II 116th CONGRESS 1st Session S. 2971 IN THE SENATE OF THE UNITED STATES December 3, 2019 Mr. Isakson (for himself and Mr. Jones ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To amend and reauthorize the Child Abuse Prevention and Treatment Act, and for other purposes.

1. Short title This Act may be cited as the CAPTA Reauthorization Act of 2019 . 2. Findings Section 2 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5101 note) is amended— (1) in paragraph (1), by striking 2008, approximately 772,000 and inserting 2017, approximately 674,000 ; (2) in paragraph (2)— (A) in subparagraph (A)— (i) by striking close to 1/3 and inserting 75 percent ; and (ii) by striking 2008 and inserting 2017 ; and (B) by amending subparagraph (B) to read as follows: (B) investigations have determined that approximately 75 percent of children who were victims of maltreatment in fiscal year 2017 suffered neglect, 18 percent suffered physical abuse, and 9 percent suffered sexual abuse; ; (3) in paragraph (3)— (A) in subparagraph (B), by striking 2008, an estimated 1,740 and inserting 2017, an estimated 1,720 ; and (B) by amending subparagraph (C) to read as follows: (C) in fiscal year 2017, children younger than 1 year old comprised 40 percent of child maltreatment fatalities and 72 percent of child maltreatment fatalities were younger than 3 years of age; ; (4) in paragraph (4)(B)— (A) by striking 37 and inserting 40 ; and (B) by striking 2008 and inserting 2017 ; (5) in paragraph (5), by striking , American Indian children, Alaska Native children, and children of multiple races and ethnicities and inserting and American Indian or Alaska Native children ; (6) in paragraph (6)— (A) in subparagraph (A), by inserting to strengthen families before the semicolon; and (B) in subparagraph (C), by striking neighborhood and inserting community ; (7) in paragraph (11), by inserting trauma-informed, after comprehensive, ; and (8) in paragraph (15)— (A) in subparagraph (D), by striking implementing community plans and inserting supporting community-based programs to strengthen and support families in order to prevent child abuse and neglect ; and (B) by amending subparagraph (E) to read as follows: (E) improving professional, paraprofessional, and volunteer resources to strengthen the child welfare workforce; and . 3. General definitions Section 3 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5101 note) is amended— (1) in paragraph (7), by striking ; and and inserting a semicolon; (2) in paragraph (8), by striking the period and inserting ; and ; and (3) by adding at the end the following: (9) the term underserved or overrepresented groups in the child welfare system includes youth that enter the child welfare system following family rejection, parental abandonment, sexual abuse or sexual exploitation, or unaccompanied homelessness. . I General program 101. Interagency work group on child abuse and neglect Section 102 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5102 ) is amended to read as follows: 102. Interagency work group on child abuse and neglect (a) Establishment The Secretary may continue the work group known as the Interagency Work Group on Child Abuse and Neglect (referred to in this section as the Work Group ). (b) Composition The Work Group shall be comprised of representatives from Federal agencies with responsibility for child abuse and neglect related programs and activities. (c) Duties The Work Group shall— (1) coordinate Federal efforts and activities with respect to child abuse and neglect prevention and treatment; (2) serve as a forum that convenes relevant Federal agencies to communicate and exchange ideas concerning child abuse and neglect related programs and activities; and (3) further coordinate Federal efforts and activities to maximize resources to address child abuse and neglect in areas of critical needs for the field, such as improving research, focusing on prevention, and addressing the links between child abuse and neglect and domestic violence. . 102. National clearinghouse for information relating to child abuse Section 103 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5104 ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking effective programs and inserting evidence-based and evidence-informed programs ; (B) by redesignating paragraphs (4) through (9) as paragraphs (5) through (10), respectively; (C) by inserting after paragraph (3) the following: (4) maintain and disseminate information on best practices to support children being cared for by kin, including such children whose living arrangements with kin occurred without the involvement of a child welfare agency; ; (D) in paragraph (5), as so redesignated, by inserting , including efforts to prevent child abuse and neglect before the semicolon; (E) in paragraph (7), as so redesignated— (i) in subparagraph (A), by striking the semicolon and inserting , including among at-risk populations, such as young parents, parents with young children, and parents who are adult former victims of domestic violence or child abuse or neglect; and ; (ii) by striking subparagraph (B); (iii) by redesignating subparagraph (C) as subparagraph (B); and (iv) in subparagraph (B), as so redesignated, by striking abuse and inserting use disorder ; (F) in paragraph (8), as so redesignated— (i) by redesignating subparagraphs (B) and (C) as subparagraphs (C) and (D), respectively; (ii) by inserting after subparagraph (A) the following: (B) best practices in child protection workforce development and retention; ; and (iii) in subparagraph (C), as so redesignated, by striking mitigate psychological and inserting prevent and mitigate the effects of ; and (G) in subparagraph (B) of paragraph (9), as so redesignated, by striking abuse and inserting use disorder ; and (2) in subsection (c)— (A) in the heading, by inserting ; data collection and analysis after resources ; (B) in paragraph (1)(C)— (i) in clause (ii), by striking the semicolon and inserting “, including— (I) the number of child deaths due to child abuse and neglect reported by various sources, including information from the State child welfare agency and the State child death review program or other source that compiles State data, including vital statistics death records, State and local medical examiner and coroner office records, and uniform crime reports from local law enforcement; and (II) data, to the extent practicable, about the circumstances under which a child death occurred due to abuse and neglect, including the cause of the death, whether the child was referred to the State child welfare agency, the determination made by the child welfare agency (as applicable), and any known previous maltreatment of children by the perpetrator; ; and (ii) in clause (iv), by striking substance abuse and inserting substance use disorder ; and (C) in subparagraph (F), by striking abused and neglected children and inserting victims of child abuse or neglect . 103. Research and assistance activities Section 104 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5105 ) is amended— (1) in subsection (a)— (A) in paragraph (1)— (i) in the heading, by striking Topics and inserting In general ; (ii) in the matter preceding subparagraph (A)— (I) by striking consultation with other Federal agencies and and inserting coordination with applicable Federal agencies and in consultation with ; and (II) by inserting , including primary prevention of child abuse and neglect, before and to improve ; (iii) by striking subparagraphs (C), (E), (I), (J), and (N); (iv) by redesignating subparagraphs (D), (F), (G), (H), (K), (L), and (M) as subparagraphs (F) through (L), respectively; (v) by inserting after subparagraph (B) the following: (C) evidence-based and evidence-informed programs to prevent child abuse and neglect in families that have not had contact with the child welfare system; (D) best practices in recruiting, training, and retaining a child protection workforce that addresses identified needs; (E) options for updating technology of outdated devices and data systems to improve communication between systems that are designed to serve children and families; ; (vi) in subparagraph (G), as so redesignated, by striking and the juvenile justice system that improve the delivery of services and treatment, including methods and inserting , the juvenile justice system, and other relevant agencies engaged with children and families that improve the delivery of services and treatment, including related to domestic violence or mental health, ; (vii) in subparagraph (L), as so redesignated— (I) by inserting underserved or overrepresented groups in the child welfare system or after facing ; and (II) by striking Indian tribes and Native Hawaiian and inserting such ; (viii) by inserting after subparagraph (L), as so redesignated, the following: (M) methods to address geographic, racial, and cultural disparities in the child welfare system, including a focus on access to services; ; and (ix) by redesignating subparagraph (O) as subparagraph (N); and (B) in paragraph (2), by striking paragraph (1)(O) and inserting paragraph (1)(N) and analyses based on data from previous years of surveys of national incidence under this Act ; (C) in paragraph (3)— (i) by striking of 2010 and inserting of 2019 ; and (ii) by striking that contains the results of the research conducted under paragraph (2). and inserting “that— (A) identifies the research priorities under paragraph (4) and the process for determining such priorities; (B) contains a summary of the research supported pursuant to paragraph (1); (C) contains the results of the research conducted under paragraph (2); and (D) describes how the Secretary will continue to improve the accuracy of information on the national incidence on child abuse and neglect specified in paragraph (2). ; (D) in subparagraph (B) of the first paragraph (4) (relating to priorities)— (i) by striking 1 years and inserting 1 year ; and (ii) by inserting , at least 30 days prior to publishing the final priorities, after subparagraph (A) ; and (E) by striking the second paragraph (4) (relating to a study on shaken baby syndrome), as added by section 113(a)(5) of the CAPTA Reauthorization Act of 2010 ( Public Law 111–320 ); (2) in subsection (b)— (A) in paragraph (1)— (i) by inserting or underserved or overrepresented groups in the child welfare system after children with disabilities ; and (ii) by striking substance abuse and inserting substance use disorder ; (B) by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively; (C) by inserting after paragraph (1) the following: (2) Content The technical assistance under paragraph (1) shall be designed to, as applicable— (A) promote best practices for addressing child abuse and neglect in families with complex needs, such as families who have experienced domestic violence, substance use disorders, and adverse childhood experiences; (B) provide training for child protection workers in trauma-informed practices and supports that prevent and mitigate the effects of trauma for infants, children, youth, and adults; (C) reduce geographic, racial, and cultural disparities in child protection systems, which may include engaging law enforcement, education, and health systems, and other systems; (D) leverage community-based resources to prevent child abuse and neglect, including resources regarding health (including mental health and substance use disorder), housing, parent support, financial assistance, early childhood education and care, and education services, and other services to assist families; and (E) provide other technical assistance, as determined by the Secretary in consultation with such State and local public and private agencies and community-based organizations as the Secretary determines appropriate. ; (D) in subparagraph (B) of paragraph (3), as so redesignated, by striking mitigate psychological and inserting prevent and mitigate the effects of ; and (E) in subparagraph (B) of paragraph (4), as so redesignated— (i) by striking substance abuse and inserting substance use disorder ; and (ii) by striking and domestic violence services personnel and inserting domestic violence services personnel, and personnel from relevant youth-serving and religious organizations ; (3) in subsection (c)(3), by inserting , which may include applications related to research on primary prevention of child abuse and neglect before the period; and (4) by striking subsection (e). 104. Grants to States, Indian Tribes or Tribal organizations, and public or private agencies and organizations Section 105 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5106 ) is amended to read as follows: 105. Grants to States, Indian Tribes or Tribal organizations, and public or private agencies and organizations (a) Authority To award grants or enter into contracts The Secretary may award grants, and enter into contracts, for programs and projects in accordance with this section, for any of the following purposes: (1) Capacity building, in order to create coordinated, inclusive, and collaborative systems that have statewide impact in preventing, reducing, and treating child abuse and neglect. (2) Innovation, through time-limited, field-initiated demonstration projects that further the understanding of the field to reduce child abuse and neglect. (3) Plans of safe care grants to improve and coordinate State responses to ensure the safety, permanency, and well-being of infants affected by substance use. (b) Capacity building grant program (1) In general The Secretary may award grants or contracts to an eligible entity that is a State or local agency, Indian Tribe or Tribal organization, a nonprofit entity, or a consortium of such entities. (2) Applications To be eligible to receive a grant or contract under this section, an entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (3) Uses of funds An eligible entity receiving a grant or contract under this subsection shall use the grant funds to better align and coordinate community-based, local, and State activities to strengthen families and prevent child abuse and neglect, by— (A) training professionals in prevention, identification, and treatment of child abuse and neglect, which may include— (i) training of professional and paraprofessional personnel in the fields of health care, medicine, law enforcement, judiciary, social work and child protection, education, early childhood care and education, and other relevant fields, or individuals such as court appointed special advocates (CASAs) and guardian ad litem, who are engaged in, or intend to work in, the field of prevention, identification, and treatment of child abuse and neglect, including the links between child abuse and neglect and domestic violence, and approaches to working with families with substance use disorder; (ii) training on evidence-based and evidence-informed programs to improve child abuse and neglect reporting by adults, with a focus on adults who work with children in a professional or volunteer capacity, including on recognizing and responding to child sexual abuse; (iii) training of personnel in best practices to meet the unique needs and development of special populations of children, including those with disabilities, and children under age of 3, including promoting interagency collaboration; (iv) improving the training of supervisory child welfare workers on best practices for recruiting, selecting, and retaining personnel; (v) enabling State child welfare and child protection agencies to coordinate the provision of services with State and local health care agencies, substance use disorder prevention and treatment agencies, mental health agencies, other public and private welfare agencies, and agencies that provide early intervention services to promote child safety, permanence, and family stability, which may include training on improving coordination between agencies to meet health evaluation needs of children who have been victims of substantiated cases of child abuse or neglect; (vi) training of personnel in best practices relating to the provision of differential response; or (vii) training for child welfare professionals to reduce and prevent discrimination (including training related to implicit biases) in the provision of child protection and welfare services related to child abuse and neglect; (B) enhancing systems coordination and triage procedures, including information systems, for responding to reports of child abuse and neglect, which include programs of collaborative partnerships between the State child protective services agency, community social service agencies and community-based family support programs, law enforcement agencies and legal systems, developmental disability agencies, substance use disorder treatment agencies, health care entities, domestic violence prevention entities, mental health service entities, schools, places of worship, and other community-based agencies, such as children's advocacy centers, in accordance with all applicable Federal and State privacy laws, to allow for the establishment or improvement of a coordinated triage system; or (C) building coordinated community-level systems of support for children, parents, and families through prevention services in order to strengthen families and connect families to the services and supports relevant to their diverse needs and interests, including needs related to substance use disorder prevention. (c) Field-Initiated innovation grant program (1) In general The Secretary may award grants to entities that are States or local agencies, Indian Tribes or Tribal organizations, or public or private agencies or organizations (or combinations of such entities) for field-initiated demonstration projects of up to 5 years that advance innovative approaches to prevent, reduce, or treat child abuse and neglect. (2) Applications To be eligible to receive a grant under this section, an entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including a rigorous methodological approach to the evaluation of the grant. (3) Use of funds An entity that receives a grant under this section shall use the funds made available through the grant to carry out or bring to scale promising, evidence-informed, or evidence-based activities to prevent, treat, or reduce child abuse and neglect that shall include one or more of the following: (A) Multidisciplinary systems of care to strengthen families and prevent child abuse and neglect, including primary prevention programs or strategies aimed at reducing the prevalence of child abuse and neglect. (B) Projects for the development of new research-based strategies for risk and safety assessments and ongoing evaluation and reassessment of performance and accuracy of existing risk and safety assessment tools, including to improve practices utilized by child protective services agencies, which may include activities to reduce and prevent bias in such practices. (C) Projects that involve research-based strategies for innovative training for mandated child abuse and neglect reporters, which may include training that is specific to the mandated individual’s profession or role when working with children. (D) Projects to improve awareness of child welfare professionals and volunteers in the child welfare system and the public about— (i) child abuse or neglect under State law; (ii) the responsibilities of individuals required to report suspected and known incidents of child abuse or neglect under State law, as applicable; and (iii) the resources available to help prevent child abuse and neglect. (E) Programs that promote safe, family-friendly physical environments for visitation and exchange— (i) for court-ordered, supervised visitation between children and abusing parents; and (ii) to facilitate the safe exchange of children for visits with noncustodial parents in cases of domestic violence. (F) Innovative programs, activities, and services that are aligned with the research priorities identified under section 104(a)(4). (G) Projects to improve implementation of best practices to assist medical professionals in identifying, assessing, and responding to potential abuse in infants, including regarding referrals to child protective services as appropriate and identifying injuries indicative of potential abuse in infants, and to assess the outcomes of such best practices. (d) Grants to States To improve and coordinate their response To ensure the safety, permanency, and well-Being of infants affected by substance use (1) Program authorized The Secretary is authorized to make grants to States for the purpose of assisting child welfare agencies, social services agencies, substance use disorder treatment agencies, hospitals with labor and delivery units, medical staff, public health and mental health agencies, and maternal and child health agencies to facilitate collaboration in developing, updating, implementing, and monitoring plans of safe care described in section 106(b)(2)(B)(iii). Section 112(a)(2) shall not apply to the program authorized under this paragraph. (2) Distribution of funds (A) Reservations Of the amounts made available to carry out paragraph (1), the Secretary shall reserve— (i) no more than 3 percent for the purposes described in paragraph (7); and (ii) up to 3 percent for grants to Indian Tribes and Tribal organizations to address the needs of infants born with, and identified as being affected by, substance abuse or withdrawal symptoms resulting from prenatal drug exposure or a fetal alcohol spectrum disorder and their families or caregivers, which to the extent practicable, shall be consistent with the uses of funds described under paragraph (4). (B) Allotments to States and territories The Secretary shall allot the amount made available to carry out paragraph (1) that remains after application of subparagraph (A) to each State that applies for such a grant, in an amount equal to the sum of— (i) $500,000; and (ii) an amount that bears the same relationship to any funds made available to carry out paragraph (1) and remaining after application of subparagraph (A), as the number of live births in the State in the previous calendar year bears to the number of live births in all States in such year. (C) Ratable reduction If the amount made available to carry out paragraph (1) is insufficient to satisfy the requirements of subparagraph (B), the Secretary shall ratably reduce each allotment to a State. (3) Application A State desiring a grant under this subsection shall submit an application to the Secretary at such time and in such manner as the Secretary may require. Such application shall include— (A) a description of— (i) the impact of substance use disorder in such State, including with respect to the substance or class of substances with the highest incidence of abuse in the previous year in such State, including— (I) the prevalence of substance use disorder in such State; (II) the aggregate rate of births in the State of infants affected by substance abuse or withdrawal symptoms or a fetal alcohol spectrum disorder (as determined by hospitals, insurance claims, claims submitted to the State Medicaid program, or other records), if available and to the extent practicable; and (III) the number of infants identified, for whom a plan of safe care was developed, and for whom a referral was made for appropriate services, as reported under section 106(d)(18); (ii) the challenges the State faces in developing, implementing, and monitoring plans of safe care in accordance with section 106(b)(2)(B)(iii); (iii) the State’s lead agency for the grant program and how that agency will coordinate with relevant State entities and programs, including the child welfare agency, the substance use disorder treatment agency, hospitals with labor and delivery units, health care providers, the public health and mental health agencies, programs funded by the Substance Abuse and Mental Health Services Administration that provide substance use disorder treatment for women, the State Medicaid program, the State agency administering the block grant program under title V of the Social Security Act ( 42 U.S.C. 701 et seq.), the State agency administering the programs funded under part C of the Individuals with Disabilities Education Act ( 20 U.S.C. 1431 et seq.), the maternal, infant, and early childhood home visiting program under section 511 of the Social Security Act ( 42 U.S.C. 711 ), the State judicial system, and other agencies, as determined by the Secretary, and Indian Tribes and Tribal organizations, as appropriate, to implement the activities under this paragraph; (iv) how the State will monitor local development and implementation of plans of safe care, in accordance with section 106(b)(2)(B)(iii)(II), including how the State will monitor to ensure plans of safe care address differences between substance use disorder and medically supervised substance use, including for the treatment of a substance use disorder; (v) if applicable, how the State plans to utilize funding authorized under part E of title IV of the Social Security Act ( 42 U.S.C. 670 et seq.) to assist in carrying out any plan of safe care, including such funding authorized under section 471(e) of such Act (as in effect on October 1, 2018) for mental health and substance abuse prevention and treatment services and in-home parent skill-based programs and funding authorized under such section 472(j) (as in effect on October 1, 2018) for children with a parent in a licensed residential family-based treatment facility for substance abuse; and (vi) an assessment of the treatment and other services and programs available in the State to effectively carry out any plan of safe care developed, including identification of needed treatment, and other services and programs to ensure the well-being of young children and their families affected by substance use disorder, such as programs carried out under part C of the Individuals with Disabilities Education Act ( 20 U.S.C. 1431 et seq.) and comprehensive early childhood development services and programs such as Head Start programs; (B) a description of how the State plans to use funds for activities described in paragraph (4) for the purposes of ensuring State compliance with requirements under clauses (ii) and (iii) of section 106(b)(2)(B); and (C) an assurance that the State will comply with requirements to refer a child identified as substance-exposed to early intervention services as required pursuant to a grant under part C of the Individuals with Disabilities Education Act ( 20 U.S.C. 1431 et seq.). (4) Uses of funds Funds awarded to a State under this subsection may be used for the following activities, which may be carried out by the State directly, or through grants or subgrants, contracts, or cooperative agreements: (A) Improving State and local systems with respect to the development and implementation of plans of safe care, which— (i) shall include parent and caregiver engagement, as required under section 106(b)(2)(B)(iii)(I), regarding available treatment and service options, which may include resources available for pregnant, perinatal, and postnatal women; and (ii) may include activities such as— (I) developing policies, procedures, or protocols for the administration or development of evidence-based and validated screening tools for infants who may be affected by substance use withdrawal symptoms or a fetal alcohol spectrum disorder and pregnant, perinatal, and postnatal women whose infants may be affected by substance use withdrawal symptoms or a fetal alcohol spectrum disorder; (II) improving assessments used to determine the needs of the infant and family; (III) improving ongoing case management services; (IV) improving access to treatment services, which may be prior to the pregnant woman’s delivery date; and (V) keeping families safely together when it is in the best interest of the child. (B) Developing policies, procedures, or protocols in consultation and coordination with health professionals, public and private health facilities, and substance use disorder treatment agencies to ensure that— (i) appropriate notification to child protective services is made in a timely manner, as required under section 106(b)(2)(B)(ii); (ii) a plan of safe care is in place, in accordance with section 106(b)(2)(B)(iii), before the infant is discharged from the birth or health care facility; and (iii) such health and related agency professionals are trained on how to follow such protocols and are aware of the supports that may be provided under a plan of safe care. (C) Training health professionals and health system leaders, child welfare workers, substance use disorder treatment agencies, and other related professionals such as home visiting agency staff and law enforcement in relevant topics including— (i) State mandatory reporting laws established under section 106(b)(2)(B)(i) and the referral and process requirements for notification to child protective services when child abuse or neglect reporting is not mandated; (ii) the co-occurrence of pregnancy and substance use disorder, and implications of prenatal exposure; (iii) the clinical guidance about treating substance use disorder in pregnant and postpartum women; (iv) appropriate screening and interventions for infants affected by substance use disorder, withdrawal symptoms, or a fetal alcohol spectrum disorder and the requirements under section 106(b)(2)(B)(iii); and (v) appropriate multigenerational strategies to address the mental health needs of the parent and child together. (D) Establishing partnerships, agreements, or memoranda of understanding between the lead agency and other entities (including health professionals, health facilities, child welfare professionals, juvenile and family court judges, substance use and mental disorder treatment programs, early childhood education programs, maternal and child health and early intervention professionals (including home visiting providers), peer-to-peer recovery programs such as parent mentoring programs, and housing agencies) to facilitate the implementation of, and compliance with, section 106(b)(2) and subparagraph (B) of this paragraph, in areas which may include— (i) developing a comprehensive, multi-disciplinary assessment and intervention process for infants, pregnant women, and their families who are affected by substance use disorder, withdrawal symptoms, or a fetal alcohol spectrum disorder, that includes meaningful engagement with and takes into account the unique needs of each family and addresses differences between medically supervised substance use, including for the treatment of substance use disorder, and substance use disorder; (ii) ensuring that treatment approaches for serving infants, pregnant women, and perinatal and postnatal women whose infants may be affected by substance use, withdrawal symptoms, or a fetal alcohol spectrum disorder, are designed to, where appropriate, keep infants with their mothers during both inpatient and outpatient treatment; and (iii) increasing access to all evidence-based medication-assisted treatment approved by the Food and Drug Administration, behavioral therapy, and counseling services for the treatment of substance use disorders, as appropriate. (E) Developing and updating systems of technology for improved data collection and monitoring under section 106(b)(2)(B)(iii), including existing electronic medical records, to measure the outcomes achieved through the plans of safe care, including monitoring systems to meet the requirements of this Act and submission of performance measures. (5) Reporting Each State that receives funds under this subsection, for each year such funds are received, shall submit a report to the Secretary, disaggregated by geographic location, economic status, and major racial and ethnic groups, except that such disaggregation shall not be required if the results would reveal personally identifiable information on, with respect to infants identified under section 106(b)(2)(B)(ii)— (A) the number who experienced removal associated with parental substance use; (B) the number who experienced removal and subsequently are reunified with parents, and the length of time between such removal and reunification; (C) the number who are referred to community providers without a child protection case; (D) the number who receive services while in the care of their birth parents; (E) the number who receive post-reunification services within 1 year after a reunification has occurred; and (F) the number who experienced a return to out-of-home care within 1 year after reunification. (6) Secretary’s report to Congress The Secretary shall submit an annual report to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Education and Labor and the Committee on Appropriations of the House of Representatives that includes the information described in paragraph (5) and recommendations or observations on the challenges, successes, and lessons derived from implementation of the grant program. (7) Assisting States’ implementation The Secretary shall use the amount reserved under paragraph (2)(A)(i) to provide written guidance and technical assistance to support States in complying with and implementing this paragraph, which shall include— (A) technical assistance, including programs of in-depth technical assistance, to additional States, territories, and Indian Tribes and Tribal organizations in accordance with the substance-exposed infant initiative developed by the National Center on Substance Abuse and Child Welfare; (B) guidance on the requirements of this Act with respect to infants born with, and identified as being affected by, substance use or withdrawal symptoms or fetal alcohol spectrum disorder, as described in clauses (ii) and (iii) of section 106(b)(2)(B), including by— (i) enhancing States’ understanding of requirements and flexibilities under the law, including by clarifying key terms; (ii) addressing State-identified challenges with developing, implementing, and monitoring plans of safe care, including those reported under paragraph (3)(A)(ii); (iii) disseminating best practices on implementation of plans of safe care, on such topics as differential response, collaboration and coordination, and identification and delivery of services for different populations, while recognizing needs of different populations and varying community approaches across States; and (iv) helping States improve the long-term safety and well-being of young children and their families; (C) supporting State efforts to develop information technology systems to manage plans of safe care; and (D) preparing the Secretary’s report to Congress described in paragraph (6). (8) Sunset The authority under this subsection shall sunset on September 30, 2023. (e) Evaluation In making grants or entering into contracts for projects under this section, the Secretary shall require all such projects to report on the outcomes of such activities. Funding for such evaluations shall be provided either as a stated percentage of a demonstration grant or as a separate grant or contract entered into by the Secretary for the purpose of evaluating a particular demonstration project or group of projects. In the case of an evaluation performed by the recipient of a grant, the Secretary shall make available technical assistance for the evaluation, where needed, including the use of a rigorous application of scientific evaluation techniques. . 105. Grants to States for child abuse or neglect prevention and treatment programs Section 106 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5106a ) is amended— (1) in subsection (a)— (A) in the matter preceding paragraph (1)— (i) by striking subsection (f) and inserting subsection (g) ; and (ii) by striking State in— and inserting State with respect to one or more of the following activities: ; (B) by amending paragraph (1) to read as follows: (1) Maintaining and improving the intake, assessment, screening, and investigation of reports of child abuse or neglect, including support for rapid response to investigations, with special attention to cases involving children under the age of 5, and especially children under the age of 1. ; (C) in paragraph (2)— (i) in subparagraph (A)— (I) by striking creating and and inserting Creating and ; and (II) by inserting , which may include such teams used by children’s advocacy centers, after multidisciplinary teams ; and (ii) in subparagraph (B)(ii), by striking the semicolon and inserting a period; (D) by amending paragraph (3) to read as follows: (3) Implementing and improving case management approaches, including ongoing case monitoring, and delivery of services and treatment provided to children and their families to ensure safety and respond to family needs, that include— (A) multidisciplinary approaches to assessing family needs and connecting them with services; (B) organizing treatment teams of community service providers that prevent and treat child abuse and neglect, and improve child well-being; (C) case-monitoring that can ensure progress in child well-being; and (D) the use of differential response. ; (E) by striking paragraphs (4), (5), and (6) and inserting the following: (4) (A) Developing or enhancing data systems to improve case management coordination and communication between relevant agencies; (B) enhancing the general child protective system by developing, improving, and implementing risk and safety assessment tools and protocols, such as tools and protocols that allow for the identification of cases requiring rapid responses, systems of data sharing with law enforcement, including the use of differential response, and activities to reduce and prevent bias; (C) developing and updating systems of technology that support the program and track reports of child abuse and neglect from intake through final disposition and allow for interstate and intrastate information exchange; and (D) real-time case monitoring for caseworkers at the local agency level, and State agency level to track assessments, service referrals, follow-up, case reviews, and progress toward case plan goals. (5) Developing, strengthening, and facilitating training for professionals and volunteers engaged in the prevention, intervention, and treatment of child abuse and neglect including training on at least one of the following— (A) the legal duties of such individuals; (B) personal safety training for case workers; (C) early childhood, child, and adolescent development and the impact of child abuse and neglect, including long-term impacts of adverse childhood experiences; (D) improving coordination among child protective service agencies and health care agencies, entities providing health care (including mental health and substance use disorder services), and community resources, for purposes of conducting evaluations related to substantiated cases of child abuse or neglect; (E) improving screening, forensic diagnosis, and health and developmental evaluations; (F) addressing the unique needs of children with disabilities, including promoting interagency collaboration; (G) the placement of children with kin, and the unique needs and strategies as related to children in such placements; (H) responsive, family-oriented approaches to prevention, identification, intervention, and treatment of child abuse and neglect; (I) ensuring child safety; (J) the links between child abuse and neglect and domestic violence, and approaches to working with families with mental health needs or substance use disorder; and (K) coordinating with other services and agencies, as applicable, to address family and child needs, including trauma. ; (F) by redesignating paragraphs (7) and (8) as paragraphs (6) and (7), respectively; (G) in paragraph (6), as so redesignated— (i) by striking improving and inserting Improving ; (ii) by striking the skills, qualifications, and availability of individuals providing services to children and families, and the supervisors of such individuals, through the child protection system, including improvements in ; and (iii) by striking the semicolong and inserting , which may include efforts to address the effects of indirect trauma exposure for child welfare workers. ; (H) in paragraph (7), as so redesignated— (i) by striking developing, and inserting Developing, ; and (ii) by striking the semicolon and inserting , which may include improving public awareness and understanding relating to the role and responsibilities of the child protection system and the nature and basis for reporting suspected incidents of child abuse and neglect. ; and (I) by striking paragraphs (9) through (14) and inserting the following: (8) Collaborating with other agencies in the community, county, or State and coordinating services to promote a system of care focused on both prevention and treatment, such as by— (A) developing and enhancing the capacity of community-based programs to integrate shared leadership strategies between parents and professionals to prevent and treat child abuse and neglect at the community level; or (B) supporting and enhancing interagency collaboration between the child protection system, public health agencies, education systems, domestic violence systems, and the juvenile justice system for improved delivery of services and treatment, such as models of co-locating service providers, which may include— (i) methods for continuity of treatment plan and services as children transition between systems; (ii) addressing the health needs, including mental health needs, of children identified as victims of child abuse or neglect, including supporting prompt, comprehensive health and developmental evaluations for children who are the subject of substantiated child maltreatment reports; or (iii) the provision of services that assist children exposed to domestic violence, and that also support the caregiving role of their nonabusing parents. ; (2) in subsection (b)— (A) in paragraph (1)— (i) in subparagraph (A), by striking areas of the child protective services system and inserting ways in which the amounts received under the grant will be used to improve and strengthen the child protective services system through the activities ; and (ii) by amending subparagraphs (B) and (C) to read as follows: (B) Duration of plan Each State plan shall— (i) be submitted not less frequently than every 5 years, in coordination with the State plan submitted under part B of title IV of the Social Security Act; and (ii) be periodically reviewed and revised by the State, as necessary to reflect any substantive changes to State law or regulations related to the prevention of child abuse and neglect that may affect the eligibility of the State under this section, or if there are significant changes from the State application in the State’s funding of strategies and programs supported under this section. (C) Public comment Each State shall consult widely with public and private organizations in developing the plan, make the plan public by electronic means in an easily accessible format, and provide all interested members of the public at least 30 days to submit comments on the plan. ; (B) in paragraph (2)— (i) in the matter preceding subparagraph (A)— (I) by inserting be developed, as appropriate, in collaboration with local programs funded under title II and with families affected by child abuse and neglect, and after shall ; and (II) by striking achieve the objectives of this title and inserting strengthen families and reduce incidents of and prevent child abuse and neglect ; (ii) in subparagraph (A), by inserting and takes into account prevention services across State agencies in order to improve coordination of efforts to prevent and reduce child abuse and neglect before the semicolon; (iii) in subparagraph (B)— (I) by amending clause (i) to read as follows: (i) provisions or procedures for individuals to report known and suspected instances of child abuse and neglect directly to a State child protection agency or to a law enforcement agency, as applicable under State law, including a State law for mandatory reporting by individuals required to report such instances, including, as defined by the State— (I) health professionals; (II) school and child care personnel; (III) law enforcement officials; and (IV) other individuals, as the applicable State law or statewide program may require; ; (II) by moving the margins of subclauses (I) and (II) of clause (iii) 2 ems to the right; (III) in clause (vi), by inserting , which may include placements with caregivers who are kin before the semicolon; (IV) by striking clauses (x) and (xx); (V) by redesignating clauses (xi) through (xix) as clauses (x) through (xviii), respectively; and (VI) by redesignating clauses (xxi) through (xxv) as clauses (xix) through (xxiii), respectively; (iv) in subparagraph (D)— (I) in clause (i), by inserting , and how such services will be strategically coordinated with relevant agencies to provide a continuum of prevention services and be after referrals ; (II) in clause (ii), by inserting and retention activities after training ; (III) in clause (iii), by inserting , including for purposes of making such individuals aware of these requirements before the semicolon; (IV) in clause (v)— (aa) by inserting the State’s efforts to improve before policies ; (bb) by striking substance abuse treatment agencies, and other agencies and inserting substance abuse treatment agencies, other agencies, and kinship navigators ; and (cc) by striking ; and and inserting a semicolon; (V) in clause (vi), by striking the semicolon and inserting , to improve outcomes for children and families; and ; and (VI) by adding at the end the following: (vii) the State's policies and procedures regarding public disclosure of the findings or information about the case of child abuse or neglect that has resulted in a child fatality or near fatality, which shall provide for exceptions to the release of such findings or information in order to ensure the safety and well-being of the child, or when the release of such information would jeopardize a criminal investigation; ; and (v) by striking the flush text that follows subparagraph (G); and (C) in paragraph (3)— (i) in the heading, by striking Limitation and inserting Limitations ; (ii) by striking With regard to clauses (vi) and (vii) of paragraph (2)(B) and inserting the following: (B) Certain identifying information With regard to clauses (vi) and (vii) of paragraph (2)(B) ; (iii) by inserting before subparagraph (B), as added by clause (ii), the following: (A) In general Nothing in paragraph (2)(B) shall be construed to limit a State’s authority to determine State policies relating to public access to court proceedings to determine child abuse and neglect, except that such policies shall, at a minimum, ensure the safety and well-being of the child, parents, and families. ; and (iv) by adding at the end the following: (C) Mandated reporters in certain States With respect to a State in which State law requires all of the individuals to report known or suspected instances of child abuse and neglect directly to a State child protection agency or to a law enforcement agency, the requirement under paragraph (2)(B)(i) shall not be construed to require the State to define the classes of individuals described in subclauses (I) through (IV) of such paragraph. ; (3) in subsection (c)— (A) in paragraph (1)— (i) in subparagraph (A)— (I) by striking Except as provided in subparagraph (B), each and inserting Each ; and (II) by striking not less than 3 citizen review panels and inserting at least 1 citizen review panel ; and (ii) by amending subparagraph (B) to read as follows: (B) Exception A State may designate a panel for purposes of this subsection, comprised of one or more existing entities established under State or Federal law, such as child fatality panels, or foster care review panels, or State task forces established under section 107, if such entities have the capacity to satisfy the requirements of paragraph (3) and the State ensures that such entities will satisfy such requirements. ; (B) by striking paragraph (3); (C) by redesignating paragraphs (4) through (6) as paragraphs (3) through (5), respectively; (D) in paragraph (4), as so redesignated— (i) by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; (ii) in subparagraph (B), as so redesignated, by striking paragraph (4) and inserting paragraph (3) ; and (iii) by inserting before subparagraph (B), as so redesignated, the following: (A) shall develop a memorandum of understanding with each panel, clearly outlining the panel’s roles and responsibilities, and identifying any support from the State; ; and (E) in paragraph (5), as so redesignated— (i) by inserting which may be carried out collectively by a combination of such panels, before on an annual basis ; (ii) by striking whether or ; and (iii) by inserting , which may include providing examples of efforts to implement citizen review panel recommendations before the period of the second sentence; (4) in subsection (d)— (A) in paragraph (1), by inserting , disaggregated, where available, by demographic characteristics such as age, sex, race and ethnicity, disability, caregiver risk factors, caregiver relationship, living arrangement, and relation of victim to their perpetrator before the period; (B) in paragraph (5), by striking neglect. and inserting “neglect, including— (A) the number of child deaths due to child abuse and neglect from separate reporting sources within the State, including information from the State child welfare agency and the State child death review program that— (i) is compiled by the State welfare agency for submission; and (ii) considers State data, including vital statistics death records, State and local medical examiner and coroner office records, and uniform crime reports from local law enforcement; and (B) information about the circumstances under which a child death occurred due to abuse and neglect, including the cause of the death, whether the child was referred to the State child welfare agency, the determination made by the child welfare agency, and the perpetrator’s previous maltreatment of children and the sources used to provide such information. ; (C) in paragraph (13)— (i) by inserting and recommendations after the activities ; and (ii) by striking subsection (c)(6) and inserting subsection (c)(5) ; (D) in paragraph (16), by striking subsection (b)(2)(B)(xxi) and inserting subsection (b)(2)(B)(xix) ; and (E) in paragraph (17), by striking subsection (b)(2)(B)(xxiv) and inserting subsection (b)(2)(B)(xxii) ; (5) by redesignating subsections (e) and (f) as subsections (f) and (g), respectively; (6) by inserting after subsection (d) the following: (e) Assisting States in implementation The Secretary shall provide technical assistance to support States in reporting the information required under subsection (d)(5). ; (7) in subsection (f), as so redesignated, by striking the Congress and inserting the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Labor of the House of Representatives ; and (8) by adding at the end the following: (h) Annual report A State that receives funds under subsection (a) shall annually prepare and submit to the Secretary a report describing the manner in which funds provided under this Act, alone or in combination with other Federal funds, were used to address the purposes and achieve the objectives of section 106, including— (1) a description of how the State used such funds to improve the child protective system related to— (A) effective collaborative and coordination strategies among child protective services and social services, legal, health care (including mental health and substance use disorder services), domestic violence services, education agencies, and community-based organizations that contribute to improvements of the overall well-being of children and families; and (B) capacity-building efforts to support identification and improvement of responses to, child maltreatment; and (2) how the State collaborated with community-based prevention organizations to reduce barriers to, and improve the effectiveness of, programs related to child abuse and neglect. . 106. Grants to States for programs relating to the investigation and prosecution of child abuse and neglect cases Section 107 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5106c ) is amended— (1) in subsection (a)— (A) by striking the assessment and investigation each place it appears and inserting the assessment, investigation, and prosecution ; (B) in paragraph (1)— (i) by striking and exploitation, and inserting , exploitation, and child sex-trafficking, ; and (ii) by inserting , including through a child abuse investigative multidisciplinary review team before the semicolon; (C) in paragraph (2), by adding and after the semicolon; (D) by striking paragraph (3); (E) by redesignating paragraph (4) as paragraph (3); and (F) in paragraph (3), as so redesignated, by inserting , or other vulnerable populations, after health-related problems ; (2) in subsection (c)(1)— (A) in subparagraph (I), by striking and at the end; (B) in subparagraph (J), by striking the period and inserting ; and ; and (C) by adding at the end the following: (K) individuals experienced in working with underserved or overrepresented groups in the child welfare system. ; and (3) in subsection (d)(1), by striking and exploitation and inserting , exploitation, and child sex-trafficking ; and (4) in subsection (e)(1)— (A) in subparagraph (A), by striking and exploitation and inserting , exploitation, and child sex-trafficking ; (B) in subparagraph (B), by striking ; and at the end and inserting a semicolon; (C) in subparagraph (C)— (i) by striking and exploitation and inserting , exploitation, and child sex-trafficking ; and (ii) by striking the period and inserting ; and ; and (D) by adding at the end the following: (D) improving coordination among agencies regarding reports of child abuse and neglect to ensure both law enforcement and child protective services agencies have ready access to full information regarding past reports, which may be done in coordination with other States or geographic regions. . 107. Miscellaneous requirements relating to assistance Section 108 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5106d ) is amended by striking subsection (e). 108. Reports Section 110 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5106f ) is amended— (1) in subsection (a), by striking CAPTA Reauthorization Act of 2010 and inserting CAPTA Reauthorization Act of 2019 ; (2) in subsection (b)— (A) in the heading, by striking Effectiveness of State programs and inserting Activities ; and (B) by striking evaluating the effectiveness of programs receiving assistance under section 106 in achieving the and inserting on activities of technical assistance for programs that support State efforts to meet the needs and ; and (3) by striking subsections (c) and (d) and inserting the following: (c) Report on State mandatory reporting laws Not later than 4 years after the date of enactment of the CAPTA Reauthorization Act of 2019 , the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Labor of the House of Representatives a report that contains— (1) information on— (A) training supported by this Act for mandatory reporters of child abuse or neglect; and (B) State efforts to improve reporting on, and responding to reports of, child abuse or neglect; and (2) data regarding any changes in the rate of substantiated child abuse reports and changes in the rate of child abuse fatalities since the date of enactment of the CAPTA Reauthorization Act of 2019 . (d) Report relating to injuries indicating the presence of child abuse Not later than 2 years after the date of enactment of the CAPTA Reauthorization Act of 2019 , the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Labor of the House of Representatives a report that contains— (1) information on best practices developed by medical institutions and other multidisciplinary partners to identify and appropriately respond to injuries indicating the presence of potential physical abuse in children, including— (A) the identification and assessment of such injuries by health care professionals and appropriate child protective services referral and notification processes; and (B) an identification of effective programs replicating best practices, and barriers or challenges to implementing programs; and (2) data on any outcomes associated with the practices described in paragraph (1), including subsequent revictimization and child fatalities. (e) Report relating to child abuse and neglect in Indian tribal communities Not later than 2 years after the date of enactment of the CAPTA Reauthorization Act of 2019 , the Comptroller General of the United States, in consultation with Indian Tribes from each of the 12 Bureau of Indian Affairs Regions, shall submit a report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Labor of the House of Representatives that contains— (1) information about Indian Tribes and Tribal Organizations providing child abuse and neglect prevention activities, including types of programming and number of tribes providing services; (2) promising practices used by tribes for child abuse and neglect prevention; (3) information about the child abuse and neglect prevention activities Indian Tribes are providing with Tribal, State, and Federal funds; (4) ways to support prevention efforts regarding child abuse and neglect of American Indian and Alaska Native children, such as through the children’s trust fund model; (5) an assessment of Federal agency collaboration and technical assistance efforts to address child abuse and neglect prevention and treatment of American Indian and Alaska Native children; (6) an examination of access to child abuse and neglect prevention research and demonstration grants by Indian tribes under this Act; and (7) an examination of Federal child abuse and neglect data systems to identify what Tribal data is being submitted to the Department of Health and Human Services, any barriers to the submission of such data, and recommendations on improving the submission of such data. . 109. Authorization of appropriations Section 112(a)(1) of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5106h(a)(1) ) is amended to read as follows: (1) General authorization There are authorized to be appropriated to carry out this title such sums as may be necessary for each of fiscal years 2021 through 2026. . II Community-based grants for the prevention of child abuse and neglect 201. Purpose and authority Section 201 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116 ) is amended— (1) in subsection (a)— (A) in paragraph (1)— (i) by inserting State and after to support ; and (ii) by inserting statewide and local networks of after coordinate ; and (B) in paragraph (2), by striking foster an understanding, appreciation, and knowledge of diverse populations and inserting support local programs in increasing access for diverse populations to programs and activities ; and (2) in subsection (b)— (A) by striking paragraph (2); (B) by redesignating paragraphs (3) through (5) as paragraphs (4) through (6), respectively; (C) in paragraph (1)— (i) in subparagraph (C), by inserting healthy relationships and before parenting skills ; (ii) in subparagraph (E), by striking including access to such resources and opportunities for unaccompanied homeless youth; and inserting such as providing referrals to early health and developmental services, including access to such resources and opportunities for homeless families and those at risk of homelessness; and ; (iii) by striking subparagraph (H); (iv) by redesignating subparagraph (G) as paragraph (3) and adjusting the margin accordingly; and (v) in the matter preceding subparagraph (A)— (I) by inserting statewide and local networks of after enhancing ; and (II) by striking that— and inserting the following: “in order to provide a continuum of services to children and families; (2) supporting local programs, which may include capacity building activities such as technical assistance, training, and professional development to provide community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect that help families build protective factors linked to the prevention of child abuse and neglect that— ; (D) in paragraph (3), as so redesignated, by striking demonstrate a commitment to involving parents in the planning and program implementation of the lead agency and entities carrying out and inserting supporting the meaningful involvement of parents in the planning, program implementation, and evaluation of the lead entity and ; (E) in paragraph (4), as so redesignated, by striking specific community-based and all that follows through section 205(a)(3) and inserting core child abuse and neglect prevention services described in section 205(a)(3) and the services identified by the inventory required under section 204(3) ; (F) in paragraph (5), as so redesignated— (i) by striking funds for the and inserting Federal, State, local, and private funds, to carry out the purposes of this title, which may include ; and (ii) by striking reporting and evaluation costs for establishing, operating, or expanding and inserting such as data systems to facilitate statewide monitoring, reporting, and evaluation costs for ; and (G) in paragraph (6), as so redesignated— (i) by inserting , which may include activities to increase public awareness and education, and developing comprehensive outreach strategies to engage diverse, underserved, and at-risk populations, after information activities ; and (ii) by striking and the promotion of child abuse and neglect prevention activities . 202. Eligibility Section 202 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116a ) is amended— (1) in paragraph (1)— (A) in subparagraph (A)— (i) by inserting , taking into consideration the capacity and expertise of eligible entities, after Governor of the State ; and (ii) by inserting statewide and local networks of before community-based ; (B) in subparagraph (B)— (i) by striking who are consumers and inserting who are or who have been consumers ; (ii) by striking applicant agency and inserting lead entity ; and (iii) by adding and after the semicolon; (C) in subparagraph (C)— (i) by inserting local, after State, ; and (ii) by striking ; and and inserting a semicolon; and (D) by striking subparagraph (D); (2) in paragraph (2)— (A) in subparagraph (A), by striking composed of and all that follows through children with disabilities and inserting carried out by local, collaborative, and public-private partnerships ; and (B) in subparagraph (C), by inserting local, after State, ; and (3) in paragraph (3)— (A) in subparagraph (A), by striking parental participation in the development, operation, and oversight of the and inserting the meaningful involvement of parents in the development, operation, evaluation, and oversight of the State and local efforts to support ; (B) in subparagraph (B)— (i) by inserting relevant before State and community-based ; and (ii) by striking the community-based and inserting community-based ; (C) in subparagraph (C)— (i) by striking community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect and inserting local programs ; and (ii) by striking ; and and inserting a semicolon; (D) in subparagraph (D)— (i) by striking , parents with disabilities, and inserting or parents with disabilities, and members of underserved or overrepresented groups in the child welfare system, ; and (ii) by striking the period and inserting ; and ; and (E) by adding at the end the following: (E) will take into consideration barriers to access to community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect, including for populations described in section 204(7)(A)(iii) and gaps in unmet need identified in the inventory described in section 204(3) when distributing funds to local programs for use in accordance with section 205(a). . 203. Amount of grant Section 203 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116b ) is amended— (1) in subsection (a), by adding at the end the following: In any fiscal year for which the amount appropriated under section 209 exceeds the amount appropriated under such section for fiscal year 2019 by more than $2,000,000, the Secretary may increase the reservation described in this subsection to up to 5 percent of the amount appropriated under section 210 for the fiscal year for the purpose described in the preceding sentence. ; and (2) in subsection (b)(1)(A), by striking $175,000 and inserting $200,000 . 204. Application Section 204 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116d ) is amended— (1) in the matter preceding paragraph (1), by striking the State and inserting the lead entity ; (2) in paragraph (1), by striking which meets the requirements of section 202 ; (3) in paragraph (2), by striking community-based child abuse and neglect prevention programs and inserting such services ; (4) in paragraph (3), by inserting designed to strengthen and support families after programs and activities ; (5) in paragraph (5), by striking start up and inserting start-up ; (6) by amending paragraph (6) to read as follows: (6) a description of the lead entity's capacity to ensure the meaningful involvement of family advocates, kinship caregivers, adult former victims of child abuse or neglect, and parents who are, or who have been, consumers of preventive supports, in the planning, implementation, and evaluation of the programs and policy decisions; ; (7) by amending paragraph (7) to read as follows: (7) a description of the criteria that the lead entity will use to— (A) select and fund local programs, and how the lead entity will take into consideration the local program's ability to— (i) collaborate across a broad range of services and initiatives and engage in long-term and strategic planning for, community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect; (ii) meaningfully involve parents in the development, implementation, oversight, and evaluation of services; and (iii) reduce barriers to access to community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect, including for diverse, underserved, and at-risk populations; or (B) develop or provide community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect, and provide a description of how such activities are evidence-based or evidence-informed; ; (8) in paragraph (8)— (A) by striking entity and the community-based and prevention-focused programs designed to strengthen and support families to prevent child abuse and neglect and inserting lead entity and local programs ; (B) by striking homeless families and those at risk of homelessness, unaccompanied homeless youth and inserting victims of domestic violence, homeless families and those at risk of homelessness, families experiencing trauma ; and (C) by inserting , including underserved or overrepresented groups in the child welfare system before the semicolon; (9) in paragraph (9), by striking community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect and inserting local programs ; (10) in paragraph (10), by striking applicant entity's activities and those of the network and its members (where appropriate) will be evaluated and inserting lead entity's activities and local programs will be evaluated, including in accordance with section 206 ; (11) in paragraph (11)— (A) by striking applicant entity and inserting lead entity ; and (B) by inserting , including how the lead entity will promote and consider improving access among diverse, underserved, and at-risk populations before the semicolon; and (12) in paragraph (12), by striking applicant entity and inserting lead entity . 205. Local program requirements Section 205 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116e ) is amended— (1) in subsection (a)— (A) in the matter preceding paragraph (1)— (i) by striking Grants made and inserting Grants or contracts made by the lead entity ; and (ii) by striking that— and inserting , which may include— ; (B) by amending paragraph (1) to read as follows: (1) assessing community assets and needs through a planning process that— (A) involves other community-based organizations or agencies that have already performed a needs assessment; (B) includes the meaningful involvement of parents; and (C) uses information and expertise from local public agencies, local nonprofit organizations, and private sector representatives in meaningful roles; ; (C) in paragraph (2), by striking develop and inserting developing ; (D) in paragraph (3)— (i) in subparagraph (A)— (I) in the matter preceding clause (i), by striking provide for and inserting providing ; and (II) in clause (i), by striking mutual support and and inserting which may include programs and services that improve knowledge of healthy child development, parental resilience, mutual support, and ; and (ii) in subparagraph (B)— (I) in the matter preceding clause (i), by striking provide access to optional services and inserting connecting individuals and families to additional services ; (II) in clause (ii), by striking and intervention and inserting , such as Head Start, including early Head Start, and early intervention ; (III) by redesignating clauses (iii) through (ix) as clauses (iv) through (x), respectively; (IV) by inserting after clause (ii) the following: (iii) nutrition programs, which may include the special supplemental nutrition program for women, infants, and children established by section 17 of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786 ) and the supplemental nutrition assistance program under the Food and Nutrition Act of 2008 ( 7 U.S.C. 2011 et seq.); ; (V) in clause (vi), as so redesignated, by striking services, such as academic tutoring, literacy training, and General Educational Degree services and inserting and workforce development programs, including adult education and literacy training and academic tutoring ; and (VI) in clause (x), as so redesignated, by striking service programs that provide services and treatment to children and their non-abusing caregivers and inserting services ; (E) in paragraph (4)— (i) by striking develop leadership roles for the and inserting developing and maintaining ; (ii) by inserting , and, as applicable, kinship caregivers, after parents ; and (iii) by striking the programs and inserting programs ; (F) in paragraph (5), by striking provide and inserting providing ; and (G) in paragraph (6), by striking participate and inserting participating ; and (2) in subsection (b), by striking programs.. and inserting programs. . 206. Performance measures Section 206 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116f ) is amended— (1) in paragraph (2), by striking optional services as described in section 202 and inserting additional services as described in section 205(a)(3)(B) ; (2) in paragraph (3), by striking section 205(3) and inserting section 204 ; (3) in paragraph (5), by striking used the services of and inserting participated in ; (4) in paragraph (6), by striking community level and inserting local level ; (5) in paragraph (7), by striking ; and and inserting a semicolon; (6) by redesignating paragraph (8) as paragraph (9); (7) by inserting after paragraph (7) the following: (8) shall describe the percentage of total funding provided to the State under section 203 that supports evidence-based and evidence-informed community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect; and ; and (8) in paragraph (9), as so redesignated, by striking continued leadership and inserting meaningful involvement . 207. Definitions Section 208(2) of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116h(2) ) is amended— (1) in the paragraph heading, by inserting designed to strengthen and support families after activities ; (2) by striking respite care programs and inserting respite care services ; (3) by inserting for parents and children after mutual support programs ; and (4) by striking or respond to . 208. Authorization of appropriations Section 209 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5116i ) is amended to read as follows: 209. Authorization of appropriations There are authorized to be appropriated to carry out this title such sums as may be necessary for each of fiscal years 2021 through 2026. . III Miscellaneous provisions 301. Technical amendments The Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5101 et seq.) is amended— (1) in section 3, by amending paragraph (5) to read as follows: (5) the terms Indian , Indian Tribe , and Tribal organization have the meanings given the terms Indian , Indian tribe , and tribal organization , respectively, in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 450b ); ; (2) by striking tribe each place such term appears (other than section 3(5)) and inserting Tribe ; and (3) by striking tribal each place such term appears (other than section 3(5)) and inserting Tribal .