,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #icid  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #a1 #bjbb,mr4
 ,ow5s 7= himself & ,mrs4 ,h9son7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,education & ,labor  ,a
 ,,bill  ,to am5d ! ,*ild ,c>e &        
,developm5t ,block ,grant ,act ( #aiij  
to reau?orize & update ! ,act1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,*ild ,c>e & ,developm5t   
,block ,grant ,reau?orization ,act (    
#bjbb4  #b4 ,purposes  7a7 ,r$esignation
 ,section #feh;,a ( ! ,*ild ,c>e &      
,developm5t ,block ,grant ,act ( #aiij  
7#db ,u4,s4,c4 #iheg7 is r$esignat$ z   
section #feh ( su* ,act4  7b7 ,am5dm5t  
,subsection 7b7 ( t section #feh is     
am5d$ to read z foll[s3  7b7 ,purposes  
,! purposes ( ?is sub*apt] are--  7#a7  
to all[ ea* ,/ate maximum flexibility 9 
develop+ a mix$ deliv]y sy/em to provide
 *ild c>e t be/ suits ! ne$s ( *ildr5 & 
work+ p>5ts )9 t ,/ate2  7#b7 to promote
 p>5tal *oice to emp[] work+ p>5ts to   

make _! own decisions reg>d+ ! *ild c>e 
s]vices t be/ suit _! family's ne$s2    
7#c7 to enc\rage ,/ates to provide      
consum] education in=mation to help     
p>5ts make in=m$ *oices ab\t *ild c>e   
s]vices & to promote involvem5t by p>5ts
 & family memb]s 9 ! developm5t ( _!    
*ildr5 9 *ild c>e sett+s2  7#d7 to assi/
 ,/ates 9 deliv]+ high-quality1         
coord9at$ *ild c>e s]vices to maximize  
p>5ts' options to cov] ! full workday & 
full "w ye>1 to support cont9uity ( c>e 
= *ildr51 & to support p>5ts try+ to    
a*ieve indep5d5ce f public assi/ance2   
7#e7 to assi/ ,/ates 9 improv+ ! ov]all 
quality ( *ild c>e by implem5t+ ! heal?1
 safety1 lic5s+1 e>ly le>n+ &           
developm5t1 pr(essional1 & ov]sight     
/&>ds e/abli%$ 9 ?is sub*apt] & 9 ,/ate 
law 7includ+ ,/ate regulations72  7#f7  
to assi/ ,/ates--  7,a7 9 help+ p>5ts   
access high-quality *ild c>e2 &  7,b7 9 
support+ *ild c>e provid]s 9 !          
recruitm5t (1 pr(essional developm5t =1 
& ret5tion ( a qualifi$ *ild c>e        

work=ce2 &  7#g7 to increase ! numb] &  
p]c5tage ( l[-income *ildr5 9           
high-quality *ild c>e sett+s4  4  #c4   
,def9itions  7a7 ,9 g5]al ,section      
#feh,p ( ! ,*ild ,c>e & ,developm5t     
,block ,grant ,act ( #aiij 7#db         
,u4,s4,c4 #ihehn7 is am5d$--  7#a7 by   
r$esignat+ p>agraphs 7#b7 & 7#c71 7#d7  
?r\gh 7#g71 7#h7 & 7#i71 & 7#aj7 ?r\gh  
7#ae71 z p>agraphs 7#c7 & 7#d71 7#f7    
?r\gh 7#i71 7#aa7 & 7#ab71 & 7#ad7 ?r\gh
 7#ai71 respectively2  7#b7 by ins]t+   
aft] p>agraph 7#a7 ! foll[+3  7#b7 ,*ild
 c>e ,! t]m *ild c>e includes pres*ool1 
prek9d]g>t51 & e>ly *ildhood education =
 *ildr5 f bir? ?r\gh age #e1 & be=e     
s*ool1 aft] s*ool1 & summ] c>e =        
s*ool-age *ildr54  2  7#c7 9 p>agraph   
7#d71 z s r$esignat$--  7,a7 9          
subp>agraph 7,b71 by ins]t+ & at ! end2 
7,b7 9 subp>agraph 7,c71 by /rik+ 2 & at
 ! end & ins]t+ a p]iod2 &  7,c7 by     
/rik+ subp>agraph 7,d72  7#d7 by /rik+  
p>agraph 7#f71 z s r$esignat$1 & ins]t+ 
! foll[+3  7#e7 ,eligible activity ,!   

t]m eligible activity1 means an activity
 consi/+ (-- 7,a7 full-"t or "p-"t      
employm5t2  7,b7 self-employm5t2  7,c7  
job se>* activities2  7,d7 job tra9+2   
7,e7 second>y1 po/second>y1 or adult    
education1 includ+ education ?r\gh a    
program ( high s*ool classes1 a c\rse ( 
/udy at an in/itution ( high] education1
 classes t[>ds an equival5t ( a high    
s*ool diploma recogniz$ by ,/ate law1 or
 ,engli% z a second language classes2   
7,f7 heal? treatm5t 7includ+ m5tal heal?
 & sub/ance use treatm5t7 = a condition 
t prev5ts ! p>5t involv$ f p>ticipat+ 9 
o!r eligible activities2  7,g7          
activities to prev5t *ild abuse or      
neglect1 or family viol5ce prev5tion or 
int]v5tion activities2  7,h7 employm5t &
 tra9+ activities "u ! supplem5tal      
nutrition assi/ance program e/abli%$ "u 
section #f7;d77#d7 ( ! ,food &          
,nutrition ,act ( #bjjh 7#g ,u4,s4,c4   
#bjae7;d77#d772  7,i7 employm5t & tra9+ 
activities "u ! ,work=ce ,innovation &  
,opportunity ,act 7#bi ,u4,s4,c4 #caja  

et seq472  7,j7 a "w activity describ$ 9
 subsection 7d7 ( section #djg ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#fjg7 = :i*1 consi/5t ) clauses 7ii7 &  
7iii7 ( section #djb7;a77#a77;,a7 ( su* 
,act 7#db ,u4,s4,c4 #fjb7;a77#a77;,a771 
a p>5t is treat$ z be+ engag$ 9 "w = a  
mon? 9 a fiscal ye> = purposes ( !      
program ( block grants to ,/ates =      
tempor>y assi/ance = ne$y families      
e/abli%$ "u "p ,a ( title ,,iv ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#fja et seq472 or  7,k7 tak+ leave "u ! 
,family & ,m$ical ,leave ,act ( #aiic   
7#bi ,u4,s4,c4 #bfja et seq47 7or       
equival5t provisions = ,f$]al           
employees71 a ,/ate or local paid or    
unpaid leave law1 or a program (        
employ]-provid$ leave4  7#f7 ,eligible  
*ild ,! t]m eligible *ild means an      
individual-- 7,a7 :o is less ?an #ac    
ye>s ( age2  7,b7  7i7  7,i7 ^: family  
income does n exce$ #he p]c5t ( ! ,/ate 
m$ian income = a family ( ! same size2  
or  7,,ii7 9 ! case ( a ,/ate t has     

det]m9$ x is necess>y to s]ve additional
 *ildr51 aft] ensur+ t all eligible     
*ildr5 describ$ 9 subclause 7,i7 h _h an
 appropriate opportunity to receive     
s]vices "u ?is sub*apt]1 ^: family      
income does n exce$ a ,/ate limit t is n
 m ?an #aej p]c5t ( ! ,/ate m$ian income
 = a family ( ! same size2 &  7ii7 ^:   
family assets d n exce$ #a1jjj1jjj1     
exclud+ any asset us$ = ! family's f>m =
 su* family2 &  7,c7 :o--  7i7 resides )
 a p>5t or p>5ts :o are p>ticipat+ 9 an 
eligible activity2  7ii7 is a *ild      
exp]i5c+ homelessness1 a *ild 9 k9%ip   
c>e1 or a *ild :o is receiv+1 or ne$s to
 receive1 *ild protective s]vices2 or   
7iii7 resides ) a p>5t :o is m ?an #fe  
ye>s ( age4  2  7#e7 9 p>agraph 7#h71 z 
s r$esignat$--  7,a7 9 subp>agraph 7,a71
 by /rik+ or at ! end2  7,b7 9          
subp>agraph 7,b7--  7i7 by ins]t+ ! *ild
 7if ! sp\se ( su* provid] is engag$ 9  
an eligible activity71 aft] decree12 &  
7ii7 by /rik+ ! p]iod at ! end & ins]t+ 
2 or2 &  7,c7 by add+ at ! end ! foll[+3

  7,c7 not)/&+ section #fde7;a77#a77;,b7
 ( ! ,head ,/>t ,act 7#db ,u4,s4,c4     
#ihdj7;a77#a77;,b771 a ,head ,/>t ag5cy4
  2  7#f7 by /rik+ p>agraph 7#i71 z s   
r$esignat$1 & ins]t+ ! foll[+3  7#i7    
,family *ild c>e provid] ,! t]m family  
*ild c>e provid] means an individual :o 
provides *ild c>e s]vices 9 a private   
resid5ce--  7,a7 = few] ?an #bd h\rs p] 
day p] *ild2 or  7,b7 = #bd h\rs p] day 
p] *ild due to ! nature ( ! "w ( ! p>5t 
involv$4  7#aj7 ,homeless *ild ,! t]m   
homeless *ild means an individual       
describ$ 9 section #gbe7b7 ( !          
,mc,kinney-,v5to ,homeless ,assi/ance   
,act 7#db ,u4,s4,c4 #aadcd;a7#b774  2   
7#g7 9 p>agraph 7#aa71 z s r$esignat$1  
by /rik+ 7#aa7 & all t foll[s ?r\gh     
mean+ & ins]t+ ! foll[+3  7#aa7 ,indian 
,tribe2 ,indian tribe ,! t]m ,indian    
,tribe or ,indian tribe has ! mean+  2  
7#h7 by ins]t+ aft] p>agraph 7#ab71 z s 
r$esignat$1 ! foll[+3  7#ac7 ,mix$      
deliv]y sy/em ,! t]m mix$ deliv]y sy/em 
means a sy/em ( *ild c>e s]vices t--    

7,a7 promotes p>5tal *oice to emp[]     
work+ p>5ts to make _! own decisions    
reg>d+ ! *ild c>e s]vices t be/ suit _! 
family's ne$s2 &  7,b7 deliv]s s]vices  
?r\gh a comb9ation ( programs (f]$ by   
eligible *ild c>e provid]s 7includ+     
fai?-bas$ & community-bas$ *ild c>e     
provid]s7 9 a v>iety ( sett+s 7includ+  
family *ild c>e homes1 *ild c>e c5t]s1  
,head ,/>t c5t]s1 & public & private    
s*ools74  2 &  7#i7 9 p>agraph 7#ai71 z 
s r$esignat$1 by /rik+ 7#ai7 & all t    
foll[s ?r\gh has ! mean+ & ins]t+ !     
foll[+3  7#ai7 ,tribal organization2    
tribal organization  7,a7 ,9 g5]al ,!   
t]m ,tribal organization or tribal      
organization has ! mean+  4  7b7        
,r$esignation ,! ,*ild ,c>e &           
,developm5t ,block ,grant ,act ( #aiij  
7#db ,u4,s4,c4 #iheg et seq47 is am5d$--
  7#a7 by r$esignat+ section #feh,p z   
section #feh;,a2 &  7#b7 by mov+ section
 #feh;,a1 z s r$esignat$1 to foll[      
section #feh1 z r$esignat$ by section   
#b4  #d4 ,au?orization ( appropriations 

,section #feh;,b ( ! ,*ild ,c>e &       
,developm5t ,block ,grant ,act ( #aiij  
7#db ,u4,s4,c4 #iheh7 is am5d$ to read z
 foll[s3  #feh;,b4 ,au?orization (      
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is sub*apt]    
7o!r ?an section #feh,t7 #f1afe1ccj1jjj 
= ea* ( ! fiscal ye>s #bjbc ?r\gh #bjbg4
  4  #e4 ,lead ag5cy ,section #feh;,d7b7
 ( ! ,*ild ,c>e & ,developm5t ,block    
,grant ,act ( #aiij 7#db ,u4,s4,c4      
#iheh;b7b77 is am5d$ by /rik+ p>agraph  
7#b7 & ins]t+ ! foll[+3  7#b7           
,developm5t ( plan ,! lead ag5cy %all   
develop ! ,/ate plan describ$ 9 p>agraph
 7#a77;,b7 9 mean+ful consultation )--  
7,a7 p>5ts ( *ildr5 eligible = s]vices  
"u ?is sub*apt]1 :i* %all include p>5ts 
( *ildr5 9 a priority population        
describ$ 9 section #feh;,e7c77#b77,m72  
7,b7 eligible *ild c>e provid]s t       
repres5t ! v>i\s geographic areas &     
types ( provid]s 9 ! ,/ate2  7,c7       
employ]s ( v>i\s sizes & ) v>i\s h\rs & 
days ( op]ations ^: employees rely on   

reliable & accessible *ild c>e to "w2 & 
7,d7 appropriate repres5tatives ( units 
( g5]al purpose local gov]nm5t &1 z     
appropriate1 ( ,indian ,tribes & ,tribal
 organizations1 except t ,/ates t h #e  
or m f$]ally recogniz$ ,tribes %all     
consult ) ,tribal lead]%ip on h[ to be/ 
s]ve ,native ,am]ican & ,alaska ,native 
*ildr5 & families resid+ on l&s outside 
! tribal s]vice areas4  4  #f4          
,application & plan ,section #feh;,e ( !
 ,*ild ,c>e & ,developm5t ,block ,grant 
,act ( #aiij 7#db ,u4,s4,c4 #iheh;c7 is 
am5d$-- 7#a7 9 subsection 7b71 by /rik+ 
#c-ye> & ins]t+ #e-ye>2 &  7#b7 9       
subsection 7c7-- 7,a7 9 p>agraph 7#b7-- 
7i7 9 subp>agraph 7,a77i7-- 7,i7 9      
subclause 7,i71 by /rik+ a *ild & ins]t+
 an eligible *ild2 &  7,,ii7 9 subclause
 7,,ii71 by /rik+ section #feh,p7#b7 &  
ins]t+ section #feh;,a7#c72  7ii7 9     
subp>agraph 7,d71 by /rik+ 1 n lat] &   
all t foll[s ?r\gh subp>agraph 7,k77i712
  7iii7 9 subp>agraph 7,e77i7-- 7,i7 9 !
 matt] prec$+ subclause 7,i7 by /rik+   

in=mation & all t foll[s ?r\gh conc]n+--
 & ins]t+ in=mation ab\t ! availability 
( *ild c>e s]vices z (f]$ ?r\gh a mix$  
deliv]y sy/em t w promote in=m$ *ild c>e
 *oices & t conc]ns-2  7,,ii7 9         
subclause 7,i71 by ins]t+ 7includ+      
in=mation on ! h\rs & days ( op]ation & 
ages s]v$7 aft] ( *ild c>e s]vices2     
7,,iii7 9 subclause 7,,ii71 by ins]t+   
be=e ! semicolon ! foll[+3 or a national
 accr$it+ body ) demon/rat$1 valid1 &   
reliable program /&>ds = high quality2 &
  7,,iv7 9 subclause 7,,iv7-- 7aa7 by   
/rik+ & be=e ! ,m$icaid2 &  7bb7 by     
ins]t+ be=e ! semicolon ! foll[+3 1 & ! 
,mat]nal1 ,infant1 & ,e>ly ,*ildhood    
,home ,visit+ ,programs "u section #eaa 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #gaa72  7iv7 9 subp>agraph    
7,g7--  7,i7 9 ! subp>agraph head+1 by  
/rik+ ,tra9+ & pr(essional & ins]t+     
,pr(essional2  7,,ii7 9 clause 7i7 &    
clause 7ii7 79 ! matt] prec$+ subclause 
7,i771 by /rik+ tra9+ & be=e pr(essional
 developm5t2  7,,iii7 9 clause          

7ii77,,ii71 by /rik+ 1 & may engage &   
all t foll[s ?r\gh tra9+ framework2 &   
7,,iv7 9 clause 7iii71 by /rik+ tra9+ & 
ins]t+ pr(essional developm5t2  7v7 9   
subp>agraph 7,i77i7-- 7,i7 9 subclause  
7,,vii7--  7aa7 by /rik+ = em]g5cies &  
ins]t+ ! foll[+3 8=--  7aa7 em]g5cies  2
  7bb7 by /rik+ ! semicolon at ! end &  
ins]t+ 2 &2 &  7cc7 by add+ at ! end !  
foll[+3  7bb7 a public heal? em]g5cy    
pursuant to section #cai ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d72  2 &  7,,ii7 9 subclause       
7,,ix71 by /rik+ if applicable12  7vi7 9
 subp>agraph 7,j7-- 7,i7 by /rik+ t     
proc$ures & ins]t+ ! foll[+3 8t--  7i7  
proc$ures  2  7,,ii7 by /rik+ ! p]iod at
 ! end & ins]t+ 2 &2 &  7,,iii7 by add+ 
at ! end ! foll[+3  7ii7 ! ,/ate w      
und]take a review ( ,/ate & local heal? 
& safety requirem5ts 7includ+           
requirem5ts = inspections "u ?is        
sub*apt] & ! *ild & adult c>e food      
program e/abli%$ "u section #ag ( !     
,ri*>d ,b4 ,russell ,national ,s*ool    

,lun* ,act 7#db ,u4,s4,c4 #agff77 to    
det]m9e r$undancies t may be elim9at$ & 
ov]sights be address$1 to ensure--  7,i7
 *ildr5 receive *ild c>e s]vices 9      
heal?y & safe environm5ts2 &  7,,ii7    
*ild c>e provid]s c easily id5tify1     
und]/&1 & comply ) applicable heal? &   
safety requirem5ts )\t r$undant         
compliance visits or o!r unnecess>y     
burd54  2  7vii7 9 subp>agraph 7,k77i7--
 7,i7 9 ! matt] prec$+ subclause 7,i71  
by /rik+ 1 n lat] & all t foll[s ?r\gh  
#bjad12 &  7,,ii7 9 subclause 7,,iv71 by
 /rik+ section #feh,p7#f77;,b7 & ins]t+ 
section #feh;,a7#h77;,b72  7viii7 9     
subp>agraph 7,m7--  7,i7 by r$esignat+  
clauses 7ii7 ?r\gh 7iv7 z clauses 7iii7 
?r\gh 7v71 respectively2 &  7,,ii7 by   
/rik+ clause 7i7 & ins]t+ ! foll[+3  7i7
 *ildr5 9 und]s]v$ areas1 includ+ areas 
t h significant conc5trations ( pov]ty &
 unemploym5t & t d n h a high-quality   
supply ( eligible *ild c>e provid]s2    
7ii7 *ildr5 9 rural areas2  2 &  7ix7 9 
subp>agraph 7,n7-- 7,i7 9 clauses       

7i77,i7 & 7iv71 by /rik+ #he p]c5t &    
ins]t+ #aej p]c5t2 &  7,,ii7 9 clause   
7iii71 by /rik+ ,at ! option ( ! ,/ate1 
! & ins]t+ ,!2  7x7 9 subp>agraph       
7,o77i71 by /rik+ full-day s]vices &    
ins]t+ full workday & full "w ye>       
s]vices2  7xi7 9 subp>agraph 7,s77ii71  
by /rik+ 1 to ! ext5t & all t foll[s    
?r\gh fix$ co/s & ins]t+ implem5t       
enrollm5t & eligibility policies t      
support ! fix$ & op]ational co/s2  7xii7
 9 subp>agraph 7,u7--  7,i7 9 clause    
7i7-- 7aa7 by /rik+ ,gov]nor or & ins]t+
 ,gov]nor12 &  7bb7 by ins]t+ be=e !    
p]iod ! foll[+3 1 or a public heal?     
em]g5cy pursuant to section #cai ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d72  7,,ii7 9 clause     
7ii71 by ins]t+ ,/ate & local heal?     
ag5cies1 aft] lic5s+ ( *ild c>e         
provid]s12 &  7,,iii7 9 clause          
7iii77,,ii71 by /rik+ foll[+ ! em]g5cy  
or disa/]1 :i* may include & ins]t+ dur+
 & foll[+ ! em]g5cy or disa/]1 :i* %all 
include guidel9es = !2 &  7xiii7 9      

subp>agraph 7,v71 by /rik+ develop & all
 t foll[s ?r\gh s]vices4 & ins]t+       
8support *ild c>e bus9ess te*nical      
assi/ance includ+ support+--  7,i7      
provision ( /rategies to support        
managem5t coa*+ & ! use ( core be/      
bus9ess practices2  7,,ii7 developm5t & 
use ( %>$ s]vices initiatives includ+   
initiatives involv+ provid] networks su*
 z *ild c>e c5t] alliances & family *ild
 c>e provid] networks2 &  7,,iii7       
developm5t & use ( %>$ s]vices to       
support /aff reta9m5t & pr(essional     
developm5t40 4  2  7,b7 9 p>agraph      
7#c7--  7i7 9 subp>agraph 7,b77ii71 by  
/rik+ ,n lat] & all t foll[s ?r\gh %all 
prep>e & ins]t+ ,n lat] ?an ,septemb]   
#cj ( ea* fiscal ye>1 ! ,secret>y %all  
prep>e2 &  7ii7 9 subp>agraph 7,d7--    
7,i7 by /rik+ ) respect to & all t      
foll[s ?r\gh #bjbj & ins]t+ ) respect to
 ea* fiscal ye>72 &  7,,ii7 by /rik+    
describ$ 9 clause 7i71 7ii71 7iii71 or  
7iv7 ( & ins]t+ 9 priority populations  
describ$ 92  7,c7 9 p>agraph 7#d7-- 7i7 

by /rik+ subp>agraphs 7,a7 & 7,b7 &     
ins]t+ ! foll[+3  7,a7 ,9 g5]al ,! ,/ate
 plan %all c]tify1 9 n less ?an #e ye>s1
 t paym5t rates1 = ! provision ( *ild   
c>e s]vices = :i* assi/ance is provid$ 9
 accordance ) ?is sub*apt]1 are         
suffici5t to meet ! co/ ( provid+ ! *ild
 c>e s]vices1 includ+ ! fix$ &          
op]ational co/s ( provid+ ! *ild c>e    
s]vices1 & are set & paid 9 accordance )
 a co/ e/imation model describ$ 9       
subp>agraph 7,b74  7,b7 ,co/ e/imation  
model ,! ,/ate plan %all--  7i7         
demon/rate t ! ,/ate1 aft] consult+ )   
eligible *ild c>e provid]s1 ! ,/ate     
,advisory ,c\ncil on ,e>ly ,*ildhood    
,education & ,c>e designat$ or e/abli%$ 
9 section #fdb;,b7b77#a77;,a77i7 ( !    
,head ,/>t ,act 7#db ,u4,s4,c4          
#ihcg;b7b77#a77;,a77i771 local *ild c>e 
program adm9i/rators1 local *ild c>e    
res\rce & ref]ral ag5cies1 & o!r        
appropriate entities1 has develop$ &    
uses a /ati/ically valid & reliable co/ 
e/imation model = ! paym5t rates =      

provid]s ( *ild c>e s]vices 9 ! ,/ate1  
t-- 7,i7 reflects ! co/s ( s]vice       
deliv]y1 includ+ fix$ co/s1 op]at+      
exp5ses1 & /aff sal>ies & b5efits       
necess>y to recruit1 educate1 & reta9   
qualifi$ /aff2  7,,ii7 reflects         
v>iations 9 ! co/s ( s]vice deliv]y by  
subm>ket1 type ( provid]1 & *ildr5 s]v$1
 includ+ by-- 7aa7 geographic area 7su* 
z location 9 an urban or rural area72   
7bb7 ages ( *ildr52  7cc7 :e!r ! *ildr5 
h p>ticul> ne$s 7su* z ne$s ( *ildr5 )  
disabilities & *ildr5 s]v$ by *ild      
protective s]vices72  7dd7 :e!r !       
provid]s provide s]vices dur+ week5d &  
o!r nontraditional h\rs2 &  7ee7 quality
 ( *ild c>e provid] z det]m9$ by !      
,/ate2 &  7,,iii7 is review$ once e two 
ye>s & adju/$ accord+ly to-- 7aa7 ensure
 paym5t rates rema9 suffici5t to meet ! 
requirem5ts ( ?is sub*apt]2 &  7bb7     
provide a co/ ( liv+ increase to ma9ta9 
! level ( s]vices2 &  7ii7 describe h[ !
 ,/ate w provide = timely paym5ts1 set 9
 accordance ) ! model describ$ 9 clause 

7i71 = *ild c>e s]vices provid$ "u ?is  
sub*apt]4  2  7ii7 9 subp>agraph 7,c7-- 
7,i7 by /rik+ clause 7ii72 &  7,,ii7 by 
/rik+ 7,c7 & all t foll[s ?r\gh ,no?+ & 
ins]t+ ! foll[+3  7,c7 ,con/ruction     
,no?+  2 &  7iii7 by add+ at ! end !    
foll[+3  7,d7 ,no ,f$]al control ,!     
,secret>y may (f] guidance to ,/ates on 
co/ e/imation models describ$ 9         
subp>agraph 7,b71 b %all n require a    
,/ate to adopt a p>ticul> co/ e/imation 
model or elem5t ( a p>ticul> co/        
e/imation model4  2 &  7,d7 by /rik+    
p>agraph 7#e7 & ins]t+ ! foll[+3  7#e7  
,copaym5t ,! ,/ate plan %all provide t !
 ,/ate w e/abli% & p]iodically revise by
 rule a slid+ fee scale to det]m9e a    
full copaym5t = a family receiv+        
assi/ance "u ?is sub*apt] 7or1 = a      
family receiv+ "p-"t c>e1 a r$uc$       
copaym5t t is ! proportionate am\nt ( ! 
full copaym5t7 & t is n a b>ri] to      
families f access+ *ild c>e s]vices "u  
?is sub*apt]4  4  #g4 ,activities to    
improve ! quality ( *ild c>e ,section   

#feh;,g ( ! ,*ild ,c>e & ,developm5t    
,block ,grant ,act ( #aiij 7#db         
,u4,s4,c4 #iheh;e7 is am5d$-- 7#a7 9    
subsection 7a77#b7--  7,a7 by /rik+     
subp>agraph 7,a7 & ins]t+ ! foll[+3     
7,a7 to c>ry out ! activities describ$ 9
 p>agraph 7#a71 n less ?an #i p]c5t ( ! 
funds describ$ 9 p>agraph 7#a7 = ea*    
fiscal ye>2 &  2 &  7,b7 9 subp>agraph  
7,b7-- 7i7 by /rik+ receiv$ n lat] & all
 t foll[s ?r\gh succe$+ full fiscal ye> 
& ins]t+ receiv$ = ea* fiscal ye>2 &    
7ii7 by /rik+ & subsection 7b77#d72     
7#b7 9 subsection 7b7--  7,a7 9 ! matt] 
prec$+ p>agraph 7#a71 by ins]t+ 7:i*    
%all include activities select$ by !    
,/ate to c>ry out p>agraph 7#a77 aft]   
foll[+ activities2  7,b7 by /rik+       
p>agraphs 7#a7 & 7#b7 & ins]t+ ! foll[+3
  7#a7 ,support+ ! education &          
pr(essional developm5t ( *ild c>e /aff &
 support+ *ild c>e provid]s 9 !         
recruitm5t (1 pr(essional developm5t =1 
& ret5tion ( a qualifi$ *ild c>e        
work=ce1 ?r\gh activities select$ by !  

,/ate su* z-- 7,a7 ! developm5t &       
expansion ( initiatives to assi/ *ild   
c>e /aff 9 ! atta9m5t ( po/second>y     
cr$5tials2  7,b7 ! provision ( f9ancial 
assi/ance 7includ+ ?r\gh bonuses1       
ret5tion grants1 & wage supplem5ts7--   
7i7 = *ild c>e /aff to pursue a         
po/second>y cr$5tial2 &  7ii7 = *ild c>e
 provid]s to recruit1 provide           
pr(essional developm5t =1 & reta9 *ild  
c>e /aff :o h atta9$ su* cr$5tials2 &   
7,c7 ! support = e>n & le>n programs t  
equip p>ticipants ) specializ$ k1       
skills1 & compet5cies requir$ to "w 9   
*ild c>e2  2  7,c7 by r$esignat+        
p>agraph 7#c7 z p>agraph 7#b72  7,d7 9  
p>agraph 7#b71 z s r$esignat$--  7i7 by 
/rik+ subp>agraph 7,a7 & ins]t+ !       
foll[+3  7,a7 support & assess ! quality
 ( *ild c>e provid]s 9 ! ,/ate1 :i* may 
include support+ *ild c>e provid]s 9 !  
volunt>y pursuit ( accr$itation by a    
national accr$it+ body ) demon/rat$1    
valid1 & reliable program /&>ds ( high  
quality2  2 &  7ii7 by /rik+ subp>agraph

 7,c7 & ins]t+ ! foll[+3  7,c7 be       
design$ to improve ! quality ( all      
provid]s 9 ! mix$ deliv]y sy/em1 includ+
 provid]s (f]+ s]vices = diff]5t age    
gr\ps ( *ildr5 & provid]s (f]+ s]vices 9
 nontraditional h\rs ( op]ation2  2     
7,e7 by ins]t+ aft] p>agraph 7#b71 z s  
r$esignat$1 ! foll[+3  7#c7 ,support+ a 
/atewide sy/em ( *ild c>e res\rce &     
ref]ral s]vices to help p>5ts make in=m$
 *oices ab\t *ild c>e s]vices ?r\gh     
transp>5t & easy-to-und]/& consum]      
in=mation ab\t high-quality c>e &       
education4  2  7,f7 by /rik+ p>agraphs  
7#d7 ?r\gh 7#f72  7,g7 by r$esignat+    
p>agraph 7#g7 z p>agraph 7#d72  7,h7 by 
/rik+ p>agraphs 7#h7 & 7#i72 &  7,i7 by 
r$esignat+ p>agraph 7#aj7 z p>agraph    
7#e72 &  7#c7 9 subsection 7c71 by /rik+
 ,beg9n+ ) fiscal ye> #bjaf1 at & ins]t+
 ,at4  #h4 ,reports & audits ,section   
#fhe,k7a77#b7 ( ! ,*ild ,c>e &          
,developm5t ,block ,grant ,act ( #aiij  
7#db ,u4,s4,c4 #iheh;i7a77#b77 is       
am5d$--  7#a7 9 ! matt] prec$+          

subp>agraph 7,a7-- 7,a7 by /rik+ ,n lat]
 ?an & all t foll[s ?r\gh a ,/ate &     
ins]t+ ,a ,/ate2 &  7,b7 by ins]t+      
annually be=e prep>e2  7#b7 9           
subp>agraph 7,a71 by /rik+ section      
#feh,p7#f7 & ins]t+ section #feh;,a7#h72
 &  7#c7 9 subp>agraph 7,f71 by /rik+   
section #feh,p7#f77;,b7 & ins]t+ section
 #feh;,a7#h77;,b74  #i4 ,reports1       
hotl9e1 & website ,section #feh,l ( !   
,*ild ,c>e & ,developm5t ,block ,grant  
,act ( #aiij 7#db ,u4,s4,c4 #iheh;j7 is 
am5d$--  7#a7 9 subsection 7a71 by /rik+
 ,n lat] & all t foll[s ?r\gh !         
,secret>y %all & ins]t+ ,! ,secret>y    
%all bi5nially2 &  7#b7 9 subsection    
7b77#b77;,b77ii71 by ins]t+ 1 or a      
national accr$it+ body ) demon/rat$1    
valid1 & reliable program /&>ds = high  
quality1 aft] ,sy/em4  #aj4 ,te*nical   
am5dm5ts ,section #feh,o7a7 ( ! ,*ild   
,c>e & ,developm5t ,block ,grant ,act ( 
#aiij 7#db ,u4,s4,c4 #ihehm7a77 is      
am5d$-- 7#a7 9 p>agraphs 7#a71 7#c71 &  
7#d7 by /rik+ ?is sub*apt] & ins]t+     

section #feh;,b2 &  7#b7 9 p>agraph 7#e7
 by /rik+ ?is sub*apt] ! fir/ place x   
appe>s & ins]t+ section #feh;,b4