Secretary determines the State is appropriately in-
vestigating and responding to allegations of child 
abuse and neglect at such covered programs. 
‘‘(d) OVERSIGHT.— 
‘‘(1) IN GENERAL.—Beginning two years after 
the date of the enactment of the Stop Child Abuse 
in Residential Programs for Teens Act of 2008, the 
Secretary shall implement a process for continued 
monitoring of each State that is determined to be 
satisfying the licensing, monitoring, and enforcement 
requirements of subsection (b), in accordance with a 
determination made pursuant to subsection (c), with 
respect to the performance of each such State re-
garding— 
‘‘(A) preventing child abuse and neglect at 
covered programs operating in each such State; 
and 
‘‘(B) enforcing the licensing standards de-
scribed in subsection (b)(1). 
‘‘(2) EVALUATIONS.—The process required 
under paragraph (1) shall include in each State, at 
a minimum— 
‘‘(A) an investigation not later than 60 
days after receipt by the Secretary of a report 
from a State, or a subdivision thereof, of child 
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abuse and neglect at a covered program oper-
ating in the State, and submission of findings 
to appropriate law enforcement or other local 
entity where necessary, if the report indicates— 
‘‘(i) a child fatality at such program; 
or 
‘‘(ii) there is evidence of a pattern of 
violations of the standards required under 
subsection (b)(1) at such program or by an 
owner or operator of such program; 
‘‘(B) an annual review by the Secretary of 
cases of reports of child abuse and neglect in-
vestigated at covered programs operating in the 
State to assess the State’s performance with re-
spect to the appropriateness of response to and 
investigation of reports of child abuse and ne-
glect at covered programs and the appropriate-
ness of legal actions taken against responsible 
parties in such cases; and 
‘‘(C) unannounced site inspections of cov-
ered programs operating in the State to mon-
itor compliance with the standards required 
under section 3(a) of the Stop Child Abuse in 
Residential Programs for Teens Act of 2008. 
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‘‘(3) ENFORCEMENT.—If the Secretary deter-
mines, pursuant to an evaluation under this sub-
section, that a State is not adequately implementing, 
monitoring, and enforcing the licensing requirements 
of subsection (b)(1), the Secretary shall require, for 
a period of not less than one year, that— 
‘‘(A) the State shall inform the Secretary 
of each instance there is a report to be inves-
tigated of child abuse and neglect at a covered 
program operating in the State; and 
‘‘(B) the Secretary and the appropriate 
local agency shall jointly investigate such re-
port.’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
112(a)(1) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106h(a)(1)) is amended by inserting be-
fore the period at the end the following: ‘‘, and 
$235,000,000 for each of fiscal years 2009 through 
2013’’. 
(c) CONFORMING AMENDMENTS.— 
(1) 
COORDINATION
WITH
AVAILABLE
RE-
SOURCES.—Section 103(c)(1)(D) of the Child Abuse 
Prevention 
and 
Treatment 
Act 
(42 
U.S.C. 
5104(c)(1)(D)) is amended by inserting after ‘‘spe-
cific’’ the following: ‘‘(including reports of child 
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abuse and neglect occurring at covered programs 
(except that such reports shall not contain any per-
sonally identifiable information relating to the iden-
tity of individuals who were the victims of such child 
abuse and neglect), as such term is defined in sec-
tion 114)’’. 
(2) 
FURTHER
REQUIREMENT.—Section 
106(b)(1) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(b)(1)) is amended by 
adding at the end the following new subparagraph: 
‘‘(C) FURTHER REQUIREMENT.—To be eli-
gible to receive a grant under this section, a 
State shall comply with the requirements under 
section 114(b) and shall include in the State 
plan submitted pursuant to subparagraph (A) a 
description of the activities the State will carry 
out to comply with the requirements under such 
section 114(b).’’. 
(3) ANNUAL
STATE
DATA
REPORTS.—Section 
106(d) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(d)) is amended— 
(A) in paragraph (1), by inserting before 
the period at the end the following: ‘‘(including 
reports of child abuse and neglect occurring at 
covered programs (except that such reports 
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shall not contain any personally identifiable in-
formation relating to the identity of individuals 
who were the victims of such child abuse and 
neglect), as such term is defined in section 
114)’’; and 
(B) in paragraph (6), by inserting before 
the period at the end the following: ‘‘or who 
were in the care of a covered program, as such 
term is defined in section 114’’. 
(d) CLERICAL AMENDMENT.—Section 1(b) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 
5101 note) is amended by inserting after the item relating 
to section 113 the following new item: 
‘‘Sec. 114. Additional eligibility requirements for grants to States to prevent 
child abuse and neglect at residential programs.’’. 
SEC. 8. STUDY AND REPORT ON OUTCOMES IN COVERED 
PROGRAMS. 
(a) STUDY.—The Secretary of Health and Human 
Services shall conduct a study, in consultation with rel-
evant agencies and experts, to examine the outcomes for 
children in both private and public covered programs 
under this Act encompassing a broad representation of 
treatment facilities and geographic regions. 
(b) REPORT.—The Secretary shall submit to the 
Committee on Education and Labor of the House of Rep-
resentatives and the Committee on Health, Education, 
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Labor, and Pensions of the Senate a report that contains 
the results of the study conducted under subsection (a). 
Æ 
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