,,ib ,union ,calendar ,no4 #bbe #aaeth ,,congress #ast ,session ,h4 ,r4 #bhbd ,report ,no4 #aae-cae1 ,part ,i ,,in ,,the ,,house ,,of ,,representatives ,june #h1 #bjag ,mr4 ,smith of ,nebraska 7for himself1 ,mr4 ,burgess1 ,mr4 ,tiberi1 ,mr4 ,reed1 ,mr4 ,meehan1 ,mrs4 ,noem1 and ,mrs4 ,walorski7 introduced the following bill2 which was referred to the ,committee on ,ways and ,means1 and in addition to the ,committee on ,energy and ,commerce1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,september #ba1 #bjag;,additional sponsor3 ,mr4 ,sessions ,september #ba1 #bjag ,reported from the ,committee on ,ways and ,means with an amendment ,strike out all after the enacting clause and insert the part printed in italic ,september #ba1 #bjag,the ,committee on ,energy and ,commerce discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed,for text of introduced bill1 see copy of bill as introduced on ,june #h1 #bjag ,a ,,bill ,to amend title ,v of the ,social ,security ,act to extend the ,maternal1 ,infant1 and ,early ,childhood ,home ,visiting ,program4 #a4 ,short title ,this ,act may be cited as the ,increasing ,opportunity and ,success for ,children and ,parents through ,evidence-,based ,home ,visiting ,act4 #b4 ,table of contents ,the table of contents of this ,act is as follows3 ,sec4 #a4 ,short title4 ,sec4 #b4 ,table of contents4 ,sec4 #c4 ,continuing evidence-based home visiting program4 ,sec4 #d4 ,continuing to demonstrate results to help families4 ,sec4 #e4 ,reviewing statewide needs to target resources4 ,sec4 #f4 ,improving the likelihood of success in high-risk communities4 ,sec4 #g4 ,measuring improvements in family economic self-sufficiency4 ,sec4 #h4 ,option to fund evidence-based home visiting on a pay for outcome basis4 ,sec4 #i4 ,strengthening evidence-based home visiting through state1 local1 and private partnerships4 ,sec4 #aj4 ,data exchange standards for improved interoperability4 #c4 ,continuing evidence-based home visiting program ,section #eaa7;j77#a77;,h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7;j77#a77;,h77 is amended by striking fiscal year #bjag and inserting each of fiscal years #bjag through #bjbb4 #d4 ,continuing to demonstrate results to help families 7a7 ,require service delivery models to demonstrate improvement in applicable benchmark areas ,section #eaa of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7 is amended in each of subsections 7d77#a77;,a7 and 7h77#d77;,a7 by striking each of4 7b7 ,demonstration of improvements in subsequent years ,section #eaa7;d77#a7 of such ,act 7#db ,u4,s4,c4 #gaa7;d77#a77 is amended by adding at the end the following3 7,d7 ,demonstration of improvements in subsequent years 7i7 ,continued measurement of improvement in applicable benchmark areas ,the eligible entity1 after demonstrating improvements for eligible families as specified in subparagraphs 7,a7 and 7,b71 shall continue to track and report not later than #cj days after the end of fiscal year #bjbj and every three years thereafter1 information demonstrating that the program results in improvements for the eligible families participating in the program in at least #d of the areas specified in subparagraph 7,a7 that the service delivery model or models1 selected by the entity1 intend to improve4 7ii7 ,corrective action plan ,if the eligible entity fails to demonstrate improvement in at least #d of the areas specified in subparagraph 7,a71 the entity shall develop and implement a plan to improve outcomes in each of the areas specified in subparagraph 7,a7 that the service delivery model or models1 selected by the entity1 intend to improve1 subject to approval by the ,secretary4 ,the plan shall include provisions for the ,secretary to monitor implementation of the plan and conduct continued oversight of the program1 including through submission by the entity of regular reports to the ,secretary4 7iii7 ,technical assistance ,the ,secretary shall provide an eligible entity required to develop and implement an improvement plan under clause 7ii7 with technical assistance to develop and implement the plan4 ,the ,secretary may provide the technical assistance directly or through grants1 contracts1 or cooperative agreements4 7iv7 ,no improvement or failure to submit report ,if the ,secretary determines after a period of time specified by the ,secretary that an eligible entity implementing an improvement plan under clause 7ii7 has failed to demonstrate any improvement in at least #d of the areas specified in subparagraph 7,a7 that the service delivery model or models intend to improve1 or if the ,secretary determines that an eligible entity has failed to submit the report required by clause 7i71 the ,secretary shall terminate the grant made to the entity under this section and may include any unexpended grant funds in grants made to nonprofit organizations under subsection 7h77#b77;,b74 4 7c7 ,including information on applicable benchmarks in application ,section #eaa7;e77#e7 of such ,act 7#db ,u4,s4,c4 #gaa7;e77#e77 is amended by inserting that the service delivery model or models1 selected by the entity1 intend to improve before the period at the end4 #e4 ,reviewing statewide needs to target resources ,section #eaa7;b77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7;b77#a77 is amended by striking ,not later than and all that follows through statewide the #bnd place it appears and inserting ,each ,state shall1 as a condition of receiving payments from an allotment for the ,state under section #ejb1 review and update the statewide needs assessment not later than ,october #a1 #bjbj 7which may be separate from but in coordination with the statewide4 #f4 ,improving the likelihood of success in high-risk communities ,section #eaa7;d77#d77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7;d77#d77;,a77 is amended by inserting 1 taking into account the staffing1 community resource1 and other requirements of the service delivery model or models that the eligible entity may need to develop for the model to operate and demonstrate improvements for eligible families before the period4 #g4 ,measuring improvements in family economic self-sufficiency ,section #eaa7;d77#a77;,a77v7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7;d77#a77;,a77v77 is amended by inserting 7which shall include measures of employment and earnings7 before the period4 #h4 ,option to fund evidence-based home visiting on a pay for outcome basis 7a7 ,in general ,section #eaa7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7;c77 is amended by redesignating paragraphs 7#c7 and 7#d7 as paragraphs 7#d7 and 7#e71 respectively1 and by inserting after paragraph 7#b7 the following3 7#c7 ,authority to use grant for a pay for outcomes initiative ,an eligible entity to which a grant is made under paragraph 7#a7 may use the grant to pay for the results of a pay for outcomes initiative that satisfies the requirements of subsection 7d7 and that will not result in a reduction of funding for services delivered under this section while an eligible entity develops or operates such an initiative4 4 7b7 ,definition of pay for outcomes initiative ,section #eaa7k7 of such ,act 7#db ,u4,s4,c4 #gaa7k77 is amended by adding at the end the following3 7#d7 ,pay for outcomes initiative ,the term pay for outcomes initiative means a performance-based grant1 contract1 cooperative agreement1 or other agreement awarded by a public entity in which a commitment is made to pay for improved outcomes that result in social benefit and direct cost savings or cost avoidance to the public sector4 ,such an initiative shall include-- 7,a7 a feasibility study that describes how the proposed intervention is based on evidence of effectiveness2 7,b7 a rigorous1 third-party evaluation that uses experimental or quasi-experimental design or other research methodologies that allow for the strongest possible causal inferences to determine whether the initiative has met its proposed outcomes2 7,c7 an annual1 publicly available report on the progress of the initiative2 and 7,d7 a requirement that payments are made to the recipient of a grant1 contract1 or cooperative agreement only when agreed upon outcomes are achieved1 except that this requirement shall not apply with respect to payments to a third party conducting the evaluation described in subparagraph 7,b74 4 7c7 ,extended availability of funds ,section #eaa7;j77#c7 of such ,act 7#db ,u4,s4,c4 #gaa7;j77#c77 is amended-- 7#a7 by striking 7#c7 ,availability4--,funds and inserting the following3 7#c7 ,availability 7,a7 ,in general ,except as provided in subparagraph 7,b71 funds 2 and 7#b7 by adding at the end the following3 7,b7 ,funds for pay for outcomes initiatives ,funds made available to an eligible entity under this section for a fiscal year 7or portion of a fiscal year7 for a pay for outcomes initiative shall remain available for expenditure by the eligible entity for not more than #aj years after the funds are so made available4 4 #i4 ,strengthening evidence-based home visiting through state1 local1 and private partnerships 7a7 ,in general ,section #eaa of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7 is amended by adding at the end the following3 7l7 ,matching requirement 7#a7 ,program home visiting share 7,a7 ,in general ,an eligible entity to which a grant is made under this section for fiscal year #bjbj or any succeeding fiscal year shall not use the grant to cover more than the applicable percentage of the costs of providing services or conducting activities under this section during the fiscal year4 7,b7 ,applicable percentage ,in subparagraph 7,a71 the term applicable percentage means1 with respect to a fiscal year-- 7i7 in the case of an eligible entity that is a ,state or nonprofit organization-- 7,i7 #gj percent1 in the case of fiscal year #bjbj2 7,,ii7 #fj percent1 in the case of fiscal year #bjba2 or 7,,iii7 #ej percent1 in the case of fiscal year #bjbb or any succeeding fiscal year2 or 7ii7 in the case of an eligible entity that is an ,indian ,tribe 7or a consortium of ,indian ,tribes71 a ,tribal ,organization1 or an ,urban ,indian ,organization-- 7,i7 #ajj percent1 in the case of fiscal year #bjbj or #bjba2 or 7,,ii7 #gj percent1 in the case of fiscal year #bjbb or any succeeding fiscal year4 7#b7 ,non-program home visiting share ,the share of the costs of providing services or conducting activities under this section not covered by grant funds may include-- 7,a7 ,state expenditures of ,federal funds made available other than under this section expended for activities under this section2 7,b7 ,state expenditures of ,state funds expended for activities under this section as a condition of receiving ,federal funds other than under this section2 and 7,c7 contributions made for activities under this section from any other source1 paid in cash or in kind1 valued at the fair market value of such contribution4 4 7b7 ,conforming amendment ,section #eaa7;h77#b77;,a7 of such ,act 7#db ,u4,s4,c4 #gaa7;h77#b77;,a77 is amended in the #bnd sentence by striking ,such and inserting ,except as provided in subsection 7l77#a71 such4 #aj4 ,data exchange standards for improved interoperability 7a7 ,in general ,section #eaa7;h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa7;h77 is amended by adding at the end the following3 7#e7 ,data exchange standards for improved interoperability 7,a7 ,designation and use of data exchange standards 7i7 ,designation ,the head of the department or agency responsible for administering a program funded under this section shall1 in consultation with an interagency work group established by the ,office of ,management and ,budget and considering ,state government perspectives1 designate data exchange standards for necessary categories of information that a ,state agency operating the program is required to electronically exchange with another ,state agency under applicable ,federal law4 7ii7 ,data exchange standards must be nonproprietary and interoperable ,the data exchange standards designated under clause 7i7 shall1 to the extent practicable1 be nonproprietary and interoperable4 7iii7 ,other requirements ,in designating data exchange standards under this paragraph1 the ,secretary shall1 to the extent practicable1 incorporate-- 7,i7 interoperable standards developed and maintained by an international voluntary consensus standards body1 as defined by the ,office of ,management and ,budget2 7,,ii7 interoperable standards developed and maintained by intergovernmental partnerships1 such as the ,national ,information ,exchange ,model2 and 7,,iii7 interoperable standards developed and maintained by ,federal entities with authority over contracting and financial assistance4 7,b7 ,data exchange standards for federal reporting 7i7 ,designation ,the head of the department or agency responsible for administering a program referred to in this section shall1 in consultation with an interagency work group established by the ,office of ,management and ,budget1 and considering ,state government perspectives1 designate data exchange standards to govern ,federal reporting and exchange requirements under applicable ,federal law4 7ii7 ,requirements ,the data exchange reporting standards required by clause 7i7 shall1 to the extent practicable-- 7,i7 incorporate a widely accepted1 nonproprietary1 searchable1 computer-readable format2 7,,ii7 be consistent with and implement applicable accounting principles2 7,,iii7 be implemented in a manner that is cost-effective and improves program efficiency and effectiveness2 and 7,,iv7 be capable of being continually upgraded as necessary4 7iii7 ,incorporation of nonproprietary standards ,in designating data exchange standards under this paragraph1 the ,secretary shall1 to the extent practicable1 incorporate existing nonproprietary standards1 such as the e,xtensible ,mark up ,language4 7iv7 ,rule of construction ,nothing in this paragraph shall be construed to require a change to existing data exchange standards for ,federal reporting about a program referred to in this section1 if the head of the department or agency responsible for administering the program finds the standards to be effective and efficient4 4 7b7 ,effective date ,the amendments made by this section shall take effect #b years after the date of the enactment of this ,act4 ,september #ba1 #bjag ,reported from the ,committee on ,ways and ,means with an amendment,september #ba1 #bjag,the ,committee on ,energy and ,commerce discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed