(ii) child health, cognitive, language, 
social-emotional, and physical development 
indicators; 
(iii) child maltreatment indicators for 
child abuse and neglect prevention; 
(iv) school readiness indicators; and 
(v) links to community services. 
(I) A description of how the lead State 
agency will ensure that the home visitation pro-
grams will conduct outreach activities to target 
both mothers and fathers, and increase father 
involvement where appropriate. 
(J) A description of how the lead State 
agency will increase home visitation programs 
participation rates for fathers. 
(K) A description of how the lead State 
agency will ensure that services are made avail-
able under the program to grandparents, other 
relatives or foster parents, of a child from birth 
through age 5 who serve as the primary care-
giver of the child. 
(L) Such other information as the Sec-
retary may require. 
(d) APPROVAL OF APPLICATIONS.— 
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(1) IN GENERAL.—The Secretary shall approve 
an application under this section based on the rec-
ommendations of a peer review panel, as described 
in paragraph (2). The panel shall recommend appli-
cants to the Secretary based on the quality of their 
applications. In addition to ensuring that the appli-
cation is complete, the panel shall consider the qual-
ity of the needs assessment, described in subsection 
(c)(5); the quality of the programs to be funded by 
the grant, described in subsection (c)(6)(B) and the 
quality of the plan for collaboration described in 
subsections (c)(6)(E) and (c)(6)(F). In assessing the 
quality of the programs to be funded, the panel shall 
give consideration to recommending some applicants 
that will fund programs that incorporate comparison 
or control groups in their service delivery model, rec-
ognizing that not all quality programs will be able 
to do so but that having some such programs would 
contribute to the evaluations required in subsection 
(c)(6)(H) and section 9. 
(2) PEER
REVIEW
PANEL.—The peer review 
panel shall include not less than— 
(A) 3 individuals who are experts in the 
field of home visitation; 
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(B) 2 individuals who are experts in early 
childhood development; 
(C) 1 individual with expertise imple-
menting a statewide program of early childhood 
home visitation; 
(D) 1 individual who is a board certified 
pediatrician or a developmental pediatrician; 
and 
(E) 1 individual with experience in admin-
istering public or private (including community- 
based) child maltreatment prevention programs. 
(e) DURATION OF GRANTS.—Grants made under this 
section shall be for a period of no more than 3 years. 
(f) STATE USES OF FUNDS.—Each State that re-
ceives a grant under this section shall— 
(1) provide to as many eligible families in the 
State as practicable, voluntary early childhood home 
visitation, on not less frequently than a monthly 
basis with greater frequency of services for those eli-
gible families identified with additional needs, 
through the implementation of quality programs of 
early childhood home visitation that— 
(A) adopts a clear, consistent model that is 
grounded in empirically-based knowledge re-
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lated to home visiting and linked to program- 
determined outcomes; 
(B) employs well-trained and competent 
staff, as demonstrated by education or training, 
and the provision of ongoing and specific train-
ing on the model being delivered; 
(C) maintains high quality supervision to 
establish home visitor competencies; 
(D) shows strong organizational capacity 
to implement the program involved; 
(E) establishes appropriate linkages and 
referral networks to other community resources 
and supports; 
(F) monitors fidelity of program implemen-
tation to assure that services are delivered ac-
cording to the specified model; 
(G) establishes procedures to ensure par-
ticipation of fathers, where safe and appro-
priate; 
(H) are research-based, that provides par-
ents with— 
(i) knowledge of age appropriate child 
development in cognitive, language, social- 
emotional, and motor domains; 
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(ii) knowledge of realistic expectations 
of age-appropriate child behaviors; 
(iii) knowledge of health and wellness 
issues for children and parents; 
(iv) modeling, consulting, and coach-
ing on parenting practices; 
(v) skills to interact with their child to 
enhance age-appropriate development; 
(vi) skills to recognize and seek help 
for issues related to health, developmental 
delays, and social, emotional, and behav-
ioral skills; 
(vii) activities designed to help par-
ents become full partners in the education 
of their children; and 
(viii) relevant information, consistent 
with State child welfare agency training, 
concerning child welfare and protective 
services resources if appropriate; 
(I) ascertains what health and develop-
mental services the family receives and work 
with these providers to eliminate gaps in service 
by offering annual health, vision, hearing, and 
developmental screening for children from birth 
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to entry into kindergarten, when not otherwise 
provided; 
(J) provides referrals for eligible families, 
as needed, to additional resources available in 
the community, such as center-based early edu-
cation programs, child care services, health or 
mental health services, family literacy pro-
grams, employment agencies, social services, fa-
therhood programs, and child care resource and 
referral agencies; and 
(K) offers group meetings (at program dis-
cretion) for eligible families that— 
(i) further enhance the information, 
activities, and skill-building addressed dur-
ing home visitation; and 
(ii) offer opportunities for parents to 
meet with and support each other. 
(2) reserve 10 percent of the grant funds to 
provide training and technical assistance, directly or 
through contract, to early childhood home visitation 
and early childhood care and education staff relating 
to— 
(A) effective methods of implementing par-
ent education, conducting home visiting, and 
promoting quality early childhood development; 
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(B) the relationship of health and well- 
being of pregnant women to prenatal and early 
childhood development; 
(C) early childhood development with re-
spect to children from birth until entry into kin-
dergarten; 
(D) methods to help parents promote 
emergent literacy in their children from birth 
until entry into kindergarten; 
(E) health, vision, hearing, and develop-
mental screenings; 
(F) strategies for helping eligible families 
with special needs or those eligible families cop-
ing with crisis; 
(G) recruiting, supervising, and retaining 
qualified staff; 
(H) increasing services for underserved 
populations; 
(I) methods to help parents effectively re-
spond to their children’s needs and behaviors; 
(J) implementation of ongoing program 
quality improvement and evaluation of activities 
and outcomes; 
(K) relevant issues related to child welfare 
and protective services, with information pro-
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vided being consistent with state child welfare 
agency training; 
(L) effective methods of successfully en-
gaging fathers in programs for parents; and 
(M) the relationship of father involvement 
to the health and well-being of pregnant women 
and to prenatal and early childhood develop-
ment; 
(3) ensure collaboration among child-serving 
programs through an existing or created State-level 
early childhood coordinating body that meets regu-
larly to address policy and implementation issues 
that will improve the coordination of a range of serv-
ices for children and families, especially those receiv-
ing home visitation services, and such coordinating 
body shall include— 
(A) representatives from quality programs 
of early childhood home visitation; 
(B) representatives from early childhood 
education and care programs, including the 
state agency responsible for administering the 
Child Care and Development Block Grant, the 
State Head Start collaboration director, the 
State child care resource and referral office, 
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and representatives from State Head Start As-
sociations; 
(C) representatives of early intervention 
programs, such as the State official responsible 
for carrying out activities under part C of the 
Individuals with Disabilities Education Act (20 
U.S.C. 1431 et seq.) and the State official re-
sponsible for carrying out activities under sec-
tion 619 of the Individuals with Disabilities 
Education Act (20 U.S.C. 1419); 
(D) representatives from child welfare pro-
grams, including the State agency responsible 
for carrying out the plan under section 106 of 
the Child Abuse Prevention and Treatment Act 
(42 U.S.C. 5106 et seq.) and the State agency 
responsible for administering titles IV–B and 
IV–E of the Social Security Act; 
(E) representatives from children’s health 
insurance programs, including the State agency 
administering titles XIX and XXI of the Social 
Security Act; 
(F) representatives from nutrition pro-
grams, such as Food Stamps (7 U.S.C. 2011 et 
seq.), Special Supplemental Nutrition Program 
for Women Infants and Children (42 U.S.C. 
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1786) and the Child and Adult Care Food Pro-
gram (42 U.S.C. 1766 ); 
(G) representatives from substance abuse 
and mental health prevention and treatment 
programs, including the State agency respon-
sible for administering the Substance Abuse 
Prevention and Treatment Block Grant (42 
U.S.C. 300x–21 et seq.) and the State agency 
responsible for administering the Mental Health 
Services Block Grant (42 U.S.C. 300x–1 et 
seq.); 
(H) representatives from domestic and 
family violence prevention programs; 
(I) representatives from the State child 
support enforcement program responsible for 
administering title IV–D of the Social Security 
Act; 
(J) representatives from workforce develop-
ment programs, including the State-level and 
local Workforce Investment Boards (20 U.S.C. 
9201 et seq.); 
(K) representatives from the State Tem-
porary Assistance for Needy Families program 
administering title IV–A of the Social Security 
Act; 
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(L) representatives of other child-serving 
programs, including the State agency respon-
sible for administering title XX of the Social 
Security Act; and 
(M) a board certified pediatrician or a de-
velopmental pediatrician; and 
(4) not expend more than 5 percent of the 
amount of grant funds received under this section 
for the administration of the grant, including plan-
ning, administration, and annual reporting. 
(g) MAINTENANCE OF EFFORT.—A State is entitled 
to receive its full allotment of funds under this section for 
any fiscal year if the Secretary finds that the aggregate 
expenditures within the State for quality programs of 
early childhood home visitation for the fiscal year pre-
ceding the fiscal year for which the determination is made 
was not less than 100 percent of such aggregate expendi-
tures for the second fiscal year preceding the fiscal year 
for which the determination is made. 
(h) REPORTING REQUIREMENTS.—Each State that 
receives a grant under this section shall submit an annual 
report to the Secretary regarding the State’s progress in 
addressing the purposes of this Act. Such report shall in-
clude, at a minimum, a description of— 
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(1) actual service delivery provided under the 
grant including— 
(A) program characteristics including de-
scriptive information on the service model used 
and actual program performance; 
(B) provider characteristics including staff 
qualifications, work experience, and demo-
graphic characteristics; and 
(C) 
recipient 
characteristics 
including 
number, demographic characteristics, and fam-
ily retention; 
(2) recipient outcomes that are consistent with 
program goals including, where appropriate given 
the program being evaluated— 
(A) parent knowledge of early learning and 
development; 
(B) child health cognitive, language, social- 
emotional, and physical developmental indica-
tors; 
(C) child maltreatment indicators, for child 
abuse and neglect prevention; 
(D) school readiness indicators; and 
(E) links to community services; 
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(3) the research-based instruction, materials, 
and activities being used in the activities funded 
under the grant; 
(4) the effectiveness of the training and ongoing 
professional development provided— 
(A) to staff supported under the grant; 
and 
(B) to the broader early childhood commu-
nity; 
(5) beginning at the end of the second year of 
the grant, the results of evaluations described in 
subsection (c)(6)(H); and 
(6) the annual program implementation costs, 
including the cost for each family served under the 
program. 
SEC. 5. STRENGTHENING EARLY HEAD START HOME VISI-
TATION. 
Section 645A of the Head Start Act (42 U.S.C. 
9840a) is amended— 
(1) in subsection (b)— 
(A) in paragraph (4), by striking ‘‘provide 
services to parents to support their role as par-
ents’’ and inserting ‘‘provide additional services 
to parents to support their role as parents (in-
cluding training in parenting skills, basic child 
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development, and sensitivity to cultural vari-
ations in parenting norms and attitudes toward 
formal supports)’’; 
(B) in paragraph (5)— 
(i) by inserting ‘‘(including home- 
based services)’’ after ‘‘with services’’; and 
(ii) by inserting ‘‘, and family support 
services’’ after ‘‘health services’’; 
(C) by redesignating paragraphs (7), (8), 
and (9) as paragraphs (9), (10), and (11), re-
spectively; and 
(D) by inserting after paragraph (6) the 
following: 
‘‘(7) develop and implement a systematic proce-
dure for transitioning children and parents from an 
Early Head Start program into a Head Start pro-
gram or another local early childhood education pro-
gram; 
‘‘(8) establish channels of communication be-
tween staff of Early Head Start programs and staff 
of Head Start programs or other local early child-
hood education programs, to facilitate the coordina-
tion of programs;’’; 
(2) in subsection (g)(2)(B), by striking clause 
(iv) and inserting the following: 
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‘‘(iv) providing professional develop-
ment and personnel enhancement activi-
ties, including the provision of funds to re-
cipients of grants under subsection (a), re-
lating to effective methods of implementing 
parent education, conducting home vis-
iting, and promoting quality early child-
hood development.’’; and 
(3) by adding at the end the following: 
‘‘(h) STAFF QUALIFICATIONS AND DEVELOPMENT.— 
‘‘(1) HOME VISITOR STAFF.— 
‘‘(A) STANDARDS.—In order to further en-
hance the quality of home visiting services pro-
vided to families of children participating in 
home-based, center-based, or combination pro-
gram options under this subchapter, the Sec-
retary shall establish standards for training, 
qualifications, and the conduct of home visits 
for home visitor staff in Early Head Start pro-
grams. 
‘‘(B) 
CONTENTS.—The 
standards 
for 
training, qualifications, and the conduct of 
home visits shall include content related to— 
‘‘(i) structured child-focused home vis-
iting that promotes parents’ ability to sup-
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port the child’s cognitive, social, emotional, 
and physical development; 
‘‘(ii) effective strengths-based parent 
education, including methods to encourage 
parents as their child’s first teachers; 
‘‘(iii) early childhood development 
with respect to children from birth through 
age 3; 
‘‘(iv) methods to help parents promote 
emergent literacy in their children from 
birth through age 3; 
‘‘(v) ascertaining what health and de-
velopmental services the family receives 
and working with these providers to elimi-
nate gaps in service by offering annual 
health, vision, hearing, and developmental 
screening for children from birth to entry 
into kindergarten, when needed; 
‘‘(vi) strategies for helping families 
coping with crisis; and 
‘‘(vii) the relationship of health and 
well-being of pregnant women to prenatal 
and early child development.’’. 
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SEC. 6. TARGETED GRANTS FOR EARLY CHILDHOOD HOME 
VISITATION FOR FAMILIES WITH ENGLISH 
LANGUAGE LEARNERS. 
(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education, shall make grants, on 
a competitive basis, to eligible applicants to enable such 
applicants to support and expand local efforts to deliver 
services under quality programs of early childhood home 
visitation to eligible families with English language learn-
ers. 
(b) ELIGIBLE APPLICANT.—In this section, the term 
‘‘eligible applicant’’ means— 
(1) 1 or more local educational agencies (as de-
fined in section 9101 of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 7801)); 
and 
(2) 1 or more public or private community- 
based organizations or agencies that serve eligible 
families and are capable of establishing and imple-
menting programs of early childhood home visita-
tion. 
(c) APPLICATIONS.—An eligible applicant that de-
sires to receive a grant under this section shall submit an 
application to the Secretary at such time, in such manner, 
and containing such information as the Secretary may re-
quire. The application shall include a description of— 
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(1) the results of a communitywide needs as-
sessment that describes— 
(A) 
community 
demographics 
dem-
onstrating the need for outreach and services to 
eligible families with English language learners; 
(B) the quality and capacity of existing 
programs of early childhood home visitation for 
eligible families with English language learners 
in the community; 
(C) the gaps in programs of early child-
hood home visitation for eligible families with 
English language learners in the community; 
and 
(D) the type of program of early childhood 
home visitation necessary to address the gaps 
identified; 
(2) the program of early childhood home visita-
tion that will be supported by the grant under this 
section; 
(3) how the proposed program of early child-
hood home visitation will promote positive parenting 
skills and children’s early learning and development; 
(4) how the proposed program of early child-
hood home visitation will incorporate the authorized 
activities described in subsection (f); 
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(5) how services provided through a grant 
under this section will use materials that are geared 
toward eligible families with English language learn-
ers; 
(6) how the activities under this section will 
build on and promote coordination among existing 
programs of early childhood home visitation, if such 
programs exist in the community, in an effort to 
promote an array of home visitation that ensures 
more eligible families with English language learners 
are being served and are getting the most appro-
priate services to meet their needs; 
(7) how the program will ensure that— 
(A) eligible families with English language 
learners are linked to schools; and 
(B) the activities under this section will 
support the preparation of children for school; 
(8) how channels of communication will be es-
tablished between staff of programs of early child-
hood home visitation and staff of other early child-
hood education programs, such as Head Start pro-
grams carried out under the Head Start Act (42 
U.S.C. 9831 et seq.) and Early Head Start pro-
grams carried out under section 645A of such Act, 
preschool programs, and child care programs, to fa-
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