,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #ghfh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #cj1 #bjbj,ms4  
,de,lauro 7= h]self1 ,mr4 ,bilirakis1   
,mr4 ,suozzi1 ,mr4 ,soto1 ,mr4 ,/eube1 &
 ,mr4 ,ru!r=d7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act to improve ! heal? 
& well-be+ ( maltreat$ infants & toddl]s
 ?r\gh ! implem5tation ( infant-toddl]  
c\rt teams )9 ,/ates1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,/r5g!n+ ,am]ica's ,families ,act (   
#bjbj4  #b4 ,infant-toddl] c\rt teams = 
*ildr5 exp]i5c+ or at risk ( maltreatm5t
 ,"p ,q ( title ,,iii ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4 #bhj;h et  
seq47 is am5d$ by add+ at ! end !       
foll[+3  #ccj,z-#c4 ,infant-toddl] c\rt 
teams = *ildr5 exp]i5c+ or at risk (    
maltreatm5t  7a7 ,cont9uation &         
expansion ( ,infant-,toddl] ,c\rt       
,program  7#a7 ,cont9uation & expansion 
( program ,! ,secret>y1 act+ ?r\gh !    

,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration-- 7,a7 %all      
cont9ue 9 effect ! ,infant-,toddl] ,c\rt
 ,program2 &  7,b7 may1 beg9n+ ) fiscal 
ye> #bjba1 c>ry out su* program on a    
national basis4  7#b7 ,infant-,toddl]   
,c\rt ,program def9$ ,= purposes (      
p>agraph 7#a71 ! t]m ,infant-,toddl]    
,c\rt ,program ref]s to ! program c>ri$ 
out pursuant to section #eja7;a77#b7 ( !
 ,social ,security ,act t is design$--  
7,a7 to support rese>*-bas$             
infant-toddl] c\rt teams = purposes (   
*ang+ *ild welf>e practices to improve  
well-be+ = infants1 toddl]s1 & _!       
families1 includ+ ef=ts to build on1 &  
cont9ue ! "w (1 sites e/abli%$ ?r\gh !  
,quality ,improvem5t ,c5t] =            
,rese>*-,bas$ ,infant-,toddl] ,c\rt     
,teams initiative fund$ by !            
,adm9i/ration = ,*ildr5 & ,families2 &  
7,b7 to provide tra9+ & te*nical        
assi/ance 9 support ( infant-toddl] c\rt
 teams' ef=ts across ! ,unit$ ,/ates4   
7b7 ,grants to ,/ates = implem5tation ( 

infant-,toddl] c\rt teams  7#a7 ,9 g5]al
 ,! ,secret>y ( ,heal? & ,human         
,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! 
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 may make grants to ,/ates
 = purposes ( se$+ ! e/abli%m5t (1 or   
/abiliz+ & enhanc+ exi/+1 infant-toddl] 
c\rt teams = *ildr5 exp]i5c+ or at risk 
( maltreatm5t4  7#b7 ,use ( funds ,a    
,/ate receiv+ a grant "u ?is subsection 
may only use funds receiv$ ?r\gh ! grant
 to-- 7,a7 designate a ,/ate lead ag5cy 
z a focal po9t = /atewide plann+        
adm9i/ration & coord9ation-- 7i7 to     
id5tify sites & lead]%ip =1 & e/abli%1  
enhance1 or /abilize1 local community   
infant-toddl] c\rt teams2 &  7ii7 to    
promote collaboration among ,/ate &     
local sy/ems t address ! ne$s (-- 7,i7  
infants & toddl]s & _! families )9 !    
*ild welf>e sy/em2 &  7,,ii7 individuals
 9 ne$ ( prev5tive family /r5g!n+       
s]vices to facilitate ! provision (     
local s]vices2  7,b7 provide fund+ to ! 
sites id5tifi$ "u subp>agraph 7,a77i7 to

 e/abli%1 enhance1 or /abilize local    
community infant-toddl] c\rt teams t    
meet ! crit]ia specifi$ 9 p>agraph 7#h72
 &  7,c7 ensure t local community c\rt  
team projects-- 7i7 provide = improv$   
communication & coord9ation among !     
c\rts1 *ild welf>e ag5cies1 & relat$    
*ild-s]v+ organizations-- 7,i7 to %>e   
in=mation & exp$ite appropriate         
high-quality s]vices = "y *ildr5 & _!   
families 9 ! *ild welf>e sy/em2 &       
7,,ii7 to prev5t recurr5ce (            
maltreatm5t1 promote timely p]man5cy1 & 
provide a community /ructure to help    
prev5t entry into ! *ild welf>e sy/em2  
7ii7 protect "y *ildr5 9 ! *ild welf>e  
sy/em & at risk ( ent]+ ! *ild welf>e   
sy/em f fur!r maltreatm5t & developm5tal
 h>m & address ! damage already done2 & 
7iii7 id5tify & address ! /ructural     
issues 9 ! *ild welf>e sy/em t are      
h>mful to infants & toddl] developm5t & 
imp$e ! ability to /r5g!n & /abilize    
families4  7#c7 ,t]m ( grant ,a grant "u
 ?is subsection %all be = a t]m ( n less

 ?an #c ye>s & may be r5ew$ = a s+le t]m
 n to exce$ #h ye>s4  7#d7 ,application 
process  7,a7 ,9 g5]al ,a ,/ate seek+ a 
grant "u ?is subsection %all submit an  
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+-- 7i7 !  
in=mation specifi$ 9 p>agraph 7#e72 &   
7ii7 a plan = ! e/abli%m5t or enhancem5t
 & ongo+ support ( local community      
infant-toddl] c\rt teams 9 ! ,/ate4     
7,b7 ,lead ,/ate ag5cy ,! ,gov]nor ( a  
,/ate submitt+ an application "u        
subp>agraph 7,a7 %all designate an      
appropriate ,/ate lead ag5cy1 su* z !   
,/ate ,c\rt ,improvem5t ,program or !   
,/ate ag5cy t adm9i/]s *ild welf>e      
s]vices1 ) ! ability to c>ry out !      
activities specifi$ 9 p>agraph 7#b74    
7#e7 ,application cont5ts ,! in=mation  
specifi$ 9 ?is p>agraph is-- 7,a7 a     
description ( h[ ! ,/ate lead ag5cy     
designat$ pursuant to p>agraph 7#d77;,b7
 w implem5t infant-toddl] c\rt team     
projects t meet ! crit]ia specifi$ 9    

p>agraph 7#b77;,c7 & ! communities 9 :i*
 local community infant-toddl] c\rt     
teams w be e/abli%$1 enhanc$1 or        
/abiliz$2  7,b7 an assurance t ! ,/ate  
lead ag5cy w consult ) repres5tatives ( 
,/ate ag5cies provid+ s]vices to        
infants1 toddl]s1 & families1 ! ,/ate & 
local judici>y1 & local communities &   
/akehold]s1 to develop a compreh5sive   
plan = implem5t+ infant-toddl] c\rt     
teams 9 ! ,/ate1 t includes a plan =    
det]m9+ h[ ! c\rt team /ructure &       
approa* w in=m & support build+ a family
 /r5g!n+ cont9uum1 :i* may include us+ !
 infant-toddl] c\rt team /ructure 9     
implem5t+ prev5tion & family s]vices &  
programs "u section #dga7;e7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#fga7;e772 &  7,c7 a c]tification t any 
infant-toddl] c\rt team e/abli%$1       
enhanc$1 or implem5t$ us+ funds receiv$ 
?r\gh ! grant meet ! crit]ia specifi$ 9 
p>agraph 7#h74  7#f7 ,cont9uum          
requirem5ts ,! cont9uum ref]r$ to 9     
p>agraph 7#e77;,b7 %all-- 7,a7 seek to  

ensure t *ildr5 & _! families1          
p>ticul>ly families ) hi/ories ( trauma 
& adv]sity1 receive effective1 timely   
s]vices t /r5g!n protective factors2    
7,b7 beg9 z e>ly z possible be=e        
families enc\nt] ! *ild welf>e sy/em--  
7i7 to provide compreh5sive supportive  
community s]vices to families ) v "y    
*ildr5 9 ne$ ( su* s]vices2 &  7ii7 to  
emphasize ! social det]m9ants ( heal? to
 /r5g!n families & prev5t abuse &       
neglect2  7,c7 = "y *ildr5 ) sub/antiat$
 cases ( maltreatm5t1 includ+ ^? ^:     
families h be5 plac$ 9 an alt]native or 
diff]5tial response program1 include a  
compreh5sive approa* to /abiliz+ &      
/r5g!n+ families & prev5t+ *ildr5 f be+ 
plac$ 9 fo/] c>e t provides s]vices &   
supports focus$ on 9-home p>5t education
 & specializ$ programs t address ! risk 
factors = removal ( infants & toddl]s f 
! home2 &  7,d7 use ! community /ructure
 comb9$ ) ! judicial ov]sight )9 !      
infant-toddl] c\rt team to improve      
outcomes = infants & toddl]s :o h be5   

plac$ 9 fo/] c>e & _! families ?r\gh    
work+ ) communities to ensure t-- 7i7   
p>5ts receive int5sive s]vices &        
supports1 includ+ m5tal heal? & sub/ance
 use disord] treatm5t1 to increase !    
likelihood ( reunification2 &  7ii7 "y  
*ildr5 receive int5sive int]v5tions t w 
address _! developm5tal ne$s & heal !   
trauma ( abuse1 neglect1 dome/ic        
viol5ce1 & sep>ation f _! c>egiv] &     
family4  7#g7 ,conditions ,a ,/ate      
select$ to receive a grant "u ?is       
subsection1 %all1 z a condition on      
receipt ( su* grant-- 7,a7 agree to "w )
 ! ,national ,infant-,toddl] ,c\rt ,team
 ,res\rce ,c5t] e/abli%$ "u subsection  
7c7 to design or enhance & implem5t     
local infant-toddl] c\rt teams1 includ+ 
support+ data collection & cont9u\s     
quality improvem5t2  7,b7 provide       
in=mation to ! ,national ,infant-,toddl]
 ,c\rt ,team ,res\rce ,c5t] on ! plan   
develop$ pursuant to p>agraph 7#e77;,b71
 includ+ ! developm5t ( a cont9uum (    
family /r5g!n+ s]vices t meets !        

conditions specifi$ 9 p>agraph 7#f72    
7,c7 commit to build+ su/a9ability into 
! ,/ate lead ag5cy function & ! plan    
ref]r$ to 9 subp>agraph 7,b72 &  7,d7   
ensure t any infant-toddl] c\rt team    
e/abli%$1 enhanc$1 or implem5t$ us+     
funds receiv$ ?r\gh ! grant meets !     
crit]ia specifi$ 9 p>agraph 7#h74  7#h7 
,local community infant-toddl] c\rt team
 crit]ia ,! crit]ia specifi$ 9 ?is      
p>agraph ) respect to a local community 
infant-toddl] c\rt team e/abli%$1       
enhanc$1 or implem5t$ us+ funds receiv$ 
?r\gh ! grant are t ! team-- 7,a7       
organizes & promotes collaboration1 )   
lead]%ip f judges & ! heads ( *ild      
welf>e ag5cies1 among community         
/akehold]s & s]vice provid]s to address 
! ne$s ( families ) infants & toddl]s1  
?r\gh implem5t+ trauma-in=m$ practices =
 infants & toddl]s & _! families 9 !    
*ild welf>e sy/em & = creat+ a community
 /ructure t c provide a cont9uum (      
s]vices2  7,b7 works to /r5g!n families 
to prev5t fo/] c>e placem5t1 promote    

timely p]man5cy1 prev5t recurr5ce (     
maltreatm5t1 & promote positive e>ly    
developm5t2  7,c7 is coord9at$ ?r\gh a  
local community coord9ator2  7,d7 is    
compos$ ( community /akehold]s t include
 legal & *ild welf>e pr(essionals       
involv$ ) families ( infants & toddl]s &
 community s]vice provid]s t-- 7i7 h    
exp]i5ce solv+ problems & fill+ gaps at 
! community sy/ems level1 includ+ )     
respect to evid5ce-bas$ int]v5tions     
appropriate = infants & toddl]s & _!    
families2  7ii7 receive tra9+ on !      
sci5ce ( e>ly *ildhood developm5t1 !    
impact ( trauma1 & ! implications = *ild
 welf>e & family /r5g!n+ practice2      
7iii7 "w to build a community /ructure =
 /r5g!n+ families across sectors1       
includ+ "w support1 education1 heal?    
7includ+ m5tal heal?71 & social         
supports2  7iv7 und]go a p]iod (        
prep>ation & tra9+ be=e tak+ families   
into ! infant-toddl] c\rt program2  7v7 
provide a team ( pr(essionals t provides
 support to an individual family to     

ensure ! ne$s ( individual *ildr5 )9 su*
 family & su* family z a :ole are met2  
7vi7 focus on infants & toddl]s "u !    
c\rt's jurisdiction or "u 9-home        
sup]vision2 &  7vii7 z res\rces & team  
/ructure p]mit1 "w ) families ( infants 
& toddl]s outside ! *ild welf>e sy/em to
 provide prev5tive s]vices to /r5g!n    
families ( "y *ildr5 & avoid *ild welf>e
 involvem5t2  7,e7 supports p>5ts'      
/r5g?s & ne$s 9 a compassionate1        
respectful1 holi/ic1 & individualiz$    
way2  7,f7 prev5ts *ildr5 f ent]+ &     
re5t]+ ! *ild welf>e sy/em2  7,g7       
addresses community s]vice gaps &       
disp>ities us+ evid5ce-bas$ /rategies2  
7,h7 commits to work+ t[>d su/a9ability 
= ! infant-toddl] c\rt team program2    
7,i7 removes b>ri]s to racial equity &  
social ju/ice1 & prev5ts disp>ate       
outcomes = racial & e?nic m9orities1    
,tribes1 & lesbian1 gay1 bisexual1      
transg5d]1 & que] individuals2  7,j7    
integrates family support s]vices to    
meet family ne$s 9 a compreh5sive way1  

includ+-- 7i7 developm5tally appropriate
 evid5ce-bas$ int]v5tions = v "y *ildr5 
& _! families1 includ+ developm5tal     
scre5+1 e>ly int]v5tion s]vices1        
high-quality e>ly c>e & le>n+ programs  
su* z ,e>ly ,head ,/>t1 &               
multig5]ational m5tal heal? treatm5t    
focus$ on ! *ild-c>egiv] relation%ip2 & 
7ii7 assessm5ts ( p>5ts' ne$s1 includ+  
pa/ trauma1 high-quality heal? s]vices1 
includ+ m5tal heal? s]vices1 = p>5ts1   
includ+ pr5atal & po/natal c>e1 scre5+ =
 depression1 well-woman c>e1 m5tal heal?
 treatm5t1 & evid5ce-bas$ sub/ance use  
disord] treatm5t2  7,k7 infuses a       
trauma-in=m$ approa* 9 ! deliv]y (      
family support s]vices t supports       
*ildr51 families1 & pr(essionals across 
sy/ems ( c>e2  7,l7 provides = a        
cont9uum ( p>5t+ int]v5tions & m5tal    
heal? & sub/ances use prev5tion &       
treatm5t s]vices consi/5t ) p>agraph    
7#g72  7,m7 uses cont9u\s quality       
improvem5t practices1 includ+ collect+  
project data elem5ts e/abli%$ by !      

,national ,infant-,toddl] ,c\rt ,team   
,res\rce ,c5t] "u subsection 7c7 = case 
managem5t & assess+ progress2 &  7,n7   
:]e placem5t ( an infant or toddl] 9    
fo/] c>e is necess>y1 uses-- 7i7        
concurr5t plann+ ^u removal & limits !  
numb] ( placem5ts2  7ii7 m5tor+ &       
cop>5t+ betwe5 bir? & fo/] p>5ts & k9   
c>egiv]s & supports2  7iii7 pr]emoval   
conf]5ces & mon?ly family team meet+s to
 ensure support = family & *ild f !     
beg9n+ z well z timely action & s]vices 
to address *ild & family ne$s2 &  7iv7  
frequ5t1 quality family "t int]action or
 visitation 9 sett+s :]e families       
normally int]act & coa*es to support    
p>5t-*ild int]actions4  7c7 ,national   
infant-,toddl] c\rt team res\rce c5t]   
grant  7#a7 ,grant au?oriz$ ,! ,secret>y
 %all aw>d to an eligible entity a grant
 to e/abli% a national c5t] to c>ry out 
! activities specifi$ 9 p>agraph 7#c7 to
 s]ve z a res\rce = infant-toddl] c\rt  
teams 7to be kn[n z & ref]r$ to 9 ?is   
section z ! ,national ,infant-,toddl]   

,c\rt ,team ,res\rce ,c5t]74 ,! t]m ( a 
grant "u ?is subsection %all be = n less
 ?an #c ye>s1 r5ewable = up to #h ye>s4 
7#b7 ,eligible entities ,an entity is   
eligible to receive a grant "u ?is      
subsection if ! entity is a national    
e>ly *ildhood developm5t organization   
)-- 7,a7 recogniz$ exp]i5ce z a tra9+   
organization 9 infant-toddl] developm5t1
 infant-e>ly *ildhood m5tal heal?1 & o!r
 relat$ topics2  7,b7 exp]i5ce work+ 9  
collaboration )1 & provid+ tra9+ to1    
c\rt (ficials1 *ild welf>e ag5cies1     
attorneys1 gu>dians1 c\rt-appo9t$       
special advocates1 & o!r individuals &  
community organizations provid+ s]vices 
to infants & toddl]s 9 ! *ild welf>e    
sy/em1 includ+-- 7i7 specific exp]tise 9
 educat+ judges1 attorneys1 *ild welf>e 
/aff1 & community s]vice provid]s ab\t !
 impacts ( *ild maltreatm5t & trauma on 
e>ly developm5t & family function+2 &   
7ii7 exp]i5ce 9 incorporat+ ! exp]tise  
describ$ 9 clause 7i7 into ! c\rt &     
*ild-family s]vice sy/ems to promote    

*ange 9 ! way c\rts & communities       
address cases involv+ maltreat$ infants 
& toddl]s & support o!r families )      
infants & toddl]s 9 ne$ ( family /r5g!n+
 s]vices2  7,c7 ! capacity to c>ry out !
 activities ( ! ,national               
,infant-,toddl] ,c\rt ,team ,res\rce    
,c5t]2  7,d7 a prov5 ability to provide 
tra9+ & te*nical assi/ance1 collect data
 & support its use = cont9u\s quality   
improvem5t & evaluation1 & o!r tasks2 & 
7,e7 a demon/rat$ ability to br+ !      
collective impact ( o!r national        
organizations toge!r to address ! ne$s (
 infants & toddl]s t t\* ! *ild welf>e  
sy/em or are 9 ne$ ( prev5tive s]vices  
to /r5g!n families & avoid ! *ild welf>e
 sy/em4  7#c7 ,activities ( national    
infant-toddl] c\rt team res\rce c5t] ,! 
,national ,infant-,toddl] ,c\rt ,team   
,res\rce ,c5t] %all c>ry out ! foll[+   
activities3 7,a7 ,provide te*nical      
assi/ance to ,/ates & communities )     
infant-toddl] c\rt teams receiv+ fund+  
"u subsection 7a7 e/abli%$ ?r\gh !      

,infant-,toddl] ,c\rt ,program1 or ?r\gh
 o!r means 9 build+ ! sy/emic team      
/ructure to id5tify & address ! ne$s (  
at-risk *ildr5 & families be=e          
maltreatm5t occurs4  7,b7 ,provide      
te*nical assi/ance & tra9+ to ,/ates &  
local jurisdictions-- 7i7 9 select+     
sites1 coord9at+ sy/ems1 plann+1 &      
implem5t+1 enhanc+1 or /abiliz+         
evid5ce-bas$ infant-toddl] c\rt teams1  
includ+ emb$d+ a *ild developm5t approa*
 to promote ! heal?y developm5t &       
mitigate trauma ( infants & toddl]s     
exp]i5c+ or at risk ( exp]i5c+          
maltreatm5t & _! families1 s t su* c\rt 
teams meet ! crit]ia specifi$ 9         
subsection 7b77#g72 &  7ii7 9 det]m9+ h[
 to use ! c\rt team community /ructure  
to in=m & support ! cont9uum ( family   
/r5g!n+ s]vices describ$ 9 p>agraph     
7#f74  7,c7 ,develop mat]ials to guide  
judges 9 ! decision-mak+ process reg>d+ 
infants & toddl]s1 & tra9 memb]s ( local
 infant-toddl] c\rt teams & o!rs 9 !    
community reg>d+ ! appropriate c>e (    

infants & toddl]s1 includ+ ! importance 
(-- 7i7 und]/&+ e>ly bra9 developm5t1 ! 
impact ( abuse & neglect & placem5t 9   
fo/] c>e1 & ! ne$ = prev5t+ su*         
occurr5ces2  7ii7 ! social det]m9ants ( 
heal?2  7iii7 placem5t /ability &       
c>egiv] cont9uity = v "y *ildr52  7iv7  
support+ ! p>5t-*ild relation%ip2  7v7  
compreh5sive s]vices = *ildr5 & p>5ts to
 r$uce ! recurr5ce ( abuse & neglect2   
7vi7 compreh5sive s]vices to monitor &  
improve ! heal?1 developm5t1 & well-be+ 
( infants & toddl]s 9 fo/] c>e or 9     
9-home placem5ts2  7vii7 = *ildr5 plac$ 
9 fo/] c>e1 timely p]man5t placem5t     
frequ5t p>5t-*ild visitation1 &         
concurr5t plann+2 &  7viii7 implem5t+ a 
compreh5sive s]vice deliv]y plan        
address+ ! ne$s ( *ildr5 & p>5ts at !   
proximate "t ( a *ild's removal f ! c>e 
( ! *ild's biological p>5ts4  7,d7      
,provide in=mation to ,/ates1           
communities1 & c\rts ar\nd ! ,unit$     
,/ates seek+ to adopt an infant-toddl]  
c\rt team approa* gr\nd$ 9 ! sci5ce (   

e>ly *ildhood developm5t1 includ+       
in=mation relat$ to-- 7i7 !             
incorporation ( k ab\t infant & toddl]  
developm5t into ! resolution ( cases by 
judges ) jurisdiction ov] *ildr5 9 fo/] 
c>e & by *ild welf>e ag5cies ov]see+    
*ildr5 "u 9-home sup]vision2 &  7ii7    
me?ods to *ange ,/ate & local gov]nm5t  
sy/ems to bett] address ! ne$s ( infants
 & toddl]s 9 ! *ild welf>e sy/em & _!   
families4  7,e7 ,coord9ate & facilitate 
pe] le>n+ opportunities = judges1       
community coord9ators1 & o!r p]sonnel   
?r\gh communities ( practice1 le>n+     
communities1 conf]5ces1 & o!r means4    
7,f7 ,ensure local infant-toddl] c\rt   
teams collect & report data specifi$ "u 
subp>agraph 7,h7 & provide te*nical     
assi/ance 9-- 7i7 ensur+ quality data   
collection & report+2 &  7ii7 us+ ! data
 collect$ = case & site monitor+1 to    
e/abli% a cont9u\s quality improvem5t   
process to id5tify areas t ne$ /r5g!n+1 
to develop a plan = su* improvem5ts1 &  
to monitor progress4  7,g7 ,provide     

te*nical assi/ance to ,/ates &          
communities-- 7i7 9 evid5ce-bas$ me?ods 
to *ange policies & practices to bett]  
address ! ne$s ( infants & toddl]s      
exp]i5c+ maltreatm5t & _! families z    
well z infants1 toddl]s1 & families 9   
ne$ ( s]vices to /r5g!n families &      
prev5t ! likelihood ( entry into ! *ild 
welf>e sy/em2 &  7ii7 ?r\gh onsite      
implem5tation assi/ance to local        
infant-toddl] c\rt teams tailor$ to !   
ne$s ( ea* unique jurisdiction1 us+ a   
process ( assess+ & build+ on community 
/r5g?s4  7,h7 ,def9e key metrics &      
collect data f local infant-toddl] c\rt 
teams relat$ to ! op]ation & outcomes ( 
! projects support$ by ,/ates receiv+ a 
grant "u subsection 7b7 & o!r exi/+     
infant-toddl] c\rt team sites on elem5ts
 t include-- 7i7 data on *ild & p>5t    
demographics & relevant family hi/ory2  
7ii7 adult heal? c>e s]vices1 includ+   
pr5atal & po/natal c>e1 depression      
scre5+1 m5tal heal? s]vices1 sub/ance   
use treatm5t1 & well-woman c>e2  7iii7  

*ild s]vices1 includ+ multig5erational  
m5tal heal? treatm5t focus$ on !        
relation%ip1 developm5tal scre5+1 e>ly  
int]v5tion s]vices1 well-*ild c>e &     
m$ical homes1 & e>ly *ildhood education2
  7iv7 family engagem5t activities1 su* 
z family team meet+s & c\rt he>+s2  7v7 
family well-be+1 includ+ heal? equity & 
heal? insurance2  7vi7 c\rt practices1  
su* z frequ5cy ( he>+s1 family team     
meet+s1 & /akehold] meet+s2 &  7vii7    
fo/] c>e practices t support developm5t 
& /able relation%ips1 includ+ placem5t  
type1 visitation frequ5cy1 & p]man5cy   
outcomes & timel9ess1 ) an emphasis on  
reunification4  7,i7 ,compile su* data  
annually & report to ! ,secret>y toge!r 
) in=mation f ,/ate plann+ processes    
report$ "u subsection 7b77#g77;,b74     
7,j7 ,9 develop+ data elem5ts "u        
subp>agraph 7,h71 consult ) !           
organization aw>d$ a contract "u        
p>agraph 7#d74  7#d7 ,evaluation ,!     
,national ,infant-,toddl] ,c\rt ,team   
,res\rce ,c5t] %all ent] into a contract

 ) an organization exp]i5c$ 9 conduct+ a
 *ild welf>e national evaluation ov] !  
c\rse ( ! grant p]iod ( ! effectiv5ess (
 local evid5ce-bas$ infant-toddl] c\rt  
teams support$ by ,/ates receiv+ a grant
 "u subsection 7b7 z well z o!r         
infant-toddl] c\rt team sites t may     
p>ticipate 9 su* evaluation 9-- 7,a7    
l9k+ *ildr5 & families to appropriate   
s]vices & supports t prev5t fo/] c>e    
placem5ts1 exp$ite p]man5cy :]e         
placem5ts occur1 & /r5g!n families 9    
improv+ family well-be+ & support =     
positive *ild developm5t2  7,b7 prev5t+1
 or r$uc+ ! recurr5ce (1 abuse &        
neglect2  7,c7 promot+ access to timely1
 high-quality prim>y heal? c>e & oral   
heal? c>e 9 a m$ical home = *ildr5 &    
p>5ts2  7,d7 promot+ quality p>5t       
education1 m5tor+1 & coa*+ to /r5g!n    
p>5t+ skills2  7,e7 promot+ timely      
assessm5t1 ref]ral to1 & receipt (1     
m5tal heal? treatm5t & sub/ance use     
treatm5t = p>5ts ( infants & toddl]s2   
7,f7 promot+ timely p]man5t placem5ts ( 

maltreat$ infants & toddl]s2 &  7,g7    
r$uc+ co/s ?r\gh sy/em improvem5ts4  7d7
 ,def9itions ,9 ?is section3 7#a7 ,! t]m
 *ild welf>e sy/em includes all s]vices 
& supports provid$ ?r\gh a ,/ate's *ild 
welf>e sy/em4  7#b7 ,! t]m ,/ate means  
ea* ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict 
( ,columbia1 ea* t]ritory or possession 
( ! ,unit$ ,/ates1 & ea* f$]ally        
recogniz$ ,indian ,tribe 7z def9$ 9     
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd774 
7e7 ,au?orization ( appropriations  7#a7
 ,9 g5]al ,!re are au?oriz$ to be       
appropriat$ to c>ry out ?is section1    
#be1jjj1jjj = ea* ( fiscal ye>s #bjba1  
#bjbb1 #bjbc1 & #bjbd4  7#b7 ,res]vation
 ( funds ,( ! am\nts made available "u  
p>agraph 7#a7 = a fiscal ye>1 !         
,secret>y %all res]ve-- 7,a7 9 ! case ( 
a fiscal ye> 9 :i* ! am\nt made         
available "u p>agraph 7#a7 does n exce$ 
#ae1jjj1jjj1 n less ?an #e1jjj1jjj = !  
,national ,infant-,toddl] ,c\rt ,team   

,res\rce ,c5t] e/abli%$ pursuant to     
subsection 7c72 &  7,b7 9 ! case ( a    
fiscal ye> 9 :i* ! am\nt made available 
"u p>agraph 7#a7 equals or exce$s       
#ae1jjj1jjj b does n exce$ #be1jjj1jjj1 
n less ?an #g1jjj1jjj = su* ,c5t]4  4   
#c4 ,reports to ,congress ,n lat] ?an #c
 ye>s aft] ! date ( ! enactm5t ( ?is    
,act1 & n lat] ?an #e ye>s aft] su* date
 ( enactm5t1 ! ,secret>y %all submit to 
,congress a report address+ !           
implem5tation & effectiv5ess ( !        
infant-toddl] c\rt teams pursuant to    
section #ccj,z-#c ( ! ,public ,heal?    
,s]vice ,act1 z add$ by section #b1     
includ+-- 7#a7 a compilation ( ! data on
 local community infant-toddl] c\rt     
teams includ$ 9 ! annual report f !     
,national ,infant-,toddl] ,c\rt ,team   
,res\rce ,c5t] e/abli%$ pursuant to su* 
section2 &  7#b7 int]im or f9al results 
f ! national evaluation ( infant-toddl] 
c\rt teams conduct$ "u su* section4