,,ii #aafth ,,congress #ast ,session ,s4 #biga ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #c1 #bjai,mr4 ,isakson 7for himself and ,mr4 ,jones7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend and reauthorize the ,child ,abuse ,prevention and ,treatment ,act1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,,capta ,reauthorization ,act of #bjai4 #b4 ,findings ,section #b of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaja note7 is amended-- 7#a7 in paragraph 7#a71 by striking #bjjh1 approximately #ggb1jjj and inserting #bjag1 approximately #fgd1jjj2 7#b7 in paragraph 7#b7-- 7,a7 in subparagraph 7,a7-- 7i7 by striking close to #a_/c and inserting #ge percent2 and 7ii7 by striking #bjjh and inserting #bjag2 and 7,b7 by amending subparagraph 7,b7 to read as follows3 7,b7 investigations have determined that approximately #ge percent of children who were victims of maltreatment in fiscal year #bjag suffered neglect1 #ah percent suffered physical abuse1 and #i percent suffered sexual abuse2 2 7#c7 in paragraph 7#c7-- 7,a7 in subparagraph 7,b71 by striking #bjjh1 an estimated #a1gdj and inserting #bjag1 an estimated #a1gbj2 and 7,b7 by amending subparagraph 7,c7 to read as follows3 7,c7 in fiscal year #bjag1 children younger than #a year old comprised #dj percent of child maltreatment fatalities and #gb percent of child maltreatment fatalities were younger than #c years of age2 2 7#d7 in paragraph 7#d77;,b7-- 7,a7 by striking #cg and inserting #dj2 and 7,b7 by striking #bjjh and inserting #bjag2 7#e7 in paragraph 7#e71 by striking 1 ,american ,indian children1 ,alaska ,native children1 and children of multiple races and ethnicities and inserting and ,american ,indian or ,alaska ,native children2 7#f7 in paragraph 7#f7-- 7,a7 in subparagraph 7,a71 by inserting to strengthen families before the semicolon2 and 7,b7 in subparagraph 7,c71 by striking neighborhood and inserting community2 7#g7 in paragraph 7#aa71 by inserting trauma-informed1 after comprehensive12 and 7#h7 in paragraph 7#ae7-- 7,a7 in subparagraph 7,d71 by striking implementing community plans and inserting supporting community-based programs to strengthen and support families in order to prevent child abuse and neglect2 and 7,b7 by amending subparagraph 7,e7 to read as follows3 7,e7 improving professional1 paraprofessional1 and volunteer resources to strengthen the child welfare workforce2 and 4 #c4 ,general definitions ,section #c of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaja note7 is amended-- 7#a7 in paragraph 7#g71 by striking 2 and and inserting a semicolon2 7#b7 in paragraph 7#h71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7#i7 the term underserved or overrepresented groups in the child welfare system includes youth that enter the child welfare system following family rejection1 parental abandonment1 sexual abuse or sexual exploitation1 or unaccompanied homelessness4 4 ,i ,general program #aja4 ,interagency work group on child abuse and neglect ,section #ajb of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajb7 is amended to read as follows3 #ajb4 ,interagency work group on child abuse and neglect 7a7 ,establishment ,the ,secretary may continue the work group known as the ,interagency ,work ,group on ,child ,abuse and ,neglect 7referred to in this section as the ,work ,group74 7b7 ,composition ,the ,work ,group shall be comprised of representatives from ,federal agencies with responsibility for child abuse and neglect related programs and activities4 7c7 ,duties ,the ,work ,group shall-- 7#a7 coordinate ,federal efforts and activities with respect to child abuse and neglect prevention and treatment2 7#b7 serve as a forum that convenes relevant ,federal agencies to communicate and exchange ideas concerning child abuse and neglect related programs and activities2 and 7#c7 further coordinate ,federal efforts and activities to maximize resources to address child abuse and neglect in areas of critical needs for the field1 such as improving research1 focusing on prevention1 and addressing the links between child abuse and neglect and domestic violence4 4 #ajb4 ,national clearinghouse for information relating to child abuse ,section #ajc of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajd7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by striking effective programs and inserting evidence-based and evidence-informed programs2 7,b7 by redesignating paragraphs 7#d7 through 7#i7 as paragraphs 7#e7 through 7#aj71 respectively2 7,c7 by inserting after paragraph 7#c7 the following3 7#d7 maintain and disseminate information on best practices to support children being cared for by kin1 including such children whose living arrangements with kin occurred without the involvement of a child welfare agency2 2 7,d7 in paragraph 7#e71 as so redesignated1 by inserting 1 including efforts to prevent child abuse and neglect before the semicolon2 7,e7 in paragraph 7#g71 as so redesignated-- 7i7 in subparagraph 7,a71 by striking the semicolon and inserting 1 including among at-risk populations1 such as young parents1 parents with young children1 and parents who are adult former victims of domestic violence or child abuse or neglect2 and2 7ii7 by striking subparagraph 7,b72 7iii7 by redesignating subparagraph 7,c7 as subparagraph 7,b72 and 7iv7 in subparagraph 7,b71 as so redesignated1 by striking abuse and inserting use disorder2 7,f7 in paragraph 7#h71 as so redesignated-- 7i7 by redesignating subparagraphs 7,b7 and 7,c7 as subparagraphs 7,c7 and 7,d71 respectively2 7ii7 by inserting after subparagraph 7,a7 the following3 7,b7 best practices in child protection workforce development and retention2 2 and 7iii7 in subparagraph 7,c71 as so redesignated1 by striking mitigate psychological and inserting prevent and mitigate the effects of2 and 7,g7 in subparagraph 7,b7 of paragraph 7#i71 as so redesignated1 by striking abuse and inserting use disorder2 and 7#b7 in subsection 7c7-- 7,a7 in the heading1 by inserting 2 data collection and analysis after resources2 7,b7 in paragraph 7#a77;,c7-- 7i7 in clause 7ii71 by striking the semicolon and inserting 81 including-- 7,i7 the number of child deaths due to child abuse and neglect reported by various sources1 including information from the ,state child welfare agency and the ,state child death review program or other source that compiles ,state data1 including vital statistics death records1 ,state and local medical examiner and coroner office records1 and uniform crime reports from local law enforcement2 and 7,,ii7 data1 to the extent practicable1 about the circumstances under which a child death occurred due to abuse and neglect1 including the cause of the death1 whether the child was referred to the ,state child welfare agency1 the determination made by the child welfare agency 7as applicable71 and any known previous maltreatment of children by the perpetrator2 2 and 7ii7 in clause 7iv71 by striking substance abuse and inserting substance use disorder2 and 7,c7 in subparagraph 7,f71 by striking abused and neglected children and inserting victims of child abuse or neglect4 #ajc4 ,research and assistance activities ,section #ajd of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaje7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a7-- 7i7 in the heading1 by striking ,topics and inserting ,in general2 7ii7 in the matter preceding subparagraph 7,a7-- 7,i7 by striking consultation with other ,federal agencies and and inserting coordination with applicable ,federal agencies and in consultation with2 and 7,,ii7 by inserting 1 including primary prevention of child abuse and neglect1 before and to improve2 7iii7 by striking subparagraphs 7,c71 7,e71 7,i71 7,j71 and 7,n72 7iv7 by redesignating subparagraphs 7,d71 7,f71 7,g71 7,h71 7,k71 7,l71 and 7,m7 as subparagraphs 7,f7 through 7,l71 respectively2 7v7 by inserting after subparagraph 7,b7 the following3 7,c7 evidence-based and evidence-informed programs to prevent child abuse and neglect in families that have not had contact with the child welfare system2 7,d7 best practices in recruiting1 training1 and retaining a child protection workforce that addresses identified needs2 7,e7 options for updating technology of outdated devices and data systems to improve communication between systems that are designed to serve children and families2 2 7vi7 in subparagraph 7,g71 as so redesignated1 by striking and the juvenile justice system that improve the delivery of services and treatment1 including methods and inserting 1 the juvenile justice system1 and other relevant agencies engaged with children and families that improve the delivery of services and treatment1 including related to domestic violence or mental health12 7vii7 in subparagraph 7,l71 as so redesignated-- 7,i7 by inserting underserved or overrepresented groups in the child welfare system or after facing2 and 7,,ii7 by striking ,indian tribes and ,native ,hawaiian and inserting such2 7viii7 by inserting after subparagraph 7,l71 as so redesignated1 the following3 7,m7 methods to address geographic1 racial1 and cultural disparities in the child welfare system1 including a focus on access to services2 2 and 7ix7 by redesignating subparagraph 7,o7 as subparagraph 7,n72 and 7,b7 in paragraph 7#b71 by striking paragraph 7#a77,o7 and inserting paragraph 7#a77,n7 and analyses based on data from previous years of surveys of national incidence under this ,act2 7,c7 in paragraph 7#c7-- 7i7 by striking of #bjaj and inserting of #bjai2 and 7ii7 by striking that contains the results of the research conducted under paragraph 7#b74 and inserting 8that-- 7,a7 identifies the research priorities under paragraph 7#d7 and the process for determining such priorities2 7,b7 contains a summary of the research supported pursuant to paragraph 7#a72 7,c7 contains the results of the research conducted under paragraph 7#b72 and 7,d7 describes how the ,secretary will continue to improve the accuracy of information on the national incidence on child abuse and neglect specified in paragraph 7#b74 2 7,d7 in subparagraph 7,b7 of the first paragraph 7#d7 7relating to priorities7-- 7i7 by striking #a years and inserting #a year2 and 7ii7 by inserting 1 at least #cj days prior to publishing the final priorities1 after subparagraph 7,a72 and 7,e7 by striking the second paragraph 7#d7 7relating to a study on shaken baby syndrome71 as added by section #aac7;a77#e7 of the ,,capta ,reauthorization ,act of #bjaj 7,public ,law #aaa-cbj72 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 by inserting or underserved or overrepresented groups in the child welfare system after children with disabilities2 and 7ii7 by striking substance abuse and inserting substance use disorder2 7,b7 by redesignating paragraphs 7#b7 and 7#c7 as paragraphs 7#c7 and 7#d71 respectively2 7,c7 by inserting after paragraph 7#a7 the following3 7#b7 ,content ,the technical assistance under paragraph 7#a7 shall be designed to1 as applicable-- 7,a7 promote best practices for addressing child abuse and neglect in families with complex needs1 such as families who have experienced domestic violence1 substance use disorders1 and adverse childhood experiences2 7,b7 provide training for child protection workers in trauma-informed practices and supports that prevent and mitigate the effects of trauma for infants1 children1 youth1 and adults2 7,c7 reduce geographic1 racial1 and cultural disparities in child protection systems1 which may include engaging law enforcement1 education1 and health systems1 and other systems2 7,d7 leverage community-based resources to prevent child abuse and neglect1 including resources regarding health 7including mental health and substance use disorder71 housing1 parent support1 financial assistance1 early childhood education and care1 and education services1 and other services to assist families2 and 7,e7 provide other technical assistance1 as determined by the ,secretary in consultation with such ,state and local public and private agencies and community-based organizations as the ,secretary determines appropriate4 2 7,d7 in subparagraph 7,b7 of paragraph 7#c71 as so redesignated1 by striking mitigate psychological and inserting prevent and mitigate the effects of2 and 7,e7 in subparagraph 7,b7 of paragraph 7#d71 as so redesignated-- 7i7 by striking substance abuse and inserting substance use disorder2 and 7ii7 by striking and domestic violence services personnel and inserting domestic violence services personnel1 and personnel from relevant youth-serving and religious organizations2 7#c7 in subsection 7c77#c71 by inserting 1 which may include applications related to research on primary prevention of child abuse and neglect before the period2 and 7#d7 by striking subsection 7e74 #ajd4 ,grants to ,states1 ,indian ,tribes or ,tribal organizations1 and public or private agencies and organizations ,section #aje of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf7 is amended to read as follows3 #aje4 ,grants to ,states1 ,indian ,tribes or ,tribal organizations1 and public or private agencies and organizations 7a7 ,authority ,to award grants or enter into contracts ,the ,secretary may award grants1 and enter into contracts1 for programs and projects in accordance with this section1 for any of the following purposes3 7#a7 ,capacity building1 in order to create coordinated1 inclusive1 and collaborative systems that have statewide impact in preventing1 reducing1 and treating child abuse and neglect4 7#b7 ,innovation1 through time-limited1 field-initiated demonstration projects that further the understanding of the field to reduce child abuse and neglect4 7#c7 ,plans of safe care grants to improve and coordinate ,state responses to ensure the safety1 permanency1 and well-being of infants affected by substance use4 7b7 ,capacity building grant program 7#a7 ,in general ,the ,secretary may award grants or contracts to an eligible entity that is a ,state or local agency1 ,indian ,tribe or ,tribal organization1 a nonprofit entity1 or a consortium of such entities4 7#b7 ,applications ,to be eligible to receive a grant or contract under this section1 an entity shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7#c7 ,uses of funds ,an eligible entity receiving a grant or contract under this subsection shall use the grant funds to better align and coordinate community-based1 local1 and ,state activities to strengthen families and prevent child abuse and neglect1 by-- 7,a7 training professionals in prevention1 identification1 and treatment of child abuse and neglect1 which may include-- 7i7 training of professional and paraprofessional personnel in the fields of health care1 medicine1 law enforcement1 judiciary1 social work and child protection1 education1 early childhood care and education1 and other relevant fields1 or individuals such as court appointed special advocates 7,c,a,s,as7 and guardian ad litem1 who are engaged in1 or intend to work in1 the field of prevention1 identification1 and treatment of child abuse and neglect1 including the links between child abuse and neglect and domestic violence1 and approaches to working with families with substance use disorder2 7ii7 training on evidence-based and evidence-informed programs to improve child abuse and neglect reporting by adults1 with a focus on adults who work with children in a professional or volunteer capacity1 including on recognizing and responding to child sexual abuse2 7iii7 training of personnel in best practices to meet the unique needs and development of special populations of children1 including those with disabilities1 and children under age of #c1 including promoting interagency collaboration2 7iv7 improving the training of supervisory child welfare workers on best practices for recruiting1 selecting1 and retaining personnel2 7v7 enabling ,state child welfare and child protection agencies to coordinate the provision of services with ,state and local health care agencies1 substance use disorder prevention and treatment agencies1 mental health agencies1 other public and private welfare agencies1 and agencies that provide early intervention services to promote child safety1 permanence1 and family stability1 which may include training on improving coordination between agencies to meet health evaluation needs of children who have been victims of substantiated cases of child abuse or neglect2 7vi7 training of personnel in best practices relating to the provision of differential response2 or 7vii7 training for child welfare professionals to reduce and prevent discrimination 7including training related to implicit biases7 in the provision of child protection and welfare services related to child abuse and neglect2 7,b7 enhancing systems coordination and triage procedures1 including information systems1 for responding to reports of child abuse and neglect1 which include programs of collaborative partnerships between the ,state child protective services agency1 community social service agencies and community-based family support programs1 law enforcement agencies and legal systems1 developmental disability agencies1 substance use disorder treatment agencies1 health care entities1 domestic violence prevention entities1 mental health service entities1 schools1 places of worship1 and other community-based agencies1 such as children's advocacy centers1 in accordance with all applicable ,federal and ,state privacy laws1 to allow for the establishment or improvement of a coordinated triage system2 or 7,c7 building coordinated community-level systems of support for children1 parents1 and families through prevention services in order to strengthen families and connect families to the services and supports relevant to their diverse needs and interests1 including needs related to substance use disorder prevention4 7c7 ,field-,initiated innovation grant program 7#a7 ,in general ,the ,secretary may award grants to entities that are ,states or local agencies1 ,indian ,tribes or ,tribal organizations1 or public or private agencies or organizations 7or combinations of such entities7 for field-initiated demonstration projects of up to #e years that advance innovative approaches to prevent1 reduce1 or treat child abuse and neglect4 7#b7 ,applications ,to be eligible to receive a grant under this section1 an entity shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require1 including a rigorous methodological approach to the evaluation of the grant4 7#c7 ,use of funds ,an entity that receives a grant under this section shall use the funds made available through the grant to carry out or bring to scale promising1 evidence-informed1 or evidence-based activities to prevent1 treat1 or reduce child abuse and neglect that shall include one or more of the following3 7,a7 ,multidisciplinary systems of care to strengthen families and prevent child abuse and neglect1 including primary prevention programs or strategies aimed at reducing the prevalence of child abuse and neglect4 7,b7 ,projects for the development of new research-based strategies for risk and safety assessments and ongoing evaluation and reassessment of performance and accuracy of existing risk and safety assessment tools1 including to improve practices utilized by child protective services agencies1 which may include activities to reduce and prevent bias in such practices4 7,c7 ,projects that involve research-based strategies for innovative training for mandated child abuse and neglect reporters1 which may include training that is specific to the mandated individual's profession or role when working with children4 7,d7 ,projects to improve awareness of child welfare professionals and volunteers in the child welfare system and the public about-- 7i7 child abuse or neglect under ,state law2 7ii7 the responsibilities of individuals required to report suspected and known incidents of child abuse or neglect under ,state law1 as applicable2 and 7iii7 the resources available to help prevent child abuse and neglect4 7,e7 ,programs that promote safe1 family-friendly physical environments for visitation and exchange-- 7i7 for court-ordered1 supervised visitation between children and abusing parents2 and 7ii7 to facilitate the safe exchange of children for visits with noncustodial parents in cases of domestic violence4 7,f7 ,innovative programs1 activities1 and services that are aligned with the research priorities identified under section #ajd7;a77#d74 7,g7 ,projects to improve implementation of best practices to assist medical professionals in identifying1 assessing1 and responding to potential abuse in infants1 including regarding referrals to child protective services as appropriate and identifying injuries indicative of potential abuse in infants1 and to assess the outcomes of such best practices4 7d7 ,grants to ,states ,to improve and coordinate their response ,to ensure the safety1 permanency1 and well-,being of infants affected by substance use 7#a7 ,program authorized ,the ,secretary is authorized to make grants to ,states for the purpose of assisting child welfare agencies1 social services agencies1 substance use disorder treatment agencies1 hospitals with labor and delivery units1 medical staff1 public health and mental health agencies1 and maternal and child health agencies to facilitate collaboration in developing1 updating1 implementing1 and monitoring plans of safe care described in section #ajf7;b77#b77;,b77iii74 ,section #aab7;a77#b7 shall not apply to the program authorized under this paragraph4 7#b7 ,distribution of funds 7,a7 ,reservations ,of the amounts made available to carry out paragraph 7#a71 the ,secretary shall reserve-- 7i7 no more than #c percent for the purposes described in paragraph 7#g72 and 7ii7 up to #c percent for grants to ,indian ,tribes and ,tribal organizations to address the needs of infants born with1 and identified as being affected by1 substance abuse or withdrawal symptoms resulting from prenatal drug exposure or a fetal alcohol spectrum disorder and their families or caregivers1 which to the extent practicable1 shall be consistent with the uses of funds described under paragraph 7#d74 7,b7 ,allotments to ,states and territories ,the ,secretary shall allot the amount made available to carry out paragraph 7#a7 that remains after application of subparagraph 7,a7 to each ,state that applies for such a grant1 in an amount equal to the sum of-- 7i7 #ejj1jjj2 and 7ii7 an amount that bears the same relationship to any funds made available to carry out paragraph 7#a7 and remaining after application of subparagraph 7,a71 as the number of live births in the ,state in the previous calendar year bears to the number of live births in all ,states in such year4 7,c7 ,ratable reduction ,if the amount made available to carry out paragraph 7#a7 is insufficient to satisfy the requirements of subparagraph 7,b71 the ,secretary shall ratably reduce each allotment to a ,state4 7#c7 ,application ,a ,state desiring a grant under this subsection shall submit an application to the ,secretary at such time and in such manner as the ,secretary may require4 ,such application shall include-- 7,a7 a description of-- 7i7 the impact of substance use disorder in such ,state1 including with respect to the substance or class of substances with the highest incidence of abuse in the previous year in such ,state1 including-- 7,i7 the prevalence of substance use disorder in such ,state2 7,,ii7 the aggregate rate of births in the ,state of infants affected by substance abuse or withdrawal symptoms or a fetal alcohol spectrum disorder 7as determined by hospitals1 insurance claims1 claims submitted to the ,state ,medicaid program1 or other records71 if available and to the extent practicable2 and 7,,iii7 the number of infants identified1 for whom a plan of safe care was developed1 and for whom a referral was made for appropriate services1 as reported under section #ajf7;d77#ah72 7ii7 the challenges the ,state faces in developing1 implementing1 and monitoring plans of safe care in accordance with section #ajf7;b77#b77;,b77iii72 7iii7 the ,state's lead agency for the grant program and how that agency will coordinate with relevant ,state entities and programs1 including the child welfare agency1 the substance use disorder treatment agency1 hospitals with labor and delivery units1 health care providers1 the public health and mental health agencies1 programs funded by the ,substance ,abuse and ,mental ,health ,services ,administration that provide substance use disorder treatment for women1 the ,state ,medicaid program1 the ,state agency administering the block grant program under title ,v of the ,social ,security ,act 7#db ,u4,s4,c4 #gja et seq471 the ,state agency administering the programs funded under part ,c of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adca et seq471 the maternal1 infant1 and early childhood home visiting program under section #eaa of the ,social ,security ,act 7#db ,u4,s4,c4 #gaa71 the ,state judicial system1 and other agencies1 as determined by the ,secretary1 and ,indian ,tribes and ,tribal organizations1 as appropriate1 to implement the activities under this paragraph2 7iv7 how the ,state will monitor local development and implementation of plans of safe care1 in accordance with section #ajf7;b77#b77;,b77iii77,,ii71 including how the ,state will monitor to ensure plans of safe care address differences between substance use disorder and medically supervised substance use1 including for the treatment of a substance use disorder2 7v7 if applicable1 how the ,state plans to utilize funding authorized under part ,e of title ,,iv of the ,social ,security ,act 7#db ,u4,s4,c4 #fgj et seq47 to assist in carrying out any plan of safe care1 including such funding authorized under section #dga7;e7 of such ,act 7as in effect on ,october #a1 #bjah7 for mental health and substance abuse prevention and treatment services and in-home parent skill-based programs and funding authorized under such section #dgb7;j7 7as in effect on ,october #a1 #bjah7 for children with a parent in a licensed residential family-based treatment facility for substance abuse2 and 7vi7 an assessment of the treatment and other services and programs available in the ,state to effectively carry out any plan of safe care developed1 including identification of needed treatment1 and other services and programs to ensure the well-being of young children and their families affected by substance use disorder1 such as programs carried out under part ,c of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adca et seq47 and comprehensive early childhood development services and programs such as ,head ,start programs2 7,b7 a description of how the ,state plans to use funds for activities described in paragraph 7#d7 for the purposes of ensuring ,state compliance with requirements under clauses 7ii7 and 7iii7 of section #ajf7;b77#b77;,b72 and 7,c7 an assurance that the ,state will comply with requirements to refer a child identified as substance-exposed to early intervention services as required pursuant to a grant under part ,c of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adca et seq474 7#d7 ,uses of funds ,funds awarded to a ,state under this subsection may be used for the following activities1 which may be carried out by the ,state directly1 or through grants or subgrants1 contracts1 or cooperative agreements3 7,a7 ,improving ,state and local systems with respect to the development and implementation of plans of safe care1 which-- 7i7 shall include parent and caregiver engagement1 as required under section #ajf7;b77#b77;,b77iii77,i71 regarding available treatment and service options1 which may include resources available for pregnant1 perinatal1 and postnatal women2 and 7ii7 may include activities such as-- 7,i7 developing policies1 procedures1 or protocols for the administration or development of evidence-based and validated screening tools for infants who may be affected by substance use withdrawal symptoms or a fetal alcohol spectrum disorder and pregnant1 perinatal1 and postnatal women whose infants may be affected by substance use withdrawal symptoms or a fetal alcohol spectrum disorder2 7,,ii7 improving assessments used to determine the needs of the infant and family2 7,,iii7 improving ongoing case management services2 7,,iv7 improving access to treatment services1 which may be prior to the pregnant woman's delivery date2 and 7,v7 keeping families safely together when it is in the best interest of the child4 7,b7 ,developing policies1 procedures1 or protocols in consultation and coordination with health professionals1 public and private health facilities1 and substance use disorder treatment agencies to ensure that-- 7i7 appropriate notification to child protective services is made in a timely manner1 as required under section #ajf7;b77#b77;,b77ii72 7ii7 a plan of safe care is in place1 in accordance with section #ajf7;b77#b77;,b77iii71 before the infant is discharged from the birth or health care facility2 and 7iii7 such health and related agency professionals are trained on how to follow such protocols and are aware of the supports that may be provided under a plan of safe care4 7,c7 ,training health professionals and health system leaders1 child welfare workers1 substance use disorder treatment agencies1 and other related professionals such as home visiting agency staff and law enforcement in relevant topics including-- 7i7 ,state mandatory reporting laws established under section #ajf7;b77#b77;,b77i7 and the referral and process requirements for notification to child protective services when child abuse or neglect reporting is not mandated2 7ii7 the co-occurrence of pregnancy and substance use disorder1 and implications of prenatal exposure2 7iii7 the clinical guidance about treating substance use disorder in pregnant and postpartum women2 7iv7 appropriate screening and interventions for infants affected by substance use disorder1 withdrawal symptoms1 or a fetal alcohol spectrum disorder and the requirements under section #ajf7;b77#b77;,b77iii72 and 7v7 appropriate multigenerational strategies to address the mental health needs of the parent and child together4 7,d7 ,establishing partnerships1 agreements1 or memoranda of understanding between the lead agency and other entities 7including health professionals1 health facilities1 child welfare professionals1 juvenile and family court judges1 substance use and mental disorder treatment programs1 early childhood education programs1 maternal and child health and early intervention professionals 7including home visiting providers71 peer-to-peer recovery programs such as parent mentoring programs1 and housing agencies7 to facilitate the implementation of1 and compliance with1 section #ajf7;b77#b7 and subparagraph 7,b7 of this paragraph1 in areas which may include-- 7i7 developing a comprehensive1 multi-disciplinary assessment and intervention process for infants1 pregnant women1 and their families who are affected by substance use disorder1 withdrawal symptoms1 or a fetal alcohol spectrum disorder1 that includes meaningful engagement with and takes into account the unique needs of each family and addresses differences between medically supervised substance use1 including for the treatment of substance use disorder1 and substance use disorder2 7ii7 ensuring that treatment approaches for serving infants1 pregnant women1 and perinatal and postnatal women whose infants may be affected by substance use1 withdrawal symptoms1 or a fetal alcohol spectrum disorder1 are designed to1 where appropriate1 keep infants with their mothers during both inpatient and outpatient treatment2 and 7iii7 increasing access to all evidence-based medication-assisted treatment approved by the ,food and ,drug ,administration1 behavioral therapy1 and counseling services for the treatment of substance use disorders1 as appropriate4 7,e7 ,developing and updating systems of technology for improved data collection and monitoring under section #ajf7;b77#b77;,b77iii71 including existing electronic medical records1 to measure the outcomes achieved through the plans of safe care1 including monitoring systems to meet the requirements of this ,act and submission of performance measures4 7#e7 ,reporting ,each ,state that receives funds under this subsection1 for each year such funds are received1 shall submit a report to the ,secretary1 disaggregated by geographic location1 economic status1 and major racial and ethnic groups1 except that such disaggregation shall not be required if the results would reveal personally identifiable information on1 with respect to infants identified under section #ajf7;b77#b77;,b77ii7-- 7,a7 the number who experienced removal associated with parental substance use2 7,b7 the number who experienced removal and subsequently are reunified with parents1 and the length of time between such removal and reunification2 7,c7 the number who are referred to community providers without a child protection case2 7,d7 the number who receive services while in the care of their birth parents2 7,e7 the number who receive post-reunification services within #a year after a reunification has occurred2 and 7,f7 the number who experienced a return to out-of-home care within #a year after reunification4 7#f7 ,secretary's report to ,congress ,the ,secretary shall submit an annual report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,committee on ,appropriations of the ,senate and the ,committee on ,education and ,labor and the ,committee on ,appropriations of the ,house of ,representatives that includes the information described in paragraph 7#e7 and recommendations or observations on the challenges1 successes1 and lessons derived from implementation of the grant program4 7#g7 ,assisting ,states' implementation ,the ,secretary shall use the amount reserved under paragraph 7#b77;,a77i7 to provide written guidance and technical assistance to support ,states in complying with and implementing this paragraph1 which shall include-- 7,a7 technical assistance1 including programs of in-depth technical assistance1 to additional ,states1 territories1 and ,indian ,tribes and ,tribal organizations in accordance with the substance-exposed infant initiative developed by the ,national ,center on ,substance ,abuse and ,child ,welfare2 7,b7 guidance on the requirements of this ,act with respect to infants born with1 and identified as being affected by1 substance use or withdrawal symptoms or fetal alcohol spectrum disorder1 as described in clauses 7ii7 and 7iii7 of section #ajf7;b77#b77;,b71 including by-- 7i7 enhancing ,states' understanding of requirements and flexibilities under the law1 including by clarifying key terms2 7ii7 addressing ,state-identified challenges with developing1 implementing1 and monitoring plans of safe care1 including those reported under paragraph 7#c77;,a77ii72 7iii7 disseminating best practices on implementation of plans of safe care1 on such topics as differential response1 collaboration and coordination1 and identification and delivery of services for different populations1 while recognizing needs of different populations and varying community approaches across ,states2 and 7iv7 helping ,states improve the long-term safety and well-being of young children and their families2 7,c7 supporting ,state efforts to develop information technology systems to manage plans of safe care2 and 7,d7 preparing the ,secretary's report to ,congress described in paragraph 7#f74 7#h7 ,sunset ,the authority under this subsection shall sunset on ,september #cj1 #bjbc4 7e7 ,evaluation ,in making grants or entering into contracts for projects under this section1 the ,secretary shall require all such projects to report on the outcomes of such activities4 ,funding for such evaluations shall be provided either as a stated percentage of a demonstration grant or as a separate grant or contract entered into by the ,secretary for the purpose of evaluating a particular demonstration project or group of projects4 ,in the case of an evaluation performed by the recipient of a grant1 the ,secretary shall make available technical assistance for the evaluation1 where needed1 including the use of a rigorous application of scientific evaluation techniques4 4 #aje4 ,grants to ,states for child abuse or neglect prevention and treatment programs ,section #ajf of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf;a7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a7-- 7i7 by striking subsection 7f7 and inserting subsection 7g72 and 7ii7 by striking ,state in-- and inserting ,state with respect to one or more of the following activities32 7,b7 by amending paragraph 7#a7 to read as follows3 7#a7 ,maintaining and improving the intake1 assessment1 screening1 and investigation of reports of child abuse or neglect1 including support for rapid response to investigations1 with special attention to cases involving children under the age of #e1 and especially children under the age of #a4 2 7,c7 in paragraph 7#b7-- 7i7 in subparagraph 7,a7-- 7,i7 by striking creating and and inserting ,creating and2 and 7,,ii7 by inserting 1 which may include such teams used by children's advocacy centers1 after multidisciplinary teams2 and 7ii7 in subparagraph 7,b77ii71 by striking the semicolon and inserting a period2 7,d7 by amending paragraph 7#c7 to read as follows3 7#c7 ,implementing and improving case management approaches1 including ongoing case monitoring1 and delivery of services and treatment provided to children and their families to ensure safety and respond to family needs1 that include-- 7,a7 multidisciplinary approaches to assessing family needs and connecting them with services2 7,b7 organizing treatment teams of community service providers that prevent and treat child abuse and neglect1 and improve child well-being2 7,c7 case-monitoring that can ensure progress in child well-being2 and 7,d7 the use of differential response4 2 7,e7 by striking paragraphs 7#d71 7#e71 and 7#f7 and inserting the following3 7#d7 7,a7 ,developing or enhancing data systems to improve case management coordination and communication between relevant agencies2 7,b7 enhancing the general child protective system by developing1 improving1 and implementing risk and safety assessment tools and protocols1 such as tools and protocols that allow for the identification of cases requiring rapid responses1 systems of data sharing with law enforcement1 including the use of differential response1 and activities to reduce and prevent bias2 7,c7 developing and updating systems of technology that support the program and track reports of child abuse and neglect from intake through final disposition and allow for interstate and intrastate information exchange2 and 7,d7 real-time case monitoring for caseworkers at the local agency level1 and ,state agency level to track assessments1 service referrals1 follow-up1 case reviews1 and progress toward case plan goals4 7#e7 ,developing1 strengthening1 and facilitating training for professionals and volunteers engaged in the prevention1 intervention1 and treatment of child abuse and neglect including training on at least one of the following-- 7,a7 the legal duties of such individuals2 7,b7 personal safety training for case workers2 7,c7 early childhood1 child1 and adolescent development and the impact of child abuse and neglect1 including long-term impacts of adverse childhood experiences2 7,d7 improving coordination among child protective service agencies and health care agencies1 entities providing health care 7including mental health and substance use disorder services71 and community resources1 for purposes of conducting evaluations related to substantiated cases of child abuse or neglect2 7,e7 improving screening1 forensic diagnosis1 and health and developmental evaluations2 7,f7 addressing the unique needs of children with disabilities1 including promoting interagency collaboration2 7,g7 the placement of children with kin1 and the unique needs and strategies as related to children in such placements2 7,h7 responsive1 family-oriented approaches to prevention1 identification1 intervention1 and treatment of child abuse and neglect2 7,i7 ensuring child safety2 7,j7 the links between child abuse and neglect and domestic violence1 and approaches to working with families with mental health needs or substance use disorder2 and 7,k7 coordinating with other services and agencies1 as applicable1 to address family and child needs1 including trauma4 2 7,f7 by redesignating paragraphs 7#g7 and 7#h7 as paragraphs 7#f7 and 7#g71 respectively2 7,g7 in paragraph 7#f71 as so redesignated-- 7i7 by striking improving and inserting ,improving2 7ii7 by striking the skills1 qualifications1 and availability of individuals providing services to children and families1 and the supervisors of such individuals1 through the child protection system1 including improvements in2 and 7iii7 by striking the semicolong and inserting 1 which may include efforts to address the effects of indirect trauma exposure for child welfare workers42 7,h7 in paragraph 7#g71 as so redesignated-- 7i7 by striking developing1 and inserting ,developing12 and 7ii7 by striking the semicolon and inserting 1 which may include improving public awareness and understanding relating to the role and responsibilities of the child protection system and the nature and basis for reporting suspected incidents of child abuse and neglect42 and 7,i7 by striking paragraphs 7#i7 through 7#ad7 and inserting the following3 7#h7 ,collaborating with other agencies in the community1 county1 or ,state and coordinating services to promote a system of care focused on both prevention and treatment1 such as by-- 7,a7 developing and enhancing the capacity of community-based programs to integrate shared leadership strategies between parents and professionals to prevent and treat child abuse and neglect at the community level2 or 7,b7 supporting and enhancing interagency collaboration between the child protection system1 public health agencies1 education systems1 domestic violence systems1 and the juvenile justice system for improved delivery of services and treatment1 such as models of co-locating service providers1 which may include-- 7i7 methods for continuity of treatment plan and services as children transition between systems2 7ii7 addressing the health needs1 including mental health needs1 of children identified as victims of child abuse or neglect1 including supporting prompt1 comprehensive health and developmental evaluations for children who are the subject of substantiated child maltreatment reports2 or 7iii7 the provision of services that assist children exposed to domestic violence1 and that also support the caregiving role of their nonabusing parents4 2 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,a71 by striking areas of the child protective services system and inserting ways in which the amounts received under the grant will be used to improve and strengthen the child protective services system through the activities2 and 7ii7 by amending subparagraphs 7,b7 and 7,c7 to read as follows3 7,b7 ,duration of plan ,each ,state plan shall-- 7i7 be submitted not less frequently than every #e years1 in coordination with the ,state plan submitted under part ,b of title ,,iv of the ,social ,security ,act2 and 7ii7 be periodically reviewed and revised by the ,state1 as necessary to reflect any substantive changes to ,state law or regulations related to the prevention of child abuse and neglect that may affect the eligibility of the ,state under this section1 or if there are significant changes from the ,state application in the ,state's funding of strategies and programs supported under this section4 7,c7 ,public comment ,each ,state shall consult widely with public and private organizations in developing the plan1 make the plan public by electronic means in an easily accessible format1 and provide all interested members of the public at least #cj days to submit comments on the plan4 2 7,b7 in paragraph 7#b7-- 7i7 in the matter preceding subparagraph 7,a7-- 7,i7 by inserting be developed1 as appropriate1 in collaboration with local programs funded under title ,,ii and with families affected by child abuse and neglect1 and after shall2 and 7,,ii7 by striking achieve the objectives of this title and inserting strengthen families and reduce incidents of and prevent child abuse and neglect2 7ii7 in subparagraph 7,a71 by inserting and takes into account prevention services across ,state agencies in order to improve coordination of efforts to prevent and reduce child abuse and neglect before the semicolon2 7iii7 in subparagraph 7,b7-- 7,i7 by amending clause 7i7 to read as follows3 7i7 provisions or procedures for individuals to report known and suspected instances of child abuse and neglect directly to a ,state child protection agency or to a law enforcement agency1 as applicable under ,state law1 including a ,state law for mandatory reporting by individuals required to report such instances1 including1 as defined by the ,state-- 7,i7 health professionals2 7,,ii7 school and child care personnel2 7,,iii7 law enforcement officials2 and 7,,iv7 other individuals1 as the applicable ,state law or statewide program may require2 2 7,,ii7 by moving the margins of subclauses 7,i7 and 7,,ii7 of clause 7iii7 #b ems to the right2 7,,iii7 in clause 7vi71 by inserting 1 which may include placements with caregivers who are kin before the semicolon2 7,,iv7 by striking clauses 7x7 and 7xx72 7,v7 by redesignating clauses 7xi7 through 7xix7 as clauses 7x7 through 7xviii71 respectively2 and 7,,vi7 by redesignating clauses 7xxi7 through 7xxv7 as clauses 7xix7 through 7xxiii71 respectively2 7iv7 in subparagraph 7,d7-- 7,i7 in clause 7i71 by inserting 1 and how such services will be strategically coordinated with relevant agencies to provide a continuum of prevention services and be after referrals2 7,,ii7 in clause 7ii71 by inserting and retention activities after training2 7,,iii7 in clause 7iii71 by inserting 1 including for purposes of making such individuals aware of these requirements before the semicolon2 7,,iv7 in clause 7v7-- 7aa7 by inserting the ,state's efforts to improve before policies2 7bb7 by striking substance abuse treatment agencies1 and other agencies and inserting substance abuse treatment agencies1 other agencies1 and kinship navigators2 and 7cc7 by striking 2 and and inserting a semicolon2 7,v7 in clause 7vi71 by striking the semicolon and inserting 1 to improve outcomes for children and families2 and2 and 7,,vi7 by adding at the end the following3 7vii7 the ,state's policies and procedures regarding public disclosure of the findings or information about the case of child abuse or neglect that has resulted in a child fatality or near fatality1 which shall provide for exceptions to the release of such findings or information in order to ensure the safety and well-being of the child1 or when the release of such information would jeopardize a criminal investigation2 2 and 7v7 by striking the flush text that follows subparagraph 7,g72 and 7,c7 in paragraph 7#c7-- 7i7 in the heading1 by striking ,limitation and inserting ,limitations2 7ii7 by striking ,with regard to clauses 7vi7 and 7vii7 of paragraph 7#b77;,b7 and inserting the following3 7,b7 ,certain identifying information ,with regard to clauses 7vi7 and 7vii7 of paragraph 7#b77;,b7 2 7iii7 by inserting before subparagraph 7,b71 as added by clause 7ii71 the following3 7,a7 ,in general ,nothing in paragraph 7#b77;,b7 shall be construed to limit a ,state's authority to determine ,state policies relating to public access to court proceedings to determine child abuse and neglect1 except that such policies shall1 at a minimum1 ensure the safety and well-being of the child1 parents1 and families4 2 and 7iv7 by adding at the end the following3 7,c7 ,mandated reporters in certain ,states ,with respect to a ,state in which ,state law requires all of the individuals to report known or suspected instances of child abuse and neglect directly to a ,state child protection agency or to a law enforcement agency1 the requirement under paragraph 7#b77;,b77i7 shall not be construed to require the ,state to define the classes of individuals described in subclauses 7,i7 through 7,,iv7 of such paragraph4 2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,a7-- 7,i7 by striking ,except as provided in subparagraph 7,b71 each and inserting ,each2 and 7,,ii7 by striking not less than #c citizen review panels and inserting at least #a citizen review panel2 and 7ii7 by amending subparagraph 7,b7 to read as follows3 7,b7 ,exception ,a ,state may designate a panel for purposes of this subsection1 comprised of one or more existing entities established under ,state or ,federal law1 such as child fatality panels1 or foster care review panels1 or ,state task forces established under section #ajg1 if such entities have the capacity to satisfy the requirements of paragraph 7#c7 and the ,state ensures that such entities will satisfy such requirements4 2 7,b7 by striking paragraph 7#c72 7,c7 by redesignating paragraphs 7#d7 through 7#f7 as paragraphs 7#c7 through 7#e71 respectively2 7,d7 in paragraph 7#d71 as so redesignated-- 7i7 by redesignating subparagraphs 7,a7 and 7,b7 as subparagraphs 7,b7 and 7,c71 respectively2 7ii7 in subparagraph 7,b71 as so redesignated1 by striking paragraph 7#d7 and inserting paragraph 7#c72 and 7iii7 by inserting before subparagraph 7,b71 as so redesignated1 the following3 7,a7 shall develop a memorandum of understanding with each panel1 clearly outlining the panel's roles and responsibilities1 and identifying any support from the ,state2 2 and 7,e7 in paragraph 7#e71 as so redesignated-- 7i7 by inserting which may be carried out collectively by a combination of such panels1 before on an annual basis2 7ii7 by striking whether or2 and 7iii7 by inserting 1 which may include providing examples of efforts to implement citizen review panel recommendations before the period of the second sentence2 7#d7 in subsection 7d7-- 7,a7 in paragraph 7#a71 by inserting 1 disaggregated1 where available1 by demographic characteristics such as age1 sex1 race and ethnicity1 disability1 caregiver risk factors1 caregiver relationship1 living arrangement1 and relation of victim to their perpetrator before the period2 7,b7 in paragraph 7#e71 by striking neglect4 and inserting 8neglect1 including-- 7,a7 the number of child deaths due to child abuse and neglect from separate reporting sources within the ,state1 including information from the ,state child welfare agency and the ,state child death review program that-- 7i7 is compiled by the ,state welfare agency for submission2 and 7ii7 considers ,state data1 including vital statistics death records1 ,state and local medical examiner and coroner office records1 and uniform crime reports from local law enforcement2 and 7,b7 information about the circumstances under which a child death occurred due to abuse and neglect1 including the cause of the death1 whether the child was referred to the ,state child welfare agency1 the determination made by the child welfare agency1 and the perpetrator's previous maltreatment of children and the sources used to provide such information4 2 7,c7 in paragraph 7#ac7-- 7i7 by inserting and recommendations after the activities2 and 7ii7 by striking subsection 7c77#f7 and inserting subsection 7c77#e72 7,d7 in paragraph 7#af71 by striking subsection 7b77#b77;,b77xxi7 and inserting subsection 7b77#b77;,b77xix72 and 7,e7 in paragraph 7#ag71 by striking subsection 7b77#b77;,b77xxiv7 and inserting subsection 7b77#b77;,b77xxii72 7#e7 by redesignating subsections 7e7 and 7f7 as subsections 7f7 and 7g71 respectively2 7#f7 by inserting after subsection 7d7 the following3 7e7 ,assisting ,states in implementation ,the ,secretary shall provide technical assistance to support ,states in reporting the information required under subsection 7d77#e74 2 7#g7 in subsection 7f71 as so redesignated1 by striking the ,congress and inserting the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,education and ,labor of the ,house of ,representatives2 and 7#h7 by adding at the end the following3 7h7 ,annual report ,a ,state that receives funds under subsection 7a7 shall annually prepare and submit to the ,secretary a report describing the manner in which funds provided under this ,act1 alone or in combination with other ,federal funds1 were used to address the purposes and achieve the objectives of section #ajf1 including-- 7#a7 a description of how the ,state used such funds to improve the child protective system related to-- 7,a7 effective collaborative and coordination strategies among child protective services and social services1 legal1 health care 7including mental health and substance use disorder services71 domestic violence services1 education agencies1 and community-based organizations that contribute to improvements of the overall well-being of children and families2 and 7,b7 capacity-building efforts to support identification and improvement of responses to1 child maltreatment2 and 7#b7 how the ,state collaborated with community-based prevention organizations to reduce barriers to1 and improve the effectiveness of1 programs related to child abuse and neglect4 4 #ajf4 ,grants to ,states for programs relating to the investigation and prosecution of child abuse and neglect cases ,section #ajg of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf;c7 is amended-- 7#a7 in subsection 7a7-- 7,a7 by striking the assessment and investigation each place it appears and inserting the assessment1 investigation1 and prosecution2 7,b7 in paragraph 7#a7-- 7i7 by striking and exploitation1 and inserting 1 exploitation1 and child sex-trafficking12 and 7ii7 by inserting 1 including through a child abuse investigative multidisciplinary review team before the semicolon2 7,c7 in paragraph 7#b71 by adding and after the semicolon2 7,d7 by striking paragraph 7#c72 7,e7 by redesignating paragraph 7#d7 as paragraph 7#c72 and 7,f7 in paragraph 7#c71 as so redesignated1 by inserting 1 or other vulnerable populations1 after health-related problems2 7#b7 in subsection 7c77#a7-- 7,a7 in subparagraph 7,i71 by striking and at the end2 7,b7 in subparagraph 7,j71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following3 7,k7 individuals experienced in working with underserved or overrepresented groups in the child welfare system4 2 and 7#c7 in subsection 7d77#a71 by striking and exploitation and inserting 1 exploitation1 and child sex-trafficking2 and 7#d7 in subsection 7e77#a7-- 7,a7 in subparagraph 7,a71 by striking and exploitation and inserting 1 exploitation1 and child sex-trafficking2 7,b7 in subparagraph 7,b71 by striking 2 and at the end and inserting a semicolon2 7,c7 in subparagraph 7,c7-- 7i7 by striking and exploitation and inserting 1 exploitation1 and child sex-trafficking2 and 7ii7 by striking the period and inserting 2 and2 and 7,d7 by adding at the end the following3 7,d7 improving coordination among agencies regarding reports of child abuse and neglect to ensure both law enforcement and child protective services agencies have ready access to full information regarding past reports1 which may be done in coordination with other ,states or geographic regions4 4 #ajg4 ,miscellaneous requirements relating to assistance ,section #ajh of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf;d7 is amended by striking subsection 7e74 #ajh4 ,reports ,section #aaj of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf;f7 is amended-- 7#a7 in subsection 7a71 by striking ,,capta ,reauthorization ,act of #bjaj and inserting ,,capta ,reauthorization ,act of #bjai2 7#b7 in subsection 7b7-- 7,a7 in the heading1 by striking ,effectiveness of ,state programs and inserting ,activities2 and 7,b7 by striking evaluating the effectiveness of programs receiving assistance under section #ajf in achieving the and inserting on activities of technical assistance for programs that support ,state efforts to meet the needs and2 and 7#c7 by striking subsections 7c7 and 7d7 and inserting the following3 7c7 ,report on ,state mandatory reporting laws ,not later than #d years after the date of enactment of the ,,capta ,reauthorization ,act of #bjai1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,education and ,labor of the ,house of ,representatives a report that contains-- 7#a7 information on-- 7,a7 training supported by this ,act for mandatory reporters of child abuse or neglect2 and 7,b7 ,state efforts to improve reporting on1 and responding to reports of1 child abuse or neglect2 and 7#b7 data regarding any changes in the rate of substantiated child abuse reports and changes in the rate of child abuse fatalities since the date of enactment of the ,,capta ,reauthorization ,act of #bjai4 7d7 ,report relating to injuries indicating the presence of child abuse ,not later than #b years after the date of enactment of the ,,capta ,reauthorization ,act of #bjai1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,education and ,labor of the ,house of ,representatives a report that contains-- 7#a7 information on best practices developed by medical institutions and other multidisciplinary partners to identify and appropriately respond to injuries indicating the presence of potential physical abuse in children1 including-- 7,a7 the identification and assessment of such injuries by health care professionals and appropriate child protective services referral and notification processes2 and 7,b7 an identification of effective programs replicating best practices1 and barriers or challenges to implementing programs2 and 7#b7 data on any outcomes associated with the practices described in paragraph 7#a71 including subsequent revictimization and child fatalities4 7e7 ,report relating to child abuse and neglect in ,indian tribal communities ,not later than #b years after the date of enactment of the ,,capta ,reauthorization ,act of #bjai1 the ,comptroller ,general of the ,united ,states1 in consultation with ,indian ,tribes from each of the #ab ,bureau of ,indian ,affairs ,regions1 shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,education and ,labor of the ,house of ,representatives that contains-- 7#a7 information about ,indian ,tribes and ,tribal ,organizations providing child abuse and neglect prevention activities1 including types of programming and number of tribes providing services2 7#b7 promising practices used by tribes for child abuse and neglect prevention2 7#c7 information about the child abuse and neglect prevention activities ,indian ,tribes are providing with ,tribal1 ,state1 and ,federal funds2 7#d7 ways to support prevention efforts regarding child abuse and neglect of ,american ,indian and ,alaska ,native children1 such as through the children's trust fund model2 7#e7 an assessment of ,federal agency collaboration and technical assistance efforts to address child abuse and neglect prevention and treatment of ,american ,indian and ,alaska ,native children2 7#f7 an examination of access to child abuse and neglect prevention research and demonstration grants by ,indian tribes under this ,act2 and 7#g7 an examination of ,federal child abuse and neglect data systems to identify what ,tribal data is being submitted to the ,department of ,health and ,human ,services1 any barriers to the submission of such data1 and recommendations on improving the submission of such data4 4 #aji4 ,authorization of appropriations ,section #aab7;a77#a7 of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eajf;h7a77#a77 is amended to read as follows3 7#a7 ,general authorization ,there are authorized to be appropriated to carry out this title such sums as may be necessary for each of fiscal years #bjba through #bjbf4 4 ,,ii ,community-based grants for the prevention of child abuse and neglect #bja4 ,purpose and authority ,section #bja of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a7-- 7i7 by inserting ,state and after to support2 and 7ii7 by inserting statewide and local networks of after coordinate2 and 7,b7 in paragraph 7#b71 by striking foster an understanding1 appreciation1 and knowledge of diverse populations and inserting support local programs in increasing access for diverse populations to programs and activities2 and 7#b7 in subsection 7b7-- 7,a7 by striking paragraph 7#b72 7,b7 by redesignating paragraphs 7#c7 through 7#e7 as paragraphs 7#d7 through 7#f71 respectively2 7,c7 in paragraph 7#a7-- 7i7 in subparagraph 7,c71 by inserting healthy relationships and before parenting skills2 7ii7 in subparagraph 7,e71 by striking including access to such resources and opportunities for unaccompanied homeless youth2 and inserting such as providing referrals to early health and developmental services1 including access to such resources and opportunities for homeless families and those at risk of homelessness2 and2 7iii7 by striking subparagraph 7,h72 7iv7 by redesignating subparagraph 7,g7 as paragraph 7#c7 and adjusting the margin accordingly2 and 7v7 in the matter preceding subparagraph 7,a7-- 7,i7 by inserting statewide and local networks of after enhancing2 and 7,,ii7 by striking that-- and inserting the following3 8in order to provide a continuum of services to children and families2 7#b7 supporting local programs1 which may include capacity building activities such as technical assistance1 training1 and professional development to provide community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect that help families build protective factors linked to the prevention of child abuse and neglect that-- 2 7,d7 in paragraph 7#c71 as so redesignated1 by striking demonstrate a commitment to involving parents in the planning and program implementation of the lead agency and entities carrying out and inserting supporting the meaningful involvement of parents in the planning1 program implementation1 and evaluation of the lead entity and2 7,e7 in paragraph 7#d71 as so redesignated1 by striking specific community-based and all that follows through section #bje7;a77#c7 and inserting core child abuse and neglect prevention services described in section #bje7;a77#c7 and the services identified by the inventory required under section #bjd7c72 7,f7 in paragraph 7#e71 as so redesignated-- 7i7 by striking funds for the and inserting ,federal1 ,state1 local1 and private funds1 to carry out the purposes of this title1 which may include2 and 7ii7 by striking reporting and evaluation costs for establishing1 operating1 or expanding and inserting such as data systems to facilitate statewide monitoring1 reporting1 and evaluation costs for2 and 7,g7 in paragraph 7#f71 as so redesignated-- 7i7 by inserting 1 which may include activities to increase public awareness and education1 and developing comprehensive outreach strategies to engage diverse1 underserved1 and at-risk populations1 after information activities2 and 7ii7 by striking and the promotion of child abuse and neglect prevention activities4 #bjb4 ,eligibility ,section #bjb of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;a7 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,a7-- 7i7 by inserting 1 taking into consideration the capacity and expertise of eligible entities1 after ,governor of the ,state2 and 7ii7 by inserting statewide and local networks of before community-based2 7,b7 in subparagraph 7,b7-- 7i7 by striking who are consumers and inserting who are or who have been consumers2 7ii7 by striking applicant agency and inserting lead entity2 and 7iii7 by adding and after the semicolon2 7,c7 in subparagraph 7,c7-- 7i7 by inserting local1 after ,state12 and 7ii7 by striking 2 and and inserting a semicolon2 and 7,d7 by striking subparagraph 7,d72 7#b7 in paragraph 7#b7-- 7,a7 in subparagraph 7,a71 by striking composed of and all that follows through children with disabilities and inserting carried out by local1 collaborative1 and public-private partnerships2 and 7,b7 in subparagraph 7,c71 by inserting local1 after ,state12 and 7#c7 in paragraph 7#c7-- 7,a7 in subparagraph 7,a71 by striking parental participation in the development1 operation1 and oversight of the and inserting the meaningful involvement of parents in the development1 operation1 evaluation1 and oversight of the ,state and local efforts to support2 7,b7 in subparagraph 7,b7-- 7i7 by inserting relevant before ,state and community-based2 and 7ii7 by striking the community-based and inserting community-based2 7,c7 in subparagraph 7,c7-- 7i7 by striking community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect and inserting local programs2 and 7ii7 by striking 2 and and inserting a semicolon2 7,d7 in subparagraph 7,d7-- 7i7 by striking 1 parents with disabilities1 and inserting or parents with disabilities1 and members of underserved or overrepresented groups in the child welfare system12 and 7ii7 by striking the period and inserting 2 and2 and 7,e7 by adding at the end the following3 7,e7 will take into consideration barriers to access to community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect1 including for populations described in section #bjd7g77;,a77iii7 and gaps in unmet need identified in the inventory described in section #bjd7c7 when distributing funds to local programs for use in accordance with section #bje7;a74 4 #bjc4 ,amount of grant ,section #bjc of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;b7 is amended-- 7#a7 in subsection 7a71 by adding at the end the following3 ,in any fiscal year for which the amount appropriated under section #bji exceeds the amount appropriated under such section for fiscal year #bjai by more than #b1jjj1jjj1 the ,secretary may increase the reservation described in this subsection to up to #e percent of the amount appropriated under section #baj for the fiscal year for the purpose described in the preceding sentence42 and 7#b7 in subsection 7b77#a77;,a71 by striking #age1jjj and inserting #bjj1jjj4 #bjd4 ,application ,section #bjd of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;d7 is amended-- 7#a7 in the matter preceding paragraph 7#a71 by striking the ,state and inserting the lead entity2 7#b7 in paragraph 7#a71 by striking which meets the requirements of section #bjb2 7#c7 in paragraph 7#b71 by striking community-based child abuse and neglect prevention programs and inserting such services2 7#d7 in paragraph 7#c71 by inserting designed to strengthen and support families after programs and activities2 7#e7 in paragraph 7#e71 by striking start up and inserting start-up2 7#f7 by amending paragraph 7#f7 to read as follows3 7#f7 a description of the lead entity's capacity to ensure the meaningful involvement of family advocates1 kinship caregivers1 adult former victims of child abuse or neglect1 and parents who are1 or who have been1 consumers of preventive supports1 in the planning1 implementation1 and evaluation of the programs and policy decisions2 2 7#g7 by amending paragraph 7#g7 to read as follows3 7#g7 a description of the criteria that the lead entity will use to-- 7,a7 select and fund local programs1 and how the lead entity will take into consideration the local program's ability to-- 7i7 collaborate across a broad range of services and initiatives and engage in long-term and strategic planning for1 community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect2 7ii7 meaningfully involve parents in the development1 implementation1 oversight1 and evaluation of services2 and 7iii7 reduce barriers to access to community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect1 including for diverse1 underserved1 and at-risk populations2 or 7,b7 develop or provide community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect1 and provide a description of how such activities are evidence-based or evidence-informed2 2 7#h7 in paragraph 7#h7-- 7,a7 by striking entity and the community-based and prevention-focused programs designed to strengthen and support families to prevent child abuse and neglect and inserting lead entity and local programs2 7,b7 by striking homeless families and those at risk of homelessness1 unaccompanied homeless youth and inserting victims of domestic violence1 homeless families and those at risk of homelessness1 families experiencing trauma2 and 7,c7 by inserting 1 including underserved or overrepresented groups in the child welfare system before the semicolon2 7#i7 in paragraph 7#i71 by striking community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect and inserting local programs2 7#aj7 in paragraph 7#aj71 by striking applicant entity's activities and those of the network and its members 7where appropriate7 will be evaluated and inserting lead entity's activities and local programs will be evaluated1 including in accordance with section #bjf2 7#aa7 in paragraph 7#aa7-- 7,a7 by striking applicant entity and inserting lead entity2 and 7,b7 by inserting 1 including how the lead entity will promote and consider improving access among diverse1 underserved1 and at-risk populations before the semicolon2 and 7#ab7 in paragraph 7#ab71 by striking applicant entity and inserting lead entity4 #bje4 ,local program requirements ,section #bje of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;e7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a7-- 7i7 by striking ,grants made and inserting ,grants or contracts made by the lead entity2 and 7ii7 by striking that-- and inserting 1 which may include--2 7,b7 by amending paragraph 7#a7 to read as follows3 7#a7 assessing community assets and needs through a planning process that-- 7,a7 involves other community-based organizations or agencies that have already performed a needs assessment2 7,b7 includes the meaningful involvement of parents2 and 7,c7 uses information and expertise from local public agencies1 local nonprofit organizations1 and private sector representatives in meaningful roles2 2 7,c7 in paragraph 7#b71 by striking develop and inserting developing2 7,d7 in paragraph 7#c7-- 7i7 in subparagraph 7,a7-- 7,i7 in the matter preceding clause 7i71 by striking provide for and inserting providing2 and 7,,ii7 in clause 7i71 by striking mutual support and and inserting which may include programs and services that improve knowledge of healthy child development1 parental resilience1 mutual support1 and2 and 7ii7 in subparagraph 7,b7-- 7,i7 in the matter preceding clause 7i71 by striking provide access to optional services and inserting connecting individuals and families to additional services2 7,,ii7 in clause 7ii71 by striking and intervention and inserting 1 such as ,head ,start1 including early ,head ,start1 and early intervention2 7,,iii7 by redesignating clauses 7iii7 through 7ix7 as clauses 7iv7 through 7x71 respectively2 7,,iv7 by inserting after clause 7ii7 the following3 7iii7 nutrition programs1 which may include the special supplemental nutrition program for women1 infants1 and children established by section #ag of the ,child ,nutrition ,act of #aiff 7#db ,u4,s4,c4 #aghf7 and the supplemental nutrition assistance program under the ,food and ,nutrition ,act of #bjjh 7#g ,u4,s4,c4 #bjaa et seq472 2 7,v7 in clause 7vi71 as so redesignated1 by striking services1 such as academic tutoring1 literacy training1 and ,general ,educational ,degree services and inserting and workforce development programs1 including adult education and literacy training and academic tutoring2 and 7,,vi7 in clause 7x71 as so redesignated1 by striking service programs that provide services and treatment to children and their non-abusing caregivers and inserting services2 7,e7 in paragraph 7#d7-- 7i7 by striking develop leadership roles for the and inserting developing and maintaining2 7ii7 by inserting 1 and1 as applicable1 kinship caregivers1 after parents2 and 7iii7 by striking the programs and inserting programs2 7,f7 in paragraph 7#e71 by striking provide and inserting providing2 and 7,g7 in paragraph 7#f71 by striking participate and inserting participating2 and 7#b7 in subsection 7b71 by striking programs44 and inserting programs44 #bjf4 ,performance measures ,section #bjf of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;f7 is amended-- 7#a7 in paragraph 7#b71 by striking optional services as described in section #bjb and inserting additional services as described in section #bje7;a77#c77;,b72 7#b7 in paragraph 7#c71 by striking section #bje7c7 and inserting section #bjd2 7#c7 in paragraph 7#e71 by striking used the services of and inserting participated in2 7#d7 in paragraph 7#f71 by striking community level and inserting local level2 7#e7 in paragraph 7#g71 by striking 2 and and inserting a semicolon2 7#f7 by redesignating paragraph 7#h7 as paragraph 7#i72 7#g7 by inserting after paragraph 7#g7 the following3 7#h7 shall describe the percentage of total funding provided to the ,state under section #bjc that supports evidence-based and evidence-informed community-based and prevention-focused programs and activities designed to strengthen and support families to prevent child abuse and neglect2 and 2 and 7#h7 in paragraph 7#i71 as so redesignated1 by striking continued leadership and inserting meaningful involvement4 #bjg4 ,definitions ,section #bjh7b7 of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;h7#b77 is amended-- 7#a7 in the paragraph heading1 by inserting designed to strengthen and support families after activities2 7#b7 by striking respite care programs and inserting respite care services2 7#c7 by inserting for parents and children after mutual support programs2 and 7#d7 by striking or respond to4 #bjh4 ,authorization of appropriations ,section #bji of the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaaf;i7 is amended to read as follows3 #bji4 ,authorization of appropriations ,there are authorized to be appropriated to carry out this title such sums as may be necessary for each of fiscal years #bjba through #bjbf4 4 ,,iii ,miscellaneous provisions #cja4 ,technical amendments ,the ,child ,abuse ,prevention and ,treatment ,act 7#db ,u4,s4,c4 #eaja et seq47 is amended-- 7#a7 in section #c1 by amending paragraph 7#e7 to read as follows3 7#e7 the terms ,indian1 ,indian ,tribe1 and ,tribal organization have the meanings given the terms ,indian1 ,indian tribe1 and tribal organization1 respectively1 in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #dej;b72 2 7#b7 by striking tribe each place such term appears 7other than section #c7e77 and inserting ,tribe2 and 7#c7 by striking tribal each place such term appears 7other than section #c7e77 and inserting ,tribal4