,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #ajji  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #c1 #bjai,ms4   
,baldw9 7= h]self & ,mr4 ,cassidy7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to e/abli% a demon/ration   
program to explore effective practices  
to improve e>ly detection & managem5t ( 
injuries indicative ( pot5tial abuse 9  
infants "u ! age ( #g mon?s1 9 ord] to  
prev5t future cases ( *ild abuse &      
relat$ fatalities4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,e>ly ,detection  
to ,/op ,infant ,abuse & ,prev5t        
,fatalities ,act4  #b4 ,f9d+s ,congress 
f9ds z foll[s3 7#a7 ,accord+ to !       
,national ,*ild ,abuse & ,neglect ,data 
,sy/em1 an e/imat$ #a1gbj *ildr5 di$ f  
abuse or neglect 9 ! ,unit$ ,/ates 9    
fiscal ye> #bjag4 ,sev5ty-two p]c5t (   
*ild fatalities involv$ *ildr5 y\ng] ?an
 #c ye>s1 & #ej p]c5t involv$ infants   
y\ng] ?an #a ye>4  7#b7 ,accord+ to !   

,commission to ,elim9ate ,*ild ,abuse & 
,neglect ,fatalities1 infants & toddl]s 
are at high risk ( an abuse or neglect  
fatality comp>$ to o!r age gr\ps &      
require special att5tion4 ,because ^! "y
 *ildr5 are se5 by heal? c>e            
pr(essionals1 ! ,commission recomm5d$   
coord9at$1 cross-sy/em approa*es to     
prev5tion4  7#c7 ,multiple /udies h f\nd
 t relatively m9or1 visible injuries 9  
"y infants1 includ+ bruis+ & intraoral  
injuries1 are (t5 indicators ( abuse4   
,su* injuries are commonly ov]look$ by  
m$ical provid]s1 c>egiv]s1 & *ild welf>e
 pr(essionals because !y seem trivial4  
,)\t e>ly int]v5tion1 physical abuse c  
escalate1 result+ 9 sev]e injuries or   
ev5 fatalities4 ,_m *ild abuse          
pr(essionals ref] to su* injuries z     
s5t9el injuries 9 "y infants because (  
_! importance z e>ly w>n+ signs ( abuse4
  7#d7 ,rese>* conduct$ 9 ,wiscons9 %[$ 
t previ\s s5t9el injuries 7 id5tifi$ 9  
#bg4e p]c5t ( abus$ infants & #cj p]c5t 
( infants :o suff] abusive head trauma b

 7 r>e 9 infants :o _h n be5 abus$4 ,o!r
 /udies h demon/rat$ simil> rates (     
miss$ opportunities to id5tify abuse 9  
"y infants4  7#e7 ,prop] id5tification  
(1 & response to1 su* suspici\s injuries
 provides an opportunity = e>ly         
recognition & int]v5tion to protect     
vuln]able *ildr5 & prev5t _m cases (    
abuse & relat$ fatalities1 z well z an  
opportunity to detect m$ical conditions 
t require urg5t treatm5t4  7#f7 ,e>ly   
detection ( su* injuries & effective    
evaluation & int]v5tion requires        
education ( c>egiv]s ( "y infants1 *ild 
protective work]s1 & m$ical pr(essionals
 ab\t ! significance ( su* injuries 9 "y
 infants4  7#g7 ,be/ practices &        
protocols ne$ to be develop$ to ensure  
an effective response by m$ical         
pr(essionals1 *ild protective s]vices1 &
 o!r pr(essionals :5 s5t9el injuries are
 detect$4  #c4 ,demon/ration program    
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices 7ref]r$ to 9 ?is section
 z ! ,secret>y7 %all e/abli% a          

demon/ration program to aw>d grants to  
eligible entities 9 ord] to te/         
effective practices to improve e>ly     
detection & managem5t ( injuries        
indicative ( pot5tial abuse 9 infants "u
 ! age ( #g mon?s to prev5t future cases
 ( *ild abuse & relat$ fatalities4  7b7 
,activities ,recipi5ts ( grants "u ?is  
section-- 7#a7 %all use su* aw>d to--   
7,a7 develop1 implem5t1 or exp& tra9+ & 
be/ practices to assi/ m$ical           
pr(essionals 9 id5tify+1 assess+1 &     
respond+ to injuries indicative (       
pot5tial abuse 9 infants "u ! age ( #g  
mon?s1 p>ticul>ly bruis+ & oral         
injuries2  7,b7 develop protocols &     
policies t improve communication &      
coord9ation betwe5 m&atory report]s &   
*ild protective s]vices :5 su* report]s 
id5tify su* injuries2 &  7,c7 conduct ! 
evaluation "u subsection 7e72 &  7#b7   
may use su* aw>d-- 7,a7 to raise aw>5ess
 reg>d+ ! significance ( su* injuries by
 m&atory report]s1 heal? pr(essionals1 !
 public1 pr(essionals c>+ = *ildr51 home

 visitors1 *ild c>e work]s1 & *ild      
protective s]vices /aff2 &  7,b7 = o!r  
purposes1 z ! ,secret>y det]m9es        
appropriate1 includ+ us+ ! approa*es    
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 
( p>agraph 7#a7 to address injuries     
indicative ( pot5tial abuse 9 *ildr5 ag$
 #g mon?s & old]4  7c7 ,eligible        
entities  7#a7 ,9 g5]al ,to be eligible 
to receive a grant "u ?is section1 an   
entity %all-- 7,a7 demon/rate k &       
exp]i5ce provid+ heal? s]vices to *ildr5
 & id5tify+ & respond+ to *ild          
maltreatm5t2 &  7,b7 submit to !        
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+-- 7i7 a  
description ( ! entity's plann$         
activities1 includ+-- 7,i7 plans to     
r$uce *ild re-victimization & *ild      
fatalities2 &  7,,ii7 plans to evaluate 
success1 includ+ p]t95t data s\rces t w 
be develop$ or utiliz$2 &  7ii7 entities
 ) :om ! applicant w collaborate 9 c>ry+
 out ! activities "u ! grant4  7#b7     

,multidisclipl9>y p>tn]%ips ,an eligible
 entity %all be a multidiscipl9>y       
p>tn]%ip ( /akehold]s ) k & exp]i5ce    
provid+ heal? s]vices to *ildr5 &       
id5tify+ & respond+ to *ild maltreatm5t1
 :i* may include nonpr(it organizations1
 community-bas$ organizations1          
adm9i/rators ( any programs fund$ "u !  
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eaja et seq471 *ildr5's
 heal? c>e provid]s1 bo>d-c]tifi$ *ild  
abuse p$iatricians1 *ild protective     
s]vices1 *ild advocates1 ,/ate *ild dea?
 review bo>ds1 *ild advocacy c5t]s1     
,/ate dep>tm5t ( ju/ice (ficials1       
*ildr5's hospitals1 disability          
organizations1 & m5tal heal? & social   
s]vices provid]s4  7d7 ,grant p]iod     
,grants aw>d$ "u ?is section are = a    
#c-ye> p]iod4  7e7 ,evaluations ,!      
,secret>y %all require ea* recipi5t ( a 
grant "u ?is section to-- 7#a7 evaluate 
& assess-- 7,a7 ! efficacy ( ! projects 
c>ri$ out ) grant funds2 &  7,b7 ! ext5t
 to :i* su* projects r$uc$              

re-victimization ( *ildr5 & *ild        
fatalities2 &  7#b7 submit a report on  
su* evaluation & p]t95t data to !       
,secret>y4  7f7 ,report to ,congress ,n 
lat] ?an #a ye> aft] ! conclusion ( !   
demon/ration program "u ?is section & ! 
submission ( ! report & data "u         
subsection 7e77#a71 ! ,secret>y %all    
submit to ,congress a report t          
includes-- 7#a7 an analysis ( ! /r5g?s &
 opportunities ( ! program2  7#b7 b>ri]s
 or *all5ges = implem5t+ or replicat+   
be/ practices "u ! program2  7#c7 !     
feasibility ( a national educational    
campaign on injuries indicative (       
pot5tial abuse 9 infants "u ! age ( #g  
mon?s2 &  7#d7 areas = fur!r rese>* or  
evaluation to improve e>ly detection (  
su* injuries4  7g7 ,au?orization (      
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#aj1jjj1jjj = ! p]iod ( #bjbj ?r\gh     
#bjbb4