fied in subparagraph (A), the entity shall 
develop and implement a plan to improve 
outcomes in each of the areas specified in 
subparagraph (A) that the service delivery 
model or models, selected by the entity, in-
tend to improve, subject to approval by the 
Secretary. The plan shall include provisions 
for the Secretary to monitor implementa-
tion of the plan and conduct continued 
oversight of the program, including through 
submission by the entity of regular reports 
to the Secretary. 
‘‘(iii) TECHNICAL
ASSISTANCE.—The 
Secretary shall provide an eligible entity re-
quired to develop and implement an im-
provement plan under clause (ii) with tech-
nical assistance to develop and implement 
the plan. The Secretary may provide the 
technical assistance directly or through 
grants, contracts, or cooperative agreements. 
‘‘(iv) NO
IMPROVEMENT
OR
FAILURE 
TO SUBMIT REPORT.—If the Secretary de-
termines after a period of time specified by 
the Secretary that an eligible entity imple-
menting an improvement plan under clause 
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(ii) has failed to demonstrate any improve-
ment in at least 4 of the areas specified in 
subparagraph (A) that the service delivery 
model or models intend to improve, or if the 
Secretary determines that an eligible entity 
has failed to submit the report required by 
clause (i), the Secretary shall terminate the 
grant made to the entity under this section 
and may include any unexpended grant 
funds in grants made to nonprofit organiza-
tions under subsection (h)(2)(B).’’. 
(c) INCLUDING INFORMATION ON APPLICABLE BENCH-
MARKS IN APPLICATION.—Section 511(e)(5) of such Act (42 
U.S.C. 711(e)(5)) is amended by inserting ‘‘that the service 
delivery model or models, selected by the entity, intend to 
improve’’ before the period at the end. 
SEC. 5. REVIEWING STATEWIDE NEEDS TO TARGET RE-
SOURCES. 
Section 511(b)(1) of the Social Security Act (42 U.S.C. 
711(b)(1)) is amended by striking ‘‘Not later than’’ and all 
that follows through ‘‘statewide’’ the 2nd place it appears 
and inserting ‘‘Each State shall, as a condition of receiving 
payments from an allotment for the State under section 
502, review and update the statewide needs assessment not 
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later than October 1, 2020 (which may be separate from 
but in coordination with the statewide’’. 
SEC. 6. IMPROVING THE LIKELIHOOD OF SUCCESS IN HIGH- 
RISK COMMUNITIES. 
Section 511(d)(4)(A) of the Social Security Act (42 
U.S.C. 711(d)(4)(A)) is amended by inserting ‘‘, taking into 
account the staffing, community resource, and other re-
quirements of the service delivery model or models that the 
eligible entity may need to develop for the model to operate 
and demonstrate improvements for eligible families’’ before 
the period. 
SEC. 7. MEASURING IMPROVEMENTS IN FAMILY ECONOMIC 
SELF-SUFFICIENCY. 
Section 511(d)(1)(A)(v) of the Social Security Act (42 
U.S.C. 711(d)(1)(A)(v)) is amended by inserting ‘‘(which 
shall include measures of employment and earnings)’’ before 
the period. 
SEC. 8. OPTION TO FUND EVIDENCE-BASED HOME VISITING 
ON A PAY FOR OUTCOME BASIS. 
(a) IN GENERAL.—Section 511(c) of the Social Secu-
rity Act (42 U.S.C. 711(c)) is amended by redesignating 
paragraphs (3) and (4) as paragraphs (4) and (5), respec-
tively, and by inserting after paragraph (2) the following: 
‘‘(3) AUTHORITY TO USE GRANT FOR A PAY FOR 
OUTCOMES INITIATIVE.—An eligible entity to which a 
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grant is made under paragraph (1) may use the 
grant to pay for the results of a pay for outcomes ini-
tiative that satisfies the requirements of subsection (d) 
and that will not result in a reduction of funding for 
services delivered under this section while an eligible 
entity develops or operates such an initiative.’’. 
(b) DEFINITION OF PAY FOR OUTCOMES INITIATIVE.— 
Section 511(k) of such Act (42 U.S.C. 711(k)) is amended 
by adding at the end the following: 
‘‘(4) PAY FOR OUTCOMES INITIATIVE.—The term 
‘pay for outcomes initiative’ means a performance- 
based grant, contract, cooperative agreement, or other 
agreement awarded by a public entity in which a 
commitment is made to pay for improved outcomes 
that result in social benefit and direct cost savings or 
cost avoidance to the public sector. Such an initiative 
shall include— 
‘‘(A) a feasibility study that describes how 
the proposed intervention is based on evidence of 
effectiveness; 
‘‘(B) a rigorous, third-party evaluation that 
uses experimental or quasi-experimental design 
or other research methodologies that allow for the 
strongest possible causal inferences to determine 
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whether the initiative has met its proposed out-
comes; 
‘‘(C) an annual, publicly available report 
on the progress of the initiative; and 
‘‘(D) a requirement that payments are 
made to the recipient of a grant, contract, or co-
operative agreement only when agreed upon out-
comes are achieved, except that this requirement 
shall not apply with respect to payments to a 
third party conducting the evaluation described 
in subparagraph (B).’’. 
(c) EXTENDED AVAILABILITY
OF FUNDS.—Section 
511(j)(3) of such Act (42 U.S.C. 711(j)(3)) is amended— 
(1) by striking ‘‘(3) AVAILABILITY.—Funds’’ and 
inserting the following: 
‘‘(3) AVAILABILITY.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), funds’’; and 
(2) by adding at the end the following: 
‘‘(B) FUNDS FOR PAY FOR OUTCOMES INI-
TIATIVES.—Funds made available to an eligible 
entity under this section for a fiscal year (or 
portion of a fiscal year) for a pay for outcomes 
initiative shall remain available for expenditure 
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by the eligible entity for not more than 10 years 
after the funds are so made available.’’. 
SEC. 9. STRENGTHENING EVIDENCE-BASED HOME VISITING 
THROUGH STATE, LOCAL, AND PRIVATE PART-
NERSHIPS. 
(a) IN GENERAL.—Section 511 of the Social Security 
Act (42 U.S.C. 711) is amended by adding at the end the 
following: 
‘‘(l) MATCHING REQUIREMENT.— 
‘‘(1) PROGRAM HOME VISITING SHARE.— 
‘‘(A) IN
GENERAL.—An eligible entity to 
which a grant is made under this section for fis-
cal year 2020 or any succeeding fiscal year shall 
not use the grant to cover more than the applica-
ble percentage of the costs of providing services 
or conducting activities under this section dur-
ing the fiscal year. 
‘‘(B) APPLICABLE
PERCENTAGE.—In sub-
paragraph (A), the term ‘applicable percentage’ 
means, with respect to a fiscal year— 
‘‘(i) in the case of an eligible entity 
that is a State or nonprofit organization— 
‘‘(I) 70 percent, in the case of fis-
cal year 2020; 
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‘‘(II) 60 percent, in the case of fis-
cal year 2021; or 
‘‘(III) 50 percent, in the case of 
fiscal year 2022 or any succeeding fis-
cal year; or 
‘‘(ii) in the case of an eligible entity 
that is an Indian Tribe (or a consortium of 
Indian Tribes), a Tribal Organization, or 
an Urban Indian Organization— 
‘‘(I) 100 percent, in the case of 
fiscal year 2020 or 2021; or 
‘‘(II) 70 percent, in the case of fis-
cal year 2022 or any succeeding fiscal 
year. 
‘‘(2) NON-PROGRAM
HOME
VISITING
SHARE.— 
The share of the costs of providing services or con-
ducting activities under this section not covered by 
grant funds may include— 
‘‘(A) State expenditures of Federal funds 
made available other than under this section ex-
pended for activities under this section; 
‘‘(B) State expenditures of State funds ex-
pended for activities under this section as a con-
dition of receiving Federal funds other than 
under this section; and 
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‘‘(C) contributions made for activities under 
this section from any other source, paid in cash 
or in kind, valued at the fair market value of 
such contribution.’’. 
(b) CONFORMING AMENDMENT.—Section 511(h)(2)(A) 
of such Act (42 U.S.C. 711(h)(2)(A)) is amended in the 2nd 
sentence by striking ‘‘Such’’ and inserting ‘‘Except as pro-
vided in subsection (l)(1), such’’. 
SEC. 10. DATA EXCHANGE STANDARDS FOR IMPROVED 
INTEROPERABILITY. 
(a) IN GENERAL.—Section 511(h) of the Social Secu-
rity Act (42 U.S.C. 711(h)) is amended by adding at the 
end the following: 
‘‘(5) DATA
EXCHANGE
STANDARDS
FOR
IM-
PROVED INTEROPERABILITY.— 
‘‘(A) DESIGNATION AND USE OF DATA EX-
CHANGE STANDARDS.— 
‘‘(i) DESIGNATION.—The head of the 
department or agency responsible for ad-
ministering a program funded under this 
section shall, in consultation with an inter-
agency work group established by the Office 
of Management and Budget and considering 
State government perspectives, designate 
data exchange standards for necessary cat-
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egories of information that a State agency 
operating the program is required to elec-
tronically exchange with another State 
agency under applicable Federal law. 
‘‘(ii) DATA
EXCHANGE
STANDARDS 
MUST
BE
NONPROPRIETARY
AND
INTER-
OPERABLE.—The data exchange standards 
designated under clause (i) shall, to the ex-
tent practicable, be nonproprietary and 
interoperable. 
‘‘(iii) 
OTHER
REQUIREMENTS.—In 
designating data exchange standards under 
this paragraph, the Secretary shall, to the 
extent practicable, incorporate— 
‘‘(I) interoperable standards devel-
oped and maintained by an inter-
national voluntary consensus stand-
ards body, as defined by the Office of 
Management and Budget; 
‘‘(II) interoperable standards de-
veloped and maintained by intergov-
ernmental partnerships, such as the 
National Information Exchange Model; 
and 
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‘‘(III) interoperable standards de-
veloped and maintained by Federal en-
tities with authority over contracting 
and financial assistance. 
‘‘(B) DATA
EXCHANGE
STANDARDS
FOR 
FEDERAL REPORTING.— 
‘‘(i) DESIGNATION.—The head of the 
department or agency responsible for ad-
ministering a program referred to in this 
section shall, in consultation with an inter-
agency work group established by the Office 
of Management and Budget, and consid-
ering State government perspectives, des-
ignate data exchange standards to govern 
Federal reporting and exchange require-
ments under applicable Federal law. 
‘‘(ii) REQUIREMENTS.—The data ex-
change reporting standards required by 
clause (i) shall, to the extent practicable— 
‘‘(I) incorporate a widely accept-
ed, nonproprietary, searchable, com-
puter-readable format; 
‘‘(II) be consistent with and im-
plement applicable accounting prin-
ciples; 
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‘‘(III) be implemented in a man-
ner that is cost-effective and improves 
program efficiency and effectiveness; 
and 
‘‘(IV) be capable of being contin-
ually upgraded as necessary. 
‘‘(iii) INCORPORATION OF NONPROPRI-
ETARY
STANDARDS.—In designating data 
exchange standards under this paragraph, 
the Secretary shall, to the extent practicable, 
incorporate existing nonproprietary stand-
ards, such as the eXtensible Mark up Lan-
guage. 
‘‘(iv) RULE OF CONSTRUCTION.—Noth-
ing in this paragraph shall be construed to 
require a change to existing data exchange 
standards for Federal reporting about a 
program referred to in this section, if the 
head of the department or agency respon-
sible for administering the program finds 
the standards to be effective and efficient.’’. 
(b) EFFECTIVE DATE.—The amendments made by this 
section shall take effect 2 years after the date of the enact-
ment of this Act. 
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Union Calendar No. 225 
115TH CONGRESS 
1ST SESSION 
H. R. 2824 
[Report No. 115–315, Part I] 
A BILL 
To amend title V of the Social Security Act to ex-
tend the Maternal, Infant, and Early Childhood 
Home Visiting Program. 
SEPTEMBER 21, 2017 
Reported from the Committee on Ways and Means with 
an amendment 
SEPTEMBER 21, 2017 
The Committee on Energy and Commerce discharged; 
committed to the Committee of the Whole House on 
the State of the Union and ordered to be printed 
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