,,ii  #aah? ,,congress  #b;d ,session   
,s4 #difg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #a1 #bjbd,mrs4  
,fis*] 7= h]self1 ,ms4 ,coll9s1 ,mr4    
,grassley1 ,mr4 ,tillis1 ,mr4 ,ricketts1
 & ,mr4 ,"y7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,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 ( #bjbd4  #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+ & implem5t+ 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 support+ !     
education & pr(essional developm5t (    

*ild c>e /aff2 &  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#e7 ?r\gh 7#g71
 7#h7 & 7#i71 & 7#aj7 ?r\gh 7#ae71 z    
p>agraphs 7#f7 ?r\gh 7#h71 7#aj7 &      
7#aa71 & 7#ac7 ?r\gh 7#ah71             
respectively2  7#b7 9 p>agraph 7#c7--   
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#c7 by
 /rik+ p>agraph 7#d7 & ins]t+ ! foll[+3 
7#d7 ,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 ! employm5t & tra9+
 program1 ( ! supplem5tal nutrition     
assi/ance program1 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 or  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 seq474  7#e7 ,eligible *ild ,!  
t]m eligible *ild means an individual-- 
7,a7 :o is less ?an #ac ye>s ( age2     
7,b7 7i7 ^: family income does n exce$--
 7,i7 #he p]c5t ( ! ,/ate m$ian income =
 a family ( ! same size2 or  7,,ii7 a   
high] p]c5tage ( t income 9 a ,/ate ) a 
waiv] "u section #feh;,i7c77#a77;,b72 & 
7ii7 ^: family assets d n exce$         
#a1jjj1jjj 7z c]tifi$ by a memb] ( su*  
family72 &  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#d7 9 p>agraph 7#g71 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#e7 by /rik+ p>agraph 7#h71 z s   
r$esignat$1 & ins]t+ ! foll[+3  7#h7    
,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$4  7#i7 ,homeless *ild ,! t]m    
homeless *ild means an individual       
describ$ 9 section #gbe7b7 ( !          
,mc,kinney-,v5to ,homeless ,assi/ance   
,act 7#db ,u4,s4,c4 #aadcd;a7#b774  2   

7#f7 9 p>agraph 7#aj71 z s r$esignat$1  
by /rik+ 7#aj7 & all t foll[s ?r\gh     
mean+ & ins]t+ ! foll[+3  7#aj7 ,indian 
,tribe2 ,indian tribe ,! t]m ,indian    
,tribe or ,indian tribe has ! mean+  2  
7#g7 by ins]t+ aft] p>agraph 7#aa71 z s 
r$esignat$1 ! foll[+3  7#ab7 ,mix$      
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*ools72 &  7,c7 is support$ ) a        
comb9ation ( public & private funds4  2 
7#h7 9 p>agraph 7#ae71 z s r$esignat$1  
by /rik+ unless ! context specifies     
o!rwise& ins]t+ except z o!rwise        
specifi$2 &  7#i7 9 p>agraph 7#ah71 z s 

r$esignat$1 by /rik+ 7#ah7 & all t      
foll[s ?r\gh has ! mean+ & ins]t+ !     
foll[+3  7#ah7 ,tribal organization2    
tribal organization  7,a7 ,9 g5]al ,!   
t]m ,tribal organization or tribal      
organization has ! mean+  4  7b7        
,r$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 
7a7 ,"p ,! ,*ild ,c>e & ,developm5t     
,block ,grant ,act ( #aiij is am5d$ by  
ins]t+ be=e section #feh;,b ! foll[+3   
,i ,*ild c>e s]vices  4  7b7 ,9 g5]al   
,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 su* sums z may 

be necess>y = ea* ( fiscal ye>s #bjbe   
?r\gh #bjbi4  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 organizations4
  4  #f4 ,application & plan ,section   
#feh;,e7c7 ( ! ,*ild ,c>e & ,developm5t 

,block ,grant ,act ( #aiij 7#db         
,u4,s4,c4 #iheh;c7c77 is am5d$-- 7#a7 9 
p>agraph 7#b7-- 7,a7 9 subp>agraph      
7,a77i77,i71 by /rik+ a *ild & ins]t+ an
 eligible *ild2  7,b7 9 subp>agraph     
7,d71 by /rik+ 1 n lat] & all t foll[s  
?r\gh subp>agraph 7,k77i712  7,c7 9     
subp>agraph 7,e77i7-- 7i7 9 ! matt]     
prec$+ subclause 7,i71 by ins]t+ 1 (f]$ 
?r\gh a mix$ deliv]y sy/em1 aft] full   
div]sity ( *ild c>e s]vices2  7ii7 9    
subclause 7,i71 by ins]t+ 7includ+      
in=mation on ! h\rs & days ( op]ation & 
ages s]v$7 aft] ( *ild c>e s]vices2 &   
7iii7 9 subclause 7,,iv7-- 7,i7 by /rik+
 & be=e ! ,m$icaid2 &  7,,ii7 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  7,d7 9 subp>agraph    
7,g7-- 7i7 9 ! subp>agraph head+1 by    
/rik+ ,tra9+ & pr(essional & ins]t+     
,pr(essional2  7ii7 9 clause 7i7 &      
clause 7ii7 79 ! matt] prec$+ subclause 

7,i771 by /rik+ tra9+ & be=e pr(essional
 developm5t2  7iii7 9 clause 7ii77,,ii71
 by /rik+ 1 & may engage & all t foll[s 
?r\gh tra9+ framework2 &  7iv7 9 clause 
7iii71 by /rik+ tra9+ & ins]t+          
pr(essional developm5t2  7,e7 9         
subp>agraph 7,i77i77,,ix71 by /rik+ if  
applicable12  7,f7 9 subp>agraph 7,j7-- 
7i7 by /rik+ t proc$ures & ins]t+ !     
foll[+3 t-- 7i7 proc$ures  2  7ii7 by   
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7iii7 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 & ov]sights t may   
exi/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 requirem5ts4  

2  7,g7 9 subp>agraph 7,k77i7-- 7i7 9 ! 
matt] prec$+ subclause 7,i71 by /rik+ 1 
n lat] & all t foll[s ?r\gh #bjad12 &   
7ii7 9 subclause 7,,iv71 by /rik+       
section #feh,p7#f77;,b7 & ins]t+ section
 #feh;,a7#g77;,b72  7,h7 9 subp>agraph  
7,m7-- 7i7 by r$esignat+ clauses 7ii7   
?r\gh 7iv7 z clauses 7iii7 ?r\gh 7v71   
respectively2  7ii7 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 supply (        
eligible *ild c>e provid]s2  7ii7 *ildr5
 9 rural areas2  2 &  7iii7 9 clause    
7iv71 z s r$esignat$1 by /rik+ 1 z def9$
 by ! ,/ate2  7,i7 9 subp>agraph        
7,n77iii71 by /rik+ ,at ! option ( !    
,/ate1 ! & ins]t+ ,!2  7,j7 9           
subp>agraph 7,o77i71 by /rik+ full-day  
s]vices & ins]t+ full workday & full "w 
ye> s]vices2  7,k7 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  7,l7 
9 subp>agraph 7,t77i71 by /rik+ or      
implem5t & all t foll[s ?r\gh ( #bjad7 &
 ins]t+ & implem5t developm5tal         
guidel9es2  7,m7 9 subp>agraph 7,u7--   
7i7 9 clause 7ii71 by ins]t+ ,/ate &    
local heal? ag5cies1 aft] lic5s+ ( *ild 
c>e provid]s12 &  7ii7 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 &  7,n7 9        
subp>agraph 7,v71 by /rik+ develop & all
 t foll[ ?r\gh s]vices4 & ins]t+ support
 *ild c>e bus9ess te*nical assi/ance    
includ+ support+-- 7i7 provision (      
/rategies to support managem5t coa*+ & !
 use ( core be/ bus9ess practices2  7ii7
 developm5t & use ( %>$ s]vices         
initiatives includ+ initiatives involv+ 
provid] networks su* z *ild c>e c5t]    
alliances & family *ild c>e provid]     
networks2 &  7iii7 coord9ation (        
activities ) programs ( ! ,small        
,bus9ess ,adm9i/ration1 programs ( !    

,dep>tm5t ( ,agriculture1 & o!r ,f$]al1 
,/ate1 & local programs support+ *ild   
c>e bus9esses4  2  7#b7 9 p>agraph      
7#c7-- 7,a7 9 subp>agraph 7,b77ii71 by  
/rik+ ,n lat] & all t foll[s ?r\gh %all 
prep>e & ins]t+ ,n lat] ?an ,septemb]   
#cj ( ea* fiscal ye>1 ! ,secret>y %all  
prep>e2 &  7,b7 9 subp>agraph 7,d7-- 7i7
 by /rik+ ) respect to & all t foll[s   
?r\gh #bjbj & ins]t+ ) respect to ea*   
fiscal ye>72 &  7ii7 by /rik+ describ$ 9
 clause 7i71 7ii71 7iii71 or 7iv7 ( &   
ins]t+ 9 priority populations describ$  
92  7#c7 9 p>agraph 7#d7-- 7,a7 by /rik+
 subp>agraphs 7,a7 & 7,b7 & ins]t+ !    
foll[+3  7,a7 ,9 g5]al ,! ,/ate plan    
%all c]tify t1 n lat] ?an ! lat] ( !    
date t is #e ye>s aft] ! date (         
submission ( ! application1 & ,septemb] 
#cj1 #bjcj1 paym5t rates = ! provision (
 *ild c>e s]vices = :i* assi/ance is    
provid$ 9 accordance ) ?is sub*apt]--   
7i7 w be suffici5t to meet ! co/ (      
provid+ ! *ild c>e s]vices1 includ+ !   
fix$ & op]ational co/s ( provid+ ! *ild 

c>e s]vices2 &  7ii7 w be 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]s t repres5t ! 
v>i\s geographic areas ( ! ,/ate & types
 ( provid]s )9 ! ,/ate's mix$ deliv]y   
sy/em1 local *ild c>e program           
adm9i/rators1 local *ild c>e res\rce &  
ref]ral ag5cies1 & o!r appropriate      
entities1 has develop$ & uses 7or if !  
,/ate has n us$ su* a model c]tify t !  
,/ate1 aft] su* consultation b n lat]   
?an ! lat] ( ! date t is #e ye>s aft] ! 
date ( submission ( ! application       
describ$ 9 subsection 7a71 & ,septemb]  
#cj1 #bjcj1 w develop & use7 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 tra91 & reta9      

qualifi$ /aff2  7,,ii7 reflects         
v>iations 9 ! co/s ( s]vice deliv]y by  
subm>ket1 type ( provid]1 & *ildr5 s]v$1
 includ+ by-- 7aa7 geographic area 7su* 
z location 9 a urban or rural area72    
7bb7 ages ( *ildr52  7cc7 :e!r ! *ildr5 
h p>ticul> ne$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$ n less (t5 
?an once e #b ye>s & adju/$ z may be    
necess>y to-- 7aa7 ensure paym5t rates  
rema9 suffici5t to meet ! requirem5ts ( 
?is sub*apt]2 &  7bb7 provide a co/ (   
liv+ increase to ma9ta9 ! level (       
s]vices provid$ dur+ ! ye> prior to !   
review2 &  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  7,b7 9 subp>agraph 7,c7-- 
7i7 by /rik+ clause 7ii72 &  7ii7 by    

/rik+ 7,c7 & all t foll[s ?r\gh ,no?+ & 
ins]t+ ! foll[+3  7,c7 ,con/ruction     
,no?+  2 &  7,c7 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  
,slid+ fee scale  7,a7 ,9 g5]al ,! ,/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 an appropriate am\nt
 ( ! full copaym5t7 & t is n a b>ri] t  
re/ricts families f access+ *ild c>e    
s]vices "u ?is sub*apt]4  7,b7 ,no f$]al
 control ,! ,secret>y may (f] guidance  
to ,/ates on slid+ fee scales describ$ 9
 subp>agraph 7,a71 b %all n require a   
,/ate to adopt a p>ticul> slid+ fee     

scale or elem5t ( a p>ticul> slid+ fee  
scale4  4  #g4 ,activities to improve ! 
quality ( *ild c>e ,section #feh;,g7a7 (
 ! ,*ild ,c>e & ,developm5t ,block      
,grant ,act ( #aiij 7#db ,u4,s4,c4      
#iheh;e7a77-- 7#a7 9 p>agraph 7#a71 by  
add+ at ! end ! foll[+3 ,! ,/ate %all   
include1 9 ! ,/ate's activities1        
develop+ & exp&+ initiatives to assi/   
*ild c>e provid]s 9 _! ef=ts to recruit1
 tra91 & reta9 qualifi$ /aff42 &  7#b7 9
 p>agraph 7#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,b71 by /rik+ receiv$ n lat] & all t   
foll[s ?r\gh succe$+ full fiscal ye> &  
ins]t+ receiv$ = ea* fiscal ye>4  #h4   
,waiv]s ( income requirem5t ,section    
#feh;,i7c7 ( ! ,*ild ,c>e & ,developm5t 
,block ,grant ,act ( #aiij 7#db         
,u4,s4,c4 #iheh;g7c77 is am5d$-- 7#a7 9 
p>agraph 7#a7-- 7,a7 9 ! matt] prec$+   

subp>agraph 7,a71 by /rik+ ( n m ?an    
?ree ye>s & ins]t+ describ$ 9 p>agraph  
7#e72  7,b7 9 subp>agraph 7,a71 by /rik+
 7,a7 & ins]t+ 7,a77i72  7,c7 9         
subp>agraph 7,b71 by /rik+ 7,b7 & ins]t+
 ! foll[+3  7ii7  2  7,d7 9 subp>agraph 
7,c71 by /rik+ 7,c7 & ins]t+ ! foll[+3  
7iii7  2 &  7,e7 9 subp>agraph 7,d7--   
7i7 by /rik+ 7,d7 & ins]t+ ! foll[+3    
7iv7  2 &  7ii7 9 clause 7iv71 z s      
r$esignat$1 by /rik+ ! p]iod & ins]t+ 2 
or2 &  7,f7 by add+ at ! end ! foll[+3  
7,b7 ! ,/ate1 on ! date ( ! reque/1 has 
a maximum income /&>d t meets section   
#feh;,a7#e77;,b77i71 & reque/s ! waiv]  
to raise t /&>d4  2  7#b7 9 p>agraph    
7#b7-- 7,a7 9 subp>agraph 7,b71 by /rik+
 & at ! end2  7,b7 9 subp>agraph 7,c71  
by /rik+ ! p]iod & ins]t+ 2 &2 &  7,c7  
by add+ at ! end ! foll[+3  7,d7 if !   
,/ate seeks a waiv] ( section           
#feh;,a7#e77;,b77i77,i7 "u p>agraph     
7#a77;,b71 /ate ! maximum income /&>d t 
! ,/ate wi%es to use1 in=mation         
demon/rat+ t ! ,/ate is s]v+ all        

eligible *ildr5 bel[ ! maximum income   
/&>d 9 t section1 in=mation demon/rat+ t
 ! ,/ate is meet+ ! requirem5ts ( !     
,/ate plan "u section #feh;,e7c71       
p>ticul>ly ! requirem5ts ( subp>agraphs 
7,m7 & 7,q7 ( p>agraph 7#b7 ( t section1
 & 7effective on ! lat] ( ! #b dates    
specifi$ 9 section #feh;,e7c77#d77;,a77 
in=mation demon/rat+ t ! paym5t rates   
describ$ 9 t section are set & paid 9   
accordance ) a co/ e/imation model      
describ$ 9 section #feh;,e7c77#d77;,b74 
2 &  7#c7 9 p>agraph 7#g7-- 7,a7 by     
/rik+ ,! ,secret>y may & ins]t+ !       
foll[+3  7,a7 ,g5]al r5ewals ,!         
,secret>y may  2  7,b7 9 ! fir/ s5t5ce1 
by ins]t+ be=e ! p]iod ! foll[+3 1 9 !  
case ( a reque/ = a waiv] ( a provision 
o!r ?an section #feh;,a7#e77;,b77i77,i72
  7,c7 9 ! second s5t5ce1 by /rik+ seek+
 to r5ew _! waiv] approval mu/ & ins]t+ 
seek+ t r5ewal %all2  7,d7 9 ! ?ird     
s5t5ce1 by /rik+ ext5sion reque/ &      
ins]t+ r5ewal reque/2 &  7,e7 by add+ at
 ! end ! foll[+3  7,b7 ,r5ewals ( income

 requirem5t waiv]s ,a ,/ate may seek a  
r5ewal1 ( an exi/+ waiv] ( section      
#feh;,a7#e77;,b77i77,i7 "u p>agraph     
7#a77;,b7 7includ+ a previ\sly r5ew$    
waiv]71 = a p]iod no long] ?an #c ye>s4 
,a ,/ate seek+ t r5ewal %all in=m !     
,secret>y ( ?is int5t no lat] ?an #cj   
days prior to ! expiration date ( !     
waiv]4 ,! ,/ate %all re-c]tify 9 its    
r5ewal reque/ ! provisions 9 p>agraph   
7#b74 ,on det]m9+ t ! ,/ate has         
accurately re-c]tifi$ ^? provision1 !   
,secret>y %all grant ! r5ewal4  2 &     
7#d7 9 p>agraph 7#h71 by ins]t+ 1 o!r   
?an p>agraph 7#a77;,b71 aft] ?is        
sub*apt]4  #i4 ,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#g72
 &  7#c7 9 subp>agraph 7,f71 by /rik+   
section #feh,p7#f77;,b7 & ins]t+ section
 #feh;,a7#g77;,b74  #aj4 ,reports1      
hotl9e1 & website ,section #feh,l7a7 ( !
 ,*ild ,c>e & ,developm5t ,block ,grant 
,act ( #aiij 7#db ,u4,s4,c4 #iheh;j7a77 
is am5d$ by /rik+ ,n lat] & all t foll[s
 ?r\gh ! ,secret>y %all & ins]t+ ,!     
,secret>y %all bi5nially4  #aa4         
,te*nical am5dm5ts ,section #feh,o7a7 ( 
! ,*ild ,c>e & ,developm5t ,block ,grant
 ,act ( #aiij 7#db ,u4,s4,c4 #ihehm7a77 
is am5d$-- 7#a7 9 p>agraphs 7#a71 7#c71 
& 7#d7 by /rik+ ?is sub*apt] & ins]t+   
section #feh;,b2 &  7#b7 9 p>agraph 7#e7
 by /rik+ ?is sub*apt] ! fir/ place x   
appe>s & ins]t+ section #feh;,b4  #ab4  
,*ild c>e supply & facilities grants ,! 
,*ild ,c>e & ,developm5t ,block ,grant  
,act ( #aiij 7#db ,u4,s4,c4 #iheg et    
seq47 is am5d$ by add+ at ! end !       
foll[+3  ,,ii ,*ild c>e supply &        
facilities  #feh,t4 ,*ild c>e supply &  
facilities grants  7a7 ,purposes ,!     

purposes ( ?is section are to provide   
grants to ,/ates1 t]ritories describ$ 9 
section #feh,o7a77#a7 7ref]r$ to        
individually 9 ?is "p z a t]ritory71    
,indian ,tribes1 & ,tribal organization 
to-- 7#a7 exp& ! supply & capacity (    
*ild c>e provid]s s t work+ p>5ts h     
multiple high-quality *ild c>e options  
to *oose f 9 mak+ _! own decisions      
reg>d+ ! *ild c>e s]vices t be/ suit _! 
family's ne$s2 &  7#b7 ensure *ild c>e  
facilities are design$ & equipp$ to keep
 *ildr5 heal?y & safe & to enhance      
*ildr5's physical1 cognitive1 &         
behavioral developm5t4  7b7 ,qualifi$   
*ild c>e provid] ,9 ?is section1 ! t]m  
qualifi$ *ild c>e provid] means-- 7#a7  
an eligible *ild c>e provid] z def9$ 9  
section #feh;,a7#g77;,a7 t is provid+1  
or seek+ to provide1 *ild c>e s]vices to
 *ildr5 eligible = s]vices "u ?is       
sub*apt]2 or  7#b7 a *ild c>e provid] t 
has appli$ "u ?is sub*apt] to become an 
eligible *ild c>e provid] z def9$ 9     
section #feh;,a7#g77;,a7 & t commits to 

provide *ild c>e s]vices to *ildr5      
eligible = s]vices "u ?is sub*apt]4  7c7
 ,au?orization ( appropriations ,!re is 
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbf ?r\gh #bjbh4   
7d7 ,grants au?oriz$2 allotm5ts  7#a7 ,9
 g5]al ,f funds made available "u       
subsection 7c71 ! ,secret>y %all make   
grants to ,/ates1 t]ritories1 ,indian   
,tribes1 & ,tribal organizations to c>ry
 out ! activities describ$ 9 subsection 
7f74  7#b7 ,res]vation ,! ,secret>y %all
 res]ve n m ?an #a p]c5t ( ! am\nt      
appropriat$ "u subsection 7c7 = a fiscal
 ye> to c>ry out ?is section to pay = ! 
co/s ( ! ,f$]al adm9i/ration ( ?is      
section4  7#c7 ,allotm5ts ,f ! am\nt    
appropriat$ to c>ry out ?is section = a 
fiscal ye> t rema9s aft] ! ,secret>y    
makes ! res]vation "u p>agraph 7#b71 !  
,secret>y %all aw>d to ea* lead ag5cy ) 
an approv$ plan "u subsection 7e71 a    
*ild c>e supply & facilities grant 9    
accordance ) p>agraphs 7#a7 & 7#b7 (    

subsection 7a71 & subsection 7b71 (     
section #feh,o1 = ! grants au?oriz$ "u  
p>agraph 7#a74 ,a grant made "u ?is     
p>agraph 9 accordance ) p>agraph 7#a7 or
 7#b7 ( t subsection %all be = ! purpose
 ( c>ry+ out ! program describ$ 9 ?is   
section1 consi/5t1 to ! ext5t           
practicable z det]m9$ by ! ,secret>y1 ) 
! requirem5ts applicable to ,/ates4  7e7
 ,/ate plan  7#a7 ,9 g5]al ,9 ord] to   
receive a grant "u ?is section1 a ,/ate 
%all submit a plan to ! ,secret>y1 at   
su* "t & 9 su* mann] z ! ,secret>y may  
reasonably require4  7#b7 ,cont5ts ,ea* 
plan submitt$ by a ,/ate "u ?is section 
%all include ea* ( ! foll[+3 7,a7 ,a    
description ( h[ ! ,/ate w use funds    
receiv$ "u ?is section = ,/ate-level    
activities "u subsection 7f77#a74  7,b7 
,a description ( h[ ! ,/ate w ensure t  
qualifi$ *ild c>e provid]s 9 rural1     
suburban1 & urban areas c readily apply 
= & access fund+ "u ?is section1 :i*    
%all include provid+ te*nical assi/ance 
ei!r directly or ?r\gh a ?ird p>ty :i*  

may include a res\rce & ref]ral ag5cy or
 a /aff$ family *ild c>e provid]        
network4  7,c7 ,a description ( h[ !    
,/ate w det]m9e ! prioritization (      
subgrants to qualifi$ *ild c>e provid]s 
9 accordance ) subsection 7f77#e74  7,d7
 ,an assurance t ! ,/ate w make         
available to ! public1 :i* %all include1
 at a m9imum1 po/+ to an int]net website
 ( ! lead ag5cy-- 7i7 a notice ( fund+  
availability ?r\gh subgrants = qualifi$ 
*ild c>e provid]s "u ?is section2 &     
7ii7 ! crit]ia = aw>d+ subgrants =      
qualifi$ *ild c>e provid]s1 includ+ !   
me?odology ! lead ag5cy w use to det]m9e
 ! am\nts ( su* subgrants = qualifi$    
*ild c>e provid]s4  7f7 ,/ate use (     
funds  7#a7 ,res]vation ,a lead ag5cy t 
receives a grant "u subsection 7d7 %all 
res]ve n m ?an #aj p]c5t ( ! grant funds
 = ,/ate-level activities1 consi/+ (    
adm9i/]+ subgrants & provid+ te*nical   
assi/ance & support1 = activities       
support$ "u ?is section4  7#b7          
,subgrants ,! lead ag5cy %all use !     

rema9d] ( ! grant funds aw>d$ pursuant  
to subsection 7d7 to make subgrants z   
describ$ 9 p>agraphs 7#c7 & 7#d74  7#c7 
,/>tup & supply expansion subgrants     
7,a7 ,9 g5]al ,! lead ag5cy %all make   
/>tup & supply expansion subgrants to   
qualifi$ *ild c>e provid]s t are        
provid+1 or seek+ to provide1 *ild c>e  
s]vices "u ?is sub*apt] to eligible     
*ildr51 to-- 7i7 support ! provid]s 9   
pay+ = />tup & expansion co/s2  7ii7    
assi/ su* provid]s 9 meet+-- 7,i7 !     
heal? & safety requirem5ts 7includ+ !   
requirem5ts ref]r$ to 9 section         
#feh;,e7c77#b77;,i77 ( ! ,/ate1         
t]ritory1 ,indian ,tribe1 or local      
gov]nm5t involv$1 z ! case may be2      
7,,ii7 lic5s+ & o!r regulatory /&>ds ( !
 ,/ate1 t]ritory1 ,indian ,tribe1 or    
local gov]nm5t involv$1 z ! case may be1
 = *ild c>e provid]s2 &  7,,iii7 z      
applicable1 ! requirem5ts ( a ,/ate's   
ti]$ quality rat+ sy/em = *ild c>e      
provid]s2 &  7iii7 e/abli%+ or exp&+ !  
op]ation ( community- or                

neighborhood-bas$ family *ild c>e       
networks4  7,b7 ,requirem5t ,z a        
condition ( receiv+ a />tup or supply   
expansion subgrant "u ?is p>agraph1 a   
qualifi$ *ild c>e provid] %all commit to
 meet+ ! requirem5ts = an eligible *ild 
c>e provid] "u ?is sub*apt] & to provid+
 *ild c>e s]vices "u ?is sub*apt] to    
eligible *ildr51 on an ongo+ basis4     
7#d7 ,facilities subgrants  7,a7 ,9     
g5]al ,! lead ag5cy %all make facilities
 subgrants to qualifi$ *ild c>e provid]s
 t are provid+1 or seek+ to provide1    
*ild c>e s]vices "u ?is sub*apt] to     
eligible *ildr51 =1 not)/&+ section     
#feh;,f7b7-- 7i7 remodel+1 r5ovation1 or
 repair ( a build+ or facility us$ =    
provid+ direct *ild c>e s]vices2 &  7ii7
 con/ruction1 p]man5t improvem5t1 or    
major r5ovation ( a build+ or facility  
us$ = provid+ direct *ild c>e s]vices4  
7,b7 ,requirem5t ,z a condition (       
receiv+ a facilities subgrant "u ?is    
p>agraph1 a *ild c>e provid] %all commit
 to meet+ ! requirem5ts = an eligible   

*ild c>e provid] "u ?is sub*apt] & to   
provid+ *ild c>e s]vices "u ?is sub*apt]
 to eligible *ildr5 on an ongo+ basis4  
7,c7 ,f$]al int]e/  7i7 ,family *ild c>e
 homes ,f$]al law reg>d+ a ,f$]al int]e/
 9 real prop]ty %all n apply to !       
r5ovation1 remodel+1 repair1 or p]man5t 
improvem5t ( privately own$ family *ild 
c>e homes ) funds provid$ "u ?is        
p>agraph1 & ! ,secret>y %all develop    
p>amet]s = ! use ( su* funds = family   
*ild c>e homes4  7ii7 ,ret5tion ,if !   
,secret>y reta9s a ,f$]al int]e/ 9 any  
facility con/ruct$1 r5ovat$1 remodel$1  
repair$1 or p]man5tly improv$ ) funds   
provid$ "u ?is p>agraph1 ! ,secret>y    
%all n reta9 ! ,f$]al int]e/ = m ?an #aj
 ye>s4  7#e7 ,priority ,9 aw>d+         
subgrants "u p>agraphs 7#c7 & 7#d71 !   
lead ag5cy %all give priority to        
qualifi$ *ild c>e provid]s provid+ or   
seek+ to provide *ild c>e s]vices to    
priority populations ( *ildr5 describ$ 9
 section #feh;,e7c77#b77,m74  7g7       
,supplem5t n supplant ,am\nts made      

available to c>ry out ?is section %all  
be us$ to supplem5t & n supplant o!r    
,f$]al1 ,/ate1 & local public funds     
exp5d$ to increase ! supply ( *ild c>e &
 to improve *ild c>e facilities4  7h7   
,docum5tation & report+ requirem5ts     
7#a7 ,docum5tation ,a ,/ate receiv+ a   
grant "u subsection 7d7 %all provide    
docum5tation ( any ,/ate exp5ditures f  
grant funds receiv$ "u subsection 7d7 9 
accordance ) section #feh,k7b71 to !    
indep5d5t entity describ$ 9 t section4  
7#b7 ,reports  7,a7 ,lead ag5cy report  
,a lead ag5cy receiv+ a grant "u        
subsection 7d7 %all1 n lat] ?an #ab     
mon?s aft] receiv+ su* grant1 submit a  
report to ! ,secret>y t includes1 = !   
,/ate involv$1 a description ( ea* lead 
ag5cy program ( subgrants c>ri$ out to  
meet ! objectives ( ?is section1        
includ+-- 7i7 ! numb] ( eligible *ild   
c>e provid]s 9 op]ation at ! />t ( !    
grant p]iod1 & ! numb] ( su* provid]s   
#aa mon?s lat]1 disaggregat$ by age (   
*ildr5 s]v$1 geographic region1 & *ild  

c>e sett+ 7includ+ :e!r ! provid] 0 9 a 
c5t]-bas$ or family *ild c>e sett+72    
7ii7 ! numb] ( *ild c>e slots1 9 !      
capacity ( eligible *ild c>e provid]s   
giv5 applicable gr\p size limits &      
/aff-to-*ild ratios1 t 7 op5 = att5dance
 ( *ildr5 at ! />t ( ! grant p]iod & !  
numb] ( su* slots #aa mon?s lat]1       
disaggregat$ by age ( *ildr5 s]v$1      
geographic region1 & *ild c>e sett+     
7includ+ :e!r ! slot 0 9 a c5t]-bas$ or 
family *ild c>e sett+71 & ea* priority  
population ( *ildr5 describ$ 9 section  
#feh;,e7c77#b77,m72  7iii7 7,i7 ! numb] 
& p]c5tage ( qualifi$ *ild c>e provid]s 
t receiv$ a subgrant "u subsection      
7f77#c71 disaggregat$ by age ( *ildr5   
s]v$1 geographic region1 & *ild c>e     
sett+ 7includ+ :e!r ! provid] 0 9 a     
c5t]-bas$ or family *ild c>e sett+71 & !
 av]age & range ( ! am\nts ( ! subgrants
 aw>d$2 &  7,,ii7 ! numb] & p]c5tage (  
qualifi$ *ild c>e provid]s t receiv$ a  
subgrant "u subsection 7f77#d71         
disaggregat$ by age ( *ildr5 s]v$1      

geographic region1 & *ild c>e sett+     
7includ+ :e!r ! provid] 0 9 a c5t]-bas$ 
or family *ild c>e sett+71 & ! av]age & 
range ( ! am\nts ( ! subgrants aw>d$2 & 
7iv7 in=mation conc]n+ h[ qualifi$ *ild 
c>e provid]s receiv+ subgrants "u       
subsection 7f77#c7 or 7f77#d7 us$ !     
subgrant fund+ receiv$4  7,b7 ,report to
 ,congress ,! ,secret>y %all transmit   
annually to ! ,committee on ,heal?1     
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,education & ! 
,work=ce ( ! ,h\se ( ,repres5tatives a  
report t provides national & ,/ate-level
 data = ! in=mation collect$ "u         
subp>agraph 7,a74  7i7 ,con/ruction ,no 
ref]5ce 9 "p #a to ?is sub*apt] %all be 
consid]$ to ref] to a provision ( ?is   
"p4  4  #ac4 ,dep>tm5t ( ,agriculture   
loan re/rictions ,! ,secret>y (         
,agriculture %all revise section        
#ceee4ajb7;c7 ( title #g1 ,code ( ,f$]al
 ,regulations1 z 9 effect on ! date (   
enactm5t ( ?is ,act1 to exclude a       
bus9ess t is lic5s$1 regulat$1 or       

regi/]$ z a *ild c>e provid] "u ,/ate   
law4