,,ii #aagth ,,congress #ast ,session ,s4 #adhc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #bi1 #bjba ,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 children's advocacy centers1 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 providers 7in this section referred to as the review team71 to review1 at least annually and more frequently as necessary1 all child fatalities from maltreatment in the ,state that occurred during the most recently ended fiscal year and for which the period for all administrative or judicial review is complete4 ,any child fatality from maltreatment in the ,state that occurred during the most recently ended fiscal year but for which the period for all administrative or judicial review is not complete shall be reviewed by the review team in during the first review period that occurs after the period for which all administrative or judicial review is complete4 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 law-- 7,a7 the circumstances of the fatality2 7,b7 the characteristics of the victim1 the perpetrators1 including their relationship to the child1 and the parents or guardians of the child2 7,c7 whether there were previous familial interactions with child protective services and the outcomes of those interactions2 7,d7 whether the child had any siblings and how many2 7,e7 whether there were other children present or living in the household at the time of the fatality2 and 7,f7 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 7#a7 ,in general ,in order to satisfy the requirements of section #dbb7;b77#ai77;,c7 and subsection 7i71 a ,state shall provide the following short-term training3 7,a7 ,review team specific duties ,the ,state shall provide the members and staff of the review team with training regarding-- 7i7 applying the set of national definition standards promulgated under section #c7;a7 of the ,child ,abuse ,death ,disclosure ,act2 and 7ii7 as needed in order to maintain consistency across services and outcomes1 approaches to-- 7,i7 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,,ii7 address racial or cultural disproportionality in the incidence of child maltreatment fatality cases4 7,b7 ,data collection and reporting ,the ,state shall provide administrators and staff of ,state-licensed or ,state-approved child welfare agencies responsible for data collection and reporting with training regarding reporting on child maltreatment fatality cases and applying the set of national definition standards promulgated under section #c7;a7 of the ,child ,abuse ,death ,disclosure ,act4 7#b7 ,state option for training to improve early detection ,at the option of the ,state1 and in addition to the training required under paragraph 7#a71 the ,state may provide pediatricians1 emergency room physicians1 and other medical professionals with training relating to identifying1 assessing1 and responding to potential abuse in infants to prevent future cases of child abuse and related fatalities1 including with respect to improving conditions that may result in an infant being unsafe1 alignment with child protective services policies and practices 7as appropriate71 and identifying injuries indicative of potential abuse in infants4 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 under subsection 7d7 7including training at ,state option under paragraph 7#b7 of that subsection7 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 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 children's advocacy centers2 7#aa7 public health administration2 7#ab7 public health researchers2 7#ac7 law enforcement2 7#ad7 prosecutors2 7#ae7 advocates and researchers for the prevention and treatment of domestic violence2 7#af7 a representative from the ,national ,center for ,fatality ,review and ,prevention2 and 7#ag7 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 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 date2 application 7a7 ,in general ,this ,act and the amendments made by this ,act take effect on the date of enactment of this ,act4 7b7 ,application to ,,iv-,b ,state plans ,a ,state plan under part ,b of title ,,iv of the ,social ,security ,act shall not be regarded as failing to comply with the additional requirements imposed on the plan by this ,act and the amendments made by this ,act before the date that is #c years after the date of enactment of this ,act4