,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #bec  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #d1 #bjag,mr4 
,bu*anan 7= himself & ,mr4 ,lev97       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d p>ts ,b & ,e ( title   
,,iv ( ! ,social ,security ,act to inve/
 9 fund+ prev5tion & family s]vices to  
help keep *ildr5 safe & support$ at     
home1 to ensure t *ildr5 9 fo/] c>e are 
plac$ 9 ! lea/ re/rictive1 mo/ family-l1
 & appropriate sett+s1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,family ,fir/ ,prev5tion ,s]vices   
,act ( #bjag4  #b4 ,table ( cont5ts ,!  
table ( cont5ts = ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table 
( cont5ts4 ,title ,i--,inve/+ 9         
,prev5tion & ,family ,s]vices ,sec4     
#aja4 ,purpose4 ,subtitle ,a--,prev5tion
 ,activities "u ,title ,,iv-,e ,sec4    
#aaa4 ,fo/] c>e prev5tion s]vices &     
programs4 ,sec4 #aab4 ,fo/] c>e         
ma9t5ance paym5ts = *ildr5 ) p>5ts 9 a  

lic5s$ resid5tial family-bas$ treatm5t  
facility = sub/ance abuse4 ,sec4 #aac4  
,title ,,iv-,e paym5ts = evid5ce-bas$   
k9%ip navigator programs4 ,subtitle     
,b--,enhanc$ support "u ,title ,,iv-,b  
,sec4 #aba4 ,elim9ation ( "t limit =    
family reunification s]vices :ile 9 fo/]
 c>e & p]mitt+ "t-limit$ family         
reunification s]vices :5 a *ild returns 
home f fo/] c>e4 ,sec4 #abb4 ,r$uc+     
bureaucracy & unnecess>y delays :5 plac+
 *ildr5 9 homes across ,/ate l9es4 ,sec4
 #abc4 ,enhancem5ts to grants to improve
 well-be+ ( families affect$ by sub/ance
 abuse4 ,subtitle ,c--,miscellane\s     
,sec4 #aca4 ,review+ & improv+ lic5s+   
/&>ds = placem5t 9 a relative fo/]      
family home4 ,sec4 #acb4 ,developm5t ( a
 /atewide plan to prev5t *ild abuse &   
neglect fatalities4 ,sec4 #acc4         
,mod]niz+ ! title & purpose ( title     
,,iv-,e4 ,sec4 #acd4 ,effective dates4  
,title ,,ii--,ensur+ ! ,necessity ( a   
,placem5t t is n 9 a ,fo/] ,family ,home
 ,sec4 #bja4 ,limitation on ,f$]al      

f9ancial p>ticipation = placem5ts t are 
n 9 fo/] family homes4 ,sec4 #bjb4      
,assessm5t & docum5tation ( ! ne$ =     
placem5t 9 a qualifi$ resid5tial        
treatm5t program4 ,sec4 #bjc4 ,protocols
 to prev5t inappropriate diagnoses4     
,sec4 #bjd4 ,additional data & reports  
reg>d+ *ildr5 plac$ 9 a sett+ t is n a  
fo/] family home4 ,sec4 #bje4 ,effective
 dates2 application to waiv]s4 ,title   
,,iii--,cont9u+ ,support = ,*ild &      
,family ,s]vices ,sec4 #cja4 ,support+ &
 reta9+ fo/] families = *ildr54 ,sec4   
#cjb4 ,ext5sion ( *ild & family s]vices 
programs4 ,sec4 #cjc4 ,improvem5ts to ! 
,john ,h4 ,*afee fo/] c>e indep5d5ce    
program & relat$ provisions4 ,title     
,,iv--,cont9u+ ,inc5tives to ,/ates to  
,promote ,adoption & ,legal ,gu>dian%ip 
,sec4 #dja4 ,reau?oriz+ adoption & legal
 gu>dian%ip inc5tive programs4 ,title   
,v--,te*nical ,corrections ,sec4 #eja4  
,te*nical corrections to data ex*ange   
/&>ds to improve program coord9ation4   
,sec4 #ejb4 ,te*nical corrections to    

,/ate requirem5t to address !           
developm5tal ne$s ( "y *ildr54 ,title   
,,vi--,ensur+ ,/ates re9ve/ sav+s       
result+ f increase 9 adoption assi/ance 
,sec4 #fja4 ,delay ( adoption assi/ance 
phase-94 ,sec4 #fjb4 ,,gao /udy & report
 on ,/ate re9ve/m5t ( sav+s result+ f   
increase 9 adoption assi/ance4  ,i      
,inve/+ 9 ,prev5tion & ,family ,s]vices 
#aja4 ,purpose ,! purpose ( ?is title is
 to enable ,/ates to use ,f$]al funds   
available "u p>ts ,b & ,e ( title ,,iv (
 ! ,social ,security ,act to provide    
enhanc$ support to *ildr5 & families &  
prev5t fo/] c>e placem5ts ?r\gh !       
provision ( m5tal heal? & sub/ance abuse
 prev5tion & treatm5t s]vices1 9-home   
p>5t skill-bas$ programs1 & k9%ip       
navigator s]vices4  ,a ,prev5tion       
,activities "u ,title ,,iv-,e  #aaa4    
,fo/] c>e prev5tion s]vices & programs  
7a7 ,/ate option ,section #dga ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#fga7 is am5d$-- 7#a7 9 subsection      
7a77#a71 by /rik+ & & all t foll[s ?r\gh

 ! semicolon & ins]t+ 1 adoption        
assi/ance 9 accordance ) section #dgc1  
&1 at ! option ( ! ,/ate1 s]vices or    
programs specifi$ 9 subsection 7e77#a7 (
 ?is section = *ildr5 :o are c&idates = 
fo/] c>e or :o are pregnant or p>5t+    
fo/] y\? & ! p>5ts or k9 c>egiv]s ( !   
*ildr51 9 accordance ) ! requirem5ts ( t
 subsection22 &  7#b7 by add+ at ! end !
 foll[+3  7e7 ,prev5tion & family       
s]vices & programs  7#a7 ,9 g5]al       
,subject to ! succe$+ provisions ( ?is  
subsection1 ! ,secret>y may make a      
paym5t to a ,/ate = provid+ ! foll[+    
s]vices or programs = a *ild describ$ 9 
p>agraph 7#b7 & ! p>5ts or k9 c>egiv]s (
 ! *ild :5 ! ne$ ( ! *ild1 su* a p>5t1  
or su* a c>egiv] = ! s]vices or programs
 are directly relat$ to ! safety1       
p]man5ce1 or well-be+ ( ! *ild or to    
prev5t+ ! *ild f ent]+ fo/] c>e3  7,a7  
,m5tal heal? & sub/ance abuse prev5tion 
& treatm5t s]vices ,m5tal heal? &       
sub/ance abuse prev5tion & treatm5t     
s]vices provid$ by a qualifi$ cl9ician =

 n m ?an a #ab-mon? p]iod t beg9s on any
 date describ$ 9 p>agraph 7#c7 ) respect
 to ! *ild4  7,b7 ,9-home p>5t          
skill-bas$ programs ,9-home p>5t        
skill-bas$ programs = n m ?an a #ab-mon?
 p]iod t beg9s on any date describ$ 9   
p>agraph 7#c7 ) respect to ! *ild & t   
include p>5t+ skills tra9+1 p>5t        
education1 & individual & family        
c\nsel+4  7#b7 ,*ild describ$ ,=        
purposes ( p>agraph 7#a71 a *ild        
describ$ 9 ?is p>agraph is ! foll[+3    
7,a7 ,a *ild :o is a c&idate = fo/] c>e 
7z def9$ 9 section #dge7ac77 b c rema9  
safely at home or 9 a k9%ip placem5t )  
receipt ( s]vices or programs specifi$ 9
 p>agraph 7#a74  7,b7 ,a *ild 9 fo/] c>e
 :o is a pregnant or p>5t+ fo/] y\?4    
7#c7 ,date describ$ ,= purposes (       
p>agraph 7#a71 ! dates describ$ 9 ?is   
p>agraph are ! foll[+3  7,a7 ,! date on 
:i* a *ild is id5tifi$ 9 a prev5tion    
plan ma9ta9$ "u p>agraph 7#d7 z a *ild  
:o is a c&idate = fo/] c>e 7z def9$ 9   
section #dge7ac774  7,b7 ,! date on :i* 

a *ild is id5tifi$ 9 a prev5tion plan   
ma9ta9$ "u p>agraph 7#d7 z a pregnant or
 p>5t+ fo/] y\? 9 ne$ ( s]vices or      
programs specifi$ 9 p>agraph 7#a74  7#d7
 ,requirem5ts relat$ to provid+ s]vices 
& programs ,s]vices & programs specifi$ 
9 p>agraph 7#a7 may be provid$ "u ?is   
subsection only if specifi$ 9 advance 9 
! *ild's prev5tion plan describ$ 9      
subp>agraph 7,a7 & ! requirem5ts 9      
subp>agraphs 7,b7 ?r\gh 7,e7 are met3   
7,a7 ,prev5tion plan ,! ,/ate ma9ta9s a 
writt5 prev5tion plan = ! *ild t meets !
 foll[+ requirem5ts 7z applicable73  7i7
 ,c&idates ,9 ! case ( a *ild :o is a   
c&idate = fo/] c>e describ$ 9 p>agraph  
7#b77;,a71 ! prev5tion plan %all--  7,i7
 id5tify ! fo/] c>e prev5tion /rategy = 
! *ild s t ! *ild may rema9 safely at   
home1 live tempor>ily ) a k9 c>egiv]    
until reunification c be safely a*iev$1 
or live p]man5tly ) a k9 c>egiv]2       
7,,ii7 li/ ! s]vices or programs to be  
provid$ to or on behalf ( ! *ild to     
ensure ! success ( t prev5tion /rategy2 

&  7,,iii7 comply ) su* o!r requirem5ts 
z ! ,secret>y %all e/abli%4  7ii7       
,pregnant or p>5t+ fo/] y\? ,9 ! case ( 
a *ild :o is a pregnant or p>5t+ fo/]   
y\? describ$ 9 p>agraph 7#b77;,b71 !    
prev5tion plan %all--  7,i7 be includ$ 9
 ! *ild's case plan requir$ "u section  
#dge7a72  7,,ii7 li/ ! s]vices or       
programs to be provid$ to or on behalf (
 ! y\? to ensure t ! y\? is prep>$ 79 ! 
case ( a pregnant fo/] y\?7 or able 79 !
 case ( a p>5t+ fo/] y\?7 to be a p>5t2 
7,,iii7 describe ! fo/] c>e prev5tion   
/rategy = any *ild born to ! y\?2 &     
7,,iv7 comply ) su* o!r requirem5ts z ! 
,secret>y %all e/abli%4  7,b7           
,trauma-in=m$ ,! s]vices or programs to 
be provid$ to or on behalf ( a *ild are 
provid$ "u an organizational /ructure & 
treatm5t framework t involves und]/&+1  
recogniz+1 & respond+ to ! effects ( all
 types ( trauma & 9 accordance )        
recogniz$ pr9ciples ( a trauma-in=m$    
approa* & trauma-specific int]v5tions to
 address trauma's consequ5ces &         

facilitate heal+4  7,c7 ,only s]vices & 
programs provid$ 9 accordance ) promis+1
 support$1 or well-support$ practices   
p]mitt$  7i7 ,9 g5]al ,only ,/ate       
exp5ditures = s]vices or programs       
specifi$ 9 subp>agraph 7,a7 or 7,b7 (   
p>agraph 7#a7 t are provid$ 9 accordance
 ) practices t meet ! requirem5ts       
specifi$ 9 clause 7ii7 ( ?is subp>agraph
 & t meet ! requirem5ts specifi$ 9      
clause 7iii71 7iv71 or 7v71             
respectively1 = be+ a promis+1 support$1
 or well-support$ practice1 %all be     
eligible = a ,f$]al mat*+ paym5t "u     
section #dgd7;a77#f77;,a74  7ii7 ,g5]al 
practice requirem5ts ,! g5]al practice  
requirem5ts specifi$ 9 ?is clause are ! 
foll[+3 7,i7 ,! practice has a book1    
manual1 or o!r available writ+s t       
specify ! compon5ts ( ! practice        
protocol & describe h[ to adm9i/] !     
practice4  7,,ii7 ,!re is no empirical  
basis sugge/+ t1 comp>$ to its likely   
b5efits1 ! practice con/itutes a risk ( 
h>m to ^? receiv+ x4  7,,iii7 ,if       

multiple outcome /udies h be5 conduct$1 
! ov]all weight ( evid5ce supports !    
b5efits ( ! practice4  7,,iv7 ,outcome  
measures are reliable & valid1 & are    
adm9i/rat$ consi/5tly & accurately      
across all ^? receiv+ ! practice4  7,v7 
,!re is no case data sugge/+ a risk (   
h>m t 0 probably caus$ by ! treatm5t & t
 0 sev]e or frequ5t4  7iii7 ,promis+    
practice ,a practice %all be consid]$ to
 be a promis+ practice if ! practice is 
sup]ior to an appropriate comp>ison     
practice us+ conv5tional /&>ds (        
/ati/ical significance 79 t]ms (        
demon/rat$ mean+ful improvem5ts 9       
validat$ measures ( important *ild &    
p>5t outcomes1 su* z m5tal heal?1       
sub/ance abuse1 & *ild safety &         
well-be+71 z e/abli%$ by ! results or   
outcomes ( at lea/ "o /udy t--  7,i7 0  
rat$ by an indep5d5t sy/ematic review = 
! quality ( ! /udy design & execution & 
det]m9$ to be well-design$ &            
well-execut$2 &  7,,ii7 utiliz$ "s =m ( 
control 7su* z an untreat$ gr\p1 a      

placebo gr\p1 or a wait li/ /udy74  7iv7
 ,support$ practice ,a practice %all be 
consid]$ to be a support$ practice if-- 
7,i7 ! practice is sup]ior to an        
appropriate comp>ison practice us+      
conv5tional /&>ds ( /ati/ical           
significance 79 t]ms ( demon/rat$       
mean+ful improvem5ts 9 validat$ measures
 ( important *ild & p>5t outcomes1 su* z
 m5tal heal?1 sub/ance abuse1 & *ild    
safety & well-be+71 z e/abli%$ by !     
results or outcomes ( at lea/ "o /udy   
t--  7aa7 0 rat$ by an indep5d5t        
sy/ematic review = ! quality ( ! /udy   
design & execution & det]m9$ to be      
well-design$ & well-execut$2  7bb7 0 a  
rigor\s r&om-controll$ trial 7or1 if n  
available1 a /udy us+ a rigor\s         
quasi-exp]im5tal rese>* design72 &  7cc7
 0 c>ri$ out 9 a usual c>e or practice  
sett+2 &  7,,ii7 ! /udy describ$ 9      
subclause 7,i7 e/abli%$ t ! practice has
 a su/a9$ effect 7:5 comp>$ to a control
 gr\p7 = at lea/ #f mon?s beyond ! end (
 ! treatm5t4  7v7 ,well-support$        

practice ,a practice %all be consid]$ to
 be a well-support$ practice if-- 7,i7 !
 practice is sup]ior to an appropriate  
comp>ison practice us+ conv5tional /&>ds
 ( /ati/ical significance 79 t]ms (     
demon/rat$ mean+ful improvem5ts 9       
validat$ measures ( important *ild &    
p>5t outcomes1 su* z m5tal heal?1       
sub/ance abuse1 & *ild safety &         
well-be+71 z e/abli%$ by ! results or   
outcomes ( at lea/ two /udies t--  7aa7 
7 rat$ by an indep5d5t sy/ematic review 
= ! quality ( ! /udy design & execution 
& det]m9$ to be well-design$ &          
well-execut$2  7bb7 7 rigor\s           
r&om-controll$ trials 7or1 if n         
available1 /udies us+ a rigor\s         
quasi-exp]im5tal rese>* design72 &  7cc7
 7 c>ri$ out 9 a usual c>e or practice  
sett+2 &  7,,ii7 at lea/ "o ( ! /udies  
describ$ 9 subclause 7,i7 e/abli%$ t !  
practice has a su/a9$ effect 7:5 comp>$ 
to a control gr\p7 = at lea/ #a ye>     
beyond ! end ( treatm5t4  7,d7 ,guidance
 on practices crit]ia & pre-approv$     

s]vices & programs  7i7 ,9 g5]al ,n lat]
 ?an ,octob] #a1 #bjah1 ! ,secret>y %all
 issue guidance to ,/ates reg>d+ !      
practices crit]ia requir$ = s]vices or  
programs to satisfy ! requirem5ts (     
subp>agraph 7,c74 ,! guidance %all      
include a pre-approv$ li/ ( s]vices &   
programs t satisfy ! requirem5ts4  7ii7 
,updates ,! ,secret>y %all issue updates
 to ! guidance requir$ by clause 7i7 z  
(t5 z ! ,secret>y det]m9es necess>y4    
7,e7 ,outcome assessm5t & report+ ,!    
,/ate %all collect & report to !        
,secret>y ! foll[+ in=mation ) respect  
to ea* *ild = :om1 or on ^: behalf m5tal
 heal? & sub/ance abuse prev5tion &     
treatm5t s]vices or 9-home p>5t         
skill-bas$ programs are provid$ dur+ a  
#ab-mon? p]iod beg9n+ on ! date ! *ild  
is det]m9$ by ! ,/ate to be a *ild      
describ$ 9 p>agraph 7#b73  7i7 ,!       
specific s]vices or programs provid$ & !
 total exp5ditures = ea* ( ! s]vices or 
programs4  7ii7 ,! duration ( ! s]vices 
or programs provid$4  7iii7 ,9 ! case ( 

a *ild describ$ 9 p>agraph 7#b77;,a71 ! 
*ild's placem5t /atus at ! beg9n+1 & at 
! end1 ( ! #a-ye> p]iod1 respectively1 &
 :e!r ! *ild ent]$ fo/] c>e )9 #b ye>s  
aft] be+ det]m9$ a c&idate = fo/] c>e4  
7#e7 ,/ate plan compon5t  7,a7 ,9 g5]al 
,a ,/ate elect+ to provide s]vices or   
programs specifi$ 9 p>agraph 7#a7 %all  
submit z "p ( ! ,/ate plan requir$ by   
subsection 7a7 a prev5tion s]vices &    
programs plan compon5t t meets !        
requirem5ts ( subp>agraph 7,b74  7,b7   
,prev5tion s]vices & programs plan      
compon5t ,9 ord] to meet ! requirem5ts (
 ?is subp>agraph1 a prev5tion s]vices & 
programs plan compon5t1 ) respect to ea*
 #e-ye> p]iod = :i* ! plan compon5t is 9
 op]ation 9 ! ,/ate1 %all include !     
foll[+3  7i7 ,h[ provid+ s]vices &      
programs specifi$ 9 p>agraph 7#a7 is    
expect$ to improve specific outcomes =  
*ildr5 & families4  7ii7 ,h[ ! ,/ate w  
monitor & ov]see ! safety ( *ildr5 :o   
receive s]vices & programs specifi$ 9   
p>agraph 7#a71 includ+ ?r\gh p]iodic    

risk assessm5ts ?r\gh\t ! p]iod 9 :i* ! 
s]vices & programs are provid$ on behalf
 ( a *ild & reexam9ation ( ! prev5tion  
plan ma9ta9$ = ! *ild "u p>agraph 7#d7 =
 ! provision ( ! s]vices or programs if 
! ,/ate det]m9es ! risk ( ! *ild ent]+  
fo/] c>e rema9s high despite ! provision
 ( ! s]vices or programs4  7iii7 ,)     
respect to ! s]vices & programs specifi$
 9 subp>agraphs 7,a7 & 7,b7 ( p>agraph  
7#a71 in=mation on ! specific promis+1  
support$1 or well-support$ practices !  
,/ate plans to use to provide ! s]vices 
or programs1 includ+ a description (--  
7,i7 ! s]vices or programs & :e!r !     
practices us$ are promis+1 support$1 or 
well-support$2  7,,ii7 h[ ! ,/ate plans 
to implem5t ! s]vices or programs1      
includ+ h[ implem5tation ( ! s]vices or 
programs w be cont9u\sly monitor$ to    
ensure fidelity to ! practice model & to
 det]m9e outcomes a*iev$ & h[ in=mation 
le>n$ f ! monitor+ w be us$ to ref9e &  
improve practices2  7,,iii7 h[ ! ,/ate  
select$ ! s]vices or programs2  7,,iv7 !

 t>get population = ! s]vices or        
programs2 &  7,v7 h[ ea* s]vice or      
program provid$ w be evaluat$ ?r\gh a   
well-design$ & rigor\s process1 :i* may 
consi/ ( an ongo+1 cross-site evaluation
 approv$ by ! ,secret>y4  7iv7 ,a       
description ( ! consultation t ! ,/ate  
ag5cies responsible = adm9i/]+ ! ,/ate  
plans "u ?is "p & "p ,b engage 9 ) o!r  
,/ate ag5cies responsible = adm9i/]+    
heal? programs1 includ+ m5tal heal? &   
sub/ance abuse prev5tion & treatm5t     
s]vices1 & ) o!r public & private       
ag5cies ) exp]i5ce 9 adm9i/]+ *ild &    
family s]vices1 includ+ community-bas$  
organizations1 9 ord] to fo/] a cont9uum
 ( c>e = *ildr5 describ$ 9 p>agraph 7#b7
 & _! p>5ts or k9 c>egiv]s4  7v7 ,a     
description ( h[ ! ,/ate %all assess    
*ildr5 & _! p>5ts or k9 c>egiv]s to     
det]m9e eligibility = s]vices or        
programs specifi$ 9 p>agraph 7#a74  7vi7
 ,a description ( h[ ! s]vices or       
programs specifi$ 9 p>agraph 7#a7 t are 
provid$ = or on behalf ( a *ild & !     

p>5ts or k9 c>egiv]s ( ! *ild w be      
coord9at$ ) o!r *ild & family s]vices   
provid$ to ! *ild & ! p>5ts or k9       
c>egiv]s ( ! *ild "u ! ,/ate plan "u "p 
,b4  7vii7 ,descriptions ( /eps ! ,/ate 
is tak+ to support & enhance a compet5t1
 skill$1 & pr(essional *ild welf>e      
work=ce to deliv] trauma-in=m$ &        
evid5ce-bas$ s]vices1 includ+--  7,i7   
ensur+ t /aff is qualifi$ to provide    
s]vices or programs t are consi/5t ) !  
promis+1 support$1 or well-support$     
practice models select$2 &  7,,ii7      
develop+ appropriate prev5tion plans1 & 
conduct+ ! risk assessm5ts requir$ "u   
clause 7iii74  7viii7 ,a description (  
h[ ! ,/ate w provide tra9+ & support =  
casework]s 9 assess+ :at *ildr5 & _!    
families ne$1 connect+ to ! families    
s]v$1 kn[+ h[ to access & deliv] ! ne$$ 
trauma-in=m$ & evid5ce-bas$ s]vices1 &  
ov]see+ & evaluat+ ! cont9u+            
appropriat5ess ( ! s]vices4  7ix7 ,a    
description ( h[ caseload size & type = 
prev5tion casework]s w be det]m9$1      

manag$1 & ov]se54  7x7 ,an assurance t !
 ,/ate w report to ! ,secret>y su*      
in=mation & data z ! ,secret>y may      
require ) respect to ! provision (      
s]vices & programs specifi$ 9 p>agraph  
7#a71 includ+ in=mation & data necess>y 
to det]m9e ! p]=mance measures = ! ,/ate
 "u p>agraph 7#f7 & compliance )        
p>agraph 7#g74  7,c7 ,reimbursem5t =    
s]vices "u ! prev5tion plan compon5t    
7i7 ,limitation ,except z provid$ 9     
subclause 7ii71 a ,/ate may n receive a 
,f$]al paym5t "u ?is "p = a giv5        
promis+1 support$1 or well-support$     
practice unless 79 accordance )         
subp>agraph 7,b77iii77,v77 ! plan       
includes a well-design$ & rigor\s       
evaluation /rategy = t practice4  7ii7  
,waiv] ( limitation ,! ,secret>y may    
waive ! requirem5t = a well-design$ &   
rigor\s evaluation ( any well-support$  
practice if ! ,secret>y deems ! evid5ce 
( ! effectiv5ess ( ! practice to be     
compell+ & ! ,/ate meets ! cont9u\s     
quality improvem5t requirem5ts includ$ 9

 subp>agraph 7,b77iii77,,ii7 ) reg>d to 
! practice4  7#f7 ,prev5tion s]vices    
measures  7,a7 ,e/abli%m5t2 annual      
updates ,beg9n+ ) fiscal ye> #bjba1 &   
annually !reaft]1 ! ,secret>y %all      
e/abli% ! foll[+ prev5tion s]vices      
measures bas$ on in=mation & data       
report$ by ,/ates t elect to provide    
s]vices & programs specifi$ 9 p>agraph  
7#a73  7i7 ,p]c5tage ( c&idates = fo/]  
c>e :o d n ent] fo/] c>e ,! p]c5tage (  
c&idates = fo/] c>e = :om1 or on ^:     
behalf1 ! s]vices or programs are       
provid$ :o d n ent] fo/] c>e1 includ+ ^?
 plac$ ) a k9 c>egiv] outside ( fo/]    
c>e1 dur+ ! #ab-mon? p]iod 9 :i* !      
s]vices or programs are provid$ & ?r\gh 
! end ( ! succe$+ #ab-mon? p]iod4  7ii7 
,p]-*ild sp5d+ ,! total am\nt (         
exp5ditures made = m5tal heal? &        
sub/ance abuse prev5tion & treatm5t     
s]vices or 9-home p>5t skill-bas$       
programs1 respectively1 =1 or on behalf 
(1 ea* *ild describ$ 9 p>agraph 7#b74   
7,b7 ,data ,! ,secret>y %all e/abli% &  

annually update ! prev5tion s]vices     
measures-- 7i7 bas$ on ! m$ian ,/ate    
values ( ! in=mation report$ "u ea*     
clause ( subp>agraph 7,a7 = ! #c !n mo/ 
rec5t ye>s2 &  7ii7 tak+ into acc\nt    
,/ate diff]5ces 9 ! price levels (      
consumption goods & s]vices us+ ! mo/   
rec5t regional price p>ities publi%$ by 
! ,bureau ( ,economic ,analysis ( !     
,dep>tm5t ( ,comm]ce or su* o!r data z !
 ,secret>y det]m9es appropriate4  7,c7  
,publication ( ,/ate prev5tion s]vices  
measures ,! ,secret>y %all annually make
 available to ! public ! prev5tion      
s]vices measures ( ea* ,/ate4  7#g7     
,ma9t5ance ( ef=t = ,/ate fo/] c>e      
prev5tion exp5ditures  7,a7 ,9 g5]al ,if
 a ,/ate elects to provide s]vices &    
programs specifi$ 9 p>agraph 7#a7 = a   
fiscal ye>1 ! ,/ate fo/] c>e prev5tion  
exp5ditures = ! fiscal ye> %all n be    
less ?an ! am\nt ( ! exp5ditures =      
fiscal ye> #bjad4  7,b7 ,/ate fo/] c>e  
prev5tion exp5ditures ,! t]m ,/ate fo/] 
c>e prev5tion exp5ditures means !       

foll[+3 7i7 ,,tanf2 ,,iv-,b2 ,,ssbg     
,/ate exp5ditures = fo/] c>e prev5tion  
s]vices & activities "u ! ,/ate program 
fund$ "u "p ,a 7includ+ f am\nts made   
available by ! ,f$]al ,gov]nm5t71 "u !  
,/ate plan develop$ "u "p ,b 7includ+   
any su* am\nts71 or "u ! ,social        
,s]vices ,block ,grant ,programs "u     
subtitle ,a ( title ,,xx 7includ+ any   
su* am\nts74  7ii7 ,o!r ,/ate programs  
,/ate exp5ditures = fo/] c>e prev5tion  
s]vices & activities "u any ,/ate       
program t is n describ$ 9 clause 7i7    
7o!r ?an any ,/ate exp5ditures = fo/]   
c>e prev5tion s]vices & activities "u ! 
,/ate program "u ?is "p 7includ+ "u a   
waiv] ( ! program774  7,c7 ,/ate        
exp5ditures ,! t]m ,/ate exp5ditures    
means all ,/ate or local funds t are    
exp5d$ by ! ,/ate or a local ag5cy      
includ+ ,/ate or local funds t are mat*$
 or reimburs$ by ! ,f$]al ,gov]nm5t &   
,/ate or local funds t are n mat*$ or   
reimburs$ by ! ,f$]al ,gov]nm5t4  7,d7  
,det]m9ation ( prev5tion s]vices &      

activities ,! ,secret>y %all require ea*
 ,/ate t elects to provide s]vices &    
programs specifi$ 9 p>agraph 7#a7 to    
report ! exp5ditures specifi$ 9         
subp>agraph 7,b7 = fiscal ye> #bjad & = 
su* fiscal ye>s !reaft] z are necess>y  
to det]m9e :e!r ! ,/ate is comply+ ) !  
ma9t5ance ( ef=t requirem5t 9           
subp>agraph 7,a74 ,! ,secret>y %all     
specify ! specific s]vices & activities 
"u ea* program ref]r$ to 9 subp>agraph  
7,b7 t are prev5tion s]vices &          
activities = purposes ( ! reports4  7#h7
 ,prohibition aga9/ use ( /ate fo/] c>e 
prev5tion exp5ditures & f$]al iv-e      
prev5tion funds = mat*+ or exp5diture   
requirem5t ,a ,/ate t elects to provide 
s]vices & programs specifi$ 9 p>agraph  
7#a7 %all n use any ,/ate fo/] c>e      
prev5tion exp5ditures = a fiscal ye> = !
 ,/ate %>e ( exp5ditures "u section     
#dgd7;a77#f7 = a fiscal ye>4  7#i7      
,adm9i/rative co/s ,exp5ditures describ$
 9 section #dgd7;a77#f77;,b7-- 7,a7 %all
 n be eligible = paym5t "u subp>agraph  

7,a71 7,b71 or 7,e7 ( section           
#dgd7;a77#c72 &  7,b7 %all be eligible =
 paym5t "u section #dgd7;a77#f77;,b7 )\t
 reg>d to :e!r ! exp5ditures are incurr$
 on behalf ( a *ild :o is1 or is        
pot5tially1 eligible = fo/] c>e         
ma9t5ance paym5ts "u ?is "p4  7#aj7     
,application ,! provision ( s]vices or  
programs "u ?is subsection to or on     
behalf ( a *ild describ$ 9 p>agraph 7#b7
 %all n be consid]$ to be receipt ( aid 
or assi/ance "u ! ,/ate plan "u ?is "p =
 purposes ( eligibility = any o!r       
program e/abli%$ "u ?is ,act4  4  7b7   
,def9ition ,section #dge ( su* ,act 7#db
 ,u4,s4,c4 #fge7 is am5d$ by add+ at !  
end ! foll[+3  7#ac7 ,! t]m *ild :o is a
 c&idate = fo/] c>e means1 a *ild :o is 
id5tifi$ 9 a prev5tion plan "u section  
#dga7;e77#d77;,a7 z be+ at imm95t risk (
 ent]+ fo/] c>e 7)\t reg>d to :e!r !    
*ild w\ld be eligible = fo/] c>e        
ma9t5ance paym5ts "u section #dgb or is 
or w\ld be eligible = adoption assi/ance
 or k9%ip gu>dian%ip assi/ance paym5ts  

"u section #dgc7 b :o c rema9 safely 9 !
 *ild's home or 9 a k9%ip placem5t z    
long z s]vices or programs specifi$ 9   
section #dga7;e77#a7 t are necess>y to  
prev5t ! entry ( ! *ild into fo/] c>e   
are provid$4 ,! t]m includes a *ild ^:  
adoption or gu>dian%ip arrangem5t is at 
risk ( a disruption or dissolution t    
w\ld result 9 a fo/] c>e placem5t4  4   
7c7 ,paym5ts "u title ,,iv-,e ,section  
#dgd7;a7 ( su* ,act 7#db ,u4,s4,c4      
#fgd7;a77 is am5d$-- 7#a7 9 p>agraph    
7#e71 by /rik+ ! p]iod at ! end & ins]t+
 2 plus2 &  7#b7 by add+ at ! end !     
foll[+3  7#f7 subject to section        
#dga7;e7--  7,a7 = ea* qu>t]-- 7i7      
subject to clause 7ii7--  7,i7 beg9n+   
aft] ,septemb] #cj1 #bjai1 & be=e       
,octob] #a1 #bjbe1 an am\nt equal to #ej
 p]c5t ( ! total am\nt exp5d$ dur+ !    
qu>t] = ! provision ( s]vices or        
programs specifi$ 9 subp>agraph 7,a7 or 
7,b7 ( section #dga7;e77#a7 t are       
provid$ 9 accordance ) promis+1         
support$1 or well-support$ practices t  

meet ! applicable crit]ia specifi$ = !  
practices 9 section #dga7;e77#d77;,c72 &
  7,,ii7 beg9n+ aft] ,septemb] #cj1     
#bjbe1 an am\nt equal to ! ,f$]al m$ical
 assi/ance p]c5tage 7:i* %all be z def9$
 9 section #aije7;b71 9 ! case ( a ,/ate
 o!r ?an ! ,di/rict ( ,columbia1 or #gj 
p]c5t1 9 ! case ( ! ,di/rict (          
,columbia7 ( ! total am\nt exp5d$ dur+ !
 qu>t] = ! provision ( s]vices or       
programs specifi$ 9 subp>agraph 7,a7 or 
7,b7 ( section #dga7;e77#a7 t are       
provid$ 9 accordance ) promis+1         
support$1 or well-support$ practices t  
meet ! applicable crit]ia specifi$ = !  
practices 9 section #dga7;e77#d77;,c7   
7or1 ) respect to ! paym5ts made dur+ ! 
qu>t] "u a coop]ative agreem5t or       
contract ent]$ into by ! ,/ate & an     
,indian tribe1 tribal organization1 or  
tribal consortium = ! adm9i/ration or   
paym5t ( funds "u ?is "p1 an am\nt equal
 to ! ,f$]al m$ical assi/ance p]c5tage t
 w\ld apply "u section #dgi;,b7d7 79 ?is
 p>agraph ref]r$ to z ! tribal ,,fmap7  

if ! ,indian tribe1 tribal organization1
 or tribal consortium made ! paym5ts "u 
a program op]at$ "u t section1 unless ! 
tribal ,,fmap is less ?an ! ,f$]al      
m$ical assi/ance p]c5tage t applies to !
 ,/ate72 except t  7ii7 n less ?an #ej  
p]c5t ( ! total am\nt payable to a ,/ate
 "u clause 7i7 = a fiscal ye> %all be = 
! provision ( s]vices or programs       
specifi$ 9 subp>agraph 7,a7 or 7,b7 (   
section #dga7;e77#a7 t are provid$ 9    
accordance ) well-support$ practices2   
plus  7,b7 = ea* qu>t] specifi$ 9       
subp>agraph 7,a71 an am\nt equal to !   
sum ( ! foll[+ proportions ( ! total    
am\nt exp5d$ dur+ ! qu>t]3  7i7 #ej     
p]c5t ( s mu* ( ! exp5ditures z are f\nd
 necess>y by ! ,secret>y = ! prop] &    
effici5t adm9i/ration ( ! ,/ate plan = !
 provision ( s]vices or programs        
specifi$ 9 section #dga7;e77#a71 includ+
 exp5ditures = activities approv$ by !  
,secret>y t promote ! developm5t (      
necess>y processes & proc$ures to       
e/abli% & implem5t ! provision ( !      

s]vices & programs = individuals :o are 
eligible = ! s]vices & programs &       
exp5ditures attributable to data        
collection & report+2 &  7ii7 #ej p]c5t 
( s mu* ( ! exp5ditures ) respect to !  
provision ( s]vices & programs specifi$ 
9 section #dga7;e77#a7 z are = tra9+ (  
p]sonnel employ$ or prep>+ = employm5t  
by ! ,/ate ag5cy or by ! local ag5cy    
adm9i/]+ ! plan 9 ! political           
subdivision & ( ! memb]s ( ! /aff (     
,/ate-lic5s$ or ,/ate-approv$ *ild      
welf>e ag5cies provid+ s]vices to *ildr5
 describ$ 9 section #dga7;e77#b7 & _!   
p>5ts or k9 c>egiv]s1 includ+ on h[ to  
det]m9e :o are individuals eligible = ! 
s]vices or programs1 h[ to id5tify &    
provide appropriate s]vices & programs1 
& h[ to ov]see & evaluate ! ongo+       
appropriat5ess ( ! s]vices & programs4  
4  7d7 ,te*nical assi/ance & be/        
practices1 cle>+h\se1 & data collection 
& evaluations ,section #dgf ( su* ,act  
7#db ,u4,s4,c4 #fgf7 is am5d$ by add+ at
 ! end ! foll[+3  7d7 ,te*nical         

assi/ance & be/ practices1 cle>+h\se1   
data collection1 & evaluations relat+ to
 prev5tion s]vices & programs  7#a7     
,te*nical assi/ance & be/ practices ,!  
,secret>y %all provide to ,/ates &1 z   
applicable1 to ,indian tribes1 tribal   
organizations1 & tribal consortia1      
te*nical assi/ance reg>d+ ! provision ( 
s]vices & programs describ$ 9 section   
#dga7;e77#a7 & %all dissem9ate be/      
practices ) respect to ! provision ( !  
s]vices & programs1 includ+ h[ to plan &
 implem5t a well-design$ & rigor\s      
evaluation ( a promis+1 support$1 or    
well-support$ practice4  7#b7 ,cle>+h\se
 ( promis+1 support$1 & well-support$   
practices ,! ,secret>y %all1 directly or
 ?r\gh grants1 contracts1 or int]ag5cy  
agreem5ts1 evaluate rese>* on !         
practices specifi$ 9 clauses 7iii71     
7iv71 & 7v71 respectively1 ( section    
#dga7;e77#d77;,c71 & programs t meet !  
requirem5ts describ$ 9 section          
#dbg7;a77#a71 includ+ culturally        
specific1 or location- or               

population-bas$ adaptations ( !         
practices1 to id5tify & e/abli% a public
 cle>+h\se ( ! practices t satisfy ea*  
category describ$ by su* clauses4 ,9    
addition1 ! cle>+h\se %all include      
in=mation on ! specific outcomes        
associat$ ) ea* practice1 includ+ :e!r !
 practice has be5 %[n to prev5t *ild    
abuse & neglect & r$uce ! likelihood (  
fo/] c>e placem5t by support+ bir?      
families & k9%ip families & improv+     
t>get$ supports = pregnant & p>5t+ y\? &
 _! *ildr54  7#c7 ,data collection &    
evaluations ,! ,secret>y1 directly or   
?r\gh grants1 contracts1 or int]ag5cy   
agreem5ts1 may collect data & conduct   
evaluations ) respect to ! provision (  
s]vices & programs describ$ 9 section   
#dga7;e77#a7 = purposes ( assess+ !     
ext5t to :i* ! provision ( ! s]vices &  
programs--  7,a7 r$uces ! likelihood (  
fo/] c>e placem5t2  7,b7 increases use (
 k9%ip c>e arrangem5ts2 or  7,c7        
improves *ild well-be+4  7#d7 ,reports  
to ,congress  7,a7 ,9 g5]al ,! ,secret>y

 %all submit to ! ,committee on ,f9ance 
( ! ,s5ate & ! ,committee on ,ways &    
,means ( ! ,h\se ( ,repres5tatives      
p]iodic reports bas$ on ! provision (   
s]vices & programs describ$ 9 section   
#dga7;e77#a7 & ! activities c>ri$ out "u
 ?is subsection4  7,b7 ,public          
availability ,! ,secret>y %all make !   
reports to ,congress submitt$ "u ?is    
p>agraph publicly available4  7#e7      
,appropriation ,out ( any money 9 !     
,treasury ( ! ,unit$ ,/ates n o!rwise   
appropriat$1 !re is appropriat$ to !    
,secret>y #a1jjj1jjj = fiscal ye> #bjag 
& ea* fiscal ye> !reaft] to c>ry out ?is
 subsection4  4  7e7 ,application to    
programs op]at$ by indian tribal        
organizations  7#a7 ,9 g5]al ,section   
#dgi;,b ( su* ,act 7#db ,u4,s4,c4       
#fgi;c7 is am5d$-- 7,a7 9 subsection    
7c77#a7--  7i7 9 subp>agraph 7,c77i7--  
7,i7 9 subclause 7,,ii71 by /rik+ & aft]
 ! semicolon2  7,,ii7 9 subclause       
7,,iii71 by /rik+ ! p]iod at ! end &    
ins]t+ 2 &2 &  7,,iii7 by add+ at ! end 

! foll[+3  7,,iv7 at ! option ( ! tribe1
 organization1 or consortium1 s]vices & 
programs specifi$ 9 section #dga7;e77#a7
 to *ildr5 describ$ 9 section           
#dga7;e77#b7 & _! p>5ts or k9 c>egiv]s1 
9 accordance ) section #dga7;e7 &       
subp>agraph 7,e74  2 &  7ii7 by add+ at 
! end ! foll[+3  7,e7 ,prev5tion s]vices
 & programs = *ildr5 & _! p>5ts & k9    
c>egiv]s  7i7 ,9 g5]al ,9 ! case ( a    
tribe1 organization1 or consortium t    
elects to provide s]vices & programs    
specifi$ 9 section #dga7;e77#a7 to      
*ildr5 describ$ 9 section #dga7;e77#b7 &
 _! p>5ts or k9 c>egiv]s "u ! plan1 !   
,secret>y %all specify ! requirem5ts    
applicable to ! provision ( ! s]vices & 
programs4 ,! requirem5ts %all1 to !     
greate/ ext5t practicable1 be consi/5t )
 ! requirem5ts applicable to ,/ates "u  
section #dga7;e7 & %all p]mit !         
provision ( ! s]vices & programs 9 ! =m 
( s]vices & programs t are adapt$ to !  
culture & context ( ! tribal communities
 s]v$4  7ii7 ,p]=mance measures ,!      

,secret>y %all e/abli% specific p]=mance
 measures = ea* tribe1 organization1 or 
consortium t elects to provide s]vices &
 programs specifi$ 9 section            
#dga7;e77#a74 ,! p]=mance measures %all1
 to ! greate/ ext5t practicable1 be     
consi/5t ) ! prev5tion s]vices measures 
requir$ = ,/ates "u section #dga7;e77#f7
 b %all all[ = consid]ation ( factors   
unique to ! provision ( ! s]vices by    
tribes1 organizations1 or consortia4  2 
&  7,b7 9 subsection 7d77#a71 by /rik+ &
 7#e7 & ins]t+ 7#e71 & 7#f77;,a74  7#b7 
,con=m+ am5dm5t ,! head+ = subsection   
7d7 ( section #dgi;,b ( su* ,act 7#db   
,u4,s4,c4 #fgi;c7 is am5d$ by /rik+ =   
,fo/] ,c>e ,ma9t5ance & ,adoption       
,assi/ance ,paym5ts4  #aab4 ,fo/] c>e   
ma9t5ance paym5ts = *ildr5 ) p>5ts 9 a  
lic5s$ resid5tial family-bas$ treatm5t  
facility = sub/ance abuse  7a7 ,9 g5]al 
,section #dgb ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fgb7 is am5d$-- 7#a7 9 
subsection 7a77#b77;,c71 by /rik+ or &  
ins]t+ 1 ) a p>5t resid+ 9 a lic5s$     

resid5tial family-bas$ treatm5t         
facility1 b only to ! ext5t p]mitt$ "u  
subsection 7j71 or 9 a 2 &  7#b7 by add+
 at ! end ! foll[+3  7j7 ,*ildr5 plac$ )
 a p>5t resid+ 9 a lic5s$ resid5tial    
family-,bas$ treatm5t facility =        
sub/ance abuse  7#a7 ,9 g5]al ,not)/&+ !
 prec$+ provisions ( ?is section1 a *ild
 :o is eligible = fo/] c>e ma9t5ance    
paym5ts "u ?is section1 or :o w\ld be   
eligible = ! paym5ts if ! eligibility 7 
det]m9$ )\t reg>d to p>agraphs 7#a77;,b7
 & 7#c7 ( subsection 7a71 %all be       
eligible = ! paym5ts = a p]iod ( n m ?an
 #ab mon?s dur+ :i* ! *ild is plac$ ) a 
p>5t :o is 9 a lic5s$ resid5tial        
family-bas$ treatm5t facility = sub/ance
 abuse1 b only if--  7,a7 !             
recomm5dation = ! placem5t is specifi$ 9
 ! *ild's case plan be=e ! placem5t2    
7,b7 ! treatm5t facility provides1 z "p 
( ! treatm5t = sub/ance abuse1 p>5t+    
skills tra9+1 p>5t education1 &         
individual & family c\nsel+2 &  7,c7 !  
sub/ance abuse treatm5t1 p>5t+ skills   

tra9+1 p>5t education1 & individual &   
family c\nsel+ is provid$ "u an         
organizational /ructure & treatm5t      
framework t involves und]/&+1 recogniz+1
 & respond+ to ! effects ( all types (  
trauma & 9 accordance ) recogniz$       
pr9ciples ( a trauma-in=m$ approa* &    
trauma-specific int]v5tions to address !
 consequ5ces ( trauma & facilitate      
heal+4  7#b7 ,application ,) respect to 
*ildr5 = :om fo/] c>e ma9t5ance paym5ts 
are made "u p>agraph 7#a71 only ! *ildr5
 :o satisfy ! requirem5ts ( p>agraphs   
7#a77;,b7 & 7#c7 ( subsection 7a7 %all  
be consid]$ to be *ildr5 ) respect to   
:om fo/] c>e ma9t5ance paym5ts are made 
"u ?is section = purposes ( subsection  
7h7 or section #dgc7;b77#c77;,b74  4    
7b7 ,con=m+ am5dm5t ,section            
#dgd7;a77#a7 ( su* ,act 7#db ,u4,s4,c4  
#fgd7;a77#a77 is am5d$ by ins]t+ subject
 to section #dgb7;j71 be=e an am\nt     
equal to ! ,f$]al ! fir/ place x appe>s4
  #aac4 ,title ,,iv-,e paym5ts =        
evid5ce-bas$ k9%ip navigator programs   

,section #dgd7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #fgd7;a771 z am5d$  
by section #aaa7;c71 is am5d$--  7#a7 9 
p>agraph 7#f71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 plus2 &  7#b7 by add+ at !  
end ! foll[+3  7#g7 an am\nt equal to   
#ej p]c5t ( ! am\nts exp5d$ by ! ,/ate  
dur+ ! qu>t] z ! ,secret>y det]m9es are 
= k9%ip navigator programs t meet !     
requirem5ts describ$ 9 section          
#dbg7;a77#a7 & t ! ,secret>y det]m9es   
are op]at$ 9 accordance ) promis+1      
support$1 or well-support$ practices t  
meet ! applicable crit]ia specifi$ = !  
practices 9 section #dga7;e77#d77;,c71  
)\t reg>d to :e!r ! exp5ditures are     
incurr$ on behalf ( *ildr5 :o are1 or   
are pot5tially1 eligible = fo/] c>e     
ma9t5ance paym5ts "u ?is "p4  4  ,b     
,enhanc$ support "u ,title ,,iv-,b      
#aba4 ,elim9ation ( "t limit = family   
reunification s]vices :ile 9 fo/] c>e & 
p]mitt+ "t-limit$ family reunification  
s]vices :5 a *ild returns home f fo/]   
c>e  7a7 ,9 g5]al ,section #dca7;a77#g7 

( ! ,social ,security ,act 7#db         
,u4,s4,c4 #fbi;a7a77#g77 is am5d$-- 7#a7
 9 ! p>agraph head+1 by /rik+ ,"t-limit$
 family & ins]t+ ,family2 &  7#b7 9     
subp>agraph 7,a7-- 7,a7 by /rik+        
"t-limit$ family & ins]t+ family2  7,b7 
by ins]t+ or a *ild :o has be5 return$  
home aft] *ild c>e in/itution2 &  7,c7  
by /rik+ 1 b only dur+ ! #ae-mon? p]iod 
t beg9s on ! date t ! *ild1 pursuant to 
section #dge7e77;,f71 is consid]$ to h  
ent]$ fo/] c>e & ins]t+ & to ensure !   
/r5g? & /ability ( ! reunification4 ,9 !
 case ( a *ild :o has be5 return$ home1 
! s]vices & activities %all only be     
provid$ dur+ ! #ae-mon? p]iod t beg9s on
 ! date t ! *ild returns home4  7b7     
,con=m+ am5dm5ts  7#a7 ,section #dcj (  
su* ,act 7#db ,u4,s4,c4 #fbi7 is am5d$ 9
 ! matt] prec$+ p>agraph 7#a71 by /rik+ 
"t-limit$4  7#b7 ,subsections 7a77#d71  
7a77#e77;,a71 & 7b77#a7 ( section #dcb (
 su* ,act 7#db ,u4,s4,c4 #fbi;b7 are    
am5d$ by /rik+ "t-limit$ ea* place x    
appe>s4  #abb4 ,r$uc+ bureaucracy &     

unnecess>y delays :5 plac+ *ildr5 9     
homes across ,/ate l9es  7a7 ,/ate plan 
requirem5t ,section #dga7;a77#be7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#fga7;a77#be77 is am5d$-- 7#a7 by /rik+ 
provide & ins]t provides2 &  7#b7 by    
ins]t+ 1 :i*1 n lat] ?an ,octob] #a1    
#bjbf1 %all include ! use ( an          
electronic int]/ate case-process+ sy/em 
be=e ! fir/ semicolon4  7b7 ,grants = ! 
developm5t ( an electronic int]/ate     
case-,process+ sy/em ,to exp$ite !      
int]/ate placem5t ( *ildr5 9 fo/] c>e or
 gu>dian%ip1 or = adoption ,section #dcg
 ( su* ,act 7#db ,u4,s4,c4 #fbi;g7 is   
am5d$ by add+ at ! end ! foll[+3  7g7   
,grants = ! developm5t ( an electronic  
int]/ate case-,process+ sy/em ,to       
exp$ite ! int]/ate placem5t ( *ildr5 9  
fo/] c>e or gu>dian%ip1 or = adoption   
7#a7 ,purpose ,! purpose ( ?is          
subsection is to facilitate ! developm5t
 ( an electronic int]/ate case-process+ 
sy/em = ! ex*ange ( data & docum5ts to  
exp$ite ! placem5ts ( *ildr5 9 fo/]1    

gu>dian%ip1 or adoptive homes across    
,/ate l9es4  7#b7 ,application          
requirem5ts ,a ,/ate t desires a grant  
"u ?is subsection %all submit to !      
,secret>y an application conta9+ !      
foll[+3  7,a7 ,a description ( ! goals &
 outcomes to be a*iev$ dur+ ! p]iod =   
:i* grant funds are s\ght1 :i* goals &  
outcomes mu/ result 9--  7i7 r$uc+ ! "t 
x takes = a *ild to be provid$ ) a safe 
& appropriate p]man5t liv+ arrangem5t   
across ,/ate l9es2  7ii7 improv+        
adm9i/rative processes & r$uc+ co/s 9 ! 
fo/] c>e sy/em2 &  7iii7 ! secure       
ex*ange ( relevant case files & o!r     
necess>y mat]ials 9 real "t1 & timely   
communications & placem5t decisions     
reg>d+ int]/ate placem5ts ( *ildr54     
7,b7 ,a description ( ! activities to be
 fund$ 9 :ole or 9 "p ) ! grant funds1  
includ+ ! sequ5c+ ( ! activities4  7,c7 
,a description ( ! /rategies = integrat+
 programs & s]vices = *ildr5 :o are     
plac$ across ,/ate l9es4  7,d7 ,su* o!r 
in=mation z ! ,secret>y may require4    

7#c7 ,grant au?ority ,! ,secret>y may   
make a grant to a ,/ate t complies )    
p>agraph 7#b74  7#d7 ,use ( funds ,a    
,/ate to :i* a grant is made "u ?is     
subsection %all use ! grant to support !
 ,/ate 9 connect+ ) ! electronic        
int]/ate case-process+ sy/em describ$ 9 
p>agraph 7#a74  7#e7 ,evaluations ,n    
lat] ?an #a ye> aft] ! f9al ye> 9 :i*   
grants are aw>d$ "u ?is subsection1 !   
,secret>y %all submit to ! ,congress1 & 
make available to ! g5]al public by po/+
 on a website1 a report t conta9s !     
foll[+ in=mation3  7,a7 ,h[ us+ !       
electronic int]/ate case-process+ sy/em 
develop$ pursuant to p>agraph 7#d7 has  
*ang$ ! "t x takes = *ildr5 to be plac$ 
across ,/ate l9es4  7,b7 ,! numb] (     
cases subject to ! ,int]/ate ,compact on
 ! ,placem5t ( ,*ildr5 t 7 process$     
?r\gh ! electronic int]/ate             
case-process+ sy/em1 & ! numb] (        
int]/ate *ild placem5t cases t 7        
process$ outside ! electronic int]/ate  
case-process+ sy/em1 by ea* ,/ate 9 ea* 

ye>4  7,c7 ,! progress made by ,/ates 9 
implem5t+ ! electronic int]/ate         
case-process+ sy/em4  7,d7 ,h[ us+ !    
electronic int]/ate case-process+ sy/em 
has affect$ v>i\s metrics relat$ to *ild
 safety & well-be+1 includ+ ! "t x takes
 = *ildr5 to be plac$ across ,/ate l9es4
  7,e7 ,h[ us+ ! electronic int]/ate    
case-process+ sy/em has affect$         
adm9i/rative co/s & casework] "t sp5t on
 plac+ *ildr5 across ,/ate l9es4  7#f7  
,data integration ,! ,secret>y1 9       
consultation ) ! ,secret>iat = !        
,int]/ate ,compact on ! ,placem5t (     
,*ildr5 & ! ,/ates1 %all assess h[ !    
electronic int]/ate case-process+ sy/em 
develop$ pursuant to p>agraph 7#d7 c\ld 
be us$ to bett] s]ve & protect *ildr5 t 
come to ! att5tion ( ! *ild welf>e      
sy/em1 by--  7,a7 connect+ ! sy/em ) o!r
 data sy/ems 7su* z sy/ems op]at$ by    
,/ate law en=cem5t & judicial ag5cies1  
sy/ems op]at$ by ! ,f$]al ,bureau (     
,inve/igation = ! purposes ( ! ,innoc5ce
 ,lo/ ,national ,initiative1 & o!r      

sy/ems72  7,b7 simplify+ & improv+      
report+ relat$ to p>agraphs 7#cd7 &     
7#ce7 ( section #dga7;a7 reg>d+ *ildr5  
or y\? :o h be5 id5tifi$ z be+ a sex    
traffick+ victim or *ildr5 miss+ f fo/] 
c>e2 &  7,c7 improv+ ! ability ( ,/ates 
to quickly comply ) backgr\nd *eck      
requirem5ts ( section #dga7;a77#bj71    
includ+ *ecks ( *ild abuse & neglect    
regi/ries z requir$ by section          
#dga7;a77#bj77;,b74  4  7c7 ,res]vation 
( funds ,to improve ! int]/ate placem5t 
( *ildr5 ,section #dcg7;b7 ( su* ,act   
7#db ,u4,s4,c4 #fbi;g7b77 is am5d$ by   
add+ at ! end ! foll[+3  7#d7 ,improv+ !
 int]/ate placem5t ( *ildr5 ,! ,secret>y
 %all res]ve #e1jjj1jjj ( ! am\nt made  
available = fiscal ye> #bjag = grants "u
 subsection 7g71 & ! am\nt s res]v$ %all
 rema9 available ?r\gh fiscal ye> #bjba4
  4  #abc4 ,enhancem5ts to grants to    
improve well-be+ ( families affect$ by  
sub/ance abuse ,section #dcg7;f7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#fbi;g7f77 is am5d$-- 7#a7 9 !          

subsection head+1 by /rik+ increase !   
well-,be+ (1 & ,to improve ! p]man5cy   
outcomes =1 *ildr5 affect$ by & ins]t+  
implem5t ,,iv-,e prev5tion s]vices1 &   
improve ! well-,be+ (1 & improve        
p]man5cy outcomes =1 *ildr5 & families  
affect$ by h]o91 opioids1 & o!r2  7#b7  
by /rik+ p>agraph 7#b7 & ins]t+ !       
foll[+3  7#b7 ,regional p>tn]%ip def9$  
,9 ?is subsection1 ! t]m regional       
p>tn]%ip means a collaborative agreem5t 
7:i* may be e/abli%$ on an int]/ate1    
,/ate1 or intra/ate basis7 ent]$ into by
 ! foll[+3  7,a7 ,m&atory p>tn]s = all  
p>tn]%ip grants  7i7 ,! ,/ate *ild      
welf>e ag5cy t is responsible = !       
adm9i/ration ( ! ,/ate plan "u ?is "p & 
"p ,e4  7ii7 ,! ,/ate ag5cy responsible 
= adm9i/]+ ! sub/ance abuse prev5tion & 
treatm5t block grant provid$ "u subp>t  
,,ii ( "p ,b ( title ,,xix ( ! ,public  
,heal? ,s]vice ,act4  7,b7 ,m&atory     
p>tn]s = p>tn]%ip grants propos+ to s]ve
 *ildr5 9 out-(-home placem5ts ,if !    
p>tn]%ip proposes to s]ve *ildr5 9      

out-(-home placem5ts1 ! ,juv5ile ,c\rt  
or ,adm9i/rative ,(fice ( ! ,c\rt t is  
mo/ appropriate to ov]see ! adm9i/ration
 ( c\rt programs 9 ! region to address !
 population ( families :o come to !     
att5tion ( ! c\rt due to *ild abuse or  
neglect4  7,c7 ,optional p>tn]s ,at !   
option ( ! p>tn]%ip1 any ( ! foll[+3 7i7
 ,an ,indian tribe or tribal consortium4
  7ii7 ,nonpr(it *ild welf>e s]vice     
provid]s4  7iii7 ,=-pr(it *ild welf>e   
s]vice provid]s4  7iv7 ,community heal? 
s]vice provid]s1 includ+ sub/ance abuse 
treatm5t provid]s4  7v7 ,community m5tal
 heal? provid]s4  7vi7 ,local law       
en=cem5t ag5cies4  7vii7 ,s*ool         
p]sonnel4  7viii7 ,tribal *ild welf>e   
ag5cies 7or a consortia ( ! ag5cies74   
7ix7 ,any o!r provid]s1 ag5cies1        
p]sonnel1 (ficials1 or entities t are   
relat$ to ! provision ( *ild & family   
s]vices "u a ,/ate plan approv$ "u ?is  
subp>t4  7,d7 ,exception = regional     
p>tn]%ips :]e ! lead applicant is an    
indian tribe or tribal consortia ,if an 

,indian tribe or tribal consortium ent]s
 into a regional p>tn]%ip = purposes (  
?is subsection1 ! ,indian tribe or      
tribal consortium--  7i7 may 7b is n    
requir$ to7 include ! ,/ate *ild welf>e 
ag5cy z a p>tn] 9 ! collaborative       
agreem5t2  7ii7 may n ent] into a       
collaborative agreem5t only ) tribal    
*ild welf>e ag5cies 7or a consortium ( !
 ag5cies72 &  7iii7 if ! condition      
describ$ 9 p>agraph 7#b77;,b7 applies1  
may include tribal c\rt organizations 9 
lieu ( o!r judicial p>tn]s4  2  7#c7 9  
p>agraph 7#c7-- 7,a7 9 subp>agraph      
7,a7--  7i7 by /rik+ #bjab ?r\gh #bjaf &
 ins]t+ #bjag ?r\gh #bjba2 &  7ii7 by   
/rik+ #ejj1jjj & n m ?an #a1jjj1jjj &   
ins]t+ #bej1jjj & n m ?an #a1jjj1jjj2   
7,b7 9 subp>agraph 7,b7-- 7i7 9 !       
subp>agraph head+1 by ins]t+ 2 plann+   
aft] approval2  7ii7 9 clause 7i71 by   
/rik+ clause 7ii7 & ins]t+ clauses 7ii7 
& 7iii72 &  7iii7 by add+ at ! end !    
foll[+3  7iii7 ,suffici5t plann+ ,a     
grant aw>d$ "u ?is subsection %all be   

disburs$ 9 two phases3 a plann+ phase 7n
 to exce$ #b ye>s72 & an implem5tation  
phase4 ,! total disbursem5t to a grantee
 = ! plann+ phase may n exce$ #bej1jjj1 
& may n exce$ ! total anticipat$ fund+ =
 ! implem5tation phase4  2 &  7,c7 by   
add+ at ! end ! foll[+3  7,d7           
,limitation on paym5t = a fiscal ye> ,no
 paym5t %all be made "u subp>agraph 7,a7
 or 7,c7 = a fiscal ye> until !         
,secret>y det]m9es t ! eligible p>tn]%ip
 has made suffici5t progress 9 meet+ !  
goals ( ! grant & t ! memb]s ( !        
eligible p>tn]%ip are coord9at+ to a    
reasonable degree ) ! o!r memb]s ( !    
eligible p>tn]%ip4  2  7#d7 9 p>agraph  
7#d7-- 7,a7 9 subp>agraph 7,b7--  7i7 9 
clause 7i71 by ins]t+ 1 p>5ts1 &        
families aft] *ildr52  7ii7 9 clause    
7ii71 by /rik+ safety & p]man5ce = su*  
*ildr52 & & ins]t+ safe1 p]man5t c>egiv+
 relation%ips = ! *ildr522  7iii7 9     
clause 7iii71 by /rik+ or & ins]t+      
increase reunification rates = *ildr5 :o
 h be5 plac$ 9 out ( home c>e1 or       

decrease2 &  7iv7 by r$esignat+ clause  
7iii7 z clause 7v7 & ins]t+ aft] clause 
7ii7 ! foll[+3  7iii7 improve ! sub/ance
 abuse treatm5t outcomes = p>5ts includ+
 ret5tion 9 treatm5t & successful       
completion ( treatm5t2  7iv7 facilitate 
! implem5tation1 deliv]y1 & effectiv5ess
 ( prev5tion s]vices & programs "u      
section #dga7;e72 &  2  7,b7 9          
subp>agraph 7,d71 by /rik+ :]e          
appropriate12 &  7,c7 by /rik+          
subp>agraphs 7,e7 & 7,f7 & ins]t+ !     
foll[+3  7,e7 ,a description ( a plan = 
su/a9+ ! s]vices provid$ by or          
activities fund$ "u ! grant aft] !      
conclusion ( ! grant p]iod1 includ+     
?r\gh ! use ( prev5tion s]vices &       
programs "u section #dga7;e7 & o!r funds
 provid$ to ! ,/ate = *ild welf>e &     
sub/ance abuse prev5tion & treatm5t     
s]vices4  7,f7 ,additional in=mation    
ne$$ by ! ,secret>y to det]m9e t !      
propos$ activities & implem5tation w be 
consi/5t ) rese>* or evaluations %[+ :i*
 practices & approa*es are mo/          

effective4  2  7#e7 9 p>agraph          
7#e77;,a71 by /rik+ abuse treatm5t &    
ins]t+ use disord] treatm5t includ+     
m$ication assi/$ treatm5t & 9-home      
sub/ance abuse disord] treatm5t &       
recov]y2  7#f7 9 p>agraph 7#g7-- 7,a7 by
 /rik+ & at ! end ( subp>agraph 7,c72 & 
7,b7 by r$esignat+ subp>agraph 7,d7 z   
subp>agraph 7,e7 & ins]t+ aft]          
subp>agraph 7,c7 ! foll[+3  7,d7        
demon/rate a track record ( successful  
collaboration among *ild welf>e1        
sub/ance abuse disord] treatm5t & m5tal 
heal? ag5cies2 &  2  7#g7 9 p>agraph    
7#h7-- 7,a7 9 subp>agraph 7,a7--  7i7 by
 /rik+ e/abli% indicators t w be &      
ins]t+ review indicators t are2 &  7ii7 
by /rik+ 9 us+ funds made available "u  
su* grants to a*ieve ! purpose ( ?is    
subsection & ins]t+ & e/abli% a set (   
core indicators relat$ to *ild safety1  
p>5tal recov]y1 p>5t+ capacity1 & family
 well-be+4 ,9 develop+ ! core           
indicators1 to ! ext5t possible1        
indicators %all be made consi/5t ) !    

outcome measures describ$ 9 section     
#dga7;e77#f72 &  7,b7 9 subp>agraph     
7,b7-- 7i7 9 ! matt] prec$+ clause 7i71 
by ins]t+ base ! p]=mance measures on   
lessons le>n$ f prior r\nds ( regional  
p>tn]%ip grants "u ?is subsection1 &    
be=e consult2 &  7ii7 by /rik+ clauses  
7iii7 & 7iv7 & ins]t+ ! foll[+3  7iii7  
,o!r /akehold]s or con/itu5cies z       
det]m9$ by ! ,secret>y4  2  7#h7 9      
p>agraph 7#i77;,a71 by /rik+ clause 7i7 
& ins]t+ ! foll[+3  7i7 ,semiannual     
reports ,n lat] ?an ,septemb] #cj ( ea* 
fiscal ye> 9 :i* a recipi5t ( a grant "u
 ?is subsection is paid funds "u !      
grant1 & e #f mon?s !reaft]1 ! grant    
recipi5t %all submit to ! ,secret>y a   
report on ! s]vices provid$ & activities
 c>ri$ out dur+ ! report+ p]iod1        
progress made 9 a*iev+ ! goals ( !      
program1 ! numb] ( *ildr51 adults1 &    
families receiv+ s]vices1 & su*         
additional in=mation z ! ,secret>y      
det]m9es is necess>y4 ,! report due n   
lat] ?an ,septemb] #cj ( ! la/ su*      

fiscal ye> %all include1 at a m9imum1   
data on ea* ( ! p]=mance indicators     
includ$ 9 ! evaluation ( ! regional     
p>tn]%ip4  2 &  7#i7 9 p>agraph 7#aj71  
by /rik+ #bjab ?r\gh #bjaf & ins]t+     
#bjag ?r\gh #bjba4  ,c ,miscellane\s    
#aca4 ,review+ & improv+ lic5s+ /&>ds = 
placem5t 9 a relative fo/] family home  
7a7 ,id5tification ( reputable model    
lic5s+ /&>ds ,n lat] ?an ,octob] #a1    
#bjag1 ! ,secret>y ( ,heal? & ,human    
,s]vices %all id5tify reputable model   
lic5s+ /&>ds ) respect to ! lic5s+ (    
fo/] family homes 7z def9$ 9 section    
#dgb7;c77#a7 ( ! ,social ,security      
,act74  7b7 ,/ate plan requirem5t       
,section #dga7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #fga7;a77 is am5d$--
 7#a7 9 p>agraph 7#cd77;,b71 by /rik+ & 
aft] ! semicolon2  7#b7 9 p>agraph      
7#ce77;,b71 by /rik+ ! p]iod at ! end & 
ins]t+ a semicolon2 &  7#c7 by add+ at !
 end ! foll[+3  7#cf7 provides t1 n lat]
 ?an ,april #a1 #bjah1 ! ,/ate %all     
submit to ! ,secret>y in=mation         

address+--  7,a7 :e!r ! ,/ate lic5s+    
/&>ds are 9 accord ) model /&>ds        
id5tifi$ by ! ,secret>y1 & if n1 !      
reason = ! specific deviation & a       
description z to :y hav+ a /&>d t is    
reasonably 9 accord ) ! correspond+     
national model /&>ds is n appropriate = 
! ,/ate2  7,b7 :e!r ! ,/ate has elect$  
to waive /&>ds e/abli%$ 9               
#dga7;a77#aj77;,a7 = relative fo/]      
family homes 7pursuant to waiv] au?ority
 provid$ by #dga7;a77#aj77;,d771 a      
description ( :i* /&>ds ! ,/ate mo/     
commonly waives1 & if ! ,/ate has n     
elect$ to waive ! /&>ds1 ! reason = n   
waiv+ ^! /&>ds2  7,c7 if ! ,/ate has    
elect$ to waive /&>ds specifi$ 9        
subp>agraph 7,b71 h[ casework]s are     
tra9$ to use ! waiv] au?ority & :e!r !  
,/ate has develop$ a process or provid$ 
tools to assi/ casework]s 9 waiv+       
nonsafety /&>ds p] ! au?ority provid$ 9 
#dga7;a77#aj77;,d7 to quickly place     
*ildr5 ) relatives2 &  7,d7 a           
description ( ! /eps ! ,/ate is tak+ to 

improve casework] tra9+ or ! process1 if
 any2 &  4  #acb4 ,developm5t ( a       
/atewide plan to prev5t *ild abuse &    
neglect fatalities ,section             
#dbb7;b77#ai7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fbb7;b77#ai77 is am5d$ 
to read z foll[s3  7#ai7 docum5t /eps   
tak5 to track & prev5t *ild maltreatm5t 
dea?s by includ+--  7,a7 a description (
 ! /eps ! ,/ate is tak+ to compile      
complete & accurate in=mation on ! dea?s
 requir$ by ,f$]al law to be report$ by 
! ,/ate ag5cy ref]r$ to 9 p>agraph 7#a71
 includ+ ga!r+ relevant in=mation on !  
dea?s f ! relevant organizations 9 !    
,/ate includ+ entities su* z ,/ate vital
 /ati/ics dep>tm5t1 *ild dea? review    
teams1 law en=cem5t ag5cies1 (fices (   
m$ical exam9]s or coron]s2 &  7,b7 a    
description ( ! /eps ! ,/ate is tak+ to 
develop & implem5t ( a compreh5sive1    
/atewide plan to prev5t ! fatalities t  
involves & engages relevant public &    
private ag5cy p>tn]s1 includ+ ^? 9      
public heal?1 law en=cem5t1 & ! c\rts4  

4  #acc4 ,mod]niz+ ! title & purpose (  
title ,,iv-,e  7a7 ,"p head+ ,! head+ = 
"p ,e ( title ,,iv ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #fgj et seq47 is   
am5d$ to read z foll[s3  ,e ,f$]al      
,paym5ts = ,fo/] ,c>e1 ,prev5tion1 &    
,p]man5cy  4  7b7 ,purpose ,! fir/      
s5t5ce ( section #dgj ( su* ,act 7#db   
,u4,s4,c4 #fgj7 is am5d$-- 7#a7 by /rik+
 #aiie7 & & ins]t+ #aiie712  7#b7 by    
ins]t+ k9%ip gu>dian%ip assi/ance1 &    
prev5tion s]vices or programs specifi$ 9
 section #dga7;e77#a71 aft] ne$s12 &    
7#c7 by /rik+ 7comm5c+ ) ! fiscal ye>   
:i* beg9s ,octob] #a1 #aihj74  #acd4    
,effective dates  7a7 ,effective dates  
7#a7 ,9 g5]al ,except z provid$ 9       
p>agraph 7#b71 subject to subsection    
7b71 ! am5dm5ts made by ?is title %all  
take effect on ,octob] #a1 #bjag4  7#b7 
,exceptions ,! am5dm5ts made by sections
 #aca & #acc %all take effect on ! date 
( enactm5t ( ?is ,act4  7b7 ,transition 
rule  7#a7 ,9 g5]al ,9 ! case ( a ,/ate 
plan "u "p ,b or ,e ( title ,,iv ( !    

,social ,security ,act :i* ! ,secret>y (
 ,heal? & ,human ,s]vices det]m9es      
requires ,/ate legislation 7o!r ?an     
legislation appropriat+ funds7 9 ord] = 
! plan to meet ! additional requirem5ts 
impos$ by ! am5dm5ts made by ?is title1 
! ,/ate plan %all n be reg>d$ z fail+ to
 comply ) ! requirem5ts ( su* "p solely 
on ! basis ( ! failure ( ! plan to meet 
su* additional requirem5ts be=e ! fir/  
day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! 
close ( ! fir/ regul> session ( ! ,/ate 
legislature t beg9s aft] ! date (       
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session %all be deem$ to be a sep>ate
 regul> session ( ! ,/ate legislature4  
7#b7 ,application to programs op]at$ by 
indian tribal organizations ,9 ! case ( 
an ,indian tribe1 tribal organization1  
or tribal consortium :i* ! ,secret>y (  
,heal? & ,human ,s]vices det]m9es       
requires "t to take action necess>y to  
comply ) ! additional requirem5ts impos$

 by ! am5dm5ts made by ?is title 7:e!r !
 tribe1 organization1 or tribal         
consortium has a plan "u section #dgi;,b
 ( ! ,social ,security ,act or a        
coop]ative agreem5t or contract ent]$   
into ) a ,/ate71 ! ,secret>y %all       
provide ! tribe1 organization1 or tribal
 consortium ) su* additional "t z !     
,secret>y det]m9es is necess>y = !      
tribe1 organization1 or tribal          
consortium to take ! action to comply ) 
! additional requirem5ts be=e be+ reg>d$
 z fail+ to comply ) ! requirem5ts4     
,,ii ,ensur+ ! ,necessity ( a ,placem5t 
t is n 9 a ,fo/] ,family ,home  #bja4   
,limitation on ,f$]al f9ancial          
p>ticipation = placem5ts t are n 9 fo/] 
family homes  7a7 ,limitation on f$]al  
f9ancial p>ticipation  7#a7 ,9 g5]al    
,section #dgb ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fgb71 z am5d$ by       
section #aab1 is am5d$-- 7,a7 9         
subsection 7a77#b77;,c71 by ins]t+ 1 b  
only to ! ext5t p]mitt$ "u subsection   
7k7 aft] in/itution2 &  7,b7 by add+ at 

! end ! foll[+3  7k7 ,limitation on     
f$]al f9ancial p>ticipation  7#a7 ,9    
g5]al ,beg9n+ ) ! ?ird week = :i* fo/]  
c>e ma9t5ance paym5ts are made "u ?is   
section on behalf ( a *ild plac$ 9 a    
*ild-c>e in/itution1 no ,f$]al paym5t   
%all be made to ! ,/ate "u section      
#dgd7;a77#a7 = am\nts exp5d$ = fo/] c>e 
ma9t5ance paym5ts on behalf ( ! *ild    
unless--  7,a7 ! *ild is plac$ 9 a      
*ild-c>e in/itution t is a sett+        
specifi$ 9 p>agraph 7#b7 7or is plac$ 9 
a lic5s$ resid5tial family-bas$ treatm5t
 facility consi/5t ) subsection 7j772 & 
7,b7 9 ! case ( a *ild plac$ 9 a        
qualifi$ resid5tial treatm5t program 7z 
def9$ 9 p>agraph 7#d771 ! requirem5ts   
specifi$ 9 p>agraph 7#c7 & section      
#dge;,a7c7 are met4  7#b7 ,specifi$     
sett+s = placem5t ,! sett+s = placem5t  
specifi$ 9 ?is p>agraph are ! foll[+3   
7,a7 ,a qualifi$ resid5tial treatm5t    
program 7z def9$ 9 p>agraph 7#d774  7,b7
 ,a sett+ specializ+ 9 provid+ pr5atal1 
po/-p>tum1 or p>5t+ supports = y\?4     

7,c7 ,9 ! case ( a *ild :o has atta9$   
#ah ye>s ( age1 a sup]vis$ sett+ 9 :i* !
 *ild is liv+ indep5d5tly4  7#c7        
,assessm5t to det]m9e appropriat5ess (  
placem5t 9 a qualifi$ resid5tial        
treatm5t program  7,a7 ,deadl9e =       
assessm5t ,9 ! case ( a *ild :o is plac$
 9 a qualifi$ resid5tial treatm5t       
program1 if ! assessm5t requir$ "u      
section #dge;,a7c77#a7 is n complet$ )9 
#cj days aft] ! placem5t is made1 no    
,f$]al paym5t %all be made to ! ,/ate "u
 section #dgd7;a77#a7 = any am\nts      
exp5d$ = fo/] c>e ma9t5ance paym5ts on  
behalf ( ! *ild dur+ ! placem5t4  7,b7  
,deadl9e = transition out ( placem5t ,if
 ! assessm5t requir$ "u section         
#dge;,a7c77#a7 det]m9es t ! placem5t ( a
 *ild 9 a qualifi$ resid5tial treatm5t  
program is n appropriate1 a c\rt        
disapproves su* a placem5t "u section   
#dge;,a7c77#b71 or a *ild :o has be5 9  
an approv$ placem5t 9 a qualifi$        
resid5tial treatm5t program is go+ to   
return home or be plac$ ) a fit & will+ 

relative1 a legal gu>dian1 or an        
adoptive p>5t1 or 9 a fo/] family home1 
,f$]al paym5ts %all be made to ! ,/ate  
"u section #dgd7;a77#a7 = am\nts exp5d$ 
= fo/] c>e ma9t5ance paym5ts on behalf (
 ! *ild :ile ! *ild rema9s 9 ! qualifi$ 
resid5tial treatm5t program only dur+ ! 
p]iod necess>y = ! *ild to transition   
home or to su* a placem5t4 ,9 no ev5t   
%all a ,/ate receive ,f$]al paym5ts "u  
section #dgd7;a77#a7 = am\nts exp5d$ =  
fo/] c>e ma9t5ance paym5ts on behalf ( a
 *ild :o rema9s plac$ 9 a qualifi$      
resid5tial treatm5t program aft] ! end (
 ! #cj-;day p]iod t beg9s on ! date a   
det]m9ation is made t ! placem5t is no  
long] ! recomm5d$ or approv$ placem5t = 
! *ild4  7#d7 ,qualifi$ resid5tial      
treatm5t program ,= purposes ( ?is "p1 !
 t]m qualifi$ resid5tial treatm5t       
program means a program t-- 7,a7 has a  
trauma-in=m$ treatm5t model t is design$
 to address ! ne$s1 includ+ cl9ical ne$s
 z appropriate1 ( *ildr5 ) s]i\s        
emotional or behavioral disord]s or     

di/urbances &1 ) respect to a *ild1 is  
able to implem5t ! treatm5t id5tifi$ = !
 *ild by ! assessm5t ( ! *ild requir$ "u
 section #dge;,a7c72  7,b7 has regi/]$  
or lic5s$ nurs+ /aff & o!r lic5s$       
cl9ical /aff :o-- 7i7 provide c>e )9 !  
scope ( _! practice z def9$ by ,/ate    
law2  7ii7 are on-site dur+ bus9ess     
h\rs2 &  7iii7 are available #bd h\rs a 
day & #g days a week2  7,c7 to ! ext5t  
appropriate1 & 9 accordance ) ! *ild's  
be/ int]e/s1 facilitates p>ticipation ( 
family memb]s 9 ! *ild's treatm5t       
program2  7,d7 facilitates outrea* to ! 
family memb]s ( ! *ild1 includ+ sibl+s1 
docum5ts h[ ! outrea* is made 7includ+  
contact in=mation71 & ma9ta9s contact   
in=mation = any kn[n biological family &
 fictive k9 ( ! *ild2  7,e7 docum5ts h[ 
family memb]s are integrat$ into !      
treatm5t process = ! *ild1 includ+      
po/-dis*>ge1 & h[ sibl+ connections are 
ma9ta9$2  7,f7 provides dis*>ge plann+ &
 family-bas$ aft]c>e support = at lea/  
#f mon?s po/-dis*>ge2 &  7,g7 is lic5s$ 

9 accordance ) section #dga7;a77#aj7 &  
is accr$it$ by any ( ! foll[+ indep5d5t1
 n-=-pr(it organizations3  7i7 ,!       
,commission on ,accr$itation (          
,rehabilitation ,facilities 7,,c>f74    
7ii7 ,! ,jo9t ,commission on            
,accr$itation ( ,heal?c>e ,organizations
 7,,jcaho74  7iii7 ,! ,c\ncil on        
,accr$itation 7,,coa74  7iv7 ,any o!r   
indep5d5t1 n-=-pr(it accr$it+           
organization approv$ by ! ,secret>y4  4 
7#b7 ,con=m+ am5dm5t ,section           
#dgd7;a77#a7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #fgd7;a77#a771 z am5d$ by
 section #aab7;b71 is am5d$ by /rik+    
section #dgb7;j7 & ins]t+ subsections   
7j7 & 7k7 ( section #dgb4  7b7          
,def9ition ( fo/] family home1 *ild-,c>e
 in/itution ,section #dgb7;c7 ( su* ,act
 7#db ,u4,s4,c4 #fgb7;c77#a77 is am5d$  
to read z foll[s3  7c7 ,def9itions ,=   
purposes ( ?is "p3  7#a7 ,fo/] family   
home  7,a7 ,9 g5]al ,! t]m fo/] family  
home means ! home ( an individual or    
family-- 7i7 t is lic5s$ or approv$ by !

 ,/ate 9 :i* x is situat$ z a fo/]      
family home t meets ! /&>ds e/abli%$ = !
 lic5s+ or approval2 &  7ii7 9 :i* a    
*ild 9 fo/] c>e has be5 plac$ 9 ! c>e ( 
an individual1 :o resides ) ! *ild & :o 
has be5 lic5s$ or approv$ by ! ,/ate to 
be a fo/] p>5t--  7,i7 t ! ,/ate deems  
capable ( adh]+ to ! reasonable & prud5t
 p>5t /&>d2  7,,ii7 t provides #bd-;h\r 
sub/itute c>e = *ildr5 plac$ away f _!  
p>5ts or o!r c>etak]s2 &  7,,iii7 t     
provides ! c>e = n m ?an six *ildr5 9   
fo/] c>e4  7,b7 ,/ate flexibility ,!    
numb] ( fo/] *ildr5 t may be c>$ = 9 a  
home "u subp>agraph 7,a7 may exce$ !    
num]ical limitation 9 subp>agraph       
7,a77ii77,,iii71 at ! option ( ! ,/ate1 
= any ( ! foll[+ reasons3  7i7 ,to all[ 
a p>5t+ y\? 9 fo/] c>e to rema9 ) ! *ild
 ( ! p>5t+ y\?4  7ii7 ,to all[ sibl+s to
 rema9 toge!r4  7iii7 ,to all[ a *ild ) 
an e/abli%$ mean+ful relation%ip ) !    
family to rema9 ) ! family4  7iv7 ,to   
all[ a family ) special tra9+ or skills 
to provide c>e to a *ild :o has a sev]e 

disability4  7,c7 ,rule ( con/ruction   
,subp>agraph 7,a7 %all n be con/ru$ z   
prohibit+ a fo/] p>5t f r5t+ ! home 9   
:i* ! p>5t c>es = a fo/] *ild plac$ 9 ! 
p>5t's c>e4  7#b7 ,*ild-c>e in/itution  
7,a7 ,9 g5]al ,! t]m *ild-c>e in/itution
 means a private *ild-c>e in/itution1 or
 a public *ild-c>e in/itution :i*       
accommodates no m ?an #be *ildr51 :i* is
 lic5s$ by ! ,/ate 9 :i* x is situat$ or
 has be5 approv$ by ! ag5cy ( ! ,/ate   
responsible = lic5s+ or approval (      
in/itutions ( ?is type z meet+ ! /&>ds  
e/abli%$ = ! lic5s+4  7,b7 ,sup]vis$    
sett+s ,9 ! case ( a *ild :o has atta9$ 
#ah ye>s ( age1 ! t]m %all include a    
sup]vis$ sett+ 9 :i* ! individual is    
liv+ indep5d5tly1 9 accordance ) su*    
conditions z ! ,secret>y %all e/abli% 9 
regulations4  7,c7 ,exclusions ,! t]m   
%all n include det5tion facilities1     
=e/ry camps1 tra9+ s*ools1 or any o!r   
facility op]at$ prim>ily = ! det5tion ( 
*ildr5 :o are det]m9$ to be del9qu5t4  4
  7c7 ,tra9+ = /ate judges1 attorneys1 &

 o!r legal p]sonnel 9 *ild welf>e cases 
,section #dch7;b77#a7 ( su* ,act 7#db   
,u4,s4,c4 #fbi;h7b77#a77 is am5d$ 9 !   
matt] prec$+ subp>agraph 7,a7 by ins]t+ 
%all provide = ! tra9+ ( judges1        
attorneys1 & o!r legal p]sonnel 9 *ild  
welf>e cases on ,f$]al *ild welf>e      
policies & paym5t limitations ) respect 
to *ildr5 9 fo/] c>e :o are plac$ 9     
sett+s t are n a fo/] family home1 aft] 
) respect to ! *ild14  7d7 ,assurance ( 
nonimpact on juv5ile ju/ice sy/em  7#a7 
,/ate plan requirem5t ,section #dga7;a7 
( su* ,act 7#db ,u4,s4,c4 #fga7;a771 z  
am5d$ by section #aca1 is fur!r am5d$ by
 add+ at ! end ! foll[+3  7#cg7 includes
 a c]tification t1 9 response to !      
limitation impos$ "u section #dgb7k7 )  
respect to fo/] c>e ma9t5ance paym5ts   
made on behalf ( any *ild :o is plac$ 9 
a sett+ t is n a fo/] family home1 !    
,/ate w n enact or advance policies or  
practices t w\ld result 9 a significant 
increase 9 ! population ( y\? 9 !       
,/ate's juv5ile ju/ice sy/em4  4  7#b7  

,,gao /udy & report ,! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all evaluate !
 impact1 if any1 on ,/ate juv5ile ju/ice
 sy/ems ( ! limitation impos$ "u section
 #dgb7k7 ( ! ,social ,security ,act 7z  
add$ by section #bja7;a77#a77 on fo/]   
c>e ma9t5ance paym5ts made on behalf (  
any *ild :o is plac$ 9 a sett+ t is n a 
fo/] family home1 9 accordance ) !      
am5dm5ts made by subsections 7a7 & 7b7 (
 ?is section4 ,9 p>ticul>1 ! ,comptroll]
 ,g5]al %all evaluate ! ext5t to :i*    
*ildr5 9 fo/] c>e :o also are subject to
 ! juv5ile ju/ice sy/em ( ! ,/ate are   
plac$ 9 a facility "u ! jurisdiction ( !
 juv5ile ju/ice sy/em & :e!r ! lack (   
available congregate c>e placem5ts "u ! 
jurisdiction ( ! *ild welf>e sy/ems is a
 contribut+ factor to t result4 ,n lat] 
?an ,decemb] #ca1 #bjbc1 ! ,comptroll]  
,g5]al %all submit to ,congress a report
 on ! results ( ! evaluation4  #bjb4    
,assessm5t & docum5tation ( ! ne$ =     
placem5t 9 a qualifi$ resid5tial        
treatm5t program ,section #dge;,a ( !   

,social ,security ,act 7#db ,u4,s4,c4   
#fge;a7 is am5d$ by add+ at ! end !     
foll[+3  7c7 ,assessm5t1 docum5tation1 &
 judicial det]m9ation requirem5ts =     
placem5t 9 a qualifi$ resid5tial        
treatm5t program ,9 ! case ( any *ild :o
 is plac$ 9 a qualifi$ resid5tial       
treatm5t program 7z def9$ 9 section     
#dgb7k77#d771 ! foll[+ requirem5ts %all 
apply = purposes ( approv+ ! case plan =
 ! *ild & ! case sy/em review proc$ure =
 ! *ild3  7#a7  7,a7 ,)9 #cj days ( !   
/>t ( ea* placem5t 9 su* a sett+1 a     
qualifi$ individual 7z def9$ 9          
subp>agraph 7,d77 %all--  7i7 assess !  
/r5g?s & ne$s ( ! *ild us+ an           
age-appropriate1 evid5ce-bas$1 validat$1
 functional assessm5t tool approv$ by ! 
,secret>y2  7ii7 det]m9e :e!r ! ne$s ( !
 *ild c be met ) family memb]s or ?r\gh 
placem5t 9 a fo/] family home or1 if n1 
:i* sett+ f among ! sett+s specifi$ 9   
section #dgb7k77#b7 w\ld provide ! mo/  
effective & appropriate level ( c>e = ! 
*ild 9 ! lea/ re/rictive environm5t & be

 consi/5t ) ! %ort- & long-t]m goals = !
 *ild1 z specifi$ 9 ! p]man5cy plan = ! 
*ild2 &  7iii7 develop a li/ (          
*ild-specific %ort- & long-t]m m5tal &  
behavioral heal? goals4  7,b7 7i7 ,!    
,/ate %all assemble a family & p]man5cy 
team = ! *ild 9 accordance ) !          
requirem5ts ( clauses 7ii7 & 7iii74 ,!  
qualifi$ individual conduct+ ! assessm5t
 requir$ "u subp>agraph 7,a7 %all "w 9  
conjunction ) ! family (1 & p]man5cy    
team =1 ! *ild :ile conduct+ & mak+ !   
assessm5t4  7ii7 ,! family & p]man5cy   
team %all consi/ ( all appropriate      
biological family memb]s1 relative1 &   
fictive k9 ( ! *ild1 z well z1 z        
appropriate1 pr(essionals :o are a      
res\rce to ! family ( ! *ild1 su* z     
tea*]s1 m$ical or m5tal heal? provid]s  
:o h treat$ ! *ild1 or cl]gy4 ,9 ! case 
( a *ild :o has atta9$ age #ad1 ! family
 & p]man5cy team %all include ! memb]s (
 ! p]man5cy plann+ team = ! *ild t are  
select$ by ! *ild 9 accordance ) section
 #dge7e77;,c77iv74  7iii7 ,! ,/ate %all 

docum5t 9 ! *ild's case plan-- 7,i7 !   
reasonable & good fai? ef=t ( ! ,/ate to
 id5tify & include all su* individuals  
on ! family (1 & p]man5cy team =1 !     
*ild2  7,,ii7 all contact in=mation =   
memb]s ( ! family & p]man5cy team1 z    
well z contact in=mation = o!r family   
memb]s & fictive k9 :o are n "p ( !     
family & p]man5cy team2  7,,iii7 evid5ce
 t meet+s ( ! family & p]man5cy team1   
includ+ meet+s relat+ to ! assessm5t    
requir$ "u subp>agraph 7,a71 are held at
 a "t & place conv5i5t = family2  7,,iv7
 if reunification is ! goal1 evid5ce    
demon/rat+ t ! p>5t f :om ! *ild 0      
remov$ provid$ input on ! memb]s ( !    
family & p]man5cy team2  7,v7 evid5ce t 
! assessm5t requir$ "u subp>agraph 7,a7 
is det]m9$ 9 conjunction ) ! family &   
p]man5cy team2 &  7,,vi7 ! placem5t     
pref]5ces ( ! family & p]man5cy team    
relative to ! assessm5t &1 if ! placem5t
 pref]5ces ( ! family & p]man5cy team & 
*ild are n ! placem5t sett+ recomm5d$ by
 ! qualifi$ individual conduct+ !       

assessm5t "u subp>agraph 7,a71 ! reasons
 :y ! pref]5ces ( ! team & ( ! *ild 7 n 
recomm5d$4  7,c7 ,9 ! case ( a *ild :o !
 qualifi$ individual conduct+ !         
assessm5t "u subp>agraph 7,a7 det]m9es  
%\ld n be plac$ 9 a fo/] family home1 ! 
qualifi$ individual %all specify 9 writ+
 ! reasons :y ! ne$s ( ! *ild _c be met 
by ! family ( ! *ild or 9 a fo/] family 
home4 ,a %ortage or lack ( fo/] family  
homes %all n be an acceptable reason =  
det]m9+ t a ne$s ( ! *ild _c be met 9 a 
fo/] family home4 ,! qualifi$ individual
 also %all specify 9 writ+ :y !         
recomm5d$ placem5t 9 a qualifi$         
resid5tial treatm5t program is ! sett+ t
 w provide ! *ild ) ! mo/ effective &   
appropriate level ( c>e 9 ! lea/        
re/rictive environm5t & h[ t placem5t is
 consi/5t ) ! %ort- & long-t]m goals = !
 *ild1 z specifi$ 9 ! p]man5cy plan = ! 
*ild4  7,d7  7i7 ,subject to clause     
7ii71 9 ?is subsection1 ! t]m qualifi$  
individual means a tra9$ pr(essional or 
lic5s$ cl9ician :o is n an employee ( ! 

,/ate ag5cy & :o is n connect$ to1 or   
affiliat$ )1 any placem5t sett+ 9 :i*   
*ildr5 are plac$ by ! ,/ate4  7ii7 ,!   
,secret>y may approve a reque/ ( a ,/ate
 to waive any requirem5t 9 clause 7i7 ^u
 a submission by ! ,/ate1 9 accordance )
 crit]ia e/abli%$ by ! ,secret>y1 t     
c]tifies t ! tra9$ pr(essionals or      
lic5s$ cl9icians ) responsibility =     
p]=m+ ! assessm5ts describ$ 9           
subp>agraph 7,a7 %all ma9ta9 objectivity
 ) respect to det]m9+ ! mo/ effective & 
appropriate placem5t = a *ild4  7#b7 ,)9
 #fj days ( ! />t ( ea* placem5t 9 a    
qualifi$ resid5tial treatm5t program1 a 
family or juv5ile c\rt or ano!r c\rt    
7includ+ a tribal c\rt7 ( compet5t      
jurisdiction1 or an adm9i/rative body   
appo9t$ or approv$ by ! c\rt1           
indep5d5tly1 %all--  7,a7 consid] !     
assessm5t1 det]m9ation1 & docum5tation  
made by ! qualifi$ individual conduct+ !
 assessm5t "u p>agraph 7#a72  7,b7      
det]m9e :e!r ! ne$s ( ! *ild c be met   
?r\gh placem5t 9 a fo/] family home or1 

if n1 :e!r placem5t ( ! *ild 9 a        
qualifi$ resid5tial treatm5t program    
provides ! mo/ effective & appropriate  
level ( c>e = ! *ild 9 ! lea/ re/rictive
 environm5t & :e!r t placem5t is        
consi/5t ) ! %ort- & long-t]m goals = ! 
*ild1 z specifi$ 9 ! p]man5cy plan = !  
*ild2 &  7,c7 approve or disapprove !   
placem5t4  7#c7 ,! writt5 docum5tation  
made "u p>agraph 7#a77;,c7 &            
docum5tation ( ! det]m9ation & approval 
or disapproval ( ! placem5t 9 a qualifi$
 resid5tial treatm5t program by a c\rt  
or adm9i/rative body "u p>agraph 7#b7   
%all be includ$ 9 & made "p ( ! case    
plan = ! *ild4  7#d7 ,z long z a *ild   
rema9s plac$ 9 a qualifi$ resid5tial    
treatm5t program1 ! ,/ate ag5cy %all    
submit evid5ce at ea* /atus review & ea*
 p]man5cy he>+ held ) respect to !      
*ild--  7,a7 demon/rat+ t ongo+         
assessm5t ( ! /r5g?s & ne$s ( ! *ild    
cont9ues to support ! det]m9ation t !   
ne$s ( ! *ild _c be met ?r\gh placem5t 9
 a fo/] family home1 t ! placem5t 9 a   

qualifi$ resid5tial treatm5t program    
provides ! mo/ effective & appropriate  
level ( c>e = ! *ild 9 ! lea/ re/rictive
 environm5t1 & t ! placem5t is consi/5t 
) ! %ort- & long-t]m goals = ! *ild1 z  
specifi$ 9 ! p]man5cy plan = ! *ild2    
7,b7 docum5t+ ! specific treatm5t or    
s]vice ne$s t w be met = ! *ild 9 !     
placem5t & ! l5g? ( "t ! *ild is expect$
 to ne$ ! treatm5t or s]vices2 &  7,c7  
docum5t+ ! ef=ts made by ! ,/ate ag5cy  
to prep>e ! *ild to return home or to be
 plac$ ) a fit & will+ relative1 a legal
 gu>dian1 or an adoptive p>5t1 or 9 a   
fo/] family home4  7#e7 ,9 ! case ( any 
*ild :o is plac$ 9 a qualifi$ resid5tial
 treatm5t program = m ?an #ab           
consecutive mon?s or #ah nonconsecutive 
mon?s 7or1 9 ! case ( a *ild :o has n   
atta9$ age #ac1 = m ?an #f consecutive  
or nonconsecutive mon?s71 ! ,/ate ag5cy 
%all submit to ! ,secret>y--  7,a7 ! mo/
 rec5t v]sions ( ! evid5ce &            
docum5tation specifi$ 9 p>agraph 7#d72 &
  7,b7 ! sign$ approval ( ! head ( !    

,/ate ag5cy = ! cont9u$ placem5t ( !    
*ild 9 t sett+4  4  #bjc4 ,protocols to 
prev5t inappropriate diagnoses  7a7     
,/ate plan requirem5t ,section          
#dbb7;b77#ae77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #fbb7;b77#ae77;,a77
 is am5d$-- 7#a7 9 clause 7vi71 by /rik+
 & aft] ! semicolon2  7#b7 by r$esignat+
 clause 7vii7 z clause 7viii72 &  7#c7  
by ins]t+ aft] clause 7vi7 ! foll[+3    
7vii7 ! proc$ures & protocols ! ,/ate   
has e/abli%$ to ensure t *ildr5 9 fo/]  
c>e placem5ts are n inappropriately     
diagnos$ ) m5tal illness1 o!r emotional 
or behavioral disord]s1 m$ically fragile
 conditions1 or developm5tal            
disabilities1 & plac$ 9 sett+s t are n  
fo/] family homes z a result ( !        
inappropriate diagnoses2 &  4  7b7      
,evaluation ,section #dgf ( su* ,act    
7#db ,u4,s4,c4 #fgf71 z am5d$ by section
 #aaa7;d71 is fur!r am5d$ by add+ at !  
end ! foll[+3  7e7 ,evaluation ( ,/ate  
proc$ures & protocols ,to prev5t        
inappropriate diagnoses ( m5tal illness 

or o!r conditions ,! ,secret>y %all     
conduct an evaluation ( ! proc$ures &   
protocols e/abli%$ by ,/ates 9          
accordance ) ! requirem5ts ( section    
#dbb7;b77#ae77;,a77vii74 ,! evaluation  
%all analyze ! ext5t to :i* ,/ates      
comply ) & en=ce ! proc$ures & protocols
 & ! effectiv5ess ( v>i\s ,/ate         
proc$ures & protocols & %all id5tify be/
 practices4 ,n lat] ?an ,janu>y #a1     
#bjai1 ! ,secret>y %all submit a report 
on ! results ( ! evaluation to          
,congress4  4  #bjd4 ,additional data & 
reports reg>d+ *ildr5 plac$ 9 a sett+ t 
is n a fo/] family home ,section        
#dgi;,a7a77#g77;,a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#fgi;b7a77#g77;,a77 is am5d$ by /rik+   
clauses 7i7 ?r\gh 7vi7 & ins]t+ !       
foll[+3  7i7 ) respect to ea* su*       
placem5t-- 7,i7 ! type ( ! placem5t     
sett+1 includ+ :e!r ! placem5t is %elt] 
c>e1 a gr\p home & if s1 ! range ( !    
*ild population 9 ! home1 a resid5tial  
treatm5t facility1 a hospital or        

in/itution provid+ m$ical1              
rehabilitative1 or psy*iatric c>e1 a    
sett+ specializ+ 9 provid+ pr5atal1     
po/-p>tum or p>5t+ supports1 or "s o!r  
k9d ( *ild-c>e in/itution & if s1 :at   
k9d2  7,,ii7 ! numb] ( *ildr5 9 !       
placem5t sett+ & ! age1 race1 e?nicity1 
& g5d] ( ea* ( ! *ildr52  7,,iii7 = ea* 
*ild 9 ! placem5t sett+1 ! l5g? ( !     
placem5t ( ! *ild 9 ! sett+1 :e!r !     
placem5t ( ! *ild 9 ! sett+ is ! fir/   
placem5t ( ! *ild & if n1 ! numb] & type
 ( previ\s placem5ts ( ! *ild1 & :e!r ! 
*ild has special ne$s or ano!r diagnos$ 
m5tal or physical illness or condition2 
&  7,,iv7 ! ext5t ( any specializ$      
education1 treatm5t1 c\nsel+1 or o!r    
s]vices provid$ 9 ! sett+2 &  7ii7      
sep>ately1 ! numb] & ages ( *ildr5 9 !  
placem5ts :o h a p]man5cy plan ( ano!r  
plann$ p]man5t liv+ arrangem5t2 &  4    
#bje4 ,effective dates2 application to  
waiv]s  7a7 ,effective dates  7#a7 ,9   
g5]al ,subject to p>agraph 7#b7 &       
subsections 7b7 & 7c71 ! am5dm5ts made  

by ?is title %all take effect on ,octob]
 #a1 #bjag4  7#b7 ,transition rule ,9 ! 
case ( a ,/ate plan "u "p ,b or ,e (    
title ,,iv ( ! ,social ,security ,act   
:i* ! ,secret>y ( ,heal? & ,human       
,s]vices det]m9es requires ,/ate        
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5ts impos$ by 
! am5dm5ts made by ?is title1 ! ,/ate   
plan %all n be reg>d$ z fail+ to comply 
) ! requirem5ts ( su* "p solely on !    
basis ( ! failure ( ! plan to meet !    
additional requirem5ts be=e ! fir/ day (
 ! fir/ cal5d> qu>t] beg9n+ aft] ! close
 ( ! fir/ regul> session ( ! ,/ate      
legislature t beg9s aft] ! date (       
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session %all be deem$ to be a sep>ate
 regul> session ( ! ,/ate legislature4  
7b7 ,limitation on f$]al f9ancial       
p>ticipation = placem5ts t are n 9 fo/] 
family homes & relat$ provisions ,!     

am5dm5ts made by sections #bja7;a71     
#bja7;b71 #bja7;d71 & #bjb %all take    
effect on ,octob] #a1 #bjai4  7c7       
,application to ,/ates ) waiv]s ,9 !    
case ( a ,/ate t1 on ! date ( enactm5t (
 ?is ,act1 has 9 effect a waiv] approv$ 
"u section #aacj ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acbj;a-#i71 !      
am5dm5ts made by ?is title %all n apply 
) respect to ! ,/ate be=e ! expiration  
7det]m9$ )\t reg>d to any ext5sions7 ( !
 waiv] to ! ext5t ! am5dm5ts are        
inconsi/5t ) ! t]ms ( ! waiv]4  ,,iii   
,cont9u+ ,support = ,*ild & ,family     
,s]vices  #cja4 ,support+ & reta9+ fo/] 
families = *ildr5  7a7 ,support+ &      
reta9+ fo/] p>5ts z a family support    
s]vice ,section #dca7;a77#b77;,b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#fca7;a77#b77;,b77 is am5d$ by          
r$esignat+ clauses 7iii7 ?r\gh 7vi7 z   
clauses 7iv7 ?r\gh 7vii71 respectively1 
& ins]t+ aft] clause 7ii7 ! foll[+3     
7iii7 ,to support & reta9 fo/] families 
s !y c provide quality family-bas$      

sett+s = *ildr5 9 fo/] c>e4  4  7b7     
,support = fo/] family homes ,section   
#dcf ( su* ,act 7#db ,u4,s4,c4 #fbi;f7  
is am5d$ by add+ at ! end ! foll[+3  7c7
 ,support = fo/] family homes ,out ( any
 money 9 ! ,treasury ( ! ,unit$ ,/ates n
 o!rwise appropriat$1 !re are           
appropriat$ to ! ,secret>y = fiscal ye> 
#bjah1 #h1jjj1jjj = ! ,secret>y to make 
competitive grants to ,/ates1 ,indian   
tribes1 or tribal consortia to support !
 recruitm5t & ret5tion ( high-quality   
fo/] families to increase _! capacity to
 place m *ildr5 9 family sett+s1 focus$ 
on ,/ates1 ,indian tribes1 or tribal    
consortia ) ! highe/ p]c5tage ( *ildr5 9
 non-family sett+s4 ,! am\nt appropriat$
 "u ?is subp>agraph %all rema9 available
 ?r\gh fiscal ye> #bjbb4  4  #cjb4      
,ext5sion ( *ild & family s]vices       
programs  7a7 ,ext5sion ( ,/ephanie     
,tubbs ,jones *ild welf>e s]vices       
program ,section #dbe ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #fbe7 is  
am5d$ by /rik+ #bjab ?r\gh #bjaf &      

ins]t+ #bjag ?r\gh #bjba4  7b7 ,ext5sion
 ( promot+ safe & /able families program
 au?orizations  7#a7 ,9 g5]al ,section  
#dcf7;a7 ( su* ,act 7#db ,u4,s4,c4      
#fbi;f7a77 is am5d$ by /rik+ all t      
foll[s #cde1jjj1jjj & ins]t+ = ea* (    
fiscal ye>s #bjag ?r\gh #bjba44  7#b7   
,discretion>y grants ,section #dcg7;a7 (
 su* ,act 7#db ,u4,s4,c4 #fbi;g7a77 is  
am5d$ by /rik+ #bjab ?r\gh #bjaf &      
ins]t+ #bjag ?r\gh #bjba4  7c7 ,ext5sion
 ( fund+ res]vations = mon?ly casework] 
visits & regional p>tn]%ip grants       
,section #dcf7;b7 ( su* ,act 7#db       
,u4,s4,c4 #fbi;f7b77 is am5d$--  7#a7 9 
p>agraph 7#d77;,a71 by /rik+ #bjab ?r\gh
 #bjaf & ins]t+ #bjag ?r\gh #bjba2 &    
7#b7 9 p>agraph 7#e71 by /rik+ #bjab    
?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 
7d7 ,reau?orization ( fund+ = /ate c\rts
  7#a7 ,ext5sion ( program ,section     
#dch7;c77#a7 ( su* ,act 7#db ,u4,s4,c4  
#fbi;h7c77#a77 is am5d$ by /rik+ #bjab  
?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 
7#b7 ,ext5sion ( ,f$]al %>e ,section    

#dch7;d7 ( su* ,act 7#db ,u4,s4,c4      
#fbi;h7d77 is am5d$ by /rik+ #bjab ?r\gh
 #bjaf & ins]t+ #bjag ?r\gh #bjba4  7e7 
,repeal ( expir$ provisions ,section    
#dch7;e7 ( su* ,act 7#db ,u4,s4,c4      
#fbi;h7e77 is repeal$4  #cjc4           
,improvem5ts to ! ,john ,h4 ,*afee fo/] 
c>e indep5d5ce program & relat$         
provisions  7a7 ,au?ority ,to ,s]ve ,=m]
 ,fo/] ,y\? ,up ,to ,age #bc ,section   
#dgg ( ! ,social ,security ,act 7#db    
,u4,s4,c4 #fgg7 is am5d$--  7#a7 9      
subsection 7a77#e71 by ins]t+ 7or #bc   
ye>s ( age1 9 ! case ( a ,/ate ) a      
c]tification "u subsection              
7b77#c77;,a77ii7 to provide assi/ance & 
s]vices to y\?s :o h ag$ out ( fo/] c>e 
& h n atta9$ su* age1 9 accordance ) su*
 subsection7 aft] #ba ye>s ( age2  7#b7 
9 subsection 7b77#c77;,a7-- 7,a7 by     
ins]t+ 7i7 be=e ,a c]tification2  7,b7  
by /rik+ *ildr5 :o h left fo/] c>e & all
 t foll[s ?r\gh ! p]iod & ins]t+ y\?s :o
 h ag$ out ( fo/] c>e & h n atta9$ #ba  
ye>s ( age42 &  7,c7 by add+ at ! end ! 

foll[+3  7ii7 ,if ! ,/ate has elect$ "u 
section #dge7h77;,b7 to ext5d           
eligibility = fo/] c>e to all *ildr5 :o 
h n atta9$ #ba ye>s ( age1 or if !      
,secret>y det]m9es t ! ,/ate ag5cy      
responsible = adm9i/]+ ! ,/ate plans "u 
?is "p & "p ,b uses ,/ate funds or any  
o!r funds n provid$ "u ?is "p to provide
 s]vices & assi/ance = y\?s :o h ag$ out
 ( fo/] c>e t are comp>able to ! s]vices
 & assi/ance ! y\?s w\ld receive if !   
,/ate _h made su* an election1 !        
c]tification requir$ "u clause 7i7 may  
provide t ! ,/ate w provide assi/ance & 
s]vices to y\?s :o h ag$ out ( fo/] c>e 
& h n atta9$ #bc ye>s ( age4  2 &  7#c7 
9 subsection 7b77#c77;,b71 by /rik+     
*ildr5 :o h left fo/] c>e & all t foll[s
 ?r\gh ! p]iod & ins]t+ y\?s :o h ag$   
out ( fo/] c>e & h n atta9$ #ba ye>s (  
age 7or #bc ye>s ( age1 9 ! case ( a    
,/ate ) a c]tification "u subp>agraph   
7,a77i7 to provide assi/ance & s]vices  
to y\?s :o h ag$ out ( fo/] c>e & h n   
atta9$ su* age1 9 accordance )          

subp>agraph 7,a77ii7744  7b7 ,au?ority  
,to r$i/ribute unsp5t funds ,section    
#dgg7;d7 ( su* ,act 7#db ,u4,s4,c4      
#fgg7;d77 is am5d$-- 7#a7 9 p>agraph    
7#d71 by ins]t+ or does n exp5d allocat$
 funds )9 ! "t p]iod specifi$ "u section
 #dgg7;d77#c7 aft] provid$ by !         
,secret>y2 &  7#b7 by add+ at ! end !   
foll[+3  7#e7 ,r$i/ribution ( unexp5d$  
am\nts  7,a7 ,availability ( am\nts ,to 
! ext5t t am\nts paid to ,/ates "u ?is  
section 9 a fiscal ye> rema9 unexp5d$ by
 ! ,/ates at ! end ( ! succe$+ fiscal   
ye>1 ! ,secret>y may make ! am\nts      
available = r$i/ribution 9 ! second     
succe$+ fiscal ye> among ! ,/ates t     
apply = additional funds "u ?is section 
= t second succe$+ fiscal ye>4  7,b7    
,r$i/ribution  7i7 ,9 g5]al ,! ,secret>y
 %all r$i/ribute ! am\nts made available
 "u subp>agraph 7,a7 = a fiscal ye>     
among eligible applicant ,/ates4 ,9 ?is 
subp>agraph1 ! t]m eligible applicant   
,/ate means a ,/ate t has appli$ =      
additional funds = ! fiscal ye> "u      

subp>agraph 7,a7 if ! ,secret>y det]m9es
 t ! ,/ate w use ! funds = ! purpose =  
:i* orig9ally allott$ "u ?is section4   
7ii7 ,am\nt to be r$i/ribut$ ,! am\nt to
 be r$i/ribut$ to ea* eligible applicant
 ,/ate %all be ! am\nt s made available 
multipli$ by ! ,/ate fo/] c>e ratio 7z  
def9$ 9 subsection 7c77#d71 except t1 9 
su* subsection1 all eligible applicant  
,/ates 7z def9$ 9 subsection            
7d77#e77;,b77i77 %all be sub/itut$ = all
 ,/ates74  7iii7 ,treatm5t ( r$i/ribut$ 
am\nt ,any am\nt made available to a    
,/ate "u ?is p>agraph %all be reg>d$ z  
"p ( ! allotm5t ( ! ,/ate "u ?is section
 = ! fiscal ye> 9 :i* ! r$i/ribution is 
made4  7,c7 ,tribes ,= purposes ( ?is   
p>agraph1 ! t]m ,/ate includes an       
,indian tribe1 tribal organization1 or  
tribal consortium t receives an allotm5t
 "u ?is section4  4  7c7 ,exp&+ &       
cl>ify+ ! use ( education & tra9+ v\*]s 
7#a7 ,9 g5]al ,section #dgg7;i77#c7 (   
su* ,act 7#db ,u4,s4,c4 #fgg7;i77#c77 is
 am5d$-- 7,a7 by /rik+ on ! date & all t

 foll[s ?r\gh #bc & ins]t+ to rema9     
eligible until !y atta9 #bf2 &  7,b7 by 
ins]t+ 1 b 9 no ev5t may a y\?          
p>ticipate 9 ! program = m ?an #e ye>s  
7:e!r or n consecutive7 be=e ! p]iod4   
7#b7 ,con=m+ am5dm5t ,section           
#dgg7;i77#a7 ( su* ,act 7#db ,u4,s4,c4  
#fgg7;i77#a77 is am5d$ by ins]t+ :o h   
atta9$ #ad ye>s ( age be=e ! p]iod4  7d7
 ,o!r improvem5ts ,section #dgg ( su*   
,act 7#db ,u4,s4,c4 #fgg71 z am5d$ by   
subsections 7a71 7b71 & 7c71 is am5d$-- 
7#a7 9 ! section head+1 by /rik+        
,indep5d5ce ,program & ins]t+ ,program =
 ,successful ,transition to ,adul?ood2  
7#b7 9 subsection 7a7--  7,a7 9 p>agraph
 7#a7-- 7i7 by /rik+ id5tify *ildr5 :o  
are likely to rema9 9 fo/] c>e until #ah
 ye>s ( age & to help ^! *ildr5 make !  
transition to self-suffici5cy by provid+
 s]vices & ins]t+ support all y\? :o h  
exp]i5c$ fo/] c>e at age #ad or old] 9  
_! transition to adul?ood ?r\gh         
transitional s]vices2  7ii7 by ins]t+ & 
po/-second>y education aft] high s*ool  

diploma2 &  7iii7 by /rik+ tra9+ 9 daily
 liv+ skills1 tra9+ 9 budget+ & f9ancial
 managem5t skills & ins]t+ tra9+ &      
opportunities to practice daily liv+    
skills 7su* z f9ancial lit]acy tra9+ &  
driv+ in/ruction72  7,b7 9 p>agraph     
7#b71 by /rik+ :o are likely to rema9 9 
fo/] c>e until #ah ye>s ( age receive ! 
education1 tra9+1 & s]vices necess>y to 
obta9 employm5t & ins]t+ :o h exp]i5c$  
fo/] c>e at age #ad or old] a*ieve      
mean+ful1 p]man5t connections ) a c>+   
adult2  7,c7 9 p>agraph 7#c71 by /rik+  
:o are likely to rema9 9 fo/] c>e until 
#ah ye>s ( age prep>e = & ent]          
po/second>y tra9+ & education           
in/itutions & ins]t+ :o h exp]i5c$ fo/] 
c>e at age #ad or old] engage 9 age or  
developm5tally appropriate activities1  
positive y\? developm5t1 & exp]i5tial   
le>n+ t reflects :at _! pe]s 9 intact   
families exp]i5ce2 &  7,d7 by /rik+     
p>agraph 7#d7 & r$esignat+ p>agraphs    
7#e7 ?r\gh 7#h7 z p>agraphs 7#d7 ?r\gh  
7#g72  7#c7 9 subsection 7b7-- 7,a7 9   

p>agraph 7#b77;,d71 by /rik+ adolesc5ts 
& ins]t+ y\?2 &  7,b7 9 p>agraph 7#c7-- 
7i7 9 subp>agraph 7,d7--  7,i7 by ins]t+
 includ+ tra9+ on y\? developm5t aft] to
 provide tra9+2 &  7,,ii7 by /rik+      
adolesc5ts prep>+ = indep5d5t liv+ & all
 t foll[s ?r\gh ! p]iod & ins]t+ y\?    
prep>+ = a successful transition to     
adul?ood & mak+ a p]man5t connection ) a
 c>+ adult42  7ii7 9 subp>agraph 7,h71  
by /rik+ adolesc5ts ea* place x appe>s &
 ins]t+ y\?2 &  7iii7 9 subp>agraph     
7,k7--  7,i7 by /rik+ an adolesc5t &    
ins]t+ a y\?2 &  7,,ii7 by /rik+ !      
adolesc5t ea* place x appe>s & ins]t+ ! 
y\?2 &  7#d7 9 subsection 7f71 by /rik+ 
p>agraph 7#b7 & ins]t+ ! foll[+3  7#b7  
,report to congress ,n lat] ?an ,octob] 
#a1 #bjag1 ! ,secret>y %all submit to ! 
,committee on ,ways & ,means ( ! ,h\se (
 ,repres5tatives & ! ,committee on      
,f9ance ( ! ,s5ate a report on !        
,national ,y\? 9 ,transition ,database &
 any o!r databases 9 :i* ,/ates report  
outcome measures relat+ to *ildr5 9 fo/]

 c>e & *ildr5 :o h ag$ out ( fo/] c>e or
 left fo/] c>e = k9%ip gu>dian%ip or    
adoption4 ,! report %all include !      
foll[+3  7,a7 ,a description ( ! reasons
 = entry into fo/] c>e & ( ! fo/] c>e   
exp]i5ces1 su* z l5g? ( /ay1 numb] (    
placem5t sett+s1 case goal1 & dis*>ge   
reason ( #ag-ye>-olds :o are survey$ by 
! ,national ,y\? 9 ,transition ,database
 & an analysis ( ! comp>ison ( t        
description ) ! reasons = entry & fo/]  
c>e exp]i5ces ( *ildr5 ( o!r ages :o    
exit f fo/] c>e be=e atta9+ age #ag4    
7,b7 ,a description ( ! *>act]i/ics ( ! 
individuals :o report poor outcomes at  
ages #ai & #ba to ! ,national ,y\? 9    
,transition ,database4  7,c7 ,b5*m>ks = 
det]m9+ :at con/itutes a poor outcome = 
y\? :o rema9 9 or h exit$ f fo/] c>e &  
plans ! executive bran* w take to       
incorporate ^! b5*m>ks 9 ef=ts to       
evaluate *ild welf>e ag5cy p]=mance 9   
provid+ s]vices to *ildr5 transition+ f 
fo/] c>e4  7,d7 ,an analysis ( !        
association betwe5 types ( placem5t1    

numb] ( ov]all placem5ts1 "t sp5t 9 fo/]
 c>e1 & o!r factors1 & outcomes at ages 
#ai & #ba4  7,e7 ,an analysis ( !       
diff]5ces 9 outcomes = *ildr5 9 & =m]ly 
9 fo/] c>e at age #ai & #ba among       
,/ates4  4  7e7 ,cl>ify+ docum5tation   
provid$ to fo/] y\? leav+ fo/] c>e      
,section #dge7e77;,i7 ( su* ,act 7#db   
,u4,s4,c4 #fge7e77;,i77 is am5d$ by     
ins]t+ aft] ,,real ,,id ,act ( #bjje !  
foll[+3 1 & any (ficial docum5tation    
necess>y to prove t ! *ild 0 previ\sly 9
 fo/] c>e4  ,,iv ,cont9u+ ,inc5tives to 
,/ates to ,promote ,adoption & ,legal   
,gu>dian%ip  #dja4 ,reau?oriz+ adoption 
& legal gu>dian%ip inc5tive programs    
,section #dgc;,a ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #fgc;b7 is am5d$--  
7#a7 9 subsection 7b77#d71 by /rik+     
#bjac ?r\gh #bjae & ins]t+ #bjaf ?r\gh  
#bjbj2  7#b7 9 subsection 7h77#a77;,d71 
by /rik+ #bjaf & ins]t+ #bjba2 &  7#c7 9
 subsection 7h77#b71 by /rik+ #bjaf &   
ins]t+ #bjba4  ,v ,te*nical ,corrections
  #eja4 ,te*nical corrections to data   

ex*ange /&>ds to improve program        
coord9ation  7a7 ,9 g5]al ,section #ddj 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #fbim7 is am5d$ to read z     
foll[s3  #ddj4 ,data ex*ange /&>ds =    
improv$ int]op]ability  7a7 ,designation
 ,! ,secret>y %all1 9 consultation ) an 
int]ag5cy "w gr\p e/abli%$ by ! ,(fice (
 ,managem5t & ,budget & consid]+ ,/ate  
gov]nm5t p]spectives1 by rule1 designate
 data ex*ange /&>ds to gov]n1 "u ?is    
"p--  7#a7 necess>y categories (        
in=mation t ,/ate ag5cies op]at+        
programs "u ,/ate plans approv$ "u ?is  
"p are requir$ "u applicable ,f$]al law 
to electronically ex*ange ) ano!r ,/ate 
ag5cy2 &  7#b7 ,f$]al report+ & data    
ex*ange requir$ "u applicable ,f$]al    
law4  7b7 ,requirem5ts ,! data ex*ange  
/&>ds requir$ by p>agraph 7#a7 %all1 to 
! ext5t practicable--  7#a7 incorporate 
a widely accept$1 non-propriet>y1       
se>*able1 comput]-readable =mat1 su* z !
 e,xtensible ,m>kup ,language2  7#b7    
conta9 int]op]able /&>ds develop$ &     

ma9ta9$ by int]gov]nm5tal p>tn]%ips1 su*
 z ! ,national ,in=mation ,ex*ange      
,model2  7#c7 incorporate int]op]able   
/&>ds develop$ & ma9ta9$ by ,f$]al      
entities ) au?ority ov] contract+ &     
f9ancial assi/ance2  7#d7 be consi/5t ) 
& implem5t applicable acc\nt+ pr9ciples2
  7#e7 be implem5t$ 9 a mann] t is      
co/-effective & improves program        
effici5cy & effectiv5ess2 &  7#f7 be    
capable ( be+ cont9ually upgrad$ z      
necess>y4  7c7 ,rule ( con/ruction ,no?+
 9 ?is subsection %all be con/ru$ to    
require a *ange to exi/+ data ex*ange   
/&>ds f\nd to be effective & effici5t4  
4  7b7 ,effective date ,n lat] ?an !    
date t is #bd mon?s aft] ! date ( !     
enactm5t ( ?is section1 ! ,secret>y (   
,heal? & ,human ,s]vices %all issue a   
propos$ rule t--  7#a7 id5tifies f$]ally
 requir$ data ex*anges1 includes        
specification & tim+ ( ex*anges to be   
/&>diz$1 & addresses ! factors us$ 9    
det]m9+ :e!r & :5 to /&>dize data       
ex*anges2 &  7#b7 specifies ,/ate       

implem5tation options & describes future
 mile/ones4  #ejb4 ,te*nical corrections
 to ,/ate requirem5t to address !       
developm5tal ne$s ( "y *ildr5 ,section  
#dbb7;b77#ah7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fbb7;b77#ah77 is am5d$ 
by /rik+ su* *ildr5 & ins]t+ all        
vuln]able *ildr5 "u #e ye>s ( age4  ,,vi
 ,ensur+ ,/ates re9ve/ sav+s result+ f  
increase 9 adoption assi/ance  #fja4    
,delay ( adoption assi/ance phase-9     
,section #dgc7;e77#a7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#fgc7;e77#a77 is am5d$-- 7#a7 9         
subp>agraph 7,a71 by /rik+ fiscal ye>   
ea* place x appe>s & ins]t+ p]iod2 &    
7#b7 9 subp>agraph 7,b7-- 7,a7 9 ! matt]
 prec$+ ! table1 by /rik+ fiscal ye> &  
ins]t+ p]iod2 &  7,b7 9 ! table-- 7i7 by
 /rik+ ( fiscal ye>3 & ins]t+ (32  7ii7 
by /rik+ #bjaj & ins]t+ ,fiscal ye>     
#bjaj2  7iii7 by /rik+ #bjaa & ins]t+   
,fiscal ye> #bjaa2  7iv7 by /rik+ #bjab 
& ins]t+ ,fiscal ye> #bjab2  7v7 by     
/rik+ #bjac & ins]t+ ,fiscal ye> #bjac2 

7vi7 by /rik+ #bjad & ins]t+ ,fiscal ye>
 #bjad2  7vii7 by /rik+ #bjae & ins]t+  
,fiscal ye> #bjae2  7viii7 by /rik+     
#bjaf & ins]t+ ,octob] #a1 #bjae1 ?r\gh 
,m>* #ca1 #bjai2  7ix7 by /rik+ #bjag & 
ins]t+ ,april #a1 #bjai1 ?r\gh ,m>* #ca1
 #bjbj2 &  7x7 by /rik+ #bjah & ins]t+  
,april #a1 #bjbj14  #fjb4 ,,gao /udy &  
report on ,/ate re9ve/m5t ( sav+s       
result+ f increase 9 adoption assi/ance 
7a7 ,/udy ,! ,comptroll] ,g5]al ( !     
,unit$ ,/ates %all /udy ! ext5t to :i*  
,/ates are comply+ ) ! requirem5ts (    
section #dgc7;a77#h7 ( ! ,social        
,security ,act relat+ to ! effects (    
phas+ out ! ,,afdc income eligibility   
requirem5ts = adoption assi/ance paym5ts
 "u section #dgc ( ! ,social ,security  
,act1 z enact$ by section #djb ( !      
,fo/]+ ,connections to ,success &       
,increas+ ,adoptions ,act ( #bjjh       
7,public ,law #aaj-cea2 #abb ,/at4      
#cige7 & am5d$ by section #bjf ( !      
,prev5t+ ,sex ,traffick+ & ,/r5g!n+     
,families ,act 7,public ,law #aac-ahc2  

#abh ,/at4 #aiai74 ,9 p>ticul>1 !       
,comptroll] ,g5]al %all analyze ! ext5t 
to :i* ,/ates are comply+ ) ! foll[+    
requirem5ts "u section #dgc7;a77#h77;,d7
 ( ! ,social ,security ,act3  7#a7 ,!   
requirem5t to sp5d an am\nt equal to !  
am\nt ( ! sav+s 7if any7 9 ,/ate        
exp5ditures "u "p ,e ( title ,,iv ( !   
,social ,security result+ f phas+ out ! 
,,afdc income eligibility requirem5ts = 
adoption assi/ance paym5ts "u section   
#dgc ( su* ,act to provide to *ildr5 (  
families any s]vice t may be provid$ "u 
"p ,b or ,e ( title ,,iv ( su* ,act4    
7#b7 ,! requirem5t t a ,/ate %all sp5d n
 less ?an #cj p]c5t ( ! am\nt ( any     
sav+s describ$ 9 subp>agraph 7,a7 on    
po/-adoption s]vices1 po/-gu>dian%ip    
s]vices1 & s]vices to support & su/a9   
positive p]man5t outcomes = *ildr5 :o   
o!rwise might ent] into fo/] c>e "u !   
responsibility ( ! ,/ate1 ) at lea/     
#b_/c ( ! sp5d+ by ! ,/ate to comply ) !
 #cj-p]c5t requirem5t be+ sp5t on       
po/-adoption & po/-gu>dian%ip s]vices4  

7b7 ,report ,! ,comptroll] ,g5]al ( !   
,unit$ ,/ates %all submit to !          
,committee on ,f9ance ( ! ,s5ate1 !     
,committee on ,ways & ,means ( ! ,h\se (
 ,repres5tatives1 & ! ,secret>y ( ,heal?
 & ,human ,s]vices a report t conta9s ! 
results ( ! /udy requir$ by subsection  
7a71 includ+ recomm5dations to ensure   
compliance ) laws ref]r$ to 9 subsection
 7a74