I 
110TH CONGRESS 
2D SESSION 
H. R. 5876 
To require certain standards and enforcement provisions to prevent child 
abuse and neglect in residential programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 23, 2008 
Mr. GEORGE MILLER of California (for himself, Mrs. MCCARTHY of New 
York, Mr. PAYNE, Mr. HARE, Mr. HINOJOSA, Mr. SCOTT of Virginia, Mr. 
GRIJALVA, Mr. DAVIS of Illinois, Mr. KILDEE, Ms. WOOLSEY, and Mr. 
KUCINICH) introduced the following bill; which was referred to the Com-
mittee on Education and Labor 
A BILL 
To require certain standards and enforcement provisions to 
prevent child abuse and neglect in residential programs, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stop Child Abuse in 
Residential Programs for Teens Act of 2008’’. 
SEC. 2. DEFINITIONS. 
In this Act: 
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(1) ASSISTANT SECRETARY.—The term ‘‘Assist-
ant Secretary’’ means the Assistant Secretary for 
Children and Families of the Department of Health 
and Human Services. 
(2) CHILD.—The term ‘‘child’’ means an indi-
vidual who has not attained the age of 18. 
(3) CHILD ABUSE AND NEGLECT.—The term 
‘‘child abuse and neglect’’ has the meaning given 
such term in section 111 of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5106g). 
(4) COVERED PROGRAM.— 
(A) IN GENERAL.—The term ‘‘covered pro-
gram’’ means each location of a program not 
operated by a governmental entity that, with re-
spect to one or more children who are unrelated 
to the owner or operator of the program— 
(i) provides a 24-hour residential envi-
ronment that provides specialized edu-
cation or treatment, therapy, counseling, 
behavior modification, discipline, rehabili-
tation, emotional growth services, or re-
lated services, such as— 
(I) a program with a wilderness 
or outdoor experience, expedition, or 
intervention; 
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(II) a boot camp experience or 
other experience designed to simulate 
characteristics of basic military train-
ing or correctional regimes; 
(III) 
a 
therapeutic 
boarding 
school; or 
(IV) a behavioral modification 
program; and 
(ii) operates with a focus on serving 
children with— 
(I) emotional, behavioral, or men-
tal health problems or disorders; or 
(II) problems with alcohol or sub-
stance abuse. 
(B) EXCLUSION.—The term ‘‘covered pro-
gram’’ does not include— 
(i) a hospital accredited by the State; 
(ii) a facility that is licensed and reg-
ulated by the State as a group home for 
children in foster care; or 
(iii) a psychiatric residential treat-
ment facility that is certified as meeting 
the requirements specified in regulations 
promulgated for such facilities under sec-
tion 1905(h)(1)(A) of the Social Security 
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Act and that provides psychiatric services 
for which medical assistance is available 
under a State plan under title XIX of such 
Act. 
(5) PROTECTION AND ADVOCACY SYSTEM.—The 
term ‘‘protection and advocacy system’’ means a 
protection and advocacy system established under 
section 143 of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000 (42 U.S.C. 
15043). 
(6) STATE.—The term ‘‘State’’ has the mean-
ing given such term in section 111 of the Child 
Abuse Prevention and Treatment Act. 
SEC. 3. STANDARDS AND ENFORCEMENT. 
(a) MINIMUM STANDARDS.— 
(1) IN
GENERAL.—Not later than 180 days 
after the date of the enactment of this Act, the As-
sistant Secretary for Children and Families of the 
Department of Health and Human Services shall re-
quire each location of a covered program that indi-
vidually or together with other locations has an ef-
fect on interstate commerce, in order to provide for 
the basic health and safety of children at such a pro-
gram, to meet the following minimum standards: 
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(A) Child abuse and neglect shall be pro-
hibited. 
(B) Disciplinary techniques or other prac-
tices that involve the withholding of essential 
food, water, clothing, shelter, or medical care 
necessary to maintain physical health, mental 
health, and general safety, shall be prohibited. 
(C) The protection and promotion of the 
right of each child at such a program to be free 
from physical and mechanical restraints and se-
clusion (as such terms are defined in section 
595 of the Public Health Service Act (42 
U.S.C. 290jj)) to the same extent and in the 
same manner as a non-medical, community- 
based facility for children and youth is required 
to protect and promote the right of its residents 
to be free from such restraints and seclusion 
under such section 595, including the prohibi-
tions and limitations described in subsection 
(b)(3) of such section. 
(D) Acts of physical or mental abuse de-
signed to humiliate, degrade, or undermine a 
child’s self-respect shall be prohibited. 
(E) Each child at such a program shall 
have reasonable access to a telephone, and be 
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informed of their right to such access, for mak-
ing and receiving phone calls with as much pri-
vacy as possible, and shall have access to the 
appropriate State or local child abuse reporting 
hotline number, and the national hotline num-
ber referred to in subsection (c)(2). 
(F) Each staff member, including volun-
teers, at such a program shall be required, as 
a condition of employment, to become familiar 
with what constitutes child abuse and neglect, 
as defined by State law. 
(G) Each staff member, including volun-
teers, at such a program shall be required, as 
a condition of employment, to become familiar 
with the requirements, including with State law 
relating to mandated reporters, and procedures 
for reporting child abuse and neglect in the 
State in which such a program is located. 
(H) Full disclosure, in writing, of staff 
qualifications and their roles and responsibil-
ities at such program, including medical, emer-
gency response, and mental health training, to 
parents of children at such a program, includ-
ing providing information on any staff changes, 
including changes to any staff member’s quali-
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fications, roles, or responsibilities, not later 
than 10 days after such changes occur. 
(I) Each staff member at a covered pro-
gram described in subclause (I) or (II) of sec-
tion 2(4)(A)(i) shall be required, as a condition 
of employment, to be familiar with the signs, 
symptoms, and appropriate responses associated 
with heatstroke, dehydration, and hypothermia. 
(J) Each staff member, including volun-
teers, shall be required, as a condition of em-
ployment, to submit to a criminal history check, 
including a name-based search of the National 
Sex Offender Registry established pursuant to 
the Adam Walsh Child Protection and Safety 
Act of 2006 (Public Law 109–248; 42 U.S.C. 
16901 et seq.), a search of the State criminal 
registry or repository in the State in which the 
covered program is operating, and a Federal 
Bureau of Investigation fingerprint check. An 
individual shall be ineligible to serve in a posi-
tion with any contact with children at a covered 
program if any such record check reveals a fel-
ony conviction for child abuse or neglect, spous-
al abuse, a crime against children (including 
child pornography), or a crime involving vio-
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lence, including rape, sexual assault, or homi-
cide, but not including other physical assault or 
battery. 
(K) Policies and procedures for the provi-
sion of emergency medical care, including poli-
cies for staff protocols for implementing emer-
gency responses. 
(L) All promotional and informational ma-
terials produced by such a program shall in-
clude a hyperlink to or the URL address of the 
website created by the Assistant Secretary pur-
suant to subsection (c)(1)(A). 
(M) Policies to require parents of a child 
attending such a program— 
(i) to notify, in writing, such program 
of any medication the child is taking; 
(ii) to be notified within 24 hours of 
any changes to the child’s medical treat-
ment and the reason for such change; and 
(iii) to be notified within 24 hours of 
any missed dosage of prescribed medica-
tion. 
(N) Procedures for notifying parents with 
children at such a program of any— 
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(i) on-site investigation of a report of 
child abuse and neglect; 
(ii) violation of the health and safety 
standards described in this paragraph; and 
(iii) violation of State licensing stand-
ards 
developed 
pursuant 
to 
section 
114(b)(1) of the Child Abuse Prevention 
and Treatment Act, as added by section 8 
of this Act. 
(O) Other standards the Assistant Sec-
retary determines appropriate to provide for the 
basic health and safety of children at such a 
program. 
(2) REGULATIONS.— 
(A) INTERIM
REGULATIONS.—Not later 
than 180 days after the date of the enactment 
of this Act, the Assistant Secretary shall pro-
mulgate and enforce interim regulations to 
carry out paragraph (1). 
(B) PUBLIC
COMMENT.—The Assistant 
Secretary shall, for a 90-day period beginning 
on the date of the promulgation of interim reg-
ulations under subparagraph (A) of this para-
graph, solicit and accept public comment con-
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cerning such regulations. Such public comment 
shall be submitted in written form. 
(C) FINAL REGULATIONS.—Not later than 
90 days after the conclusion of the 90-day pe-
riod referred to in subparagraph (B) of this 
paragraph, the Assistant Secretary shall pro-
mulgate and enforce final regulations to carry 
out paragraph (1). 
(b) MONITORING AND ENFORCEMENT.— 
(1) INSPECTIONS.—The Assistant Secretary 
shall establish a process for conducting unannounced 
site inspections of each location of a covered pro-
gram to determine compliance with the standards re-
quired under subsection (a)(1). Such inspections 
shall— 
(A) begin not later than the date on which 
the Assistant Secretary promulgates interim 
regulations under subsection (a)(2)(A); and 
(B) be conducted at each location of each 
covered program not less often than once every 
two years, until such time as the Assistant Sec-
retary has determined a State has appropriate 
health and safety licensing requirements, moni-
toring, and enforcement of covered programs in 
such State, as determined in accordance with 
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section 114(c) of the Child Abuse Prevention 
and Treatment Act, as added by section 8 of 
this Act. 
(2) ON-GOING
REVIEW
PROCESS.—Not later 
than 180 days after the date of the enactment of 
this Act, the Assistant Secretary shall implement an 
on-going review process for investigating and evalu-
ating reports of child abuse and neglect at covered 
programs received by the Assistant Secretary from 
the appropriate State, in accordance with section 
114(b)(3) of the Child Abuse Prevention and Treat-
ment Act, as added by section 8 of this Act. Such 
review process shall— 
(A) include an investigation to determine if 
a violation of the standards required under sub-
section (a)(1) has occurred; 
(B) include an assessment of the State’s 
performance with respect to appropriateness of 
response to and investigation of reports of child 
abuse and neglect at covered programs and ap-
propriateness of legal action against responsible 
parties in such cases; 
(C) be completed not later than 60 days 
after receipt by the Assistant Secretary of such 
a report; 
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(D) not interfere with the State’s, or sub-
division thereof’s, timeline for investigation; and 
(E) be implemented in each State in which 
a covered program operates until such time as 
each such State has satisfied the requirements 
under section 114(c) of the Child Abuse Pre-
vention and Treatment Act, as added by section 
8 of this Act, as determined by the Assistant 
Secretary, or two years has elapsed from the 
date that such review process is implemented, 
whichever is later. 
(3) CIVIL
PENALTIES.—Not later than 180 
days after the date of the enactment of this Act, the 
Assistant Secretary shall promulgate regulations es-
tablishing civil penalties for violations of the stand-
ards required under subsection (a)(1). The regula-
tions establishing such penalties shall incorporate 
the following: 
(A) Any owner or operator of a covered 
program at which the Assistant Secretary has 
found a violation of the standards required 
under subsection (a)(1) may be assessed a civil 
penalty not to exceed $50,000 per violation. 
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(B) All penalties collected under this sub-
section shall be deposited in the appropriate ac-
count of the Treasury of the United States. 
(c) DISSEMINATION OF INFORMATION.—The Assist-
ant Secretary shall establish, maintain, and disseminate 
information about the following: 
(1) Websites made available to the public that 
contains, at a minimum, the following: 
(A) The name and each location of each 
covered program, and the name of each owner 
and operator of each such program, operating 
in each State, and information regarding— 
(i) each such program’s level of com-
pliance with the standards required under 
subsection (a)(1) and section 114(b)(1) of 
the Child Abuse Prevention and Treatment 
Act, as added by section 8 of this Act; 
(ii) each such program’s level of 
standing with the State licensing require-
ments under section 114(b)(1) of the Child 
Abuse Prevention and Treatment Act, as 
added by section 8 of this Act; 
(iii) substantiated reports of child 
abuse and neglect at each such program; 
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(iv) any deaths that occurred to a 
child while under the care of such a pro-
gram, including any such deaths that oc-
curred in the five year period immediately 
preceding the date of the enactment of this 
Act; 
(v) owners or operators of a covered 
program that was found to be in violation 
of the standards required under subsection 
(a)(1), or a violation of the licensing stand-
ards 
developed 
pursuant 
to 
section 
114(b)(1) of the Child Abuse Prevention 
and Treatment Act, as added by section 8 
of this Act, and who subsequently own or 
operate another covered program; and 
(vi) any penalties levied under sub-
section (b)(3), any judgments or orders 
issued by a court pursuant to section 5, 
and any other penalties levied by the State, 
against each such program. 
(B) Information on best practices for help-
ing adolescents with mental health disorders, 
conditions, behavioral challenges, or alcohol or 
substance abuse, including information to help 
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families access effective resources in their com-
munities. 
(2) A national toll-free telephone hotline to re-
ceive complaints of child abuse and neglect at cov-
ered programs and violations of the standards re-
quired under subsection (a)(1). 
(d) ACTION.—The Assistant Secretary shall establish 
a process to— 
(1) ensure complaints of child abuse and ne-
glect received by the hotline established pursuant to 
subsection (c)(2) are promptly reviewed by persons 
with expertise in evaluating such types of com-
plaints; 
(2) immediately notify the State, appropriate 
local law enforcement, and the appropriate protec-
tion and advocacy system of any credible complaint 
of child abuse and neglect at a covered program re-
ceived by the hotline; 
(3) investigate any such credible complaint not 
later than 30 days after receiving such complaint to 
determine if a violation of the standards required 
under subsection (a)(1) has occurred; and 
(4) ensure the collaboration and cooperation of 
the hotline established pursuant to subsection (c)(2) 
with other appropriate National, State, and regional 
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hotlines, and, as appropriate and practicable, with 
other hotlines that might receive calls about child 
abuse and neglect at covered programs. 
SEC. 4. ENFORCEMENT BY THE ATTORNEY GENERAL. 
If the Assistant Secretary determines that a violation 
of subsection (a)(1) of section 3 has not been remedied 
through the enforcement process described in subsection 
(b)(3) of such section, the Assistant Secretary shall refer 
such violation to the Attorney General for appropriate ac-
tion. Regardless of whether such a referral has been made, 
the Attorney General may, sua sponte, file a complaint in 
any court of competent jurisdiction seeking equitable relief 
or any other relief authorized by this Act for such viola-
tion. 
SEC. 5. PRIVATE RIGHT OF ACTION. 
(a) MAINTENANCE
OF ACTION.—Any person may 
bring suit for relief of harm caused by a violation of sec-
tion 3(a) in any district court of the United States having 
jurisdiction over the parties, without regard to the amount 
in controversy or citizenship of the parties. 
(b) RELIEF.—The district court may award appro-
priate equitable relief and damages, and may award puni-
tive damages and costs, including reasonable attorneys’ 
fees. 
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(c) LIMITATION.—The provisions of section 7 of the 
Civil Rights of Institutionalized Persons Act (42 U.S.C. 
1997e) shall not apply to any action brought under this 
Act. 
SEC. 6. REPORT. 
Not later than one year after the date of the enact-
ment of this Act and annually thereafter, the Secretary 
of Health and Human Services, in coordination with the 
Attorney General shall submit to the Committee on Edu-
cation and Labor of the House of Representatives and the 
Committee on Health, Education, Labor, and Pensions of 
the Senate, a report on the activities carried out by the 
Assistant Secretary and the Attorney General under this 
Act, including— 
(1) a description of the number and types of 
covered programs inspected by the Assistant Sec-
retary pursuant to section 3(b)(1); 
(2) a description of types of violations of health 
and safety standards found by the Assistant Sec-
retary and any penalties assessed; 
(3) a summary of findings from on-going re-
views conducted by the Assistant Secretary pursuant 
section 3(b)(2); 
(4) a summary of State progress in meeting the 
requirements of this Act, including the requirements 
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under section 114 of the Child Abuse Prevention 
and Treatment Act, as added by section 8 of this 
Act; and 
(5) a summary of the Secretary’s oversight ac-
tivities and findings conducted pursuant to sub-
section (d) of such section 114. 
SEC. 7. AUTHORIZATION OF APPROPRIATIONS. 
There is authorized to be appropriated to the Sec-
retary of Health and Human Services $50,000,000 for 
each of fiscal years 2009 through 2013 to carry out this 
Act (excluding the amendment made by section 8 of this 
Act). 
SEC. 8. ADDITIONAL ELIGIBILITY REQUIREMENTS FOR 
GRANTS TO STATES TO PREVENT CHILD 
ABUSE AND NEGLECT AT RESIDENTIAL PRO-
GRAMS. 
(a) IN GENERAL.—Title I of the Child Abuse Preven-
tion and Treatment Act (42 U.S.C. 5101 et seq.) is 
amended by adding at the end the following new section: 
‘‘SEC. 114. ADDITIONAL ELIGIBILITY REQUIREMENTS FOR 
GRANTS TO STATES TO PREVENT CHILD 
ABUSE AND NEGLECT AT RESIDENTIAL PRO-
GRAMS. 
‘‘(a) DEFINITIONS.—In this section: 
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‘‘(1) CHILD.—The term ‘child’ means an indi-
vidual who has not attained the age of 18. 
‘‘(2) COVERED PROGRAM.— 
‘‘(A) IN
GENERAL.—The term ‘covered 
program’ means each location of a program not 
operated by a governmental entity that, with re-
spect to one or more children who are unrelated 
to the owner or operator of the program— 
‘‘(i) provides a 24-hour residential en-
vironment that provides specialized edu-
cation or treatment, therapy, counseling, 
behavior modification, discipline, rehabili-
tation, emotional growth services, or re-
lated services, such as— 
‘‘(I) a program with a wilderness 
or outdoor experience, expedition, or 
intervention; 
‘‘(II) a boot camp experience or 
other experience designed to simulate 
characteristics of basic military train-
ing or correctional regimes; 
‘‘(III) a therapeutic boarding 
school; or 
‘‘(IV) a behavioral modification 
program; and 
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‘‘(ii) operates with a focus on serving 
children with— 
‘‘(I) emotional, behavioral, or 
mental health problems or disorders; 
or 
‘‘(II) problems with alcohol or 
substance abuse. 
‘‘(B) EXCLUSION.—The term ‘covered pro-
gram’ does not include— 
‘‘(i) a hospital accredited by the State; 
‘‘(ii) a facility that is licensed and 
regulated by the State as a group home for 
children in foster care; or 
‘‘(iii) a psychiatric residential treat-
ment facility that is certified as meeting 
the requirements specified in regulations 
promulgated for such facilities under sec-
tion 1905(h)(1)(A) of the Social Security 
Act and that provides psychiatric services 
for which medical assistance is available 
under a State plan under title XIX of such 
Act. 
‘‘(3) PROTECTION AND ADVOCACY SYSTEM.— 
The term ‘protection and advocacy system’ means a 
protection and advocacy system established under 
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section 143 of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000 (42 U.S.C. 
15043). 
‘‘(b) ELIGIBILITY REQUIREMENTS.—To be eligible to 
receive a grant under section 106, a State shall— 
‘‘(1) not later than three years after the date 
of the enactment of this section, develop policies and 
procedures to prevent child abuse and neglect at cov-
ered programs operating in such State, including 
having in effect health and safety licensing require-
ments applicable to and necessary for the operation 
of each location of such covered programs that in-
clude, at a minimum— 
‘‘(A) standards that meet or exceed the 
standards required under section 3(a)(1) of the 
Stop Child Abuse in Residential Programs for 
Teens Act of 2008; 
‘‘(B) the provision of essential food, water, 
clothing, shelter, and medical care necessary to 
maintain physical health, mental health, and 
general safety of children at such programs; 
‘‘(C) policies for emergency medical care 
preparedness and response, including minimum 
staff training and qualifications for such re-
sponses; and 
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‘‘(D) notification to appropriate staff at 
covered programs if their position of employ-
ment meets the definition of mandated reporter, 
as defined by the State; 
‘‘(2) develop policies and procedures to monitor 
and enforce compliance with the licensing require-
ments developed in accordance with paragraph (1), 
including— 
‘‘(A) designating an agency to be respon-
sible, in collaboration and consultation with 
State agencies providing human services (in-
cluding child protective services, and services to 
children with emotional, psychological, develop-
mental, or behavioral dysfunctions, impair-
ments, disorders, or alcohol or substance 
abuse), State law enforcement officials, the ap-
propriate protection and advocacy system, and 
courts of competent jurisdiction, for monitoring 
and enforcing such compliance; 
‘‘(B) a State licensing application process 
through which any individual seeking to operate 
a covered program would be required to disclose 
all previous substantiated reports of child abuse 
and neglect and all child deaths at any busi-
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nesses previously or currently owned or oper-
ated by such individual; 
‘‘(C) conducting unannounced site inspec-
tions not less often than once every two years 
at each location of a covered program; 
‘‘(D) creating a database, to be integrated 
with the annual State data reports required 
under section 106(d), of reports of child abuse 
and neglect at covered programs operating in 
the State; and 
‘‘(E) implementing a policy of graduated 
sanctions, including fines and suspension and 
revocation of licences, against covered programs 
operating in the State that are out of compli-
ance with such health and safety licensing re-
quirements; 
‘‘(3) if the State is not yet satisfying the re-
quirements of this subsection, in accordance with a 
determination made pursuant to subsection (c), de-
velop policies and procedures for notifying the Sec-
retary and the appropriate protection and advocacy 
system of any report of child abuse and neglect at 
a covered program operating in the State not later 
than 30 days after the appropriate State entity, or 
subdivision thereof, determines such report should 
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be investigated and not later than 48 hours in the 
event of a fatality; 
‘‘(4) if the Secretary determines that the State 
is satisfying the requirements of this subsection, in 
accordance with a determination made pursuant to 
subsection (c), develop policies and procedures for 
notifying the Secretary if— 
‘‘(A) the State determines there is evidence 
of a pattern of violations of the standards re-
quired under paragraph (1) at a covered pro-
gram operating in the State or by an owner or 
operator of such a program; or 
‘‘(B) there is a child fatality at a covered 
program operating in the State; 
‘‘(5) develop policies and procedures for estab-
lishing and maintaining a publicly available database 
of all covered programs operating in the State, in-
cluding the name and each location of each such 
program and the name of the owner and operator of 
each such program, information on reports of child 
abuse and neglect at such programs, violations of 
standards required under paragraph (1), and all 
penalties levied against such programs; and 
‘‘(6) annually submit to the Secretary a report 
that includes— 
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‘‘(A) the name and each location of all cov-
ered programs, including the names of the own-
ers and operators of such programs, operating 
in the State, and any violations of State licens-
ing requirements developed pursuant to sub-
section (b)(1); and 
‘‘(B) a description of State activities to 
monitor and enforce such State licensing re-
quirements, including the names of owners and 
operators of each covered program that under-
went a site inspection by the State, and a sum-
mary of the results and any actions taken. 
‘‘(c) SECRETARIAL DETERMINATION.—The Secretary 
shall not determine that a State’s licensing requirements, 
monitoring, and enforcement of covered programs oper-
ating in the State satisfy the requirements of this sub-
section (b) unless— 
‘‘(1) the State implements licensing require-
ments for such covered programs that meet or ex-
ceed the standards required under subsection (b)(1); 
‘‘(2) the State designates an agency to be re-
sponsible for monitoring and enforcing compliance 
with such licensing requirements; 
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‘‘(3) the State conducts unannounced site in-
spections of each location of such covered programs 
not less often than once every two years; 
‘‘(4) the State creates a database of such cov-
ered programs, to include information on reports of 
child abuse and neglect at such programs; 
‘‘(5) the State implements a policy of graduated 
sanctions, including fines and suspension and rev-
ocation of licenses against such covered programs 
that are out of compliance with the health and safe-
ty licensing requirements under subsection (b)(1); 
and 
‘‘(6) after a review of assessments conducted 
under section 3(b)(2)(B) of the Stop Child Abuse in 
Residential Programs for Teens Act of 2008, the 
Secretary determines the State is appropriately in-
vestigating and responding to allegations of child 
abuse and neglect at such covered programs. 
‘‘(d) OVERSIGHT.— 
‘‘(1) IN GENERAL.—Beginning two years after 
the date of the enactment of the Stop Child Abuse 
in Residential Programs for Teens Act of 2008, the 
Secretary shall implement a process for continued 
monitoring of each State that is determined to be 
satisfying the licensing, monitoring, and enforcement 
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requirements of subsection (b), in accordance with a 
determination made pursuant to subsection (c), with 
respect to the performance of each such State re-
garding— 
‘‘(A) preventing child abuse and neglect at 
covered programs operating in each such State; 
and 
‘‘(B) enforcing the licensing standards de-
scribed in subsection (b)(1). 
‘‘(2) EVALUATIONS.—The process required 
under paragraph (1) shall include in each State, at 
a minimum— 
‘‘(A) an investigation not later than 60 
days after receipt by the Secretary of a report 
from a State, or a subdivision thereof, of child 
abuse and neglect at a covered program oper-
ating in the State, and submission of findings 
to appropriate law enforcement or other local 
entity where necessary, if the report indicates— 
‘‘(i) a child fatality at such program; 
or 
‘‘(ii) there is evidence of a pattern of 
violations of the standards required under 
subsection (b)(1) at such program or by an 
owner or operator of such program; 
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‘‘(B) annually, a random sample of review 
of cases of reports of child abuse and neglect 
investigated at covered programs operating in 
the State to assess the State’s performance 
with respect to the appropriateness of response 
to and investigation of reports of child abuse 
and neglect at covered programs and the appro-
priateness of legal actions taken against respon-
sible parties in such cases; and 
‘‘(C) unannounced site inspections of cov-
ered programs operating in the State to mon-
itor compliance with the standards required 
under section 3(a) of the Stop Child Abuse in 
Residential Programs for Teens Act of 2008. 
‘‘(3) ENFORCEMENT.—If the Secretary deter-
mines, pursuant to an evaluation under this sub-
section, that a State is not adequately implementing, 
monitoring, and enforcing the licensing requirements 
of subsection (b)(1), the Secretary shall require, for 
a period of not less than one year, that— 
‘‘(A) the State shall inform the Secretary 
of each instance there is a report to be inves-
tigated of child abuse and neglect at a covered 
program operating in the State; and 
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‘‘(B) the Secretary and the appropriate 
local agency shall jointly investigate such re-
port.’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
112 of the Child Abuse Prevention and Treatment Act (42 
U.S.C. 5106h) is amended by inserting before the period 
at the end the following: ‘‘, and $200,000,000 for each 
of fiscal years 2009 through 2013’’. 
(c) CONFORMING AMENDMENTS.— 
(1) 
COORDINATION
WITH
AVAILABLE
RE-
SOURCES.—Section 103(c)(1)(D) of the Child Abuse 
Prevention 
and 
Treatment 
Act 
(42 
U.S.C. 
5104(c)(1)(D)) is amended by inserting after ‘‘spe-
cific’’ the following: ‘‘(including reports of child 
abuse and neglect occurring at covered programs, as 
such term is defined in section 114)’’. 
(2) 
FURTHER
REQUIREMENT.—Section 
106(b)(1) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(b)(1)) is amended by 
adding at the end the following new subparagraph: 
‘‘(C) FURTHER REQUIREMENT.—To be eli-
gible to receive a grant under this section, a 
State shall comply with the requirements under 
section 114(b) and shall include in the State 
plan submitted pursuant to subparagraph (A) a 
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description of the activities the State will carry 
out to comply with the requirements under such 
section 114(b).’’. 
(3) ANNUAL
STATE
DATA
REPORTS.—Section 
106(d) of the Child Abuse Prevention and Treat-
ment Act (42 U.S.C. 5106a(d)) is amended— 
(A) in paragraph (1), by inserting before 
the period at the end the following: ‘‘(including 
reports of child abuse and neglect occurring at 
covered programs, as such term is defined in 
section 114)’’; and 
(B) in paragraph (6), by inserting before 
the period at the end the following: ‘‘or who 
were in the care of a covered program, as such 
term is defined in section 114’’. 
(d) CLERICAL AMENDMENT.—Section 1(b) of the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 
5101 note) is amended by inserting after the item relating 
to section 113 the following new item: 
‘‘Sec. 114. Additional eligibility requirements for grants to States for child 
abuse and neglect prevention and treatment programs.’’. 
Æ 
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