,i  #aagth ,,congress  #ast ,session    
,h4 ,r4 #hgi  ,,in ,,the ,,house ,,of   
,,representatives  ,february #e1        
#bjba,ms4 ,jayapal 7for herself and ,mr4
 ,guthrie7 introduced the following     
bill2 which was referred to the         
,committee on ,education and ,labor  ,a 
,,bill  ,to amend the ,child ,abuse     
,prevention and ,treatment ,act with    
respect to infants born with and        
identified as being affected by         
substance use or withdrawal symptoms1   
,neonatal ,abstinence ,syndrome1 or     
,fetal ,alcohol ,spectrum ,disorder1 and
 for other purposes4  #a4 ,grants to    
,states ,paragraph 7#b7 of section      
#ajf7;b7 of the ,child ,abuse           
,prevention and ,treatment ,act 7#db    
,u4,s4,c4 #eajf;a7b77 is amended-- 7#a7 
in subparagraph 7,b7-- 7,a7 by striking 
clauses 7ii7 and 7iii72 and  7,b7 by    
redesignating clauses 7iv7 through 7xxv7
 as clauses 7ii7 through 7xxiii71       
respectively2 and  7#b7 in subparagraph 
7,d7-- 7,a7 by redesignating clauses 7i7

 through 7vi7 as clauses 7iii7 through  
7viii71 respectively2 and  7,b7 by      
inserting before clause 7iii71 as so    
redesignated3  7i7 policies and         
procedures 7including appropriate       
referrals to child welfare service      
systems and for other appropriate       
services 7including home visiting       
services and mutual support and parent  
partner programs7 determined by a family
 assessment7 to address the needs of    
infants born with and identified as     
being affected by substance use or      
withdrawal symptoms resulting from      
prenatal drug exposure1 or a ,fetal     
,alcohol ,spectrum ,disorder1 including 
a requirement that health care providers
 involved in the delivery or care of    
such infants notify the child protective
 welfare service system of the          
occurrence of such condition in such    
infants1 except that-- 7,i7 child       
protective services shall undertake an  
investigation only when the findings of 
a family assessment warrant such        

investigation2 and  7,,ii7 such         
notification shall not be construed to--
 7aa7 establish a definition under      
,federal law of what constitutes child  
abuse or neglect2 or  7bb7 require      
prosecution for any illegal action2     
7ii7 the development of a               
multi-disciplinary plan of safe care for
 the infant born and identified as being
 affected by substance use or withdrawal
 symptoms or a ,fetal ,alcohol ,spectrum
 ,disorder to ensure the safety and     
well-being of such infant following     
release from the care of health care    
providers1 including through-- 7,i7     
using a risk-based approach to develop  
each plan of safe care2  7,,ii7         
addressing1 through coordinated service 
delivery1 the health and substance use  
disorder treatment needs of the infant  
and affected family or caregiver as     
determined by a family assessment2 and  
7,,iii7 the development and             
implementation by the ,state of         
monitoring systems regarding the        

implementation of such plans of safe    
care to determine whether and in what   
manner local entities are providing1 in 
accordance with ,state requirements1    
referrals to and delivery of appropriate
 services for the infant and affected   
family or caregiver2  4  #b4 ,guidance  
and technical assistance ,section       
#aad7a7 of the ,child ,abuse ,prevention
 and ,treatment ,act 7#db ,u4,s4,c4     
#eajh7a77 is amended-- 7#a7 in each of  
subparagraphs 7,a7 and 7,b71 by striking
 and at the end2 and  7#b7 by adding at 
the end the following3  7,c7 include    
written guidance and technical          
assistance to support ,states1 which    
shall include guidance on the           
requirements of this ,act with respect  
to infants born with and identified as  
being affected by substance use or      
withdrawal symptoms1 ,neonatal          
,abstinence ,syndrome1 or ,fetal        
,alcohol ,spectrum ,disorder1 as        
described in clauses 7i7 and 7ii7 of    
section #ajf7;b77#b77;,d71 including    

by-- 7i7 enhancing ,states'             
understanding of requirements and       
flexibilities under the law1 including  
by clarifying key terms2  7ii7          
addressing ,state-identified challenges 
with developing1 implementing1 and      
monitoring plans of safe care2 and      
7iii7 disseminating best practices on   
implementation of plans of safe care1 on
 such topics as differential response1  
collaboration and coordination1 and     
identification and delivery of services 
for different populations1 while        
recognizing needs of different          
populations and varying community       
approaches across ,states2 and  7,d7    
include the submission of a report to   
the ,committee on ,education and ,labor 
of the ,house of ,representatives and   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions of the ,senate not
 later than #a year after the date of   
the enactment of this ,act that contains
 a description of the activities taken  
by the ,secretary to comply with the    

requirements of subparagraph 7,c72 and  
4