,,ii  #aah? ,,congress  #a/ ,session    
,s4 #acea  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bg1 #bjbc,mr4  
,m]kley 7= himself1 ,mr4 ,cornyn1 ,mr4  
,lujn1 ,mr4 ,tub]ville1 ,mr4 ,murphy1 & 
,ms4 ,coll9s7 introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to /udy 
& prev5t *ild abuse 9 y\? resid5tial    
programs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,/op    
,in/itutional ,*ild ,abuse ,act4  #b4   
,improv+ national data collection &     
report+ = y\? 9 y\? resid5tial programs 
,title ,v ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bij;aa et seq47 is 
am5d$ by ins]t+ aft] "p ,i 7#db         
,u4,s4,c4 #bij;jj et seq47 ! foll[+3  ,j
 ,improv+ national data collection &    
report+ = y\? 9 y\? resid5tial programs 
#eif4 ,f$]al ,"w ,gr\p on ,y\?          
,resid5tial ,programs  7a7 ,9 g5]al ,!  
,secret>y %all e/abli% ! ,f$]al ,"w     
,gr\p on ,y\? ,resid5tial ,programs     

7ref]r$ to 9 ?is section z ! ,"w ,gr\p7 
to improve ! dissem9ation &             
implem5tation ( be/ practices reg>d+ !  
heal? & safety 7includ+ ) respect to !  
use ( seclusion & re/ra9ts71 c>e1       
treatm5t1 & appropriate placem5t ( y\? 9
 y\? resid5tial programs4  7b7          
,composition  7#a7 ,9 g5]al ,! ,secret>y
 %all appo9t #i repres5tatives to ! ,"w 
,gr\p f ! ,adm9i/ration = ,*ildr5 &     
,families1 ! ,adm9i/ration = ,community 
,liv+1 ! ,sub/ance ,abuse & ,m5tal      
,heal? ,s]vices ,adm9i/ration1 !        
,dep>tm5t ( ,education1 ! ,dep>tm5t (   
,ju/ice1 ! ,indian ,heal? ,s]vice1 & !  
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4    
7#b7 ,o!r ,f$]al ag5cies ,! ,"w ,gr\p   
may include repres5tatives f o!r ,f$]al 
ag5cies1 z ! ,secret>y det]m9es         
appropriate1 appo9t$ by ! head ( !      
relevant ag5cy4  7c7 ,consultation ,9   
c>ry+ out ! duties describ$ 9 subsection
 7d71 ! ,"w ,gr\p %all consult )-- 7#a7 
*ild advocates1 includ+ attorneys       
exp]i5c$ 9 work+ ) y\? ov]repres5t$ 9 ! 

*ild welf>e sy/em or ! juv5ile ju/ice   
sy/em2  7#b7 heal? pr(essionals1 includ+
 m5tal heal? & sub/ance use disord]     
pr(essionals1 nurses1 physicians1 social
 work]s & o!r heal? c>e provid]s :o     
provide s]vices to y\? :o may be s]v$ by
 resid5tial programs2  7#c7 protection &
 advocacy sy/ems2  7#d7 individuals     
exp]i5c$ 9 work+ ) y\? ) disabilities1  
includ+ emotional1 m5tal heal?1 &       
sub/ance use disord]s2  7#e7 individuals
 ) liv$ exp]i5ce z *ildr5 & y\? 9 y\?   
resid5tial programs1 includ+ individuals
 ) intellectual or developm5tal         
disabilities & individuals ) emotional1 
m5tal heal?1 or sub/ance use disord]s2  
7#f7 repres5tatives ( ,/ate & local *ild
 protective s]vices ag5cies & o!r       
relevant public ag5cies2  7#g7 p>5ts or 
gu>dians ( *ildr5 & y\? ) emotional1    
m5tal heal?1 or sub/ance use disord]    
ne$s2  7#h7 exp]ts on issues relat$ to  
*ild abuse & neglect 9 y\? resid5tial   
programs2  7#i7 adm9i/rators ( y\?      
resid5tial programs2  7#aj7 education   

pr(essionals :o provide s]vices to y\? 9
 y\? resid5tial programs2  7#aa7 ,indian
 ,tribes & ,tribal organizations2  7#ab7
 ,/ate legislators2  7#ac7 ,/ate lic5s+ 
ag5cies2 &  7#ad7 o!rs1 z appropriate4  
7d7 ,duties ,! ,"w ,gr\p %all-- 7#a7    
develop & publi% recomm5dations reg>d+ a
 national database t aggregates data1   
includ+ process-ori5t$ data su* z l5g? (
 /ay & use ( re/ra9ts1 & seclusion &    
outcome-ori5t$ data su* z dis*>ge sett+ 
& ability to be safety ma9ta9$ 9 s*ool &
 community at lea/ #f-mon?s aft]        
dis*>ge2  7#b7 beg9n+ n lat] ?an #b ye>s
 aft] ! date ( enactm5t ( ! ,/op        
,in/itutional ,*ild ,abuse ,act1 & e #b 
ye>s !reaft]1 submit to ! ,secret>y & ! 
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions & ! ,committee on    
,f9ance ( ! ,s5ate1 & ! ,committee on   
,education & ! ,work=ce1 ! ,committee on
 ,en]gy & ,comm]ce1 & ! ,committee on   
,ways & ,means ( ! ,h\se (              
,repres5tatives1 a report conta9+ policy
 recomm5dations design$ to-- 7,a7       

improve ! coord9ation ( ! dissem9ation &
 implem5tation ( be/ practices reg>d+ ! 
heal? & safety 7includ+ use ( seclusion 
& re/ra9ts71 c>e1 treatm5t1 &           
appropriate placem5t ( y\? 9 y\?        
resid5tial programs2  7,b7 promote !    
coord9ation ( ! dissem9ation &          
implem5tation ( be/ practices reg>d+ !  
c>e & treatm5t ( y\? 9 y\? resid5tial   
programs among ,/ate *ild welf>e        
ag5cies1 ,/ate ,m$icaid ag5cies1 & ,/ate
 m5tal & behavioral heal? ag5cies2 &    
7,c7 promote ! adoption & implem5tation 
( be/ practices reg>d+ ! c>e & treatm5t 
( y\? 9 y\? resid5tial programs among   
*ild welf>e sy/ems1 lic5s+ ag5cies1     
accr$itation organizations1 & o!r       
relevant monitor+ & en=cem5t entities2  
7#c7 develop & utilize risk assessm5t   
tools1 includ+ projects t provide = !   
developm5t ( rese>*-bas$ /rategies =    
risk assessm5ts relat+ to ! heal?1      
safety 7includ+ ) respect to ! use (    
seclusion & re/ra9ts71 & well-be+ ( y\? 
9 y\? resid5tial programs2  7#d7 support

 ! developm5t & implem5tation (         
education & tra9+ res\rces = pr(essional
 & p>apr(essional p]sonnel 9 ! fields ( 
heal? c>e1 law en=cem5t1 judici>y1      
social "w1 *ild protection 7includ+ !   
prev5tion1 id5tification1 & treatm5t (  
*ild abuse & neglect71 education1 *ild  
c>e1 & o!r relevant fields1 &           
individuals su* z c\rt appo9t$ special  
advocates & gu>dians ad litem1 includ+  
education & tra9+ res\rces reg>d+-- 7,a7
 ! unique ne$s1 exp]i5ces1 & outcomes ( 
y\? ov]repres5t$ 9 y\? resid5tial       
programs2  7,b7 ! enhancem5t ( int]ag5cy
 communication among *ild protective    
s]vice ag5cies1 protection & advocacy   
sy/ems1 ,/ate lic5s+ ag5cies1 ,/ate     
,m$icaid ag5cies1 & accr$itation        
ag5cies2  7,c7 be/ practices to elim9ate
 ! usage ( physical1 me*anical1 &       
*emical re/ra9t & seclusion1 & to       
promote ! use ( positive behavioral     
int]v5tions & supports1 culturally &    
l+ui/ically s5sitive s]vices1 m5tal     
heal? supports1 trauma- & grief-in=m$   

c>e1 & crisis de-escalation int]v5tions2
 &  7,d7 ! legal duties ( su*           
pr(essional & p>apr(essional p]sonnel & 
y\? resid5tial program p]sonnel & !     
responsibilities ( su* pr(essionals &   
p]sonnel to protect ! legal rights (    
*ildr5 9 y\? resid5tial programs1       
consi/5t ) applicable ,/ate & ,f$]al    
law2  7#e7 improve accessibility &      
developm5t ( community-bas$ alt]natives 
to y\? resid5tial programs2  7#f7       
provide recomm5dations = innovative     
programs design$ to provide community   
support & res\rces to at-risk y\?1      
includ+ programs t-- 7,a7 support       
cont9uity ( education1 includ+ remov+   
b>ri]s to access2  7,b7 provide         
m5tor%ip2  7,c7 support ! provision (   
crisis int]v5tion s]vices & 9-home or   
outpati5t m5tal heal? & sub/ance use    
disord] treatm5t2 &  7,d7 provide o!r   
res\rces to families & p>5ts or gu>dians
 t assi/ 9 prev5t+ ! ne$ = out-(-home   
placem5t ( y\? 9 y\? resid5tial         
programs2  7#g7 p]=m o!r activities1 su*

 z activities relat+ to developm5t1     
dissem9ation1 outrea*1 engagem5t1 or    
tra9+ associat$ ) advanc+               
lea/-re/rictive1 evid5ce-bas$1 trauma & 
grief-in=m$1 & developm5tally &         
culturally compet5t c>e = y\? 9 y\?     
resid5tial programs & y\? at risk ( be+ 
plac$ 9 su* programs2 &  7#h7 provide   
recomm5dations on be/ practices to      
convey ,"w ,gr\p recomm5dations to      
,/ates4  #eif;,a4 ,def9itions ,9 ?is "p3
 7#a7 ,*ild abuse or neglect ,! t]m *ild
 abuse or neglect has ! mean+ giv5 su*  
t]m 9 section #c ( ! ,*ild ,abuse       
,prev5tion & ,treatm5t ,act4  7#b7      
,culturally compet5t ,! t]m culturally  
compet5t has ! mean+ giv5 su* t]m 9     
section #ajb ( ! ,developm5tal          
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj4  7#c7 ,indian     
,tribe2 ,tribal organization ,! t]ms    
,indian ,tribe & ,tribal organization h 
! mean+s giv5 su* t]ms 9 section #d ( ! 
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act4  7#d7 ,protection &    

advocacy sy/ems ,! t]m protection &     
advocacy sy/em means a sy/em e/abli%$ by
 a ,/ate or ,indian ,tribe "u section   
#adc ( ! ,developm5tal ,disabilities    
,assi/ance & ,bill ( ,rights ,act (     
#bjjj4  7#e7 ,/ate ,! t]m ,/ate means   
ea* ( ! sev]al ,/ates1 ! ,di/rict (     
,columbia1 ! ,commonweal? ( ,pu]to      
,rico1 ! ,virg9 ,isl&s1 ,guam1 ,am]ican 
,samoa1 & ! ,commonweal? ( ! ,nor!rn    
,m>iana ,isl&s4  7#f7 ,y\? ,! t]m y\?   
means an individual :o has n atta9$ !   
age ( #bb4  7#g7 ,y\? resid5tial program
  7,a7 ,9 g5]al ,! t]m y\? resid5tial   
program means ea* location ( a facility 
or program op]at$ by a public or private
 entity t1 ) respect to "o or m y\? :o  
are unrelat$ to ! own] or op]ator ( !   
facility or program-- 7i7 provides a    
resid5tial environm5t1 su* z-- 7,i7 a   
program ) a wild]ness or outdoor        
exp]i5ce1 exp$ition1 or int]v5tion2     
7,,ii7 a boot camp exp]i5ce or o!r      
exp]i5ce design$ to simulate *>act]i/ics
 ( basic milit>y tra9+ or correctional  

regimes2  7,,iii7 an education or       
!rapeutic bo>d+ s*ool2  7,,iv7 a        
behavioral modification program2  7,v7 a
 resid5tial treatm5t c5t] or facility2  
7,,vi7 a qualifi$ resid5tial treatm5t   
program 7z def9$ 9 section #dgb7k77#d7 (
 ! ,social ,security ,act72  7,,vii7 a  
psy*iatric resid5tial treatm5t program t
 meets ! requirem5ts ( subp>t ,d ( "p   
#dda ( title #db1 ,code ( ,f$]al        
,regulations 7or any successor          
regulations72  7,,viii7 a gr\p home s]v+
 *ildr5 & y\? plac$ by any plac+        
au?ority2  7,,ix7 an int]m$iate c>e     
facility = individuals ) intellectual   
disabilities2 or  7,x7 any resid5tial   
program t is utiliz$ z an alt]native to 
inc>c]ation = ju/ice involv$ y\?1       
adjudicat$ y\?1 or y\? deem$ del9qu5t2 &
  7ii7 s]ves y\? :o h a hi/ory or       
diagnosis (-- 7,i7 an emotional1        
behavioral1 or m5tal heal? disord]2     
7,,ii7 a sub/ance misuse or use disord]1
 includ+ alcohol misuse or use disord]s2
 or  7,,iii7 an intellectual1           

developm5tal1 physical1 or s5sory       
disability4  7,b7 ,exclusion ,! t]m y\? 
resid5tial program does n include-- 7i7 
a hospital lic5s$ by ! ,/ate2 or  7ii7 a
 fo/] family home t provides #bd-;h\r   
sub/itute c>e = *ildr5 plac$ away f _!  
p>5ts or gu>dians & = :om ! ,/ate *ild  
welf>e s]vices ag5cy has placem5t & c>e 
responsibility & t is lic5s$ & regulat$ 
by ! ,/ate z a fo/] family home4  4  #c4
 ,national ,academies ( ,sci5ces1       
,eng9e]+1 & ,m$ic9e ,/udy  7a7 ,9 g5]al 
,n lat] ?an #de days aft] ! date (      
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all seek to   
ent] into a contract ) ! ,national      
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e 7ref]r$ to 9 ?is section z !    
,national ,academies7 to conduct a /udy 
to exam9e ! /ate ( y\? 9 y\? resid5tial 
programs & make recomm5dations4  7b7    
,/udy compon5ts ,pursuant to ! contract 
"u subsection 7a71 ! ,national          
,academies %all1 n lat] ?an #c ye>s aft]
 ! date ( enactm5t ( ! ,/op             

,in/itutional ,*ild ,abuse ,act1 issue a
 report in=m$ by ! /udy conduct$ "u su* 
subsection t includes-- 7#a7            
id5tification ( all ,f$]al & ,/ate fund+
 s\rces = y\? resid5tial programs2  7#b7
 id5tification ( ,f$]al data collection 
s\rces on y\? 9 y\? resid5tial programs2
  7#c7 id5tification ( exi/+ ,f$]al &   
,/ate regulation ( y\? resid5tial       
programs1 includ+ alt]native lic5s+     
/&>ds or lic5s+ exemptions = y\?        
resid5tial programs2  7#d7 id5tification
 ( exi/+ /&>ds ( c>e ( national         
accr$itation entities t provide         
accr$itation or c]tification ( y\?      
resid5tial programs2  7#e7 id5tification
 ( exi/+ b>ri]s 9 ,f$]al & ,/ate policy 
= bl5d+ & braid+ ( ,f$]al & ,/ate fund+ 
s\rces to s]ve y\? 9 community-bas$     
sett+s2  7#f7 recomm5dations =          
coord9ation by ,f$]al & ,/ate ag5cies ( 
data on y\? 9 y\? resid5tial programs2 &
  7#g7 recomm5dations = ! improvem5t (  
,f$]al & ,/ate ov]sight ( y\? resid5tial
 programs receiv+ ,f$]al fund+4  7c7    

,def9ition ,9 ?is section1 ! t]m y\?    
resid5tial program has ! mean+ giv5 su* 
t]m 9 section #eif;,a ( ! ,public ,heal?
 ,s]vice ,act1 z add$ by section #b4