‘‘(ii) not more than $10,000,000 for 
learning platforms, staffing, and technical 
assistance related directly to the design 
and implementation of whole child health 
models, and to carry out activities under 
this subsection; and 
‘‘(iii) not more than $3,000,0000 may 
be used for carrying out evaluations de-
scribed in paragraph (5). 
‘‘(C) 
PAYMENT
FOR
WHOLE
CHILD 
HEALTH SERVICES.— 
‘‘(i) IN
GENERAL.—For each fiscal 
quarter occurring during the implementa-
tion phase of the demonstration project, 
subject to clause (ii), the Secretary shall 
pay each State selected to participate in 
that phase of the project, an amount equal 
to 80 percent of the amounts expended by 
the State during such quarter for pro-
viding whole child health services to eligible 
individuals in the target communities net 
of any Federal payments made to the 
State for such expenditures, under this 
title or otherwise. 
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‘‘(ii) REQUIREMENT.—The additional 
Federal funds paid to a State under this 
subparagraph shall be used to supplement, 
not supplant, the level of State funds ex-
pended for services that are treated as 
whole child health services under the dem-
onstration project. 
‘‘(5) REPORTS AND EVALUATION.— 
‘‘(A) IN GENERAL.—A State that is se-
lected to participate in the demonstration 
project shall report on the outcomes under the 
entity’s whole child health model pursuant to 
periodic reporting requirements established by 
the Secretary. 
‘‘(B) 
STATE
REPORTS.—Each 
State 
awarded a grant under this subsection shall 
submit the following reports to the Secretary: 
‘‘(i) INTERIM
REPORT.—An interim 
report at the end of the first 24 months of 
the implementation phase of the project 
that describes— 
‘‘(I) the progress of the State’s 
implementation of the whole child 
health model in the target commu-
nities; 
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‘‘(II) the organizations and pro-
viders that are participating in the 
implementation of the model in the 
target communities; 
‘‘(III) the number of eligible indi-
viduals in the target communities re-
ceiving enhanced care coordination 
services; and 
‘‘(IV) such other information as 
the Secretary may require. 
‘‘(ii) FINAL REPORT.—A final report 
not later than 1 year after the end of the 
implementation phase of the demonstration 
project that describes— 
‘‘(I) best practices and challenges 
in implementing the whole child 
health model in the target commu-
nities; 
‘‘(II) the impact of the model on 
child well-being, health care outcomes 
and health disparities in the target 
communities; and 
‘‘(III) such other information as 
the Secretary may require. 
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‘‘(C) GAO REPORT.—Not later than 3 
years after the first grant is awarded under this 
subsection, the Comptroller General of the 
United States shall submit a report to Congress 
evaluating the individual, financial, and sys-
tems-level impacts associated with whole child 
health models implemented under the dem-
onstration project. 
‘‘(6) CONSULTATION.—A State awarded a 
grant under paragraph (2) shall consult with stake-
holders, such as eligible individuals and their pri-
mary caregivers, schools, health care, mental health, 
and substance use disorder treatment organizations, 
pediatric providers, public health departments, child 
care providers, juvenile justice programs, child wel-
fare programs, and community-based organizations, 
in designing and carrying out the activities required 
under paragraph (2), and with respect to the imple-
mentation and evaluation of the whole child health 
models implemented by the State. Such consultation 
may include establishment of a Community Advisory 
Board as defined by the Secretary. 
‘‘(7) RESPONSIBILITIES OF THE SECRETARY.— 
‘‘(A) TECHNICAL ASSISTANCE.— 
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‘‘(i) IN
GENERAL.—The Secretary 
shall provide States awarded a grant under 
paragraph (2) with technical assistance 
with respect to the design of whole child 
health models. Such assistance may include 
assisting States with moving along a whole 
child health model and utilizing innovative 
financing strategies, such as braiding pub-
lic and private funds. As feasible, the Sec-
retary may partner with other Federal 
agencies, including the Office of Manage-
ment and Budget, when providing tech-
nical assistance to promote a whole child 
health approach. The Secretary shall also 
provide such States with technical assist-
ance with respect to implementation of 
such models. 
‘‘(ii) SHARED
LEARNING.—The Sec-
retary shall facilitate shared learning, such 
as a learning collaborative, among the 
States participating in the demonstration 
project. 
‘‘(iii) REPORTS
TO
CONGRESS.—The 
Secretary shall submit to the Committee 
on Finance of the Senate and the Com-
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mittee on Energy and Commerce of the 
House of Representatives the following re-
ports: 
‘‘(I) DESIGN PHASE.—Not later 
than 36 months after the date on 
which design grant funds are first 
awarded under paragraph (2), a re-
port that describes the whole child 
health models proposed by States. 
‘‘(II) 
IMPLEMENTATION 
PHASE.— 
‘‘(aa) INTERIM
REPORT.— 
Not later than 3 years after the 
date on which the implementa-
tion phase of the demonstration 
project begins, an interim report. 
‘‘(bb) FINAL REPORT.—Not 
later than 2 years after the date 
on 
which 
the 
demonstration 
project ends, a final report. 
‘‘(cc) CONTENT.—The in-
terim and final reports required 
under this clause shall include 
the following: 
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item (cc), the final report sub-
mitted under item (bb) shall in-
clude recommendations for such 
Federal legislative changes, if 
any, 
as 
the 
Secretary 
rec-
ommends to implement positive 
outcomes identified by the use of 
whole child health models under 
the demonstration project. 
‘‘(8) DEFINITIONS.—In this subsection: 
‘‘(A) ELIGIBLE
INDIVIDUAL.—The term 
‘eligible individual’ means an individual who has 
not attained age 21 and who is eligible for med-
ical assistance under a State plan under this 
title or under a waiver of such plan, or for as-
sistance under a State child health plan under 
title XXI or under a waiver of such plan. 
‘‘(B) INDIAN
TRIBE.—The term ‘Indian 
Tribe’ has the meaning given that term in sec-
tion 4(e) of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304(e)). 
‘‘(C) TARGET
COMMUNITY.—The term 
‘target community’ means, with respect to a 
State, the boundaries of a geographic area with-
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in the State in which the State proposes to im-
plement a whole child health model. 
‘‘(D) WHOLE CHILD HEALTH SERVICES.— 
The term ‘whole child health services’ means 
the following: 
‘‘(i) Comprehensive care management. 
‘‘(ii) Enhanced care coordination serv-
ices and referrals to health, developmental 
and social supports that include strategies 
to— 
‘‘(I) identify and address the 
physical, mental, emotional, and be-
havioral health, developmental, rela-
tional and social needs of eligible indi-
viduals; 
‘‘(II) coordinate referrals, as 
needed, to health care, mental, emo-
tional, and behavioral health, sub-
stance use disorder treatment, child 
development, and social service pro-
viders; 
‘‘(III) ensure that eligible individ-
uals follow up with service providers 
to whom they are referred; and 
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‘‘(IV) facilitate the ability of eli-
gible individuals to access needed 
services by centralizing, coordinating 
with, or co-locating resources. 
‘‘(9) REQUIREMENT
TO
ISSUE
GUIDANCE
ON 
COMBINING FEDERAL AND NON-FEDERAL FUNDS TO 
ADDRESS SOCIAL DRIVERS OF HEALTH IN LOW-IN-
COME POPULATIONS.—Not later than 365 days after 
the selection of eligible entities under this sub-
section, the Secretary shall issue and disseminate 
guidance and technical assistance to grant awardees 
to clarify strategies and best practices to combine 
funds, including Medicaid, in the context of a child 
health and wellness fund, consistent with Federal 
law, and shall make such guidance publicly avail-
able.’’. 
Æ 
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