487 
† HR 1892 EAS2 
requiring a qualified residential treatment program 
to acquire nursing and behavioral health staff solely 
through means of a direct employer to employee rela-
tionship.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
474(a)(1) of the Social Security Act (42 U.S.C. 
674(a)(1)), as amended by section 50712(b), is 
amended by striking ‘‘section 472(j)’’ and inserting 
‘‘subsections (j) and (k) of section 472’’. 
(b) DEFINITION OF FOSTER FAMILY HOME, CHILD- 
CARE INSTITUTION.—Section 472(c) of such Act (42 U.S.C. 
672(c)(1)) is amended to read as follows: 
‘‘(c) DEFINITIONS.—For purposes of this part: 
‘‘(1) FOSTER FAMILY HOME.— 
‘‘(A) IN GENERAL.—The term ‘foster family 
home’ means the home of an individual or fam-
ily— 
‘‘(i) that is licensed or approved by the 
State in which it is situated as a foster 
family home that meets the standards estab-
lished for the licensing or approval; and 
‘‘(ii) in which a child in foster care 
has been placed in the care of an indi-
vidual, who resides with the child and who
488 
† HR 1892 EAS2 
has been licensed or approved by the State 
to be a foster parent— 
‘‘(I) that the State deems capable 
of adhering to the reasonable and pru-
dent parent standard; 
‘‘(II) that provides 24-hour sub-
stitute care for children placed away 
from their parents or other caretakers; 
and 
‘‘(III) that provides the care for 
not more than six children in foster 
care. 
‘‘(B) STATE FLEXIBILITY.—The number of 
foster children that may be cared for in a home 
under subparagraph (A) may exceed the numer-
ical limitation in subparagraph (A)(ii)(III), at 
the option of the State, for any of the following 
reasons: 
‘‘(i) To allow a parenting youth in fos-
ter care to remain with the child of the par-
enting youth. 
‘‘(ii) To allow siblings to remain to-
gether.
489 
† HR 1892 EAS2 
‘‘(iii) To allow a child with an estab-
lished meaningful relationship with the 
family to remain with the family. 
‘‘(iv) To allow a family with special 
training or skills to provide care to a child 
who has a severe disability. 
‘‘(C) RULE OF CONSTRUCTION.—Subpara-
graph (A) shall not be construed as prohibiting 
a foster parent from renting the home in which 
the parent cares for a foster child placed in the 
parent’s care. 
‘‘(2) CHILD-CARE INSTITUTION.— 
‘‘(A) IN GENERAL.—The term ‘child-care in-
stitution’ means a private child-care institution, 
or a public child-care institution which accom-
modates no more than 25 children, which is li-
censed by the State in which it is situated or has 
been approved by the agency of the State respon-
sible for licensing or approval of institutions of 
this type as meeting the standards established for 
the licensing. 
‘‘(B) SUPERVISED SETTINGS.—In the case 
of a child who has attained 18 years of age, the 
term shall include a supervised setting in which 
the individual is living independently, in ac-
490 
† HR 1892 EAS2 
cordance with such conditions as the Secretary 
shall establish in regulations. 
‘‘(C) EXCLUSIONS.—The term shall not in-
clude detention facilities, forestry camps, train-
ing schools, or any other facility operated pri-
marily for the detention of children who are de-
termined to be delinquent.’’. 
(c) TRAINING FOR STATE JUDGES, ATTORNEYS, AND 
OTHER LEGAL PERSONNEL IN CHILD WELFARE CASES.— 
Section 438(b)(1) of such Act (42 U.S.C. 629h(b)(1)) is 
amended in the matter preceding subparagraph (A) by in-
serting ‘‘shall provide for the training of judges, attorneys, 
and other legal personnel in child welfare cases on Federal 
child welfare policies and payment limitations with respect 
to children in foster care who are placed in settings that 
are not a foster family home,’’ after ‘‘with respect to the 
child,’’. 
(d) ASSURANCE OF NONIMPACT ON JUVENILE JUSTICE 
SYSTEM.— 
(1) STATE PLAN REQUIREMENT.—Section 471(a) 
of such Act (42 U.S.C. 671(a)), as amended by section 
50731, is further amended by adding at the end the 
following: 
‘‘(37) includes a certification that, in response to 
the limitation imposed under section 472(k) with re-
491 
† HR 1892 EAS2 
spect to foster care maintenance payments made on 
behalf of any child who is placed in a setting that is 
not a foster family home, the State will not enact or 
advance policies or practices that would result in a 
significant increase in the population of youth in the 
State’s juvenile justice system.’’. 
(2) GAO STUDY AND REPORT.—The Comptroller 
General of the United States shall evaluate the im-
pact, if any, on State juvenile justice systems of the 
limitation imposed under section 472(k) of the Social 
Security Act (as added by section 50741(a)(1)) on fos-
ter care maintenance payments made on behalf of 
any child who is placed in a setting that is not a fos-
ter family home, in accordance with the amendments 
made by subsections (a) and (b) of this section. In 
particular, the Comptroller General shall evaluate the 
extent to which children in foster care who also are 
subject to the juvenile justice system of the State are 
placed in a facility under the jurisdiction of the juve-
nile justice system and whether the lack of available 
congregate care placements under the jurisdiction of 
the child welfare systems is a contributing factor to 
that result. Not later than December 31, 2025, the 
Comptroller General shall submit to Congress a report 
on the results of the evaluation.
492 
† HR 1892 EAS2 
SEC. 50742. ASSESSMENT AND DOCUMENTATION OF THE 
NEED FOR PLACEMENT IN A QUALIFIED RESI-
DENTIAL TREATMENT PROGRAM. 
Section 475A of the Social Security Act (42 U.S.C. 
675a) is amended by adding at the end the following: 
‘‘(c) ASSESSMENT, DOCUMENTATION, AND JUDICIAL 
DETERMINATION REQUIREMENTS FOR PLACEMENT IN A 
QUALIFIED RESIDENTIAL TREATMENT PROGRAM.—In the 
case of any child who is placed in a qualified residential 
treatment program (as defined in section 472(k)(4)), the fol-
lowing requirements shall apply for purposes of approving 
the case plan for the child and the case system review proce-
dure for the child: 
‘‘(1)(A) Within 30 days of the start of each 
placement in such a setting, a qualified individual 
(as defined in subparagraph (D)) shall— 
‘‘(i) assess the strengths and needs of the 
child using an age-appropriate, evidence-based, 
validated, functional assessment tool approved by 
the Secretary; 
‘‘(ii) determine whether the needs of the 
child can be met with family members or 
through placement in a foster family home or, if 
not, which setting from among the settings speci-
fied in section 472(k)(2) would provide the most 
effective and appropriate level of care for the
493 
† HR 1892 EAS2 
child in the least restrictive environment and be 
consistent with the short- and long-term goals for 
the child, as specified in the permanency plan 
for the child; and 
‘‘(iii) develop a list of child-specific short- 
and long-term mental and behavioral health 
goals. 
‘‘(B)(i) The State shall assemble a family and 
permanency team for the child in accordance with the 
requirements of clauses (ii) and (iii). The qualified 
individual conducting the assessment required under 
subparagraph (A) shall work in conjunction with the 
family of, and permanency team for, the child while 
conducting and making the assessment. 
‘‘(ii) The family and permanency team shall 
consist of all appropriate biological family members, 
relative, and fictive kin of the child, as well as, as ap-
propriate, professionals who are a resource to the 
family of the child, such as teachers, medical or men-
tal health providers who have treated the child, or 
clergy. In the case of a child who has attained age 14, 
the family and permanency team shall include the 
members of the permanency planning team for the 
child that are selected by the child in accordance with 
section 475(5)(C)(iv).
494 
† HR 1892 EAS2 
‘‘(iii) The State shall document in the child’s 
case plan— 
‘‘(I) the reasonable and good faith effort of 
the State to identify and include all the individ-
uals described in clause (ii) on the child’s family 
and permanency team; 
‘‘(II) all contact information for members of 
the family and permanency team, as well as con-
tact information for other family members and 
fictive kin who are not part of the family and 
permanency team; 
‘‘(III) evidence that meetings of the family 
and permanency team, including meetings relat-
ing to the assessment required under subpara-
graph (A), are held at a time and place conven-
ient for family; 
‘‘(IV) if reunification is the goal, evidence 
demonstrating that the parent from whom the 
child was removed provided input on the mem-
bers of the family and permanency team; 
‘‘(V) evidence that the assessment required 
under subparagraph (A) is determined in con-
junction with the family and permanency team; 
‘‘(VI) the placement preferences of the fam-
ily and permanency team relative to the assess-
495 
† HR 1892 EAS2 
ment that recognizes children should be placed 
with their siblings unless there is a finding by 
the court that such placement is contrary to their 
best interest; and 
‘‘(VII) if the placement preferences of the 
family and permanency team and child are not 
the placement setting recommended by the quali-
fied individual conducting the assessment under 
subparagraph (A), the reasons why the pref-
erences of the team and of the child were not rec-
ommended. 
‘‘(C) In the case of a child who the qualified in-
dividual conducting the assessment under subpara-
graph (A) determines should not be placed in a foster 
family home, the qualified individual shall specify in 
writing the reasons why the needs of the child cannot 
be met by the family of the child or in a foster family 
home. A shortage or lack of foster family homes shall 
not be an acceptable reason for determining that the 
needs of the child cannot be met in a foster family 
home. The qualified individual also shall specify in 
writing why the recommended placement in a quali-
fied residential treatment program is the setting that 
will provide the child with the most effective and ap-
propriate level of care in the least restrictive environ-
496 
† HR 1892 EAS2 
ment and how that placement is consistent with the 
short- and long-term goals for the child, as specified 
in the permanency plan for the child. 
‘‘(D)(i) Subject to clause (ii), in this subsection, 
the term ‘qualified individual’ means a trained pro-
fessional or licensed clinician who is not an employee 
of the State agency and who is not connected to, or 
affiliated with, any placement setting in which chil-
dren are placed by the State. 
‘‘(ii) The Secretary may approve a request of a 
State to waive any requirement in clause (i) upon a 
submission by the State, in accordance with criteria 
established by the Secretary, that certifies that the 
trained professionals or licensed clinicians with re-
sponsibility for performing the assessments described 
in subparagraph (A) shall maintain objectivity with 
respect to determining the most effective and appro-
priate placement for a child. 
‘‘(2) Within 60 days of the start of each place-
ment in a qualified residential treatment program, a 
family or juvenile court or another court (including 
a tribal court) of competent jurisdiction, or an ad-
ministrative body appointed or approved by the 
court, independently, shall—
497 
† HR 1892 EAS2 
‘‘(A) consider the assessment, determination, 
and documentation made by the qualified indi-
vidual conducting the assessment under para-
graph (1); 
‘‘(B) determine whether the needs of the 
child can be met through placement in a foster 
family home or, if not, whether placement of the 
child in a qualified residential treatment pro-
gram provides the most effective and appropriate 
level of care for the child in the least restrictive 
environment and whether that placement is con-
sistent with the short- and long-term goals for 
the child, as specified in the permanency plan 
for the child; and 
‘‘(C) approve or disapprove the placement. 
‘‘(3) The written documentation made under 
paragraph (1)(C) and documentation of the deter-
mination and approval or disapproval of the place-
ment in a qualified residential treatment program by 
a court or administrative body under paragraph (2) 
shall be included in and made part of the case plan 
for the child. 
‘‘(4) As long as a child remains placed in a 
qualified residential treatment program, the State 
agency shall submit evidence at each status review
498 
† HR 1892 EAS2 
and each permanency hearing held with respect to the 
child— 
‘‘(A) demonstrating that ongoing assessment 
of the strengths and needs of the child continues 
to support the determination that the needs of 
the child cannot be met through placement in a 
foster family home, that the placement in a 
qualified residential treatment program provides 
the most effective and appropriate level of care 
for the child in the least restrictive environment, 
and that the placement is consistent with the 
short- and long-term goals for the child, as speci-
fied in the permanency plan for the child; 
‘‘(B) documenting the specific treatment or 
service needs that will be met for the child in the 
placement and the length of time the child is ex-
pected to need the treatment or services; and 
‘‘(C) documenting the efforts made by the 
State agency to prepare the child to return home 
or to be placed with a fit and willing relative, 
a legal guardian, or an adoptive parent, or in 
a foster family home. 
‘‘(5) In the case of any child who is placed in 
a qualified residential treatment program for more 
than 12 consecutive months or 18 nonconsecutive
499 
† HR 1892 EAS2 
months (or, in the case of a child who has not at-
tained age 13, for more than 6 consecutive or non-
consecutive months), the State agency shall submit to 
the Secretary— 
‘‘(A) the most recent versions of the evidence 
and documentation specified in paragraph (4); 
and 
‘‘(B) the signed approval of the head of the 
State agency for the continued placement of the 
child in that setting.’’. 
SEC. 50743. PROTOCOLS TO PREVENT INAPPROPRIATE DI-
AGNOSES. 
(a) 
STATE
PLAN
REQUIREMENT.—Section 
422(b)(15)(A) of the Social Security Act (42 U.S.C. 
622(b)(15)(A)) is amended— 
(1) in clause (vi), by striking ‘‘and’’ after the 
semicolon; 
(2) by redesignating clause (vii) as clause (viii); 
and 
(3) by inserting after clause (vi) the following: 
‘‘(vii) the procedures and protocols the 
State has established to ensure that children 
in foster care placements are not inappro-
priately diagnosed with mental illness, 
other emotional or behavioral disorders,
500 
† HR 1892 EAS2 
medically fragile conditions, or develop-
mental disabilities, and placed in settings 
that are not foster family homes as a result 
of the inappropriate diagnoses; and’’. 
(b) EVALUATION.—Section 476 of such Act (42 U.S.C. 
676), as amended by section 50711(d), is further amended 
by adding at the end the following: 
‘‘(e) EVALUATION OF STATE PROCEDURES AND PRO-
TOCOLS TO PREVENT INAPPROPRIATE DIAGNOSES OF MEN-
TAL ILLNESS OR OTHER CONDITIONS.—The Secretary shall 
conduct an evaluation of the procedures and protocols estab-
lished by States in accordance with the requirements of sec-
tion 422(b)(15)(A)(vii). The evaluation shall analyze the ex-
tent to which States comply with and enforce the procedures 
and protocols and the effectiveness of various State proce-
dures and protocols and shall identify best practices. Not 
later than January 1, 2020, the Secretary shall submit a 
report on the results of the evaluation to Congress.’’. 
SEC. 50744. ADDITIONAL DATA AND REPORTS REGARDING 
CHILDREN PLACED IN A SETTING THAT IS 
NOT A FOSTER FAMILY HOME. 
Section 479A(a)(7)(A) of the Social Security Act (42 
U.S.C. 679b(a)(7)(A)) is amended by striking clauses (i) 
through (vi) and inserting the following:
501 
† HR 1892 EAS2 
‘‘(i) with respect to each such place-
ment— 
‘‘(I) the type of the placement set-
ting, including whether the placement 
is shelter care, a group home and if so, 
the range of the child population in the 
home, a residential treatment facility, 
a hospital or institution providing 
medical, rehabilitative, or psychiatric 
care, a setting specializing in pro-
viding prenatal, post-partum, or par-
enting supports, or some other kind of 
child-care institution and if so, what 
kind; 
‘‘(II) the number of children in 
the placement setting and the age, race, 
ethnicity, and gender of each of the 
children; 
‘‘(III) for each child in the place-
ment setting, the length of the place-
ment of the child in the setting, wheth-
er the placement of the child in the set-
ting is the first placement of the child 
and if not, the number and type of 
previous placements of the child, and
502 
† HR 1892 EAS2 
whether the child has special needs or 
another diagnosed mental or physical 
illness or condition; and 
‘‘(IV) the extent of any specialized 
education, treatment, counseling, or 
other services provided in the setting; 
and 
‘‘(ii) separately, the number and ages 
of children in the placements who have a 
permanency plan of another planned per-
manent living arrangement; and’’. 
SEC. 50745. CRIMINAL RECORDS CHECKS AND CHECKS OF 
CHILD ABUSE AND NEGLECT REGISTRIES FOR 
ADULTS WORKING IN CHILD-CARE INSTITU-
TIONS AND OTHER GROUP CARE SETTINGS. 
(a) STATE PLAN REQUIREMENT.—Section 471(a)(20) 
of the Social Security Act (42 U.S.C. 671(a)(20)) is amend-
ed— 
(1) in subparagraph (A)(ii), by striking ‘‘and’’ 
after the semicolon; 
(2) in subparagraph (B)(iii), by striking 
‘‘and’’after the semicolon; 
(3) in subparagraph (C), by adding ‘‘and’’ after 
the semicolon; and
503 
† HR 1892 EAS2 
(4) by inserting after subparagraph (C), the fol-
lowing new subparagraph: 
‘‘(D) provides procedures for any child-care 
institution, including a group home, residential 
treatment center, shelter, or other congregate care 
setting, to conduct criminal records checks, in-
cluding fingerprint-based checks of national 
crime information databases (as defined in sec-
tion 534(f)(3)(A) of title 28, United States 
Code), and checks described in subparagraph (B) 
of this paragraph, on any adult working in a 
child-care institution, including a group home, 
residential treatment center, shelter, or other con-
gregate care setting, unless the State reports to 
the Secretary the alternative criminal records 
checks and child abuse registry checks the State 
conducts on any adult working in a child-care 
institution, including a group home, residential 
treatment center, shelter, or other congregate care 
setting, and why the checks specified in this sub-
paragraph are not appropriate for the State;’’. 
(b) TECHNICAL AMENDMENTS.—Subparagraphs (A) 
and (C) of section 471(a)(20) of the Social Security Act 
(42 U.S.C. 671(a)(20)) are each amended by striking ‘‘sec-
tion 534(e)(3)(A)’’ and inserting ‘‘section 534(f)(3)(A)’’.
504 
† HR 1892 EAS2 
SEC. 50746. EFFECTIVE DATES; APPLICATION TO WAIVERS. 
(a) EFFECTIVE DATES.— 
(1) IN GENERAL.—Subject to paragraph (2) and 
subsections (b), (c), and (d), the amendments made by 
this part shall take effect as if enacted on January 1, 
2018. 
(2) TRANSITION RULE.—In the case of a State 
plan under part B or E of title IV of the Social Secu-
rity Act which the Secretary of Health and Human 
Services determines requires State legislation (other 
than legislation appropriating funds) in order for the 
plan to meet the additional requirements imposed by 
the amendments made by this part, the State plan 
shall not be regarded as failing to comply with the re-
quirements of part B or E of title IV of such Act sole-
ly on the basis of the failure of the plan to meet the 
additional requirements before the first day of the 
first calendar quarter beginning after the close of the 
first regular session of the State legislature that be-
gins after the date of enactment of this Act. For pur-
poses of the previous sentence, in the case of a State 
that has a 2-year legislative session, each year of the 
session shall be deemed to be a separate regular ses-
sion of the State legislature.
505 
† HR 1892 EAS2 
(b) LIMITATION ON FEDERAL FINANCIAL PARTICIPA-
TION FOR PLACEMENTS THAT ARE NOT IN FOSTER FAMILY 
HOMES AND RELATED PROVISIONS.— 
(1) IN GENERAL.—The amendments made by sec-
tions 50741(a), 50741(b), 50741(d), and 50742 shall 
take effect on October 1, 2019. 
(2) STATE OPTION TO DELAY EFFECTIVE DATE 
FOR NOT MORE THAN 2 YEARS.—If a State requests 
a delay in the effective date, the Secretary of Health 
and Human Services shall delay the effective date 
provided for in paragraph (1) with respect to the 
State for the amount of time requested by the State, 
not to exceed 2 years. If the effective date is so delayed 
for a period with respect to a State under the pre-
ceding sentence, then— 
(A) notwithstanding section 50734, the date 
that the amendments made by section 50711(c) 
take effect with respect to the State shall be de-
layed for the period; and 
(B) in applying section 474(a)(6) of the So-
cial Security Act with respect to the State, ‘‘on 
or after the date this paragraph takes effect with 
respect to the State’’ is deemed to be substituted 
for ‘‘after September 30, 2019’’ in subparagraph 
(A)(i)(I) of such section.
506 
† HR 1892 EAS2 
(c) CRIMINAL RECORDS CHECKS
AND CHECKS
OF 
CHILD ABUSE AND NEGLECT REGISTRIES FOR ADULTS 
WORKING
IN
CHILD-CARE
INSTITUTIONS
AND
OTHER 
GROUP CARE SETTINGS.—Subject to subsection (a)(2), the 
amendments made by section 50745 shall take effect on Oc-
tober 1, 2018. 
(d) APPLICATION TO STATES WITH WAIVERS.—In the 
case of a State that, on the date of enactment of this Act, 
has in effect a waiver approved under section 1130 of the 
Social Security Act (42 U.S.C. 1320a–9), the amendments 
made by this part shall not apply with respect to the State 
before the expiration (determined without regard to any ex-
tensions) of the waiver to the extent the amendments are 
inconsistent with the terms of the waiver. 
PART V—CONTINUING SUPPORT FOR CHILD AND 
FAMILY SERVICES 
SEC. 50751. SUPPORTING AND RETAINING FOSTER FAMI-
LIES FOR CHILDREN. 
(a) SUPPORTING AND RETAINING FOSTER PARENTS AS 
A FAMILY SUPPORT SERVICE.—Section 431(a)(2)(B) of the 
Social Security Act (42 U.S.C. 631(a)(2)(B)) is amended 
by redesignating clauses (iii) through (vi) as clauses (iv) 
through (vii), respectively, and inserting after clause (ii) 
the following:
507 
† HR 1892 EAS2 
‘‘(iii) To support and retain foster 
families so they can provide quality family- 
based settings for children in foster care.’’. 
(b) SUPPORT FOR FOSTER FAMILY HOMES.—Section 
436 of such Act (42 U.S.C. 629f) is amended by adding 
at the end the following: 
‘‘(c) SUPPORT FOR FOSTER FAMILY HOMES.—Out of 
any money in the Treasury of the United States not other-
wise appropriated, there are appropriated to the Secretary 
for fiscal year 2018, $8,000,000 for the Secretary to make 
competitive grants to States, Indian tribes, or tribal con-
sortia to support the recruitment and retention of high- 
quality foster families to increase their capacity to place 
more children in family settings, focused on States, Indian 
tribes, or tribal consortia with the highest percentage of 
children in non-family settings. The amount appropriated 
under this subparagraph shall remain available through fis-
cal year 2022.’’. 
SEC. 50752. EXTENSION OF CHILD AND FAMILY SERVICES 
PROGRAMS. 
(a) EXTENSION OF STEPHANIE TUBBS JONES CHILD 
WELFARE SERVICES PROGRAM.—Section 425 of the Social 
Security Act (42 U.S.C. 625) is amended by striking ‘‘2012 
through 2016’’ and inserting ‘‘2017 through 2021’’.
508 
† HR 1892 EAS2 
(b) EXTENSION OF PROMOTING SAFE AND STABLE 
FAMILIES PROGRAM AUTHORIZATIONS.— 
(1) IN GENERAL.—Section 436(a) of such Act 
(42 U.S.C. 629f(a)) is amended by striking all that 
follows ‘‘$345,000,000’’ and inserting ‘‘for each of fis-
cal years 2017 through 2021.’’. 
(2) DISCRETIONARY GRANTS.—Section 437(a) of 
such Act (42 U.S.C. 629g(a)) is amended by striking 
‘‘2012 through 2016’’ and inserting ‘‘2017 through 
2021’’. 
(c) EXTENSION
OF FUNDING RESERVATIONS
FOR 
MONTHLY CASEWORKER VISITS AND REGIONAL PARTNER-
SHIP GRANTS.—Section 436(b) of such Act (42 U.S.C. 
629f(b)) is amended— 
(1) in paragraph (4)(A), by striking ‘‘2012 
through 2016’’ and inserting ‘‘2017 through 2021’’; 
and 
(2) in paragraph (5), by striking ‘‘2012 through 
2016’’ and inserting ‘‘2017 through 2021’’. 
(d) REAUTHORIZATION
OF
FUNDING
FOR
STATE 
COURTS.— 
(1) EXTENSION OF PROGRAM.—Section 438(c)(1) 
of such Act (42 U.S.C. 629h(c)(1)) is amended by 
striking ‘‘2012 through 2016’’ and inserting ‘‘2017 
through 2021’’.
509 
† HR 1892 EAS2 
(2) EXTENSION
OF
FEDERAL
SHARE.—Section 
438(d) of such Act (42 U.S.C. 629h(d)) is amended by 
striking ‘‘2012 through 2016’’ and inserting ‘‘2017 
through 2021’’. 
(e) REPEAL OF EXPIRED PROVISIONS.—Section 438(e) 
of such Act (42 U.S.C. 629h(e)) is repealed. 
SEC. 50753. IMPROVEMENTS TO THE JOHN H. CHAFEE FOS-
TER CARE INDEPENDENCE PROGRAM AND 
RELATED PROVISIONS. 
(a) AUTHORITY TO SERVE FORMER FOSTER YOUTH 
UP TO AGE 23.—Section 477 of the Social Security Act 
(42 U.S.C. 677) is amended— 
(1) in subsection (a)(5), by inserting ‘‘(or 23 
years of age, in the case of a State with a certifi-
cation under subsection (b)(3)(A)(ii) to provide assist-
ance and services to youths who have aged out of fos-
ter care and have not attained such age, in accord-
ance with such subsection)’’ after ‘‘21 years of age’’; 
(2) in subsection (b)(3)(A)— 
(A) by inserting ‘‘(i)’’ before ‘‘A certifi-
cation’’; 
(B) by striking ‘‘children who have left fos-
ter care’’ and all that follows through the period 
and inserting ‘‘youths who have aged out of fos-
510 
† HR 1892 EAS2 
ter care and have not attained 21 years of age.’’; 
and 
(C) by adding at the end the following: 
‘‘(ii) If the State has elected under section 
475(8)(B) to extend eligibility for foster care to 
all children who have not attained 21 years of 
age, or if the Secretary determines that the State 
agency responsible for administering the State 
plans under this part and part B uses State 
funds or any other funds not provided under this 
part to provide services and assistance for youths 
who have aged out of foster care that are com-
parable to the services and assistance the youths 
would receive if the State had made such an elec-
tion, the certification required under clause (i) 
may provide that the State will provide assist-
ance and services to youths who have aged out 
of foster care and have not attained 23 years of 
age.’’; and 
(3) in subsection (b)(3)(B), by striking ‘‘children 
who have left foster care’’ and all that follows through 
the period and inserting ‘‘youths who have aged out 
of foster care and have not attained 21 years of age 
(or 23 years of age, in the case of a State with a cer-
tification under subparagraph (A)(i) to provide as-
511 
† HR 1892 EAS2 
sistance and services to youths who have aged out of 
foster care and have not attained such age, in accord-
ance with subparagraph (A)(ii)).’’. 
(b) 
AUTHORITY
TO
REDISTRIBUTE
UNSPENT 
FUNDS.—Section 477(d) of such Act (42 U.S.C. 677(d)) is 
amended— 
(1) in paragraph (4), by inserting ‘‘or does not 
expend allocated funds within the time period speci-
fied under section 477(d)(3)’’ after ‘‘provided by the 
Secretary’’; and 
(2) by adding at the end the following: 
‘‘(5) 
REDISTRIBUTION
OF
UNEXPENDED 
AMOUNTS.— 
‘‘(A) AVAILABILITY OF AMOUNTS.—To the 
extent that amounts paid to States under this 
section in a fiscal year remain unexpended by 
the States at the end of the succeeding fiscal 
year, the Secretary may make the amounts 
available for redistribution in the second suc-
ceeding fiscal year among the States that apply 
for additional funds under this section for that 
second succeeding fiscal year. 
‘‘(B) REDISTRIBUTION.— 
‘‘(i) IN GENERAL.—The Secretary shall 
redistribute the amounts made available
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† HR 1892 EAS2 
under subparagraph (A) for a fiscal year 
among eligible applicant States. In this 
subparagraph, the term ‘eligible applicant 
State’ means a State that has applied for 
additional funds for the fiscal year under 
subparagraph (A) if the Secretary deter-
mines that the State will use the funds for 
the purpose for which originally allotted 
under this section. 
‘‘(ii) AMOUNT
TO
BE
REDISTRIB-
UTED.—The amount to be redistributed to 
each eligible applicant State shall be the 
amount so made available multiplied by the 
State foster care ratio, (as defined in sub-
section (c)(4), except that, in such sub-
section, ‘all eligible applicant States (as de-
fined in subsection (d)(5)(B)(i))’ shall be 
substituted for ‘all States’). 
‘‘(iii) TREATMENT OF REDISTRIBUTED 
AMOUNT.—Any amount made available to a 
State under this paragraph shall be re-
garded as part of the allotment of the State 
under this section for the fiscal year in 
which the redistribution is made.
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† HR 1892 EAS2 
‘‘(C) TRIBES.—For purposes of this para-
graph, the term ‘State’ includes an Indian tribe, 
tribal organization, or tribal consortium that re-
ceives an allotment under this section.’’. 
(c) EXPANDING AND CLARIFYING THE USE OF EDU-
CATION AND TRAINING VOUCHERS.— 
(1) IN GENERAL.—Section 477(i)(3) of such Act 
(42 U.S.C. 677(i)(3)) is amended— 
(A) by striking ‘‘on the date’’ and all that 
follows through ‘‘23’’ and inserting ‘‘to remain 
eligible until they attain 26’’; and 
(B) by inserting ‘‘, but in no event may a 
youth participate in the program for more than 
5 years (whether or not consecutive)’’ before the 
period. 
(2) 
CONFORMING
AMENDMENT.—Section 
477(i)(1) of such Act (42 U.S.C. 677(i)(1)) is amend-
ed by inserting ‘‘who have attained 14 years of age’’ 
before the period. 
(d) OTHER IMPROVEMENTS.—Section 477 of such Act 
(42 U.S.C. 677), as amended by subsections (a), (b), and 
(c), is amended— 
(1) in the section heading, by striking ‘‘INDE-
PENDENCE PROGRAM’’ and inserting ‘‘PROGRAM
514 
† HR 1892 EAS2 
FOR
SUCCESSFUL
TRANSITION
TO
ADULT-
HOOD’’; 
(2) in subsection (a)— 
(A) in paragraph (1)— 
(i) by striking ‘‘identify children who 
are likely to remain in foster care until 18 
years of age and to help these children make 
the transition to self-sufficiency by pro-
viding services’’ and inserting ‘‘support all 
youth who have experienced foster care at 
age 14 or older in their transition to adult-
hood through transitional services’’; 
(ii) by inserting ‘‘and post-secondary 
education’’ after ‘‘high school diploma’’; and 
(iii) by striking ‘‘training in daily liv-
ing skills, training in budgeting and finan-
cial management skills’’ and inserting 
‘‘training and opportunities to practice 
daily living skills (such as financial lit-
eracy training and driving instruction)’’; 
(B) in paragraph (2), by striking ‘‘who are 
likely to remain in foster care until 18 years of 
age receive the education, training, and services 
necessary to obtain employment’’ and inserting 
‘‘who have experienced foster care at age 14 or
515 
† HR 1892 EAS2 
older achieve meaningful, permanent connections 
with a caring adult’’; 
(C) in paragraph (3), by striking ‘‘who are 
likely to remain in foster care until 18 years of 
age prepare for and enter postsecondary training 
and education institutions’’ and inserting ‘‘who 
have experienced foster care at age 14 or older 
engage in age or developmentally appropriate 
activities, positive youth development, and expe-
riential learning that reflects what their peers in 
intact families experience’’; and 
(D) by striking paragraph (4) and redesig-
nating paragraphs (5) through (8) as para-
graphs (4) through (7); 
(3) in subsection (b)— 
(A) in paragraph (2)(D), by striking ‘‘ado-
lescents’’ and inserting ‘‘youth’’; and 
(B) in paragraph (3)— 
(i) in subparagraph (D)— 
(I) by inserting ‘‘including train-
ing on youth development’’ after ‘‘to 
provide training’’; and 
(II) by striking ‘‘adolescents pre-
paring for independent living’’ and all 
that follows through the period and in-
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† HR 1892 EAS2 
serting ‘‘youth preparing for a success-
ful transition to adulthood and making 
a permanent connection with a caring 
adult.’’; 
(ii) in subparagraph (H), by striking 
‘‘adolescents’’ each place it appears and in-
serting ‘‘youth’’; and 
(iii) in subparagraph (K)— 
(I) by striking ‘‘an adolescent’’ 
and inserting ‘‘a youth’’; and 
(II) by striking ‘‘the adolescent’’ 
each place it appears and inserting 
‘‘the youth’’; and 
(4) in subsection (f), by striking paragraph (2) 
and inserting the following: 
‘‘(2) REPORT TO CONGRESS.—Not later than Oc-
tober 1, 2019, the Secretary shall submit to the Com-
mittee on Ways and Means of the House of Represent-
atives and the Committee on Finance of the Senate a 
report on the National Youth in Transition Database 
and any other databases in which States report out-
come measures relating to children in foster care and 
children who have aged out of foster care or left foster 
care for kinship guardianship or adoption. The report 
shall include the following:
517 
† HR 1892 EAS2 
‘‘(A) A description of the reasons for entry 
into foster care and of the foster care experiences, 
such as length of stay, number of placement set-
tings, case goal, and discharge reason of 17-year- 
olds who are surveyed by the National Youth in 
Transition Database and an analysis of the com-
parison of that description with the reasons for 
entry and foster care experiences of children of 
other ages who exit from foster care before at-
taining age 17. 
‘‘(B) A description of the characteristics of 
the individuals who report poor outcomes at ages 
19 and 21 to the National Youth in Transition 
Database. 
‘‘(C) Benchmarks for determining what con-
stitutes a poor outcome for youth who remain in 
or have exited from foster care and plans the ex-
ecutive branch will take to incorporate these 
benchmarks in efforts to evaluate child welfare 
agency performance in providing services to chil-
dren transitioning from foster care. 
‘‘(D) An analysis of the association between 
types of placement, number of overall place-
ments, time spent in foster care, and other fac-
tors, and outcomes at ages 19 and 21.
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† HR 1892 EAS2 
‘‘(E) An analysis of the differences in out-
comes for children in and formerly in foster care 
at age 19 and 21 among States.’’. 
(e) CLARIFYING DOCUMENTATION PROVIDED TO FOS-
TER YOUTH LEAVING FOSTER CARE.—Section 475(5)(I) of 
such Act (42 U.S.C. 675(5)(I)) is amended by inserting 
after ‘‘REAL ID Act of 2005’’ the following: ‘‘, and any 
official documentation necessary to prove that the child was 
previously in foster care’’. 
PART VI—CONTINUING INCENTIVES TO STATES 
TO PROMOTE ADOPTION AND LEGAL GUARD-
IANSHIP 
SEC. 
50761. 
REAUTHORIZING 
ADOPTION 
AND 
LEGAL 
GUARDIANSHIP INCENTIVE PROGRAMS. 
(a) IN GENERAL.—Section 473A of the Social Security 
Act (42 U.S.C. 673b) is amended— 
(1) in subsection (b)(4), by striking ‘‘2013 
through 2015’’ and inserting ‘‘2016 through 2020’’; 
(2) in subsection (h)(1)(D), by striking ‘‘2016’’ 
and inserting ‘‘2021’’; and 
(3) in subsection (h)(2), by striking ‘‘2016’’ and 
inserting ‘‘2021’’. 
(b) EFFECTIVE DATE.—The amendments made by sub-
section (a) shall take effect as if enacted on October 1, 2017.
519 
† HR 1892 EAS2 
PART VII—TECHNICAL CORRECTIONS 
SEC. 50771. TECHNICAL CORRECTIONS TO DATA EXCHANGE 
STANDARDS TO IMPROVE PROGRAM COORDI-
NATION. 
(a) IN GENERAL.—Section 440 of the Social Security 
Act (42 U.S.C. 629m) is amended to read as follows: 
‘‘SEC. 440. DATA EXCHANGE STANDARDS FOR IMPROVED 
INTEROPERABILITY. 
‘‘(a) DESIGNATION.—The Secretary shall, in consulta-
tion with an interagency work group established by the Of-
fice of Management and Budget and considering State gov-
ernment perspectives, by rule, designate data exchange 
standards to govern, under this part and part E— 
‘‘(1) necessary categories of information that 
State agencies operating programs under State plans 
approved under this part are required under applica-
ble Federal law to electronically exchange with an-
other State agency; and 
‘‘(2) Federal reporting and data exchange re-
quired under applicable Federal law. 
‘‘(b) REQUIREMENTS.—The data exchange standards 
required by paragraph (1) shall, to the extent practicable— 
‘‘(1) incorporate a widely accepted, non-propri-
etary, searchable, computer-readable format, such as 
the Extensible Markup Language;
520 
† HR 1892 EAS2 
‘‘(2) contain interoperable standards developed 
and maintained by intergovernmental partnerships, 
such as the National Information Exchange Model; 
‘‘(3) incorporate interoperable standards devel-
oped and maintained by Federal entities with author-
ity over contracting and financial assistance; 
‘‘(4) be consistent with and implement applica-
ble accounting principles; 
‘‘(5) be implemented in a manner that is cost- 
effective and improves program efficiency and effec-
tiveness; and 
‘‘(6) be capable of being continually upgraded as 
necessary. 
‘‘(c) RULE OF CONSTRUCTION.—Nothing in this sub-
section shall be construed to require a change to existing 
data exchange standards found to be effective and effi-
cient.’’. 
(b) EFFECTIVE DATE.—Not later than the date that 
is 24 months after the date of the enactment of this section, 
the Secretary of Health and Human Services shall issue 
a proposed rule that— 
(1) identifies federally required data exchanges, 
include specification and timing of exchanges to be 
standardized, and address the factors used in deter-
521 
† HR 1892 EAS2 
mining whether and when to standardize data ex-
changes; and 
(2) specifies State implementation options and 
describes future milestones. 
SEC. 50772. TECHNICAL CORRECTIONS TO STATE REQUIRE-
MENT TO ADDRESS THE DEVELOPMENTAL 
NEEDS OF YOUNG CHILDREN. 
Section 422(b)(18) of the Social Security Act (42 
U.S.C. 622(b)(18)) is amended by striking ‘‘such children’’ 
and inserting ‘‘all vulnerable children under 5 years of 
age’’. 
PART VIII—ENSURING STATES REINVEST SAV-
INGS RESULTING FROM INCREASE IN ADOP-
TION ASSISTANCE 
SEC. 50781. DELAY OF ADOPTION ASSISTANCE PHASE-IN. 
(a) IN GENERAL.—The table in section 473(e)(1)(B) 
of the Social Security Act (42 U.S.C. 673(e)(1)(B)) is 
amended by striking the last 2 rows and inserting the fol-
lowing: 
‘‘2017 through 2023 .................................
2024 ..........................................................
2 (or, in the case of a child for whom 
an adoption assistance agreement is 
entered into under this section on or 
after July 1, 2024, any age) 
2025 or thereafter ....................................
any age.’’. 
(b) EFFECTIVE DATE.—The amendment made by this 
section shall take effect as if enacted on January 1, 2018.
522 
† HR 1892 EAS2 
SEC. 50782. GAO STUDY AND REPORT ON STATE REINVEST-
MENT OF SAVINGS RESULTING FROM IN-
CREASE IN ADOPTION ASSISTANCE. 
(a) STUDY.—The Comptroller General of the United 
States shall study the extent to which States are complying 
with the requirements of section 473(a)(8) of the Social Se-
curity Act (42 U.S.C. 673(a)(8)) relating to the effects of 
phasing out the AFDC income eligibility requirements for 
adoption assistance payments under section 473 of the So-
cial Security Act, as enacted by section 402 of the Fostering 
Connections to Success and Increasing Adoptions Act of 
2008 (Public Law 110–351; 122 Stat. 3975) and amended 
by section 206 of the Preventing Sex Trafficking and 
Strengthening Families Act (Public Law 113–183; 128 
Stat. 1919). In particular, the Comptroller General shall 
analyze the extent to which States are complying with the 
following requirements under section 473(a)(8)(D) of the 
Social Security Act: 
(1) The requirement to spend an amount equal 
to the amount of the savings (if any) in State expend-
itures under part E of title IV of the Social Security 
Act resulting from phasing out the AFDC income eli-
gibility requirements for adoption assistance pay-
ments under section 473 of such Act to provide to 
children of families any service that may be provided 
under part B or E of title IV of such Act.
523 
† HR 1892 EAS2 
(2) The requirement that a State shall spend not 
less than 30 percent of the amount of any savings de-
scribed in paragraph (1) on post-adoption services, 
post-guardianship services, and services to support 
and sustain positive permanent outcomes for children 
who otherwise might enter into foster care under the 
responsibility of the State, with at least 2⁄3 of the 
spending by the State to comply with the 30 percent 
requirement being spent on post-adoption and post- 
guardianship services. 
(b) REPORT.—The Comptroller General of the United 
States shall submit to the Committee on Finance of the Sen-
ate, the Committee on Ways and Means of the House of 
Representatives, and the Secretary of Health and Human 
Services a report that contains the results of the study re-
quired by subsection (a), including recommendations to en-
sure compliance with laws referred to in subsection (a). 
TITLE 
VIII—SUPPORTING 
SO-
CIAL IMPACT PARTNERSHIPS 
TO PAY FOR RESULTS 
SEC. 50801. SHORT TITLE. 
This subtitle may be cited as the ‘‘Social Impact Part-
nerships to Pay for Results Act’’.
524 
† HR 1892 EAS2 
SEC. 50802. SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RE-
SULTS. 
Title XX of the Social Security Act (42 U.S.C. 1397 
et seq.) is amended— 
(1) in the title heading, by striking ‘‘TO 
STATES’’ and inserting ‘‘AND PROGRAMS’’; and 
(2) by adding at the end the following: 
‘‘Subtitle C—Social Impact Demonstration Projects 
‘‘PURPOSES 
‘‘SEC. 2051. The purposes of this subtitle are the fol-
lowing: 
‘‘(1) To improve the lives of families and indi-
viduals in need in the United States by funding so-
cial programs that achieve real results. 
‘‘(2) To redirect funds away from programs that, 
based on objective data, are ineffective, and into pro-
grams that achieve demonstrable, measurable results. 
‘‘(3) To ensure Federal funds are used effectively 
on social services to produce positive outcomes for 
both service recipients and taxpayers. 
‘‘(4) To establish the use of social impact part-
nerships to address some of our Nation’s most press-
ing problems. 
‘‘(5) To facilitate the creation of public-private 
partnerships that bundle philanthropic or other pri-
vate resources with existing public spending to scale
525 
† HR 1892 EAS2 
up effective social interventions already being imple-
mented by private organizations, nonprofits, chari-
table organizations, and State and local governments 
across the country. 
‘‘(6) To bring pay-for-performance to the social 
sector, allowing the United States to improve the im-
pact and effectiveness of vital social services programs 
while redirecting inefficient or duplicative spending. 
‘‘(7) To incorporate outcomes measurement and 
randomized controlled trials or other rigorous meth-
odologies for assessing program impact. 
‘‘SOCIAL IMPACT PARTNERSHIP APPLICATION 
‘‘SEC. 2052. (a) NOTICE.—Not later than 1 year after 
the date of the enactment of this subtitle, the Secretary of 
the Treasury, in consultation with the Federal Interagency 
Council on Social Impact Partnerships, shall publish in the 
Federal Register a request for proposals from States or local 
governments for social impact partnership projects in ac-
cordance with this section. 
‘‘(b) REQUIRED OUTCOMES FOR SOCIAL IMPACT PART-
NERSHIP PROJECT.—To qualify as a social impact partner-
ship project under this subtitle, a project must produce one 
or more measurable, clearly defined outcomes that result in 
social benefit and Federal, State, or local savings through 
any of the following:
526 
† HR 1892 EAS2 
‘‘(1) Increasing work and earnings by individ-
uals in the United States who are unemployed for 
more than 6 consecutive months. 
‘‘(2) Increasing employment and earnings of in-
dividuals who have attained 16 years of age but not 
25 years of age. 
‘‘(3) Increasing employment among individuals 
receiving Federal disability benefits. 
‘‘(4) Reducing the dependence of low-income 
families on Federal means-tested benefits. 
‘‘(5) Improving rates of high school graduation. 
‘‘(6) Reducing teen and unplanned pregnancies. 
‘‘(7) Improving birth outcomes and early child-
hood health and development among low-income fami-
lies and individuals. 
‘‘(8) Reducing rates of asthma, diabetes, or other 
preventable diseases among low-income families and 
individuals to reduce the utilization of emergency and 
other high-cost care. 
‘‘(9) Increasing the proportion of children living 
in two-parent families. 
‘‘(10) Reducing incidences and adverse con-
sequences of child abuse and neglect. 
‘‘(11) Reducing the number of youth in foster 
care by increasing adoptions, permanent guardian-
527 
† HR 1892 EAS2 
ship arrangements, reunifications, or placements with 
a fit and willing relative, or by avoiding placing chil-
dren in foster care by ensuring they can be cared for 
safely in their own homes. 
‘‘(12) Reducing the number of children and 
youth in foster care residing in group homes, child 
care institutions, agency-operated foster homes, or 
other non-family foster homes, unless it is determined 
that it is in the interest of the child’s long-term 
health, safety, or psychological well-being to not be 
placed in a family foster home. 
‘‘(13) Reducing the number of children returning 
to foster care. 
‘‘(14) Reducing recidivism among juvenile of-
fenders, individuals released from prison, or other 
high-risk populations. 
‘‘(15) Reducing the rate of homelessness among 
our most vulnerable populations. 
‘‘(16) Improving the health and well-being of 
those with mental, emotional, and behavioral health 
needs. 
‘‘(17) Improving the educational outcomes of spe-
cial-needs or low-income children. 
‘‘(18) Improving the employment and well-being 
of returning United States military members.
528 
† HR 1892 EAS2 
‘‘(19) Increasing the financial stability of low- 
income families. 
‘‘(20) Increasing the independence and employ-
ability of individuals who are physically or mentally 
disabled. 
‘‘(21) Other measurable outcomes defined by the 
State or local government that result in positive so-
cial outcomes and Federal savings. 
‘‘(c) APPLICATION REQUIRED.—The notice described 
in subsection (a) shall require a State or local government 
to submit an application for the social impact partnership 
project that addresses the following: 
‘‘(1) The outcome goals of the project. 
‘‘(2) A description of each intervention in the 
project and anticipated outcomes of the intervention. 
‘‘(3) Rigorous evidence demonstrating that the 
intervention can be expected to produce the desired 
outcomes. 
‘‘(4) The target population that will be served by 
the project. 
‘‘(5) The expected social benefits to participants 
who receive the intervention and others who may be 
impacted. 
‘‘(6) Projected Federal, State, and local govern-
ment costs and other costs to conduct the project.
529 
† HR 1892 EAS2 
‘‘(7) Projected Federal, State, and local govern-
ment savings and other savings, including an esti-
mate of the savings to the Federal Government, on a 
program-by-program basis and in the aggregate, if 
the project is implemented and the outcomes are 
achieved as a result of the intervention. 
‘‘(8) If savings resulting from the successful com-
pletion of the project are estimated to accrue to the 
State or local government, the likelihood of the State 
or local government to realize those savings. 
‘‘(9) A plan for delivering the intervention 
through a social impact partnership model. 
‘‘(10) A description of the expertise of each serv-
ice provider that will administer the intervention, in-
cluding a summary of the experience of the service 
provider in delivering the proposed intervention or a 
similar intervention, or demonstrating that the serv-
ice provider has the expertise necessary to deliver the 
proposed intervention. 
‘‘(11) An explanation of the experience of the 
State or local government, the intermediary, or the 
service provider in raising private and philanthropic 
capital to fund social service investments. 
‘‘(12) The detailed roles and responsibilities of 
each entity involved in the project, including any
530 
† HR 1892 EAS2 
State or local government entity, intermediary, serv-
ice provider, independent evaluator, investor, or other 
stakeholder. 
‘‘(13) A summary of the experience of the service 
provider in delivering the proposed intervention or a 
similar intervention, or a summary demonstrating 
the service provider has the expertise necessary to de-
liver the proposed intervention. 
‘‘(14) A summary of the unmet need in the area 
where the intervention will be delivered or among the 
target population who will receive the intervention. 
‘‘(15) The proposed payment terms, the method-
ology used to calculate outcome payments, the pay-
ment schedule, and performance thresholds. 
‘‘(16) The project budget. 
‘‘(17) The project timeline. 
‘‘(18) The criteria used to determine the eligi-
bility of an individual for the project, including how 
selected populations will be identified, how they will 
be referred to the project, and how they will be en-
rolled in the project. 
‘‘(19) The evaluation design. 
‘‘(20) The metrics that will be used in the eval-
uation to determine whether the outcomes have been
532 
† HR 1892 EAS2 
‘‘(d) PROJECT
INTERMEDIARY
INFORMATION
RE-
QUIRED.—The application described in subsection (c) shall 
also contain the following information about any inter-
mediary for the social impact partnership project (whether 
an intermediary is a service provider or other entity): 
‘‘(1) Experience and capacity for providing or 
facilitating the provision of the type of intervention 
proposed. 
‘‘(2) The mission and goals. 
‘‘(3) Information on whether the intermediary is 
already working with service providers that provide 
this intervention or an explanation of the capacity of 
the intermediary to begin working with service pro-
viders to provide the intervention. 
‘‘(4) Experience working in a collaborative envi-
ronment across government and nongovernmental en-
tities. 
‘‘(5) Previous experience collaborating with pub-
lic or private entities to implement evidence-based 
programs. 
‘‘(6) Ability to raise or provide funding to cover 
operating costs (if applicable to the project). 
‘‘(7) Capacity and infrastructure to track out-
comes and measure results, including—
533 
† HR 1892 EAS2 
‘‘(A) capacity to track and analyze program 
performance and assess program impact; and 
‘‘(B) experience with performance-based 
awards or performance-based contracting and 
achieving project milestones and targets. 
‘‘(8) Role in delivering the intervention. 
‘‘(9) How the intermediary would monitor pro-
gram success, including a description of the interim 
benchmarks and outcome measures. 
‘‘(e) FEASIBILITY STUDIES FUNDED THROUGH OTHER 
SOURCES.—The notice described in subsection (a) shall per-
mit a State or local government to submit an application 
for social impact partnership funding that contains infor-
mation from a feasibility study developed for purposes other 
than applying for funding under this subtitle. 
‘‘AWARDING SOCIAL IMPACT PARTNERSHIP AGREEMENTS 
‘‘SEC. 2053. (a) TIMELINE
IN AWARDING AGREE-
MENT.—Not later than 6 months after receiving an applica-
tion in accordance with section 2052, the Secretary, in con-
sultation with the Federal Interagency Council on Social 
Impact Partnerships, shall determine whether to enter into 
an agreement for a social impact partnership project with 
a State or local government. 
‘‘(b) CONSIDERATIONS IN AWARDING AGREEMENT.— 
In determining whether to enter into an agreement for a 
social impact partnership project (the application for which
534 
† HR 1892 EAS2 
was submitted under section 2052) the Secretary, in con-
sultation with the Federal Interagency Council on Social 
Impact Partnerships and the head of any Federal agency 
administering a similar intervention or serving a popu-
lation similar to that served by the project, shall consider 
each of the following: 
‘‘(1) The recommendations made by the Commis-
sion on Social Impact Partnerships. 
‘‘(2) The value to the Federal Government of the 
outcomes expected to be achieved if the outcomes speci-
fied in the agreement are achieved as a result of the 
intervention. 
‘‘(3) The likelihood, based on evidence provided 
in the application and other evidence, that the State 
or local government in collaboration with the inter-
mediary and the service providers will achieve the 
outcomes. 
‘‘(4) The savings to the Federal Government if 
the outcomes specified in the agreement are achieved 
as a result of the intervention. 
‘‘(5) The savings to the State and local govern-
ments if the outcomes specified in the agreement are 
achieved as a result of the intervention. 
‘‘(6) The expected quality of the evaluation that 
would be conducted with respect to the agreement.
535 
† HR 1892 EAS2 
‘‘(7) The capacity and commitment of the State 
or local government to sustain the intervention, if ap-
propriate and timely and if the intervention is suc-
cessful, beyond the period of the social impact part-
nership. 
‘‘(c) AGREEMENT AUTHORITY.— 
‘‘(1) AGREEMENT
REQUIREMENTS.—In accord-
ance with this section, the Secretary, in consultation 
with the Federal Interagency Council on Social Im-
pact Partnerships and the head of any Federal agen-
cy administering a similar intervention or serving a 
population similar to that served by the project, may 
enter into an agreement for a social impact partner-
ship project with a State or local government if the 
Secretary, in consultation with the Federal Inter-
agency Council on Social Impact Partnerships, deter-
mines that each of the following requirements are met: 
‘‘(A) The State or local government agrees 
to achieve one or more outcomes as a result of 
the intervention, as specified in the agreement 
and validated by independent evaluation, in 
order to receive payment. 
‘‘(B) The Federal payment to the State or 
local government for each specified outcome 
achieved as a result of the intervention is less
536 
† HR 1892 EAS2 
than or equal to the value of the outcome to the 
Federal Government over a period not to exceed 
10 years, as determined by the Secretary, in con-
sultation with the State or local government. 
‘‘(C) The duration of the project does not 
exceed 10 years. 
‘‘(D) The State or local government has 
demonstrated, through the application submitted 
under section 2052, that, based on prior rigorous 
experimental evaluations or rigorous quasi-ex-
perimental studies, the intervention can be ex-
pected to achieve each outcome specified in the 
agreement. 
‘‘(E) The State, local government, inter-
mediary, or service provider has experience rais-
ing private or philanthropic capital to fund so-
cial service investments (if applicable to the 
project). 
‘‘(F) The State or local government has 
shown that each service provider has experience 
delivering the intervention, a similar interven-
tion, or has otherwise demonstrated the expertise 
necessary to deliver the intervention. 
‘‘(2) PAYMENT.—The Secretary shall pay the 
State or local government only if the independent
537 
† HR 1892 EAS2 
evaluator described in section 2055 determines that 
the social impact partnership project has met the re-
quirements specified in the agreement and achieved 
an outcome as a result of the intervention, as speci-
fied in the agreement and validated by independent 
evaluation. 
‘‘(d) NOTICE OF AGREEMENT AWARD.—Not later than 
30 days after entering into an agreement under this section 
the Secretary shall publish a notice in the Federal Register 
that includes, with regard to the agreement, the following: 
‘‘(1) The outcome goals of the social impact part-
nership project. 
‘‘(2) A description of each intervention in the 
project. 
‘‘(3) The target population that will be served by 
the project. 
‘‘(4) The expected social benefits to participants 
who receive the intervention and others who may be 
impacted. 
‘‘(5) The detailed roles, responsibilities, and pur-
poses of each Federal, State, or local government enti-
ty, intermediary, service provider, independent eval-
uator, investor, or other stakeholder.
538 
† HR 1892 EAS2 
‘‘(6) The payment terms, the methodology used to 
calculate outcome payments, the payment schedule, 
and performance thresholds. 
‘‘(7) The project budget. 
‘‘(8) The project timeline. 
‘‘(9) The project eligibility criteria. 
‘‘(10) The evaluation design. 
‘‘(11) The metrics that will be used in the eval-
uation to determine whether the outcomes have been 
achieved as a result of each intervention and how 
these metrics will be measured. 
‘‘(12) The estimate of the savings to the Federal, 
State, and local government, on a program-by-pro-
gram basis and in the aggregate, if the agreement is 
entered into and implemented and the outcomes are 
achieved as a result of each intervention. 
‘‘(e) AUTHORITY TO TRANSFER ADMINISTRATION OF 
AGREEMENT.—The Secretary may transfer to the head of 
another Federal agency the authority to administer (includ-
ing making payments under) an agreement entered into 
under subsection (c), and any funds necessary to do so. 
‘‘(f) REQUIREMENT ON FUNDING USED TO BENEFIT 
CHILDREN.—Not less than 50 percent of all Federal pay-
ments made to carry out agreements under this section shall 
be used for initiatives that directly benefit children.
539 
† HR 1892 EAS2 
‘‘FEASIBILITY STUDY FUNDING 
‘‘SEC. 2054. (a) REQUESTS FOR FUNDING FOR FEASI-
BILITY STUDIES.—The Secretary shall reserve a portion of 
the amount made available to carry out this subtitle to as-
sist States or local governments in developing feasibility 
studies to apply for social impact partnership funding 
under section 2052. To be eligible to receive funding to as-
sist with completing a feasibility study, a State or local 
government shall submit an application for feasibility 
study funding addressing the following: 
‘‘(1) A description of the outcome goals of the so-
cial impact partnership project. 
‘‘(2) A description of the intervention, including 
anticipated program design, target population, an es-
timate regarding the number of individuals to be 
served, and setting for the intervention. 
‘‘(3) Evidence to support the likelihood that the 
intervention will produce the desired outcomes. 
‘‘(4) A description of the potential metrics to be 
used. 
‘‘(5) The expected social benefits to participants 
who receive the intervention and others who may be 
impacted. 
‘‘(6) Estimated costs to conduct the project.
540 
† HR 1892 EAS2 
‘‘(7) Estimates of Federal, State, and local gov-
ernment savings and other savings if the project is 
implemented and the outcomes are achieved as a re-
sult of each intervention. 
‘‘(8) An estimated timeline for implementation 
and completion of the project, which shall not exceed 
10 years. 
‘‘(9) With respect to a project for which the State 
or local government selects an intermediary to operate 
the project, any partnerships needed to successfully 
execute the project and the ability of the intermediary 
to foster the partnerships. 
‘‘(10) The expected resources needed to complete 
the feasibility study for the State or local government 
to apply for social impact partnership funding under 
section 2052. 
‘‘(b) FEDERAL SELECTION OF APPLICATIONS FOR FEA-
SIBILITY STUDY.—Not later than 6 months after receiving 
an application for feasibility study funding under sub-
section (a), the Secretary, in consultation with the Federal 
Interagency Council on Social Impact Partnerships and the 
head of any Federal agency administering a similar inter-
vention or serving a population similar to that served by 
the project, shall select State or local government feasibility 
study proposals for funding based on the following:
541 
† HR 1892 EAS2 
‘‘(1) The recommendations made by the Commis-
sion on Social Impact Partnerships. 
‘‘(2) The likelihood that the proposal will achieve 
the desired outcomes. 
‘‘(3) The value of the outcomes expected to be 
achieved as a result of each intervention. 
‘‘(4) The potential savings to the Federal Gov-
ernment if the social impact partnership project is 
successful. 
‘‘(5) The potential savings to the State and local 
governments if the project is successful. 
‘‘(c) PUBLIC DISCLOSURE.—Not later than 30 days 
after selecting a State or local government for feasibility 
study funding under this section, the Secretary shall cause 
to be published on the website of the Federal Interagency 
Council on Social Impact Partnerships information ex-
plaining why a State or local government was granted fea-
sibility study funding. 
‘‘(d) FUNDING RESTRICTION.— 
‘‘(1) FEASIBILITY
STUDY
RESTRICTION.—The 
Secretary may not provide feasibility study funding 
under this section for more than 50 percent of the es-
timated total cost of the feasibility study reported in 
the State or local government application submitted 
under subsection (a).
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† HR 1892 EAS2 
‘‘(2) AGGREGATE
RESTRICTION.—Of the total 
amount made available to carry out this subtitle, the 
Secretary may not use more than $10,000,000 to pro-
vide feasibility study funding to States or local gov-
ernments under this section. 
‘‘(3) NO
GUARANTEE
OF
FUNDING.—The Sec-
retary shall have the option to award no funding 
under this section. 
‘‘(e) SUBMISSION
OF
FEASIBILITY
STUDY
RE-
QUIRED.—Not later than 9 months after the receipt of feasi-
bility study funding under this section, a State or local gov-
ernment receiving the funding shall complete the feasibility 
study and submit the study to the Federal Interagency 
Council on Social Impact Partnerships. 
‘‘(f) DELEGATION
OF AUTHORITY.—The Secretary 
may transfer to the head of another Federal agency the au-
thorities provided in this section and any funds necessary 
to exercise the authorities. 
‘‘EVALUATIONS 
‘‘SEC. 2055. (a) AUTHORITY TO ENTER INTO AGREE-
MENTS.—For each State or local government awarded a so-
cial impact partnership project approved by the Secretary 
under this subtitle, the head of the relevant agency, as rec-
ommended by the Federal Interagency Council on Social 
Impact Partnerships and determined by the Secretary, shall 
enter into an agreement with the State or local government
543 
† HR 1892 EAS2 
to pay for all or part of the independent evaluation to deter-
mine whether the State or local government project has 
achieved a specific outcome as a result of the intervention 
in order for the State or local government to receive outcome 
payments under this subtitle. 
‘‘(b) EVALUATOR QUALIFICATIONS.—The head of the 
relevant agency may not enter into an agreement with a 
State or local government unless the head determines that 
the evaluator is independent of the other parties to the 
agreement and has demonstrated substantial experience in 
conducting rigorous evaluations of program effectiveness in-
cluding, where available and appropriate, well-imple-
mented randomized controlled trials on the intervention or 
similar interventions. 
‘‘(c) METHODOLOGIES TO BE USED.—The evaluation 
used to determine whether a State or local government will 
receive outcome payments under this subtitle shall use ex-
perimental designs using random assignment or other reli-
able, evidence-based research methodologies, as certified by 
the Federal Interagency Council on Social Impact Partner-
ships, that allow for the strongest possible causal inferences 
when random assignment is not feasible. 
‘‘(d) PROGRESS REPORT.— 
‘‘(1) SUBMISSION OF REPORT.—The independent 
evaluator shall—
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† HR 1892 EAS2 
‘‘(A) not later than 2 years after a project 
has been approved by the Secretary and bian-
nually thereafter until the project is concluded, 
submit to the head of the relevant agency and the 
Federal Interagency Council on Social Impact 
Partnerships a written report summarizing the 
progress that has been made in achieving each 
outcome specified in the agreement; and 
‘‘(B) before the scheduled time of the first 
outcome payment and before the scheduled time 
of each subsequent payment, submit to the head 
of the relevant agency and the Federal Inter-
agency Council on Social Impact Partnerships a 
written report that includes the results of the 
evaluation conducted to determine whether an 
outcome payment should be made along with in-
formation on the unique factors that contributed 
to achieving or failing to achieve the outcome, 
the challenges faced in attempting to achieve the 
outcome, and information on the improved fu-
ture delivery of this or similar interventions. 
‘‘(2) SUBMISSION TO THE SECRETARY AND CON-
GRESS.—Not later than 30 days after receipt of the 
written report pursuant to paragraph (1)(B), the 
Federal Interagency Council on Social Impact Part-
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† HR 1892 EAS2 
nerships shall submit the report to the Secretary and 
each committee of jurisdiction in the House of Rep-
resentatives and the Senate. 
‘‘(e) FINAL REPORT.— 
‘‘(1) SUBMISSION OF REPORT.—Within 6 months 
after the social impact partnership project is com-
pleted, the independent evaluator shall— 
‘‘(A) evaluate the effects of the activities un-
dertaken pursuant to the agreement with regard 
to each outcome specified in the agreement; and 
‘‘(B) submit to the head of the relevant 
agency and the Federal Interagency Council on 
Social Impact Partnerships a written report that 
includes the results of the evaluation and the 
conclusion of the evaluator as to whether the 
State or local government has fulfilled each obli-
gation of the agreement, along with information 
on the unique factors that contributed to the suc-
cess or failure of the project, the challenges faced 
in attempting to achieve the outcome, and infor-
mation on the improved future delivery of this or 
similar interventions. 
‘‘(2) SUBMISSION TO THE SECRETARY AND CON-
GRESS.—Not later than 30 days after receipt of the 
written report pursuant to paragraph (1)(B), the
546 
† HR 1892 EAS2 
Federal Interagency Council on Social Impact Part-
nerships shall submit the report to the Secretary and 
each committee of jurisdiction in the House of Rep-
resentatives and the Senate. 
‘‘(f) LIMITATION ON COST OF EVALUATIONS.—Of the 
amount made available under this subtitle for social impact 
partnership projects, the Secretary may not obligate more 
than 15 percent to evaluate the implementation and out-
comes of the projects. 
‘‘(g) DELEGATION
OF AUTHORITY.—The Secretary 
may transfer to the head of another Federal agency the au-
thorities provided in this section and any funds necessary 
to exercise the authorities. 
‘‘FEDERAL INTERAGENCY COUNCIL ON SOCIAL IMPACT 
PARTNERSHIPS 
‘‘SEC. 2056. (a) ESTABLISHMENT.—There is estab-
lished the Federal Interagency Council on Social Impact 
Partnerships (in this section referred to as the ‘Council’) 
to— 
‘‘(1) coordinate with the Secretary on the efforts 
of social impact partnership projects funded under 
this subtitle; 
‘‘(2) advise and assist the Secretary in the devel-
opment and implementation of the projects; 
‘‘(3) advise the Secretary on specific pro-
grammatic and policy matter related to the projects;
547 
† HR 1892 EAS2 
‘‘(4) provide subject-matter expertise to the Sec-
retary with regard to the projects; 
‘‘(5) certify to the Secretary that each State or 
local government that has entered into an agreement 
with the Secretary for a social impact partnership 
project under this subtitle and each evaluator selected 
by the head of the relevant agency under section 2055 
has access to Federal administrative data to assist the 
State or local government and the evaluator in evalu-
ating the performance and outcomes of the project; 
‘‘(6) address issues that will influence the future 
of social impact partnership projects in the United 
States; 
‘‘(7) provide guidance to the executive branch on 
the future of social impact partnership projects in the 
United States; 
‘‘(8) prior to approval by the Secretary, certify 
that each State and local government application for 
a social impact partnership contains rigorous, inde-
pendent data and reliable, evidence-based research 
methodologies to support the conclusion that the 
project will yield savings to the State or local govern-
ment or the Federal Government if the project out-
comes are achieved;
548 
† HR 1892 EAS2 
‘‘(9) certify to the Secretary, in the case of each 
approved social impact partnership that is expected 
to yield savings to the Federal Government, that the 
project will yield a projected savings to the Federal 
Government if the project outcomes are achieved, and 
coordinate with the relevant Federal agency to 
produce an after-action accounting once the project is 
complete to determine the actual Federal savings real-
ized, and the extent to which actual savings aligned 
with projected savings; and 
‘‘(10) provide periodic reports to the Secretary 
and make available reports periodically to Congress 
and the public on the implementation of this subtitle. 
‘‘(b) COMPOSITION OF COUNCIL.—The Council shall 
have 11 members, as follows: 
‘‘(1) CHAIR.—The Chair of the Council shall be 
the Director of the Office of Management and Budget. 
‘‘(2) OTHER MEMBERS.—The head of each of the 
following entities shall designate one officer or em-
ployee of the entity to be a Council member: 
‘‘(A) The Department of Labor. 
‘‘(B) The Department of Health and 
Human Services. 
‘‘(C) The Social Security Administration. 
‘‘(D) The Department of Agriculture.
549 
† HR 1892 EAS2 
‘‘(E) The Department of Justice. 
‘‘(F) The Department of Housing and 
Urban Development. 
‘‘(G) The Department of Education. 
‘‘(H) The Department of Veterans Affairs. 
‘‘(I) The Department of the Treasury. 
‘‘(J) The Corporation for National and 
Community Service. 
‘‘COMMISSION ON SOCIAL IMPACT PARTNERSHIPS 
‘‘SEC. 2057. (a) ESTABLISHMENT.—There is estab-
lished the Commission on Social Impact Partnerships (in 
this section referred to as the ‘Commission’). 
‘‘(b) DUTIES.—The duties of the Commission shall be 
to— 
‘‘(1) assist the Secretary and the Federal Inter-
agency Council on Social Impact Partnerships in re-
viewing applications for funding under this subtitle; 
‘‘(2) make recommendations to the Secretary and 
the Federal Interagency Council on Social Impact 
Partnerships regarding the funding of social impact 
partnership agreements and feasibility studies; and 
‘‘(3) provide other assistance and information as 
requested by the Secretary or the Federal Interagency 
Council on Social Impact Partnerships. 
‘‘(c) COMPOSITION.—The Commission shall be com-
posed of nine members, of whom—
550 
† HR 1892 EAS2 
‘‘(1) one shall be appointed by the President, 
who will serve as the Chair of the Commission; 
‘‘(2) one shall be appointed by the Majority 
Leader of the Senate; 
‘‘(3) one shall be appointed by the Minority 
Leader of the Senate; 
‘‘(4) one shall be appointed by the Speaker of the 
House of Representatives; 
‘‘(5) one shall be appointed by the Minority 
Leader of the House of Representatives; 
‘‘(6) one shall be appointed by the Chairman of 
the Committee on Finance of the Senate; 
‘‘(7) one shall be appointed by the ranking mem-
ber of the Committee on Finance of the Senate; 
‘‘(8) one member shall be appointed by the 
Chairman of the Committee on Ways and Means of 
the House of Representatives; and 
‘‘(9) one shall be appointed by the ranking mem-
ber of the Committee on Ways and Means of the 
House of Representatives. 
‘‘(d) QUALIFICATIONS OF COMMISSION MEMBERS.— 
The members of the Commission shall— 
‘‘(1) be experienced in finance, economics, pay 
for performance, or program evaluation;
551 
† HR 1892 EAS2 
‘‘(2) have relevant professional or personal expe-
rience in a field related to one or more of the out-
comes listed in this subtitle; or 
‘‘(3) be qualified to review applications for social 
impact partnership projects to determine whether the 
proposed metrics and evaluation methodologies are 
appropriately rigorous and reliant upon independent 
data and evidence-based research. 
‘‘(e) TIMING OF APPOINTMENTS.—The appointments of 
the members of the Commission shall be made not later than 
120 days after the date of the enactment of this subtitle, 
or, in the event of a vacancy, not later than 90 days after 
the date the vacancy arises. If a member of Congress fails 
to appoint a member by that date, the President may select 
a member of the President’s choice on behalf of the member 
of Congress. Notwithstanding the preceding sentence, if not 
all appointments have been made to the Commission as of 
that date, the Commission may operate with no fewer than 
five members until all appointments have been made. 
‘‘(f) TERM OF APPOINTMENTS.— 
‘‘(1) IN
GENERAL.—The members appointed 
under subsection (c) shall serve as follows: 
‘‘(A) Three members shall serve for 2 years. 
‘‘(B) Three members shall serve for 3 years.
552 
† HR 1892 EAS2 
‘‘(C) Three members (one of which shall be 
Chair of the Commission appointed by the Presi-
dent) shall serve for 4 years. 
‘‘(2) ASSIGNMENT OF TERMS.—The Commission 
shall designate the term length that each member ap-
pointed under subsection (c) shall serve by unanimous 
agreement. In the event that unanimous agreement 
cannot be reached, term lengths shall be assigned to 
the members by a random process. 
‘‘(g) VACANCIES.—Subject to subsection (e), in the 
event of a vacancy in the Commission, whether due to the 
resignation of a member, the expiration of a member’s term, 
or any other reason, the vacancy shall be filled in the man-
ner in which the original appointment was made and shall 
not affect the powers of the Commission. 
‘‘(h) APPOINTMENT POWER.—Members of the Commis-
sion appointed under subsection (c) shall not be subject to 
confirmation by the Senate. 
‘‘LIMITATION ON USE OF FUNDS 
‘‘SEC. 2058. Of the amounts made available to carry 
out this subtitle, the Secretary may not use more than 
$2,000,000 in any fiscal year to support the review, ap-
proval, and oversight of social impact partnership projects, 
including activities conducted by— 
‘‘(1) the Federal Interagency Council on Social 
Impact Partnerships; and
553 
† HR 1892 EAS2 
‘‘(2) any other agency consulted by the Secretary 
before approving a social impact partnership project 
or a feasibility study under section 2054. 
‘‘NO FEDERAL FUNDING FOR CREDIT ENHANCEMENTS 
‘‘SEC. 2059. No amount made available to carry out 
this subtitle may be used to provide any insurance, guar-
antee, or other credit enhancement to a State or local gov-
ernment under which a Federal payment would be made 
to a State or local government as the result of a State or 
local government failing to achieve an outcome specified in 
an agreement. 
‘‘AVAILABILITY OF FUNDS 
‘‘SEC. 2060. Amounts made available to carry out this 
subtitle shall remain available until 10 years after the date 
of the enactment of this subtitle. 
‘‘WEBSITE 
‘‘SEC. 2061. The Federal Interagency Council on So-
cial Impact Partnerships shall establish and maintain a 
public website that shall display the following: 
‘‘(1) A copy of, or method of accessing, each no-
tice published regarding a social impact partnership 
project pursuant to this subtitle. 
‘‘(2) A copy of each feasibility study funded 
under this subtitle. 
‘‘(3) For each State or local government that has 
entered into an agreement with the Secretary for a so-
554 
† HR 1892 EAS2 
cial impact partnership project, the website shall con-
tain the following information: 
‘‘(A) The outcome goals of the project. 
‘‘(B) A description of each intervention in 
the project. 
‘‘(C) The target population that will be 
served by the project. 
‘‘(D) The expected social benefits to partici-
pants who receive the intervention and others 
who may be impacted. 
‘‘(E) The detailed roles, responsibilities, and 
purposes of each Federal, State, or local govern-
ment entity, intermediary, service provider, 
independent evaluator, investor, or other stake-
holder. 
‘‘(F) The payment terms, methodology used 
to calculate outcome payments, the payment 
schedule, and performance thresholds. 
‘‘(G) The project budget. 
‘‘(H) The project timeline. 
‘‘(I) The project eligibility criteria. 
‘‘(J) The evaluation design. 
‘‘(K) The metrics used to determine whether 
the proposed outcomes have been achieved and 
how these metrics are measured.
555 
† HR 1892 EAS2 
‘‘(4) A copy of the progress reports and the final 
reports relating to each social impact partnership 
project. 
‘‘(5) An estimate of the savings to the Federal, 
State, and local government, on a program-by-pro-
gram basis and in the aggregate, resulting from the 
successful completion of the social impact partnership 
project. 
‘‘REGULATIONS 
‘‘SEC. 2062. The Secretary, in consultation with the 
Federal Interagency Council on Social Impact Partner-
ships, may issue regulations as necessary to carry out this 
subtitle. 
‘‘DEFINITIONS 
‘‘SEC. 2063. In this subtitle: 
‘‘(1) AGENCY.—The term ‘agency’ has the mean-
ing given that term in section 551 of title 5, United 
States Code. 
‘‘(2) INTERVENTION.—The term ‘intervention’ 
means a specific service delivered to achieve an im-
pact through a social impact partnership project. 
‘‘(3) SECRETARY.—The term ‘Secretary’ means 
the Secretary of the Treasury. 
‘‘(4) SOCIAL IMPACT PARTNERSHIP PROJECT.— 
The term ‘social impact partnership project’ means a
556 
† HR 1892 EAS2 
project that finances social services using a social im-
pact partnership model. 
‘‘(5) SOCIAL IMPACT PARTNERSHIP MODEL.—The 
term ‘social impact partnership model’ means a 
method of financing social services in which— 
‘‘(A) Federal funds are awarded to a State 
or local government only if a State or local gov-
ernment achieves certain outcomes agreed on by 
the State or local government and the Secretary; 
and 
‘‘(B) the State or local government coordi-
nates with service providers, investors (if appli-
cable to the project), and (if necessary) an inter-
mediary to identify— 
‘‘(i) 
an 
intervention 
expected 
to 
produce the outcome; 
‘‘(ii) a service provider to deliver the 
intervention to the target population; and 
‘‘(iii) investors to fund the delivery of 
the intervention. 
‘‘(6) STATE.—The term ‘State’ means each State 
of the United States, the District of Columbia, each 
commonwealth, territory or possession of the United 
States, and each federally recognized Indian tribe.
557 
† HR 1892 EAS2 
‘‘FUNDING 
‘‘SEC. 2064. Out of any money in the Treasury of the 
United States not otherwise appropriated, there is hereby 
appropriated $100,000,000 for fiscal year 2018 to carry out 
this subtitle.’’. 
TITLE IX—PUBLIC HEALTH 
PROGRAMS 
SEC. 50901. EXTENSION FOR COMMUNITY HEALTH CEN-
TERS, 
THE 
NATIONAL 
HEALTH 
SERVICE 
CORPS, AND TEACHING HEALTH CENTERS 
THAT OPERATE GME PROGRAMS. 
(a) COMMUNITY HEALTH CENTERS FUNDING.—Sec-
tion 10503(b)(1)(F) of the Patient Protection and Afford-
able Care Act (42 U.S.C. 254b–2(b)(1)(F)), as amended by 
section 3101 of Public Law 115–96, is amended to read as 
follows: 
‘‘(F) $3,800,000,000 for fiscal year 2018 
and $4,000,000,000 for fiscal year 2019.’’. 
(b) OTHER COMMUNITY HEALTH CENTERS PROVI-
SIONS.—Section 330 of the Public Health Service Act (42 
U.S.C. 254b) is amended— 
(1) in subsection (b)(1)(A)(ii), by striking 
‘‘abuse’’ and inserting ‘‘use disorder’’; 
(2) in subsection (b)(2)(A), by striking ‘‘abuse’’ 
and inserting ‘‘use disorder’’;
558 
† HR 1892 EAS2 
(3) in subsection (c)— 
(A) in paragraph (1), by striking subpara-
graphs (B) through (D); 
(B) by striking ‘‘(1) IN GENERAL’’ and all 
that follows through ‘‘The Secretary’’ and insert-
ing the following: 
‘‘(1) CENTERS.—The Secretary’’; and 
(C) in paragraph (1), as amended, by redes-
ignating clauses (i) through (v) as subpara-
graphs (A) through (E) and moving the margin 
of each of such redesignated subparagraph 2 ems 
to the left; 
(4) by striking subsection (d) and inserting the 
following: 
‘‘(d) IMPROVING QUALITY OF CARE.— 
‘‘(1) SUPPLEMENTAL
AWARDS.—The Secretary 
may award supplemental grant funds to health cen-
ters funded under this section to implement evidence- 
based models for increasing access to high-quality pri-
mary care services, which may include models related 
to— 
‘‘(A) improving the delivery of care for in-
dividuals with multiple chronic conditions; 
‘‘(B) workforce configuration; 
‘‘(C) reducing the cost of care;
559 
† HR 1892 EAS2 
‘‘(D) enhancing care coordination; 
‘‘(E) expanding the use of telehealth and 
technology-enabled collaborative learning and ca-
pacity building models; 
‘‘(F) care integration, including integration 
of behavioral health, mental health, or substance 
use disorder services; and 
‘‘(G) addressing emerging public health or 
substance use disorder issues to meet the health 
needs of the population served by the health cen-
ter. 
‘‘(2) SUSTAINABILITY.—In making supplemental 
awards under this subsection, the Secretary may con-
sider whether the health center involved has submitted 
a plan for continuing the activities funded under this 
subsection after supplemental funding is expended. 
‘‘(3) SPECIAL
CONSIDERATION.—The Secretary 
may give special consideration to applications for 
supplemental funding under this subsection that seek 
to address significant barriers to access to care in 
areas with a greater shortage of health care providers 
and health services relative to the national average.’’; 
(5) in subsection (e)(1)— 
(A) in subparagraph (B)—
560 
† HR 1892 EAS2 
(i) by striking ‘‘2 years’’ and inserting 
‘‘1 year’’; and 
(ii) by adding at the end the following: 
‘‘The Secretary shall not make a grant 
under this paragraph unless the applicant 
provides assurances to the Secretary that 
within 120 days of receiving grant funding 
for the operation of the health center, the 
applicant will submit, for approval by the 
Secretary, an implementation plan to meet 
the requirements of subsection (k)(3). The 
Secretary may extend such 120-day period 
for achieving compliance upon a demonstra-
tion of good cause by the health center.’’; 
and 
(B) in subparagraph (C)— 
(i) in the subparagraph heading, by 
striking ‘‘AND PLANS’’; 
(ii) by striking ‘‘or plan (as described 
in subparagraphs (B) and (C) of subsection 
(c)(1))’’; 
(iii) by striking ‘‘or plan, including 
the purchase’’ and inserting the following: 
‘‘including— 
‘‘(i) the purchase’’;
561 
† HR 1892 EAS2 
(iv) by inserting ‘‘, which may include 
data and information systems’’ after ‘‘of 
equipment’’; 
(v) by striking the period at the end 
and inserting a semicolon; and 
(vi) by adding at the end the following: 
‘‘(ii) the provision of training and 
technical assistance; and 
‘‘(iii) other activities that— 
‘‘(I) reduce costs associated with 
the provision of health services; 
‘‘(II) improve access to, and 
availability of, health services provided 
to individuals served by the centers; 
‘‘(III) enhance the quality and co-
ordination of health services; or 
‘‘(IV) improve the health status of 
communities.’’; 
(6) in subsection (e)(5)(B)— 
(A) in the heading of subparagraph (B), by 
striking ‘‘AND PLANS’’; and 
(B) by striking ‘‘and subparagraphs (B) 
and (C) of subsection (c)(1) to a health center or 
to a network or plan’’ and inserting ‘‘to a health 
center or to a network’’;
562 
† HR 1892 EAS2 
(7) in subsection (e), by adding at the end the 
following: 
‘‘(6) NEW ACCESS POINTS AND EXPANDED SERV-
ICES.— 
‘‘(A) APPROVAL OF NEW ACCESS POINTS.— 
‘‘(i) IN GENERAL.—The Secretary may 
approve applications for grants under sub-
paragraph (A) or (B) of paragraph (1) to 
establish new delivery sites. 
‘‘(ii) 
SPECIAL
CONSIDERATION.—In 
carrying out clause (i), the Secretary may 
give special consideration to applicants that 
have demonstrated the new delivery site will 
be located within a sparsely populated area, 
or an area which has a level of unmet need 
that is higher relative to other applicants. 
‘‘(iii) CONSIDERATION
OF
APPLICA-
TIONS.—In carrying out clause (i), the Sec-
retary shall approve applications for grants 
in such a manner that the ratio of the 
medically underserved populations in rural 
areas which may be expected to use the serv-
ices provided by the applicants involved to 
the medically underserved populations in 
urban areas which may be expected to use
563 
† HR 1892 EAS2 
the services provided by the applicants is 
not less than two to three or greater than 
three to two. 
‘‘(iv) SERVICE AREA OVERLAP.—If in 
carrying out clause (i) the applicant pro-
poses to serve an area that is currently 
served by another health center funded 
under this section, the Secretary may con-
sider whether the award of funding to an 
additional health center in the area can be 
justified based on the unmet need for addi-
tional services within the catchment area. 
‘‘(B) APPROVAL OF EXPANDED SERVICE AP-
PLICATIONS.— 
‘‘(i) IN GENERAL.—The Secretary may 
approve applications for grants under sub-
paragraph (A) or (B) of paragraph (1) to 
expand the capacity of the applicant to pro-
vide required primary health services de-
scribed in subsection (b)(1) or additional 
health services described in subsection 
(b)(2). 
‘‘(ii) 
PRIORITY
EXPANSION 
PROJECTS.—In carrying out clause (i), the 
Secretary may give special consideration to
564 
† HR 1892 EAS2 
expanded service applications that seek to 
address emerging public health or behav-
ioral health, mental health, or substance 
abuse issues through increasing the avail-
ability of additional health services de-
scribed in subsection (b)(2) in an area in 
which there are significant barriers to ac-
cessing care. 
‘‘(iii) CONSIDERATION
OF
APPLICA-
TIONS.—In carrying out clause (i), the Sec-
retary shall approve applications for grants 
in such a manner that the ratio of the 
medically underserved populations in rural 
areas which may be expected to use the serv-
ices provided by the applicants involved to 
the medically underserved populations in 
urban areas which may be expected to use 
the services provided by such applicants is 
not less than two to three or greater than 
three to two.’’; 
(8) in subsection (h)— 
(A) in paragraph (1), by striking ‘‘and 
children and youth at risk of homelessness’’ and 
inserting ‘‘, children and youth at risk of home-