,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #biga  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #c1 #bjai,mr4 
,isakson 7= himself & ,mr4 ,jones7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d & reau?orize ! ,*ild
 ,abuse ,prev5tion & ,treatm5t ,act1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,,capta            
,reau?orization ,act ( #bjai4  #b4      
,f9d+s ,section #b ( ! ,*ild ,abuse     
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaja note7 is am5d$-- 7#a7 9 
p>agraph 7#a71 by /rik+ #bjjh1          
approximately #ggb1jjj & ins]t+ #bjag1  
approximately #fgd1jjj2  7#b7 9 p>agraph
 7#b7-- 7,a7 9 subp>agraph 7,a7--  7i7  
by /rik+ close to #a_/c & ins]t+ #ge    
p]c5t2 &  7ii7 by /rik+ #bjjh & ins]t+  
#bjag2 &  7,b7 by am5d+ subp>agraph 7,b7
 to read z foll[s3  7,b7 inve/igations h
 det]m9$ t approximately #ge p]c5t (    
*ildr5 :o 7 victims ( maltreatm5t 9     

fiscal ye> #bjag suff]$ neglect1 #ah    
p]c5t suff]$ physical abuse1 & #i p]c5t 
suff]$ sexual abuse2  2  7#c7 9 p>agraph
 7#c7-- 7,a7 9 subp>agraph 7,b71 by     
/rik+ #bjjh1 an e/imat$ #a1gdj & ins]t+ 
#bjag1 an e/imat$ #a1gbj2 &  7,b7 by    
am5d+ subp>agraph 7,c7 to read z foll[s3
  7,c7 9 fiscal ye> #bjag1 *ildr5 y\ng] 
?an #a ye> old compris$ #dj p]c5t ( *ild
 maltreatm5t fatalities & #gb p]c5t (   
*ild maltreatm5t fatalities 7 y\ng] ?an 
#c ye>s ( age2  2  7#d7 9 p>agraph      
7#d77;,b7-- 7,a7 by /rik+ #cg & ins]t+  
#dj2 &  7,b7 by /rik+ #bjjh & ins]t+    
#bjag2  7#e7 9 p>agraph 7#e71 by /rik+ 1
 ,am]ican ,indian *ildr51 ,alaska       
,native *ildr51 & *ildr5 ( multiple     
races & e?nicities & ins]t+ & ,am]ican  
,indian or ,alaska ,native *ildr52  7#f7
 9 p>agraph 7#f7-- 7,a7 9 subp>agraph   
7,a71 by ins]t+ to /r5g!n families be=e 
! semicolon2 &  7,b7 9 subp>agraph 7,c71
 by /rik+ neighborhood & ins]t+         
community2  7#g7 9 p>agraph 7#aa71 by   
ins]t+ trauma-in=m$1 aft] compreh5sive12

 &  7#h7 9 p>agraph 7#ae7-- 7,a7 9      
subp>agraph 7,d71 by /rik+ implem5t+    
community plans & ins]t+ support+       
community-bas$ programs to /r5g!n &     
support families 9 ord] to prev5t *ild  
abuse & neglect2 &  7,b7 by am5d+       
subp>agraph 7,e7 to read z foll[s3  7,e7
 improv+ pr(essional1 p>apr(essional1 & 
volunte] res\rces to /r5g!n ! *ild      
welf>e work=ce2 &  4  #c4 ,g5]al        
def9itions ,section #c ( ! ,*ild ,abuse 
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaja note7 is am5d$-- 7#a7 9 
p>agraph 7#g71 by /rik+ 2 & & ins]t+ a  
semicolon2  7#b7 9 p>agraph 7#h71 by    
/rik+ ! p]iod & ins]t+ 2 &2 &  7#c7 by  
add+ at ! end ! foll[+3  7#i7 ! t]m     
und]s]v$ or ov]repres5t$ gr\ps 9 ! *ild 
welf>e sy/em includes y\? t ent] ! *ild 
welf>e sy/em foll[+ family rejection1   
p>5tal ab&onm5t1 sexual abuse or sexual 
exploitation1 or unaccompani$           
homelessness4  4  ,i ,g5]al program     
#aja4 ,int]ag5cy "w gr\p on *ild abuse &
 neglect ,section #ajb ( ! ,*ild ,abuse 

,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eajb7 is am5d$ to read z     
foll[s3  #ajb4 ,int]ag5cy "w gr\p on    
*ild abuse & neglect  7a7 ,e/abli%m5t ,!
 ,secret>y may cont9ue ! "w gr\p kn[n z 
! ,int]ag5cy ,"w ,gr\p on ,*ild ,abuse &
 ,neglect 7ref]r$ to 9 ?is section z !  
,"w ,gr\p74  7b7 ,composition ,! ,"w    
,gr\p %all be compris$ ( repres5tatives 
f ,f$]al ag5cies ) responsibility = *ild
 abuse & neglect relat$ programs &      
activities4  7c7 ,duties ,! ,"w ,gr\p   
%all-- 7#a7 coord9ate ,f$]al ef=ts &    
activities ) respect to *ild abuse &    
neglect prev5tion & treatm5t2  7#b7 s]ve
 z a =um t conv5es relevant ,f$]al      
ag5cies to communicate & ex*ange ideas  
conc]n+ *ild abuse & neglect relat$     
programs & activities2 &  7#c7 fur!r    
coord9ate ,f$]al ef=ts & activities to  
maximize res\rces to address *ild abuse 
& neglect 9 areas ( critical ne$s = !   
field1 su* z improv+ rese>*1 focus+ on  
prev5tion1 & address+ ! l9ks betwe5 *ild
 abuse & neglect & dome/ic viol5ce4  4  

#ajb4 ,national cle>+h\se = in=mation   
relat+ to *ild abuse ,section #ajc ( !  
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eajd7 is am5d$-- 7#a7 9
 subsection 7b7--  7,a7 9 p>agraph 7#a71
 by /rik+ effective programs & ins]t+   
evid5ce-bas$ & evid5ce-in=m$ programs2  
7,b7 by r$esignat+ p>agraphs 7#d7 ?r\gh 
7#i7 z p>agraphs 7#e7 ?r\gh 7#aj71      
respectively2  7,c7 by ins]t+ aft]      
p>agraph 7#c7 ! foll[+3  7#d7 ma9ta9 &  
dissem9ate in=mation on be/ practices to
 support *ildr5 be+ c>$ = by k91 includ+
 su* *ildr5 ^: liv+ arrangem5ts ) k9    
occurr$ )\t ! involvem5t ( a *ild welf>e
 ag5cy2  2  7,d7 9 p>agraph 7#e71 z s   
r$esignat$1 by ins]t+ 1 includ+ ef=ts to
 prev5t *ild abuse & neglect be=e !     
semicolon2  7,e7 9 p>agraph 7#g71 z s   
r$esignat$--  7i7 9 subp>agraph 7,a71 by
 /rik+ ! semicolon & ins]t+ 1 includ+   
among at-risk populations1 su* z "y     
p>5ts1 p>5ts ) "y *ildr51 & p>5ts :o are
 adult =m] victims ( dome/ic viol5ce or 
*ild abuse or neglect2 &2  7ii7 by /rik+

 subp>agraph 7,b72  7iii7 by r$esignat+ 
subp>agraph 7,c7 z subp>agraph 7,b72 &  
7iv7 9 subp>agraph 7,b71 z s r$esignat$1
 by /rik+ abuse & ins]t+ use disord]2   
7,f7 9 p>agraph 7#h71 z s r$esignat$--  
7i7 by r$esignat+ subp>agraphs 7,b7 &   
7,c7 z subp>agraphs 7,c7 & 7,d71        
respectively2  7ii7 by ins]t+ aft]      
subp>agraph 7,a7 ! foll[+3  7,b7 be/    
practices 9 *ild protection work=ce     
developm5t & ret5tion2  2 &  7iii7 9    
subp>agraph 7,c71 z s r$esignat$1 by    
/rik+ mitigate psy*ological & ins]t+    
prev5t & mitigate ! effects (2 &  7,g7 9
 subp>agraph 7,b7 ( p>agraph 7#i71 z s  
r$esignat$1 by /rik+ abuse & ins]t+ use 
disord]2 &  7#b7 9 subsection 7c7--     
7,a7 9 ! head+1 by ins]t+ 2 data        
collection & analysis aft] res\rces2    
7,b7 9 p>agraph 7#a77;,c7--  7i7 9      
clause 7ii71 by /rik+ ! semicolon &     
ins]t+ 81 includ+--  7,i7 ! numb] ( *ild
 dea?s due to *ild abuse & neglect      
report$ by v>i\s s\rces1 includ+        
in=mation f ! ,/ate *ild welf>e ag5cy & 

! ,/ate *ild dea? review program or o!r 
s\rce t compiles ,/ate data1 includ+    
vital /ati/ics dea? records1 ,/ate &    
local m$ical exam9] & coron] (fice      
records1 & uni=m crime reports f local  
law en=cem5t2 &  7,,ii7 data1 to ! ext5t
 practicable1 ab\t ! circum/ances "u :i*
 a *ild dea? occurr$ due to abuse &     
neglect1 includ+ ! cause ( ! dea?1 :e!r 
! *ild 0 ref]r$ to ! ,/ate *ild welf>e  
ag5cy1 ! det]m9ation made by ! *ild     
welf>e ag5cy 7z applicable71 & any kn[n 
previ\s maltreatm5t ( *ildr5 by !       
p]petrator2  2 &  7ii7 9 clause 7iv71 by
 /rik+ sub/ance abuse & ins]t+ sub/ance 
use disord]2 &  7,c7 9 subp>agraph 7,f71
 by /rik+ abus$ & neglect$ *ildr5 &     
ins]t+ victims ( *ild abuse or neglect4 
#ajc4 ,rese>* & assi/ance activities    
,section #ajd ( ! ,*ild ,abuse          
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaje7 is am5d$-- 7#a7 9      
subsection 7a7--  7,a7 9 p>agraph 7#a7--
 7i7 9 ! head+1 by /rik+ ,topics &      
ins]t+ ,9 g5]al2  7ii7 9 ! matt] prec$+ 

subp>agraph 7,a7-- 7,i7 by /rik+        
consultation ) o!r ,f$]al ag5cies & &   
ins]t+ coord9ation ) applicable ,f$]al  
ag5cies & 9 consultation )2 &  7,,ii7 by
 ins]t+ 1 includ+ prim>y prev5tion (    
*ild abuse & neglect1 be=e & to improve2
  7iii7 by /rik+ subp>agraphs 7,c71     
7,e71 7,i71 7,j71 & 7,n72  7iv7 by      
r$esignat+ subp>agraphs 7,d71 7,f71     
7,g71 7,h71 7,k71 7,l71 & 7,m7 z        
subp>agraphs 7,f7 ?r\gh 7,l71           
respectively2  7v7 by ins]t+ aft]       
subp>agraph 7,b7 ! foll[+3  7,c7        
evid5ce-bas$ & evid5ce-in=m$ programs to
 prev5t *ild abuse & neglect 9 families 
t h n _h contact ) ! *ild welf>e sy/em2 
7,d7 be/ practices 9 recruit+1 tra9+1 & 
reta9+ a *ild protection work=ce t      
addresses id5tifi$ ne$s2  7,e7 options =
 updat+ te*nology ( outdat$ devices &   
data sy/ems to improve communication    
betwe5 sy/ems t are design$ to s]ve     
*ildr5 & families2  2  7vi7 9           
subp>agraph 7,g71 z s r$esignat$1 by    
/rik+ & ! juv5ile ju/ice sy/em t improve

 ! deliv]y ( s]vices & treatm5t1 includ+
 me?ods & ins]t+ 1 ! juv5ile ju/ice     
sy/em1 & o!r relevant ag5cies engag$ )  
*ildr5 & families t improve ! deliv]y ( 
s]vices & treatm5t1 includ+ relat$ to   
dome/ic viol5ce or m5tal heal?12  7vii7 
9 subp>agraph 7,l71 z s r$esignat$--    
7,i7 by ins]t+ und]s]v$ or ov]repres5t$ 
gr\ps 9 ! *ild welf>e sy/em or aft]     
fac+2 &  7,,ii7 by /rik+ ,indian tribes 
& ,native ,hawaiian & ins]t+ su*2       
7viii7 by ins]t+ aft] subp>agraph 7,l71 
z s r$esignat$1 ! foll[+3  7,m7 me?ods  
to address geographic1 racial1 &        
cultural disp>ities 9 ! *ild welf>e     
sy/em1 includ+ a focus on access to     
s]vices2  2 &  7ix7 by r$esignat+       
subp>agraph 7,o7 z subp>agraph 7,n72 &  
7,b7 9 p>agraph 7#b71 by /rik+ p>agraph 
7#a77,o7 & ins]t+ p>agraph 7#a77,n7 &   
analyses bas$ on data f previ\s ye>s (  
surveys ( national incid5ce "u ?is ,act2
  7,c7 9 p>agraph 7#c7-- 7i7 by /rik+ ( 
#bjaj & ins]t+ ( #bjai2 &  7ii7 by /rik+
 t conta9s ! results ( ! rese>* conduct$

 "u p>agraph 7#b74 & ins]t+ 8t--  7,a7  
id5tifies ! rese>* priorities "u        
p>agraph 7#d7 & ! process = det]m9+ su* 
priorities2  7,b7 conta9s a summ>y ( !  
rese>* support$ pursuant to p>agraph    
7#a72  7,c7 conta9s ! results ( ! rese>*
 conduct$ "u p>agraph 7#b72 &  7,d7     
describes h[ ! ,secret>y w cont9ue to   
improve ! accuracy ( in=mation on !     
national incid5ce on *ild abuse &       
neglect specifi$ 9 p>agraph 7#b74  2    
7,d7 9 subp>agraph 7,b7 ( ! fir/        
p>agraph 7#d7 7relat+ to priorities7--  
7i7 by /rik+ #a ye>s & ins]t+ #a ye>2 & 
7ii7 by ins]t+ 1 at lea/ #cj days prior 
to publi%+ ! f9al priorities1 aft]      
subp>agraph 7,a72 &  7,e7 by /rik+ !    
second p>agraph 7#d7 7relat+ to a /udy  
on %ak5 baby syndrome71 z add$ by       
section #aac7;a77#e7 ( ! ,,capta        
,reau?orization ,act ( #bjaj 7,public   
,law #aaa-cbj72  7#b7 9 subsection 7b7--
 7,a7 9 p>agraph 7#a7--  7i7 by ins]t+  
or und]s]v$ or ov]repres5t$ gr\ps 9 !   
*ild welf>e sy/em aft] *ildr5 )         

disabilities2 &  7ii7 by /rik+ sub/ance 
abuse & ins]t+ sub/ance use disord]2    
7,b7 by r$esignat+ p>agraphs 7#b7 & 7#c7
 z p>agraphs 7#c7 & 7#d71 respectively2 
7,c7 by ins]t+ aft] p>agraph 7#a7 !     
foll[+3  7#b7 ,cont5t ,! te*nical       
assi/ance "u p>agraph 7#a7 %all be      
design$ to1 z applicable-- 7,a7 promote 
be/ practices = address+ *ild abuse &   
neglect 9 families ) complex ne$s1 su* z
 families :o h exp]i5c$ dome/ic viol5ce1
 sub/ance use disord]s1 & adv]se        
*ildhood exp]i5ces2  7,b7 provide tra9+ 
= *ild protection work]s 9 trauma-in=m$ 
practices & supports t prev5t & mitigate
 ! effects ( trauma = infants1 *ildr51  
y\?1 & adults2  7,c7 r$uce geographic1  
racial1 & cultural disp>ities 9 *ild    
protection sy/ems1 :i* may include      
engag+ law en=cem5t1 education1 & heal? 
sy/ems1 & o!r sy/ems2  7,d7 lev]age     
community-bas$ res\rces to prev5t *ild  
abuse & neglect1 includ+ res\rces reg>d+
 heal? 7includ+ m5tal heal? & sub/ance  
use disord]71 h\s+1 p>5t support1       

f9ancial assi/ance1 e>ly *ildhood       
education & c>e1 & education s]vices1 & 
o!r s]vices to assi/ families2 &  7,e7  
provide o!r te*nical assi/ance1 z       
det]m9$ by ! ,secret>y 9 consultation ) 
su* ,/ate & local public & private      
ag5cies & community-bas$ organizations z
 ! ,secret>y det]m9es appropriate4  2   
7,d7 9 subp>agraph 7,b7 ( p>agraph 7#c71
 z s r$esignat$1 by /rik+ mitigate      
psy*ological & ins]t+ prev5t & mitigate 
! effects (2 &  7,e7 9 subp>agraph 7,b7 
( p>agraph 7#d71 z s r$esignat$--  7i7  
by /rik+ sub/ance abuse & ins]t+        
sub/ance use disord]2 &  7ii7 by /rik+ &
 dome/ic viol5ce s]vices p]sonnel &     
ins]t+ dome/ic viol5ce s]vices p]sonnel1
 & p]sonnel f relevant y\?-s]v+ &       
religi\s organizations2  7#c7 9         
subsection 7c77#c71 by ins]t+ 1 :i* may 
include applications relat$ to rese>* on
 prim>y prev5tion ( *ild abuse & neglect
 be=e ! p]iod2 &  7#d7 by /rik+         
subsection 7e74  #ajd4 ,grants to       
,/ates1 ,indian ,tribes or ,tribal      

organizations1 & public or private      
ag5cies & organizations ,section #aje ( 
! ,*ild ,abuse ,prev5tion & ,treatm5t   
,act 7#db ,u4,s4,c4 #eajf7 is am5d$ to  
read z foll[s3  #aje4 ,grants to ,/ates1
 ,indian ,tribes or ,tribal             
organizations1 & public or private      
ag5cies & organizations  7a7 ,au?ority  
,to aw>d grants or ent] into contracts  
,! ,secret>y may aw>d grants1 & ent]    
into contracts1 = programs & projects 9 
accordance ) ?is section1 = any ( !     
foll[+ purposes3  7#a7 ,capacity build+1
 9 ord] to create coord9at$1 inclusive1 
& collaborative sy/ems t h /atewide     
impact 9 prev5t+1 r$uc+1 & treat+ *ild  
abuse & neglect4  7#b7 ,innovation1     
?r\gh "t-limit$1 field-initiat$         
demon/ration projects t fur!r ! und]/&+ 
( ! field to r$uce *ild abuse & neglect4
  7#c7 ,plans ( safe c>e grants to      
improve & coord9ate ,/ate responses to  
ensure ! safety1 p]man5cy1 & well-be+ ( 
infants affect$ by sub/ance use4  7b7   
,capacity build+ grant program  7#a7 ,9 

g5]al ,! ,secret>y may aw>d grants or   
contracts to an eligible entity t is a  
,/ate or local ag5cy1 ,indian ,tribe or 
,tribal organization1 a nonpr(it entity1
 or a consortium ( su* entities4  7#b7  
,applications ,to be eligible to receive
 a grant or contract "u ?is section1 an 
entity %all submit an application to !  
,secret>y at su* "t1 9 su* mann]1 &     
conta9+ su* in=mation z ! ,secret>y may 
require4  7#c7 ,uses ( funds ,an        
eligible entity receiv+ a grant or      
contract "u ?is subsection %all use !   
grant funds to bett] align & coord9ate  
community-bas$1 local1 & ,/ate          
activities to /r5g!n families & prev5t  
*ild abuse & neglect1 by--  7,a7 tra9+  
pr(essionals 9 prev5tion1 id5tification1
 & treatm5t ( *ild abuse & neglect1 :i* 
may include--  7i7 tra9+ ( pr(essional &
 p>apr(essional p]sonnel 9 ! fields (   
heal? c>e1 m$ic9e1 law en=cem5t1        
judici>y1 social "w & *ild protection1  
education1 e>ly *ildhood c>e &          
education1 & o!r relevant fields1 or    

individuals su* z c\rt appo9t$ special  
advocates 7,c,a,s,as7 & gu>dian ad      
litem1 :o are engag$ 91 or int5d to "w  
91 ! field ( prev5tion1 id5tification1 &
 treatm5t ( *ild abuse & neglect1       
includ+ ! l9ks betwe5 *ild abuse &      
neglect & dome/ic viol5ce1 & approa*es  
to work+ ) families ) sub/ance use      
disord]2  7ii7 tra9+ on evid5ce-bas$ &  
evid5ce-in=m$ programs to improve *ild  
abuse & neglect report+ by adults1 ) a  
focus on adults :o "w ) *ildr5 9 a      
pr(essional or volunte] capacity1       
includ+ on recogniz+ & respond+ to *ild 
sexual abuse2  7iii7 tra9+ ( p]sonnel 9 
be/ practices to meet ! unique ne$s &   
developm5t ( special populations (      
*ildr51 includ+ ^? ) disabilities1 &    
*ildr5 "u age ( #c1 includ+ promot+     
int]ag5cy collaboration2  7iv7 improv+ !
 tra9+ ( sup]visory *ild welf>e work]s  
on be/ practices = recruit+1 select+1 & 
reta9+ p]sonnel2  7v7 enabl+ ,/ate *ild 
welf>e & *ild protection ag5cies to     
coord9ate ! provision ( s]vices ) ,/ate 

& local heal? c>e ag5cies1 sub/ance use 
disord] prev5tion & treatm5t ag5cies1   
m5tal heal? ag5cies1 o!r public &       
private welf>e ag5cies1 & ag5cies t     
provide e>ly int]v5tion s]vices to      
promote *ild safety1 p]man5ce1 & family 
/ability1 :i* may include tra9+ on      
improv+ coord9ation betwe5 ag5cies to   
meet heal? evaluation ne$s ( *ildr5 :o h
 be5 victims ( sub/antiat$ cases ( *ild 
abuse or neglect2  7vi7 tra9+ ( p]sonnel
 9 be/ practices relat+ to ! provision (
 diff]5tial response2 or  7vii7 tra9+ = 
*ild welf>e pr(essionals to r$uce &     
prev5t discrim9ation 7includ+ tra9+     
relat$ to implicit biases7 9 ! provision
 ( *ild protection & welf>e s]vices     
relat$ to *ild abuse & neglect2  7,b7   
enhanc+ sy/ems coord9ation & triage     
proc$ures1 includ+ in=mation sy/ems1 =  
respond+ to reports ( *ild abuse &      
neglect1 :i* include programs (         
collaborative p>tn]%ips betwe5 ! ,/ate  
*ild protective s]vices ag5cy1 community
 social s]vice ag5cies & community-bas$ 

family support programs1 law en=cem5t   
ag5cies & legal sy/ems1 developm5tal    
disability ag5cies1 sub/ance use disord]
 treatm5t ag5cies1 heal? c>e entities1  
dome/ic viol5ce prev5tion entities1     
m5tal heal? s]vice entities1 s*ools1    
places ( wor%ip1 & o!r community-bas$   
ag5cies1 su* z *ildr5's advocacy c5t]s1 
9 accordance ) all applicable ,f$]al &  
,/ate privacy laws1 to all[ = !         
e/abli%m5t or improvem5t ( a coord9at$  
triage sy/em2 or  7,c7 build+ coord9at$ 
community-level sy/ems ( support =      
*ildr51 p>5ts1 & families ?r\gh         
prev5tion s]vices 9 ord] to /r5g!n      
families & connect families to ! s]vices
 & supports relevant to _! div]se ne$s &
 int]e/s1 includ+ ne$s relat$ to        
sub/ance use disord] prev5tion4  7c7    
,field-,initiat$ innovation grant       
program  7#a7 ,9 g5]al ,! ,secret>y may 
aw>d grants to entities t are ,/ates or 
local ag5cies1 ,indian ,tribes or       
,tribal organizations1 or public or     
private ag5cies or organizations 7or    

comb9ations ( su* entities7 =           
field-initiat$ demon/ration projects (  
up to #e ye>s t advance innovative      
approa*es to prev5t1 r$uce1 or treat    
*ild abuse & neglect4  7#b7             
,applications ,to be eligible to receive
 a grant "u ?is section1 an entity %all 
submit an application to ! ,secret>y at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require1    
includ+ a rigor\s me?odological approa* 
to ! evaluation ( ! grant4  7#c7 ,use ( 
funds ,an entity t receives a grant "u  
?is section %all use ! funds made       
available ?r\gh ! grant to c>ry out or  
br+ to scale promis+1 evid5ce-in=m$1 or 
evid5ce-bas$ activities to prev5t1      
treat1 or r$uce *ild abuse & neglect t  
%all include "o or m ( ! foll[+3  7,a7  
,multidiscipl9>y sy/ems ( c>e to /r5g!n 
families & prev5t *ild abuse & neglect1 
includ+ prim>y prev5tion programs or    
/rategies aim$ at r$uc+ ! preval5ce (   
*ild abuse & neglect4  7,b7 ,projects = 
! developm5t ( new rese>*-bas$ /rategies

 = risk & safety assessm5ts & ongo+     
evaluation & reassessm5t ( p]=mance &   
accuracy ( exi/+ risk & safety assessm5t
 tools1 includ+ to improve practices    
utiliz$ by *ild protective s]vices      
ag5cies1 :i* may include activities to  
r$uce & prev5t bias 9 su* practices4    
7,c7 ,projects t involve rese>*-bas$    
/rategies = innovative tra9+ = m&at$    
*ild abuse & neglect report]s1 :i* may  
include tra9+ t is specific to ! m&at$  
individual's pr(ession or role :5 work+ 
) *ildr54  7,d7 ,projects to improve    
aw>5ess ( *ild welf>e pr(essionals &    
volunte]s 9 ! *ild welf>e sy/em & !     
public ab\t--  7i7 *ild abuse or neglect
 "u ,/ate law2  7ii7 ! responsibilities 
( individuals requir$ to report suspect$
 & kn[n incid5ts ( *ild abuse or neglect
 "u ,/ate law1 z applicable2 &  7iii7 ! 
res\rces available to help prev5t *ild  
abuse & neglect4  7,e7 ,programs t      
promote safe1 family-fri5dly physical   
environm5ts = visitation & ex*ange--    
7i7 = c\rt-ord]$1 sup]vis$ visitation   

betwe5 *ildr5 & abus+ p>5ts2 &  7ii7 to 
facilitate ! safe ex*ange ( *ildr5 =    
visits ) noncu/odial p>5ts 9 cases (    
dome/ic viol5ce4  7,f7 ,innovative      
programs1 activities1 & s]vices t are   
align$ ) ! rese>* priorities id5tifi$ "u
 section #ajd7;a77#d74  7,g7 ,projects  
to improve implem5tation ( be/ practices
 to assi/ m$ical pr(essionals 9         
id5tify+1 assess+1 & respond+ to        
pot5tial abuse 9 infants1 includ+ reg>d+
 ref]rals to *ild protective s]vices z  
appropriate & id5tify+ injuries         
indicative ( pot5tial abuse 9 infants1 &
 to assess ! outcomes ( su* be/         
practices4  7d7 ,grants to ,/ates ,to   
improve & coord9ate _! response ,to     
ensure ! safety1 p]man5cy1 & well-,be+ (
 infants affect$ by sub/ance use  7#a7  
,program au?oriz$ ,! ,secret>y is       
au?oriz$ to make grants to ,/ates = !   
purpose ( assi/+ *ild welf>e ag5cies1   
social s]vices ag5cies1 sub/ance use    
disord] treatm5t ag5cies1 hospitals )   
labor & deliv]y units1 m$ical /aff1     

public heal? & m5tal heal? ag5cies1 &   
mat]nal & *ild heal? ag5cies to         
facilitate collaboration 9 develop+1    
updat+1 implem5t+1 & monitor+ plans (   
safe c>e describ$ 9 section             
#ajf7;b77#b77;,b77iii74 ,section        
#aab7;a77#b7 %all n apply to ! program  
au?oriz$ "u ?is p>agraph4  7#b7         
,di/ribution ( funds  7,a7 ,res]vations 
,( ! am\nts made available to c>ry out  
p>agraph 7#a71 ! ,secret>y %all res]ve--
 7i7 no m ?an #c p]c5t = ! purposes     
describ$ 9 p>agraph 7#g72 &  7ii7 up to 
#c p]c5t = grants to ,indian ,tribes &  
,tribal organizations to address ! ne$s 
( infants born )1 & id5tifi$ z be+      
affect$ by1 sub/ance abuse or )drawal   
symptoms result+ f pr5atal drug exposure
 or a fetal alcohol spectrum disord] &  
_! families or c>egiv]s1 :i* to ! ext5t 
practicable1 %all be consi/5t ) ! uses (
 funds describ$ "u p>agraph 7#d74  7,b7 
,allotm5ts to ,/ates & t]ritories ,!    
,secret>y %all allot ! am\nt made       
available to c>ry out p>agraph 7#a7 t   

rema9s aft] application ( subp>agraph   
7,a7 to ea* ,/ate t applies = su* a     
grant1 9 an am\nt equal to ! sum (--    
7i7 #ejj1jjj2 &  7ii7 an am\nt t be>s ! 
same relation%ip to any funds made      
available to c>ry out p>agraph 7#a7 &   
rema9+ aft] application ( subp>agraph   
7,a71 z ! numb] ( live bir?s 9 ! ,/ate 9
 ! previ\s cal5d> ye> be>s to ! numb] ( 
live bir?s 9 all ,/ates 9 su* ye>4  7,c7
 ,ratable r$uction ,if ! am\nt made     
available to c>ry out p>agraph 7#a7 is  
insuffici5t to satisfy ! requirem5ts (  
subp>agraph 7,b71 ! ,secret>y %all      
ratably r$uce ea* allotm5t to a ,/ate4  
7#c7 ,application ,a ,/ate desir+ a     
grant "u ?is subsection %all submit an  
application to ! ,secret>y at su* "t & 9
 su* mann] z ! ,secret>y may require4   
,su* application %all include--  7,a7 a 
description (-- 7i7 ! impact ( sub/ance 
use disord] 9 su* ,/ate1 includ+ )      
respect to ! sub/ance or class (        
sub/ances ) ! highe/ incid5ce ( abuse 9 
! previ\s ye> 9 su* ,/ate1 includ+--    

7,i7 ! preval5ce ( sub/ance use disord] 
9 su* ,/ate2  7,,ii7 ! aggregate rate ( 
bir?s 9 ! ,/ate ( infants affect$ by    
sub/ance abuse or )drawal symptoms or a 
fetal alcohol spectrum disord] 7z       
det]m9$ by hospitals1 insurance claims1 
claims submitt$ to ! ,/ate ,m$icaid     
program1 or o!r records71 if available &
 to ! ext5t practicable2 &  7,,iii7 !   
numb] ( infants id5tifi$1 = :om a plan (
 safe c>e 0 develop$1 & = :om a ref]ral 
0 made = appropriate s]vices1 z report$ 
"u section #ajf7;d77#ah72  7ii7 !       
*all5ges ! ,/ate faces 9 develop+1      
implem5t+1 & monitor+ plans ( safe c>e 9
 accordance ) section                   
#ajf7;b77#b77;,b77iii72  7iii7 ! ,/ate's
 lead ag5cy = ! grant program & h[ t    
ag5cy w coord9ate ) relevant ,/ate      
entities & programs1 includ+ ! *ild     
welf>e ag5cy1 ! sub/ance use disord]    
treatm5t ag5cy1 hospitals ) labor &     
deliv]y units1 heal? c>e provid]s1 !    
public heal? & m5tal heal? ag5cies1     
programs fund$ by ! ,sub/ance ,abuse &  

,m5tal ,heal? ,s]vices ,adm9i/ration t  
provide sub/ance use disord] treatm5t = 
wom51 ! ,/ate ,m$icaid program1 ! ,/ate 
ag5cy adm9i/]+ ! block grant program "u 
title ,v ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #gja et seq471 ! ,/ate ag5cy 
adm9i/]+ ! programs fund$ "u "p ,c ( !  
,individuals ) ,disabilities ,education 
,act 7#bj ,u4,s4,c4 #adca et seq471 !   
mat]nal1 infant1 & e>ly *ildhood home   
visit+ program "u section #eaa ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#gaa71 ! ,/ate judicial sy/em1 & o!r    
ag5cies1 z det]m9$ by ! ,secret>y1 &    
,indian ,tribes & ,tribal organizations1
 z appropriate1 to implem5t ! activities
 "u ?is p>agraph2  7iv7 h[ ! ,/ate w    
monitor local developm5t & implem5tation
 ( plans ( safe c>e1 9 accordance )     
section #ajf7;b77#b77;,b77iii77,,ii71   
includ+ h[ ! ,/ate w monitor to ensure  
plans ( safe c>e address diff]5ces      
betwe5 sub/ance use disord] & m$ically  
sup]vis$ sub/ance use1 includ+ = !      
treatm5t ( a sub/ance use disord]2  7v7 

if applicable1 h[ ! ,/ate plans to      
utilize fund+ au?oriz$ "u "p ,e ( title 
,,iv ( ! ,social ,security ,act 7#db    
,u4,s4,c4 #fgj et seq47 to assi/ 9 c>ry+
 out any plan ( safe c>e1 includ+ su*   
fund+ au?oriz$ "u section #dga7;e7 ( su*
 ,act 7z 9 effect on ,octob] #a1 #bjah7 
= m5tal heal? & sub/ance abuse prev5tion
 & treatm5t s]vices & 9-home p>5t       
skill-bas$ programs & fund+ au?oriz$ "u 
su* section #dgb7;j7 7z 9 effect on     
,octob] #a1 #bjah7 = *ildr5 ) a p>5t 9 a
 lic5s$ resid5tial family-bas$ treatm5t 
facility = sub/ance abuse2 &  7vi7 an   
assessm5t ( ! treatm5t & o!r s]vices &  
programs available 9 ! ,/ate to         
effectively c>ry out any plan ( safe c>e
 develop$1 includ+ id5tification ( ne$$ 
treatm5t1 & o!r s]vices & programs to   
ensure ! well-be+ ( "y *ildr5 & _!      
families affect$ by sub/ance use        
disord]1 su* z programs c>ri$ out "u "p 
,c ( ! ,individuals ) ,disabilities     
,education ,act 7#bj ,u4,s4,c4 #adca et 
seq47 & compreh5sive e>ly *ildhood      

developm5t s]vices & programs su* z     
,head ,/>t programs2  7,b7 a description
 ( h[ ! ,/ate plans to use funds =      
activities describ$ 9 p>agraph 7#d7 = ! 
purposes ( ensur+ ,/ate compliance )    
requirem5ts "u clauses 7ii7 & 7iii7 (   
section #ajf7;b77#b77;,b72 &  7,c7 an   
assurance t ! ,/ate w comply )          
requirem5ts to ref] a *ild id5tifi$ z   
sub/ance-expos$ to e>ly int]v5tion      
s]vices z requir$ pursuant to a grant "u
 "p ,c ( ! ,individuals ) ,disabilities 
,education ,act 7#bj ,u4,s4,c4 #adca et 
seq474  7#d7 ,uses ( funds ,funds aw>d$ 
to a ,/ate "u ?is subsection may be us$ 
= ! foll[+ activities1 :i* may be c>ri$ 
out by ! ,/ate directly1 or ?r\gh grants
 or subgrants1 contracts1 or coop]ative 
agreem5ts3  7,a7 ,improv+ ,/ate & local 
sy/ems ) respect to ! developm5t &      
implem5tation ( plans ( safe c>e1 :i*-- 
7i7 %all include p>5t & c>egiv]         
engagem5t1 z requir$ "u section         
#ajf7;b77#b77;,b77iii77,i71 reg>d+      
available treatm5t & s]vice options1 :i*

 may include res\rces available =       
pregnant1 p]9atal1 & po/natal wom52 &   
7ii7 may include activities su* z-- 7,i7
 develop+ policies1 proc$ures1 or       
protocols = ! adm9i/ration or developm5t
 ( evid5ce-bas$ & validat$ scre5+ tools 
= infants :o may be affect$ by sub/ance 
use )drawal symptoms or a fetal alcohol 
spectrum disord] & pregnant1 p]9atal1 & 
po/natal wom5 ^: infants may be affect$ 
by sub/ance use )drawal symptoms or a   
fetal alcohol spectrum disord]2  7,,ii7 
improv+ assessm5ts us$ to det]m9e ! ne$s
 ( ! infant & family2  7,,iii7 improv+  
ongo+ case managem5t s]vices2  7,,iv7   
improv+ access to treatm5t s]vices1 :i* 
may be prior to ! pregnant woman's      
deliv]y date2 &  7,v7 keep+ families    
safely toge!r :5 x is 9 ! be/ int]e/ ( !
 *ild4  7,b7 ,develop+ policies1        
proc$ures1 or protocols 9 consultation &
 coord9ation ) heal? pr(essionals1      
public & private heal? facilities1 &    
sub/ance use disord] treatm5t ag5cies to
 ensure t--  7i7 appropriate            

notification to *ild protective s]vices 
is made 9 a timely mann]1 z requir$ "u  
section #ajf7;b77#b77;,b77ii72  7ii7 a  
plan ( safe c>e is 9 place1 9 accordance
 ) section #ajf7;b77#b77;,b77iii71 be=e 
! infant is dis*>g$ f ! bir? or heal?   
c>e facility2 &  7iii7 su* heal? &      
relat$ ag5cy pr(essionals are tra9$ on  
h[ to foll[ su* protocols & are aw>e ( !
 supports t may be provid$ "u a plan (  
safe c>e4  7,c7 ,tra9+ heal?            
pr(essionals & heal? sy/em lead]s1 *ild 
welf>e work]s1 sub/ance use disord]     
treatm5t ag5cies1 & o!r relat$          
pr(essionals su* z home visit+ ag5cy    
/aff & law en=cem5t 9 relevant topics   
includ+--  7i7 ,/ate m&atory report+    
laws e/abli%$ "u section                
#ajf7;b77#b77;,b77i7 & ! ref]ral &      
process requirem5ts = notification to   
*ild protective s]vices :5 *ild abuse or
 neglect report+ is n m&at$2  7ii7 !    
co-occurr5ce ( pregnancy & sub/ance use 
disord]1 & implications ( pr5atal       
exposure2  7iii7 ! cl9ical guidance ab\t

 treat+ sub/ance use disord] 9 pregnant 
& po/p>tum wom52  7iv7 appropriate      
scre5+ & int]v5tions = infants affect$  
by sub/ance use disord]1 )drawal        
symptoms1 or a fetal alcohol spectrum   
disord] & ! requirem5ts "u section      
#ajf7;b77#b77;,b77iii72 &  7v7          
appropriate multig5]ational /rategies to
 address ! m5tal heal? ne$s ( ! p>5t &  
*ild toge!r4  7,d7 ,e/abli%+ p>tn]%ips1 
agreem5ts1 or memor&a ( und]/&+ betwe5 !
 lead ag5cy & o!r entities 7includ+     
heal? pr(essionals1 heal? facilities1   
*ild welf>e pr(essionals1 juv5ile &     
family c\rt judges1 sub/ance use & m5tal
 disord] treatm5t programs1 e>ly        
*ildhood education programs1 mat]nal &  
*ild heal? & e>ly int]v5tion            
pr(essionals 7includ+ home visit+       
provid]s71 pe]-to-pe] recov]y programs  
su* z p>5t m5tor+ programs1 & h\s+      
ag5cies7 to facilitate ! implem5tation  
(1 & compliance )1 section #ajf7;b77#b7 
& subp>agraph 7,b7 ( ?is p>agraph1 9    
areas :i* may include--  7i7 develop+ a 

compreh5sive1 multi-discipl9>y assessm5t
 & int]v5tion process = infants1        
pregnant wom51 & _! families :o are     
affect$ by sub/ance use disord]1 )drawal
 symptoms1 or a fetal alcohol spectrum  
disord]1 t includes mean+ful engagem5t )
 & takes into acc\nt ! unique ne$s ( ea*
 family & addresses diff]5ces betwe5    
m$ically sup]vis$ sub/ance use1 includ+ 
= ! treatm5t ( sub/ance use disord]1 &  
sub/ance use disord]2  7ii7 ensur+ t    
treatm5t approa*es = s]v+ infants1      
pregnant wom51 & p]9atal & po/natal wom5
 ^: infants may be affect$ by sub/ance  
use1 )drawal symptoms1 or a fetal       
alcohol spectrum disord]1 are design$   
to1 :]e appropriate1 keep infants ) _!  
mo!rs dur+ bo? inpati5t & outpati5t     
treatm5t2 &  7iii7 increas+ access to   
all evid5ce-bas$ m$ication-assi/$       
treatm5t approv$ by ! ,food & ,drug     
,adm9i/ration1 behavioral !rapy1 &      
c\nsel+ s]vices = ! treatm5t ( sub/ance 
use disord]s1 z appropriate4  7,e7      
,develop+ & updat+ sy/ems ( te*nology = 

improv$ data collection & monitor+ "u   
section #ajf7;b77#b77;,b77iii71 includ+ 
exi/+ electronic m$ical records1 to     
measure ! outcomes a*iev$ ?r\gh ! plans 
( safe c>e1 includ+ monitor+ sy/ems to  
meet ! requirem5ts ( ?is ,act &         
submission ( p]=mance measures4  7#e7   
,report+ ,ea* ,/ate t receives funds "u 
?is subsection1 = ea* ye> su* funds are 
receiv$1 %all submit a report to !      
,secret>y1 disaggregat$ by geographic   
location1 economic /atus1 & major racial
 & e?nic gr\ps1 except t su*            
disaggregation %all n be requir$ if !   
results w\ld reveal p]sonally           
id5tifiable in=mation on1 ) respect to  
infants id5tifi$ "u section             
#ajf7;b77#b77;,b77ii7--  7,a7 ! numb] :o
 exp]i5c$ removal associat$ ) p>5tal    
sub/ance use2  7,b7 ! numb] :o exp]i5c$ 
removal & subsequ5tly are reunifi$ )    
p>5ts1 & ! l5g? ( "t betwe5 su* removal 
& reunification2  7,c7 ! numb] :o are   
ref]r$ to community provid]s )\t a *ild 
protection case2  7,d7 ! numb] :o       

receive s]vices :ile 9 ! c>e ( _! bir?  
p>5ts2  7,e7 ! numb] :o receive         
po/-reunification s]vices )9 #a ye> aft]
 a reunification has occurr$2 &  7,f7 ! 
numb] :o exp]i5c$ a return to out-(-home
 c>e )9 #a ye> aft] reunification4  7#f7
 ,secret>y's report to ,congress ,!     
,secret>y %all submit an annual report  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions & ! ,committee on    
,appropriations ( ! ,s5ate & !          
,committee on ,education & ,labor & !   
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives t includes ! in=mation
 describ$ 9 p>agraph 7#e7 &             
recomm5dations or obs]vations on !      
*all5ges1 successes1 & lessons d]iv$ f  
implem5tation ( ! grant program4  7#g7  
,assi/+ ,/ates' implem5tation ,!        
,secret>y %all use ! am\nt res]v$ "u    
p>agraph 7#b77;,a77i7 to provide writt5 
guidance & te*nical assi/ance to support
 ,/ates 9 comply+ ) & implem5t+ ?is     
p>agraph1 :i* %all include--  7,a7      
te*nical assi/ance1 includ+ programs (  

9-dep? te*nical assi/ance1 to additional
 ,/ates1 t]ritories1 & ,indian ,tribes &
 ,tribal organizations 9 accordance ) ! 
sub/ance-expos$ infant initiative       
develop$ by ! ,national ,c5t] on        
,sub/ance ,abuse & ,*ild ,welf>e2  7,b7 
guidance on ! requirem5ts ( ?is ,act )  
respect to infants born )1 & id5tifi$ z 
be+ affect$ by1 sub/ance use or )drawal 
symptoms or fetal alcohol spectrum      
disord]1 z describ$ 9 clauses 7ii7 &    
7iii7 ( section #ajf7;b77#b77;,b71      
includ+ by--  7i7 enhanc+ ,/ates'       
und]/&+ ( requirem5ts & flexibilities "u
 ! law1 includ+ by cl>ify+ key t]ms2    
7ii7 address+ ,/ate-id5tifi$ *all5ges ) 
develop+1 implem5t+1 & monitor+ plans ( 
safe c>e1 includ+ ^? report$ "u p>agraph
 7#c77;,a77ii72  7iii7 dissem9at+ be/   
practices on implem5tation ( plans (    
safe c>e1 on su* topics z diff]5tial    
response1 collaboration & coord9ation1 &
 id5tification & deliv]y ( s]vices =    
diff]5t populations1 :ile recogniz+ ne$s
 ( diff]5t populations & v>y+ community 

approa*es across ,/ates2 &  7iv7 help+  
,/ates improve ! long-t]m safety &      
well-be+ ( "y *ildr5 & _! families2     
7,c7 support+ ,/ate ef=ts to develop    
in=mation te*nology sy/ems to manage    
plans ( safe c>e2 &  7,d7 prep>+ !      
,secret>y's report to ,congress describ$
 9 p>agraph 7#f74  7#h7 ,sunset ,!      
au?ority "u ?is subsection %all sunset  
on ,septemb] #cj1 #bjbc4  7e7           
,evaluation ,9 mak+ grants or ent]+ into
 contracts = projects "u ?is section1 ! 
,secret>y %all require all su* projects 
to report on ! outcomes ( su*           
activities4 ,fund+ = su* evaluations    
%all be provid$ ei!r z a /at$ p]c5tage (
 a demon/ration grant or z a sep>ate    
grant or contract ent]$ into by !       
,secret>y = ! purpose ( evaluat+ a      
p>ticul> demon/ration project or gr\p ( 
projects4 ,9 ! case ( an evaluation     
p]=m$ by ! recipi5t ( a grant1 !        
,secret>y %all make available te*nical  
assi/ance = ! evaluation1 :]e ne$$1     
includ+ ! use ( a rigor\s application ( 

sci5tific evaluation te*niques4  4      
#aje4 ,grants to ,/ates = *ild abuse or 
neglect prev5tion & treatm5t programs   
,section #ajf ( ! ,*ild ,abuse          
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eajf;a7 is am5d$-- 7#a7 9    
subsection 7a7--  7,a7 9 ! matt] prec$+ 
p>agraph 7#a7-- 7i7 by /rik+ subsection 
7f7 & ins]t+ subsection 7g72 &  7ii7 by 
/rik+ ,/ate 9-- & ins]t+ ,/ate ) respect
 to "o or m ( ! foll[+ activities32     
7,b7 by am5d+ p>agraph 7#a7 to read z   
foll[s3  7#a7 ,ma9ta9+ & improv+ !      
intake1 assessm5t1 scre5+1 &            
inve/igation ( reports ( *ild abuse or  
neglect1 includ+ support = rapid        
response to inve/igations1 ) special    
att5tion to cases involv+ *ildr5 "u !   
age ( #e1 & especially *ildr5 "u ! age (
 #a4  2  7,c7 9 p>agraph 7#b7-- 7i7 9   
subp>agraph 7,a7--  7,i7 by /rik+ creat+
 & & ins]t+ ,creat+ &2 &  7,,ii7 by     
ins]t+ 1 :i* may include su* teams us$  
by *ildr5's advocacy c5t]s1 aft]        
multidiscipl9>y teams2 &  7ii7 9        

subp>agraph 7,b77ii71 by /rik+ !        
semicolon & ins]t+ a p]iod2  7,d7 by    
am5d+ p>agraph 7#c7 to read z foll[s3   
7#c7 ,implem5t+ & improv+ case managem5t
 approa*es1 includ+ ongo+ case monitor+1
 & deliv]y ( s]vices & treatm5t provid$ 
to *ildr5 & _! families to ensure safety
 & respond to family ne$s1 t include--  
7,a7 multidiscipl9>y approa*es to       
assess+ family ne$s & connect+ !m )     
s]vices2  7,b7 organiz+ treatm5t teams (
 community s]vice provid]s t prev5t &   
treat *ild abuse & neglect1 & improve   
*ild well-be+2  7,c7 case-monitor+ t c  
ensure progress 9 *ild well-be+2 &  7,d7
 ! use ( diff]5tial response4  2  7,e7  
by /rik+ p>agraphs 7#d71 7#e71 & 7#f7 & 
ins]t+ ! foll[+3  7#d7 7,a7 ,develop+ or
 enhanc+ data sy/ems to improve case    
managem5t coord9ation & communication   
betwe5 relevant ag5cies2  7,b7 enhanc+ !
 g5]al *ild protective sy/em by         
develop+1 improv+1 & implem5t+ risk &   
safety assessm5t tools & protocols1 su* 
z tools & protocols t all[ = !          

id5tification ( cases requir+ rapid     
responses1 sy/ems ( data %>+ ) law      
en=cem5t1 includ+ ! use ( diff]5tial    
response1 & activities to r$uce & prev5t
 bias2  7,c7 develop+ & updat+ sy/ems ( 
te*nology t support ! program & track   
reports ( *ild abuse & neglect f intake 
?r\gh f9al disposition & all[ = int]/ate
 & intra/ate in=mation ex*ange2 &  7,d7 
real-"t case monitor+ = casework]s at ! 
local ag5cy level1 & ,/ate ag5cy level  
to track assessm5ts1 s]vice ref]rals1   
foll[-up1 case reviews1 & progress t[>d 
case plan goals4  7#e7 ,develop+1       
/r5g!n+1 & facilitat+ tra9+ =           
pr(essionals & volunte]s engag$ 9 !     
prev5tion1 int]v5tion1 & treatm5t ( *ild
 abuse & neglect includ+ tra9+ on at    
lea/ "o ( ! foll[+--  7,a7 ! legal      
duties ( su* individuals2  7,b7 p]sonal 
safety tra9+ = case work]s2  7,c7 e>ly  
*ildhood1 *ild1 & adolesc5t developm5t &
 ! impact ( *ild abuse & neglect1       
includ+ long-t]m impacts ( adv]se       
*ildhood exp]i5ces2  7,d7 improv+       

coord9ation among *ild protective s]vice
 ag5cies & heal? c>e ag5cies1 entities  
provid+ heal? c>e 7includ+ m5tal heal? &
 sub/ance use disord] s]vices71 &       
community res\rces1 = purposes (        
conduct+ evaluations relat$ to          
sub/antiat$ cases ( *ild abuse or       
neglect2  7,e7 improv+ scre5+1 =5sic    
diagnosis1 & heal? & developm5tal       
evaluations2  7,f7 address+ ! unique    
ne$s ( *ildr5 ) disabilities1 includ+   
promot+ int]ag5cy collaboration2  7,g7 !
 placem5t ( *ildr5 ) k91 & ! unique ne$s
 & /rategies z relat$ to *ildr5 9 su*   
placem5ts2  7,h7 responsive1            
family-ori5t$ approa*es to prev5tion1   
id5tification1 int]v5tion1 & treatm5t ( 
*ild abuse & neglect2  7,i7 ensur+ *ild 
safety2  7,j7 ! l9ks betwe5 *ild abuse &
 neglect & dome/ic viol5ce1 & approa*es 
to work+ ) families ) m5tal heal? ne$s  
or sub/ance use disord]2 &  7,k7        
coord9at+ ) o!r s]vices & ag5cies1 z    
applicable1 to address family & *ild    
ne$s1 includ+ trauma4  2  7,f7 by       

r$esignat+ p>agraphs 7#g7 & 7#h7 z      
p>agraphs 7#f7 & 7#g71 respectively2    
7,g7 9 p>agraph 7#f71 z s r$esignat$--  
7i7 by /rik+ improv+ & ins]t+ ,improv+2 
7ii7 by /rik+ ! skills1 qualifications1 
& availability ( individuals provid+    
s]vices to *ildr5 & families1 & !       
sup]visors ( su* individuals1 ?r\gh !   
*ild protection sy/em1 includ+          
improvem5ts 92 &  7iii7 by /rik+ !      
semicolong & ins]t+ 1 :i* may include   
ef=ts to address ! effects ( indirect   
trauma exposure = *ild welf>e work]s42  
7,h7 9 p>agraph 7#g71 z s r$esignat$--  
7i7 by /rik+ develop+1 & ins]t+         
,develop+12 &  7ii7 by /rik+ ! semicolon
 & ins]t+ 1 :i* may include improv+     
public aw>5ess & und]/&+ relat+ to !    
role & responsibilities ( ! *ild        
protection sy/em & ! nature & basis =   
report+ suspect$ incid5ts ( *ild abuse &
 neglect42 &  7,i7 by /rik+ p>agraphs   
7#i7 ?r\gh 7#ad7 & ins]t+ ! foll[+3     
7#h7 ,collaborat+ ) o!r ag5cies 9 !     
community1 c\nty1 or ,/ate & coord9at+  

s]vices to promote a sy/em ( c>e focus$ 
on bo? prev5tion & treatm5t1 su* z by-- 
7,a7 develop+ & enhanc+ ! capacity (    
community-bas$ programs to integrate %>$
 lead]%ip /rategies betwe5 p>5ts &      
pr(essionals to prev5t & treat *ild     
abuse & neglect at ! community level2 or
  7,b7 support+ & enhanc+ int]ag5cy     
collaboration betwe5 ! *ild protection  
sy/em1 public heal? ag5cies1 education  
sy/ems1 dome/ic viol5ce sy/ems1 & !     
juv5ile ju/ice sy/em = improv$ deliv]y (
 s]vices & treatm5t1 su* z models (     
co-locat+ s]vice provid]s1 :i* may      
include--  7i7 me?ods = cont9uity (     
treatm5t plan & s]vices z *ildr5        
transition betwe5 sy/ems2  7ii7 address+
 ! heal? ne$s1 includ+ m5tal heal? ne$s1
 ( *ildr5 id5tifi$ z victims ( *ild     
abuse or neglect1 includ+ support+      
prompt1 compreh5sive heal? &            
developm5tal evaluations = *ildr5 :o are
 ! subject ( sub/antiat$ *ild           
maltreatm5t reports2 or  7iii7 !        
provision ( s]vices t assi/ *ildr5      

expos$ to dome/ic viol5ce1 & t also     
support ! c>egiv+ role ( _! nonabus+    
p>5ts4  2  7#b7 9 subsection 7b7-- 7,a7 
9 p>agraph 7#a7--  7i7 9 subp>agraph    
7,a71 by /rik+ areas ( ! *ild protective
 s]vices sy/em & ins]t+ ways 9 :i* !    
am\nts receiv$ "u ! grant w be us$ to   
improve & /r5g!n ! *ild protective      
s]vices sy/em ?r\gh ! activities2 &     
7ii7 by am5d+ subp>agraphs 7,b7 & 7,c7  
to read z foll[s3  7,b7 ,duration ( plan
 ,ea* ,/ate plan %all--  7i7 be submitt$
 n less frequ5tly ?an e #e ye>s1 9      
coord9ation ) ! ,/ate plan submitt$ "u  
"p ,b ( title ,,iv ( ! ,social ,security
 ,act2 &  7ii7 be p]iodically review$ & 
revis$ by ! ,/ate1 z necess>y to reflect
 any sub/antive *anges to ,/ate law or  
regulations relat$ to ! prev5tion ( *ild
 abuse & neglect t may affect !         
eligibility ( ! ,/ate "u ?is section1 or
 if !re are significant *anges f ! ,/ate
 application 9 ! ,/ate's fund+ (        
/rategies & programs support$ "u ?is    
section4  7,c7 ,public comm5t ,ea* ,/ate

 %all consult widely ) public & private 
organizations 9 develop+ ! plan1 make ! 
plan public by electronic means 9 an    
easily accessible =mat1 & provide all   
int]e/$ memb]s ( ! public at lea/ #cj   
days to submit comm5ts on ! plan4  2    
7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt]    
prec$+ subp>agraph 7,a7--  7,i7 by      
ins]t+ be develop$1 z appropriate1 9    
collaboration ) local programs fund$ "u 
title ,,ii & ) families affect$ by *ild 
abuse & neglect1 & aft] %all2 &  7,,ii7 
by /rik+ a*ieve ! objectives ( ?is title
 & ins]t+ /r5g!n families & r$uce       
incid5ts ( & prev5t *ild abuse &        
neglect2  7ii7 9 subp>agraph 7,a71 by   
ins]t+ & takes into acc\nt prev5tion    
s]vices across ,/ate ag5cies 9 ord] to  
improve coord9ation ( ef=ts to prev5t & 
r$uce *ild abuse & neglect be=e !       
semicolon2  7iii7 9 subp>agraph 7,b7--  
7,i7 by am5d+ clause 7i7 to read z      
foll[s3  7i7 provisions or proc$ures =  
individuals to report kn[n & suspect$   
in/ances ( *ild abuse & neglect directly

 to a ,/ate *ild protection ag5cy or to 
a law en=cem5t ag5cy1 z applicable "u   
,/ate law1 includ+ a ,/ate law = m&atory
 report+ by individuals requir$ to      
report su* in/ances1 includ+1 z def9$ by
 ! ,/ate--  7,i7 heal? pr(essionals2    
7,,ii7 s*ool & *ild c>e p]sonnel2       
7,,iii7 law en=cem5t (ficials2 &  7,,iv7
 o!r individuals1 z ! applicable ,/ate  
law or /atewide program may require2  2 
7,,ii7 by mov+ ! m>g9s ( subclauses 7,i7
 & 7,,ii7 ( clause 7iii7 #b ems to ! "r2
  7,,iii7 9 clause 7vi71 by ins]t+ 1 :i*
 may include placem5ts ) c>egiv]s :o are
 k9 be=e ! semicolon2  7,,iv7 by /rik+  
clauses 7x7 & 7xx72  7,v7 by r$esignat+ 
clauses 7xi7 ?r\gh 7xix7 z clauses 7x7  
?r\gh 7xviii71 respectively2 &  7,,vi7  
by r$esignat+ clauses 7xxi7 ?r\gh 7xxv7 
z clauses 7xix7 ?r\gh 7xxiii71          
respectively2  7iv7 9 subp>agraph 7,d7--
  7,i7 9 clause 7i71 by ins]t+ 1 & h[   
su* s]vices w be /rategically coord9at$ 
) relevant ag5cies to provide a cont9uum
 ( prev5tion s]vices & be aft] ref]rals2

  7,,ii7 9 clause 7ii71 by ins]t+ &     
ret5tion activities aft] tra9+2  7,,iii7
 9 clause 7iii71 by ins]t+ 1 includ+ =  
purposes ( mak+ su* individuals aw>e (  
^! requirem5ts be=e ! semicolon2  7,,iv7
 9 clause 7v7-- 7aa7 by ins]t+ ! ,/ate's
 ef=ts to improve be=e policies2  7bb7  
by /rik+ sub/ance abuse treatm5t        
ag5cies1 & o!r ag5cies & ins]t+ sub/ance
 abuse treatm5t ag5cies1 o!r ag5cies1 & 
k9%ip navigators2 &  7cc7 by /rik+ 2 & &
 ins]t+ a semicolon2  7,v7 9 clause     
7vi71 by /rik+ ! semicolon & ins]t+ 1 to
 improve outcomes = *ildr5 & families2  
&2 &  7,,vi7 by add+ at ! end ! foll[+3 
7vii7 ! ,/ate's policies & proc$ures    
reg>d+ public disclosure ( ! f9d+s or   
in=mation ab\t ! case ( *ild abuse or   
neglect t has result$ 9 a *ild fatality 
or ne> fatality1 :i* %all provide =     
exceptions to ! release ( su* f9d+s or  
in=mation 9 ord] to ensure ! safety &   
well-be+ ( ! *ild1 or :5 ! release ( su*
 in=mation w\ld jeop>dize a crim9al     
inve/igation2  2 &  7v7 by /rik+ ! flu% 

text t foll[s subp>agraph 7,g72 &  7,c7 
9 p>agraph 7#c7--  7i7 9 ! head+1 by    
/rik+ ,limitation & ins]t+ ,limitations2
  7ii7 by /rik+ ,) reg>d to clauses 7vi7
 & 7vii7 ( p>agraph 7#b77;,b7 & ins]t+ !
 foll[+3  7,b7 ,c]ta9 id5tify+ in=mation
 ,) reg>d to clauses 7vi7 & 7vii7 (     
p>agraph 7#b77;,b7  2  7iii7 by ins]t+  
be=e subp>agraph 7,b71 z add$ by clause 
7ii71 ! foll[+3  7,a7 ,9 g5]al ,no?+ 9  
p>agraph 7#b77;,b7 %all be con/ru$ to   
limit a ,/ate's au?ority to det]m9e     
,/ate policies relat+ to public access  
to c\rt proce$+s to det]m9e *ild abuse &
 neglect1 except t su* policies %all1 at
 a m9imum1 ensure ! safety & well-be+ ( 
! *ild1 p>5ts1 & families4  2 &  7iv7 by
 add+ at ! end ! foll[+3  7,c7 ,m&at$   
report]s 9 c]ta9 ,/ates ,) respect to a 
,/ate 9 :i* ,/ate law requires all ( !  
individuals to report kn[n or suspect$  
in/ances ( *ild abuse & neglect directly
 to a ,/ate *ild protection ag5cy or to 
a law en=cem5t ag5cy1 ! requirem5t "u   
p>agraph 7#b77;,b77i7 %all n be con/ru$ 

to require ! ,/ate to def9e ! classes ( 
individuals describ$ 9 subclauses 7,i7  
?r\gh 7,,iv7 ( su* p>agraph4  2  7#c7 9 
subsection 7c7-- 7,a7 9 p>agraph 7#a7-- 
7i7 9 subp>agraph 7,a7-- 7,i7 by /rik+  
,except z provid$ 9 subp>agraph 7,b71   
ea* & ins]t+ ,ea*2 &  7,,ii7 by /rik+ n 
less ?an #c citiz5 review panels &      
ins]t+ at lea/ #a citiz5 review panel2 &
  7ii7 by am5d+ subp>agraph 7,b7 to read
 z foll[s3  7,b7 ,exception ,a ,/ate may
 designate a panel = purposes ( ?is     
subsection1 compris$ ( "o or m exi/+    
entities e/abli%$ "u ,/ate or ,f$]al    
law1 su* z *ild fatality panels1 or fo/]
 c>e review panels1 or ,/ate task =ces  
e/abli%$ "u section #ajg1 if su*        
entities h ! capacity to satisfy !      
requirem5ts ( p>agraph 7#c7 & ! ,/ate   
ensures t su* entities w satisfy su*    
requirem5ts4  2  7,b7 by /rik+ p>agraph 
7#c72  7,c7 by r$esignat+ p>agraphs 7#d7
 ?r\gh 7#f7 z p>agraphs 7#c7 ?r\gh 7#e71
 respectively2  7,d7 9 p>agraph 7#d71 z 
s r$esignat$-- 7i7 by r$esignat+        

subp>agraphs 7,a7 & 7,b7 z subp>agraphs 
7,b7 & 7,c71 respectively2  7ii7 9      
subp>agraph 7,b71 z s r$esignat$1 by    
/rik+ p>agraph 7#d7 & ins]t+ p>agraph   
7#c72 &  7iii7 by ins]t+ be=e           
subp>agraph 7,b71 z s r$esignat$1 !     
foll[+3  7,a7 %all develop a memor&um ( 
und]/&+ ) ea* panel1 cle>ly outl9+ !    
panel's roles & responsibilities1 &     
id5tify+ any support f ! ,/ate2  2 &    
7,e7 9 p>agraph 7#e71 z s r$esignat$--  
7i7 by ins]t+ :i* may be c>ri$ out      
collectively by a comb9ation ( su*      
panels1 be=e on an annual basis2  7ii7  
by /rik+ :e!r or2 &  7iii7 by ins]t+ 1  
:i* may include provid+ examples ( ef=ts
 to implem5t citiz5 review panel        
recomm5dations be=e ! p]iod ( ! second  
s5t5ce2  7#d7 9 subsection 7d7-- 7,a7 9 
p>agraph 7#a71 by ins]t+ 1 disaggregat$1
 :]e available1 by demographic          
*>act]i/ics su* z age1 sex1 race &      
e?nicity1 disability1 c>egiv] risk      
factors1 c>egiv] relation%ip1 liv+      
arrangem5t1 & relation ( victim to _!   

p]petrator be=e ! p]iod2  7,b7 9        
p>agraph 7#e71 by /rik+ neglect4 &      
ins]t+ 8neglect1 includ+--  7,a7 ! numb]
 ( *ild dea?s due to *ild abuse &       
neglect f sep>ate report+ s\rces )9 !   
,/ate1 includ+ in=mation f ! ,/ate *ild 
welf>e ag5cy & ! ,/ate *ild dea? review 
program t--  7i7 is compil$ by ! ,/ate  
welf>e ag5cy = submission2 &  7ii7      
consid]s ,/ate data1 includ+ vital      
/ati/ics dea? records1 ,/ate & local    
m$ical exam9] & coron] (fice records1 & 
uni=m crime reports f local law         
en=cem5t2 &  7,b7 in=mation ab\t !      
circum/ances "u :i* a *ild dea? occurr$ 
due to abuse & neglect1 includ+ ! cause 
( ! dea?1 :e!r ! *ild 0 ref]r$ to !     
,/ate *ild welf>e ag5cy1 ! det]m9ation  
made by ! *ild welf>e ag5cy1 & !        
p]petrator's previ\s maltreatm5t (      
*ildr5 & ! s\rces us$ to provide su*    
in=mation4  2  7,c7 9 p>agraph 7#ac7--  
7i7 by ins]t+ & recomm5dations aft] !   
activities2 &  7ii7 by /rik+ subsection 
7c77#f7 & ins]t+ subsection 7c77#e72    

7,d7 9 p>agraph 7#af71 by /rik+         
subsection 7b77#b77;,b77xxi7 & ins]t+   
subsection 7b77#b77;,b77xix72 &  7,e7 9 
p>agraph 7#ag71 by /rik+ subsection     
7b77#b77;,b77xxiv7 & ins]t+ subsection  
7b77#b77;,b77xxii72  7#e7 by r$esignat+ 
subsections 7e7 & 7f7 z subsections 7f7 
& 7g71 respectively2  7#f7 by ins]t+    
aft] subsection 7d7 ! foll[+3  7e7      
,assi/+ ,/ates 9 implem5tation ,!       
,secret>y %all provide te*nical         
assi/ance to support ,/ates 9 report+ ! 
in=mation requir$ "u subsection 7d77#e74
  2  7#g7 9 subsection 7f71 z s         
r$esignat$1 by /rik+ ! ,congress &      
ins]t+ ! ,committee on ,heal?1          
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,education &   
,labor ( ! ,h\se ( ,repres5tatives2 &   
7#h7 by add+ at ! end ! foll[+3  7h7    
,annual report ,a ,/ate t receives funds
 "u subsection 7a7 %all annually prep>e 
& submit to ! ,secret>y a report        
describ+ ! mann] 9 :i* funds provid$ "u 
?is ,act1 alone or 9 comb9ation ) o!r   

,f$]al funds1 7 us$ to address !        
purposes & a*ieve ! objectives ( section
 #ajf1 includ+--  7#a7 a description (  
h[ ! ,/ate us$ su* funds to improve !   
*ild protective sy/em relat$ to--  7,a7 
effective collaborative & coord9ation   
/rategies among *ild protective s]vices 
& social s]vices1 legal1 heal? c>e      
7includ+ m5tal heal? & sub/ance use     
disord] s]vices71 dome/ic viol5ce       
s]vices1 education ag5cies1 &           
community-bas$ organizations t          
contribute to improvem5ts ( ! ov]all    
well-be+ ( *ildr5 & families2 &  7,b7   
capacity-build+ ef=ts to support        
id5tification & improvem5t ( responses  
to1 *ild maltreatm5t2 &  7#b7 h[ ! ,/ate
 collaborat$ ) community-bas$ prev5tion 
organizations to r$uce b>ri]s to1 &     
improve ! effectiv5ess (1 programs      
relat$ to *ild abuse & neglect4  4      
#ajf4 ,grants to ,/ates = programs      
relat+ to ! inve/igation & prosecution (
 *ild abuse & neglect cases ,section    
#ajg ( ! ,*ild ,abuse ,prev5tion &      

,treatm5t ,act 7#db ,u4,s4,c4 #eajf;c7  
is am5d$-- 7#a7 9 subsection 7a7--  7,a7
 by /rik+ ! assessm5t & inve/igation ea*
 place x appe>s & ins]t+ ! assessm5t1   
inve/igation1 & prosecution2  7,b7 9    
p>agraph 7#a7--  7i7 by /rik+ &         
exploitation1 & ins]t+ 1 exploitation1 &
 *ild sex-traffick+12 &  7ii7 by ins]t+ 
1 includ+ ?r\gh a *ild abuse            
inve/igative multidiscipl9>y review team
 be=e ! semicolon2  7,c7 9 p>agraph     
7#b71 by add+ & aft] ! semicolon2  7,d7 
by /rik+ p>agraph 7#c72  7,e7 by        
r$esignat+ p>agraph 7#d7 z p>agraph     
7#c72 &  7,f7 9 p>agraph 7#c71 z s      
r$esignat$1 by ins]t+ 1 or o!r vuln]able
 populations1 aft] heal?-relat$         
problems2  7#b7 9 subsection 7c77#a7--  
7,a7 9 subp>agraph 7,i71 by /rik+ & at !
 end2  7,b7 9 subp>agraph 7,j71 by /rik+
 ! p]iod & ins]t+ 2 &2 &  7,c7 by add+  
at ! end ! foll[+3  7,k7 individuals    
exp]i5c$ 9 work+ ) und]s]v$ or          
ov]repres5t$ gr\ps 9 ! *ild welf>e      
sy/em4  2 &  7#c7 9 subsection 7d77#a71 

by /rik+ & exploitation & ins]t+ 1      
exploitation1 & *ild sex-traffick+2 &   
7#d7 9 subsection 7e77#a7--  7,a7 9     
subp>agraph 7,a71 by /rik+ &            
exploitation & ins]t+ 1 exploitation1 & 
*ild sex-traffick+2  7,b7 9 subp>agraph 
7,b71 by /rik+ 2 & at ! end & ins]t+ a  
semicolon2  7,c7 9 subp>agraph 7,c7--   
7i7 by /rik+ & exploitation & ins]t+ 1  
exploitation1 & *ild sex-traffick+2 &   
7ii7 by /rik+ ! p]iod & ins]t+ 2 &2 &   
7,d7 by add+ at ! end ! foll[+3  7,d7   
improv+ coord9ation among ag5cies reg>d+
 reports ( *ild abuse & neglect to      
ensure bo? law en=cem5t & *ild          
protective s]vices ag5cies h ready      
access to full in=mation reg>d+ pa/     
reports1 :i* may be done 9 coord9ation )
 o!r ,/ates or geographic regions4  4   
#ajg4 ,miscellane\s requirem5ts relat+  
to assi/ance ,section #ajh ( ! ,*ild    
,abuse ,prev5tion & ,treatm5t ,act 7#db 
,u4,s4,c4 #eajf;d7 is am5d$ by /rik+    
subsection 7e74  #ajh4 ,reports ,section
 #aaj ( ! ,*ild ,abuse ,prev5tion &     

,treatm5t ,act 7#db ,u4,s4,c4 #eajf;f7  
is am5d$-- 7#a7 9 subsection 7a71 by    
/rik+ ,,capta ,reau?orization ,act (    
#bjaj & ins]t+ ,,capta ,reau?orization  
,act ( #bjai2  7#b7 9 subsection 7b7--  
7,a7 9 ! head+1 by /rik+ ,effectiv5ess (
 ,/ate programs & ins]t+ ,activities2 & 
7,b7 by /rik+ evaluat+ ! effectiv5ess ( 
programs receiv+ assi/ance "u section   
#ajf 9 a*iev+ ! & ins]t+ on activities (
 te*nical assi/ance = programs t support
 ,/ate ef=ts to meet ! ne$s &2 &  7#c7  
by /rik+ subsections 7c7 & 7d7 & ins]t+ 
! foll[+3  7c7 ,report on ,/ate m&atory 
report+ laws ,n lat] ?an #d ye>s aft] ! 
date ( enactm5t ( ! ,,capta             
,reau?orization ,act ( #bjai1 !         
,secret>y %all submit to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
( ! ,s5ate & ! ,committee on ,education 
& ,labor ( ! ,h\se ( ,repres5tatives a  
report t conta9s--  7#a7 in=mation on-- 
7,a7 tra9+ support$ by ?is ,act =       
m&atory report]s ( *ild abuse or        
neglect2 &  7,b7 ,/ate ef=ts to improve 

report+ on1 & respond+ to reports (1    
*ild abuse or neglect2 &  7#b7 data     
reg>d+ any *anges 9 ! rate ( sub/antiat$
 *ild abuse reports & *anges 9 ! rate ( 
*ild abuse fatalities s9ce ! date (     
enactm5t ( ! ,,capta ,reau?orization    
,act ( #bjai4  7d7 ,report relat+ to    
injuries indicat+ ! pres5ce ( *ild abuse
 ,n lat] ?an #b ye>s aft] ! date (      
enactm5t ( ! ,,capta ,reau?orization    
,act ( #bjai1 ! ,secret>y %all submit to
 ! ,committee on ,heal?1 ,education1    
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,education & ,labor ( !   
,h\se ( ,repres5tatives a report t      
conta9s--  7#a7 in=mation on be/        
practices develop$ by m$ical in/itutions
 & o!r multidiscipl9>y p>tn]s to id5tify
 & appropriately respond to injuries    
indicat+ ! pres5ce ( pot5tial physical  
abuse 9 *ildr51 includ+--  7,a7 !       
id5tification & assessm5t ( su* injuries
 by heal? c>e pr(essionals & appropriate
 *ild protective s]vices ref]ral &      
notification processes2 &  7,b7 an      

id5tification ( effective programs      
replicat+ be/ practices1 & b>ri]s or    
*all5ges to implem5t+ programs2 &  7#b7 
data on any outcomes associat$ ) !      
practices describ$ 9 p>agraph 7#a71     
includ+ subsequ5t revictimization & *ild
 fatalities4  7e7 ,report relat+ to *ild
 abuse & neglect 9 ,indian tribal       
communities ,n lat] ?an #b ye>s aft] !  
date ( enactm5t ( ! ,,capta             
,reau?orization ,act ( #bjai1 !         
,comptroll] ,g5]al ( ! ,unit$ ,/ates1 9 
consultation ) ,indian ,tribes f ea* ( !
 #ab ,bureau ( ,indian ,affairs         
,regions1 %all submit a report to !     
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,education & ,labor ( !   
,h\se ( ,repres5tatives t conta9s--     
7#a7 in=mation ab\t ,indian ,tribes &   
,tribal ,organizations provid+ *ild     
abuse & neglect prev5tion activities1   
includ+ types ( programm+ & numb] (     
tribes provid+ s]vices2  7#b7 promis+   
practices us$ by tribes = *ild abuse &  

neglect prev5tion2  7#c7 in=mation ab\t 
! *ild abuse & neglect prev5tion        
activities ,indian ,tribes are provid+ )
 ,tribal1 ,/ate1 & ,f$]al funds2  7#d7  
ways to support prev5tion ef=ts reg>d+  
*ild abuse & neglect ( ,am]ican ,indian 
& ,alaska ,native *ildr51 su* z ?r\gh ! 
*ildr5's tru/ fund model2  7#e7 an      
assessm5t ( ,f$]al ag5cy collaboration &
 te*nical assi/ance ef=ts to address    
*ild abuse & neglect prev5tion &        
treatm5t ( ,am]ican ,indian & ,alaska   
,native *ildr52  7#f7 an exam9ation (   
access to *ild abuse & neglect prev5tion
 rese>* & demon/ration grants by ,indian
 tribes "u ?is ,act2 &  7#g7 an         
exam9ation ( ,f$]al *ild abuse & neglect
 data sy/ems to id5tify :at ,tribal data
 is be+ submitt$ to ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 any b>ri]s to !     
submission ( su* data1 & recomm5dations 
on improv+ ! submission ( su* data4  4  
#aji4 ,au?orization ( appropriations    
,section #aab7;a77#a7 ( ! ,*ild ,abuse  
,prev5tion & ,treatm5t ,act 7#db        

,u4,s4,c4 #eajf;h7a77#a77 is am5d$ to   
read z foll[s3  7#a7 ,g5]al au?orization
 ,!re are au?oriz$ to be appropriat$ to 
c>ry out ?is title su* sums z may be    
necess>y = ea* ( fiscal ye>s #bjba ?r\gh
 #bjbf4  4  ,,ii ,community-bas$ grants 
= ! prev5tion ( *ild abuse & neglect    
#bja4 ,purpose & au?ority ,section #bja 
( ! ,*ild ,abuse ,prev5tion & ,treatm5t 
,act 7#db ,u4,s4,c4 #eaaf7 is am5d$--   
7#a7 9 subsection 7a7--  7,a7 9 p>agraph
 7#a7-- 7i7 by ins]t+ ,/ate & aft] to   
support2 &  7ii7 by ins]t+ /atewide &   
local networks ( aft] coord9ate2 &  7,b7
 9 p>agraph 7#b71 by /rik+ fo/] an      
und]/&+1 appreciation1 & k ( div]se     
populations & ins]t+ support local      
programs 9 increas+ access = div]se     
populations to programs & activities2 & 
7#b7 9 subsection 7b7-- 7,a7 by /rik+   
p>agraph 7#b72  7,b7 by r$esignat+      
p>agraphs 7#c7 ?r\gh 7#e7 z p>agraphs   
7#d7 ?r\gh 7#f71 respectively2  7,c7 9  
p>agraph 7#a7--  7i7 9 subp>agraph 7,c71
 by ins]t+ heal?y relation%ips & be=e   

p>5t+ skills2  7ii7 9 subp>agraph 7,e71 
by /rik+ includ+ access to su* res\rces 
& opportunities = unaccompani$ homeless 
y\?2 & ins]t+ su* z provid+ ref]rals to 
e>ly heal? & developm5tal s]vices1      
includ+ access to su* res\rces &        
opportunities = homeless families & ^?  
at risk ( homelessness2 &2  7iii7 by    
/rik+ subp>agraph 7,h72  7iv7 by        
r$esignat+ subp>agraph 7,g7 z p>agraph  
7#c7 & adju/+ ! m>g9 accord+ly2 &  7v7 9
 ! matt] prec$+ subp>agraph 7,a7-- 7,i7 
by ins]t+ /atewide & local networks (   
aft] enhanc+2 &  7,,ii7 by /rik+ t-- &  
ins]t+ ! foll[+3 89 ord] to provide a   
cont9uum ( s]vices to *ildr5 & families2
  7#b7 support+ local programs1 :i* may 
include capacity build+ activities su* z
 te*nical assi/ance1 tra9+1 &           
pr(essional developm5t to provide       
community-bas$ & prev5tion-focus$       
programs & activities design$ to /r5g!n 
& support families to prev5t *ild abuse 
& neglect t help families build         
protective factors l9k$ to ! prev5tion (

 *ild abuse & neglect t--  2  7,d7 9    
p>agraph 7#c71 z s r$esignat$1 by /rik+ 
demon/rate a commitm5t to involv+ p>5ts 
9 ! plann+ & program implem5tation ( !  
lead ag5cy & entities c>ry+ out & ins]t+
 support+ ! mean+ful involvem5t ( p>5ts 
9 ! plann+1 program implem5tation1 &    
evaluation ( ! lead entity &2  7,e7 9   
p>agraph 7#d71 z s r$esignat$1 by /rik+ 
specific community-bas$ & all t foll[s  
?r\gh section #bje7;a77#c7 & ins]t+ core
 *ild abuse & neglect prev5tion s]vices 
describ$ 9 section #bje7;a77#c7 & !     
s]vices id5tifi$ by ! inv5tory requir$  
"u section #bjd7c72  7,f7 9 p>agraph    
7#e71 z s r$esignat$-- 7i7 by /rik+     
funds = ! & ins]t+ ,f$]al1 ,/ate1 local1
 & private funds1 to c>ry out ! purposes
 ( ?is title1 :i* may include2 &  7ii7  
by /rik+ report+ & evaluation co/s =    
e/abli%+1 op]at+1 or exp&+ & ins]t+ su* 
z data sy/ems to facilitate /atewide    
monitor+1 report+1 & evaluation co/s =2 
&  7,g7 9 p>agraph 7#f71 z s            
r$esignat$--  7i7 by ins]t+ 1 :i* may   

include activities to increase public   
aw>5ess & education1 & develop+         
compreh5sive outrea* /rategies to engage
 div]se1 und]s]v$1 & at-risk            
populations1 aft] in=mation activities2 
&  7ii7 by /rik+ & ! promotion ( *ild   
abuse & neglect prev5tion activities4   
#bjb4 ,eligibility ,section #bjb ( !    
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eaaf;a7 is am5d$--     
7#a7 9 p>agraph 7#a7-- 7,a7 9           
subp>agraph 7,a7--  7i7 by ins]t+ 1 tak+
 into consid]ation ! capacity & exp]tise
 ( eligible entities1 aft] ,gov]nor ( ! 
,/ate2 &  7ii7 by ins]t+ /atewide &     
local networks ( be=e community-bas$2   
7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+  
:o are consum]s & ins]t+ :o are or :o h 
be5 consum]s2  7ii7 by /rik+ applicant  
ag5cy & ins]t+ lead entity2 &  7iii7 by 
add+ & aft] ! semicolon2  7,c7 9        
subp>agraph 7,c7-- 7i7 by ins]t+ local1 
aft] ,/ate12 &  7ii7 by /rik+ 2 & &     
ins]t+ a semicolon2 &  7,d7 by /rik+    
subp>agraph 7,d72  7#b7 9 p>agraph      

7#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+
 compos$ ( & all t foll[s ?r\gh *ildr5 )
 disabilities & ins]t+ c>ri$ out by     
local1 collaborative1 & public-private  
p>tn]%ips2 &  7,b7 9 subp>agraph 7,c71  
by ins]t+ local1 aft] ,/ate12 &  7#c7 9 
p>agraph 7#c7--  7,a7 9 subp>agraph     
7,a71 by /rik+ p>5tal p>ticipation 9 !  
developm5t1 op]ation1 & ov]sight ( ! &  
ins]t+ ! mean+ful involvem5t ( p>5ts 9 !
 developm5t1 op]ation1 evaluation1 &    
ov]sight ( ! ,/ate & local ef=ts to     
support2  7,b7 9 subp>agraph 7,b7-- 7i7 
by ins]t+ relevant be=e ,/ate &         
community-bas$2 &  7ii7 by /rik+ !      
community-bas$ & ins]t+ community-bas$2 
7,c7 9 subp>agraph 7,c7--  7i7 by /rik+ 
community-bas$ & prev5tion-focus$       
programs & activities design$ to /r5g!n 
& support families to prev5t *ild abuse 
& neglect & ins]t+ local programs2 &    
7ii7 by /rik+ 2 & & ins]t+ a semicolon2 
7,d7 9 subp>agraph 7,d7--  7i7 by /rik+ 
1 p>5ts ) disabilities1 & ins]t+ or     
p>5ts ) disabilities1 & memb]s (        

und]s]v$ or ov]repres5t$ gr\ps 9 ! *ild 
welf>e sy/em12 &  7ii7 by /rik+ ! p]iod 
& ins]t+ 2 &2 &  7,e7 by add+ at ! end !
 foll[+3  7,e7 w take into consid]ation 
b>ri]s to access to community-bas$ &    
prev5tion-focus$ programs & activities  
design$ to /r5g!n & support families to 
prev5t *ild abuse & neglect1 includ+ =  
populations describ$ 9 section          
#bjd7g77;,a77iii7 & gaps 9 unmet ne$    
id5tifi$ 9 ! inv5tory describ$ 9 section
 #bjd7c7 :5 di/ribut+ funds to local    
programs = use 9 accordance ) section   
#bje7;a74  4  #bjc4 ,am\nt ( grant      
,section #bjc ( ! ,*ild ,abuse          
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaaf;b7 is am5d$-- 7#a7 9    
subsection 7a71 by add+ at ! end !      
foll[+3 ,9 any fiscal ye> = :i* ! am\nt 
appropriat$ "u section #bji exce$s !    
am\nt appropriat$ "u su* section =      
fiscal ye> #bjai by m ?an #b1jjj1jjj1 ! 
,secret>y may increase ! res]vation     
describ$ 9 ?is subsection to up to #e   
p]c5t ( ! am\nt appropriat$ "u section  

#baj = ! fiscal ye> = ! purpose describ$
 9 ! prec$+ s5t5ce42 &  7#b7 9          
subsection 7b77#a77;,a71 by /rik+       
#age1jjj & ins]t+ #bjj1jjj4  #bjd4      
,application ,section #bjd ( ! ,*ild    
,abuse ,prev5tion & ,treatm5t ,act 7#db 
,u4,s4,c4 #eaaf;d7 is am5d$--  7#a7 9 ! 
matt] prec$+ p>agraph 7#a71 by /rik+ !  
,/ate & ins]t+ ! lead entity2  7#b7 9   
p>agraph 7#a71 by /rik+ :i* meets !     
requirem5ts ( section #bjb2  7#c7 9     
p>agraph 7#b71 by /rik+ community-bas$  
*ild abuse & neglect prev5tion programs 
& ins]t+ su* s]vices2  7#d7 9 p>agraph  
7#c71 by ins]t+ design$ to /r5g!n &     
support families aft] programs &        
activities2  7#e7 9 p>agraph 7#e71 by   
/rik+ />t up & ins]t+ />t-up2  7#f7 by  
am5d+ p>agraph 7#f7 to read z foll[s3   
7#f7 a description ( ! lead entity's    
capacity to ensure ! mean+ful involvem5t
 ( family advocates1 k9%ip c>egiv]s1    
adult =m] victims ( *ild abuse or       
neglect1 & p>5ts :o are1 or :o h be51   
consum]s ( prev5tive supports1 9 !      

plann+1 implem5tation1 & evaluation ( ! 
programs & policy decisions2  2  7#g7 by
 am5d+ p>agraph 7#g7 to read z foll[s3  
7#g7 a description ( ! crit]ia t ! lead 
entity w use to--  7,a7 select & fund   
local programs1 & h[ ! lead entity w    
take into consid]ation ! local program's
 ability to--  7i7 collaborate across a 
broad range ( s]vices & initiatives &   
engage 9 long-t]m & /rategic plann+ =1  
community-bas$ & prev5tion-focus$       
programs & activities design$ to /r5g!n 
& support families to prev5t *ild abuse 
& neglect2  7ii7 mean+fully involve     
p>5ts 9 ! developm5t1 implem5tation1    
ov]sight1 & evaluation ( s]vices2 &     
7iii7 r$uce b>ri]s to access to         
community-bas$ & prev5tion-focus$       
programs & activities design$ to /r5g!n 
& support families to prev5t *ild abuse 
& neglect1 includ+ = div]se1 und]s]v$1 &
 at-risk populations2 or  7,b7 develop  
or provide community-bas$ &             
prev5tion-focus$ programs & activities  
design$ to /r5g!n & support families to 

prev5t *ild abuse & neglect1 & provide a
 description ( h[ su* activities are    
evid5ce-bas$ or evid5ce-in=m$2  2  7#h7 
9 p>agraph 7#h7-- 7,a7 by /rik+ entity &
 ! community-bas$ & prev5tion-focus$    
programs design$ to /r5g!n & support    
families to prev5t *ild abuse & neglect 
& ins]t+ lead entity & local programs2  
7,b7 by /rik+ homeless families & ^? at 
risk ( homelessness1 unaccompani$       
homeless y\? & ins]t+ victims ( dome/ic 
viol5ce1 homeless families & ^? at risk 
( homelessness1 families exp]i5c+       
trauma2 &  7,c7 by ins]t+ 1 includ+     
und]s]v$ or ov]repres5t$ gr\ps 9 ! *ild 
welf>e sy/em be=e ! semicolon2  7#i7 9  
p>agraph 7#i71 by /rik+ community-bas$ &
 prev5tion-focus$ programs & activities 
design$ to /r5g!n & support families to 
prev5t *ild abuse & neglect & ins]t+    
local programs2  7#aj7 9 p>agraph 7#aj71
 by /rik+ applicant entity's activities 
& ^? ( ! network & its memb]s 7:]e      
appropriate7 w be evaluat$ & ins]t+ lead
 entity's activities & local programs w 

be evaluat$1 includ+ 9 accordance )     
section #bjf2  7#aa7 9 p>agraph 7#aa7-- 
7,a7 by /rik+ applicant entity & ins]t+ 
lead entity2 &  7,b7 by ins]t+ 1 includ+
 h[ ! lead entity w promote & consid]   
improv+ access among div]se1 und]s]v$1 &
 at-risk populations be=e ! semicolon2 &
  7#ab7 9 p>agraph 7#ab71 by /rik+      
applicant entity & ins]t+ lead entity4  
#bje4 ,local program requirem5ts        
,section #bje ( ! ,*ild ,abuse          
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaaf;e7 is am5d$--  7#a7 9   
subsection 7a7-- 7,a7 9 ! matt] prec$+  
p>agraph 7#a7--  7i7 by /rik+ ,grants   
made & ins]t+ ,grants or contracts made 
by ! lead entity2 &  7ii7 by /rik+ t-- &
 ins]t+ 1 :i* may include--2  7,b7 by   
am5d+ p>agraph 7#a7 to read z foll[s3   
7#a7 assess+ community assets & ne$s    
?r\gh a plann+ process t--  7,a7        
involves o!r community-bas$             
organizations or ag5cies t h already    
p]=m$ a ne$s assessm5t2  7,b7 includes !
 mean+ful involvem5t ( p>5ts2 &  7,c7   

uses in=mation & exp]tise f local public
 ag5cies1 local nonpr(it organizations1 
& private sector repres5tatives 9       
mean+ful roles2  2  7,c7 9 p>agraph     
7#b71 by /rik+ develop & ins]t+         
develop+2  7,d7 9 p>agraph 7#c7--  7i7 9
 subp>agraph 7,a7-- 7,i7 9 ! matt]      
prec$+ clause 7i71 by /rik+ provide = & 
ins]t+ provid+2 &  7,,ii7 9 clause 7i71 
by /rik+ mutual support & & ins]t+ :i*  
may include programs & s]vices t improve
 k ( heal?y *ild developm5t1 p>5tal     
resili5ce1 mutual support1 &2 &  7ii7 9 
subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+
 clause 7i71 by /rik+ provide access to 
optional s]vices & ins]t+ connect+      
individuals & families to additional    
s]vices2  7,,ii7 9 clause 7ii71 by /rik+
 & int]v5tion & ins]t+ 1 su* z ,head    
,/>t1 includ+ e>ly ,head ,/>t1 & e>ly   
int]v5tion2  7,,iii7 by r$esignat+      
clauses 7iii7 ?r\gh 7ix7 z clauses 7iv7 
?r\gh 7x71 respectively2  7,,iv7 by     
ins]t+ aft] clause 7ii7 ! foll[+3  7iii7
 nutrition programs1 :i* may include !  

special supplem5tal nutrition program = 
wom51 infants1 & *ildr5 e/abli%$ by     
section #ag ( ! ,*ild ,nutrition ,act ( 
#aiff 7#db ,u4,s4,c4 #aghf7 & !         
supplem5tal nutrition assi/ance program 
"u ! ,food & ,nutrition ,act ( #bjjh 7#g
 ,u4,s4,c4 #bjaa et seq472  2  7,v7 9   
clause 7vi71 z s r$esignat$1 by /rik+   
s]vices1 su* z academic tutor+1 lit]acy 
tra9+1 & ,g5]al ,educational ,degree    
s]vices & ins]t+ & work=ce developm5t   
programs1 includ+ adult education &     
lit]acy tra9+ & academic tutor+2 &      
7,,vi7 9 clause 7x71 z s r$esignat$1 by 
/rik+ s]vice programs t provide s]vices 
& treatm5t to *ildr5 & _! non-abus+     
c>egiv]s & ins]t+ s]vices2  7,e7 9      
p>agraph 7#d7--  7i7 by /rik+ develop   
lead]%ip roles = ! & ins]t+ develop+ &  
ma9ta9+2  7ii7 by ins]t+ 1 &1 z         
applicable1 k9%ip c>egiv]s1 aft] p>5ts2 
&  7iii7 by /rik+ ! programs & ins]t+   
programs2  7,f7 9 p>agraph 7#e71 by     
/rik+ provide & ins]t+ provid+2 &  7,g7 
9 p>agraph 7#f71 by /rik+ p>ticipate &  

ins]t+ p>ticipat+2 &  7#b7 9 subsection 
7b71 by /rik+ programs44 & ins]t+       
programs44  #bjf4 ,p]=mance measures    
,section #bjf ( ! ,*ild ,abuse          
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eaaf;f7 is am5d$-- 7#a7 9    
p>agraph 7#b71 by /rik+ optional s]vices
 z describ$ 9 section #bjb & ins]t+     
additional s]vices z describ$ 9 section 
#bje7;a77#c77;,b72  7#b7 9 p>agraph     
7#c71 by /rik+ section #bje7c7 & ins]t+ 
section #bjd2  7#c7 9 p>agraph 7#e71 by 
/rik+ us$ ! s]vices ( & ins]t+          
p>ticipat$ 92  7#d7 9 p>agraph 7#f71 by 
/rik+ community level & ins]t+ local    
level2  7#e7 9 p>agraph 7#g71 by /rik+ 2
 & & ins]t+ a semicolon2  7#f7 by       
r$esignat+ p>agraph 7#h7 z p>agraph     
7#i72  7#g7 by ins]t+ aft] p>agraph 7#g7
 ! foll[+3  7#h7 %all describe !        
p]c5tage ( total fund+ provid$ to !     
,/ate "u section #bjc t supports        
evid5ce-bas$ & evid5ce-in=m$            
community-bas$ & prev5tion-focus$       
programs & activities design$ to /r5g!n 

& support families to prev5t *ild abuse 
& neglect2 &  2 &  7#h7 9 p>agraph 7#i71
 z s r$esignat$1 by /rik+ cont9u$       
lead]%ip & ins]t+ mean+ful involvem5t4  
#bjg4 ,def9itions ,section #bjh7b7 ( !  
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eaaf;h7#b77 is am5d$-- 
7#a7 9 ! p>agraph head+1 by ins]t+      
design$ to /r5g!n & support families    
aft] activities2  7#b7 by /rik+ respite 
c>e programs & ins]t+ respite c>e       
s]vices2  7#c7 by ins]t+ = p>5ts &      
*ildr5 aft] mutual support programs2 &  
7#d7 by /rik+ or respond to4  #bjh4     
,au?orization ( appropriations ,section 
#bji ( ! ,*ild ,abuse ,prev5tion &      
,treatm5t ,act 7#db ,u4,s4,c4 #eaaf;i7  
is am5d$ to read z foll[s3  #bji4       
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is title su* sums z may be necess>y =  
ea* ( fiscal ye>s #bjba ?r\gh #bjbf4  4 
,,iii ,miscellane\s provisions  #cja4   
,te*nical am5dm5ts ,! ,*ild ,abuse      
,prev5tion & ,treatm5t ,act 7#db        

,u4,s4,c4 #eaja et seq47 is am5d$-- 7#a7
 9 section #c1 by am5d+ p>agraph 7#e7 to
 read z foll[s3  7#e7 ! t]ms ,indian1   
,indian ,tribe1 & ,tribal organization h
 ! mean+s giv5 ! t]ms ,indian1 ,indian  
tribe1 & tribal organization1           
respectively1 9 section #d ( ! ,indian  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b72 
2  7#b7 by /rik+ tribe ea* place su* t]m
 appe>s 7o!r ?an section #c7e77 & ins]t+
 ,tribe2 &  7#c7 by /rik+ tribal ea*    
place su* t]m appe>s 7o!r ?an section   
#c7e77 & ins]t+ ,tribal4