dren, including psychiatric resi-
dential services, outpatient men-
tal health services, social skills 
training, intensive in-home super-
vision services, recreational ther-
apy, suicide prevention, and sub-
stance abuse treatment; 
‘‘(IV) peer-to-peer mentoring and 
support groups that allow adopted 
children to communicate and socialize 
with other adopted children, including 
programs that provide for communica-
tion between adopted children from 
similar geographic, ethnic, or cultural 
backgrounds; and 
‘‘(V) crisis and family preserva-
tion services, including respite care 
and crisis counseling and a 24-hour 
emergency hotline for adoptive par-
ents.’’. 
SEC. 2. FUNDING FOR ADOPTION SUPPORT SERVICES. 
Paragraph (8) of section 473(a) of the Social Secu-
rity Act (42 U.S.C. 673(a)) is amended to read as follows: 
‘‘(8) With respect to the amount of savings (if any) 
in State expenditures under this part resulting from the 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
application of paragraph (2)(A)(ii) to all applicable chil-
dren for a fiscal year, a State shall— 
‘‘(A) spend a significant portion, not less than 
20 percent, of such amount to provide pre- and post- 
adoptive support services (as defined in section 
431(a)(8)(B)); 
‘‘(B) spend the remainder of such amount to 
provide to children or families any other services 
that may be provided under this part or part B; and 
‘‘(C) on an annual basis, submit to the Sec-
retary a report that provides a detailed account of 
any services that were funded pursuant to this para-
graph.’’. 
SEC. 3. FEDERAL GRANT PROGRAM FOR POST-ADOPTION 
MENTAL HEALTH SERVICES. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–3 et seq.) is amended by 
adding at the end the following: 
‘‘SEC. 520L. POST-ADOPTION MENTAL HEALTH SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator, shall award grants or cooperative 
agreements to eligible entities to— 
‘‘(1) develop and implement Statewide or tribal 
post-adoption mental health service programs for all 
adopted children; 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
‘‘(2) support public organization and private 
nonprofit organizations actively involved in State-
wide or tribal post-adoption mental health service 
programs; 
‘‘(3) collect and analyze data on State-spon-
sored Statewide or tribal post-adoption mental 
health service programs that can be used to monitor 
the effectiveness of such services and for research, 
technical assistance, and policy development; 
‘‘(4) develop and provide educational and train-
ing opportunities concerning the mental health needs 
of adopted children and their families for use by 
teachers, social workers, and other community men-
tal health service providers; and 
‘‘(5) develop and provide materials for potential 
adoptive parents, both for domestic adoptions and 
adoptions from other countries, describing the pos-
sible need for post-adoption mental health services 
and available resources. 
‘‘(b) ELIGIBLE ENTITY.— 
‘‘(1) DEFINITION.—In this section, the term 
‘eligible entity’ means— 
‘‘(A) a State; 
‘‘(B) a public organization or private non-
profit organization designated by a State to de-
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
velop or direct the State-sponsored Statewide 
post-adoption mental health service program 
under a grant under this section; and 
‘‘(C) a Federally recognized Indian tribe or 
tribal organization (as defined in the Indian 
Self-Determination and Education Assistance 
Act (25 U.S.C. 450 et seq.)) or an urban In-
dian organization (as defined in the Indian 
Health Care Improvement Act (25 U.S.C. 1601 
et seq.)) that is actively involved in the develop-
ment and continuation of a post-adoption men-
tal health service program. 
‘‘(2) LIMITATION.—In carrying out this section, 
the Secretary shall ensure that each State is award-
ed only 1 grant or cooperative agreement under this 
section. For purposes of the preceding sentence, a 
State shall be considered to have been awarded a 
grant or cooperative agreement if the eligible entity 
involved is the State or an entity designated by the 
State under paragraph (1)(B). Nothing in this para-
graph shall be construed to apply to entities de-
scribed in paragraph (1)(C). 
‘‘(c) PREFERENCE.—In providing assistance under a 
grant or cooperative agreement under this section, the 
Secretary shall give preference to eligible entities that have 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
demonstrated success in increasing the level of adoption 
competency among mental health providers, adoption law-
yers, social workers, case workers, and adoptive parents. 
‘‘(d) REQUIREMENT FOR DIRECT SERVICES.—Not 
less than 85 percent of funds received under a grant or 
cooperative agreement under this section shall be used to 
provide direct services, of which not less than 5 percent 
shall be used for activities authorized under subsection 
(a)(3). 
‘‘(e) COORDINATION AND COLLABORATION.— 
‘‘(1) IN GENERAL.—In carrying out this sec-
tion, the Secretary shall collaborate with relevant 
Federal agencies and adoption-related working 
groups to promote interaction between domestic fos-
ter care agencies and private adoption agencies in 
other countries. 
‘‘(2) CONSULTATION.—In carrying out this sec-
tion, the Secretary shall consult with— 
‘‘(A) State and social service agencies en-
gaged in the placement of children for adoption, 
domestically or from other countries; 
‘‘(B) local and national organizations that 
serve foster and adopted youth; 
‘‘(C) health and education specialists who 
focus on adoption and foster care medicine; 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
‘‘(D) youth who have been in foster care or 
adopted, domestically or from other countries; 
‘‘(E) families and friends of youth who 
have been in foster care or adopted, domesti-
cally or from other countries; and 
‘‘(F) qualified professionals who possess 
the specialized knowledge, skills, experience, 
and relevant attributes needed to serve adopted 
children and their families. 
‘‘(3) POLICY DEVELOPMENT.—In carrying out 
this section, the Secretary shall— 
‘‘(A) coordinate and collaborate on policy 
development with the Administration for Chil-
dren and Families and other relevant Depart-
ment of Health and Human Services agencies 
and adoption-related working groups; and 
‘‘(B) consult on policy development at the 
Federal level with those in the private sector 
engaged in the recruitment of foster and adop-
tive parents, the placement of children in foster 
care and for adoption, and the provision of 
post-adoption services. 
‘‘(f) EVALUATION AND REPORT.— 
‘‘(1) EVALUATIONS BY ELIGIBLE ENTITIES.— 
Not later than 18 months after receipt of a grant or 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
cooperative agreement under this section, an eligible 
entity shall submit to the Secretary the results of an 
evaluation to be conducted by the entity concerning 
the effectiveness of the activities carried out under 
the grant or agreement. 
‘‘(2) REPORT.—Not later than 2 years after the 
date of enactment of this section, the Secretary shall 
submit to the appropriate committees of Congress a 
report concerning the results of— 
‘‘(A) the evaluations conducted under 
paragraph (1); and 
‘‘(B) an evaluation conducted by the Sec-
retary to analyze the effectiveness and efficacy 
of the activities conducted with grants, collabo-
rations, and consultations under this section. 
‘‘(g) DEFINITIONS.—In this section: 
‘‘(1) ADOPTED
CHILD.—The term ‘adopted 
child’ means an individual who is under 21 years of 
age and was adopted from foster care, through a 
private placement agency, or from another country. 
‘‘(2) 
ADOPTION
COMPETENCY.—The 
term 
‘adoption competency’ means an understanding of— 
‘‘(A) the nature of adoption as a form of 
family formation and the different types of 
adoption; 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
‘‘(B) relevant emotional and physical 
issues involved in the adoption process, includ-
ing issues relating to separation, loss, attach-
ment, abuse, trauma, and neglect; 
‘‘(C) common developmental challenges as-
sociated with adoption; 
‘‘(D) the characteristics and skills that 
allow for successful adoptive families; 
‘‘(E) proper sensitivity with respect to the 
different geographic, ethnic, or cultural back-
grounds of adopted children and adoptive fami-
lies; and 
‘‘(F) the necessary skills for effectively ad-
vocating on behalf of birth and adoptive fami-
lies. 
‘‘(3) POST-ADOPTION MENTAL HEALTH SERV-
ICES.—The term ‘post-adoption mental health serv-
ices’ includes— 
‘‘(A) adoption competent mental health di-
rect services, including training, educational 
support, counseling, and other services for 
adoptive parents and families that address care-
giver interests and concerns regarding child be-
havioral issues that are common among adopted 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
children and children in foster care, including, 
as appropriate— 
‘‘(i) caring for an adopted child with 
emotional, behavioral, or developmental 
health needs; and 
‘‘(ii) providing for the emotional needs 
of an adopted child, including issues relat-
ing to attachment, identity, abandonment, 
cultural differences, grief, and loss; 
‘‘(B) peer-to-peer mentoring and support 
groups that permit a newly adoptive parent to 
communicate and learn from more experienced 
adoptive parents; 
‘‘(C) the provision of informational re-
sources and available services for adoptive par-
ents; 
‘‘(D) direct services, including counseling, 
peer-to-peer mentoring and support groups, and 
other services for adopted children that address 
common behavioral and adjustment issues, in-
cluding, as appropriate— 
‘‘(i) support services for an adopted 
child with emotional, behavioral, or devel-
opmental health needs; 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
‘‘(ii) support services that address the 
emotional needs of an adopted child, in-
cluding issues relating to attachment, iden-
tity, abandonment, cultural differences, 
grief, and loss; and 
‘‘(iii) treatment services that are spe-
cialized for adopted children, including 
psychiatric residential services, outpatient 
mental health services, social skills train-
ing, intensive in-home supervision services, 
recreational therapy, suicide prevention, 
and substance abuse treatment; 
‘‘(E) peer-to-peer mentoring and support 
groups that allow adopted children to commu-
nicate and socialize with other adopted children; 
and 
‘‘(F) crisis intervention and family preser-
vation services. 
‘‘(h) 
FUNDING
FOR
POST-ADOPTION
MENTAL 
HEALTH
SERVICES.—From amounts appropriated to 
carry out titles III, V, or XIX of the Public Health Service 
Act for each fiscal year, $20,000,000 shall be used by the 
Secretary in each such fiscal year to fund services and 
programs authorized under this section.’’. 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
SEC. 4. DATA COLLECTION ON ADOPTION DISRUPTION AND 
DISSOLUTION. 
(a) IN GENERAL.—Section 479 of the Social Security 
Act (42 U.S.C. 679) is amended by adding at the end the 
following new subsection: 
‘‘(d)(1) Not later than 12 months after the date of 
enactment of this subsection, the Secretary shall, as part 
of the data collection system established under this sec-
tion, promulgate final regulations providing for the collec-
tion and analysis of information regarding children who 
enter into State custody as a result of the disruption of 
a placement for adoption or the dissolution of an adoption, 
which shall require States to collect and report— 
‘‘(A) information on children who are adopted 
within the United States or from other countries and 
who enter into State custody as a result of the dis-
ruption of a placement for adoption or the dissolu-
tion of an adoption, including— 
‘‘(i) the number of children who enter into 
State custody as a result of— 
‘‘(I) the disruption of placement for 
adoption; or 
‘‘(II) the dissolution of an adoption; 
and 
‘‘(ii) for each child identified under clause 
(i)— 
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS
431(a)(8)(B)) that result in lower rates of disrup-
tion and dissolution of adoptions; 
‘‘(D) to develop an understanding of the rela-
tionship between the rate of incidence of adoption 
disruptions and dissolutions and the support services 
that are provided to adoptive families in order to 
identify and develop effective evidence-based strate-
gies, programs, and support services that help to 
prevent adoption disruption and dissolution; and 
‘‘(E) to develop and enhance training and edu-
cational services regarding strategies for prevention 
of adoption disruption and dissolution. 
‘‘(3)(A) Not later than 6 months after the date of 
enactment of this subsection, the Secretary shall, subject 
to subparagraph (B), establish an advisory committee to 
study methods to effectively collect data regarding disrup-
tion and dissolution of adoptions that are not included in 
the data collection system established under this section, 
including— 
‘‘(i) data on children whose adoptions are dis-
rupted or dissolved but do not enter into State cus-
tody as a result of such disruption or dissolution; 
‘‘(ii) data on adoption displacements, whereby 
an adopted child is temporarily placed out of the 
home of an adoptive parent in order to receive med-
VerDate Mar 15 2010 
22:39 Nov 06, 2013
Jkt 039200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H3423.IH
H3423
sroberts on DSK5SPTVN1PROD with BILLS