,,ii  #aadth ,,congress  #b;d ,session  
,s4 #bfhg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #ae1    
#bjaf ,mr4 ,casey 7for himself1 ,mr4    
,alexander1 ,mr4 ,bennet1 ,mr4 ,hatch1  
,mrs4 ,murray1 and ,ms4 ,collins7       
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,child ,abuse ,prevention and 
,treatment ,act to improve plans of safe
 care for infants affected by illegal   
substance abuse or withdrawal symptoms1 
or a ,fetal ,alcohol ,spectrum          
,disorder1 and for other purposes4  #a4 
,short title ,this ,act may be cited as 
the ,plan of ,safe ,care ,improvement   
,act4  #b4 ,state plans ,section        
#ajf7;b77#b77;,b77iii7 of the ,child    
,abuse ,prevention and ,treatment ,act  
7#db ,u4,s4,c4 #eajf;a7b77#b77;,b77 is  
amended by striking clause 7iii7 and    
inserting the following3  7iii7 policies
 and procedures that require-- 7,i7 the 

development of a plan of safe care for  
an infant born and identified as being  
affected by illegal substance abuse or  
withdrawal symptoms or a ,fetal ,alcohol
 ,spectrum ,disorder2 and  7,,ii7 the   
development and implementation by the   
,state of monitoring systems regarding  
the plan of safe care to--  7aa7 ensure 
the safety and well-being of children2  
7bb7 address the health1 including      
mental health1 needs of the child and   
family involved2 and  7cc7 determine    
whether local entities are capable of   
providing referrals to and delivery of  
appropriate services for the child and  
family2  4  #c4 ,data reports  7a7 ,in  
general ,section #ajf7;d7 of the ,child 
,abuse ,prevention and ,treatment ,act  
7#db ,u4,s4,c4 #eajf;a7d77 is amended by
 adding at the end the following3  7#ah7
 ,the number of infants for whom a plan 
of safe care1 as referred to in         
subsection 7b77#b77;,b77iii71 was       
developed4  4  7b7 ,rule of             
,construction ,in section #hjb7;b77#b7  

of the ,justice for ,victims of         
,trafficking ,act of #bjae 7,public ,law
 #aad-bb2 #abi ,stat #bfd71 the         
reference to adding at the end shall be 
considered to refer to inserting after  
paragraph 7#af74  #d4 ,monitoring       
,section #ajf of the ,child ,abuse      
,prevention and ,treatment ,act 7#db    
,u4,s4,c4 #eajf;a7 is amended by adding 
at the end the following3  7g7          
,monitoring ,the ,secretary shall       
conduct monitoring of ,states to ensure 
that each ,state is meeting the         
requirements of subsection              
7b77#b77;,b77iii7 to improve outcomes   
among children who are most at risk for 
child abuse and neglect4  4  #e4 ,best  
practices for plans of safe care ,not   
later than #ij days after the date of   
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services shall   
issue guidance to ,states regarding the 
requirements and best practices for the 
development and implementation of plans 
of safe care1 as referred to in section 

#ajf7;b77#b77;,b77iii7 of the ,child    
,abuse ,prevention and ,treatment ,act  
7#db ,u4,s4,c4                          
#eajf;a7b77#b77;,b77iii774 ,in          
developing the guidance1 the ,secretary 
shall seek and take into consideration  
input from all appropriate offices      
within the ,department of ,health and   
,human ,services1 including the         
,administration for ,children and       
,families1 the ,centers for ,medicare   
,medicaid ,services1 the ,centers for   
,disease ,control and ,prevention1 the  
,substance ,abuse and ,mental ,health   
,services ,administration1 and the      
,national ,institutes of ,health1 and   
from the ,department of ,education4