IB 
Union Calendar No. 17
108TH CONGRESS 
1ST SESSION 
H. R. 14
[Report No. 108–26] 
To amend the Child Abuse Prevention and Treatment Act to make improve-
ments to and reauthorize programs under that Act, and for other pur-
poses. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 7, 2003
Mr. HOEKSTRA (for himself, Mr. BOEHNER, Mr. DELAY, Mr. GEORGE MIL-
LER of California, and Mr. GREENWOOD) introduced the following bill; 
which was referred to the Committee on Education and the Workforce 
MARCH 6, 2003
Additional sponsors: Mr. UPTON, Mr. MCINTYRE, Mrs. MILLER of Michigan, 
Mr. PLATTS, Mr. SENSENBRENNER, Mr. LOBIONDO, Ms. HART, Mr. 
DAVIS of Illinois, and Mr. VAN HOLLEN
MARCH 6, 2003
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on January 7, 2003] 
A BILL 
To amend the Child Abuse Prevention and Treatment Act 
to make improvements to and reauthorize programs 
under that Act, 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; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Keeping Children and Families Safe Act of 2003’’. 
(b) TABLE OF CONTENTS.—The table of contents of this 
Act is as follows:
Sec. 1. Short title; table of contents. 
TITLE I—CHILD ABUSE PREVENTION AND TREATMENT ACT 
Sec. 101. Findings. 
Subtitle A—General Program 
Sec. 111. National Clearinghouse for Information Relating to Child Abuse. 
Sec. 112. Research and assistance activities and demonstrations. 
Sec. 113. Grants to States and public or private agencies and organizations. 
Sec. 114. Grants to States for child abuse and neglect prevention and treatment 
programs. 
Sec. 115. Miscellaneous Requirements Relating to Assistance. 
Sec. 116. Authorization of appropriations. 
Sec. 117. Reports. 
Subtitle B—Community-Based Grants for the Prevention of Child Abuse 
Sec. 121. Purpose and authority. 
Sec. 122. Eligibility. 
Sec. 123. Amount of grant. 
Sec. 124. Existing grants. 
Sec. 125. Application. 
Sec. 126. Local program requirements. 
Sec. 127. Performance measures. 
Sec. 128. National network for community-based family resource programs. 
Sec. 129. Definitions. 
Sec. 130. Authorization of appropriations. 
Subtitle C—Conforming Amendments 
Sec. 141. Conforming amendments. 
TITLE II—ADOPTION OPPORTUNITIES 
Sec. 201. Congressional findings and declaration of purpose. 
Sec. 202. Information and services. 
Sec. 203. Study of adoption placements. 
Sec. 204. Studies on successful adoptions. 
Sec. 205. Authorization of appropriations.
TITLE III—ABANDONED INFANTS ASSISTANCE 
Sec. 301. Findings. 
Sec. 302. Establishment of local programs. 
Sec. 303. Evaluations, study, and reports by Secretary. 
Sec. 304. Authorization of appropriations. 
Sec. 305. Definitions. 
TITLE IV—FAMILY VIOLENCE PREVENTION AND SERVICES ACT 
Sec. 401. State demonstration grants. 
Sec. 402. Secretarial responsibilities. 
Sec. 403. Evaluation. 
Sec. 404. Information and technical assistance centers. 
Sec. 405. Authorization of appropriations. 
Sec. 406. Grants for State domestic violence coalitions. 
Sec. 407. Evaluation and monitoring. 
Sec. 408. Family member abuse information and documentation project. 
Sec. 409. Model State leadership grants. 
Sec. 410. National domestic violence hotline grant. 
Sec. 411. Youth education and domestic violence. 
Sec. 412. Demonstration grants for community initiatives. 
Sec. 413. Transitional housing assistance. 
Sec. 414. Technical and conforming amendments.
TITLE I—CHILD ABUSE PREVEN-
TION AND TREATMENT ACT 
SEC. 101. FINDINGS. 
Section 2 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5101 note) is amended—
(1) in paragraph (1), by striking ‘‘close to 
1,000,000’’ and inserting ‘‘approximately 900,000’’; 
(2) by redesignating paragraphs (2) through (11) 
as paragraphs (4) through (13), respectively; 
(3) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2)(A) more children suffer neglect than any 
other form of maltreatment; and
assessment conducted by the child protective services 
agency, received no services;’’; 
(5) in paragraph (5) (as so redesignated)—
(A) in subparagraph (A), by striking ‘‘orga-
nizations’’ and inserting ‘‘community-based or-
ganizations’’; 
(B) in subparagraph (D), by striking ‘‘en-
sures’’ and all that follows through ‘‘knowledge,’’ 
and inserting ‘‘recognizes the need for properly 
trained staff with the qualifications needed’’; and 
(C) in subparagraph (E), by inserting be-
fore the semicolon the following: ‘‘, which may 
impact child rearing patterns, while at the same 
time, not allowing those differences to enable 
abuse’’; 
(6) in paragraph (7) (as so redesignated), by 
striking ‘‘this national child and family emergency’’ 
and inserting ‘‘child abuse and neglect’’; and 
(7) in paragraph (9) (as so redesignated)—
(A) by striking ‘‘intensive’’ and inserting 
‘‘needed’’; and 
(B) by striking ‘‘if removal has taken 
place’’ and inserting ‘‘where appropriate’’.
Subtitle A—General Program 
SEC. 111. NATIONAL CLEARINGHOUSE FOR INFORMATION 
RELATING TO CHILD ABUSE. 
(a) FUNCTIONS.—Section 103(b) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5104(b)) is 
amended—
(1) in paragraph (1), by striking ‘‘all pro-
grams,’’ and all that follows through ‘‘neglect; and’’ 
and inserting ‘‘all effective programs, including pri-
vate and community-based programs, that show 
promise of success with respect to the prevention, as-
sessment, identification, and treatment of child abuse 
and neglect and hold the potential for broad scale im-
plementation and replication;’’; 
(2) in paragraph (2), by striking the period and 
inserting a semicolon; 
(3) by redesignating paragraph (2) as para-
graph (3); 
(4) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) maintain information about the best prac-
tices used for achieving improvements in child protec-
tive systems;’’; and 
(5) by adding at the end the following:
‘‘(4) provide technical assistance upon request 
that may include an evaluation or identification of—
‘‘(A) various methods and procedures for the 
investigation, assessment, and prosecution of 
child physical and sexual abuse cases; 
‘‘(B) ways to mitigate psychological trauma 
to the child victim; and 
‘‘(C) effective programs carried out by the 
States under this Act; and 
‘‘(5) collect and disseminate information relating 
to various training resources available at the State 
and local level to—
‘‘(A) individuals who are engaged, or who 
intend to engage, in the prevention, identifica-
tion, and treatment of child abuse and neglect; 
and 
‘‘(B) appropriate State and local officials to 
assist in training law enforcement, legal, judi-
cial, medical, mental health, education, and 
child welfare personnel.’’. 
(b) COORDINATION WITH AVAILABLE RESOURCES.—
Section 103(c)(1) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5104(c)(1)) is amended—
(1) in subparagraph (E), by striking ‘‘105(a); 
and’’ and inserting ‘‘104(a);’’;
(2) by redesignating subparagraph (F) as sub-
paragraph (G); and 
(3) by inserting after subparagraph (E) the fol-
lowing: 
‘‘(F) collect and disseminate information 
that describes best practices being used through-
out the Nation for making appropriate referrals 
related to, and addressing, the physical, develop-
mental, and mental health needs of abused and 
neglected children; and’’. 
SEC. 112. RESEARCH AND ASSISTANCE ACTIVITIES AND 
DEMONSTRATIONS. 
(a) RESEARCH.—Section 104(a) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5105(a)) is 
amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph 
(A), in the first sentence, by inserting ‘‘, includ-
ing longitudinal research,’’ after ‘‘interdiscipli-
nary program of research’’; and 
(B) in subparagraph (B), by inserting be-
fore the semicolon the following: ‘‘, including the 
effects of abuse and neglect on a child’s develop-
ment and the identification of successful early
intervention services or other services that are 
needed’’; 
(C) in subparagraph (C)—
(i) by striking ‘‘judicial procedures’’ 
and inserting ‘‘judicial systems, including 
multidisciplinary, 
coordinated 
decision-
making procedures’’; and 
(ii) by striking ‘‘and’’ at the end; and 
(D) in subparagraph (D)—
(i) in clause (viii), by striking ‘‘and’’ 
at the end; 
(ii) by redesignating clause (ix) as 
clause (x); and 
(iii) by inserting after clause (viii), the 
following: 
‘‘(ix) the incidence and prevalence of 
child maltreatment by a wide array of de-
mographic characteristics such as age, sex, 
race, family structure, household relation-
ship (including the living arrangement of 
the resident parent and family size), school 
enrollment and education attainment, dis-
ability, grandparents as caregivers, labor 
force status, work status in previous year, 
and income in previous year; and’’;
(E) by redesignating subparagraph (D) as 
subparagraph (I); and 
(F) by inserting after subparagraph (C), the 
following: 
‘‘(D) the evaluation and dissemination of 
best practices consistent with the goals of achiev-
ing improvements in the child protective services 
systems of the States in accordance with para-
graphs (1) through (12) of section 106(a); 
‘‘(E) effective approaches to interagency col-
laboration between the child protection system 
and the juvenile justice system that improve the 
delivery of services and treatment, including 
methods for continuity of treatment plan and 
services as children transition between systems; 
‘‘(F) an evaluation of the redundancies and 
gaps in the services in the field of child abuse 
and neglect prevention in order to make better 
use of resources; 
‘‘(G) the nature, scope, and practice of vol-
untary relinquishment for foster care or State 
guardianship of low income children who need
health services, including mental health services; 
‘‘(H) the information on the national inci-
dence of child abuse and neglect specified in
clauses (i) through (x) of subparagraph (I); 
and’’; 
(2) in paragraph (2), by striking subparagraph 
(B) and inserting the following: 
‘‘(B) Not later than 2 years after the date 
of enactment of the Keeping Children and Fami-
lies Safe Act of 2003, and every 2 years there-
after, the Secretary shall provide an opportunity 
for public comment concerning the priorities 
proposed under subparagraph (A) and maintain 
an official record of such public comment.’’; 
(3) by redesignating paragraph (2) as para-
graph (4); 
(4) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) RESEARCH.—The Secretary shall conduct 
research on the national incidence of child abuse and 
neglect, including the information on the national in-
cidence on child abuse and neglect specified in clauses 
(i) through (x) of paragraph (1)(I). 
‘‘(3) REPORT.—Not later than 4 years after the 
date of the enactment of the Keeping Children and 
Families Safe Act of 2003, the Secretary shall prepare 
and submit to the Committee on Education and the 
Workforce of the House of Representatives and the
Committee on Health, Education, Labor and Pen-
sions of the Senate a report that contains the results 
of the research conducted under paragraph (2).’’. 
(b) PROVISION OF TECHNICAL ASSISTANCE.—Section 
104(b) of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5105(b)) is amended—
(1) in paragraph (1)—
(A) by striking ‘‘nonprofit private agencies 
and’’ and inserting ‘‘private agencies and com-
munity-based’’; and 
(B) by inserting ‘‘, including replicating 
successful program models,’’ after ‘‘programs and 
activities’’; and 
(2) in paragraph (2)—
(A) in subparagraph (B), by striking ‘‘and’’ 
at the end; 
(B) in subparagraph (C), by striking the 
period and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(D) effective approaches being utilized to 
link child protective service agencies with health 
care, mental health care, and developmental serv-
ices to improve forensic diagnosis and health 
evaluations, and barriers and shortages to such 
linkages.’’.
(c) DEMONSTRATION PROGRAMS
AND PROJECTS.—
Section 104 of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5105) is amended by adding at the end the 
following: 
‘‘(e) DEMONSTRATION PROGRAMS AND PROJECTS.—
The Secretary may award grants to, and enter into con-
tracts with, States or public or private agencies or organi-
zations (or combinations of such agencies or organizations) 
for time-limited, demonstration projects for the following: 
‘‘(1) PROMOTION
OF
SAFE, FAMILY-FRIENDLY 
PHYSICAL ENVIRONMENTS FOR VISITATION AND EX-
CHANGE.—The Secretary may award grants under 
this subsection to entities to assist such entities in es-
tablishing and operating safe, family-friendly phys-
ical environments—
‘‘(A) for court-ordered, supervised visitation 
between children and abusing parents; and 
‘‘(B) to safely facilitate the exchange of chil-
dren for visits with noncustodial parents in cases 
of domestic violence. 
‘‘(2) EDUCATION IDENTIFICATION, PREVENTION, 
AND TREATMENT.—The Secretary may award grants 
under this subsection to entities for projects that pro-
vide educational identification, prevention, and treat-
ment services in cooperation with preschool and ele-
mentary and secondary schools. 
‘‘(3) RISK AND SAFETY ASSESSMENT TOOLS.—
The Secretary may award grants under this sub-
section to entities for projects that provide for the de-
velopment of research-based risk and safety assessment 
tools relating to child abuse and neglect. 
‘‘(4) TRAINING.—The Secretary may award 
grants under this subsection to entities for projects 
that involve research-based innovative training for 
mandated child abuse and neglect reporters.’’. 
SEC. 113. GRANTS TO STATES AND PUBLIC OR PRIVATE 
AGENCIES AND ORGANIZATIONS. 
(a) DEMONSTRATION PROGRAMS
AND PROJECTS.—
Section 105(a) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106(a)) is amended—
(1) in the subsection heading, by striking ‘‘DEM-
ONSTRATION’’ and inserting ‘‘GRANTS FOR’’; 
(2) in the matter preceding paragraph (1)—
(A) by inserting ‘‘States,’’ after ‘‘contracts 
with,’’; 
(B) by striking ‘‘nonprofit’’; and 
(C) by striking ‘‘time limited, demonstra-
tion’’; 
(3) in paragraph (1)—
(A) in subparagraph (A), by striking ‘‘law, 
education, social work, and other relevant fields’’ 
and inserting ‘‘law enforcement, judiciary, social 
work and child protection, education, and other 
relevant fields, or individuals such as court ap-
pointed special advocates (CASAs) and guardian 
ad litem,’’; 
(B) in subparagraph (B), by striking ‘‘non-
profit’’ and all that follows through ‘‘; and’’ and 
inserting ‘‘children, youth and family service or-
ganizations in order to prevent child abuse and 
neglect;’’; 
(C) in subparagraph (C), by striking the 
period and inserting a semicolon; 
(D) by adding at the end the following: 
‘‘(D) for training to support the enhance-
ment of linkages between child protective service 
agencies and health care agencies, including
physical and mental health services, to improve 
forensic diagnosis and health evaluations and for 
innovative partnerships between child protective 
service agencies and health care agencies that 
offer creative approaches to using existing Fed-
eral, State, local, and private funding to meet 
the health evaluation needs of children who have
been subjects of substantiated cases of child abuse 
or neglect; 
‘‘(E) for the training of personnel in best 
practices to promote collaboration with the fami-
lies from the initial time of contact during the 
investigation through treatment; 
‘‘(F) for the training of personnel regarding 
the legal duties of such personnel and their re-
sponsibilities to protect the legal rights of chil-
dren and families; 
‘‘(G) for improving the training of super-
visory and nonsupervisory child welfare workers; 
‘‘(H) for enabling State child welfare agen-
cies to coordinate the provision of services with 
State and local health care agencies, alcohol and 
drug abuse prevention and treatment agencies, 
mental health agencies, and other public and 
private welfare agencies to promote child safety, 
permanence, and family stability; 
‘‘(I) for cross training for child protective 
service workers in research-based methods for rec-
ognizing situations of substance abuse, domestic 
violence, and neglect; and 
‘‘(J) for developing, implementing, or oper-
ating information and education programs or
training programs designed to improve the pro-
vision of services to disabled infants with life-
threatening conditions for—
‘‘(i) professionals and paraprofessional 
personnel concerned with the welfare of dis-
abled infants with life-threatening condi-
tions, including personnel employed in child 
protective services programs and health care 
facilities; and 
‘‘(ii) the parents of such infants.’’; 
(4) by redesignating paragraph (2) and (3) as 
paragraphs (3) and (4), respectively; 
(5) by inserting after paragraph (1), the fol-
lowing: 
‘‘(2) TRIAGE PROCEDURES.—The Secretary may 
award grants under this subsection to public and pri-
vate agencies that demonstrate innovation in respond-
ing to reports of child abuse and neglect, including 
programs of collaborative partnerships between the 
State child protective services agency, community so-
cial service agencies and family support programs, 
law enforcement agencies, developmental disability 
agencies, substance abuse treatment entities, health 
care entities, domestic violence prevention entities, 
mental health service entities, schools, churches and
synagogues, and other community agencies, to allow 
for the establishment of a triage system that—
‘‘(A) accepts, screens, and assesses reports 
received to determine which such reports require 
an intensive intervention and which require vol-
untary referral to another agency, program, or 
project; 
‘‘(B) provides, either directly or through re-
ferral, a variety of community-linked services to 
assist families in preventing child abuse and ne-
glect; and 
‘‘(C) provides further investigation and in-
tensive intervention where the child’s safety is in 
jeopardy.’’; 
(6) in paragraph (3) (as so redesignated), by 
striking ‘‘(such as Parents Anonymous)’’; 
(7) in paragraph (4) (as so redesignated)—
(A) by striking the paragraph designation 
and heading; 
(B) by striking subparagraphs (A) and (C); 
and 
(C) in subparagraph (B)—
(i) 
by 
striking 
‘‘(B) 
KINSHIP
CARE.—’’ and inserting the following: 
‘‘(4) KINSHIP CARE.—’’; and
(ii) by striking ‘‘nonprofit’’; and 
(8) by adding at the end the following: 
‘‘(5) LINKAGES
BETWEEN
CHILD
PROTECTIVE 
SERVICE
AGENCIES
AND
PUBLIC
HEALTH, MENTAL 
HEALTH, AND DEVELOPMENTAL DISABILITIES AGEN-
CIES.—The Secretary may award grants to entities 
that provide linkages between State or local child pro-
tective service agencies and public health, mental 
health, and developmental disabilities agencies, for the 
purpose of establishing linkages that are designed to 
help assure that a greater number of substantiated 
victims of child maltreatment have their physical 
health, mental health, and developmental needs ap-
propriately diagnosed and treated.’’. 
(b) DISCRETIONARY GRANTS.—Section 105(b) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 
5106(b)) is amended—
(1) by striking paragraph (1); 
(2) by redesignating paragraphs (2) and (3) as 
paragraphs (1) and (2), respectively; 
(3) by inserting after paragraph (2) (as so redes-
ignated), the following: 
‘‘(3) Programs based within children’s hospitals 
or other pediatric and adolescent care facilities, that 
provide model approaches for improving medical di-
agnosis of child abuse and neglect and for health eval-
uations of children for whom a report of maltreat-
ment has been substantiated.’’; and 
(4) in paragraph (4)(D), by striking ‘‘non-
profit’’. 
(c) EVALUATION.—Section 105(c) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106(c)) is 
amended—
(1) in the first sentence, by striking ‘‘demonstra-
tion’’; 
(2) in the second sentence, by inserting ‘‘or con-
tract’’ after ‘‘or as a separate grant’’; and 
(3) by adding at the end the following: ‘‘In the 
case of an evaluation performed by the recipient of
a grant, the Secretary shall make available technical 
assistance for the evaluation, where needed, including 
the use of a rigorous application of scientific evalua-
tion techniques.’’. 
(d) TECHNICAL AMENDMENT TO HEADING.—The sec-
tion heading for section 105 of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5106) is amended to read 
as follows:
‘‘SEC. 105. GRANTS TO STATES AND PUBLIC OR PRIVATE 
AGENCIES AND ORGANIZATIONS.’’. 
SEC. 114. GRANTS TO STATES FOR CHILD ABUSE AND NE-
GLECT PREVENTION AND TREATMENT PRO-
GRAMS. 
(a) DEVELOPMENT AND OPERATION GRANTS.—Section 
106(a) of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5106a(a)) is amended—
(1) in paragraph (3)—
(A) by inserting ‘‘, including ongoing case 
monitoring,’’ after ‘‘case management’’; and 
(B) by inserting ‘‘and treatment’’ after 
‘‘and delivery of services’’; 
(2) in paragraph (4), by striking ‘‘improving’’ 
and all that follows through ‘‘referral systems’’ and 
inserting ‘‘developing, improving, and implementing 
risk and safety assessment tools and protocols’’; 
(3) by striking paragraph (7); 
(4) by redesignating paragraphs (5), (6), (8), 
and (9) as paragraphs (6), (8), (9), and (12), respec-
tively; 
(5) by inserting after paragraph (4), the fol-
lowing: 
‘‘(5) developing and updating systems of tech-
nology that support the program and track reports of 
child abuse and neglect from intake through final dis-
position and allow interstate and intrastate informa-
tion exchange;’’; 
(6) in paragraph (6) (as so redesignated), by 
striking ‘‘opportunities’’ and all that follows through 
‘‘system’’ and inserting ‘‘including training regarding 
research-based practices to promote collaboration with 
the families and the legal duties of such individuals’’; 
(7) by inserting after paragraph (6) (as so redes-
ignated) the following: 
‘‘(7) improving the skills, qualifications, and 
availability of individuals providing services to chil-
dren and families, and the supervisors of such indi-
viduals, through the child protection system, includ-
ing improvements in the recruitment and retention of 
caseworkers;’’; 
(8) by striking paragraph (9) (as so redesig-
nated), and inserting the following: 
‘‘(9) developing and facilitating research-based 
training protocols for individuals mandated to report 
child abuse or neglect; 
‘‘(10) developing, implementing, or operating 
programs to assist in obtaining or coordinating nec-
essary services for families of disabled infants with 
life-threatening conditions, including—
‘‘(A) existing social and health services;
‘‘(B) financial assistance; and 
‘‘(C) services necessary to facilitate adoptive 
placement of any such infants who have been re-
linquished for adoption; 
‘‘(11) developing and delivering information to 
improve public education relating to the role and re-
sponsibilities of the child protection system and the 
nature and basis for reporting suspected incidents of 
child abuse and neglect;’’; 
(9) in paragraph (12) (as so redesignated), by 
striking the period and inserting a semicolon; and 
(10) by adding at the end the following: 
‘‘(13) supporting and enhancing interagency col-
laboration between the child protection system and the 
juvenile justice system for improved delivery of serv-
ices and treatment, including methods for continuity 
of treatment plan and services as children transition 
between systems; or 
‘‘(14) supporting and enhancing collaboration 
among public health agencies, the child protection 
system, and private community-based programs to 
provide child abuse and neglect prevention and treat-
ment services (including linkages with education sys-
tems) and to address the health needs, including men-
tal health needs, of children identified as abused or
neglected, including supporting prompt, comprehen-
sive health and developmental evaluations for children 
who are the subject of substantiated child maltreat-
ment reports.’’. 
(b) ELIGIBILITY REQUIREMENTS.—
(1) IN GENERAL.—Section 106(b) of the Child 
Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(b)) is amended—
(A) in paragraph (1)(B)—
(i) by striking ‘‘provide notice to the 
Secretary of any substantive changes’’ and 
inserting the following: ‘‘provide notice to 
the Secretary—
‘‘(i) of any substantive changes’’; 
(ii) by striking the period and insert-
ing ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(ii) any significant changes to how 
funds provided under this section are used 
to support the activities which may differ 
from the activities as described in the cur-
rent State application.’’; 
(B) in paragraph (2)(A)—
(i) by redesignating clauses (ii), (iii), 
(iv), (v), (vi), (vii), (viii), (ix), (x), (xi), 
(xii), and (xiii) as clauses (iii), (v), (vi), 
(vii), (ix), (x), (xi), (xii), (xiii), (xiv), (xv) 
and (xvi), respectively; 
(ii) by inserting after clause (i), the 
following: 
‘‘(ii) policies and procedures to address 
the needs of infants born and identified 
with fetal alcohol effects, fetal alcohol syn-
drome, neonatal intoxication or withdrawal 
syndrome, or neonatal physical or neuro-
logical harm resulting from prenatal drug 
exposure, including—
‘‘(I) the requirement that health 
care providers involved in the delivery 
or care of such infants notify the child 
protective services system of the occur-
rence of such condition in such infants, 
except that such notification shall not 
be construed to create a definition 
under Federal law of what constitutes 
child abuse and such notification shall 
not be construed to require prosecution 
for any illegal action; and
‘‘(II) the development of a safe 
plan of care for the infant under which 
consideration may be given to pro-
viding the mother with health services 
(including mental health services), so-
cial services, parenting services, and 
substance abuse prevention and treat-
ment counseling and to providing the 
infant with referral to the statewide 
early intervention program funded 
under part C of the Individuals with 
Disabilities Education Act for an eval-
uation for the need for services pro-
vided under part C of such Act;’’; 
(iii) in clause (iii) (as so redesig-
nated), by inserting ‘‘risk and’’ before ‘‘safe-
ty’’; 
(iv) by inserting after clause (iii) (as 
so redesignated), the following: 
‘‘(iv) triage procedures for the appro-
priate referral of a child not at risk of im-
minent harm to a community organization 
or voluntary preventive service;’’; 
(v) in clause (vii)(II) (as so redesig-
nated), by striking ‘‘, having a need for
such information in order to carry out its 
responsibilities under law to protect chil-
dren from abuse and neglect’’ and inserting 
‘‘, as described in clause (viii)’’; 
(vi) by inserting after clause (vii) (as 
so redesignated), the following: 
‘‘(viii) provisions to require a State to 
disclose confidential information to any 
Federal, State, or local government entity, 
or any agent of such entity, that has a need 
for such information in order to carry out 
its responsibilities under law to protect chil-
dren from abuse and neglect;’’; 
(vii) in clause (xii) (as so redesig-
nated)—
(I) by inserting ‘‘who has received 
training appropriate to the role, and’’ 
after ‘‘guardian ad litem,’’; and 
(II) by inserting ‘‘who has re-
ceived training appropriate to that 
role’’ after ‘‘advocate’’; 
(viii) in clause (xiv) (as so redesig-
nated), by striking ‘‘to be effective not later 
than 2 years after the date of the enactment 
of this section’’;
(ix) in clause (xv) (as so redesig-
nated)—
(I) by striking ‘‘to be effective not 
later than 2 years after the date of the 
enactment of this section’’; and 
(II) by striking ‘‘and’’ at the end; 
(x) in clause (xvi) (as so redesignated), 
by striking ‘‘clause (xii)’’ each place that 
such appears and inserting ‘‘clause (xv)’’; 
and 
(xi) by adding at the end the following: 
‘‘(xvii) provisions and procedures to 
require that a representative of the child 
protective services agency shall, at the ini-
tial time of contact with the individual sub-
ject to a child abuse and neglect investiga-
tion, advise the individual of the complaints 
or allegations made against the individual, 
in a manner that is consistent with laws 
protecting the rights of the informant; 
‘‘(xviii) 
provisions 
addressing 
the 
training of representatives of the child pro-
tective services system regarding the legal 
duties of the representatives, which may 
consist of various methods of informing such
representatives of such duties, in order to 
protect the legal rights and safety of chil-
dren and families from the initial time of 
contact during investigation through treat-
ment; 
‘‘(xix) provisions and procedures for 
improving the training, retention, and su-
pervision of caseworkers; 
‘‘(xx) provisions and procedures for re-
ferral of a child under the age of 3 who is 
involved in a substantiated case of child 
abuse or neglect to the statewide early inter-
vention program funded under part C of the 
Individuals with Disabilities Education Act 
for an evaluation for the need of services 
provided under part C of such Act; and 
‘‘(xxi) not later than 2 years after the 
date of enactment of the Keeping Children 
and Families Safe Act of 2003, provisions 
and procedures for requiring criminal back-
ground record checks for prospective foster 
and adoptive parents and other adult rel-
atives and non-relatives residing in the 
household;’’; and
(C) in paragraph (2), by adding at the end 
the following flush sentence: 
‘‘Nothing in subparagraph (A) shall be construed to 
limit the State’s flexibility to determine State policies 
relating to public access to court proceedings to deter-
mine child abuse and neglect except that such policies 
shall, at a minimum, ensure the safety and well-being 
of the child, parents, and family.’’. 
(2) LIMITATION.—Section 106(b)(3) of the Child 
Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(b)(3)) is amended by striking ‘‘With regard to 
clauses (v) and (vi) of paragraph (2)(A)’’ and insert-
ing ‘‘With regard to clauses (vi) and (vii) of para-
graph (2)(A)’’. 
(c) CITIZEN REVIEW PANELS.—Section 106(c) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(c)) is amended—
(1) in paragraph (4)—
(A) in subparagraph (A)—
(i) in the matter preceding clause (i)—
(I) by striking ‘‘and procedures’’ 
and inserting ‘‘, procedures, and prac-
tices’’; and
(II) by striking ‘‘the agencies’’ 
and inserting ‘‘State and local child 
protection system agencies’’; and 
(ii) in clause (iii)(I), by striking 
‘‘State’’ and inserting ‘‘State and local’’; 
and 
(B) by adding at the end the following: 
‘‘(C) PUBLIC OUTREACH.—Each panel shall 
provide for public outreach and comment in 
order to assess the impact of current procedures 
and practices upon children and families in the 
community and in order to meet its obligations 
under subparagraph (A).’’; and
(2) in paragraph (6)—
(A) by striking ‘‘public’’ and inserting 
‘‘State and the public’’; and 
(B) by inserting before the period the fol-
lowing: ‘‘and recommendations to improve the 
child protection services system at the State and 
local levels. Not later than 6 months after the 
date on which a report is submitted by the panel 
to the State, the appropriate State agency shall 
submit a written response to the State and local 
child protection systems that describes whether or 
how the State will incorporate the recommenda-
tions of such panel (where appropriate) to make 
measurable progress in improving the State and 
local child protective system’’. 
(d) ANNUAL STATE DATA REPORTS.—Section 106(d) 
of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106a(d)) is amended by adding at the end the fol-
lowing: 
‘‘(13) The annual report containing the sum-
mary of the activities of the citizen review panels of 
the State required by subsection (c)(6). 
‘‘(14) The number of children under the care of 
the State child protection system who are transferred 
into the custody of the State juvenile justice system.’’. 
(e) REPORT.—Not later than 2 years after the date of 
enactment of this Act, the Secretary of Health and Human 
Services shall prepare and submit to Congress a report that 
describes the extent to which States are implementing the 
policies 
and 
procedures 
required 
under 
section 
106(b)(2)(B)(ii) of the Child Abuse Prevention and Treat-
ment Act. 
SEC. 115. MISCELLANEOUS REQUIREMENTS RELATING TO 
ASSISTANCE. 
Section 108 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106d) is amended by adding at the 
end the following:
‘‘(d) SENSE OF CONGRESS.—It is the sense of Congress 
that the Secretary should encourage all States and public 
and private agencies or organizations that receive assist-
ance under this title to ensure that children and families 
with limited English proficiency who participate in pro-
grams under this title are provided materials and services 
under such programs in an appropriate language other 
than English.’’. 
SEC. 116. AUTHORIZATION OF APPROPRIATIONS. 
(a) GENERAL AUTHORIZATION.—Section 112(a)(1) of 
the Child Abuse Prevention and Treatment Act (42 U.S.C. 
5106h(a)(1)) is amended to read as follows: 
‘‘(1) GENERAL AUTHORIZATION.—There are au-
thorized to be appropriated to carry out this title 
$120,000,000 for fiscal year 2004 and such sums as 
may be necessary for each of the fiscal years 2005 
through 2008.’’. 
(b) 
DEMONSTRATION
PROJECTS.—Section 
112(a)(2)(B) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106h(a)(2)(B)) is amended—
(1) by striking ‘‘Secretary make’’ and inserting 
‘‘Secretary shall make’’; and 
(2) by striking ‘‘section 106’’ and inserting ‘‘sec-
tion 104’’.
SEC. 117. REPORTS. 
Section 110 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106f) is amended by adding at the 
end the following: 
‘‘(c) STUDY AND REPORT RELATING TO CITIZEN RE-
VIEW PANELS.—
‘‘(1) STUDY.—The Secretary shall conduct a 
study by random sample of the effectiveness of the cit-
izen review panels established under section 106(c). 
‘‘(2) REPORT.—Not later than 3 years after the 
date of enactment of the Keeping Children and Fami-
lies Safe Act of 2003, the Secretary shall submit to 
the Committee on Education and the Workforce of the 
House of Representatives and the Committee on 
Health, Education, Labor, and Pensions of the Senate 
a report that contains the results of the study con-
ducted under paragraph (1).’’. 
Subtitle 
B—Community-Based 
Grants for the Prevention of 
Child Abuse 
SEC. 121. PURPOSE AND AUTHORITY. 
(a) PURPOSE.—Section 201(a)(1) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5116(a)(1)) is 
amended to read as follows: 
‘‘(1) to support community-based efforts to de-
velop, operate, expand, enhance, and, where appro-
priate to network, initiatives aimed at the prevention 
of child abuse and neglect, and to support networks 
of coordinated resources and activities to better 
strengthen and support families to reduce the likeli-
hood of child abuse and neglect; and’’. 
(b) AUTHORITY.—Section 201(b) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5116(b)) is 
amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph 
(A) by striking ‘‘Statewide’’ and all that follows 
through the dash, and inserting ‘‘community-
based and prevention-focused programs and ac-
tivities designed to prevent child abuse and ne-
glect (through networks where appropriate) that 
are accessible, effective, culturally appropriate, 
and 
build 
upon 
existing 
strengths
that—’’; 
(B) in subparagraph (F), by striking ‘‘and’’ 
at the end; and 
(C) by striking subparagraph (G) and in-
serting the following: 
‘‘(G) demonstrate a commitment to mean-
ingful parent leadership, including among par-
ents of children with disabilities, parents with
disabilities, racial and ethnic minorities, and 
members of other underrepresented or under-
served groups; and 
‘‘(H) provide referrals to early health and 
developmental services;’’; and 
(2) in paragraph (4)—
(A) by inserting ‘‘through leveraging of 
funds’’ after ‘‘maximizing funding’’; 
(B) by striking ‘‘a Statewide network of 
community-based, prevention-focused’’ and in-
serting ‘‘community-based and prevention-fo-
cused’’; and 
(C) by striking ‘‘family resource and sup-
port program’’ and inserting ‘‘programs and ac-
tivities designed to prevent child abuse and ne-
glect (through networks where appropriate)’’. 
(c) TECHNICAL AMENDMENT TO TITLE HEADING.—
Title II of the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5116) is amended by striking the heading for 
such title and inserting the following:
‘‘TITLE 
II—COMMUNITY–BASED 
GRANTS FOR THE PREVEN-
TION OF CHILD ABUSE AND 
NEGLECT’’. 
SEC. 122. ELIGIBILITY. 
Section 202 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5116a) is amended—
(1) in paragraph (1)—
(A) in subparagraph (A)—
(i) by striking ‘‘a Statewide network of 
community-based, prevention-focused’’ and 
inserting ‘‘community-based and preven-
tion-focused’’; and 
(ii) by striking ‘‘family resource and 
support programs’’ and all that follows 
through the semicolon and inserting ‘‘pro-
grams and activities designed to prevent 
child abuse and neglect (through networks 
where appropriate);’’
(B) in subparagraph (B), by inserting ‘‘that 
exists to strengthen and support families to pre-
vent child abuse and neglect’’ after ‘‘written au-
thority of the State)’’; 
(2) in paragraph (2)—
(A) in subparagraph (A), by striking ‘‘a 
network of community-based family resource and 
support programs’’ and inserting ‘‘community-
based and prevention-focused programs and ac-
tivities designed to prevent child abuse and ne-
glect (through networks where appropriate)’’; 
(B) in subparagraph (B)—
(i) by striking ‘‘to the network’’; and 
(ii) by inserting ‘‘, and parents with 
disabilities’’ before the semicolon; 
(C) in subparagraph (C), by striking ‘‘to 
the network’’; and 
(3) in paragraph (3)—
(A) in subparagraph (A), by striking 
‘‘Statewide network of community-based, preven-
tion-focused, family resource and support pro-
grams’’ and inserting ‘‘community-based and 
prevention-focused programs and activities to 
prevent child abuse and neglect (through net-
works where appropriate)’’; 
(B) in subparagraph (B), by striking 
‘‘Statewide network of community-based, preven-
tion-focused, family resource and support pro-
grams’’ and inserting ‘‘community-based and 
prevention-focused programs and activities to
prevent child abuse and neglect (through net-
works where appropriate)’’; 
(C) in subparagraph (C), by striking ‘‘and 
training and technical assistance, to the State-
wide network of community-based, prevention-fo-
cused, family resource and support programs’’ 
and inserting ‘‘training, technical assistance, 
and evaluation assistance, to community-based 
and prevention-focused programs and activities 
to prevent child abuse and neglect (through net-
works where appropriate)’’; and 
(D) in subparagraph (D), by inserting ‘‘, 
parents with disabilities,’’ after ‘‘children with 
disabilities’’. 
SEC. 123. AMOUNT OF GRANT. 
Section 203(b)(1)(B) of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5116b(b)(1)(B)) is amend-
ed—
(1) by striking ‘‘as the amount leveraged by the 
State from private, State, or other non-Federal 
sources and directed through the’’ and inserting ‘‘as 
the amount of private, State or other non-Federal 
funds leveraged and directed through the currently 
designated’’; and
(2) by striking ‘‘the lead agency’’ and inserting 
‘‘the current lead agency’’. 
SEC. 124. EXISTING GRANTS. 
Section 204 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5115c) is repealed. 
SEC. 125. APPLICATION. 
Section 205 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5116d) is amended—
(1) in paragraph (1), by striking ‘‘Statewide 
network of community-based, prevention-focused, fam-
ily resource and support programs’’ and inserting 
‘‘community-based and prevention-focused programs 
and activities to prevent child abuse and neglect 
(through networks where appropriate)’’; 
(2) in paragraph (2)—
(A) by striking ‘‘network of community-
based, prevention-focused, family resource and 
support programs’’ and inserting ‘‘community-
based and prevention-focused programs and ac-
tivities to prevent child abuse and neglect 
(through networks where appropriate)’’; and 
(B) by striking ‘‘, including those funded by 
programs consolidated under this Act,’’; 
(3) by striking paragraph (3), and inserting the 
following:
‘‘(3) a description of the inventory of current 
unmet needs and current community-based and pre-
vention-focused programs and activities to prevent 
child abuse and neglect, and other family resource 
services operating in the State;’’; 
(4) in paragraph (4), by striking ‘‘State’s net-
work of community-based, prevention-focused, family 
resource and support programs’’ and inserting ‘‘com-
munity-based and prevention-focused programs and 
activities designed to prevent child abuse and ne-
glect’’; 
(5) in paragraph (5), by striking ‘‘Statewide 
network of community-based, prevention-focused, fam-
ily resource and support programs’’ and inserting 
‘‘start up, maintenance, expansion, and redesign of 
community-based and prevention-focused programs 
and activities designed to prevent child abuse and ne-
glect’’; 
(6) in paragraph (7), by striking ‘‘individual 
community-based, prevention-focused, family resource 
and support programs’’ and inserting ‘‘community-
based and prevention-focused programs and activities 
designed to prevent child abuse and neglect’’;
(7) in paragraph (8), by striking ‘‘community-
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based and 
prevention-focused programs and activities designed 
to prevent child abuse and neglect’’; 
(8) in paragraph (9), by striking ‘‘community-
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based and 
prevention-focused programs and activities designed 
to prevent child abuse and neglect’’; 
(9) in paragraph (10), by inserting ‘‘(where ap-
propriate)’’ after ‘‘members’’; 
(10) in paragraph (11), by striking ‘‘prevention-
focused, family resource and support program’’ and 
inserting ‘‘community-based and prevention-focused 
programs and activities designed to prevent child 
abuse and neglect’’; and 
(11) by redesignating paragraph (13) as para-
graph (12). 
SEC. 126. LOCAL PROGRAM REQUIREMENTS. 
Section 206(a) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116e(a)) is amended—
(1) in the matter preceding paragraph (1), by 
striking ‘‘prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘and prevention-fo-
cused programs and activities designed to prevent 
child abuse and neglect’’;
(2) in paragraph (3)—
(A) in subparagraph (A)—
(i) in the matter preceding clause (i), 
by striking ‘‘family resource and support 
services’’ and inserting ‘‘family support 
services for the prevention of child abuse 
and neglect’’; 
(ii) in clause (iii), by striking ‘‘and’’ 
at the end; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(v) respite care; 
‘‘(vi) home visiting; and 
‘‘(vii) family support services;’’; and 
(B) in subparagraph (B), by inserting ‘‘vol-
untary home visiting and’’ after ‘‘including’’; 
and 
(3) by striking paragraph (6) and inserting the 
following: 
‘‘(6) participate with other community-based 
and prevention-focused programs and activities to 
prevent child abuse and neglect in the development, 
operation and expansion of networks where appro-
priate.’’.
SEC. 127. PERFORMANCE MEASURES. 
Section 207 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5116f) is amended—
(1) in paragraph (1), by striking ‘‘a Statewide 
network of community-based, prevention-focused, fam-
ily resource and support programs’’ and inserting 
‘‘community-based and prevention-focused programs 
and activities to prevent child abuse and neglect’’; 
(2) by striking paragraph (3), and inserting the 
following: 
‘‘(3) shall demonstrate that they will have ad-
dressed unmet needs identified by the inventory and 
description of current services required under section 
205(3);’’; 
(3) in paragraph (4), 
(A) by inserting ‘‘and parents with disabil-
ities,’’ after ‘‘children with disabilities,’’; and 
(B) by striking ‘‘evaluation of’’ the first 
place it appears and all that follows through 
‘‘under this title’’ and inserting ‘‘evaluation of 
community-based and prevention-focused pro-
grams and activities to prevent child abuse and 
neglect, and in the design, operation and evalua-
tion of the networks of such community-based 
and prevention-focused programs’’;
(4) in paragraph (5), by striking ‘‘, prevention-
focused, family resource and support programs’’ and 
inserting ‘‘and prevention-focused programs and ac-
tivities designed to prevent child abuse and neglect’’; 
(5) in paragraph (6), by striking ‘‘Statewide 
network of community-based, prevention-focused, fam-
ily resource and support programs’’ and inserting 
‘‘community-based and prevention-focused programs 
and activities designed to prevent child abuse and ne-
glect’’; and 
(6) in paragraph (8), by striking ‘‘community 
based, prevention-focused, family resource and sup-
port programs’’ and inserting ‘‘community-based and 
prevention-focused programs and activities designed 
to prevent child abuse and neglect’’. 
SEC. 128. NATIONAL NETWORK FOR COMMUNITY-BASED 
FAMILY RESOURCE PROGRAMS. 
Section 208(3) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5116g(3)) is amended by striking 
‘‘Statewide networks of community-based, prevention-fo-
cused, family resource and support programs’’ and insert-
ing ‘‘community-based and prevention-focused programs 
and activities designed to prevent child abuse and neglect’’.
SEC. 129. DEFINITIONS. 
(a) CHILDREN WITH DISABILITIES.—Section 209(1) 
of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5116h(1)) is amended by striking ‘‘given such term 
in section 602(a)(2)’’ and inserting ‘‘given the term ‘child 
with a disability’ in section 602(3) or ‘infant or toddler 
with a disability’ in section 632(5)’’. 
(b) COMMUNITY-BASED
AND PREVENTION-FOCUSED 
PROGRAMS AND ACTIVITIES TO PREVENT CHILD ABUSE 
AND NEGLECT.—Section 209 of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5116h) is amended—
(1) by striking paragraphs (3) and (4); 
(2) by inserting the following after paragraph 
(2): 
‘‘(3) COMMUNITY-BASED
AND
PREVENTION-FO-
CUSED
PROGRAMS
AND
ACTIVITIES
TO
PREVENT 
CHILD ABUSE AND NEGLECT.—The term ‘community-
based and prevention-focused programs and activities 
to prevent child abuse and neglect’ includes organiza-
tions such as family resource programs, family sup-
port programs, voluntary home visiting programs, 
respite care programs, parenting education, mutual 
support programs, and other community programs 
that provide activities that are designed to prevent or 
respond to child abuse and neglect.’’; and
(3) by redesignating paragraph (5) as para-
graph (4). 
SEC. 130. AUTHORIZATION OF APPROPRIATIONS. 
Section 210 of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5116i) is amended to read as follows: 
‘‘SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out 
this title $80,000,000 for fiscal year 2004 and such sums 
as may be necessary for each of the fiscal years 2005 
through 2008.’’. 
Subtitle C—Conforming 
Amendments 
SEC. 141. CONFORMING AMENDMENTS. 
The table of contents of the Child Abuse Prevention and 
Treatment Act, as contained in section 1(b) of such Act (42 
U.S.C. 5101 note), is amended as follows: 
(1) By striking the item relating to section 105 
and inserting the following:
‘‘Sec. 105. Grants to States and public or private agencies and organizations.’’.
(2) By striking the item relating to title II and 
inserting the following:
‘‘TITLE II—COMMUNITY-BASED GRANTS FOR THE PREVENTION OF 
CHILD ABUSE AND NEGLECT’’.
(3) By striking the item relating to section 204.
TITLE II—ADOPTION 
OPPORTUNITIES 
SEC. 201. CONGRESSIONAL FINDINGS AND DECLARATION 
OF PURPOSE. 
Section 201 of the Child Abuse Prevention and Treat-
ment and Adoption Reform Act of 1978 (42 U.S.C. 5111) 
is amended—
(1) in subsection (a)—
(A) by striking paragraphs (1) through (4) 
and inserting the following: 
‘‘(1) the number of children in substitute care 
has increased by nearly 24 percent since 1994, as our 
Nation’s foster care population included more than 
565,000 as of September of 2001; 
‘‘(2) children entering foster care have complex 
problems that require intensive services, with many 
such children having special needs because they are 
born to mothers who did not receive prenatal care, are 
born with life threatening conditions or disabilities, 
are born addicted to alcohol or other drugs, or have 
been exposed to infection with the etiologic agent for 
the human immunodeficiency virus; 
‘‘(3) each year, thousands of children are in need 
of placement in permanent, adoptive homes;’’; 
(B) by striking paragraph (6);
(C) by striking paragraph (7)(A) and in-
serting the following: 
‘‘(7)(A) currently, there are 131,000 children 
waiting for adoption;’’; and 
(D) by redesignating paragraphs (5), (7), 
(8), (9), and (10) as paragraphs (4), (5), (6), 
(7), and (8) respectively; and 
(2) in subsection (b)—
(A) in the matter preceding paragraph (1), 
by inserting ‘‘, including geographic barriers,’’ 
after ‘‘barriers’’; and 
(B) in paragraph (2), by striking ‘‘a na-
tional’’ and inserting ‘‘an Internet-based na-
tional’’. 
SEC. 202. INFORMATION AND SERVICES. 
Section 203 of the Child Abuse Prevention and Treat-
ment and Adoption Reform Act of 1978 (42 U.S.C. 5113) 
is amended—
(1) by striking the section heading and inserting 
the following: 
‘‘SEC. 203. INFORMATION AND SERVICES.’’; 
(2) by striking ‘‘SEC. 203. (a) The Secretary’’ 
and inserting the following: 
‘‘(a) IN GENERAL.—The Secretary’’; 
(3) in subsection (b)—
(A) by inserting ‘‘REQUIRED ACTIVITIES.—
’’ after ‘‘(b)’’; 
(B) in paragraph (1), by striking ‘‘non-
profit’’ each place that such appears; 
(C) in paragraph (2), by striking ‘‘non-
profit’’; 
(D) in paragraph (3), by striking ‘‘non-
profit’’; 
(E) in paragraph (4), by striking ‘‘non-
profit’’; 
(F) in paragraph (6), by striking ‘‘study 
the nature, scope, and effects of’’ and insert 
‘‘support’’; 
(G) in paragraph (7), by striking ‘‘non-
profit’’; 
(H) in paragraph (9)—
(i) by striking ‘‘nonprofit’’; and 
(ii) by striking ‘‘and’’ at the end; 
(I) in paragraph (10)—
(i) by striking ‘‘nonprofit’’; each place 
that such appears; and 
(ii) by striking the period at the end 
and inserting ‘‘; and’’; and 
(J) by adding at the end the following:
‘‘(11) provide (directly or by grant to or contract 
with States, local government entities, or public or 
private licensed child welfare or adoption agencies) 
for the implementation of programs that are intended 
to increase the number of older children (who are in 
foster care and with the goal of adoption) placed in 
adoptive families, with a special emphasis on child-
specific recruitment strategies, including—
‘‘(A) outreach, public education, or media 
campaigns to inform the public of the needs and 
numbers of older youth available for adoption; 
‘‘(B) training of personnel in the special 
needs of older youth and the successful strategies 
of child-focused, child-specific recruitment efforts; 
and 
‘‘(C) recruitment of prospective families for 
such children.’’; 
(4) in subsection (c)—
(A) by striking ‘‘(c)(1) The Secretary’’ and 
inserting the following: 
‘‘(c) SERVICES
FOR FAMILIES ADOPTING SPECIAL 
NEEDS CHILDREN.—
‘‘(1) IN GENERAL.—The Secretary’’; 
(B) by striking ‘‘(2) Services’’ and inserting 
the following:
‘‘(2) SERVICES.—Services’’; and 
(C) in paragraph (2)—
(i) by realigning the margins of sub-
paragraphs (A) through (G) accordingly; 
(ii) in subparagraph (F), by striking 
‘‘and’’ at the end; 
(iii) in subparagraph (G), by striking 
the period and inserting a semicolon; and 
(iv) by adding at the end the following: 
‘‘(H) day treatment; and 
‘‘(I) respite care.’’; and 
(D) by striking ‘‘nonprofit’’; each place that 
such appears; 
(5) in subsection (d)—
(A) by striking ‘‘(d)(1) The Secretary’’ and 
inserting the following: 
‘‘(d) IMPROVING PLACEMENT RATE OF CHILDREN IN 
FOSTER CARE.—
‘‘(1) IN GENERAL.—The Secretary’’; 
(B) by striking ‘‘(2)(A) Each State’’ and 
inserting the following:
‘‘(2) APPLICATIONS; TECHNICAL AND OTHER AS-
SISTANCE.—
‘‘(A) APPLICATIONS.—Each State’’;
(C) by striking ‘‘(B) The Secretary’’ and in-
serting the following: 
‘‘(B) TECHNICAL
AND
OTHER
ASSIST-
ANCE.—The Secretary’’; 
(D) in paragraph (2)(B)—
(i) by realigning the margins of clauses 
(i) and (ii) accordingly; and 
(ii) by striking ‘‘nonprofit’’; 
(E) by striking ‘‘(3)(A) Payments’’ and in-
serting the following: 
‘‘(3) PAYMENTS.—
‘‘(A) IN GENERAL.—Payments’’; and 
(F) by striking ‘‘(B) Any payment’’ and in-
serting the following: 
‘‘(B) REVERSION OF UNUSED FUNDS.—Any 
payment’’; and 
(6) by adding at the end the following: 
‘‘(e) ELIMINATION
OF
BARRIERS
TO
ADOPTIONS 
ACROSS JURISDICTIONAL BOUNDARIES.—
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to, or enter into contracts with, States, local 
government entities, public or private child welfare or 
adoption agencies, adoption exchanges, or adoption 
family groups to carry out initiatives to improve ef-
forts to eliminate barriers to placing children for 
adoption across jurisdictional boundaries. 
‘‘(2) SERVICES
TO
SUPPLEMENT
NOT
SUP-
PLANT.—Services provided under grants made under 
this subsection shall supplement, not supplant, serv-
ices provided using any other funds made available 
for the same general purposes including—
‘‘(A) developing a uniform homestudy 
standard 
and 
protocol 
for 
acceptance 
of 
homestudies between States and jurisdictions; 
‘‘(B) developing models of financing cross-
jurisdictional placements; 
‘‘(C) expanding the capacity of all adoption 
exchanges to serve increasing numbers of chil-
dren; 
‘‘(D) developing training materials and 
training social workers on preparing and mov-
ing children across State lines; and 
‘‘(E) developing and supporting initiative 
models for networking among agencies, adoption 
exchanges, and parent support groups across ju-
risdictional boundaries.’’.
SEC. 203. STUDY OF ADOPTION PLACEMENTS. 
Section 204 of the Child Abuse Prevention and Treat-
ment and Adoption Reform Act of 1978 (42 U.S.C. 5114) 
is amended—
(1) by striking ‘‘The’’ and inserting ‘‘(a) IN 
GENERAL.—The’’; 
(2) by striking ‘‘of this Act’’ and inserting ‘‘of 
the Keeping Children and Families Safe Act of 2003’’; 
(3) by striking ‘‘to determine the nature’’ and 
inserting ‘‘to determine—
‘‘(1) the nature’’; 
(4) by striking ‘‘which are not licensed’’ and all 
that follows through ‘‘entity’’; and 
(5) by adding at the end the following: 
‘‘(2) how interstate placements are being fi-
nanced across State lines; 
‘‘(3) recommendations on best practice models for 
both interstate and intrastate adoptions; and 
‘‘(4) how State policies in defining special needs 
children differentiate or group similar categories of 
children.’’. 
SEC. 204. STUDIES ON SUCCESSFUL ADOPTIONS. 
Section 204 of the Child Abuse Prevention and Treat-
ment and Adoption Reform Act of 1978 (42 U.S.C. 5114) 
is amended by adding at the end the following:
‘‘(b) DYNAMICS OF SUCCESSFUL ADOPTION.—The Sec-
retary shall conduct research (directly or by grant to, or 
contract with, public or private nonprofit research agencies 
or organizations) about adoption outcomes and the factors 
affecting those outcomes. The Secretary shall submit a re-
port containing the results of such research to the appro-
priate committees of the Congress not later than the date 
that is 36 months after the date of the enactment of the 
Keeping Children and Families Safe Act of 2003. 
‘‘(c) INTERJURISDICTIONAL
ADOPTION.—Not later 
than 1 year after the date of the enactment of the Keeping 
Children and Families Safe Act of 2003, the Secretary, in 
consultation with the Comptroller General, shall submit to 
the appropriate committees of the Congress a report that 
contains recommendations for an action plan to facilitate 
the interjurisdictional adoption of foster children.’’. 
SEC. 205. AUTHORIZATION OF APPROPRIATIONS. 
Section 205(a) of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (42 U.S.C. 
5115(a)) is amended to read as follows: 
‘‘(a) There are authorized to be appropriated 
$40,000,000 for fiscal year 2004 and such sums as may be 
necessary for fiscal years 2005 through 2008 to carry out 
programs and activities authorized under this subtitle.’’.
TITLE III—ABANDONED INFANTS 
ASSISTANCE 
SEC. 301. FINDINGS. 
Section 2 of the Abandoned Infants Assistance Act of 
1988 (42 U.S.C. 670 note) is amended—
(1) by striking paragraph (1); 
(2) in paragraph (2)—
(A) by inserting ‘‘studies indicate that a 
number of factors contribute to’’ before ‘‘the in-
ability of’’; 
(B) by inserting ‘‘some’’ after ‘‘inability 
of’’; 
(C) by striking ‘‘who abuse drugs’’; and 
(D) by striking ‘‘care for such infants’’ and 
inserting ‘‘care for their infants’’; 
(3) by amending paragraph (5) to read as fol-
lows: 
‘‘(5) appropriate training is needed for personnel 
working with infants and young children with life-
threatening conditions and other special needs, in-
cluding those who are infected with the human im-
munodeficiency virus (commonly known as ‘HIV’), 
those who have acquired immune deficiency syndrome 
(commonly know as ‘AIDS’), and those who have been 
exposed to dangerous drugs;’’;
(4) by striking paragraphs (6) and (7); 
(5) in paragraph (8), by inserting ‘‘by parents 
abusing drugs,’’ after ‘‘deficiency syndrome,’’; 
(6) in paragraph (9), by striking ‘‘comprehensive 
services’’ and all that follows through the semicolon at 
the end and inserting ‘‘comprehensive support services 
for such infants and young children and their fami-
lies and services to prevent the abandonment of such 
infants and young children, including foster care 
services, case management services, family support 
services, respite and crisis intervention services, coun-
seling services, and group residential home services; 
and’’; 
(7) by striking paragraph (11); 
(8) by redesignating paragraphs (2), (3), (4), 
(5), (8), (9), and (10) as paragraphs (1) through (7), 
respectively; and 
(9) by adding at the end the following: 
‘‘(8) Private, Federal, State, and local resources 
should be coordinated to establish and maintain such 
services and to ensure the optimal use of all such re-
sources.’’. 
SEC. 302. ESTABLISHMENT OF LOCAL PROGRAMS. 
Section 101 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking the section heading and inserting 
the following: 
‘‘SEC. 101. ESTABLISHMENT OF LOCAL PROGRAMS.’’; and 
(2) by striking subsection (b) and inserting the 
following: 
‘‘(b) PRIORITY IN PROVISION OF SERVICES.—The Sec-
retary may not make a grant under subsection (a) unless 
the applicant for the grant agrees to give priority to aban-
doned infants and young children who—
‘‘(1) are infected with, or have been perinatally 
exposed to, the human immunodeficiency virus, or 
have a life-threatening illness or other special medical 
need; or 
‘‘(2) have been perinatally exposed to a dan-
gerous drug.’’. 
SEC. 303. EVALUATIONS, STUDY, AND REPORTS BY SEC-
RETARY. 
Section 102 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended to read as follows: 
‘‘SEC. 102. EVALUATIONS, STUDY, AND REPORTS BY SEC-
RETARY. 
‘‘(a) EVALUATIONS OF LOCAL PROGRAMS.—The Sec-
retary shall, directly or through contracts with public and 
nonprofit private entities, provide for evaluations of
projects carried out under section 101 and for the dissemi-
nation of information developed as a result of such projects. 
‘‘(b) STUDY AND REPORT ON NUMBER OF ABANDONED 
INFANTS AND YOUNG CHILDREN.—
‘‘(1) IN GENERAL.—The Secretary shall conduct 
a study for the purpose of determining—
‘‘(A) an estimate of the annual number of 
infants and young children relinquished, aban-
doned, or found deceased in the United States 
and the number of such infants and young chil-
dren who are infants and young children de-
scribed in section 223(b); 
‘‘(B) an estimate of the annual number of 
infants and young children who are victims of 
homicide; 
‘‘(C) characteristics and demographics of 
parents who have abandoned an infant within 1 
year of the infant’s birth; and 
‘‘(D) an estimate of the annual costs in-
curred by the Federal Government and by State 
and local governments in providing housing and 
care for abandoned infants and young children. 
‘‘(2) DEADLINE.—Not later than 36 months after 
the date of the enactment of the Keeping Children and 
Families Safe Act of 2003, the Secretary shall com-
plete the study required under paragraph (1) and 
submit to the Congress a report describing the find-
ings made as a result of the study. 
‘‘(c) EVALUATION.—The Secretary shall evaluate and 
report on effective methods of intervening before the aban-
donment of an infant or young child so as to prevent such 
abandonments, and effective methods for responding to the 
needs of abandoned infants and young children.’’. 
SEC. 304. AUTHORIZATION OF APPROPRIATIONS. 
Section 104 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended—
(1) by striking subsection (a) and inserting the 
following: 
‘‘(a) IN GENERAL.—
‘‘(1) AUTHORIZATION.—For the purpose of car-
rying out this Act, there are authorized to be appro-
priated $45,000,000 for fiscal year 2004 and such 
sums as may be necessary for fiscal years 2005 
through 2008. 
‘‘(2) LIMITATION.—Not more than 5 percent of 
the amounts appropriated under paragraph (1) for 
any fiscal year may be obligated for carrying out sec-
tion 224(a).’’; 
(2) by striking subsection (b);
(3) in subsection (c)—
(A) in paragraph (1), by inserting ‘‘AU-
THORIZATION.—’’ after ‘‘(1)’’; and 
(B) in paragraph (2)—
(i) by inserting ‘‘LIMITATION.—’’ after 
‘‘(2)’’; and 
(ii) by striking ‘‘fiscal year 1991.’’ and 
inserting ‘‘fiscal year 2003.’’; and 
(4) by redesignating subsections (c) and (d) as 
subsections (b) and (c), respectively. 
SEC. 305. DEFINITIONS 
Section 103 of the Abandoned Infants Assistance Act 
of 1988 (42 U.S.C. 670 note) is amended to read as follows: 
‘‘SEC. 103. DEFINITIONS. 
‘‘For purposes of this Act: 
‘‘(1) The terms ‘abandoned’ and ‘abandonment’, 
with respect to infants and young children, mean that 
the infants and young children are medically cleared 
for discharge from acute-care hospital settings, but re-
main hospitalized because of a lack of appropriate 
out-of-hospital placement alternatives. 
‘‘(2) The term ‘acquired immune deficiency syn-
drome’ includes infection with the etiologic agent for 
such syndrome, any condition indicating that an in-
dividual is infected with such etiologic agent, and 
any condition arising from such etiologic agent.
‘‘(3) The term ‘dangerous drug’ means a con-
trolled substance, as defined in section 102 of the Con-
trolled Substances Act. 
‘‘(4) The term ‘natural family’ shall be broadly 
interpreted to include natural parents, grandparents, 
family members, guardians, children residing in the 
household, and individuals residing in the household 
on a continuing basis who are in a care-giving situa-
tion with respect to infants and young children cov-
ered under this subtitle. 
‘‘(5) The term ‘Secretary’ means the Secretary of 
Health and Human Services.’’. 
TITLE 
IV—FAMILY 
VIOLENCE 
PREVENTION AND SERVICES 
ACT 
SEC. 401. STATE DEMONSTRATION GRANTS. 
(a) 
UNDERSERVED
POPULATIONS.—Section 
303(a)(2)(C) of the Family Violence Prevention and Serv-
ices Act (42 U.S.C. 10402(a)(2)(C)) is amended by striking 
‘‘underserved populations,’’ and all that follows and insert-
ing the following: ‘‘underserved populations, as defined in 
section 2003 of the Omnibus Crime Control and Safe Streets 
Act of 1968 (42 U.S.C. 3796gg–2);’’. 
(b) REPORT.—Section 303(a) of such Act (42 U.S.C. 
10402(a)) is amended by adding at the end the following:
‘‘(5) Upon completion of the activities funded by a 
grant under this title, the State grantee shall submit to the 
Secretary a report that contains a description of the activi-
ties carried out under paragraph (2)(B)(i).’’. 
SEC. 402. SECRETARIAL RESPONSIBILITIES. 
Section 305(a) of the Family Violence Prevention and 
Services Act (42 U.S.C. 10404(a)) is amended—
(1) by striking ‘‘an employee’’ and inserting ‘‘1 
or more employees’’; 
(2) by striking ‘‘of this title.’’ and inserting ‘‘of 
this title, including carrying out evaluation and mon-
itoring under this title.’’; and 
(3) by striking ‘‘The individual’’ and inserting 
‘‘Any individual’’. 
SEC. 403. EVALUATION. 
Section 306 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10405) is amended in the first sen-
tence by striking ‘‘Not later than two years after the date 
on which funds are obligated under section 303(a) for the 
first time after the date of the enactment of this title, and 
every two years thereafter,’’ and inserting ‘‘Every 2 years,’’.
SEC. 404. INFORMATION AND TECHNICAL ASSISTANCE CEN-
TERS. 
Section 308 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10407) is amended by striking sub-
section (g). 
SEC. 405. AUTHORIZATION OF APPROPRIATIONS. 
(a) GENERAL AUTHORIZATION.—Section 310(a) of the 
Family Violence Prevention and Services Act (42 U.S.C. 
10409(a)) is amended to read as follows: 
‘‘(a) IN GENERAL.—There are authorized to be appro-
priated to carry out this title $175,000,000 for each of the 
fiscal years 2004 through 2008.’’. 
(b) GRANTS FOR STATE DOMESTIC VIOLENCE COALI-
TIONS.—Section 311(g) of such Act (42 U.S.C. 10410(g)) 
is amended to read as follows: 
‘‘(g) FUNDING.—Of the amount appropriated pursu-
ant to the authorization of appropriations under section 
310(a) for a fiscal year, not less than 10 percent of such 
amount shall be made available to award grants under this 
section.’’. 
SEC. 406. GRANTS FOR STATE DOMESTIC VIOLENCE COALI-
TIONS. 
Section 311 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10410) is amended by striking sub-
section (h).
SEC. 407. EVALUATION AND MONITORING. 
Section 312 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10412) is amended by adding at 
the end the following: 
‘‘(c) Of the amount appropriated under section 310(a) 
for each fiscal year, not more than 2.5 percent shall be used 
by the Secretary for evaluation, monitoring, and other ad-
ministrative costs under this title.’’. 
SEC. 408. FAMILY MEMBER ABUSE INFORMATION AND DOC-
UMENTATION PROJECT. 
Section 313 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10413) is repealed. 
SEC. 409. MODEL STATE LEADERSHIP GRANTS. 
Section 315 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10415) is repealed. 
SEC. 410. NATIONAL DOMESTIC VIOLENCE HOTLINE GRANT. 
(a) DURATION.—Section 316(b) of the Family Violence 
Prevention and Services Act (42 U.S.C. 10416(b)) is 
amended—
(1) by striking ‘‘A grant’’ and inserting the fol-
lowing: 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), a grant’’; and 
(2) by adding at the end the following:
‘‘(2) EXTENSION.—The Secretary may extend the 
duration of a grant under this section beyond the pe-
riod described in paragraph (1) if, prior to such ex-
tension—
‘‘(A) the entity prepares and submits to the 
Secretary a report that evaluates the effectiveness 
of the use of amounts received under the grant 
for the period described in paragraph (1) and 
contains any other information as the Secretary 
may prescribe; and 
‘‘(B) the report and other appropriate cri-
teria indicate that the entity is successfully oper-
ating the hotline in accordance with subsection 
(a).’’. 
(b) AUTHORIZATION
OF APPROPRIATIONS.—Section 
316(f) of such Act (42 U.S.C. 10416(f)) is amended in para-
graph (1) by striking ‘‘fiscal years 2001 through 2005’’ and 
inserting ‘‘fiscal years 2004 through 2008’’. 
SEC. 411. YOUTH EDUCATION AND DOMESTIC VIOLENCE. 
Section 317 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10417) is repealed. 
SEC. 412. DEMONSTRATION GRANTS FOR COMMUNITY INI-
TIATIVES. 
(a) IN GENERAL.—Section 318(h) of the Family Vio-
lence Prevention and Services Act (42 U.S.C. 10418(h)) is 
amended to read as follows:
‘‘(h) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$6,000,000 for each of the fiscal years 2004 through 2008.’’. 
(b) REGULATIONS.—Section 318 of such Act (42 
U.S.C. 10418) is amended by striking subsection (i). 
SEC. 413. TRANSITIONAL HOUSING ASSISTANCE. 
Section 319(f) of the Family Violence Prevention and 
Services Act (42 U.S.C. 10419(f)) is amended by striking 
‘‘fiscal year 2001’’ and inserting ‘‘each of the fiscal years 
2004 through 2008’’. 
SEC. 414. TECHNICAL AND CONFORMING AMENDMENTS. 
The Family Violence Prevention and Services Act (42 
U.S.C. 10401 et seq.) is amended as follows: 
(1) In section 302(1) by striking ‘‘demonstrate 
the effectiveness of assisting’’ and inserting ‘‘assist’’. 
(2) In section 303(a)—
(A) in paragraph (2)—
(i) in subparagraph (C), by striking 
‘‘State domestic violence coalitions knowl-
edgeable individuals and interested organi-
zations’’ and inserting ‘‘State domestic vio-
lence coalitions, knowledgeable individuals, 
and interested organizations’’; and 
(ii) in subparagraph (F), by adding 
‘‘and’’ at the end; and
(B) by aligning the margins of paragraph 
(4) with the margins of paragraph (3). 
(3) In section 305(b)(2)(A) by striking ‘‘provide 
for research, and into’’ and inserting ‘‘provide for re-
search into’’. 
(4) In section 311(a)—
(A) in paragraph (2)(K), by striking ‘‘other 
criminal justice professionals,;’’ and inserting 
‘‘other criminal justice professionals;’’ and 
(B) in paragraph (3)—
(i) in the matter preceding subpara-
graph (A), by striking ‘‘family law judges,,’’ 
and inserting ‘‘family law judges,’’; 
(ii) in subparagraph (D), by inserting 
‘‘, criminal court judges,’’ after ‘‘family law 
judges’’; and 
(iii) in subparagraph (H), by striking 
‘‘supervised visitations that do not endanger 
victims and their children’’ and inserting 
‘‘supervised visitations or denial of visita-
tion to protect against danger to victims or 
their children’’.
Union Calendar No. 17
108TH CONGRESS 
1ST SESSION 
H. R. 14
[Report No. 108–26] 
A BILL 
To amend the Child Abuse Prevention and Treat-
ment Act to make improvements to and reau-
thorize programs under that Act, and for other 
purposes. 
MARCH 6, 2003
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed