I 116th CONGRESS 1st Session H. R. 3909 IN THE HOUSE OF REPRESENTATIVES July 23, 2019 Mr. Langevin (for himself, Ms. Bass , and Mr. Bacon ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend subpart 2 of part B of title IV of the Social Security Act to authorize grants to eligible entities to develop and implement statewide or tribal post-adoption and post-legal guardianship mental health service programs for all children who are adopted or placed in legal guardianship, and for other purposes.

1. Short title This Act may be cited as the Supporting Adopted Children and Families Act of 2019 . 2. Federal grant program for post-adoption and post-legal guardianship mental health services Section 437 of the Social Security Act ( 42 U.S.C. 629g ) is amended by adding at the end the following: (h) Post-Adoption and post-Legal guardianship mental health services (1) In general The Secretary, acting through the Administration for Children and Families, shall award grants or cooperative agreements to eligible entities to— (A) develop and implement statewide or tribal post-adoption and post-legal guardianship mental health service programs for all children who are adopted or placed in legal guardianship and their families; (B) support public organization and private nonprofit organizations actively involved in statewide or tribal post-adoption and post-legal guardianship mental health service programs; (C) collect and analyze data on State-sponsored statewide or tribal post-adoption and post-legal guardianship mental health service programs that can be used to monitor the effectiveness of such services and for research, technical assistance, and policy development; (D) develop and provide adoption and legal guardianship competent educational and training opportunities concerning the mental health needs of children who are adopted or placed in legal guardianship, and their families, for use by teachers, social workers, and other community mental health service providers; (E) develop and provide materials for potential adoptive parents and legal guardians, both for children who already reside in the United States at the time of the adoption or placement in legal guardianship and for those who at such time reside in other countries, describing the possible need for post-adoption and post-legal guardianship mental health services and available resources; (F) develop and provide respite care services for adoptive and legal guardian families; and (G) support research on, and development of, promising practices (as defined in section 471(e)(4)(C)(iii)) for post-adoption and post-legal guardianship mental health services. (2) Eligible entity (A) Definition In this subsection, the term eligible entity means— (i) a State; (ii) a public organization or private nonprofit organization designated by a State to develop or direct the State-sponsored statewide post-adoption and post-legal guardianship mental health service program under a grant under this subsection; and (iii) a federally recognized Indian tribe or tribal organization (as defined in the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 450 et seq.)) or an urban Indian organization (as defined in the Indian Health Care Improvement Act ( 25 U.S.C. 1601 et seq.)) that is actively involved in the development and continuation of a post-adoption and post-legal guardianship mental health service program. (B) Limitation In carrying out this subsection, the Secretary shall ensure that each State is awarded only 1 grant or cooperative agreement under this subsection. For purposes of the preceding sentence, a State shall be considered to have been awarded a grant or cooperative agreement if the eligible entity involved is the State or an entity designated by the State under subparagraph (A)(ii). Nothing in this subparagraph shall be construed to apply to entities described in subparagraph (A)(iii). (3) Preference In providing assistance under a grant or cooperative agreement under this subsection, the Secretary shall give preference to— (A) eligible entities that have demonstrated success in increasing the level of adoption and legal guardianship competency among mental health providers, adoption and legal guardianship lawyers, social workers, case workers, adoptive parents, and legal guardians; and (B) eligible entities that plan to partner with their State mental health agency in carrying out the activities for which the grant or cooperative agreement is made. (4) Requirement for direct services Not less than 85 percent of funds received under a grant or cooperative agreement under this subsection shall be used to provide direct services, of which not less than 5 percent shall be used for activities authorized under paragraph (1)(C). (5) Coordination and collaboration (A) In general In carrying out this subsection, the Secretary shall collaborate with relevant Federal agencies and adoption and legal guardianship-related working groups to promote interaction between domestic foster care agencies and private adoption agencies in other countries. (B) Consultation In carrying out this subsection, the Secretary shall consult with— (i) State and social service agencies engaged in the placement of children for adoption, domestically or from other countries; (ii) local and national organizations that serve foster and adopted youth and youth placed in legal guardianship; (iii) health and education specialists who focus on adoption, legal guardianship, and foster care medicine; (iv) youth who have been in foster care, adopted, or in legal guardianship, domestically or from other countries, including youth who have experienced adoption or guardianship disruptions or dissolutions; (v) families and friends of youth who have been in foster care, adopted, or in legal guardianship, domestically or from other countries, including foster and adoptive parents and legal guardians; and (vi) qualified professionals who possess the specialized knowledge, skills, experience, and relevant attributes needed to serve children who are adopted or placed in legal guardianship and their families. (C) Policy development In carrying out this subsection, the Secretary shall— (i) coordinate and collaborate on policy development with other relevant Department of Health and Human Services agencies and adoption and legal guardianship-related working groups; and (ii) consult on policy development at the Federal level with those in the private sector engaged in the recruitment of foster and adoptive parents and legal guardians, the placement of children in foster care, for adoption, and in legal guardianship, and the provision of post-adoption and post-legal guardianship services. (6) Evaluation and report (A) Evaluations by eligible entities Not later than 18 months after receipt of a grant or cooperative agreement under this subsection, an eligible entity shall submit to the Secretary the results of an evaluation to be conducted by the entity concerning the effectiveness of the activities carried out under the grant or agreement. (B) Report Not later than 2 years after the date of the enactment of this subsection, the Secretary shall submit to the appropriate committees of Congress a report concerning the results of— (i) the evaluations conducted under subparagraph (A); and (ii) an evaluation conducted by the Secretary to analyze the effectiveness and efficacy of the activities conducted with grants, collaborations, and consultations under this subsection. (7) Definitions In this subsection: (A) Adoption and legal guardianship competency The term adoption and legal guardianship competency means an understanding of— (i) the nature of adoption and legal guardianship as a form of family formation and the different types of adoption and legal guardianship; (ii) relevant emotional and physical issues involved in the adoption and legal guardianship process, including issues relating to separation, loss, attachment, abuse, trauma, and neglect; (iii) common developmental challenges associated with adoption and legal guardianship; (iv) the characteristics and skills that allow for successful adoptive and legal guardian families; (v) proper sensitivity with respect to the different geographic, ethnic, or cultural backgrounds of children who are adopted or placed in legal guardianship and their families; and (vi) the necessary skills for effectively advocating on behalf of birth and adoptive and legal guardian families. (B) Post-adoption and post-legal guardianship mental health services The term post-adoption and post-legal guardianship mental health services includes— (i) adoption and legal guardianship competent mental health direct services, including training, educational support, counseling, and other services for adoptive and legal guardian parents and families that address caregiver interests and concerns regarding child behavioral issues that are common among children who are adopted, placed in legal guardianship, or placed in foster care, including, as appropriate— (I) caring for a child who is adopted or placed in legal guardianship and has emotional, behavioral, or developmental health needs; and (II) providing for the emotional needs of a child who is adopted or placed in legal guardianship, including issues relating to attachment, identity, abandonment, cultural differences, grief, loss, and trauma; (ii) peer-to-peer mentoring and support groups that permit a newly adoptive parent or legal guardian to communicate and learn from more experienced adoptive parents and legal guardians; (iii) the provision of informational resources and available services for adoptive parents and legal guardians; (iv) direct services, including counseling, peer-to-peer mentoring and support groups, and other services for children who are adopted or placed in legal guardianship that address common behavioral and adjustment issues, including, as appropriate— (I) support services for a child who is adopted or placed in legal guardianship with emotional, behavioral, or developmental health needs; (II) support services that address the emotional needs of a child who is adopted or placed in legal guardianship, including issues relating to attachment, identity, abandonment, cultural differences, grief, loss, and trauma; and (III) treatment services that are specialized for children who are adopted or placed in legal guardianship, including psychiatric residential services, outpatient mental health services, social skills training, intensive in-home supervision services, recreational therapy, suicide prevention, and substance abuse treatment; (v) peer-to-peer mentoring and support groups that allow children who are adopted or placed in legal guardianship to communicate and socialize with other such children; and (vi) crisis intervention and family preservation services. (8) Limitations on authorization of appropriations For grants under this subsection, there are authorized to be appropriated to the Secretary not more than $10,000,000 for fiscal year 2020, to remain available until expended. .