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‘‘(II) SUBSTITUTION
OF
SUC-
CESSOR ELIGIBLE ENTITY FOR PRED-
ECESSOR.—If the 1st fiscal year for 
which an eligible entity is awarded a 
base grant under this section for a 
program operated in a State is among 
fiscal years 2024 through 2027, the 
amount described by clause (ii) with 
respect to the eligible entity is the 
amount of the base grant for which a 
program operated in the State was eli-
gible under this subparagraph for fis-
cal year 2023. 
‘‘(ii) AMOUNT DESCRIBED.— 
‘‘(I) GENERAL RULE.—Subject to 
the succeeding provisions of this 
clause, the amount described by this 
clause with respect to an eligible enti-
ty is— 
‘‘(aa) 
the 
amount 
made 
available under subsection (k) for 
base grants for fiscal year 2023 
that remains after making the 
reservations required by sub-
section (k)(2) or any other reduc-
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tions required by Federal law for 
fiscal year 2023; multiplied by 
‘‘(bb) the percentage of chil-
dren in all States who have not 
attained 5 years of age (as deter-
mined by the Secretary on the 
basis of the data most recently 
available before fiscal year 2023) 
that is represented by the num-
ber of such children in the State 
in which the eligible entity is op-
erating a program pursuant to 
this section (as so determined). 
‘‘(II) ADJUSTMENTS TO ENSURE 
STABLE
FUNDING.—If the amount 
otherwise payable to an eligible entity 
under subclause (I) for fiscal year 
2023 is less than 90 percent, or great-
er than 110 percent, of the amount 
payable under this section to the eligi-
ble entity for the program for fiscal 
year 2021, the Secretary shall in-
crease the amount otherwise so pay-
able to 90 percent, or decrease the 
amount otherwise so payable to 110 
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percent, as the case may be, of the 
amount otherwise so payable. 
‘‘(III) ADJUSTMENT TO ENSURE 
ALL BASE GRANT FUNDS ARE ALLO-
CATED.—If the amount described by 
subclause (I)(aa) is different than the 
total of the amounts otherwise de-
scribed by subclause (I) after applying 
subclause (II), the Secretary shall in-
crease or decrease the amounts other-
wise so described after applying sub-
clause (II) by such equal percentage 
as is necessary to reduce that dif-
ference to zero. 
‘‘(IV) MINIMUM
BASE
GRANT 
AMOUNT.—Notwithstanding the pre-
ceding provisions of this clause, the 
amount described by this clause with 
respect to an eligible entity shall be 
not less than $1,000,000. 
‘‘(B) MATCHING GRANTS.— 
‘‘(i) AMOUNT OF GRANT.— 
‘‘(I) GENERAL RULE.—With re-
spect to each of fiscal years 2024 
through 2027 for which an eligible en-
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tity not referred to in subsection 
(k)(2)(A) is awarded a grant under 
this section, the Secretary shall in-
crease the amount of the grant pay-
able to the eligible entity for the fiscal 
year under subparagraph (A) of this 
paragraph by the matching amount (if 
any) determined under subclause (II) 
of this clause with respect to the eligi-
ble entity for the fiscal year and the 
additional matching amount (if any) 
determined under clause (iii) of this 
subparagraph with respect to the eli-
gible entity for the fiscal year. 
‘‘(II) MATCHING AMOUNT.— 
‘‘(aa) IN
GENERAL.—Sub-
ject to item (bb) of this sub-
clause, the matching amount 
with respect to an eligible entity 
for a fiscal year is 75 percent of 
the sum of— 
‘‘(AA) the total amount 
obligated by the eligible enti-
ty for home visiting services 
in the State for the fiscal 
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year, from Federal funds 
made available for the fiscal 
year under this subpara-
graph; and 
‘‘(BB) the total amount 
so obligated by the eligible 
entity 
from 
non-Federal 
funds, 
determined 
under 
subclause (III). 
‘‘(bb) 
LIMITATION.—The 
matching amount with respect to 
an eligible entity for a fiscal year 
shall not exceed the allotment 
under subclause (IV) for the 
State in which the eligible entity 
is operating a program under 
this section for the fiscal year. 
‘‘(III) DETERMINATION OF OBLI-
GATIONS
FROM
NON-FEDERAL 
FUNDS.—For purposes of this clause, 
the total amount obligated by an eligi-
ble entity from non-Federal funds is 
the total of the amounts that are obli-
gated by the eligible entity from non- 
Federal sources, to the extent that— 
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‘‘(aa) the services are deliv-
ered in compliance with sub-
sections (d)(2) and (d)(3); 
‘‘(bb) the eligible entity has 
reported the obligations to the 
Secretary; and 
‘‘(cc) the amount is not 
counted 
toward 
meeting 
the 
maintenance of effort require-
ment in subsection (f). 
‘‘(IV) STATE ALLOTMENTS.—The 
amount allotted under this subclause 
for a State in which an eligible entity 
is operating a program under this sec-
tion for a fiscal year is— 
‘‘(aa) the minimum match-
ing grant allocation amount for 
the fiscal year; plus 
‘‘(bb)(AA) the amount (if 
any) by which the amount made 
available under subsection (k) for 
matching grants for the fiscal 
year that remains after making 
the reservations required by sub-
section (k)(2) or any other reduc-
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tion required by Federal law for 
the fiscal year exceeds the sum of 
the minimum matching grant al-
location amounts for all eligible 
entities for the fiscal year; multi-
plied by 
‘‘(BB) the percentage of 
children in all States who have 
not attained 5 years of age and 
are members of families with in-
come not exceeding the poverty 
line (as determined by the Sec-
retary on the basis of the most 
recently available data) that is 
represented by the number of 
such children in the State (as so 
determined). 
‘‘(V) MINIMUM MATCHING GRANT 
ALLOCATION
AMOUNT.—Subject 
to 
subclause (VI), for purposes of sub-
clause (IV), the minimum matching 
grant allocation amount for a fiscal 
year is— 
‘‘(aa) in the case of fiscal 
year 2024, $776,000; 
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‘‘(bb) in the case of fiscal 
year 2025, $1,000,000; 
‘‘(cc) in the case of fiscal 
year 2026, $1,500,000; and 
‘‘(dd) in the case of fiscal 
year 2027, $2,000,000. 
‘‘(VI) SPECIAL RULE.—If, after 
making any reductions otherwise re-
quired by law for a fiscal year, the 
amount made available for matching 
grants under this clause for the fiscal 
year is insufficient to provide the min-
imum 
matching 
grant 
allocation 
amount to each eligible entity oper-
ating a program under this section for 
the fiscal year, the Secretary may 
make a proportionate adjustment to 
the minimum matching grant alloca-
tion amount for the fiscal year to ac-
commodate the reductions. 
‘‘(ii) SUBMISSION OF STATEMENT EX-
PRESSING
INTEREST
IN
ADDITIONAL 
MATCHING FUNDS IF AVAILABLE.—Before 
the beginning of a fiscal year for which an 
eligible entity desires a matching grant 
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under this subparagraph for a program op-
erated under this section, the eligible entity 
shall submit to the Secretary a statement 
as to whether the eligible entity desires ad-
ditional matching grant funds that may be 
made available under clause (iii) for the 
fiscal year. 
‘‘(iii) CARRYOVER AND REALLOCATION 
OF UNOBLIGATED FUNDS.— 
‘‘(I) IN
GENERAL.—If the Sec-
retary determines that an amount al-
lotted under clause (i)(IV) of this sub-
paragraph for a fiscal year will not be 
awarded during the fiscal year, or 
that an amount made available under 
subsection (k)(1) for a fiscal year for 
matching grants will not be obligated 
by an eligible entity for the fiscal 
year, the amount shall be available for 
matching grants under this subpara-
graph for the succeeding fiscal year 
for eligible entities that have made 
submissions under clause (ii) of this 
subparagraph for additional matching 
grant funds from the amount. 
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‘‘(II) STATE ALLOTMENTS.—The 
Secretary shall allot to each eligible 
entity that has made such a submis-
sion for a fiscal year— 
‘‘(aa) the total amount (if 
any) made available under sub-
clause (I) for the fiscal year; 
multiplied by 
‘‘(bb) the percentage of chil-
dren who have not attained 5 
years of age and are members of 
families with income not exceed-
ing the poverty line (as deter-
mined by the Secretary on the 
basis of the most recently avail-
able data) in all of the States in 
which any eligible entity that has 
made such a submission is so op-
erating a program, that is rep-
resented by the number of such 
children in the State (as so deter-
mined) in which the eligible enti-
ty is operating such a program. 
‘‘(III) ADDITIONAL
MATCHING 
AMOUNT.— 
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‘‘(aa) IN
GENERAL.—Sub-
ject to item (bb) of this sub-
clause, the additional matching 
amount with respect to an eligi-
ble entity for a fiscal year is 75 
percent of the sum of— 
‘‘(AA) the total amount 
obligated by the eligible enti-
ty for home visiting services 
in the State for the fiscal 
year, from Federal funds 
made available for the fiscal 
year under this subpara-
graph; and 
‘‘(BB) the total amount 
so obligated by the eligible 
entity 
from 
non-Federal 
funds, 
determined 
under 
clause (i)(III), 
that are not taken into account 
in 
determining 
the 
matching 
amount with respect to the eligi-
ble entity under clause (i). 
‘‘(bb) 
LIMITATION.—The 
additional matching amount with 
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respect to an eligible entity for a 
fiscal year shall not exceed the 
allotment under subclause (II) 
for the State in which the eligible 
entity is operating a program 
under this section for the fiscal 
year.’’. 
(2) MAINTENANCE OF EFFORT.—Section 511(f) 
of such Act (42 U.S.C. 711) is amended to read as 
follows: 
‘‘(f) MAINTENANCE OF EFFORT.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of this section, the Secretary may not 
make a grant to an eligible entity under this section 
for a fiscal year if the total amount of non-Federal 
funds obligated by the eligible entity in the State in 
the fiscal year for a program operated pursuant to 
this section is less than the total amount of non- 
Federal funds reported to have been expended by 
any eligible entity for such a program in the State 
in fiscal year 2019 or 2021, whichever is the lesser. 
‘‘(2) PUBLICATION
OF
AMOUNTS.—Not later 
than June 30, 2023, the Secretary shall cause to 
have published in the Federal Register the amount 
of non-Federal funds expended as described in this 
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section that has been reported by each eligible entity 
not referred to in subsection (k)(2)(A) for each of 
fiscal years 2019 and 2021. 
‘‘(3) GRACE PERIOD.—The Secretary may, in 
exceptional circumstances, allow an eligible entity a 
period to come into compliance with this subsection. 
The Secretary shall provide technical assistance to 
any eligible entity to assist the entity in doing so.’’. 
(b) RESERVATIONS OF FUNDS FOR CERTAIN PUR-
POSES.—Section 511(j)(2) of such Act (42 U.S.C. 
711(j)(2)) is amended— 
(1) in the matter preceding subparagraph (A), 
by striking ‘‘the amount’’ and inserting ‘‘each 
amount made available for base grants and each 
amount made available for matching grants’’; 
(2) in subparagraph (A)— 
(A) by striking ‘‘3’’ and inserting ‘‘6’’; and 
(B) by striking ‘‘and’’ at the end; and 
(3) by striking subparagraph (B) and inserting 
the following: 
‘‘(B) 2 percent of such amount for pur-
poses of providing technical assistance, directly 
or through grants or contracts, for purposes as 
otherwise 
described 
in 
subsections 
(c)(5), 
(d)(1)(C)(iii), (d)(1)(E)(iii), and (d)(4)(E); 
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‘‘(C) 2 percent of such amount for pur-
poses of workforce support, retention, and case 
management, including workforce-related tech-
nical assistance, research and evaluation, and 
program administration, directly or through 
grants or contracts, of which the Secretary shall 
use not more than $1,500,000 to establish and 
operate the Jackie Walorski Center for Evi-
dence-Based Case Management; and 
‘‘(D) 3 percent of such amount for pur-
poses of research and evaluation (directly or 
through grants or contracts), and for admin-
istering this section (directly, through contracts, 
or otherwise).’’. 
(c) APPROPRIATIONS.—Section 511(j)(1) of such Act 
(42 U.S.C. 711(j)(1)) is amended by striking subpara-
graphs (A) through (H) and inserting the following: 
‘‘(A) for fiscal year 2023, $500,000,000 
for base grants; 
‘‘(B) for fiscal year 2024, $550,000,000, 
of which $500,000,000 shall be for base grants 
and $50,000,000 shall be for matching grants; 
‘‘(C) for fiscal year 2025, $600,000,000, of 
which $500,000,000 shall be for base grants 
and $100,000,000 shall be for matching grants; 
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graph (B) as subparagraph (C) and inserting after sub-
paragraph (A) the following: 
‘‘(B) USE OF GRANT TO PROVIDE OR SUP-
PORT
TARGETED, INTENSIVE
HOME
VISITING 
SERVICES.—The program uses the grant to pro-
vide or support targeted, intensive home visiting 
services for the populations described in para-
graph (5).’’. 
SEC. 5. LIMITATION ON USE OF FUNDS FOR ADMINISTRA-
TION. 
(a) IN GENERAL.—Section 511(d) of the Social Secu-
rity Act (42 U.S.C. 711(d)) is amended by adding at the 
end the following: 
‘‘(5) LIMITATION ON USE OF FUNDS FOR AD-
MINISTRATIVE COSTS.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B) of this paragraph, an eligible 
entity to which funds are provided under sub-
section (c) or (h)(2)(B) shall not use more than 
10 percent of the funds to cover the costs of ad-
ministration. 
‘‘(B) 
AUTHORITY
TO
GRANT
EXCEP-
TIONS.— 
‘‘(i) IN
GENERAL.—The Secretary 
may authorize an eligible entity that meets 
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a condition of clause (ii) of this subpara-
graph to exceed the percentage limitation 
in subparagraph (A) with respect to a pro-
gram conducted under this subsection by 
not more than 5 percentage points, subject 
to such terms and conditions as the Sec-
retary deems appropriate. 
‘‘(ii) CONDITIONS.—An eligible entity 
meets a condition of this clause if the eligi-
ble entity— 
‘‘(I) conducts the program by di-
rectly providing home visits to eligible 
families and without a sub-recipient; 
‘‘(II) in the fiscal year for which 
the grant for the program is made 
under this section, proposes to expand 
services in 1 or more communities 
identified in the statewide needs as-
sessment under subsection (b) and in 
which home visiting services are not 
provided; or 
‘‘(III) has conducted the program 
for fewer than 3 years.’’. 
(b) CONFORMING AMENDMENTS.—Section 511(i)(2) 
of such Act (42 U.S.C. 711(i)(2)) is amended by striking 
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subparagraph (C) and redesignating subparagraphs (D) 
through (G) as subparagraphs (C) through (F), respec-
tively. 
SEC. 6. ANNUAL REPORT TO CONGRESS. 
(a) IN GENERAL.—Section 511 of the Social Security 
Act (42 U.S.C. 711) is amended by redesignating sub-
sections (j) and (k) as subsections (k) and (l), respectively, 
and inserting after subsection (i) the following: 
‘‘(j) ANNUAL REPORT TO CONGRESS.—By December 
31, 2023, and annually thereafter, the Secretary shall sub-
mit to the Congress a written report on the grants made 
under this section for the then preceding fiscal year, which 
shall include— 
‘‘(1) an eligible entity-by-eligible entity sum-
mary of the outcomes measured by the entity with 
respect to each benchmark described in subsection 
(e)(5) that apply to the entity; 
‘‘(2) information regarding any technical assist-
ance funded under subparagraph (B) or (C) of sub-
section (k)(2), including the type of any such assist-
ance provided; 
‘‘(3) information on the demographic makeup of 
families served by each such entity to the extent pos-
sible while respecting participant confidentiality, in-
cluding race, ethnicity, educational attainment at en-
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rollment, household income, and other demographic 
markers as determined by the Secretary; 
‘‘(4) the information described in subsection 
(d)(1)(E); 
‘‘(5) the estimated share of the eligible popu-
lation served using grants made under this section; 
‘‘(6) a description of each service delivery model 
funded under this section by the eligible entities in 
each State, and the share (if any) of the grants ex-
pended on each model; 
‘‘(7) a description of non-Federal expenditures 
by eligible entities to qualify for matching funds 
under subsection (c)(4); 
‘‘(8) information on the uses of funds reserved 
under subsection (k)(2)(C); 
‘‘(9) information relating to those eligible enti-
ties for which funding is reserved under subsection 
(k)(2)(A), with modifications as necessary to reflect 
tribal data sovereignty, data privacy, and participant 
confidentiality; and 
‘‘(10) a list of data elements collected from eli-
gible entities, and the purpose of each data element 
in measuring performance or enforcing requirements 
under this section.’’. 
(b) CONFORMING AMENDMENTS.— 
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(1) Section 511 of such Act (42 U.S.C. 711) is 
amended— 
(A) in subsection (b)(1)(B)(iii), by striking 
‘‘(k)(2)’’ and inserting ‘‘(l)(2)’’; and 
(B) in subsection (h)(2)(B)— 
(i) by striking ‘‘(j)’’ and inserting 
‘‘(k)’’; and 
(ii) by striking ‘‘(k)(1)(B)’’ and in-
serting ‘‘(l)(1)(B)’’. 
(2) Section 511A(c) of such Act (42 U.S.C. 
711a(c)) is amended in each of paragraphs (5) and 
(7) 
by 
striking 
‘‘511(k)(2)’’ 
and 
inserting 
‘‘511(l)(2)’’. 
SEC. 7. REDUCTION OF ADMINISTRATIVE BURDEN. 
Section 511(h) of the Social Security Act (42 U.S.C. 
711(h)) is amended by adding at the end the following: 
‘‘(6) REDUCTION
OF
ADMINISTRATIVE
BUR-
DEN.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
reduce the burden, on States and public and 
private implementing agencies at the local level, 
of administering this section, by— 
‘‘(i) reviewing and revising adminis-
trative data collection instruments and 
forms to eliminate duplication and stream-
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line reporting requirements for States, eli-
gible entities referred to in subsection 
(k)(2)(A), and nonprofit organizations re-
ferred to in subsection (l)(1)(B), including 
timelines for submitting reports; 
‘‘(ii) conducting an analysis of the 
total number of hours reported by admin-
istering agencies on complying with paper-
work requirements, and exploring, in con-
sultation with administering agencies, ways 
to reduce the number of hours spent by at 
least 15 percent; 
‘‘(iii) conducting a review of paper-
work and data collection requirements for 
tribal grantees, and exploring, in consulta-
tion with tribes and tribal organizations, 
ways to reduce administrative burden, re-
spect sovereignty, and acknowledge the dif-
ferent focus points for tribal grantees; 
‘‘(iv) collecting input from relevant 
State fiscal officials to align fiscal require-
ments and oversight for States and eligible 
entities to ensure consistency with stand-
ards and guidelines for other Federal for-
mula grant programs; and 
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‘‘(v) consulting with administering 
agencies and service delivery model rep-
resentatives on needed and unneeded data 
elements regarding the dashboards pro-
vided for in subsection (d)(1)(B), con-
sistent with the data requirements of such 
subsection. 
‘‘(B) FINDINGS
ON
PAPERWORK
REDUC-
TION.— 
‘‘(i) INCLUSION IN REPORT.—In the 
1st report submitted pursuant to sub-
section (j) more than 18 months after the 
date of the enactment of this Act, the Sec-
retary shall include the findings of the Sec-
retary with respect to the matters de-
scribed in subparagraph (A). 
‘‘(ii) 
IMPLEMENTATION.—Within 
years after complying with clause (i), the 
Secretary shall implement the findings re-
ferred to in clause (i).’’. 
SEC. 8. VIRTUAL HOME VISITING AUTHORIZATION AND RE-
STRICTIONS. 
(a) VIRTUAL HOME VISITS.— 
(1) 
APPLICATION
REQUIREMENTS.—Section 
511(e) of the Social Security Act (42 U.S.C. 711(e)) 
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is amended by redesignating paragraph (10) as 
paragraph (11) and inserting after paragraph (9) 
the following: 
‘‘(10) At the option of the eligible entity— 
‘‘(A) a description of any limitations or 
constraints on virtual home visits under the 
program, including— 
‘‘(i) a description of the plan of the el-
igible entity to encourage in-person home 
visits; and 
‘‘(ii) a description of the consider-
ations to be used in determining when a 
virtual home visit is appropriate, including 
client consent, client preference, geographic 
limitations, model fidelity, and hazardous 
conditions including public health emer-
gencies, weather events, health concerns 
for home visitors and client families, and 
other local issues; 
‘‘(B) an assurance that— 
‘‘(i) the virtual home visit is imple-
mented as a model enhancement; or 
‘‘(ii) the Secretary has identified the 
home visit as part of an effective model or 
model adaptation, based on an evidence of 
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effectiveness review conducted using the 
criteria 
established 
under 
subsection 
(d)(3)(A)(iii); and 
‘‘(C) an assurance to the Secretary that at 
least 1 in-person home visit shall be conducted 
for each client family under the program during 
the 12-month period that begins with the entry 
of the client family into the program, and dur-
ing each succeeding 12-month period, except 
that any such period in which a public health 
emergency declared under Federal law, or 
under the law of the State in which the pro-
gram is conducted, is in effect shall be extended 
by the length of time in which the declaration 
is in effect.’’. 
(2) APPLICABLE
RULES.—Section 511(d) of 
such Act (42 U.S.C. 711(d)) is amended by redesig-
nating paragraph (4) and paragraph (5) (as added 
by section 5(a) of this Act) as paragraphs (5) and 
(6), respectively, and inserting after paragraph (3) 
the following: 
‘‘(4) VIRTUAL HOME VISITS.— 
‘‘(A) IN GENERAL.—A virtual home visit 
conducted under the program shall be consid-
ered a home visit for purposes of this section if 
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the application for funding of the program sub-
mitted pursuant to this section most recently 
after the effective date of this paragraph in-
cludes the material described in subsection 
(e)(10). 
‘‘(B) STANDARDS FOR TRAINING APPLICA-
BLE
TO
VIRTUAL
SERVICE
DELIVERY.—The 
standards for training requirements applicable 
to virtual service delivery under a home visiting 
model shall be equivalent to those that apply to 
in-person service delivery under the model. 
‘‘(C) REPORTING REQUIREMENT.—A grant 
made under this section for the program may 
not be used for any virtual home visit during a 
year, unless the eligible entity to which the 
grant is made submits the report described in 
subsection (e)(8)(A) for the year. 
‘‘(D) VIRTUAL HOME VISIT DEFINED.—In 
this section, the term ‘virtual home visit’ means 
a visit conducted solely by use of electronic in-
formation and telecommunications technologies. 
‘‘(E) TECHNICAL
ASSISTANCE.—If the 
Secretary finds that an eligible entity has not 
complied with the assurance described in sub-
section (e)(10)(C), the Secretary shall, directly 
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or through grants, contracts, or cooperative 
agreements, provide the eligible entity with such 
technical assistance as is necessary to assist the 
eligible entity in doing so.’’. 
(3) 
PROGRAM
REQUIREMENT.—Section 
511(d)(3)(C) of such Act (42 U.S.C. 711(d)(3)(C)), 
as so redesignated by section 4 of this Act, is 
amended by adding at the end the following: 
‘‘(vii) If the application submitted by 
the eligible entity includes the assurance 
described in subsection (e)(10)(C) with re-
spect to the program, the program pro-
vides in-person service consistent with the 
assurances.’’. 
(4) REPORTS.—Section 511(e)(8)(A) of such 
Act (42 U.S.C. 711(e)(8)(A)) is amended by insert-
ing ‘‘, including the number of virtual home visits 
conducted under the program in the year covered by 
the report, disaggregated with respect to each home 
visiting model under which the virtual home visits 
are conducted’’ before the semicolon. 
(b) TRANSITION RULE.— 
(1) IN
GENERAL.—A virtual home visit con-
ducted before the effective date of the amendments 
made by this section under an early childhood home 
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visitation program funded under section 511 of the 
Social Security Act shall be considered a home visit 
for purposes of such section. 
(2) VIRTUAL HOME VISIT DEFINED.—In para-
graph (1), the term ‘‘virtual home visit’’ means a 
visit conducted solely by use of electronic informa-
tion and telecommunications technologies. 
SEC. 9. BUDGET OFFSET. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)) 
is 
amended 
by 
striking 
‘‘$7,308,000,000’’ and inserting ‘‘$4,418,000,000’’. 
SEC. 10. EFFECTIVE DATE. 
(a) IN GENERAL.—Except as provided in subsections 
(b) and (c), this Act and the amendments made by this 
Act shall take effect on October 1, 2022. 
(b) VIRTUAL HOME VISITING PROVISIONS.—The 
amendments made by section 8 shall take effect on Octo-
ber 1, 2023. 
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(c) BUDGET OFFSET.—The amendment made by sec-
tion 9 shall take effect on the date of the enactment of 
this Act. 
Passed the House of Representatives December 2, 
2022. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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