,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bhdf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ae1 #bjah
 ,mrs4 ,gillibrand 7for herself and ,mr4
 ,tillis7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,armed ,services  ,a  
,,bill  ,to provide for                 
multidisciplinary teams for military    
installations on child abuse and other  
domestic violence1 to require a pilot   
program on nurse home visits to reduce  
child abuse and improve safe childcare  
among military families1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,military ,family   
,prevention1 ,response1 and ,other      
,training to ,end ,military ,family     
,abuse and ,connect ,communities ,today 
,act or ,military ,family ,,protect     
,act4  #b4 ,multidisciplinary teams for 
military installations on child abuse   
and other domestic violence  7a7        
,multidisciplinary teams required  7#a7 
,in general ,under regulations          

prescribed by each ,secretary concerned1
 there shall be established and         
maintained for each military            
installation1 except as provided in     
paragraph 7#b71 one or more             
multidisciplinary teams on child abuse  
and other domestic violence for the     
purposes specified in subsection 7b74   
7#b7 ,single team for proximate         
installations ,a single multidiscipinary
 team described in paragraph 7#a7 may be
 established and maintained under this  
subsection for two or more military     
installations in proximity with one     
another if the ,secretary concerned     
determines1 in consultation with the    
,secretary of ,defense1 that a single   
team for such installations suffices to 
carry out the purposes of such teams    
under subsection 7b7 for such           
installations4  7b7 ,purposes ,the      
purposes of each multidisciplinary team 
maintained pursuant to subsection 7a7   
shall be as follows3  7#a7 ,to provide  
for the sharing of information among    

such team and other appropriate         
personnel on the installation or        
installations concerned regarding the   
progress of investigations into and     
resolutions of incidents of child abuse 
and other domestic violence involving   
members of the ,armed ,forces stationed 
at or otherwise assigned to the         
installation or installations4  7#b7 ,to
 provide for and enhance collaborative  
efforts among such team and other       
appropriate personnel of the            
installation or installations regarding 
investigations into and resolutions of  
such incidents4  7#c7 ,to enhance the   
social services available to military   
families at the installation or         
installations in connection with such   
incidents1 including through the        
enhancement of cooperation among        
specialists and other personnel         
providing such services to such military
 families in connection with such       
incidents4  7#d7 ,to carry out such     
other duties regarding the response to  

child abuse and other domestic violence 
at the installation or installations as 
the ,secretary concerned considers      
appropriate for such purposes4  7c7     
,personnel  7#a7 ,in general ,each      
multidisciplinary team maintained       
pursuant to subsection 7a7 shall be     
composed of the following3  7,a7 ,one or
 more judge advocates4  7,b7            
,appropriate personnel of one or more   
military criminal investigation         
services4  7,c7 ,appropriate mental     
health professionals4  7,d7 ,appropriate
 medical personnel4  7,e7 ,family       
advocacy case workers4  7,f7 ,such other
 personnel as the ,secretary or         
,secretaries concerned consider         
appropriate4  7#b7 ,expertise and       
training ,any individual assigned to a  
multidisciplinary team shall possess    
such expertise1 and shall undertake such
 training as is required to maintain    
such expertise1 as the ,secretary       
concerned shall specify for purposes of 
this section in order to ensure that    

members of the team remain appropriately
 qualified to carry out the purposes of 
the team under this section4 ,the       
training and expertise so specified     
shall include training and expertise on 
special victims' crimes1 including child
 abuse and other domestic violence4  7d7
 ,ongoing responsibilities ,each        
multidisciplinary team maintained       
pursuant to subsection 7a7 shall do the 
following3 7#a7 ,meet on a regular basis
 to review ongoing cases4  7#b7         
,undertake training of team members on  
their various disciplines1 including    
through the use of civilian experts to  
provide such training4  7#c7 ,enter into
 memoranda of understanding among team  
members regarding team goals1 to define 
roles and responsibilities of team      
members 7including goals of training71  
to specify the frequency and schedule of
 team meetings1 to ensure protection of 
confidentiality in team activities1 and 
to specify protocols and procedures for 
notification and response to incidents  

of child abuse and other domestic       
violence 7including reporting to local  
civilian authorities7 and the use of    
child forensic interviews1 forensic     
medical examinations1 safety measures1  
and support services in connection with 
such incidents4  7e7 ,coordination and  
collaboration with non-,military        
resources  7#a7 ,use of community       
resources serving installations ,in     
providing under this section for a      
multidisciplinary team for a military   
installation or installations that      
benefit from services or resources on   
child abuse or other domestic violence  
that are provided by civilian entities  
in the vicinity of the installation or  
installations1 the ,secretary concerned 
may take the availability of such       
services or resources to the            
installation or installations into      
account in providing for the composition
 and duties of the team4  7#b7 ,best    
practices ,the ,secretaries concerned   
shall take appropriate actions to ensure

 that multidisciplinary teams maintained
 pursuant to subsection 7a7 remain fully
 and currently apprised of best         
practices in the civilian sector on     
investigations into and resolutions of  
incidents of child abuse and other      
domestic violence and on the social     
services provided in connection with    
such incidents4  7#c7 ,collaboration ,in
 providing for the enhancement of social
 services available to military families
 in accordance with subsection 7b77#c71 
the ,secretaries concerned shall permit1
 facilitate1 and encourage              
multidisciplinary teams to collaborate  
with appropriate civilian agencies in   
the vicinity of the military            
installations concerned with regard to  
availability1 provision1 and use of such
 services to and by such families4  7f7 
,annual report ,not later than ,february
 #bh each year1 each ,secretary         
concerned shall submit to ,congress a   
report on the activities of             
multidisciplinary teams maintained      

pursuant to subsection 7a7 under the    
jurisdiction of such ,secretary during  
the preceding year4 ,each report shall  
set forth1 for the period covered by    
such report1 the following3  7#a7 ,a    
summary description of the activities of
 the multidisciplinary teams concerned1 
including the number and composition of 
such teams1 the recurring activities of 
such teams1 and any notable achievements
 of such teams4  7#b7 ,a description of 
any impediments to the effectiveness of 
such teams4  7#c7 ,such recommendations 
for legislative or administrative action
 as such ,secretary considers           
appropriate in order to improve the     
effectiveness of such teams4  7#d7 ,such
 other matters with respect to such     
teams as such ,secretary considers      
appropriate4  7g7 ,multidisciplinary    
team within ,,osd  7#a7 ,in general ,the
 ,secretary of ,defense shall establish 
and maintain within the ,office of the  
,secretary of ,defense a                
multidisciplinary team on child abuse   

and other domestic violence within the  
,department of ,defense4 ,the team shall
 consist of at least one representative 
of each ,armed ,force and such other    
personnel as the ,secretary shall       
specify4  7#b7 ,duties ,the             
multidisciplinary team maintained       
pursuant to this subsections shall do   
the following3 7,a7 ,identify and make  
recommendations on policies to address  
child abuse and other domestic violence4
  7,b7 ,identify and disseminate best   
practices in connection with the        
purposes of multidisciplinary teams     
maintained pursuant to subsection 7a74  
7,c7 ,meet on a regular basis in order  
to-- 7i7 review and assess the          
activities and effectiveness of         
multidisciplinary teams maintained      
pursuant to subsection 7a72 and  7ii7 in
 light of such review and assessment1   
make recommendations for improvements   
and enhancements of such teams and the  
authorities and activities of such      
teams4  7,d7 ,carry out such other      

activities as the ,secretary of ,defense
 considers appropriate4  7h7 ,secretary 
concerned  7#a7 ,definition ,in this    
section1 the term ,secretary concerned  
has the meaning given that term in      
section #aja7;a77#i7 of title #aj1      
,united ,states ,code4  7#b7 ,usage with
 respect to multiple installations ,for 
purposes of this section1 any reference 
to ,secretary concerned with respect to 
a single multidisciplinary team         
established and maintained pursuant to  
subsection 7a7 for two or more military 
installations that are under the        
jurisdiction of different ,secretaries  
concerned1 shall be deemed to refer to  
each ,secretary concerned who has       
jurisdiction of such an installation1   
acting jointly4  #c4 ,pilot program on  
nurse home visits to reduce child abuse 
and improve safe childcare among        
military families  7a7 ,pilot program   
required  7#a7 ,in general ,the         
,secretary of ,defense shall1 acting    
through the ,defense ,health ,agency1   

carry out a pilot program on universal  
nurse home visits designed to provide   
eligible covered beneficiaries and their
 families training on safe childcare    
practices aimed at reducing child abuse 
and fatalities due to abuse and neglect1
 assessments of risk factors for child  
abuse1 and connections with community   
resources to meet identified needs4     
7#b7 ,scope ,the pilot program shall be 
designed to facilitate connections      
between covered beneficiaries and their 
families and community services and     
resources 7including services and       
resources provided by the ,department of
 ,defense71 and shall not be designed to
 replace any other resources currently  
available to covered beneficiaries and  
their families4 ,the pilot program1     
including the practices covered by      
training pursuant to the pilot program1 
shall conform to evidence-based         
scientific criteria1 including criteria 
available through publications in       
peer-reviewed scientific journals4  7#c7

 ,discharge ,the pilot program shall be 
carried out through a contract with an  
entity selected by the ,secretary for   
purposes of the pilot program from among
 entities capable of meeting the        
requirements of the pilot program1      
including the provision of training for 
nurses who makes visits under the pilot 
program on evidence-based practices in  
connection universal nurse home visits4 
7b7 ,locations ,the pilot program       
required by this section shall be       
carried out at military installations   
selected by the ,secretary for purposes 
of the pilot program as follows3  7#a7  
,not fewer than five installations that 
are locations of a military medical     
treatment facility4  7#b7 ,such other   
installations as the ,secretary         
considers appropriate from among        
installations representing a range of   
situations1 including installations in  
an urban location and a rural location1 
installations with a large population   
and with a small population1            

installations currently experiencing    
high incidence of child abuse1 neglect1 
or both and low incidence of child      
abuse1 neglect1 or both1 installations  
within the ,united ,states and outside  
the ,united ,states1 joint              
installations1 and installations serving
 only one ,armed ,force4  7c7 ,elements 
,the pilot program shall include the    
following3 7#a7 ,between one and three  
home visits described in subsection 7f71
 and not more than seven other contacts1
 except in unusual cases 7such as       
deployments71 with such home visits by a
 team led by a licensed nurse to provide
 screening1 community resource referral1
 and training to eligible covered       
beneficiaries participating in the pilot
 program and their families on the      
following3  7,a7 ,general maternal and  
infant health4  7,b7 ,safe sleeping     
environments4  7,c7 ,feeding and        
bathing4  7,d7 ,adequate supervision4   
7,e7 ,common hazards4  7,f7 ,self-care4 
7,g7 ,recognition of post-partum        

depression1 substance abuse1 domestic   
violence in a mother or her partner1 and
 community violence4  7,h7 ,skills for  
management of infant crying4  7,i7      
,other positive parenting skills and    
practices4  7,j7 ,the importance of     
participating in ongoing healthcare for 
an infant and in ongoing healthcare for 
post-partum depression4  7,k7 ,finding1 
qualifying for1 and participating in    
available community resources with      
respect to infant care1 childcare1 and  
parenting support4  7,l7 ,planning for  
parenting1 co-parenting1 or guardianship
 of children during deployment4  7,m7   
,such other matters as the ,secretary   
considers appropriate4  7#b7 ,services  
and resources on offer or as otherwise  
available as described in subsection    
7g74  7#c7 ,an electronic integrated    
data system as described in subsection  
7h7 relating to-- 7,a7 availability and 
use of services and resources under the 
pilot program2  7,b7 tracking of        
interactions between teams described in 

paragraph 7#a7 and eligible             
beneficiaries and their families under  
the pilot program2 and  7,c7 evaluation 
of the effectiveness of the pilot       
program4  7d7 ,medical staff ,the       
,secretary shall ensure that the pilot  
program is carried out by licensed      
medical staff of the ,department1 such  
as obstetrics or pediatric nursing      
staff1 and not family advocacy staff4   
7e7 ,mandatory participation  7#a7 ,in  
general ,except as provided in paragraph
 7#b71 the ,secretary shall require all 
eligible covered beneficiaries at       
military installations at which the     
pilot program is carried out to be      
contacted as described in subsection    
7c77#a74  7#b7 ,exception ,the          
,secretary shall encourage participation
 by both parents of a child in the pilot
 program1 but participation by one      
parent shall be sufficient to meet the  
requirement under paragraph 7#a74  7f7  
,home visits  7#a7 ,in general ,the home
 visits described in subsection 7c77#a7 

shall include the following3 7,a7 ,an   
initial contact made prenatally 7except 
when not possible1 in which case the    
contact shall occur in the hospital or  
birthing location as soon after birth as
 possible7 by a team described in       
subsection 7c77#a71 which shall include 
screening for the matters specified in  
that subsection4  7,b7 ,if a parent is  
deployed at the time of birth-- 7i7 the 
first home visit pursuant to            
subparagraph 7,a7 shall1 to the extent  
practicable1 incorporate both parents1  
in person with the local parent and by  
electronic means 7such as ,skype or     
,face,time7 with the deployed parent2   
and  7ii7 another such home visit shall 
be conducted at a reasonable time after 
the return of the parent from deployment
 7in order to allow for reintegration71 
and shall include both parents4  7,c7   
,home visits by a nurse trained in the  
practices covered by the pilot program  
at the birth of a child1 which visits   
shall follow a research-based structured

 clinical protocol4  7#b7 ,timing of    
visits ,the home first visit under      
paragraph 7#a7 shall occur between two  
and five weeks after discharge from     
hospital or birthing plan1 with         
appropriate follow-up generally         
accomplished within #b home visits4     
7#c7 ,duration of visits ,visits under  
this subsection shall have a duration   
between #ij minutes and #b hours4  7#d7 
,final visit ,not later than #de days   
after the last visit conducted by a     
nurse under paragraph 7#a7 with respect 
to an eligible covered beneficiary1     
appropriate staff shall follow-up with  
the beneficiary and the beneficiary's   
family to assess if they are using the  
services available as described in      
subsection 7g74  7g7 ,services and      
resources  7#a7 ,in general ,in carrying
 out the pilot program under this       
section1 the ,secretary shall-- 7,a7    
offer applicable available services and 
resources of the ,department to eligible
 covered beneficiaries participating in 

the pilot program and their families    
based on the particular needs of the    
beneficiaries and their families2 and   
7,b7 inform beneficiaries and their     
families of applicable services and     
resources that are otherwise available  
in the community concerned in connection
 with the pilot program4  7#b7          
,voluntary participation ,participation 
by an eligible covered beneficiary and  
family in any service or resource       
offered or available under paragraph    
7#a7 shall be at the election of the    
beneficiary4  7#c7 ,needs assessments of
 eligible covered beneficiaries  7,a7   
,in general ,in offering services and   
resources under paragraph 7#a77;,a71 the
 ,secretary shall conduct1 or attempt to
 conduct1 an assessment of every        
eligible covered beneficiary and        
beneficiary family participating in the 
pilot program1 regardless of risk       
factors1 to determine which services and
 resources to offer such beneficiary and
 family under that paragraph4  7,b7     

,particular needs ,in conducting an     
assessment of an eligible covered       
beneficiary and family under            
subparagraph 7,a71 the ,secretary shall 
assess their needs and eligibility for  
particular services and resources and   
connect the beneficiary and family to   
services and resources for which they   
have a need and are eligible1 either    
within the ,department of ,defense or   
elsewhere4  7h7 ,electronic integrated  
data system ,before commencing the pilot
 program1 the entity with which the     
,secretary contracts under subsection   
7a77#c7 shall develop and deploy an     
electronic integrated data system1      
tailorable to each military installation
 at which the pilot program is carried  
out and created in consultation with    
experts in community resources available
 in the vicinity of such installation1  
for purposes of as follows3  7#a7 ,to   
list all services and resources to be   
offered under subsection 7g77#a77;,a7 to
 eligible covered beneficiaries and     

their families4  7#b7 ,to inform        
beneficiaries and their families        
pursuant to subsection 7g77#a77;,b7 of  
services and resources that are         
otherwise available in the community    
concerned in connection with the pilot  
program4  7#c7 ,to track interactions   
between teams described in subsection   
7c77#a7 and beneficiaries and their     
families under the pilot program4  7#d7 
,to track the services and resources    
used by beneficiaries and their families
 under the pilot program in order to    
evaluate the implementation and impact  
of the program4  7#e7 ,to otherwise     
track and assess the effectiveness of   
the pilot program4  7i7 ,two-,year      
assessment ,two years after the         
commencement of the pilot program1 the  
,secretary conduct an assessment of the 
effectiveness of the pilot program4  7j7
 ,reports  7#a7 ,initial report ,not    
later than #ahj days after the date of  
the enactment of this ,act1 the         
,secretary shall submit to the          

,committees on ,armed ,services of the  
,senate and the ,house of               
,representatives a report on the pilot  
program required by this section4 ,the  
report shall include a comprehensive    
description of the pilot program1       
including the following3  7,a7 ,the     
installations at which the pilot program
 is being carried out4  7,b7 ,the       
strategy and metrics for evaluating the 
effectiveness of the pilot program for  
purposes of the report under paragraph  
7#b74  7#b7 ,final report ,not later    
than #ahj days after the completion of  
the pilot program1 the ,secretary shall 
submit to the committees specified in   
paragraph 7#a7 a report on the pilot    
programs4 ,the report shall include the 
following3  7,a7 ,a comprehensive       
description and assessment of the pilot 
program1 including an assessment of each
 of the following3  7i7 ,the electronic 
integrated data system required by      
subsection 7h74  7ii7 ,the ability of   
nurses to contact eligible covered      

beneficiaries and families eligible for 
participation in the pilot program4     
7iii7 ,the extent to which families     
eligible for participation in the pilot 
program actually participate in the     
pilot program4  7iv7 ,the               
characteristics of families eligible for
 participation in the pilot program that
 do not participate in the pilot        
program1 and summaries of the reasons   
for lack of participation4  7v7 ,the    
ability of nurses to adhere to the      
clinical protocols of the pilot program4
  7vi7 ,the extent to which families    
participating in the program are being  
connected to services and resources     
under the pilot program4  7vii7 ,the    
extent to which families participating  
in the pilot program are using services 
and resources under the pilot program4  
7,b7 ,such recommendations for          
legislative or administrative action as 
the ,secretary considers appropriate in 
light of the pilot program1 including   
expansion or extension of the pilot     

program4  7k7 ,ongoing evaluation  7#a7 
,in general ,not later than three years 
after the date of the report required by
 subsection 7j77#b71 and every five     
years thereafter1 the ,secretary shall  
conduct a scientifically rigorous       
evaluation of universal nurse home      
visits provided in accordance with this 
section1 using administrative records1  
in order to assess the effectiveness of 
such visits in--  7,a7 reducing         
incidence of child abuse and neglect and
 fatalities due to abuse and neglect2   
and  7,b7 reducing emergency health care
 utilization for child injuries4  7#b7  
,scope of evaluation ,each evaluation   
shall include a review of available     
referrals to the ,family ,advocacy      
,program1 child hospital administration 
records1 community-wide child protective
 service investigations1 and such other 
indicators and sources of information as
 the ,secretary considers appropriate4  
7l7 ,implementation defense-,wide ,if   
the ,secretary determines as a result of

 the pilot program that any element of  
the pilot program is effective1 the     
,secretary shall take appropriate       
actions to implement the pilot program  
as a program throughout and across the  
military installations of the           
,department4  7m7 ,definitions ,in this 
section3 7#a7 ,the term community1 with 
respect to a military installation1     
means the catchment area for community  
services of the installation1 including 
services provided on the installation   
and services provided by ,state1 county1
 and local jurisdictions in which the   
installation is located or in the       
vicinity of the installation4  7#b7 ,the
 term eligible covered beneficiary means
 a covered beneficiary 7as that term is 
defined in section #ajgb of title #aj1  
,united ,states ,code7 who has a child  
under the age of five years or is       
expecting a child4  7n7 ,funding  7#a7  
,authorization of appropriations ,there 
is hereby authorized to be appropriated 
for fiscal year #bjai for the           

,department of ,defense #e1jjj1jjj to   
carry out the pilot program4  7#b7      
,availability ,the amount authorized to 
be appropriated by paragraph 7#a7 shall 
remain available until expended4