by programs of early childhood home visi-
tation; 
(ii) enhancement of participating par-
ents’ knowledge of early learning and de-
velopment; 
(iii) enhancement of positive parenting 
practices related to early learning and de-
velopment; and 
(iv) enhancement of children’s cog-
nitive, 
language, 
social-emotional, 
and 
physical development; and 
(L) such other information as the Sec-
retary may require. 
(4) APPROVAL OF APPLICATIONS.— 
(A) IN GENERAL.—The Secretary shall se-
lect applicants for funding under this sub-
section based on the quality of the applications 
and the recommendations of a peer review 
panel, as described in subparagraph (B). 
(B) PEER REVIEW PANEL.—The peer re-
view panel shall include not less than— 
(i) 2 individuals who are experts in 
the field of home visitation; 
(ii) 2 individuals who are experts in 
early childhood development; 
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(iii) 2 individuals who are experts in 
serving eligible families with English lan-
guage learners; 
(iv) 1 individual who is a board cer-
tified pediatrician or a developmental pedi-
atrician; and 
(v) 1 individual with experience in ad-
ministering public or private (including 
community-based) child maltreatment pre-
vention programs. 
(5) DURATION
OF
GRANTS.—Grants made 
under this subsection shall be for a period of no 
more than 3 years. 
(6) AUTHORIZED
ACTIVITIES.—Each eligible 
applicant that receives a grant under this subsection 
shall carry out the following activities: 
(A) Providing to as many eligible families 
with English language learners as practicable, 
voluntary early childhood home visitation, on 
not less frequently than a monthly basis, 
through the implementation of quality programs 
of early childhood home visitation that are re-
search-based that provide parents with— 
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(i) knowledge of age appropriate child 
development in cognitive, language, social- 
emotional, and motor domains; 
(ii) knowledge of realistic expectations 
of age-appropriate child behaviors; 
(iii) knowledge of health and wellness 
issues for children and parents; 
(iv) modeling, consulting, and coach-
ing on parenting practices; 
(v) skills to interact with their child to 
enhance age-appropriate development; 
(vi) skills to recognize and seek help 
for issues related to health, developmental 
delays, and social, emotional, and behav-
ioral skills; and 
(vii) activities designed to help par-
ents become full partners in the education 
of their children. 
(B) Ascertaining what health and develop-
mental services the family receives and working 
with these providers to eliminate gaps in service 
by offering annual health, vision, hearing, and 
developmental screening for children from birth 
to entry into kindergarten, when needed. 
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(C) Providing referrals for participating el-
igible families with English language learners, 
as needed, to additional resources available in 
the community, such as center-based early edu-
cation programs, child care services, health or 
mental health services, family literacy pro-
grams, employment agencies, social services, 
and child care resource and referral agencies. 
(D) Offering group meetings (at program 
discretion), on not less frequently than a 
monthly basis, for eligible families with English 
language learners that— 
(i) further enhance the information, 
activities, and skill-building addressed dur-
ing home visitation; 
(ii) offer opportunities for parents to 
meet with and support each other; and 
(iii) address challenges facing eligible 
families with English language learners. 
(E) Providing training and technical as-
sistance to early childhood home visitation and 
early childhood care and education staff relat-
ing to— 
(i) effective service to eligible families 
with English language learners, including 
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skills to address challenges facing English 
language learners; 
(ii) effective methods of implementing 
parent education, conducting home vis-
iting, and promoting quality early child-
hood development, with sensitivity to cul-
tural variations in parenting norms and at-
titudes toward formal support services; 
(iii) the relationship of health and 
well-being of pregnant women to prenatal 
and early child development; 
(iv) early childhood development with 
respect to children from birth until entry 
into kindergarten; 
(v) methods to help parents promote 
emergent literacy in their children from 
birth until entry into kindergarten; 
(vi) implementing strategies for help-
ing eligible families with English language 
learners coping with a crisis; 
(vii) recruiting, supervising, and re-
taining qualified staff; 
(viii) increasing services for under-
served eligible families with English lan-
guage learners; 
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(ix) methods to help parents effec-
tively respond to their children’s needs and 
behaviors; and 
(x) implementation of ongoing pro-
gram quality improvement and evaluation 
of activities and outcomes. 
(F) Coordinating existing programs of 
early childhood home visitation in order to ef-
fectively and efficiently meet the needs of more 
eligible families with English language learners. 
(7) REPORTING REQUIREMENTS.—Each appli-
cant that receives a grant under this subsection to 
carry out a program shall submit an annual report 
to the Secretary regarding the progress of such pro-
gram in addressing the purposes of this Act. Such 
report shall include, at a minimum, a description 
of— 
(A) actual service delivery provided under 
the grant including— 
(i) program characteristics including 
descriptive information on the service 
model used and actual program perform-
ance; 
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(ii) provider characteristics including 
staff qualifications, work experience, and 
demographic characteristics; 
(iii) recipient characteristics including 
number, demographic characteristics, and 
family retention; and 
(iv) an estimate of annual program 
implementation costs; 
(B) recipient outcomes that are consistent 
with program goals including, where appro-
priate given the program being evaluated— 
(i) parental practices; 
(ii) child health and development indi-
cators; 
(iii) child maltreatment indicators; 
(iv) school readiness indicators; and 
(v) links to community services; 
(C) the research-based instruction, mate-
rials, and activities being used in the activities 
funded under the grant; and 
(D) the effectiveness of the training and 
ongoing professional development provided— 
(i) to staff supported under the grant; 
and 
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(ii) to the broader early childhood 
community. 
(8) 
SUPPLEMENT
NOT
SUPPLANT.—Grant 
funds provided under this subsection shall be used to 
supplement, and not supplant, Federal and non-Fed-
eral funds available for carrying out the activities 
described in this subsection. 
(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $50,000,000 for the period of fiscal 
years 2007 through 2009. 
(d) TARGETED GRANTS
FOR EARLY CHILDHOOD 
HOME VISITATION FOR MILITARY FAMILIES.— 
(1) IN GENERAL.—The Secretary of Defense, in 
collaboration with the Secretary of Education, shall 
make grants, on a competitive basis, to eligible ap-
plicants to enable such applicants to support and ex-
pand efforts to deliver services under quality pro-
grams of early childhood home visitation to eligible 
families with a family member in the Armed Forces. 
(2) ELIGIBLE APPLICANT.—In this subsection, 
the term ‘‘eligible applicant’’ means any of the fol-
lowing: 
(A) A local educational agency that re-
ceives payments under title VIII of the Elemen-
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tary and Secondary Education Act of 1965 (20 
U.S.C. 7701 et seq.). 
(B) A school of the defense dependents’ 
education system under the Defense Depend-
ents’ Education Act of 1978 (20 U.S.C. 921 et 
seq.). 
(C) A school established under section 
2164 of title 10, United States Code. 
(D) A community-based organization serv-
ing families with a family member in the Armed 
Forces. 
(3) APPLICATIONS.—An eligible applicant that 
desires to receive a grant under this subsection shall 
submit an application to the Secretary of Defense at 
such time, in such manner, and containing such in-
formation as the Secretary of Defense may require. 
The application shall include a description of— 
(A) the results of a community wide needs 
assessment that describes— 
(i) community demographics dem-
onstrating the need for outreach and serv-
ices to eligible families with a family mem-
ber in the Armed Forces; 
(ii) the quality and capacity of exist-
ing programs of early childhood home visi-
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tation for eligible families with a family 
member in the Armed Forces; 
(iii) the gaps in programs of early 
childhood home visitation for eligible fami-
lies with a family member in the Armed 
Forces; and 
(iv) the type of program of early 
childhood home visitation necessary to ad-
dress the gaps identified; 
(B) the program of early childhood home 
visitation that will be supported by the grant 
under this subsection; 
(C) how the proposed program of early 
childhood home visitation will promote positive 
parenting skills and children’s early learning 
and development; 
(D) how the proposed program of early 
childhood home visitation will incorporate the 
authorized activities described in paragraph (6); 
(E) how services provided through a grant 
under this subsection will use materials that are 
geared toward eligible families with a family 
member in the Armed Forces; 
(F) how the activities under this subsection 
will build on and promote coordination with ex-
VerDate Aug 31 2005 
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isting programs of early childhood home visita-
tion, if such programs exist in the community, 
in an effort to promote an array of home visita-
tion that ensures more eligible families with a 
family member in the Armed Forces are being 
served and are getting the most appropriate 
services to meet their needs; 
(G) how the program will ensure that— 
(i) eligible families with a family 
member in the Armed Forces are linked to 
schools; and 
(ii) the activities under this subsection 
will support the preparation of children for 
school; 
(H) how channels of communication will be 
established between staff of programs of early 
childhood home visitation and staff of other 
early childhood education programs, such as 
Head Start programs carried out under the 
Head Start Act (42 U.S.C. 9831 et seq.) and 
Early Head Start programs carried out under 
section 645A of such Act, preschool programs, 
family support programs, and child care pro-
grams, to facilitate the coordination of services 
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for eligible families with a family member in the 
Armed Forces; 
(I) how eligible families with a family 
member in the Armed Forces will be recruited 
and retained to receive services under this sub-
section; 
(J) how training and technical assistance 
will help staff of programs of early childhood 
home visitation involved in activities under this 
subsection to more effectively serve eligible fam-
ilies with a family member in the Armed 
Forces; 
(K) how the eligible applicant will evaluate 
the activities supported under this subsection in 
order to demonstrate outcomes related to the— 
(i) increase in number of eligible fami-
lies with a family member in the Armed 
Forces served by programs of early child-
hood home visitation; 
(ii) enhancement of participating par-
ents’ knowledge of early learning and de-
velopment; 
(iii) enhancement of positive parenting 
practices related to early learning and de-
velopment; and 
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(iv) enhancement of children’s cog-
nitive, 
language, 
social-emotional, 
and 
physical development; and 
(L) such other information as the Sec-
retary of Defense may require. 
(4) APPROVAL OF LOCAL APPLICATIONS.— 
(A) IN GENERAL.—The Secretary of De-
fense shall select applicants for funding under 
this subsection based on the quality of the ap-
plications and the recommendations of a peer 
review panel, as described in subparagraph (B). 
(B) PEER REVIEW PANEL.—The peer re-
view panel shall include not less than— 
(i) 2 individuals who are experts in 
the field of home visitation; 
(ii) 2 individuals who are experts in 
early childhood development; 
(iii) 2 individuals who are experts in 
family support for military families; 
(iv) 1 individual who is a board cer-
tified pediatrician or developmental pedia-
trician; and 
(v) 1 individual with experience in ad-
ministering public or private (including 
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community-based) child maltreatment pre-
vention programs. 
(5) DURATION
OF
GRANTS.—Grants made 
under this subsection shall be for a period of no 
more than 3 years. 
(6) AUTHORIZED
ACTIVITIES.—Each eligible 
applicant that receives a grant under this subsection 
shall carry out the following activities: 
(A) Providing to as many eligible families 
with a family member in the Armed Forces as 
practicable, voluntary early childhood home visi-
tation, on not less frequently than a monthly 
basis, through the implementation of quality 
programs of early childhood home visitation 
that are research-based and that provide par-
ents with— 
(i) knowledge of age appropriate child 
development in cognitive, language, social- 
emotional, and motor domains; 
(ii) knowledge of realistic expectations 
of age-appropriate child behaviors; 
(iii) knowledge of health and wellness 
issues for children and parents; 
(iv) modeling, consulting, and coach-
ing on parenting practices; 
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(v) skills to interact with their child to 
enhance age-appropriate development; 
(vi) skills to recognize and seek help 
for issues related to health, developmental 
delays, and social, emotional, and behav-
ioral skills; and 
(vii) activities designed to help par-
ents become full partners in the education 
of their children. 
(B) Ascertaining what health and develop-
mental services the family receives and working 
with these providers to eliminate gaps in service 
by offering annual health, vision, hearing, and 
developmental screening for children from birth 
to entry into kindergarten, when needed. 
(C) Providing referrals for participating el-
igible families with a family member in the 
Armed Forces, as needed, to additional re-
sources available in the community, such as 
center-based early education programs, child 
care services, health or mental health services, 
family literacy programs, employment agencies, 
social services, and child care resource and re-
ferral agencies. 
VerDate Aug 31 2005 
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(D) Offering group meetings (at program 
discretion), on not less frequently than a 
monthly basis, for eligible families with a family 
member in the Armed Forces that— 
(i) further enhance the information, 
activities, and skill-building addressed dur-
ing home visitation; 
(ii) offer opportunities for parents to 
meet with and support each other; and 
(iii) address challenges facing eligible 
families with a family member in the 
Armed Forces. 
(E) Providing training and technical as-
sistance to early childhood home visitation and 
early childhood care and education staff relat-
ing to— 
(i) effective service to eligible families 
with a family member in the Armed 
Forces; 
(ii) effective methods of implementing 
parent education, conducting home vis-
iting, and promoting quality early child-
hood development, with sensitivity to cul-
tural variations in parenting norms and at-
titudes toward formal support services; 
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(iii) the relationship of health and 
well-being of pregnant women to prenatal 
and early child development; 
(iv) early childhood development with 
respect to children from birth until entry 
into kindergarten; 
(v) methods to help parents promote 
emergent literacy in their children from 
birth until entry into kindergarten; 
(vi) implementing strategies for help-
ing eligible families with a family member 
in the Armed Forces coping with crisis; 
(vii) recruiting, supervising, and re-
taining qualified staff; 
(viii) increasing services for under-
served eligible families with a family mem-
ber in the Armed Forces; 
(ix) methods to help parents effec-
tively respond to their children’s needs and 
behaviors; and 
(x) implementation of ongoing pro-
gram quality improvement and evaluation 
of activities and outcomes. 
(F) Coordinating existing programs of 
early childhood home visitation in order to ef-
VerDate Aug 31 2005 
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fectively and efficiently meet the needs of more 
eligible families with a family member in the 
Armed Forces. 
(7) REPORTING REQUIREMENTS.—Each appli-
cant that receives a grant under this subsection to 
carry out a program shall submit an annual report 
to the Secretary regarding the progress of such pro-
gram in addressing the purposes of this Act. Such 
report shall include, at a minimum, a description 
of— 
(A) actual service delivery provided under 
the grant including— 
(i) program characteristics including 
descriptive information on the service 
model used and actual program perform-
ance; 
(ii) provider characteristics including 
staff qualifications, work experience, and 
demographic characteristics; 
(iii) recipient characteristics including 
number, demographic characteristics, and 
family retention; and 
(iv) an estimate of annual program 
implementation costs; 
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(B) recipient outcomes that are consistent 
with program goals including, where appro-
priate given the program being evaluated— 
(i) parental practices; 
(ii) child health and development indi-
cators; 
(iii) child maltreatment indicators; 
(iv) school readiness indicators; and 
(v) links to community services; 
(C) the research-based instruction, mate-
rials, and activities being used in the activities 
funded under the grant; and 
(D) the effectiveness of the training and 
ongoing professional development provided— 
(i) to staff supported under the grant; 
and 
(ii) to the broader early childhood 
community. 
(8) 
SUPPLEMENT
NOT
SUPPLANT.—Grant 
funds provided under this subsection shall be used to 
supplement, and not supplant, Federal and non-Fed-
eral funds available for carrying out the activities 
described in this subsection. 
(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
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this subsection $50,000,000 for the period of fiscal 
years 2007 through 2009. 
(e) EVALUATION.— 
(1) IN GENERAL.—From funds reserved under 
subsection (a)(2)(A)(i), the Secretary shall conduct 
an independent evaluation of the effectiveness of this 
section. 
(2) REPORTS.— 
(A) INTERIM REPORT.—Not later than 2 
years after the date of enactment of this Act, 
the Secretary shall submit an interim report on 
the evaluation conducted pursuant to subsection 
(a) to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the 
Committee on Education and Labor of the 
House of Representatives. 
(B) FINAL
REPORT.—Not later than 3 
years after the date of enactment of this Act, 
the Secretary shall submit a final report on the 
evaluation conducted pursuant to paragraph (1) 
to the committees described in subparagraph 
(A). 
(3) CONTENTS.—The reports submitted under 
paragraph (2) shall include information on the fol-
lowing: 
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(A) How the grant funds have expanded 
access to early childhood home visitation includ-
ing— 
(i) demonstrating that programs fund-
ed reflect the quality indicators outlined in 
subsection (a)(6)(A); and 
(ii) documenting the service delivery 
indicators, 
as 
outlined 
in 
subsection 
(a)(8)(A), across all recipients receiving 
grants with attention to the number of 
families served and the level of service re-
ceived. 
(B) How the States affect outcomes con-
sistent with program goals including, where ap-
propriate given the program being evaluated, 
parenting practices, child health and develop-
ment, child maltreatment, school readiness, and 
links to community services. 
(C) The effectiveness of early childhood 
home visitation on different populations, includ-
ing the extent to which variability exists in pro-
gram ability to improve outcomes across pro-
grams and populations, such as families with 
English language learners and families with a 
family member in the Armed Forces. 
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(D) Descriptions of the technical assist-
ance and training actually provided and the na-
ture of the populations receiving this assistance. 
(E) The effectiveness of the training and 
technical assistance activities funded under this 
section, including the effects of training and 
technical assistance activities on program per-
formance and agency-level collaboration. 
(F) Recommendations on strengthening or 
modifying this section. 
(f) DEFINITIONS.—In this section: 
(1) ELIGIBLE
FAMILY.—The term ‘‘eligible 
family’’ means— 
(A) a woman who is pregnant; or 
(B) a parent or primary caregiver of a 
child who is from birth until entry into kinder-
garten. 
(2) HOME VISITATION.—The term ‘‘home visi-
tation’’ means services provided in the permanent or 
temporary residence, or in other familiar sur-
roundings, of the individual receiving such services. 
(3) INDIAN TRIBE.—The term ‘‘Indian tribe’’ 
has the meaning given such term in section 4(e) of 
the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 450b). 
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(4) SECRETARY.—Except as provided in sub-
section (c), the term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services. 
(5) STATE.—The term ‘‘State’’ means each of 
the 50 States, the District of Columbia, and the 
Commonwealth of Puerto Rico. 
(6) TERRITORIES
AND
POSSESSIONS.—The 
term ‘‘territories and possessions’’ shall include 
American Samoa, the Commonwealth of the North-
ern Mariana Islands, Guam, and the United States 
Virgin Islands. 
(7) TRIBAL ORGANIZATION.—The term ‘‘tribal 
organization’’ has the meaning given the term in 
section 4(l) of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 450b). 
Subtitle B—Improving Child Care 
Quality Through Teacher Incen-
tives 
SEC. 221. PURPOSE. 
The purposes of this subtitle are— 
(1) to establish the Child Care Provider Devel-
opment and Retention Grant Program, the Child 
Care Provider Scholarship Program, and a program 
of child care provider health benefits coverage; and 
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(2) to help children receive the high quality 
child care and early education the children need for 
positive cognitive and social development, by reward-
ing and promoting the retention of committed, quali-
fied child care providers and by providing financial 
assistance to improve the educational qualifications 
of child care providers. 
SEC. 222. DEFINITIONS. 
In this subtitle: 
(1) CHILD CARE PROVIDER.—The term ‘‘child 
care provider’’ means an individual who provides a 
service directly to a child on a person-to-person basis 
for compensation for— 
(A) a center-based child care provider that 
is licensed or regulated under State or local law 
and that satisfies the State and local require-
ments applicable to the child care services pro-
vided; 
(B) a licensed or regulated family child 
care provider that satisfies the State and local 
requirements applicable to the child care serv-
ices provided; or 
(C) an out-of-school time program that is 
licensed or regulated under State or local law 
and that satisfies the State and local require-
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ments applicable to the child care services pro-
vided. 
(2) FAMILY CHILD CARE PROVIDER.—The term 
‘‘family child care provider’’ has the meaning given 
such term in section 658P of the Child Care and 
Development Block Grant Act of 1990 (42 U.S.C. 
9858n). 
(3) INDIAN TRIBE.—The term ‘‘Indian tribe’’ 
has the meaning given such term in section 4 of the 
Indian Self-Determination and Education Assistance 
Act (25 U.S.C. 450b). 
(4) LEAD AGENCY.—The term ‘‘lead agency’’ 
means the agency designated under section 658D of 
the Child Care and Development Block Grant Act of 
1990 (42 U.S.C. 9858b). 
(5) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(6) STATE.—The term ‘‘State’’ means any of 
the several States, the District of Columbia, the 
Commonwealth of Puerto Rico, the Virgin Islands of 
the United States, Guam, American Samoa, or the 
Commonwealth of the Northern Mariana Islands. 
(7) TRIBAL ORGANIZATION.—The term ‘‘tribal 
organization’’ has the meaning given the term in 
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