER.—The term 
‘‘English language learner’’, used with respect to an 
individual, means an individual— 
(A) who— 
(i) was not born in the United States 
or whose native language is a language 
other than English; 
(ii)(I) is a Native American (as de-
fined in section 9101 of the Elementary 
and Secondary Education Act of 1965 (20 
U.S.C. 7801)), an Alaska Native, or a na-
tive resident of an outlying area (as de-
fined in such section 9101); and 
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(II) comes from an environment where 
a language other than English has had a 
significant impact on the individual’s level 
of English language proficiency; or 
(iii) is migratory, whose native lan-
guage is a language other than English, 
and who comes from an environment where 
a language other than English is domi-
nant; and 
(B) whose difficulties in speaking or un-
derstanding the English language may be suffi-
cient to deny such individual— 
(i) the ability to successfully achieve 
in a classroom in which the language of in-
struction is English; or 
(ii) the opportunity to participate fully 
in society. 
(3) HOME VISITATION.—The term ‘‘home visi-
tation’’ means services provided in the permanent or 
temporary residence, or in a mutually agreed upon 
location in the community, of the individual receiv-
ing such services. 
(4) INDIAN TRIBE.—The term ‘‘Indian tribe’’ 
has the meaning given such term in section 4(e) of 
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the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 450b). 
(5) SECRETARY.—Except as provided in section 
6, the term ‘‘Secretary’’ means the Secretary of 
Health and Human Services. 
(6) STATE.—The term ‘‘State’’ means each of 
the 50 States, the District of Columbia, and the 
Commonwealth of Puerto Rico. 
(7) TERRITORIES
AND
POSSESSIONS.—The 
term ‘‘territories and possessions’’ shall include 
American Samoa, the Commonwealth of the North-
ern Mariana Islands, Guam, and the United States 
Virgin Islands. 
(8) TRIBAL ORGANIZATION.—The term ‘‘tribal 
organization’’ has the meaning given the term in 
section 4(l) of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 450b). 
SEC. 4. GRANTS FOR EARLY CHILDHOOD HOME VISITA-
TION. 
(a) AUTHORIZATION.—The Secretary, in consultation 
with the Secretary of Education, shall make grants to 
States, Indian tribes, tribal organizations, territories and 
possessions to enable States, Indian tribes, tribal organi-
zations, territories and possessions to establish or expand 
quality programs of early childhood home visitation as 
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specified under subsection (e). Each grant shall consist of 
the allotment determined under subsection (b). 
(b) DETERMINATION OF RESERVATIONS; AMOUNT OF 
ALLOTMENTS; AUTHORIZATION OF APPROPRIATIONS.— 
(1) RESERVATIONS
FROM
APPROPRIATIONS.— 
From the total amount made available to carry out 
this section for a fiscal year, the Secretary shall re-
serve— 
(A) 3 percent for an independent evalua-
tion of the activities carried out under this Act, 
as specified in section 7; 
(B) not more than 3 percent for Federal 
administrative costs; 
(C) not more than 2 percent of the funds 
appropriated for any fiscal year for payments to 
Indian tribes or tribal organizations with an ap-
proved application under this section; 
(D) not more than 1⁄2 of 1 percent of the 
funds appropriated for any fiscal year for pay-
ments to territories and possessions with an ap-
proved application under this section; and 
(E) 2 percent for training and technical 
assistance for States. 
(2) STATE
ALLOTMENTS
FOR
EARLY
CHILD-
HOOD HOME VISITATION.— 
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(A) IN
GENERAL.—In accordance with 
subparagraph (B), the Secretary shall allot 
among each of the eligible States the total 
amount made available to carry out this section 
for any fiscal year and not reserved under para-
graph (1), to support early childhood home visi-
tation programs in accordance with this section. 
(B) DETERMINATION
OF
STATE
ALLOT-
MENTS.—The Secretary shall allot the amount 
made available under subparagraph (A) for a 
fiscal year among the eligible States in propor-
tion to the number of children, aged from birth 
through 5 years from families whose income is 
below the poverty line, who reside within the 
State, compared to the number of such individ-
uals who reside in all such States for that fiscal 
year. 
(3) PAYMENTS TO TRIBES AND TERRITORIES.— 
(A) Out of the funds reserved under para-
graph (1)(C), the Secretary shall provide funds 
to each Indian tribe or tribal organization with 
an approved application under this section in 
accordance with the respective needs described 
in that application. 
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(B) Out of the funds reserved under para-
graph (1)(D), the Secretary shall provide funds 
to each territory or possession with an approved 
application under this section in accordance 
with the respective needs described in that ap-
plication. 
(4) APPLICATIONS OF INDIAN TRIBES, TRIBAL 
ORGANIZATIONS, TERRITORIES, OR POSSESSIONS.— 
(A) Subject to subparagraph (B), the Sec-
retary shall approve an application of an Indian 
tribe, tribal organization, territory, or posses-
sion based on the quality of the application. 
(B) The Secretary may exempt an applica-
tion submitted by an Indian tribe, tribal organi-
zation, territory, or possession from any re-
quirement of this section that the Secretary de-
termines would be inappropriate to apply taking 
into account the resources, needs, and other cir-
cumstances of the Indian tribe, tribal organiza-
tion territory, or possession with the exception 
of the provision of quality early childhood home 
visitation and participation in the independent 
evaluation outlined in section 7. 
(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
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this section $150,000,000 for fiscal year 2010 and 
such sums as may be necessary for fiscal years 2011 
through 2014. 
(c) GRANT APPLICATIONS.—A State, Indian tribe, 
tribal organization, territory, or possession that desires to 
receive a grant under this section shall submit an applica-
tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
For the purposes of this subsection, the term ‘‘State’’ in-
cludes Indian tribes, tribal organizations, territories, or 
possessions. The application shall contain the following in-
formation: 
(1) An assurance that the Governor of the 
State has designated a lead State agency, such as 
the State educational agency or the State health and 
human services agency, to carry out the activities 
under this section. 
(2) An assurance that the State will reserve 3 
percent of such grant for evaluation and will partici-
pate in the independent evaluation under section 7. 
(3) An assurance that the State will reserve 10 
percent of the grant funds for training and technical 
assistance to programs of early childhood home visi-
tation. 
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(4) An assurance that the State will authorize 
child care resource and referral agencies to refer 
parents seeking home visitation services. 
(5) An assurance that in supporting early child-
hood home visitation programs under this section 
the State shall identify and prioritize serving com-
munities that are in high need of such services, such 
as communities with— 
(A) low student achievement; 
(B) high rates of teen pregnancy; 
(C) high proportions of families; 
(D) high incidences of child abuse; 
(E) high rates of children with develop-
mental delays or disabilities; 
(F) large concentrations of individuals who 
are English language learners; 
(G) large concentrations of individuals cur-
rently serving in the Armed Forces; and 
(H) large concentrations of individuals who 
formerly served in the Armed Forces. 
(6) The results of a statewide needs assessment 
that describes— 
(A) the quality and capacity of existing 
programs of early childhood home visitation in 
the State; 
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(B) the number and types of eligible fami-
lies who are receiving services under such pro-
grams; and 
(C) the gaps in early childhood home visi-
tation in the State, including identification of 
communities that are in high need of such serv-
ices. 
(7) A State plan containing the following: 
(A) A description of the State’s plan to 
prioritize establishing or expanding high quality 
programs of early childhood home visitation 
programs in communities that are in high need 
of such programs. 
(B) A description of the high quality pro-
grams of early childhood home visitation that 
will be supported by a grant under this section. 
(C) A description of how the proposed pro-
gram of early childhood home visitation will 
promote positive parenting skills and children’s 
early learning and development. 
(D) A description of how the proposed pro-
gram of early childhood home visitation will in-
corporate the authorized activities described in 
subsection (e). 
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(E) How the lead State agency will build 
on and promote coordination among existing 
programs of early childhood home visitation in 
an effort to promote an array of home visitation 
programs to ensure more eligible families are 
being served and are getting the most appro-
priate services to meet their needs. 
(F) How the lead State agency will pro-
mote collaboration among a broad range of 
child- and family-serving programs, including— 
(i) early childhood home visitation 
programs, 
including 
targeted 
grants 
awarded under sections 5 and 6; 
(ii) early childhood care and education 
programs; 
(iii) activities carried out under part 
C of the Individuals with Disabilities Edu-
cation Act (20 U.S.C. 1431 et seq.) and 
section 619 of the Individuals with Disabil-
ities Education Act (20 U.S.C. 1419); 
(iv) child abuse prevention and treat-
ment programs, and State and local child 
protection systems; 
(v) Medicaid and State Children’s 
Health Insurance programs; 
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(vi) nutrition assistance programs; 
(vii) parental substance abuse and 
mental health prevention and treatment 
programs; 
(viii) domestic and family violence 
prevention programs; 
(ix) child support enforcement pro-
grams; 
(x) workforce development programs; 
(xi) the State Temporary Assistance 
to Needy Families program; 
(xii) early childhood intervention pro-
grams, such as mental health prevention 
and treatment services; 
(xiii) State and local educational 
agencies; and 
(xiv) other appropriate child-serving 
programs in the State in order to facilitate 
the coordinated delivery of services for eli-
gible families. 
(G) How the lead State agency will provide 
for the training and technical assistance to pro-
grams of early childhood home visitation in-
volved in activities under this section to more 
effectively meet the needs of the eligible families 
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served, with sensitivity to cultural variations in 
attitudes toward formal support services and 
parenting norms. 
(H) How the lead State agency will evalu-
ate the activities supported under this section in 
order to assess outcomes including, but not lim-
ited to— 
(i) parental outcomes related to child 
health and development, including parent 
knowledge of early learning and develop-
ment; 
(ii) child health, cognitive, language, 
social-emotional, and physical development; 
(iii) child maltreatment; 
(iv) school readiness; and 
(v) links to community services. 
(I) A description of how the lead State 
agency will ensure home visitation programs 
prioritize outreach activities to target fathers 
and include fathers in the program where safe 
and appropriate. 
(J) A description of how the lead State 
agency will ensure that services are made avail-
able under the program to grandparents, other 
relatives or foster parents, of a child from birth 
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through age 5 who serve as the primary care-
giver of the child. 
(K) Such other information as the Sec-
retary may require. 
(d) APPROVAL OF APPLICATIONS.— 
(1) IN GENERAL.—The Secretary shall approve 
an application under this section based on the rec-
ommendations of a peer review panel, as described 
in paragraph (2). 
(2) PEER
REVIEW
PANEL.—The peer review 
panel shall include individuals with experience in 
varying models of home visitation, including not 
fewer than— 
(A) 3 individuals who are experts in the 
field of home visitation; 
(B) 2 individuals who are experts in early 
childhood development; 
(C) 1 individual with expertise imple-
menting a statewide program of early childhood 
home visitation; 
(D) 1 individual who is a board certified 
pediatrician or a developmental pediatrician; 
and 
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(E) 1 individual with experience in admin-
istering public or private (including community- 
based) child maltreatment prevention programs. 
(3) RECOMMENDATIONS.—The panel shall rec-
ommend applicants to the Secretary based on the 
quality of their applications. In addition to ensuring 
that the application is complete, the panel shall con-
sider— 
(A) the quality of the statewide needs as-
sessment, described in subsection (c)(6); 
(B) the quality of the programs to be fund-
ed by the grant, described in subsection 
(c)(7)(B), and the capacity of such programs to 
establish or expand high quality home visitation 
services; 
(C) the plan to enhance and improve serv-
ices in the State through collaboration described 
in subsections (c)(7)(E) and (c)(7)(F); 
(D) the State’s plan to prioritize serving 
communities in high need of home visitation 
programs; and 
(E) the State’s plan for delivering effective 
training and technical assistance. 
(e) STATE USES OF FUNDS.—Each State that re-
ceives a grant under this section shall— 
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(1) provide to as many eligible families in the 
State as practicable, voluntary early childhood home 
visitation, on not less frequently than a monthly 
basis with greater frequency of services for those eli-
gible families identified with additional needs, 
through the implementation of high quality pro-
grams of early childhood home visitation that— 
(A) adopt a clear, consistent model that— 
(i) is research-based; 
(ii) is grounded in empirically based 
knowledge related to home visiting and 
child health or child development; 
(iii) is linked to program-determined 
outcomes; 
(iv) is associated with a national orga-
nization or institution of higher education 
(as defined under section 101 of the High-
er Education Act of 1965), that has com-
prehensive home visitation program stand-
ards, including standardized training and 
ongoing professional development, that en-
sure high quality service delivery and con-
tinuous program quality improvement; 
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(v) has been evaluated, and the re-
sults of the evaluation have been published 
in a peer-reviewed journal; and 
(vi) has been in existence at least 3 
consecutive years prior to the program 
being funded under this Act; 
(B) employ well-trained and competent 
staff, as demonstrated by education or training, 
and the provision of ongoing and specific train-
ing on the model being delivered; 
(C) maintain high quality supervision that 
supports home visitor competencies; 
(D) show strong organizational capacity to 
implement the program involved; 
(E) establish appropriate linkages and re-
ferral networks to other community resources 
and supports; 
(F) monitor fidelity of program implemen-
tation to assure that services are delivered ac-
cording to the specified model; 
(G) establish procedures to promote par-
ticipation of fathers, where safe and appro-
priate; 
(H) are research-based and provide par-
ents with— 
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(i) knowledge of age-appropriate child 
development in cognitive, language, social- 
emotional, and motor domains (including 
knowledge of second language acquisition, 
in the case of English language learners); 
(ii) knowledge of realistic expectations 
of age-appropriate child behaviors; 
(iii) knowledge of health and wellness 
issues for children and parents; 
(iv) modeling, consulting, and coach-
ing on parenting practices; 
(v) skills to interact with their child to 
enhance age-appropriate development; 
(vi) skills to recognize and seek help 
for issues related to health, developmental 
delays, and social, emotional, and behav-
ioral skills; 
(vii) activities designed to help par-
ents become full partners in the education 
of their children; and 
(viii) relevant information, consistent 
with State child welfare agency training, 
concerning child welfare and protective 
services resources if appropriate; 
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(I) ascertain what health and develop-
mental services the family receives and works 
with providers of such services to eliminate 
gaps in service by offering annual health, vi-
sion, hearing, and developmental screening for 
children from birth to entry into kindergarten, 
when not otherwise provided; 
(J) provide referrals for eligible families, 
as needed, to additional resources available in 
the community, such as center-based early edu-
cation programs, child care services, health or 
mental health services, family literacy pro-
grams, employment agencies, social services, fa-
therhood programs, and child care resource and 
referral agencies; and 
(K) offer group meetings (at program dis-
cretion) for eligible families that— 
(i) further enhance the information, 
activities, and skill-building addressed dur-
ing home visitation; and 
(ii) offer opportunities for parents to 
meet with and support each other. 
(2) reserve 10 percent of the grant funds to 
provide training and technical assistance, directly or 
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through contract, to early childhood home visitation 
programs relating to— 
(A) effective methods of implementing par-
ent education, conducting home visiting, and 
promoting positive early childhood development; 
(B) the relationship of health and well- 
being of pregnant women to prenatal and early 
childhood development; 
(C) early childhood development with re-
spect to children from birth until entry into kin-
dergarten; 
(D) methods to help parents promote 
emergent literacy, including second language 
acquisition for English language learners, in 
their children from birth until entry into kin-
dergarten; 
(E) health, vision, hearing, and develop-
mental screenings; 
(F) strategies for helping eligible families 
with special needs or those eligible families cop-
ing with crisis; 
(G) recruiting, supervising, and retaining 
qualified staff; 
(H) increasing services for underserved 
populations; 
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(I) methods to help parents effectively re-
spond to their children’s needs and behaviors; 
(J) implementation of ongoing program 
quality improvement and evaluation of activities 
and outcomes; 
(K) relevant issues related to child welfare 
and protective services, with information pro-
vided being consistent with State or local child 
welfare agency training; 
(L) effective methods of successfully en-
gaging fathers in programs for parents; and 
(M) the relationship of father involvement 
to the health and well-being of pregnant women 
and to prenatal and early childhood develop-
ment; 
(3) ensure representatives from high quality 
programs of early childhood home visitation oper-
ating in the State are included in an existing State- 
level early childhood coordinating body, such as the 
State Advisory Council on Early Childhood Care and 
Education (as defined in section 642B(b) of the 
Head Start Act), that meets regularly to address 
policy and implementation issues that will improve 
the coordination and effectiveness of a range of serv-
ices for children and families; and 
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(4) use not more than 5 percent of the amount 
of grant funds received under this section for the ad-
ministration of the grant, including planning, admin-
istration, and annual reporting. 
(f) MAINTENANCE OF EFFORT.—A State is entitled 
to receive its full allotment of funds under this section for 
any fiscal year if the Secretary finds that the aggregate 
expenditures within the State for quality programs of 
early childhood home visitation for the fiscal year pre-
ceding the fiscal year for which the determination is made 
was not less than 100 percent of such aggregate expendi-
tures for the second fiscal year preceding the fiscal year 
for which the determination is made. 
(g)(1) STATE MATCH.—In order to receive an allot-
ment under subsection (b)(2), a State shall match the 
amount of such allotment with funds not derived from 
other Federal sources on the following basis: 
(A) 10 percent of such allotment for fiscal year 
2011; 
(B) 20 percent of such allotment for fiscal year 
2012; and 
(C) 30 percent of such allotment for fiscal year 
2013. 
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(2) MATCH REQUIREMENT.—The funds resulting 
from the requirement in paragraph (1) shall be exported 
in accordance with the requirements of this section. 
(h) REPORTING REQUIREMENTS.—Each State that 
receives a grant under this section shall submit an annual 
report to the Secretary regarding the State’s progress in 
addressing the purposes of this Act. Such report shall in-
clude, at a minimum, a description of— 
(1) actual service delivery provided under the 
grant including— 
(A) program characteristics, including de-
scriptive information on the service model used 
and actual program performance; 
(B) provider characteristics, including staff 
qualifications, work experience, and demo-
graphic characteristics; and 
(C) recipient characteristics, including 
number, demographic characteristics, and fam-
ily retention; 
(2) recipient outcomes that are consistent with 
program goals, including, where appropriate given 
the program being evaluated— 
(A) parent knowledge of early learning and 
development; 
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(B) child health, cognitive, language, so-
cial-emotional, and physical developmental indi-
cators; 
(C) child maltreatment indicators; 
(D) school readiness indicators; and 
(E) links to community services; 
(3) the research-based instruction, materials, 
and activities being used in the activities funded 
under the grant; 
(4) the training and technical assistance, in-
cluding ongoing professional development, provided 
to programs supported under the grant; 
(5) beginning at the end of the second year of 
the grant, the results of evaluations described in 
subsection (c)(7)(H); and 
(6) the annual program implementation costs, 
including the cost per family served under the pro-
gram. 
SEC. 5. TARGETED GRANTS FOR EARLY CHILDHOOD HOME 
VISITATION FOR FAMILIES WITH ENGLISH 
LANGUAGE LEARNERS. 
(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education, shall make grants, on 
a competitive basis, to eligible applicants to enable such 
applicants to support and expand local efforts to deliver 
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services through quality programs of early childhood home 
visitation to eligible families with English language learn-
ers. 
(b) ELIGIBLE APPLICANT.—In this section, the term 
‘‘eligible applicant’’ means— 
(1) 1 or more local educational agencies (as de-
fined in section 9101 of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 7801)); 
and 
(2) 1 or more public or private community- 
based organizations or agencies that serve eligible 
families and are capable of establishing and imple-
menting high quality programs of early childhood 
home visitation. 
(c) APPLICATIONS.—An eligible applicant that de-
sires to receive a grant under this section shall submit an 
application to the Secretary at such time, in such manner, 
and containing such information as the Secretary may re-
quire. The application shall include a description of— 
(1) the results of a communitywide needs as-
sessment that demonstrates the need for services to 
eligible families with English language learners and 
describes— 
(A) community demographics; 
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(6) how the activities under this section will 
build on and promote coordination among existing 
programs of early childhood home visitation, if such 
programs exist in the community, in an effort to 
promote an array of home visitation that ensures 
more eligible families with English language learners 
are being served and are getting the most appro-
priate services to meet their needs; 
(7) how the program will ensure that— 
(A) where appropriate to the program 
goals of the home visiting model, families par-
ticipating in early childhood home visitation 
programs with English language learners will 
be introduced to and connected with their local 
schools to encourage ongoing parental involve-
ment in their children’s education; and 
(B) the activities under this section will 
support the preparation of children for school; 
(8) how channels of communication will be es-
tablished between staff of programs of early child-
hood home visitation and staff of other early child-
hood education programs, such as Head Start pro-
grams carried out under the Head Start Act (42 
U.S.C. 9831 et seq.) and Early Head Start pro-
grams carried out under section 645A of such Act, 
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preschool programs, and child care programs, to fa-
cilitate the coordination of services for eligible fami-
lies with English language learners; 
(9) how eligible families with English language 
learners will be recruited and retained to receive 
services under this section; 
(10) how training and technical assistance will 
be provided to help the staff of programs of early 
childhood home visitation involved in activities under 
this section to more effectively serve eligible families 
with English language learners; 
(11) how the eligible applicant will evaluate the 
activities supported under this section in order to 
demonstrate outcomes related to the— 
(A) number of eligible families with 
English language learners served by programs 
of early childhood home visitation; 
(B) parental knowledge of early learning 
and development; 
(C) positive parenting practices related to 
early learning and development; and 
(D) children’s cognitive, language, social- 
emotional, and physical development; 
(12) how the proposed program will conduct 
outreach activities to target both mothers and fa-
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thers and increase father involvement where safe 
and appropriate; and 
(13) such other information as the Secretary 
may require. 
(d) APPROVAL OF APPLICATIONS.— 
(1) IN GENERAL.—The Secretary shall select 
applicants for funding under this section based on 
the quality of the applications and the recommenda-
tions of a peer review panel, as described in para-
graph (2). 
(2) PEER
REVIEW
PANEL.—The peer review 
panel shall include not fewer than— 
(A) 2 individuals who are experts in the 
field of home visitation; 
(B) 2 individuals who are experts in early 
childhood development; 
(C) 2 individuals who are experts in serv-
ing eligible families with English language 
learners; 
(D) 1 individual who is a board certified 
pediatrician or a developmental pediatrician; 
and 
(E) 1 individual with expertise in admin-
istering public or private (including community- 
based) child maltreatment prevention programs. 
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(e) AUTHORIZED ACTIVITIES.—Each eligible appli-
cant that receives a grant under this section shall carry 
out the following activities: 
(1) Providing to as many eligible families with 
English language learners as practicable, voluntary 
early childhood home visitation, on not less fre-
quently than a monthly basis, through the imple-
mentation of quality programs of early childhood 
home visitation that are research-based that provide 
parents with— 
(A) knowledge of age-appropriate child de-
velopment in cognitive, language, social-emo-
tional, and motor domains; 
(B) knowledge of realistic expectations of 
age-appropriate child behaviors; 
(C) knowledge of health and wellness 
issues for children and parents; 
(D) modeling, consulting, and coaching on 
parenting practices; 
(E) skills to interact with their child to en-
hance age-appropriate development; 
(F) skills to recognize and seek help for 
issues related to health, developmental delays, 
and social, emotional, and behavioral skills; and 
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(G) activities designed to help parents be-
come full partners in the education of their chil-
dren. 
(2) Ascertaining what health and developmental 
services the family receives and working with these 
providers to eliminate gaps in service by offering an-
nual health, vision, hearing, and developmental 
screening for children from birth to entry into kin-
dergarten, when not otherwise provided. 
(3) Providing referrals for participating eligible 
families with English language learners, as needed, 
to additional resources available in the community, 
such as center-based early education programs, child 
care services, health or mental health services, fam-
ily literacy programs, employment agencies, social 
services, and child care resource and referral agen-
cies. 
(4) Offering group meetings (at program dis-
cretion), on not less frequently than a monthly basis, 
for eligible families with English language learners 
that— 
(A) further enhance the information, ac-
tivities, and skill-building addressed during 
home visitation; 
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(B) offer opportunities for parents to meet 
with and support each other; and 
(C) address challenges facing eligible fami-
lies with English language learners. 
(5) Providing training and technical assistance 
to early childhood home visitation staff relating to— 
(A) effective service to eligible families 
with English language learners, including skills 
to address challenges facing English language 
learners; 
(B) effective methods of implementing par-
ent education, conducting home visiting, and 
promoting quality early childhood development, 
with sensitivity to cultural variations in par-
enting norms and attitudes toward formal sup-
port services; 
(C) the relationship of health and well- 
being of pregnant women to prenatal and early 
child development; 
(D) early childhood development with re-
spect to children from birth until entry into kin-
dergarten; 
(E) methods to help parents promote 
emergent literacy in their children from birth 
until entry into kindergarten; 
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(F) implementing strategies for helping eli-
gible families with English language learners 
coping with a crisis; 
(G) recruiting, supervising, and retaining 
qualified staff; 
(H) increasing services for underserved eli-
gible families with English language learners; 
(I) methods to help parents effectively re-
spond to their children’s needs and behaviors; 
(J) implementation of ongoing program 
quality improvement and evaluation of activities 
and outcomes; and 
(K) the relationship of father involvement 
to the health and well-being of pregnant women 
and to prenatal and early childhood develop-
ment. 
(6) Coordinating existing programs of early 
childhood home visitation in order to effectively and 
efficiently meet the needs of more eligible families 
with English language learners. 
(f) REPORTING REQUIREMENTS.—Each applicant 
that receives a grant under this section to carry out a pro-
gram shall submit an annual report to the Secretary, and 
the lead State agency as described in section 4(c)(1), re-
garding the progress of such program in addressing the 
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purposes of this Act. Such report shall include, at a min-
imum, a description of— 
(1) actual service delivery provided under the 
grant including— 
(A) program characteristics including de-
scriptive information on the service model used 
and actual program performance; 
(B) provider characteristics including staff 
qualifications, work experience, and demo-
graphic characteristics; 
(C) 
recipient 
characteristics 
including 
number, demographic characteristics, and rates 
of family retention in programs; and 
(D) an estimate of annual program imple-
mentation costs; 
(2) recipient outcomes that are consistent with 
program goals including, where appropriate given 
the program being evaluated— 
(A) parental practices; 
(B) child health and development indica-
tors; 
(C) child maltreatment indicators; 
(D) school readiness indicators; and 
(E) links to community services; 
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(3) the research-based instruction, materials, 
and activities being used in the activities funded 
under the grant; and 
(4) the training and technical assistance, in-
cluding ongoing professional development, provided 
to programs supported under the grant. 
(g) SUPPLEMENT NOT SUPPLANT.—Grant funds 
provided under this section shall be used to supplement, 
and not supplant, Federal and non-Federal funds available 
for carrying out the activities described in this section. 
(h) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$20,000,000 for fiscal year 2010 and such sums for fiscal 
years 2011 through 2014. 
SEC. 6. TARGETED GRANTS FOR EARLY CHILDHOOD HOME 
VISITATION FOR MILITARY FAMILIES. 
(a) IN GENERAL.—The Secretary of Defense, in con-
sultation with the Secretary of Education and the Sec-
retary of Health and Human Services, shall make grants, 
on a competitive basis, to eligible applicants to enable such 
applicants to support and expand efforts to deliver services 
through high quality programs of early childhood home 
visitation to eligible families with a family member in the 
Armed Forces. 
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(b) ELIGIBLE APPLICANT.—In this section, the term 
‘‘eligible applicant’’ means any of the following: 
(1) A local educational agency that receives 
payments under title VIII of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7701 
et seq.). 
(2) A school of the defense dependents’ edu-
cation system under the Defense Dependents’ Edu-
cation Act of 1978 (20 U.S.C. 921 et seq.). 
(3) A school established under section 2164 of 
title 10, United States Code. 
(4) A community-based organization serving 
families with a family member in the Armed Forces. 
(c) APPLICATIONS.—An eligible applicant that de-
sires to receive a grant under this section shall submit an 
application to the Secretary of Defense at such time, in 
such manner, and containing such information as the Sec-
retary of Defense may require. The application shall in-
clude a description of— 
(1) the results of a communitywide needs as-
sessment that demonstrates the need for services to 
eligible families with a family member in the Armed 
Forces and describes— 
(A) community demographics; 
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(B) the quality and capacity of existing 
programs of early childhood home visitation for 
eligible families with a family member in the 
Armed Forces; 
(C) the gaps in programs of early child-
hood home visitation for eligible families with a 
family member in the Armed Forces; and 
(D) the type of program of early childhood 
home visitation necessary to address the gaps 
identified; 
(2) the program of early childhood home visita-
tion that will be supported by the grant under this 
section; 
(3) how the proposed program of early child-
hood home visitation will promote positive parenting 
skills and children’s early learning and development; 
(4) how the proposed program of early child-
hood home visitation will incorporate the authorized 
activities described in subsection (f); 
(5) how services provided through a grant 
under this section will use materials that are appro-
priate toward eligible families with a family member 
in the Armed Forces; 
(6) how the activities under this section will 
build on and promote coordination with existing pro-
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grams of early childhood home visitation, if such 
programs exist in the community, in an effort to 
promote an array of home visitation that ensures 
more eligible families with a family member in the 
Armed Forces are being served and are getting the 
most appropriate services to meet their needs; 
(7) how the program will ensure that— 
(A) where appropriate to the program 
goals of the home visiting model, families par-
ticipating in early childhood home visitation 
programs with a family member in the Armed 
Forces will be introduced to and connected with 
their local schools to encourage ongoing paren-
tal involvement in their children’s education; 
and 
(B) the activities under this section will 
support the preparation of children for school; 
(8) how channels of communication will be es-
tablished between staff of programs of early child-
hood home visitation and staff of other early child-
hood education programs, such as Head Start pro-
grams carried out under the Head Start Act (42 
U.S.C. 9831 et seq.) and Early Head Start pro-
grams carried out under section 645A of such Act, 
preschool programs, family support programs, and 
VerDate Nov 24 2008 
00:07 May 04, 2009
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child care programs, to facilitate the coordination of 
services for eligible families with a family member in 
the Armed Forces; 
(9) how eligible families with a family member 
in the Armed Forces will be recruited and retained 
to receive services under this section; 
(10) how training and technical assistance will 
be provided to help programs of early childhood 
home visitation involved in activities under this sec-
tion to more effectively serve eligible families with a 
family member in the Armed Forces; 
(11) how the eligible applicant will evaluate the 
activities supported under this section in order to 
demonstrate outcomes related to the— 
(A) number of eligible families with a fam-
ily member in the Armed Forces served by pro-
grams of early childhood home visitation; 
(B) parental knowledge of early learning 
and development; 
(C) positive parenting practices related to 
early learning and development; and 
(D) children’s cognitive, language, social- 
emotional, and physical development; 
(12) how the proposed program will conduct 
outreach activities to target both mothers and fa-
VerDate Nov 24 2008 
00:07 May 04, 2009
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thers and increase father involvement where safe 
and appropriate; and 
(13) such other information as the Secretary of 
Defense may require. 
(d) APPROVAL OF LOCAL APPLICATIONS.— 
(1) IN
GENERAL.—The Secretary of Defense 
shall select applicants for funding under this section 
based on the quality of the applications and the rec-
ommendations of a peer review panel, as described 
in paragraph (2). 
(2) PEER
REVIEW
PANEL.—The peer review 
panel shall include not fewer than— 
(A) 2 individuals who are experts in the 
field of home visitation; 
(B) 2 individuals who are experts in early 
childhood development; 
(C) 2 individuals who are experts in family 
support for military families; 
(D) 1 individual who is a board certified 
pediatrician or developmental pediatrician; and 
(E) 1 individual with expertise in admin-
istering public or private (including community- 
based) child maltreatment prevention programs. 
VerDate Nov 24 2008 
00:07 May 04, 2009
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(e) AUTHORIZED ACTIVITIES.—Each eligible appli-
cant that receives a grant under this section shall carry 
out the following activities: 
(1) Providing to as many eligible families with 
a family member in the Armed Forces as prac-
ticable, voluntary early childhood home visitation, on 
not less frequently than a monthly basis, through 
the implementation of quality programs of early 
childhood home visitation that are research-based 
and that provide parents with— 
(A) knowledge of age-appropriate child de-
velopment in cognitive, language, social-emo-
tional, and motor domains; 
(B) knowledge of realistic expectations of 
age-appropriate child behaviors; 
(C) knowledge of health and wellness 
issues for children and parents; 
(D) modeling, consulting, and coaching on 
parenting practices; 
(E) skills to interact with their child to en-
hance age-appropriate development; 
(F) skills to recognize and seek help for 
issues related to health, developmental delays, 
and social, emotional, and behavioral skills; and 
VerDate Nov 24 2008 
00:07 May 04, 2009
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(G) activities designed to help parents be-
come full partners in the education of their chil-
dren. 
(2) Ascertaining what health and developmental 
services the family receives and working with these 
providers to eliminate gaps in service by offering an-
nual health, vision, hearing, and developmental 
screening for children from birth to entry into kin-
dergarten, when not otherwise provided. 
(3) Providing referrals for participating eligible 
families with a family member in the Armed Forces, 
as needed, to additional resources available in the 
community, such as center-based early education 
programs, child care services, health or mental 
health services, family literacy programs, employ-
ment agencies, social services, and child care re-
source and referral agencies. 
(4) Offering group meetings (at program dis-
cretion), on not less frequently than a monthly basis, 
for eligible families with a family member in the 
Armed Forces that— 
(A) further enhance the information, ac-
tivities, and skill-building addressed during 
home visitation; 
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(B) offer opportunities for parents to meet 
with and support each other; and 
(C) address challenges facing eligible fami-
lies with a family member in the Armed Forces. 
(5) Providing training and technical assistance 
to early childhood home visitation staff relating to— 
(A) effective service to eligible families 
with a family member in the Armed Forces; 
(B) effective methods of implementing par-
ent education, conducting home visiting, and 
promoting quality early childhood development, 
with sensitivity to cultural variations in par-
enting norms and attitudes toward formal sup-
port services; 
(C) the relationship of health and well- 
being of pregnant women to prenatal and early 
child development; 
(D) early childhood development with re-
spect to children from birth until entry into kin-
dergarten; 
(E) methods to help parents promote 
emergent literacy in their children from birth 
until entry into kindergarten; 
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00:07 May 04, 2009
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(F) implementing strategies for helping eli-
gible families with a family member in the 
Armed Forces coping with crisis; 
(G) recruiting, supervising, and retaining 
qualified staff; 
(H) increasing services for underserved eli-
gible families with a family member in the 
Armed Forces; 
(I) methods to help parents effectively re-
spond to their children’s needs and behaviors; 
(J) implementation of ongoing program 
quality improvement and evaluation of activities 
and outcomes; and 
(K) the relationship of father involvement 
to the health and well-being of pregnant women 
and to prenatal and early childhood develop-
ment. 
(6) Coordinating existing programs of early 
childhood home visitation in order to effectively and 
efficiently meet the needs of more eligible families 
with a family member in the Armed Forces. 
(f) REPORTING REQUIREMENTS.—Each applicant 
that receives a grant under this section to carry out a pro-
gram shall submit an annual report to the Secretary, and 
the lead State agency as described in section 4(c)(1), re-
VerDate Nov 24 2008 
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garding the progress of such program in addressing the 
purposes of this Act. Such report shall include, at a min-
imum, a description of— 
(1) actual service delivery provided under the 
grant including— 
(A) program characteristics including de-
scriptive information on the service model used 
and actual program performance; 
(B) provider characteristics including staff 
qualifications, work experience, and demo-
graphic characteristics; 
(C) 
recipient 
characteristics 
including 
number, demographic characteristics, and fam-
ily retention; and 
(D) an estimate of annual program imple-
mentation costs; 
(2) recipient outcomes that are consistent with 
program goals including, where appropriate given 
the program being evaluated— 
(A) parental practices; 
(B) child health and development indica-
tors; 
(C) child maltreatment indicators; 
(D) school readiness indicators; and 
(E) links to community services; 
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(3) the research-based instruction, materials, 
and activities being used in the activities funded 
under the grant; and 
(4) the training and technical assistance, in-
cluding ongoing professional development, provided 
to programs supported under the grant. 
(g) SUPPLEMENT NOT SUPPLANT.—Grant funds 
provided under this section shall be used to supplement, 
and not supplant, Federal and non-Federal funds available 
for carrying out the activities described in this section. 
(h) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$20,000,000 for fiscal year 2010 and such sums as may 
be necessary for fiscal years 2011 through 2014. 
SEC. 7. EVALUATION. 
(a) IN GENERAL.—From funds reserved under sec-
tion 4(b)(1)(A), the Secretary shall conduct, through 
grant or contract, an independent evaluation of the effec-
tiveness of home visitation programs carried out under 
this Act. 
(b) REPORTS.— 
(1) INTERIM REPORT.—Not later than 2 years 
after the date of enactment of this Act, the Sec-
retary shall submit an interim report on the evalua-
tion conducted pursuant to subsection (a) to the 
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Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Education 
and Labor of the House of Representatives. 
(2) FINAL REPORT.—Not later than 4 years 
after the date of enactment of this Act, the Sec-
retary shall submit a final report on the evaluation 
conducted pursuant to subsection (a) to the commit-
tees described in paragraph (1). 
(c) STUDY.—The independent evaluation conducted 
under this section shall examine the following: 
(1) The effect of home visiting programs on 
child and parent outcomes, consistent with program 
goals, including, where appropriate given the pro-
gram being evaluated, parental outcomes related to 
child health and development, parenting practices, 
child health and development, child maltreatment, 
school readiness, and links to community services. 
(2) The effectiveness of early childhood home 
visitation on different populations, including the ex-
tent to which variability exists in program ability to 
improve outcomes across programs and populations. 
SEC. 8. REPORTS TO CONGRESS. 
(a) IN GENERAL.—The Secretary shall annually pro-
vide a report to the Committee on Education and Labor 
in the House of Representatives and the Committee on 
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Health, Education, Labor, and Pensions in the Senate, in-
formation on the activities carried out under this Act. 
(b) CONTENT.—The reports submitted under this 
section shall, at a minimum, include information about the 
programs carried out under this Act, including informa-
tion on the following: 
(1) descriptions of the high need communities 
targeted by States for programs carried out under 
this Act; 
(2) the service delivery models funded under 
this Act; 
(3) program characteristics, including— 
(A) staff qualifications and demographic 
characteristics; and 
(B) recipient characteristics including the 
number of families served, the demographic 
characteristics of the families served, and fam-
ily retention and duration of services; 
(4) program-reported outcomes; 
(5) the findings from State evaluations; 
(6) the research-based instruction, materials, 
and activities being used in the activities funded 
under the grant; 
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(7) the training and technical activities, includ-
ing ongoing professional development, provided to 
programs; and 
(8) the annual program implementation costs, 
including the cost per family served under the pro-
gram. 
SEC. 9. SUPPORTING NEW PARENTS THROUGH HOSPITAL 
EDUCATION. 
(a) IN GENERAL.—The Secretary shall develop and 
implement a public information and educational campaign 
to inform the public and new parents about the impor-
tance of proper care for infants and children under 5 years 
of age, including healthy parent-child relationships, the de-
mands and stress associated with caring for infants, posi-
tive responses to infants’ challenging behaviors including 
awareness of their social, emotional, and physical needs, 
awareness of the vulnerability of young children to abusive 
practices, and the signs and treatment of post-partum de-
pression. 
(b) ELEMENTS.— 
(1) IN
GENERAL.—The campaign developed 
under subsection (a) shall include the following ele-
ments: 
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(A) The dissemination of educational and 
informational materials in print, audio, video, 
electronic, and other media. 
(B) The use of public service announce-
ments and advertisements. 
(C) The dissemination of effective child 
abuse prevention practices and techniques, in-
cluding information about research-based home 
visiting programs, respite care, crisis nurseries, 
and parent support networks, to parents, care-
givers, maternity hospitals, children’s hospitals, 
pediatricians, child care centers, organizations 
providing prenatal and postnatal care, and or-
ganizations providing parenting education and 
support services. 
(D) Connection to existing parental in-
volvement programs. 
(2) EXISTING
PROGRAMS.—The Secretary, in 
implementing and executing the public information 
and educational campaign under this section, should 
seek collaboration with and referrals to existing pa-
rental involvement programs that specialize in 
strengthening children’s cognitive skills, early lit-
eracy skills, social or emotional and physical develop-
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ment and existing prenatal and early childhood home 
visitation programs. 
(3) EXISTING
STATE
REQUIREMENTS.—The 
Secretary, in implementing and executing the public 
information and educational campaign under this 
section, shall consider with pre-existing State re-
quirements to ensure that no unnecessary burdens 
are placed on hospitals, military hospitals, and birth 
centers receiving educational materials. 
(c) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for fiscal years 2010 
through 2014. 
Æ 
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