,,ii #aae? ,,congress #b;d ,session ,s4 #bfif ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #ah1 #bjah ,mr4 ,casey introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to provide grants to ,/ates to improve & coord9ate _! response to ensure ! safety1 p]man5cy1 & well-be+ ( *ildr5 at high risk = abuse & neglect4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,infant ,plans ( ,safe ,c>e ,implem5tation ,act4 #b4 ,plans ( safe c>e 7a7 ,9 g5]al ,title ,i ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eaja et seq47 is am5d$ by ins]t+ aft] section #ajg ! foll[+3 #ajg;,a4 ,grants to ,/ates to improve & coord9ate _! response to ensure ! safety1 p]man5cy1 & well-be+ ( infants affect$ by sub/ance use 7a7 ,program au?oriz$ ,! ,secret>y %all make grants to ,/ates = ! purpose ( assi/+ *ild welf>e ag5cies1 social s]vices ag5cies1 sub/ance use disord] treatm5t ag5cies1 public heal? ag5cies1 & mat]nal & *ild heal? ag5cies to facilitate collaboration 9 develop+1 updat+1 & implem5t+ plans ( safe c>e describ$ 9 section #ajf7;b77#b77;,b77iii74 7b7 ,di/ribution ( funds 7#a7 ,res]vations ,( ! am\nts appropriat$ "u subsection 7h71 ! ,secret>y %all res]ve-- 7,a7 no m ?an #c p]c5t = ! purposes describ$ 9 subsection 7g72 & 7,b7 up to #b p]c5t = grants to ,indian ,tribes & tribal organizations = purposes consi/5t ) ?is section1 z ! ,secret>y det]m9es appropriate4 7#b7 ,allotm5ts to ,/ates & t]ritories ,! ,secret>y %all allot ! am\nt appropriat$ "u subsection 7h7 t rema9s aft] application ( p>agraph 7#a7 on a competitive basis to ,/ates t apply = su* a grant4 7c7 ,application ,a ,/ate desir+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t & 9 su* mann] z ! ,secret>y may require4 ,su* application %all include-- 7#a7 a description (-- 7,a7 ! impact ( sub/ance use disord] 9 su* ,/ate1 includ+ ) respect to ! sub/ance or class ( sub/ances ) ! highe/ incid5ce ( abuse 9 ! previ\s ye> 9 su* ,/ate1 includ+-- 7i7 ! preval5ce ( sub/ance use disord] 9 su* ,/ate2 7ii7 ! aggregate rate ( bir?s 9 ! ,/ate ( infants ) pr5atal sub/ance exposure 7z det]m9$ by hospitals1 insurance claims1 claims submitt$ to ! ,/ate ,m$icaid program1 or o!r records71 if available2 & 7iii7 ! numb] ( infants id5tifi$1 = :om a plan ( safe c>e 0 develop$1 & = :om a ref]ral 0 made = appropriate s]vices1 z report$ "u section #ajf7;d77#ah72 7,b7 ! *all5ges ! ,/ate faces 9 develop+ & implem5t+ plans ( safe c>e 9 accordance ) section #ajf7;b77#b77;,b77iii72 7,c7 ! ,/ate's lead ag5cy = ! grant program & h[ t ag5cy w coord9ate ) relevant ,/ate entities & programs1 includ+ ! *ild welf>e ag5cy1 ! sub/ance use disord] treatm5t ag5cy1 & ! public heal? ag5cy1 programs fund$ by ! ,resid5tial ,treatm5t = ,pregnant & ,po/p>tum ,wom5 grant program ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,/ate ,m$icaid program1 ! mat]nal1 infant1 & e>ly *ildhood home visit+ program "u section #eaa ( ! ,social ,security ,act1 ! ,/ate judicial sy/em1 & o!r ag5cies1 z det]m9$ by ! ,secret>y2 7,d7 h[ ! ,/ate w monitor local implem5tation ( plans ( safe c>e1 9 accordance ) section #ajf7;b77#b77;,b77iii77,,ii72 7,e7 h[ ! ,/ate meets ! requirem5ts ( section #aibg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#bg72 7,f7 h[ ! ,/ate plans to utilize fund+ au?oriz$ "u "p ,e1 ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgj et seq47 to assi/ 9 c>ry+ out any plan ( safe c>e1 includ+ su* fund+ au?oriz$ "u section #dga7;e7 ( su* ,act 7z 9 effect on ,octob] #a1 #bjah7 = m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices & 9-home p>5t skill-bas$ programs & fund+ au?oriz$ "u su* section #dgb7;j7 7z 9 effect on ,octob] #a1 #bjah7 = *ildr5 ) a p>5t 9 a lic5s$ resid5tial family-bas$ treatm5t facility = sub/ance abuse2 & 7,g7 an assessm5t ( ! treatm5t & o!r s]vices & programs available 9 ! ,/ate1 to effectively c>ry out any plan ( safe c>e develop$1 includ+ id5tification ( ne$$ treatm5t1 o!r s]vices & programs to ensure ! well-be+ ( "y *ildr5 & _! families affect$ by sub/ance use disord]2 7#b7 a description ( h[ ! ,/ate plans to use funds = activities describ$ 9 subsection 7d7 = ! purposes ( ensur+ ,/ate compliance ) requirem5ts "u clauses 7ii7 & 7iii7 ( section #ajf7;b77#b77;,b72 & 7#c7 an assurance t ! ,/ate w-- 7,a7 comply ) ?is ,act & p>ts ,b & ,e ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fba et seq42 #fgj et seq472 & 7,b7 comply ) requirem5ts to ref] a *ild id5tifi$ z sub/ance-expos$ to e>ly int]v5tion s]vices z requir$ pursuant to a grant "u "p ,c ( ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adca et seq474 7d7 ,uses ( funds ,funds aw>d$ to a ,/ate "u ?is section may be us$ = ! foll[+ activities1 :i* may be c>ri$ out by ! ,/ate directly1 or ?r\gh grants or subgrants1 contracts1 or coop]ative agreem5ts3 7#a7 ,improv+ ,/ate & local sy/ems ) respect to ! developm5t & implem5tation ( plans ( safe c>e1 :i*-- 7,a7 %all include p>5t & c>egiv] engagem5t1 z requir$ "u section #ajf7;b77#b77;,b77iii77,i71 reg>d+ available treatm5t & s]vice options1 :i* may include res\rces available = pregnant1 p]9atal1 & po/natal wom52 & 7,b7 may include activities su* z-- 7i7 develop+ policies1 proc$ures1 or protocols = ! adm9i/ration ( evid5ce-bas$ & validat$ scre5+ tools = infants :o may be affect$ by sub/ance use )drawal symptoms or a fetal alcohol spectrum disord] & pregnant1 p]9atal1 & po/natal wom5 ^: infants may be affect$ by sub/ance use )drawal symptoms or a fetal alcohol spectrum disord]2 7ii7 improv+ assessm5ts us$ to det]m9e ! ne$s ( ! infant & family2 7iii7 improv+ ongo+ case managem5t s]vices2 & 7iv7 improv+ access to treatm5t s]vices1 :i* may be prior to ! pregnant woman's due date4 7#b7 ,develop+ policies1 proc$ures1 or protocols 9 consultation & coord9ation ) heal? pr(essionals1 public & private heal? facilities1 & sub/ance use disord] treatm5t ag5cies to ensure t-- 7,a7 appropriate notification to *ild protective s]vices is made 9 a timely mann]2 7,b7 a plan ( safe c>e is 9 place1 :]e ne$$1 be=e ! infant is dis*>g$ f ! bir? or heal? c>e facility2 & 7,c7 su* heal? & relat$ ag5cy pr(essionals are tra9$ on h[ to foll[ su* protocols & are aw>e ( ! supports t may be provid$ "u a plan ( safe c>e4 7#c7 ,tra9+ heal? pr(essionals & heal? sy/em lead]s1 *ild welf>e work]s1 sub/ance use disord] treatm5t ag5cies1 & o!r relat$ pr(essionals su* z home visit+ ag5cy /aff & law en=cem5t 9 relevant topics includ+-- 7,a7 ,/ate m&atory report+ laws & ! ref]ral & notification process2 7,b7 ! co-occurr5ce ( pregnancy & sub/ance use disord]2 7,c7 ! cl9ical guidance ab\t treat+ sub/ance use disord] 9 pregnant & po/p>tum wom52 & 7,d7 appropriate scre5+ & int]v5tions = infants affect$ by sub/ance use disord]1 )drawal symptoms1 or a fetal alcohol spectrum disord] & ! requirem5ts "u section #ajf7;b77#b77;,b77iii74 7#d7 ,e/abli%+ p>tn]%ips1 agreem5ts1 or memor&a ( und]/&+ betwe5 ! lead ag5cy & heal? pr(essionals1 heal? facilities1 *ild welf>e pr(essionals1 sub/ance use disord] & m5tal heal? disord] treatm5t programs1 & mat]nal & *ild heal? & e>ly int]v5tion pr(essionals1 includ+ home visit+ provid]s1 pe] recov]y speciali/s1 & h\s+ ag5cies to facilitate ! implem5tation (1 & compliance ) section #ajf7;b77#b7 & p>agraph 7#b7 ( ?is subsection1 9 areas :i* may include-- 7,a7 develop+ a compreh5sive1 multi-discipl9>y assessm5t & int]v5tion process = infants & _! families :o are affect$ by sub/ance use disord]1 )drawal symptoms1 or a fetal alcohol spectrum disord]1 t takes into acc\nt ! unique ne$s ( ea* family & addresses diff]5ces betwe5 legal1 m$ically sup]vis$ sub/ance use1 & sub/ance use disord]2 7,b7 ensur+ t treatm5t approa*es = s]v+ infants1 pregnant wom51 & p]9atal & po/natal wom5 ^: infants may be affect$ by sub/ance use1 )drawal symptoms1 or a fetal alcohol spectrum disord]1 are design$ to1 :]e appropriate1 keep infants ) _! mo!rs dur+ bo? inpati5t & outpati5t treatm5t2 & 7,c7 increas+ access to appropriate evid5ce-bas$ m$ication assi/$ treatm5t s]vices = sub/ance use disord]s approv$ by ! ,food & ,drug ,adm9i/ration & behavioral !rapy1 z appropriate1 & c\nsel+ s]vices4 7#e7 ,develop+ & updat+ sy/ems ( te*nology = improv$ data collection & monitor+ "u section #ajf7;b77#b77;,b77iii71 includ+ exi/+ electronic m$ical records1 to measure ! outcomes a*iev$ ?r\gh ! plans ( safe c>e1 includ+ monitor+ sy/ems to meet ! requirem5ts ( ?is ,act & submission ( p]=mance measures4 7e7 ,report+ ,ea* ,/ate t receives funds "u ?is section1 = ea* ye> su* funds are receiv$1 %all submit a report to ! ,secret>y1 disaggregat$ by geographic location1 economic /atus1 & major racial & e?nic gr\ps z det]m9$ by ! ,/ate1 on ! foll[+3 7#a7 ,! numb] ( ! infants id5tifi$ "u section #ajf7;b77#b77;,b77ii7 :o exp]i5c$ removal due to p>5tal sub/ance use conc]ns :o are reunifi$ ) p>5ts1 & ! l5g? ( "t betwe5 su* removal & reunification4 7#b7 ,! numb] ( ! infants id5tifi$ "u section #ajf7;b77#b77;,b77ii7 :o exp]i5c$ sub/antiat$ reports ( *ild abuse or neglect1 receiv$ diff]5tial response :ile 9 ! c>e ( _! bir? p>5ts or )9 #a ye> aft] a reunification has occurr$4 7#c7 ,! numb] ( ! infants id5tifi$ "u section #ajf7;b77#b77;,b77ii7 :o exp]i5c$ a return to out-(-home c>e )9 "o ye> aft] reunification4 7f7 ,secret>y's report to congress ,! ,secret>y %all submit an annual report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ,education & ! ,work=ce & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives t includes ! in=mation describ$ 9 subsection 7e7 & recomm5dations or obs]vations on ! *all5ges1 successes1 & lessons d]iv$ f implem5tation ( ! grant program4 7g7 ,res]vation ( funds ,! ,secret>y %all use ! am\nt res]v$ "u subsection 7b77#a77;,a7 = ! purposes (-- 7#a7 provid+ te*nical assi/ance1 includ+ programs ( 9-dep? te*nical assi/ance1 to additional ,/ates1 t]ritories1 & ,indian tribes 9 accordance ) ! sub/ance-expos$ infant initiative develop$ by ! ,national ,c5t] on ,sub/ance ,abuse & ,*ild ,welf>e2 7#b7 issu+ guidance on ! requirem5ts ( ?is ,act ) respect to infants born ) & id5tifi$ z be+ affect$ by sub/ance abuse or )drawal symptoms or fetal alcohol spectrum disord]1 z describ$ 9 clauses 7ii7 & 7iii7 ( section #ajf7;b77#b77;,b71 includ+ by-- 7,a7 cl>ify+ key t]ms2 & 7,b7 dissem9at+ be/ practices on implem5tation ( plans ( safe c>e1 on su* topics z diff]5tial response1 collaboration & coord9ation1 & id5tification & deliv]y ( s]vices1 = diff]5t populations2 7#c7 support+ ,/ate ef=ts to develop in=mation te*nology sy/ems to manage plans ( safe c>e2 & 7#d7 prep>+ ! ,secret>y's report to ,congress describ$ 9 subsection 7f74 7h7 ,au?orization ( appropriations ,to c>ry out ! program "u ?is section1 !re are au?oriz$ to be appropriat$ #fj1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbd4 4 7b7 ,def9ition ,section #c ( ! ,*ild ,abuse ,prev5tion & ,treatm5t ,act 7#db ,u4,s4,c4 #eaja note7 is am5d$-- 7#a7 9 p>agraph 7#g71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 by r$esignat+ p>agraph 7#h7 z p>agraph 7#i72 & 7#c7 by ins]t+ aft] p>agraph 7#g7 ! foll[+3 7#h7 ! t]m sub/ance use disord] means ! abuse ( alcohol or o!r drugs2 & 4