,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cjbg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #aa1 #bjai,mr4
 ,br[n 7= himself & ,mr4 ,blunt7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d "p ,b (    
title ,,iv ( ! ,social ,security ,act to
 require ,/ates to review *ild          
fatalities f maltreatm5t1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,*ild ,abuse ,dea?         
,disclosure ,act4  #b4 ,/r5g!n+ national
 data on *ild fatalities f maltreatm5t  
7a7 ,,iv-,b requirem5t ,to review *ild  
fatalities f maltreatm5t ,section       
#dbb7;b77#ai7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fbb7;b77#ai77 is       
am5d$-- 7#a7 9 subp>agraph 7,a71 by     
/rik+ & aft] ! semicolon2  7#b7 9       
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+3  7,c7 an assurance t !    
,/ate %all-- 7i7 engage at lea/         
annually1 &1 m frequ5tly z necess>y1 9 a

 multidiscipl9>y review ( all *ild      
fatalities f maltreatm5t 9 ! ,/ate t    
occurr$ dur+ ! previ\s ye> 9 accordance 
) ! requirem5ts ( section #dbi;,a2 &  4 
7b7 ,review requirem5ts ,subp>t #a ( "p 
,b ( title ,,iv ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #fba et seq47 is    
am5d$ by add+ at ! end ! foll[+3        
#dbi;,a4 ,ongo+ review ( *ild fatalities
 f maltreatm5t  7a7 ,requirem5ts ,9 ord]
 to satisfy ! requirem5ts ( section     
#dbb7;b77#ai77;,c71 a ,/ate %all require
 ! ,/ate's multidiscipl9>y *ild dea?    
review team or1 if ! ,/ate does n h su* 
a team z ( ! date ( enactm5t ( ?is      
section1 a multidiscipl9>y team e/abli%$
 by ! ,/ate t is compris$ (             
repres5tatives ( integral elem5ts ( !   
,/ate *ild welf>e sy/em1 su* z *ild     
welf>e work]s1 *ild protective s]vices  
work]s1 prosecutors1 law en=cem5t1      
coron]s or m$ical exam9]s1 public heal? 
c>e provid]s1 p$iatricians ) exp]tise 9 
*ild maltreatm5t & ! *ild welf>e sy/em1 
sub/ance use disord] treatm5t provid]s1 

& advocates & rese>*]s = ! prev5tion &  
treatm5t ( dome/ic viol5ce1 z well z    
repres5tatives ( educators1 includ+ e>ly
 *ildhood educators & *ild c>e provid]s1
 to review at lea/ annually & m         
frequ5tly z necess>y all *ild fatalities
 f maltreatm5t 9 ! ,/ate t occurr$ dur+ 
! mo/ rec5tly end$ fiscal ye> & = :i*   
all adm9i/rative or judicial review is  
complete or no long] timely 79 ?is      
section ref]r$ to z ! review team74 ,any
 *ild fatality f maltreatm5t 9 ! ,/ate t
 occurr$ dur+ ! mo/ rec5tly end$ fiscal 
ye> b = :i* adm9i/rative or judicial    
review is n complete or rema9s timely   
%all be review$ by ! review team 9 dur+ 
! fir/ review p]iod t occurs aft] all   
adm9i/rative or judicial review is      
complete or no long] timely4  7b7       
,report & recomm5dations ,! review team 
%all-- 7#a7 = ea* *ild fatality f       
maltreatm5t 9 ! ,/ate subject to review1
 make f9d+s bas$ on in=mation available 
to ! review team reg>d+ ! causes (      
*ild's fatality & o!r factors t impact$ 

! *ild's fatality1 includ+ to ! ext5t   
possible & tak+ into acc\nt privacy     
protections "u ,f$]al & ,/ate law1 !    
circum/ances ( ! fatality1 ! *>act]i/ics
 ( ! victim1 ! p]petrators1 includ+ _!  
relation%ip to ! *ild1 & ! p>5ts or     
gu>dians ( ! *ild1 :e!r !re 7 previ\s   
familial int]actions ) *ild protective  
s]vices & ! outcomes ( ^? int]actions1  
:e!r ! *ild _h any sibl+s & h[ _m1 :e!r 
!re 7 o!r *ildr5 pres5t or liv+ 9 !     
h\sehold at ! "t ( ! fatality1 & !      
social s]vices1 public ca% or 9-k9d     
assi/ance 7includ+ h\s+71 heal? 7includ+
 m5tal heal?7 s]vices1 alcohol or       
sub/ance use disord] treatm5t1 or o!r   
public or private s]vices provid$ to or 
on behalf ( ! *ild prior to ! *ild's    
dea?2  7#b7 submit all f9d+s & data made
 9 accordance ) p>agraph 7#a7 to ! ,*ild
 ,dea? ,review ,case ,report+ ,sy/em 79 
?is section ref]r$ to z ! ,,cdr ,report+
 ,sy/em7 op]at$ by ! ,national ,c5t] =  
,fatality ,review & ,prev5tion2  7#c7   
bas$ on ! f9d+s made 9 accordance )     

p>agraph 7#a71 develop recomm5dations = 
prev5t+ future *ild fatalities f        
maltreatm5t2 &  7#d7 submit a report1 at
 lea/ annually1 &1 m frequ5tly z        
necess>y1 to ! ,/ate ,gov]nor1 ! ,/ate  
legislature1 &1 if ! incid5t report+    
?re%old e/abli%$ "u subsection 7c7 is   
met1 to ! ,secret>y1 t conta9s ! f9d+s &
 data submitt$ to ! ,,cdr ,report+      
,sy/em "u subp>agraph 7#b7 7de-id5tifi$7
 & ! recomm5dations develop$ "u p>agraph
 7#c74  7c7 ,incid5t report+ ?re%old    
7#a7 ,/ate-specific ?re%olds  7,a7 ,9   
g5]al ,! ,secret>y annually %all e/abli%
 a national report+ incid5t ?re%old =   
ea* ,/ate = purposes ( protect+ !       
privacy ( families & o!r liv+           
individuals ^: in=mation is "p ( ! f9d+s
 & data submitt$ "u subsection 7b77#b7 &
 ! reports to ! ,/ate ,gov]nor & ,/ate  
,legislature requir$ "u subsection      
7b77#d74  7,b7 ,requirem5ts ,9 e/abli%+ 
! national report+ incid5t ?re%old = a  
,/ate1 ! ,secret>y %all ensure t !      
report+ ?re%old is subject to privacy   

protections t are design$ to protect !  
privacy (--  7i7 *ildr52  7ii7          
individuals :o are n ! p]petrators ( !  
*ild maltreatm5t t result$ 9 ! fatality2
 &  7iii7 individuals :o are or h be5   
victimiz$ by dome/ic viol5ce or :o are  
at risk ( dome/ic viol5ce4  7#b7        
,application ,if ! numb] ( *ild         
fatalities f maltreatm5t 9 a ,/ate 9 a  
fiscal ye> is bel[ ! report+ ?re%old    
e/abli%$ = ! ,/ate = ! fiscal ye>1 !    
,/ate %all n submit ! report requir$ "u 
subsection 7b77#d7 to ! ,secret>y b %all
 submit to ! ,secret>y--  7,a7 ! f9d+s &
 data submitt$ to ! ,,cdr ,report+      
,sy/em "u subsection 7b77#b7 = ! purpose
 ( mak+ su* f9d+s & data accessible z a 
public use data set on ! national       
website requir$ "u subsection 7g7 aft]  
r$act+ any p]sonal id5tify+ in=mation2 &
  7,b7 ! recomm5dations develop$ "u     
subsection 7b77#c74  7d7 ,tra9+ ,9 ord] 
to satisfy ! requirem5ts ( section      
#dbb7;b77#ai77;,c7 & subsection 7i71 a  
,/ate %all provide %ort-t]m tra9+ = !   

memb]s & /aff ( ! ,/ate's               
multidiscipl9>y *ild dea? review team1  
coron]s1 m$ical exam9]s1 pa?ologi/s1    
crime sc5e inve/igators1 social work]s1 
& law en=cem5t reg>d+--  7#a7 ! set (   
national def9ition /&>ds promulgat$ "u  
section #c7;a7 ( ! ,*ild ,abuse ,dea?   
,disclosure ,act2 &  7#b7 approa*es to--
  7,a7 r$uce & prev5t discrim9ation bas$
 on race or culture 7includ+ tra9+      
relat$ to implicit biases7 9 ! provision
 ( *ild protection & welf>e s]vices     
relat$ to *ild abuse & neglect2 &  7,b7 
address racial or cultural              
disproportionality 9 ! incid5ce ( *ild  
maltreatm5t fatality cases4  7e7 ,fund+ 
7#a7 ,9 g5]al ,subject to p>agraph 7#b71
 am\nts exp5d$ by a ,/ate dur+ ea* qu>t]
 beg9n+ aft] ! effective date ( ?is     
section = adm9i/rative co/s 7z def9$ 9  
section #dbb7;c77#a77 to c>ry out ?is   
section & section #dbb7;b77#ai77;,c7    
%all be deem$ to be am\nts exp5d$ dur+  
su* qu>t] z f\nd necess>y by ! ,secret>y
 = ! prop] & effici5t adm9i/ration ( !  

,/ate plan "u "p ,e & eligible = ,f$]al 
mat*+ paym5ts "u section                
#dgd7;a77#c77;,e7 )\t reg>d to :e!r su* 
co/s are incurr$ on behalf ( a *ild :o  
is1 or is pot5tially1 eligible = fo/]   
c>e ma9t5ance paym5ts or adoption       
assi/ance "u "p ,e4  7#b7 ,tra9+ ,am\nts
 exp5d$ by a ,/ate dur+ ea* qu>t] beg9n+
 aft] ! effective date ( ?is section =  
provid+ tra9+ requir$ "u subsection 7d7 
( ?is section %all be eligible = ,f$]al 
mat*+ paym5ts "u section                
#dgd7;a77#c77;,b7 )\t reg>d to :e!r su* 
co/s are incurr$ on behalf ( a *ild :o  
is1 or is pot5tially1 eligible = fo/]   
c>e ma9t5ance paym5ts or adoption       
assi/ance "u "p ,e4  7f7 ,indian tribes1
 tribal organizations ,! ,secret>y1 9   
consultation ) ! ,assi/ant              
,secret>y-,indian ,affairs ( ! ,bureau (
 ,indian ,affairs ( ! ,dep>tm5t (       
,int]ior & tribal *ild welf>e           
organizations1 %all det]m9e h[ & ! ext5t
 to :i* ! requirem5ts ( ?is section %all
 apply to ,indian tribes & tribal       

organizations 7z def9$ 9 section #d ( ! 
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7g7 ,nonapplication ,! limitations on   
paym5ts = adm9i/rative co/s "u sections 
#dbd7;e7 & #dgb7;i7 %all n apply to     
,/ate exp5ditures made to c>ry out ?is  
section4  7h7 ,national website  7#a7 ,9
 g5]al ,! ,secret>y1 9 coord9ation ) !  
,national ,c5t] = ,fatality ,review &   
,prev5tion1 %all publi% on a website t  
is available to ! public & ma9ta9$ &    
updat$ at lea/ annually--  7,a7 ea*     
report submitt$ to ! ,secret>y "u       
subsection 7b77#d72 &  7,b7 ! f9d+s &   
data submitt$ to ! ,,cdr ,report+ ,sy/em
 "u subsection 7b77#b7 7) any p]sonal   
id5tify+ in=mation or in=mation t       
id5tifies ! submitt+ ,/ate r$act$7 9 a  
mann] t is accessible z a public use    
data set = purposes ( rese>* to id5tify 
risk factors & to prev5t future dea?s ( 
*ildr5 f maltreatm5t4  7#b7 ,notice to  
congress ,! ,secret>y %all notify       
,congress :5 in=mation on ! website     

requir$ "u p>agraph 7#a7 is updat$4  4  
7c7 ,con=m+ am5dm5t ,section #dbe ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#fbe7 is am5d$ by /rik+ #dbf1 #dbg1 &   
#dbi & ins]t+ #dbb7;b77#ai77;,c71 #dbf1 
#dbg1 #dbi1 & #dbi;,a4  #c4 ,developm5t 
( national def9ition /&>ds relat+ to    
*ild fatalities f maltreatm5t  7a7      
,promulgation ( national def9ition /&>ds
 ,n lat] ?an #ah mon?s aft] ! date (    
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all promulgate
 propos$ regulations e/abli%+ a set (   
national def9ition /&>ds relat+ to *ild 
fatalities f maltreatm5t t ,/ates %all  
use to report data to ! ,national ,*ild 
,abuse & ,neglect ,data ,sy/em e/abli%$ 
& ma9ta9$ 9 accordance ) section #ajc ( 
! ,*ild ,abuse ,prev5tion & ,treatm5t   
,act 7#db ,u4,s4,c4 #eajd7 &1 n lat] ?an
 #f mon?s aft] ! date on :i* ! public   
comm5t p]iod on ! propos$ regulations   
closes1 %all issue f9al regulations     
e/abli%+ su* /&>ds4  7b7 ,requirem5ts ,9

 promulgat+ ! regulations "u subsection 
7a71 ! ,secret>y %all consult )         
repres5tatives (--  7#a7 ,/ate & c\nty  
(ficials responsible = adm9i/]+ ! ,/ate 
plans "u p>ts ,b & ,e ( title ,,iv ( !  
,social ,security ,act2  7#b7 *ild      
welf>e pr(essionals ) field exp]i5ce2   
7#c7 *ild welf>e rese>*]s2  7#d7 *ild   
developm5t pr(essionals2  7#e7 m5tal    
heal? pr(essionals2  7#f7 sub/ance use  
disord] treatm5t pr(essionals2  7#g7    
em]g5cy m$ic9e physicians2  7#h7 *ild   
abuse p$iatricians1 z c]tifi$ by !      
,am]ican ,bo>d ( ,p$iatrics1 :o         
specialize 9 treat+ victims ( *ild      
abuse2  7#i7 =5sic pa?ologi/s2  7#aj7   
public heal? adm9i/ration2  7#aa7 public
 heal? rese>*]s2  7#ab7 law en=cem5t2   
7#ac7 advocates & rese>*]s = ! prev5tion
 & treatm5t ( dome/ic viol5ce2  7#ad7 a 
repres5tative f ! ,national ,c5t] =     
,fatality ,review & ,prev5tion2 &  7#ae7
 su* o!r organizations or entities z !  
,secret>y det]m9es appropriate4  7c7    
,con=m+ am5dm5ts  7#a7 ,,capta  7,a7    

,national ,*ild ,abuse & ,neglect ,data 
,sy/em ,section #ajc7;c77#a77;,c7 ( !   
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eajd7;c77#a77;,c77 is  
am5d$--  7i7 9 clause 7iii71 by /rik+ & 
aft] ! semicolon2  7ii7 9 clause 7iv71  
by add+ & aft] ! semicolon2 &  7iii7 by 
ins]t+ aft] clause 7iv71 ! foll[+3  7v7 
in=mation on *ild fatalities f          
maltreatm5t 9 accordance ) ! set (      
national def9ition /&>ds promulgat$ "u  
section #c7;a7 ( ! ,*ild ,abuse ,dea?   
,disclosure ,act2  4  7,b7 ,/ate data   
reports ,section #ajf7;d7 ( ! ,*ild     
,abuse ,prev5tion & ,treatm5t ,act 7#db 
,u4,s4,c4 #eajf;a7d77 is am5d$ by add+  
at ! end ! foll[+3  7#ai7 ,! numb] (    
*ild fatalities f maltreatm5t & relat$  
in=mation requir$ to be report$ 9       
accordance ) ! set ( national def9ition 
/&>ds promulgat$ "u section #c7;a7 ( !  
,*ild ,abuse ,dea? ,disclosure ,act4  4 
7#b7 ,social ,security ,act  7,a7       
,,iv-,b plan ,section #dbb7;b77#ai77;,c7
 ( ! ,social ,security ,act 7#db        

,u4,s4,c4 #fbb7;b77#ai771 z am5d$ by    
section #b7;a71 is fur!r am5d$ by add+  
at ! end ! foll[+3  7ii7 report         
in=mation on *ild maltreatm5t dea?s     
requir$ by ,f$]al law 9 accordance ) !  
set ( national def9ition /&>ds          
promulgat$ "u section #c7;a7 ( ! ,*ild  
,abuse ,dea? ,disclosure ,act4  4  7,b7 
,review requirem5ts ,section #dbi;,a ( !
 ,social ,security ,act1 z add$ by      
section #b7;b71 is am5d$ by add+ at !   
end ! foll[+3  7i7 ,application (       
national def9ition /&>ds ,! review team 
%all use ! set ( national def9ition     
/&>ds promulgat$ "u section #c7;a7 ( !  
,*ild ,abuse ,dea? ,disclosure ,act to  
make & submit f9d+s & data to ! ,,cdr   
,report+ ,sy/em & to develop !          
recomm5dations requir$ "u subsection    
7b77#c74  4  #d4 ,effective date ,?is   
,act & ! am5dm5ts made by ?is ,act take 
effect on ! date t is #f mon?s aft] !   
date ( enactm5t ( ?is ,act4