IB 
Union Calendar No. 423 
114TH CONGRESS 
2D SESSION 
H. R. 4843 
[Report No. 114–548] 
To amend the Child Abuse Prevention and Treatment Act to require certain 
monitoring and oversight, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 23, 2016 
Mr. BARLETTA (for himself, Mr. WALBERG, Mr. KLINE, Ms. CLARK of Massa-
chusetts, Mr. POLIS, and Mr. SCOTT of Virginia) introduced the following 
bill; which was referred to the Committee on Education and the Work-
force 
MAY 10, 2016 
Additional sponsors: Mr. THOMPSON of Pennsylvania, Mr. CUMMINGS, Mr. 
ROKITA, Mr. SEAN PATRICK MALONEY of New York, Mr. BUCSHON, Mr. 
KILMER, Mr. DESAULNIER, Mr. BRADY of Pennsylvania, Mr. MEEHAN, 
Mr. RENACCI, Mr. BISHOP of Michigan, Mr. MESSER, Ms. STEFANIK, 
Ms. FOXX, Mr. COSTELLO of Pennsylvania, Mr. ROTHFUS, Mr. WILSON 
of South Carolina, Mr. GUTHRIE, and Mr. TURNER 
MAY 10, 2016 
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 March 23, 2016] 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Infant Plan of Safe Care 
Improvement Act’’. 
SEC. 2. BEST PRACTICES FOR DEVELOPMENT OF PLANS OF 
SAFE CARE. 
Section 103(b) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5104(b)) is amended— 
(1) by redesignating paragraphs (5) through (8) 
as paragraphs (6) through (9), respectively; and 
(2) by inserting after paragraph (4), the fol-
lowing: 
‘‘(5) maintain and disseminate information 
about the requirements of section 106(b)(2)(B)(iii) 
and best practices relating to the development of 
plans of safe care as described in such section for in-
fants born and identified as being affected by illegal 
substance abuse or withdrawal symptoms, or a Fetal 
Alcohol Spectrum Disorder;’’. 
SEC. 3. STATE PLANS. 
Section 106(b)(2)(B)(iii) of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(iii)) is 
amended by inserting before the semicolon at the end the 
following: ‘‘to ensure the safety and well-being of such in-
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fant following release from the care of healthcare providers, 
including through—’’ 
‘‘(I) addressing the health and 
substance use disorder treatment needs 
of the infant and affected family or 
caregiver; and 
‘‘(II) the development and imple-
mentation by the State of monitoring 
systems regarding the implementation 
of such plans to determine whether and 
in what manner local entities are pro-
viding, in accordance with State re-
quirements, referrals to and delivery of 
appropriate services for the infant and 
affected family or caregiver’’. 
SEC. 4. DATA REPORTS. 
(a) IN GENERAL.—Section 106(d) of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106a(d)) is 
amended by adding at the end of the following: 
‘‘(17)(A) The number of infants identified under 
subsection (b)(2)(B)(ii). 
‘‘(B) The number of infants for whom a plan of 
safe 
care 
was 
developed 
under 
subsection 
(b)(2)(B)(iii). 
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‘‘(C) The number of infants for whom a referral 
was made for appropriate services, including services 
for the affected family or caregiver, under subsection 
(b)(2)(B)(iii).’’. 
(b) REDESIGNATION.—Effective on May 29, 2017, sec-
tion 106(d) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5106a(d)) is amended by redesignating 
paragraph (17) (as added by subsection (a)) as paragraph 
(18). 
SEC. 5. MONITORING AND OVERSIGHT. 
(a) AMENDMENT.—Title I of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5101 et seq.) is further 
amended by adding at the end the following: 
‘‘SEC. 114. MONITORING AND OVERSIGHT. 
‘‘The Secretary shall conduct monitoring to ensure 
that each State that receives a grant under section 106 is 
in compliance with the requirements of section 106(b), 
which— 
‘‘(1) shall— 
‘‘(A) be in addition to the review of the 
State plan upon its submission under section 
106(b)(1)(A); and 
‘‘(B) include monitoring of State policies 
and procedures required under clauses (ii) and 
(iii) of section 106(b)(2)(B); and 
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‘‘(2) may include— 
‘‘(A) a comparison of activities carried out 
by the State to comply with the requirements of 
section 106(b) with the State plan most recently 
approved under section 432 of the Social Secu-
rity Act; 
‘‘(B) a review of information available on 
the Website of the State relating to its compli-
ance with the requirements of section 106(b); 
‘‘(C) site visits, as may be necessary to 
carry out such monitoring; and 
‘‘(D) a review of information available in 
the State’s Annual Progress and Services Report 
most recently submitted under section 1357.16 of 
title 45, Code of Federal Regulations (or suc-
cessor regulations).’’. 
(b) TABLE OF CONTENTS.—The table of contents in 
section 1(b) of the Child Abuse Prevention and Treatment 
Act (42 U.S.C. 5101 note) is amended by inserting after 
the item relating to section 113, the following: 
‘‘Sec. 114. Monitoring and oversight.’’. 
SEC. 6. RULE OF CONSTRUCTION. 
Nothing in this Act, or the amendments made by this 
Act, shall be construed to authorize the Secretary of Health 
and Human Services or any other officer of the Federal 
Government to add new requirements to section 106(b) of 
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the Child Abuse Prevention and Treatment Act (42 U.S.C. 
5106a(b)), as amended by this Act. 
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Union Calendar No. 423 
114TH CONGRESS 
2D SESSION 
H. R. 4843 
[Report No. 114–548] 
A BILL 
To amend the Child Abuse Prevention and Treat-
ment Act to require certain monitoring and over-
sight, and for other purposes. 
MAY 10, 2016 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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