,,ii  #aafth ,,congress  #ast ,session  
,s4 #cjbg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #aa1 
#bjai,mr4 ,brown 7for himself and ,mr4  
,blunt7 introduced the following bill2  
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend part ,b of title ,,iv of the      
,social ,security ,act to require       
,states to review child fatalities from 
maltreatment1 and for other purposes4   
#a4 ,short title ,this ,act may be cited
 as the ,child ,abuse ,death ,disclosure
 ,act4  #b4 ,strengthening national data
 on child fatalities from maltreatment  
7a7 ,,iv-,b requirement ,to review child
 fatalities from maltreatment ,section  
#dbb7;b77#ai7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #fbb7;b77#ai77 is   
amended-- 7#a7 in subparagraph 7,a71 by 
striking and after the semicolon2  7#b7 
in subparagraph 7,b71 by striking the   
period at the end and inserting 2 and2  
and  7#c7 by adding at the end the      
following3  7,c7 an assurance that the  

,state shall-- 7i7 engage at least      
annually1 and1 more frequently as       
necessary1 in a multidisciplinary review
 of all child fatalities from           
maltreatment in the ,state that occurred
 during the previous year in accordance 
with the requirements of section        
#dbi;,a2 and  4  7b7 ,review            
requirements ,subpart #a of part ,b of  
title ,,iv of the ,social ,security ,act
 7#db ,u4,s4,c4 #fba et seq47 is amended
 by adding at the end the following3    
#dbi;,a4 ,ongoing review of child       
fatalities from maltreatment  7a7       
,requirements ,in order to satisfy the  
requirements of section                 
#dbb7;b77#ai77;,c71 a ,state shall      
require the ,state's multidisciplinary  
child death review team or1 if the      
,state does not have such a team as of  
the date of enactment of this section1 a
 multidisciplinary team established by  
the ,state that is comprised of         
representatives of integral elements of 
the ,state child welfare system1 such as

 child welfare workers1 child protective
 services workers1 prosecutors1 law     
enforcement1 coroners or medical        
examiners1 public health care providers1
 pediatricians with expertise in child  
maltreatment and the child welfare      
system1 substance use disorder treatment
 providers1 and advocates and           
researchers for the prevention and      
treatment of domestic violence1 as well 
as representatives of educators1        
including early childhood educators and 
child care providers1 to review at least
 annually and more frequently as        
necessary all child fatalities from     
maltreatment in the ,state that occurred
 during the most recently ended fiscal  
year and for which all administrative or
 judicial review is complete or no      
longer timely 7in this section referred 
to as the review team74 ,any child      
fatality from maltreatment in the ,state
 that occurred during the most recently 
ended fiscal year but for which         
administrative or judicial review is not

 complete or remains timely shall be    
reviewed by the review team in during   
the first review period that occurs     
after all administrative or judicial    
review is complete or no longer timely4 
7b7 ,report and recommendations ,the    
review team shall-- 7#a7 for each child 
fatality from maltreatment in the ,state
 subject to review1 make findings based 
on information available to the review  
team regarding the causes of child's    
fatality and other factors that impacted
 the child's fatality1 including to the 
extent possible and taking into account 
privacy protections under ,federal and  
,state law1 the circumstances of the    
fatality1 the characteristics of the    
victim1 the perpetrators1 including     
their relationship to the child1 and the
 parents or guardians of the child1     
whether there were previous familial    
interactions with child protective      
services and the outcomes of those      
interactions1 whether the child had any 
siblings and how many1 whether there    

were other children present or living in
 the household at the time of the       
fatality1 and the social services1      
public cash or in-kind assistance       
7including housing71 health 7including  
mental health7 services1 alcohol or     
substance use disorder treatment1 or    
other public or private services        
provided to or on behalf of the child   
prior to the child's death2  7#b7 submit
 all findings and data made in          
accordance with paragraph 7#a7 to the   
,child ,death ,review ,case ,reporting  
,system 7in this section referred to as 
the ,,cdr ,reporting ,system7 operated  
by the ,national ,center for ,fatality  
,review and ,prevention2  7#c7 based on 
the findings made in accordance with    
paragraph 7#a71 develop recommendations 
for preventing future child fatalities  
from maltreatment2 and  7#d7 submit a   
report1 at least annually1 and1 more    
frequently as necessary1 to the ,state  
,governor1 the ,state legislature1 and1 
if the incident reporting threshold     

established under subsection 7c7 is met1
 to the ,secretary1 that contains the   
findings and data submitted to the ,,cdr
 ,reporting ,system under subparagraph  
7#b7 7de-identified7 and the            
recommendations developed under         
paragraph 7#c74  7c7 ,incident reporting
 threshold  7#a7 ,state-specific        
thresholds  7,a7 ,in general ,the       
,secretary annually shall establish a   
national reporting incident threshold   
for each ,state for purposes of         
protecting the privacy of families and  
other living individuals whose          
information is part of the findings and 
data submitted under subsection 7b77#b7 
and the reports to the ,state ,governor 
and ,state ,legislature required under  
subsection 7b77#d74  7,b7 ,requirements 
,in establishing the national reporting 
incident threshold for a ,state1 the    
,secretary shall ensure that the        
reporting threshold is subject to       
privacy protections that are designed to
 protect the privacy of--  7i7 children2

  7ii7 individuals who are not the      
perpetrators of the child maltreatment  
that resulted in the fatality2 and      
7iii7 individuals who are or have been  
victimized by domestic violence or who  
are at risk of domestic violence4  7#b7 
,application ,if the number of child    
fatalities from maltreatment in a ,state
 in a fiscal year is below the reporting
 threshold established for the ,state   
for the fiscal year1 the ,state shall   
not submit the report required under    
subsection 7b77#d7 to the ,secretary but
 shall submit to the ,secretary--  7,a7 
the findings and data submitted to the  
,,cdr ,reporting ,system under          
subsection 7b77#b7 for the purpose of   
making such findings and data accessible
 as a public use data set on the        
national website required under         
subsection 7g7 after redacting any      
personal identifying information2 and   
7,b7 the recommendations developed under
 subsection 7b77#c74  7d7 ,training ,in 
order to satisfy the requirements of    

section #dbb7;b77#ai77;,c7 and          
subsection 7i71 a ,state shall provide  
short-term training for the members and 
staff of the ,state's multidisciplinary 
child death review team1 coroners1      
medical examiners1 pathologists1 crime  
scene investigators1 social workers1 and
 law enforcement regarding--  7#a7 the  
set of national definition standards    
promulgated under section #c7;a7 of the 
,child ,abuse ,death ,disclosure ,act2  
and  7#b7 approaches to--  7,a7 reduce  
and prevent discrimination based on race
 or culture 7including training related 
to implicit biases7 in the provision of 
child protection and welfare services   
related to child abuse and neglect2 and 
7,b7 address racial or cultural         
disproportionality in the incidence of  
child maltreatment fatality cases4  7e7 
,funding  7#a7 ,in general ,subject to  
paragraph 7#b71 amounts expended by a   
,state during each quarter beginning    
after the effective date of this section
 for administrative costs 7as defined in

 section #dbb7;c77#a77 to carry out this
 section and section #dbb7;b77#ai77;,c7 
shall be deemed to be amounts expended  
during such quarter as found necessary  
by the ,secretary for the proper and    
efficient administration of the ,state  
plan under part ,e and eligible for     
,federal matching payments under section
 #dgd7;a77#c77;,e7 without regard to    
whether such costs are incurred on      
behalf of a child who is1 or is         
potentially1 eligible for foster care   
maintenance payments or adoption        
assistance under part ,e4  7#b7         
,training ,amounts expended by a ,state 
during each quarter beginning after the 
effective date of this section for      
providing training required under       
subsection 7d7 of this section shall be 
eligible for ,federal matching payments 
under section #dgd7;a77#c77;,b7 without 
regard to whether such costs are        
incurred on behalf of a child who is1 or
 is potentially1 eligible for foster    
care maintenance payments or adoption   

assistance under part ,e4  7f7 ,indian  
tribes1 tribal organizations ,the       
,secretary1 in consultation with the    
,assistant ,secretary-,indian ,affairs  
of the ,bureau of ,indian ,affairs of   
the ,department of ,interior and tribal 
child welfare organizations1 shall      
determine how and the extent to which   
the requirements of this section shall  
apply to ,indian tribes and tribal      
organizations 7as defined in section #d 
of the ,indian ,self-,determination and 
,education ,assistance ,act 7#be        
,u4,s4,c4 #ecjd74  7g7 ,nonapplication  
,the limitations on payments for        
administrative costs under sections     
#dbd7;e7 and #dgb7;i7 shall not apply to
 ,state expenditures made to carry out  
this section4  7h7 ,national website    
7#a7 ,in general ,the ,secretary1 in    
coordination with the ,national ,center 
for ,fatality ,review and ,prevention1  
shall publish on a website that is      
available to the public and maintained  
and updated at least annually--  7,a7   

each report submitted to the ,secretary 
under subsection 7b77#d72 and  7,b7 the 
findings and data submitted to the ,,cdr
 ,reporting ,system under subsection    
7b77#b7 7with any personal identifying  
information or information that         
identifies the submitting ,state        
redacted7 in a manner that is accessible
 as a public use data set for purposes  
of research to identify risk factors and
 to prevent future deaths of children   
from maltreatment4  7#b7 ,notice to     
congress ,the ,secretary shall notify   
,congress when information on the       
website required under paragraph 7#a7 is
 updated4  4  7c7 ,conforming amendment 
,section #dbe of the ,social ,security  
,act 7#db ,u4,s4,c4 #fbe7 is amended by 
striking #dbf1 #dbg1 and #dbi and       
inserting #dbb7;b77#ai77;,c71 #dbf1     
#dbg1 #dbi1 and #dbi;,a4  #c4           
,development of national definition     
standards relating to child fatalities  
from maltreatment  7a7 ,promulgation of 
national definition standards ,not later

 than #ah months after the date of      
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services 7in this
 section referred to as the ,secretary7 
shall promulgate proposed regulations   
establishing a set of national          
definition standards relating to child  
fatalities from maltreatment that       
,states shall use to report data to the 
,national ,child ,abuse and ,neglect    
,data ,system established and maintained
 in accordance with section #ajc of the 
,child ,abuse ,prevention and ,treatment
 ,act 7#db ,u4,s4,c4 #eajd7 and1 not    
later than #f months after the date on  
which the public comment period on the  
proposed regulations closes1 shall issue
 final regulations establishing such    
standards4  7b7 ,requirements ,in       
promulgating the regulations under      
subsection 7a71 the ,secretary shall    
consult with representatives of--  7#a7 
,state and county officials responsible 
for administering the ,state plans under
 parts ,b and ,e of title ,,iv of the   

,social ,security ,act2  7#b7 child     
welfare professionals with field        
experience2  7#c7 child welfare         
researchers2  7#d7 child development    
professionals2  7#e7 mental health      
professionals2  7#f7 substance use      
disorder treatment professionals2  7#g7 
emergency medicine physicians2  7#h7    
child abuse pediatricians1 as certified 
by the ,american ,board of ,pediatrics1 
who specialize in treating victims of   
child abuse2  7#i7 forensic             
pathologists2  7#aj7 public health      
administration2  7#aa7 public health    
researchers2  7#ab7 law enforcement2    
7#ac7 advocates and researchers for the 
prevention and treatment of domestic    
violence2  7#ad7 a representative from  
the ,national ,center for ,fatality     
,review and ,prevention2 and  7#ae7 such
 other organizations or entities as the 
,secretary determines appropriate4  7c7 
,conforming amendments  7#a7 ,,capta    
7,a7 ,national ,child ,abuse and        
,neglect ,data ,system ,section         

#ajc7;c77#a77;,c7 of the ,child ,abuse  
,prevention and ,treatment ,act 7#db    
,u4,s4,c4 #eajd7;c77#a77;,c77 is        
amended--  7i7 in clause 7iii71 by      
striking and after the semicolon2  7ii7 
in clause 7iv71 by adding and after the 
semicolon2 and  7iii7 by inserting after
 clause 7iv71 the following3  7v7       
information on child fatalities from    
maltreatment in accordance with the set 
of national definition standards        
promulgated under section #c7;a7 of the 
,child ,abuse ,death ,disclosure ,act2  
4  7,b7 ,state data reports ,section    
#ajf7;d7 of the ,child ,abuse           
,prevention and ,treatment ,act 7#db    
,u4,s4,c4 #eajf;a7d77 is amended by     
adding at the end the following3  7#ai7 
,the number of child fatalities from    
maltreatment and related information    
required to be reported in accordance   
with the set of national definition     
standards promulgated under section     
#c7;a7 of the ,child ,abuse ,death      
,disclosure ,act4  4  7#b7 ,social      

,security ,act  7,a7 ,,iv-,b plan       
,section #dbb7;b77#ai77;,c7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#fbb7;b77#ai771 as amended by section   
#b7;a71 is further amended by adding at 
the end the following3  7ii7 report     
information on child maltreatment deaths
 required by ,federal law in accordance 
with the set of national definition     
standards promulgated under section     
#c7;a7 of the ,child ,abuse ,death      
,disclosure ,act4  4  7,b7 ,review      
requirements ,section #dbi;,a of the    
,social ,security ,act1 as added by     
section #b7;b71 is amended by adding at 
the end the following3  7i7 ,application
 of national definition standards ,the  
review team shall use the set of        
national definition standards           
promulgated under section #c7;a7 of the 
,child ,abuse ,death ,disclosure ,act to
 make and submit findings and data to   
the ,,cdr ,reporting ,system and to     
develop the recommendations required    
under subsection 7b77#c74  4  #d4       

,effective date ,this ,act and the      
amendments made by this ,act take effect
 on the date that is #f months after the
 date of enactment of this ,act4