,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #hgi  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #e1 #bjba,ms4
 ,jayapal 7= h]self & ,mr4 ,gu?rie7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,education & ,labor  ,a
 ,,bill  ,to am5d ! ,*ild ,abuse        
,prev5tion & ,treatm5t ,act ) respect to
 infants born ) & id5tifi$ z be+ affect$
 by sub/ance use or )drawal symptoms1   
,neonatal ,ab/95ce ,syndrome1 or ,fetal 
,alcohol ,spectrum ,disord]1 & = o!r    
purposes4  #a4 ,grants to ,/ates        
,p>agraph 7#b7 ( section #ajf7;b7 ( !   
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eajf;a7b77 is am5d$--  
7#a7 9 subp>agraph 7,b7-- 7,a7 by /rik+ 
clauses 7ii7 & 7iii72 &  7,b7 by        
r$esignat+ clauses 7iv7 ?r\gh 7xxv7 z   
clauses 7ii7 ?r\gh 7xxiii71             
respectively2 &  7#b7 9 subp>agraph     
7,d7-- 7,a7 by r$esignat+ clauses 7i7   
?r\gh 7vi7 z clauses 7iii7 ?r\gh 7viii71
 respectively2 &  7,b7 by ins]t+ be=e   
clause 7iii71 z s r$esignat$3  7i7      

policies & proc$ures 7includ+           
appropriate ref]rals to *ild welf>e     
s]vice sy/ems & = o!r appropriate       
s]vices 7includ+ home visit+ s]vices &  
mutual support & p>5t p>tn] programs7   
det]m9$ by a family assessm5t7 to       
address ! ne$s ( infants born ) &       
id5tifi$ z be+ affect$ by sub/ance use  
or )drawal symptoms result+ f pr5atal   
drug exposure1 or a ,fetal ,alcohol     
,spectrum ,disord]1 includ+ a requirem5t
 t heal? c>e provid]s involv$ 9 !       
deliv]y or c>e ( su* infants notify !   
*ild protective welf>e s]vice sy/em ( ! 
occurr5ce ( su* condition 9 su* infants1
 except t-- 7,i7 *ild protective s]vices
 %all und]take an inve/igation only :5 !
 f9d+s ( a family assessm5t w>rant su*  
inve/igation2 &  7,,ii7 su* notification
 %all n be con/ru$ to-- 7aa7 e/abli% a  
def9ition "u ,f$]al law ( :at con/itutes
 *ild abuse or neglect2 or  7bb7 require
 prosecution = any illegal action2  7ii7
 ! developm5t ( a multi-discipl9>y plan 
( safe c>e = ! infant born & id5tifi$ z 

be+ affect$ by sub/ance use or )drawal  
symptoms or a ,fetal ,alcohol ,spectrum 
,disord] to ensure ! safety & well-be+ (
 su* infant foll[+ release f ! c>e (    
heal? c>e provid]s1 includ+ ?r\gh-- 7,i7
 us+ a risk-bas$ approa* to develop ea* 
plan ( safe c>e2  7,,ii7 address+1 ?r\gh
 coord9at$ s]vice deliv]y1 ! heal? &    
sub/ance use disord] treatm5t ne$s ( !  
infant & affect$ family or c>egiv] z    
det]m9$ by a family assessm5t2 &        
7,,iii7 ! developm5t & implem5tation by 
! ,/ate ( monitor+ sy/ems reg>d+ !      
implem5tation ( su* plans ( safe c>e to 
det]m9e :e!r & 9 :at mann] local        
entities are provid+1 9 accordance )    
,/ate requirem5ts1 ref]rals to & deliv]y
 ( appropriate s]vices = ! infant &     
affect$ family or c>egiv]2  4  #b4      
,guidance & te*nical assi/ance ,section 
#aad7a7 ( ! ,*ild ,abuse ,prev5tion &   
,treatm5t ,act 7#db ,u4,s4,c4 #eajh7a77 
is am5d$-- 7#a7 9 ea* ( subp>agraphs    
7,a7 & 7,b71 by /rik+ & at ! end2 &     
7#b7 by add+ at ! end ! foll[+3  7,c7   

include writt5 guidance & te*nical      
assi/ance to support ,/ates1 :i* %all   
include guidance on ! requirem5ts ( ?is 
,act ) respect to infants born ) &      
id5tifi$ z be+ affect$ by sub/ance use  
or )drawal symptoms1 ,neonatal ,ab/95ce 
,syndrome1 or ,fetal ,alcohol ,spectrum 
,disord]1 z describ$ 9 clauses 7i7 &    
7ii7 ( section #ajf7;b77#b77;,d71       
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>e2 &  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 &  7,d7 include
 ! submission ( a report to ! ,committee
 on ,education & ,labor ( ! ,h\se (     
,repres5tatives & ! ,committee on       

,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate n lat] ?an #a ye> aft] ! date 
( ! enactm5t ( ?is ,act t conta9s a     
description ( ! activities tak5 by !    
,secret>y to comply ) ! requirem5ts (   
subp>agraph 7,c72 &  4