[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 2971 Reported in Senate (RS)]
<DOC>
Calendar No. 408
116th CONGRESS
2d Session
S. 2971
To amend and reauthorize the Child Abuse Prevention and Treatment Act,
and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
December 3, 2019
Mr. Isakson (for himself and Mr. Jones) introduced the following bill;
which was read twice and referred to the Committee on Health,
Education, Labor, and Pensions
January 15, 2020
Reported by Mr. Alexander, with an amendment
[Strike out all after the enacting clause and insert the part printed
in italic]
_______________________________________________________________________
A BILL
To amend and reauthorize the Child Abuse Prevention and Treatment Act,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
<DELETED>SECTION 1. SHORT TITLE.</DELETED>
<DELETED> This Act may be cited as the ``CAPTA Reauthorization Act
of 2019''.</DELETED>
<DELETED>SEC. 2. FINDINGS.</DELETED>
<DELETED> Section 2 of the Child Abuse Prevention and Treatment Act
(42 U.S.C. 5101 note) is amended--</DELETED>
<DELETED> (1) in paragraph (1), by striking ``2008,
approximately 772,000'' and inserting ``2017, approximately
674,000'';</DELETED>
<DELETED> (2) in paragraph (2)--</DELETED>
<DELETED> (A) in subparagraph (A)--</DELETED>
<DELETED> (i) by striking ``close to \1/3\''
and inserting ``75 percent''; and</DELETED>
<DELETED> (ii) by striking ``2008'' and
inserting ``2017''; and</DELETED>
<DELETED> (B) by amending subparagraph (B) to read
as follows:</DELETED>
<DELETED> ``(B) investigations have determined that
approximately 75 percent of children who were victims of
maltreatment in fiscal year 2017 suffered neglect, 18 percent
suffered physical abuse, and 9 percent suffered sexual
abuse;'';</DELETED>
<DELETED> (3) in paragraph (3)--</DELETED>
<DELETED> (A) in subparagraph (B), by striking
``2008, an estimated 1,740'' and inserting ``2017, an
estimated 1,720''; and</DELETED>
<DELETED> (B) by amending subparagraph (C) to read
as follows:</DELETED>
<DELETED> ``(C) in fiscal year 2017, children younger than 1
year old comprised 40 percent of child maltreatment fatalities
and 72 percent of child maltreatment fatalities were younger
than 3 years of age;'';</DELETED>
<DELETED> (4) in paragraph (4)(B)--</DELETED>
<DELETED> (A) by striking ``37'' and inserting
``40''; and</DELETED>
<DELETED> (B) by striking ``2008'' and inserting
``2017'';</DELETED>
<DELETED> (5) in paragraph (5), by striking ``, American
Indian children, Alaska Native children, and children of
multiple races and ethnicities'' and inserting ``and American
Indian or Alaska Native children'';</DELETED>
<DELETED> (6) in paragraph (6)--</DELETED>
<DELETED> (A) in subparagraph (A), by inserting ``to
strengthen families'' before the semicolon;
and</DELETED>
<DELETED> (B) in subparagraph (C), by striking
``neighborhood'' and inserting ``community'';</DELETED>
<DELETED> (7) in paragraph (11), by inserting ``trauma-
informed,'' after ``comprehensive,''; and</DELETED>
<DELETED> (8) in paragraph (15)--</DELETED>
<DELETED> (A) in subparagraph (D), by striking
``implementing community plans'' and inserting
``supporting community-based programs to strengthen and
support families in order to prevent child abuse and
neglect''; and</DELETED>
<DELETED> (B) by amending subparagraph (E) to read
as follows:</DELETED>
<DELETED> ``(E) improving professional,
paraprofessional, and volunteer resources to strengthen
the child welfare workforce; and''.</DELETED>
<DELETED>SEC. 3. GENERAL DEFINITIONS.</DELETED>
<DELETED> Section 3 of the Child Abuse Prevention and Treatment Act
(42 U.S.C. 5101 note) is amended--</DELETED>
<DELETED> (1) in paragraph (7), by striking ``; and'' and
inserting a semicolon;</DELETED>
<DELETED> (2) in paragraph (8), by striking the period and
inserting ``; and''; and</DELETED>
<DELETED> (3) by adding at the end the following:</DELETED>
<DELETED> ``(9) the term `underserved or overrepresented
groups in the child welfare system' includes youth that enter
the child welfare system following family rejection, parental
abandonment, sexual abuse or sexual exploitation, or
unaccompanied homelessness.''.</DELETED>
<DELETED>TITLE I--GENERAL PROGRAM</DELETED>
<DELETED>SEC. 101. INTERAGENCY WORK GROUP ON CHILD ABUSE AND
NEGLECT.</DELETED>
<DELETED> Section 102 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5102) is amended to read as follows:</DELETED>
<DELETED>``SEC. 102. INTERAGENCY WORK GROUP ON CHILD ABUSE AND
NEGLECT.</DELETED>
<DELETED> ``(a) Establishment.--The Secretary may continue the work
group known as the Interagency Work Group on Child Abuse and Neglect
(referred to in this section as the `Work Group').</DELETED>
<DELETED> ``(b) Composition.--The Work Group shall be comprised of
representatives from Federal agencies with responsibility for child
abuse and neglect related programs and activities.</DELETED>
<DELETED> ``(c) Duties.--The Work Group shall--</DELETED>
<DELETED> ``(1) coordinate Federal efforts and activities
with respect to child abuse and neglect prevention and
treatment;</DELETED>
<DELETED> ``(2) serve as a forum that convenes relevant
Federal agencies to communicate and exchange ideas concerning
child abuse and neglect related programs and activities;
and</DELETED>
<DELETED> ``(3) further coordinate Federal efforts and
activities to maximize resources to address child abuse and
neglect in areas of critical needs for the field, such as
improving research, focusing on prevention, and addressing the
links between child abuse and neglect and domestic
violence.''.</DELETED>
<DELETED>SEC. 102. NATIONAL CLEARINGHOUSE FOR INFORMATION RELATING TO
CHILD ABUSE.</DELETED>
<DELETED> Section 103 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5104) is amended--</DELETED>
<DELETED> (1) in subsection (b)--</DELETED>
<DELETED> (A) in paragraph (1), by striking
``effective programs'' and inserting ``evidence-based
and evidence-informed programs'';</DELETED>
<DELETED> (B) by redesignating paragraphs (4)
through (9) as paragraphs (5) through (10),
respectively;</DELETED>
<DELETED> (C) by inserting after paragraph (3) the
following:</DELETED>
<DELETED> ``(4) maintain and disseminate information on best
practices to support children being cared for by kin, including
such children whose living arrangements with kin occurred
without the involvement of a child welfare agency;'';</DELETED>
<DELETED> (D) in paragraph (5), as so redesignated,
by inserting ``, including efforts to prevent child
abuse and neglect'' before the semicolon;</DELETED>
<DELETED> (E) in paragraph (7), as so redesignated--
</DELETED>
<DELETED> (i) in subparagraph (A), by
striking the semicolon and inserting ``,
including among at-risk populations, such as
young parents, parents with young children, and
parents who are adult former victims of
domestic violence or child abuse or neglect;
and'';</DELETED>
<DELETED> (ii) by striking subparagraph
(B);</DELETED>
<DELETED> (iii) by redesignating
subparagraph (C) as subparagraph (B);
and</DELETED>
<DELETED> (iv) in subparagraph (B), as so
redesignated, by striking ``abuse'' and
inserting ``use disorder'';</DELETED>
<DELETED> (F) in paragraph (8), as so redesignated--
</DELETED>
<DELETED> (i) by redesignating subparagraphs
(B) and (C) as subparagraphs (C) and (D),
respectively;</DELETED>
<DELETED> (ii) by inserting after
subparagraph (A) the following:</DELETED>
<DELETED> ``(B) best practices in child protection
workforce development and retention;''; and</DELETED>
<DELETED> (iii) in subparagraph (C), as so
redesignated, by striking ``mitigate
psychological'' and inserting ``prevent and
mitigate the effects of''; and</DELETED>
<DELETED> (G) in subparagraph (B) of paragraph (9),
as so redesignated, by striking ``abuse'' and inserting
``use disorder''; and</DELETED>
<DELETED> (2) in subsection (c)--</DELETED>
<DELETED> (A) in the heading, by inserting ``; Data
Collection and Analysis'' after
``Resources'';</DELETED>
<DELETED> (B) in paragraph (1)(C)--</DELETED>
<DELETED> (i) in clause (ii), by striking
the semicolon and inserting ``, including--
</DELETED>
<DELETED> ``(I) the number of child
deaths due to child abuse and neglect
reported by various sources, including
information from the State child
welfare agency and the State child
death review program or other source
that compiles State data, including
vital statistics death records, State
and local medical examiner and coroner
office records, and uniform crime
reports from local law enforcement;
and</DELETED>
<DELETED> ``(II) data, to the extent
practicable, about the circumstances
under which a child death occurred due
to abuse and neglect, including the
cause of the death, whether the child
was referred to the State child welfare
agency, the determination made by the
child welfare agency (as applicable),
and any known previous maltreatment of
children by the perpetrator;'';
and</DELETED>
<DELETED> (ii) in clause (iv), by striking
``substance abuse'' and inserting ``substance
use disorder''; and</DELETED>
<DELETED> (C) in subparagraph (F), by striking
``abused and neglected children'' and inserting
``victims of child abuse or neglect''.</DELETED>
<DELETED>SEC. 103. RESEARCH AND ASSISTANCE ACTIVITIES.</DELETED>
<DELETED> Section 104 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5105) is amended--</DELETED>
<DELETED> (1) in subsection (a)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) in the heading, by striking
``Topics'' and inserting ``In
general'';</DELETED>
<DELETED> (ii) in the matter preceding
subparagraph (A)--</DELETED>
<DELETED> (I) by striking
``consultation with other Federal
agencies and'' and inserting
``coordination with applicable Federal
agencies and in consultation with'';
and</DELETED>
<DELETED> (II) by inserting ``,
including primary prevention of child
abuse and neglect,'' before ``and to
improve'';</DELETED>
<DELETED> (iii) by striking subparagraphs
(C), (E), (I), (J), and (N);</DELETED>
<DELETED> (iv) by redesignating
subparagraphs (D), (F), (G), (H), (K), (L), and
(M) as subparagraphs (F) through (L),
respectively;</DELETED>
<DELETED> (v) by inserting after
subparagraph (B) the following:</DELETED>
<DELETED> ``(C) evidence-based and evidence-informed
programs to prevent child abuse and neglect in families
that have not had contact with the child welfare
system;</DELETED>
<DELETED> ``(D) best practices in recruiting,
training, and retaining a child protection workforce
that addresses identified needs;</DELETED>
<DELETED> ``(E) options for updating technology of
outdated devices and data systems to improve
communication between systems that are designed to
serve children and families;'';</DELETED>
<DELETED> (vi) in subparagraph (G), as so
redesignated, by striking ``and the juvenile
justice system that improve the delivery of
services and treatment, including methods'' and
inserting ``, the juvenile justice system, and
other relevant agencies engaged with children
and families that improve the delivery of
services and treatment, including related to
domestic violence or mental
health,'';</DELETED>
<DELETED> (vii) in subparagraph (L), as so
redesignated--</DELETED>
<DELETED> (I) by inserting
``underserved or overrepresented groups
in the child welfare system or'' after
``facing''; and</DELETED>
<DELETED> (II) by striking ``Indian
tribes and Native Hawaiian'' and
inserting ``such'';</DELETED>
<DELETED> (viii) by inserting after
subparagraph (L), as so redesignated, the
following:</DELETED>
<DELETED> ``(M) methods to address geographic,
racial, and cultural disparities in the child welfare
system, including a focus on access to services;'';
and</DELETED>
<DELETED> (ix) by redesignating subparagraph
(O) as subparagraph (N); and</DELETED>
<DELETED> (B) in paragraph (2), by striking
``paragraph (1)(O)'' and inserting ``paragraph (1)(N)
and analyses based on data from previous years of
surveys of national incidence under this
Act'';</DELETED>
<DELETED> (C) in paragraph (3)--</DELETED>
<DELETED> (i) by striking ``of 2010'' and
inserting ``of 2019''; and</DELETED>
<DELETED> (ii) by striking ``that contains
the results of the research conducted under
paragraph (2).'' and inserting ``that--
</DELETED>
<DELETED> ``(A) identifies the research priorities
under paragraph (4) and the process for determining
such priorities;</DELETED>
<DELETED> ``(B) contains a summary of the research
supported pursuant to paragraph (1);</DELETED>
<DELETED> ``(C) contains the results of the research
conducted under paragraph (2); and</DELETED>
<DELETED> ``(D) describes how the Secretary will
continue to improve the accuracy of information on the
national incidence on child abuse and neglect specified
in paragraph (2).'';</DELETED>
<DELETED> (D) in subparagraph (B) of the first
paragraph (4) (relating to priorities)--</DELETED>
<DELETED> (i) by striking ``1 years'' and
inserting ``1 year''; and</DELETED>
<DELETED> (ii) by inserting ``, at least 30
days prior to publishing the final
priorities,'' after ``subparagraph (A)'';
and</DELETED>
<DELETED> (E) by striking the second paragraph (4)
(relating to a study on shaken baby syndrome), as added
by section 113(a)(5) of the CAPTA Reauthorization Act
of 2010 (Public Law 111-320);</DELETED>
<DELETED> (2) in subsection (b)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) by inserting ``or underserved
or overrepresented groups in the child welfare
system'' after ``children with disabilities'';
and</DELETED>
<DELETED> (ii) by striking ``substance
abuse'' and inserting ``substance use
disorder'';</DELETED>
<DELETED> (B) by redesignating paragraphs (2) and
(3) as paragraphs (3) and (4), respectively;</DELETED>
<DELETED> (C) by inserting after paragraph (1) the
following:</DELETED>
<DELETED> ``(2) Content.--The technical assistance under
paragraph (1) shall be designed to, as applicable--</DELETED>
<DELETED> ``(A) promote best practices for
addressing child abuse and neglect in families with
complex needs, such as families who have experienced
domestic violence, substance use disorders, and adverse
childhood experiences;</DELETED>
<DELETED> ``(B) provide training for child
protection workers in trauma-informed practices and
supports that prevent and mitigate the effects of
trauma for infants, children, youth, and
adults;</DELETED>
<DELETED> ``(C) reduce geographic, racial, and
cultural disparities in child protection systems, which
may include engaging law enforcement, education, and
health systems, and other systems;</DELETED>
<DELETED> ``(D) leverage community-based resources
to prevent child abuse and neglect, including resources
regarding health (including mental health and substance
use disorder), housing, parent support, financial
assistance, early childhood education and care, and
education services, and other services to assist
families; and</DELETED>
<DELETED> ``(E) provide other technical assistance,
as determined by the Secretary in consultation with
such State and local public and private agencies and
community-based organizations as the Secretary
determines appropriate.'';</DELETED>
<DELETED> (D) in subparagraph (B) of paragraph (3),
as so redesignated, by striking ``mitigate
psychological'' and inserting ``prevent and mitigate
the effects of''; and</DELETED>
<DELETED> (E) in subparagraph (B) of paragraph (4),
as so redesignated--</DELETED>
<DELETED> (i) by striking ``substance
abuse'' and inserting ``substance use
disorder''; and</DELETED>
<DELETED> (ii) by striking ``and domestic
violence services personnel'' and inserting
``domestic violence services personnel, and
personnel from relevant youth-serving and
religious organizations'';</DELETED>
<DELETED> (3) in subsection (c)(3), by inserting ``, which
may include applications related to research on primary
prevention of child abuse and neglect'' before the period;
and</DELETED>
<DELETED> (4) by striking subsection (e).</DELETED>
<DELETED>SEC. 104. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL
ORGANIZATIONS, AND PUBLIC OR PRIVATE AGENCIES AND
ORGANIZATIONS.</DELETED>
<DELETED> Section 105 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5106) is amended to read as follows:</DELETED>
<DELETED>``SEC. 105. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL
ORGANIZATIONS, AND PUBLIC OR PRIVATE AGENCIES AND
ORGANIZATIONS.</DELETED>
<DELETED> ``(a) Authority To Award Grants or Enter Into Contracts.--
The Secretary may award grants, and enter into contracts, for programs
and projects in accordance with this section, for any of the following
purposes:</DELETED>
<DELETED> ``(1) Capacity building, in order to create
coordinated, inclusive, and collaborative systems that have
statewide impact in preventing, reducing, and treating child
abuse and neglect.</DELETED>
<DELETED> ``(2) Innovation, through time-limited, field-
initiated demonstration projects that further the understanding
of the field to reduce child abuse and neglect.</DELETED>
<DELETED> ``(3) Plans of safe care grants to improve and
coordinate State responses to ensure the safety, permanency,
and well-being of infants affected by substance use.</DELETED>
<DELETED> ``(b) Capacity Building Grant Program.--</DELETED>
<DELETED> ``(1) In general.--The Secretary may award grants
or contracts to an eligible entity that is a State or local
agency, Indian Tribe or Tribal organization, a nonprofit
entity, or a consortium of such entities.</DELETED>
<DELETED> ``(2) Applications.--To be eligible to receive a
grant or contract under this section, an entity shall submit an
application to the Secretary at such time, in such manner, and
containing such information as the Secretary may
require.</DELETED>
<DELETED> ``(3) Uses of funds.--An eligible entity receiving
a grant or contract under this subsection shall use the grant
funds to better align and coordinate community-based, local,
and State activities to strengthen families and prevent child
abuse and neglect, by--</DELETED>
<DELETED> ``(A) training professionals in
prevention, identification, and treatment of child
abuse and neglect, which may include--</DELETED>
<DELETED> ``(i) training of professional and
paraprofessional personnel in the fields of
health care, medicine, law enforcement,
judiciary, social work and child protection,
education, early childhood care and education,
and other relevant fields, or individuals such
as court appointed special advocates (CASAs)
and guardian ad litem, who are engaged in, or
intend to work in, the field of prevention,
identification, and treatment of child abuse
and neglect, including the links between child
abuse and neglect and domestic violence, and
approaches to working with families with
substance use disorder;</DELETED>
<DELETED> ``(ii) training on evidence-based
and evidence-informed programs to improve child
abuse and neglect reporting by adults, with a
focus on adults who work with children in a
professional or volunteer capacity, including
on recognizing and responding to child sexual
abuse;</DELETED>
<DELETED> ``(iii) training of personnel in
best practices to meet the unique needs and
development of special populations of children,
including those with disabilities, and children
under age of 3, including promoting interagency
collaboration;</DELETED>
<DELETED> ``(iv) improving the training of
supervisory child welfare workers on best
practices for recruiting, selecting, and
retaining personnel;</DELETED>
<DELETED> ``(v) enabling State child welfare
and child protection agencies to coordinate the
provision of services with State and local
health care agencies, substance use disorder
prevention and treatment agencies, mental
health agencies, other public and private
welfare agencies, and agencies that provide
early intervention services to promote child
safety, permanence, and family stability, which
may include training on improving coordination
between agencies to meet health evaluation
needs of children who have been victims of
substantiated cases of child abuse or
neglect;</DELETED>
<DELETED> ``(vi) training of personnel in
best practices relating to the provision of
differential response; or</DELETED>
<DELETED> ``(vii) training for child welfare
professionals to reduce and prevent
discrimination (including training related to
implicit biases) in the provision of child
protection and welfare services related to
child abuse and neglect;</DELETED>
<DELETED> ``(B) enhancing systems coordination and
triage procedures, including information systems, for
responding to reports of child abuse and neglect, which
include programs of collaborative partnerships between
the State child protective services agency, community
social service agencies and community-based family
support programs, law enforcement agencies and legal
systems, developmental disability agencies, substance
use disorder treatment agencies, health care entities,
domestic violence prevention entities, mental health
service entities, schools, places of worship, and other
community-based agencies, such as children's advocacy
centers, in accordance with all applicable Federal and
State privacy laws, to allow for the establishment or
improvement of a coordinated triage system;
or</DELETED>
<DELETED> ``(C) building coordinated community-level
systems of support for children, parents, and families
through prevention services in order to strengthen
families and connect families to the services and
supports relevant to their diverse needs and interests,
including needs related to substance use disorder
prevention.</DELETED>
<DELETED> ``(c) Field-Initiated Innovation Grant Program.--
</DELETED>
<DELETED> ``(1) In general.--The Secretary may award grants
to entities that are States or local agencies, Indian Tribes or
Tribal organizations, or public or private agencies or
organizations (or combinations of such entities) for field-
initiated demonstration projects of up to 5 years that advance
innovative approaches to prevent, reduce, or treat child abuse
and neglect.</DELETED>
<DELETED> ``(2) Applications.--To be eligible to receive a
grant under this section, an entity shall submit an application
to the Secretary at such time, in such manner, and containing
such information as the Secretary may require, including a
rigorous methodological approach to the evaluation of the
grant.</DELETED>
<DELETED> ``(3) Use of funds.--An entity that receives a
grant under this section shall use the funds made available
through the grant to carry out or bring to scale promising,
evidence-informed, or evidence-based activities to prevent,
treat, or reduce child abuse and neglect that shall include one
or more of the following:</DELETED>
<DELETED> ``(A) Multidisciplinary systems of care to
strengthen families and prevent child abuse and
neglect, including primary prevention programs or
strategies aimed at reducing the prevalence of child
abuse and neglect.</DELETED>
<DELETED> ``(B) Projects for the development of new
research-based strategies for risk and safety
assessments and ongoing evaluation and reassessment of
performance and accuracy of existing risk and safety
assessment tools, including to improve practices
utilized by child protective services agencies, which
may include activities to reduce and prevent bias in
such practices.</DELETED>
<DELETED> ``(C) Projects that involve research-based
strategies for innovative training for mandated child
abuse and neglect reporters, which may include training
that is specific to the mandated individual's
profession or role when working with
children.</DELETED>
<DELETED> ``(D) Projects to improve awareness of
child welfare professionals and volunteers in the child
welfare system and the public about--</DELETED>
<DELETED> ``(i) child abuse or neglect under
State law;</DELETED>
<DELETED> ``(ii) the responsibilities of
individuals required to report suspected and
known incidents of child abuse or neglect under
State law, as applicable; and</DELETED>
<DELETED> ``(iii) the resources available to
help prevent child abuse and neglect.</DELETED>
<DELETED> ``(E) Programs that promote safe, family-
friendly physical environments for visitation and
exchange--</DELETED>
<DELETED> ``(i) for court-ordered,
supervised visitation between children and
abusing parents; and</DELETED>
<DELETED> ``(ii) to facilitate the safe
exchange of children for visits with
noncustodial parents in cases of domestic
violence.</DELETED>
<DELETED> ``(F) Innovative programs, activities, and
services that are aligned with the research priorities
identified under section 104(a)(4).</DELETED>
<DELETED> ``(G) Projects to improve implementation
of best practices to assist medical professionals in
identifying, assessing, and responding to potential
abuse in infants, including regarding referrals to
child protective services as appropriate and
identifying injuries indicative of potential abuse in
infants, and to assess the outcomes of such best
practices.</DELETED>
<DELETED> ``(d) Grants to States To Improve and Coordinate Their
Response To Ensure the Safety, Permanency, and Well-Being of Infants
Affected by Substance Use.--</DELETED>
<DELETED> ``(1) Program authorized.--The Secretary is
authorized to make grants to States for the purpose of
assisting child welfare agencies, social services agencies,
substance use disorder treatment agencies, hospitals with labor
and delivery units, medical staff, public health and mental
health agencies, and maternal and child health agencies to
facilitate collaboration in developing, updating, implementing,
and monitoring plans of safe care described in section
106(b)(2)(B)(iii). Section 112(a)(2) shall not apply to the
program authorized under this paragraph.</DELETED>
<DELETED> ``(2) Distribution of funds.--</DELETED>
<DELETED> ``(A) Reservations.--Of the amounts made
available to carry out paragraph (1), the Secretary
shall reserve--</DELETED>
<DELETED> ``(i) no more than 3 percent for
the purposes described in paragraph (7);
and</DELETED>
<DELETED> ``(ii) up to 3 percent for grants
to Indian Tribes and Tribal organizations to
address the needs of infants born with, and
identified as being affected by, substance
abuse or withdrawal symptoms resulting from
prenatal drug exposure or a fetal alcohol
spectrum disorder and their families or
caregivers, which to the extent practicable,
shall be consistent with the uses of funds
described under paragraph (4).</DELETED>
<DELETED> ``(B) Allotments to states and
territories.--The Secretary shall allot the amount made
available to carry out paragraph (1) that remains after
application of subparagraph (A) to each State that
applies for such a grant, in an amount equal to the sum
of--</DELETED>
<DELETED> ``(i) $500,000; and</DELETED>
<DELETED> ``(ii) an amount that bears the
same relationship to any funds made available
to carry out paragraph (1) and remaining after
application of subparagraph (A), as the number
of live births in the State in the previous
calendar year bears to the number of live
births in all States in such year.</DELETED>
<DELETED> ``(C) Ratable reduction.--If the amount
made available to carry out paragraph (1) is
insufficient to satisfy the requirements of
subparagraph (B), the Secretary shall ratably reduce
each allotment to a State.</DELETED>
<DELETED> ``(3) Application.--A State desiring a grant under
this subsection shall submit an application to the Secretary at
such time and in such manner as the Secretary may require. Such
application shall include--</DELETED>
<DELETED> ``(A) a description of--</DELETED>
<DELETED> ``(i) the impact of substance use
disorder in such State, including with respect
to the substance or class of substances with
the highest incidence of abuse in the previous
year in such State, including--</DELETED>
<DELETED> ``(I) the prevalence of
substance use disorder in such
State;</DELETED>
<DELETED> ``(II) the aggregate rate
of births in the State of infants
affected by substance abuse or
withdrawal symptoms or a fetal alcohol
spectrum disorder (as determined by
hospitals, insurance claims, claims
submitted to the State Medicaid
program, or other records), if
available and to the extent
practicable; and</DELETED>
<DELETED> ``(III) the number of
infants identified, for whom a plan of
safe care was developed, and for whom a
referral was made for appropriate
services, as reported under section
106(d)(18);</DELETED>
<DELETED> ``(ii) the challenges the State
faces in developing, implementing, and
monitoring plans of safe care in accordance
with section 106(b)(2)(B)(iii);</DELETED>
<DELETED> ``(iii) the State's lead agency
for the grant program and how that agency will
coordinate with relevant State entities and
programs, including the child welfare agency,
the substance use disorder treatment agency,
hospitals with labor and delivery units, health
care providers, the public health and mental
health agencies, programs funded by the
Substance Abuse and Mental Health Services
Administration that provide substance use
disorder treatment for women, the State
Medicaid program, the State agency
administering the block grant program under
title V of the Social Security Act (42 U.S.C.
701 et seq.), the State agency administering
the programs funded under part C of the
Individuals with Disabilities Education Act (20
U.S.C. 1431 et seq.), the maternal, infant, and
early childhood home visiting program under
section 511 of the Social Security Act (42
U.S.C. 711), the State judicial system, and
other agencies, as determined by the Secretary,
and Indian Tribes and Tribal organizations, as
appropriate, to implement the activities under
this paragraph;</DELETED>
<DELETED> ``(iv) how the State will monitor
local development and implementation of plans
of safe care, in accordance with section
106(b)(2)(B)(iii)(II), including how the State
will monitor to ensure plans of safe care
address differences between substance use
disorder and medically supervised substance
use, including for the treatment of a substance
use disorder;</DELETED>
<DELETED> ``(v) if applicable, how the State
plans to utilize funding authorized under part
E of title IV of the Social Security Act (42
U.S.C. 670 et seq.) to assist in carrying out
any plan of safe care, including such funding
authorized under section 471(e) of such Act (as
in effect on October 1, 2018) for mental health
and substance abuse prevention and treatment
services and in-home parent skill-based
programs and funding authorized under such
section 472(j) (as in effect on October 1,
2018) for children with a parent in a licensed
residential family-based treatment facility for
substance abuse; and</DELETED>
<DELETED> ``(vi) an assessment of the
treatment and other services and programs
available in the State to effectively carry out
any plan of safe care developed, including
identification of needed treatment, and other
services and programs to ensure the well-being
of young children and their families affected
by substance use disorder, such as programs
carried out under part C of the Individuals
with Disabilities Education Act (20 U.S.C. 1431
et seq.) and comprehensive early childhood
development services and programs such as Head
Start programs;</DELETED>
<DELETED> ``(B) a description of how the State plans
to use funds for activities described in paragraph (4)
for the purposes of ensuring State compliance with
requirements under clauses (ii) and (iii) of section
106(b)(2)(B); and</DELETED>
<DELETED> ``(C) an assurance that the State will
comply with requirements to refer a child identified as
substance-exposed to early intervention services as
required pursuant to a grant under part C of the
Individuals with Disabilities Education Act (20 U.S.C.
1431 et seq.).</DELETED>
<DELETED> ``(4) Uses of funds.--Funds awarded to a State
under this subsection may be used for the following activities,
which may be carried out by the State directly, or through
grants or subgrants, contracts, or cooperative
agreements:</DELETED>
<DELETED> ``(A) Improving State and local systems
with respect to the development and implementation of
plans of safe care, which--</DELETED>
<DELETED> ``(i) shall include parent and
caregiver engagement, as required under section
106(b)(2)(B)(iii)(I), regarding available
treatment and service options, which may
include resources available for pregnant,
perinatal, and postnatal women; and</DELETED>
<DELETED> ``(ii) may include activities such
as--</DELETED>
<DELETED> ``(I) developing policies,
procedures, or protocols for the
administration or development of
evidence-based and validated screening
tools for infants who may be affected
by substance use withdrawal symptoms or
a fetal alcohol spectrum disorder and
pregnant, perinatal, and postnatal
women whose infants may be affected by
substance use withdrawal symptoms or a
fetal alcohol spectrum
disorder;</DELETED>
<DELETED> ``(II) improving
assessments used to determine the needs
of the infant and family;</DELETED>
<DELETED> ``(III) improving ongoing
case management services;</DELETED>
<DELETED> ``(IV) improving access to
treatment services, which may be prior
to the pregnant woman's delivery date;
and</DELETED>
<DELETED> ``(V) keeping families
safely together when it is in the best
interest of the child.</DELETED>
<DELETED> ``(B) Developing policies, procedures, or
protocols in consultation and coordination with health
professionals, public and private health facilities,
and substance use disorder treatment agencies to ensure
that--</DELETED>
<DELETED> ``(i) appropriate notification to
child protective services is made in a timely
manner, as required under section
106(b)(2)(B)(ii);</DELETED>
<DELETED> ``(ii) a plan of safe care is in
place, in accordance with section
106(b)(2)(B)(iii), before the infant is
discharged from the birth or health care
facility; and</DELETED>
<DELETED> ``(iii) such health and related
agency professionals are trained on how to
follow such protocols and are aware of the
supports that may be provided under a plan of
safe care.</DELETED>
<DELETED> ``(C) Training health professionals and
health system leaders, child welfare workers, substance
use disorder treatment agencies, and other related
professionals such as home visiting agency staff and
law enforcement in relevant topics including--
</DELETED>
<DELETED> ``(i) State mandatory reporting
laws established under section 106(b)(2)(B)(i)
and the referral and process requirements for
notification to child protective services when
child abuse or neglect reporting is not
mandated;</DELETED>
<DELETED> ``(ii) the co-occurrence of
pregnancy and substance use disorder, and
implications of prenatal exposure;</DELETED>
<DELETED> ``(iii) the clinical guidance
about treating substance use disorder in
pregnant and postpartum women;</DELETED>
<DELETED> ``(iv) appropriate screening and
interventions for infants affected by substance
use disorder, withdrawal symptoms, or a fetal
alcohol spectrum disorder and the requirements
under section 106(b)(2)(B)(iii); and</DELETED>
<DELETED> ``(v) appropriate
multigenerational strategies to address the
mental health needs of the parent and child
together.</DELETED>
<DELETED> ``(D) Establishing partnerships,
agreements, or memoranda of understanding between the
lead agency and other entities (including health
professionals, health facilities, child welfare
professionals, juvenile and family court judges,
substance use and mental disorder treatment programs,
early childhood education programs, maternal and child
health and early intervention professionals (including
home visiting providers), peer-to-peer recovery
programs such as parent mentoring programs, and housing
agencies) to facilitate the implementation of, and
compliance with, section 106(b)(2) and subparagraph (B)
of this paragraph, in areas which may include--
</DELETED>
<DELETED> ``(i) developing a comprehensive,
multi-disciplinary assessment and intervention
process for infants, pregnant women, and their
families who are affected by substance use
disorder, withdrawal symptoms, or a fetal
alcohol spectrum disorder, that includes
meaningful engagement with and takes into
account the unique needs of each family and
addresses differences between medically
supervised substance use, including for the
treatment of substance use disorder, and
substance use disorder;</DELETED>
<DELETED> ``(ii) ensuring that treatment
approaches for serving infants, pregnant women,
and perinatal and postnatal women whose infants
may be affected by substance use, withdrawal
symptoms, or a fetal alcohol spectrum disorder,
are designed to, where appropriate, keep
infants with their mothers during both
inpatient and outpatient treatment;
and</DELETED>
<DELETED> ``(iii) increasing access to all
evidence-based medication-assisted treatment
approved by the Food and Drug Administration,
behavioral therapy, and counseling services for
the treatment of substance use disorders, as
appropriate.</DELETED>
<DELETED> ``(E) Developing and updating systems of
technology for improved data collection and monitoring
under section 106(b)(2)(B)(iii), including existing
electronic medical records, to measure the outcomes
achieved through the plans of safe care, including
monitoring systems to meet the requirements of this Act
and submission of performance measures.</DELETED>
<DELETED> ``(5) Reporting.--Each State that receives funds
under this subsection, for each year such funds are received,
shall submit a report to the Secretary, disaggregated by
geographic location, economic status, and major racial and
ethnic groups, except that such disaggregation shall not be
required if the results would reveal personally identifiable
information on, with respect to infants identified under
section 106(b)(2)(B)(ii)--</DELETED>
<DELETED> ``(A) the number who experienced removal
associated with parental substance use;</DELETED>
<DELETED> ``(B) the number who experienced removal
and subsequently are reunified with parents, and the
length of time between such removal and
reunification;</DELETED>
<DELETED> ``(C) the number who are referred to
community providers without a child protection
case;</DELETED>
<DELETED> ``(D) the number who receive services
while in the care of their birth parents;</DELETED>
<DELETED> ``(E) the number who receive post-
reunification services within 1 year after a
reunification has occurred; and</DELETED>
<DELETED> ``(F) the number who experienced a return
to out-of-home care within 1 year after
reunification.</DELETED>
<DELETED> ``(6) Secretary's report to congress.--The
Secretary shall submit an annual report to the Committee on
Health, Education, Labor, and Pensions and the Committee on
Appropriations of the Senate and the Committee on Education and
Labor and the Committee on Appropriations of the House of
Representatives that includes the information described in
paragraph (5) and recommendations or observations on the
challenges, successes, and lessons derived from implementation
of the grant program.</DELETED>
<DELETED> ``(7) Assisting states' implementation.--The
Secretary shall use the amount reserved under paragraph
(2)(A)(i) to provide written guidance and technical assistance
to support States in complying with and implementing this
paragraph, which shall include--</DELETED>
<DELETED> ``(A) technical assistance, including
programs of in-depth technical assistance, to
additional States, territories, and Indian Tribes and
Tribal organizations in accordance with the substance-
exposed infant initiative developed by the National
Center on Substance Abuse and Child Welfare;</DELETED>
<DELETED> ``(B) guidance on the requirements of this
Act with respect to infants born with, and identified
as being affected by, substance use or withdrawal
symptoms or fetal alcohol spectrum disorder, as
described in clauses (ii) and (iii) of section
106(b)(2)(B), including by--</DELETED>
<DELETED> ``(i) enhancing States'
understanding of requirements and flexibilities
under the law, including by clarifying key
terms;</DELETED>
<DELETED> ``(ii) addressing State-identified
challenges with developing, implementing, and
monitoring plans of safe care, including those
reported under paragraph (3)(A)(ii);</DELETED>
<DELETED> ``(iii) disseminating best
practices on implementation of plans of safe
care, on such topics as differential response,
collaboration and coordination, and
identification and delivery of services for
different populations, while recognizing needs
of different populations and varying community
approaches across States; and</DELETED>
<DELETED> ``(iv) helping States improve the
long-term safety and well-being of young
children and their families;</DELETED>
<DELETED> ``(C) supporting State efforts to develop
information technology systems to manage plans of safe
care; and</DELETED>
<DELETED> ``(D) preparing the Secretary's report to
Congress described in paragraph (6).</DELETED>
<DELETED> ``(8) Sunset.--The authority under this subsection
shall sunset on September 30, 2023.</DELETED>
<DELETED> ``(e) Evaluation.--In making grants or entering into
contracts for projects under this section, the Secretary shall require
all such projects to report on the outcomes of such activities. Funding
for such evaluations shall be provided either as a stated percentage of
a demonstration grant or as a separate grant or contract entered into
by the Secretary for the purpose of evaluating a particular
demonstration project or group of projects. In the case of an
evaluation performed by the recipient of a grant, the Secretary shall
make available technical assistance for the evaluation, where needed,
including the use of a rigorous application of scientific evaluation
techniques.''.</DELETED>
<DELETED>SEC. 105. GRANTS TO STATES FOR CHILD ABUSE OR NEGLECT
PREVENTION AND TREATMENT PROGRAMS.</DELETED>
<DELETED> Section 106 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5106a) is amended--</DELETED>
<DELETED> (1) in subsection (a)--</DELETED>
<DELETED> (A) in the matter preceding paragraph
(1)--</DELETED>
<DELETED> (i) by striking ``subsection (f)''
and inserting ``subsection (g)''; and</DELETED>
<DELETED> (ii) by striking ``State in--''
and inserting ``State with respect to one or
more of the following activities:'';</DELETED>
<DELETED> (B) by amending paragraph (1) to read as
follows:</DELETED>
<DELETED> ``(1) Maintaining and improving the intake,
assessment, screening, and investigation of reports of child
abuse or neglect, including support for rapid response to
investigations, with special attention to cases involving
children under the age of 5, and especially children under the
age of 1.'';</DELETED>
<DELETED> (C) in paragraph (2)--</DELETED>
<DELETED> (i) in subparagraph (A)--
</DELETED>
<DELETED> (I) by striking ``creating
and'' and inserting ``Creating and'';
and</DELETED>
<DELETED> (II) by inserting ``,
which may include such teams used by
children's advocacy centers,'' after
``multidisciplinary teams'';
and</DELETED>
<DELETED> (ii) in subparagraph (B)(ii), by
striking the semicolon and inserting a
period;</DELETED>
<DELETED> (D) by amending paragraph (3) to read as
follows:</DELETED>
<DELETED> ``(3) Implementing and improving case management
approaches, including ongoing case monitoring, and delivery of
services and treatment provided to children and their families
to ensure safety and respond to family needs, that include--
</DELETED>
<DELETED> ``(A) multidisciplinary approaches to
assessing family needs and connecting them with
services;</DELETED>
<DELETED> ``(B) organizing treatment teams of
community service providers that prevent and treat
child abuse and neglect, and improve child well-
being;</DELETED>
<DELETED> ``(C) case-monitoring that can ensure
progress in child well-being; and</DELETED>
<DELETED> ``(D) the use of differential
response.'';</DELETED>
<DELETED> (E) by striking paragraphs (4), (5), and
(6) and inserting the following:</DELETED>
<DELETED> ``(4)(A) Developing or enhancing data systems to
improve case management coordination and communication between
relevant agencies;</DELETED>
<DELETED> ``(B) enhancing the general child protective
system by developing, improving, and implementing risk and
safety assessment tools and protocols, such as tools and
protocols that allow for the identification of cases requiring
rapid responses, systems of data sharing with law enforcement,
including the use of differential response, and activities to
reduce and prevent bias;</DELETED>
<DELETED> ``(C) developing and updating systems of
technology that support the program and track reports of child
abuse and neglect from intake through final disposition and
allow for interstate and intrastate information exchange;
and</DELETED>
<DELETED> ``(D) real-time case monitoring for caseworkers at
the local agency level, and State agency level to track
assessments, service referrals, follow-up, case reviews, and
progress toward case plan goals.</DELETED>
<DELETED> ``(5) Developing, strengthening, and facilitating
training for professionals and volunteers engaged in the
prevention, intervention, and treatment of child abuse and
neglect including training on at least one of the following--
</DELETED>
<DELETED> ``(A) the legal duties of such
individuals;</DELETED>
<DELETED> ``(B) personal safety training for case
workers;</DELETED>
<DELETED> ``(C) early childhood, child, and
adolescent development and the impact of child abuse
and neglect, including long-term impacts of adverse
childhood experiences;</DELETED>
<DELETED> ``(D) improving coordination among child
protective service agencies and health care agencies,
entities providing health care (including mental health
and substance use disorder services), and community
resources, for purposes of conducting evaluations
related to substantiated cases of child abuse or
neglect;</DELETED>
<DELETED> ``(E) improving screening, forensic
diagnosis, and health and developmental
evaluations;</DELETED>
<DELETED> ``(F) addressing the unique needs of
children with disabilities, including promoting
interagency collaboration;</DELETED>
<DELETED> ``(G) the placement of children with kin,
and the unique needs and strategies as related to
children in such placements;</DELETED>
<DELETED> ``(H) responsive, family-oriented
approaches to prevention, identification, intervention,
and treatment of child abuse and neglect;</DELETED>
<DELETED> ``(I) ensuring child safety;</DELETED>
<DELETED> ``(J) the links between child abuse and
neglect and domestic violence, and approaches to
working with families with mental health needs or
substance use disorder; and</DELETED>
<DELETED> ``(K) coordinating with other services and
agencies, as applicable, to address family and child
needs, including trauma.'';</DELETED>
<DELETED> (F) by redesignating paragraphs (7) and
(8) as paragraphs (6) and (7), respectively;</DELETED>
<DELETED> (G) in paragraph (6), as so redesignated--
</DELETED>
<DELETED> (i) by striking ``improving'' and
inserting ``Improving'';</DELETED>
<DELETED> (ii) by striking ``the skills,
qualifications, and availability of individuals
providing services to children and families,
and the supervisors of such individuals,
through the child protection system, including
improvements in''; and</DELETED>
<DELETED> (iii) by striking the semicolong
and inserting ``, which may include efforts to
address the effects of indirect trauma exposure
for child welfare workers.'';</DELETED>
<DELETED> (H) in paragraph (7), as so redesignated--
</DELETED>
<DELETED> (i) by striking ``developing,''
and inserting ``Developing,''; and</DELETED>
<DELETED> (ii) by striking the semicolon and
inserting ``, which may include improving
public awareness and understanding relating to
the role and responsibilities of the child
protection system and the nature and basis for
reporting suspected incidents of child abuse
and neglect.''; and</DELETED>
<DELETED> (I) by striking paragraphs (9) through
(14) and inserting the following:</DELETED>
<DELETED> ``(8) Collaborating with other agencies in the
community, county, or State and coordinating services to
promote a system of care focused on both prevention and
treatment, such as by--</DELETED>
<DELETED> ``(A) developing and enhancing the
capacity of community-based programs to integrate
shared leadership strategies between parents and
professionals to prevent and treat child abuse and
neglect at the community level; or</DELETED>
<DELETED> ``(B) supporting and enhancing interagency
collaboration between the child protection system,
public health agencies, education systems, domestic
violence systems, and the juvenile justice system for
improved delivery of services and treatment, such as
models of co-locating service providers, which may
include--</DELETED>
<DELETED> ``(i) methods for continuity of
treatment plan and services as children
transition between systems;</DELETED>
<DELETED> ``(ii) addressing the health
needs, including mental health needs, of
children identified as victims of child abuse
or neglect, including supporting prompt,
comprehensive health and developmental
evaluations for children who are the subject of
substantiated child maltreatment reports;
or</DELETED>
<DELETED> ``(iii) the provision of services
that assist children exposed to domestic
violence, and that also support the caregiving
role of their nonabusing parents.'';</DELETED>
<DELETED> (2) in subsection (b)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) in subparagraph (A), by
striking ``areas of the child protective
services system'' and inserting ``ways in which
the amounts received under the grant will be
used to improve and strengthen the child
protective services system through the
activities''; and</DELETED>
<DELETED> (ii) by amending subparagraphs (B)
and (C) to read as follows:</DELETED>
<DELETED> ``(B) Duration of plan.--Each State plan
shall--</DELETED>
<DELETED> ``(i) be submitted not less
frequently than every 5 years, in coordination
with the State plan submitted under part B of
title IV of the Social Security Act;
and</DELETED>
<DELETED> ``(ii) be periodically reviewed
and revised by the State, as necessary to
reflect any substantive changes to State law or
regulations related to the prevention of child
abuse and neglect that may affect the
eligibility of the State under this section, or
if there are significant changes from the State
application in the State's funding of
strategies and programs supported under this
section.</DELETED>
<DELETED> ``(C) Public comment.--Each State shall
consult widely with public and private organizations in
developing the plan, make the plan public by electronic
means in an easily accessible format, and provide all
interested members of the public at least 30 days to
submit comments on the plan.'';</DELETED>
<DELETED> (B) in paragraph (2)--</DELETED>
<DELETED> (i) in the matter preceding
subparagraph (A)--</DELETED>
<DELETED> (I) by inserting ``be
developed, as appropriate, in
collaboration with local programs
funded under title II and with families
affected by child abuse and neglect,
and'' after ``shall''; and</DELETED>
<DELETED> (II) by striking ``achieve
the objectives of this title'' and
inserting ``strengthen families and
reduce incidents of and prevent child
abuse and neglect'';</DELETED>
<DELETED> (ii) in subparagraph (A), by
inserting ``and takes into account prevention
services across State agencies in order to
improve coordination of efforts to prevent and
reduce child abuse and neglect'' before the
semicolon;</DELETED>
<DELETED> (iii) in subparagraph (B)--
</DELETED>
<DELETED> (I) by amending clause (i)
to read as follows:</DELETED>
<DELETED> ``(i) provisions or procedures for
individuals to report known and suspected
instances of child abuse and neglect directly
to a State child protection agency or to a law
enforcement agency, as applicable under State
law, including a State law for mandatory
reporting by individuals required to report
such instances, including, as defined by the
State--</DELETED>
<DELETED> ``(I) health
professionals;</DELETED>
<DELETED> ``(II) school and child
care personnel;</DELETED>
<DELETED> ``(III) law enforcement
officials; and</DELETED>
<DELETED> ``(IV) other individuals,
as the applicable State law or
statewide program may
require;'';</DELETED>
<DELETED> (II) by moving the margins
of subclauses (I) and (II) of clause
(iii) 2 ems to the right;</DELETED>
<DELETED> (III) in clause (vi), by
inserting ``, which may include
placements with caregivers who are
kin'' before the semicolon;</DELETED>
<DELETED> (IV) by striking clauses
(x) and (xx);</DELETED>
<DELETED> (V) by redesignating
clauses (xi) through (xix) as clauses
(x) through (xviii), respectively;
and</DELETED>
<DELETED> (VI) by redesignating
clauses (xxi) through (xxv) as clauses
(xix) through (xxiii),
respectively;</DELETED>
<DELETED> (iv) in subparagraph (D)--
</DELETED>
<DELETED> (I) in clause (i), by
inserting ``, and how such services
will be strategically coordinated with
relevant agencies to provide a
continuum of prevention services and
be'' after ``referrals'';</DELETED>
<DELETED> (II) in clause (ii), by
inserting ``and retention activities''
after ``training'';</DELETED>
<DELETED> (III) in clause (iii), by
inserting ``, including for purposes of
making such individuals aware of these
requirements'' before the
semicolon;</DELETED>
<DELETED> (IV) in clause (v)--
</DELETED>
<DELETED> (aa) by inserting
``the State's efforts to
improve'' before
``policies'';</DELETED>
<DELETED> (bb) by striking
``substance abuse treatment
agencies, and other agencies''
and inserting ``substance abuse
treatment agencies, other
agencies, and kinship
navigators''; and</DELETED>
<DELETED> (cc) by striking
``; and'' and inserting a
semicolon;</DELETED>
<DELETED> (V) in clause (vi), by
striking the semicolon and inserting
``, to improve outcomes for children
and families; and''; and</DELETED>
<DELETED> (VI) by adding at the end
the following:</DELETED>
<DELETED> ``(vii) the State's policies and
procedures regarding public disclosure of the
findings or information about the case of child
abuse or neglect that has resulted in a child
fatality or near fatality, which shall provide
for exceptions to the release of such findings
or information in order to ensure the safety
and well-being of the child, or when the
release of such information would jeopardize a
criminal investigation;''; and</DELETED>
<DELETED> (v) by striking the flush text
that follows subparagraph (G); and</DELETED>
<DELETED> (C) in paragraph (3)--</DELETED>
<DELETED> (i) in the heading, by striking
``Limitation'' and inserting
``Limitations'';</DELETED>
<DELETED> (ii) by striking ``With regard to
clauses (vi) and (vii) of paragraph (2)(B)''
and inserting the following:</DELETED>
<DELETED> ``(B) Certain identifying information.--
With regard to clauses (vi) and (vii) of paragraph
(2)(B)'';</DELETED>
<DELETED> (iii) by inserting before
subparagraph (B), as added by clause (ii), the
following:</DELETED>
<DELETED> ``(A) In general.--Nothing in paragraph
(2)(B) shall be construed to limit a State's authority
to determine State policies relating to public access
to court proceedings to determine child abuse and
neglect, except that such policies shall, at a minimum,
ensure the safety and well-being of the child, parents,
and families.''; and</DELETED>
<DELETED> (iv) by adding at the end the
following:</DELETED>
<DELETED> ``(C) Mandated reporters in certain
states.--With respect to a State in which State law
requires all of the individuals to report known or
suspected instances of child abuse and neglect directly
to a State child protection agency or to a law
enforcement agency, the requirement under paragraph
(2)(B)(i) shall not be construed to require the State
to define the classes of individuals described in
subclauses (I) through (IV) of such
paragraph.'';</DELETED>
<DELETED> (3) in subsection (c)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) in subparagraph (A)--
</DELETED>
<DELETED> (I) by striking ``Except
as provided in subparagraph (B), each''
and inserting ``Each''; and</DELETED>
<DELETED> (II) by striking ``not
less than 3 citizen review panels'' and
inserting ``at least 1 citizen review
panel''; and</DELETED>
<DELETED> (ii) by amending subparagraph (B)
to read as follows:</DELETED>
<DELETED> ``(B) Exception.--A State may designate a
panel for purposes of this subsection, comprised of one
or more existing entities established under State or
Federal law, such as child fatality panels, or foster
care review panels, or State task forces established
under section 107, if such entities have the capacity
to satisfy the requirements of paragraph (3) and the
State ensures that such entities will satisfy such
requirements.'';</DELETED>
<DELETED> (B) by striking paragraph (3);</DELETED>
<DELETED> (C) by redesignating paragraphs (4)
through (6) as paragraphs (3) through (5),
respectively;</DELETED>
<DELETED> (D) in paragraph (4), as so redesignated--
</DELETED>
<DELETED> (i) by redesignating subparagraphs
(A) and (B) as subparagraphs (B) and (C),
respectively;</DELETED>
<DELETED> (ii) in subparagraph (B), as so
redesignated, by striking ``paragraph (4)'' and
inserting ``paragraph (3)''; and</DELETED>
<DELETED> (iii) by inserting before
subparagraph (B), as so redesignated, the
following:</DELETED>
<DELETED> ``(A) shall develop a memorandum of
understanding with each panel, clearly outlining the
panel's roles and responsibilities, and identifying any
support from the State;''; and</DELETED>
<DELETED> (E) in paragraph (5), as so redesignated--
</DELETED>
<DELETED> (i) by inserting ``which may be
carried out collectively by a combination of
such panels,'' before ``on an annual
basis'';</DELETED>
<DELETED> (ii) by striking ``whether or'';
and</DELETED>
<DELETED> (iii) by inserting ``, which may
include providing examples of efforts to
implement citizen review panel
recommendations'' before the period of the
second sentence;</DELETED>
<DELETED> (4) in subsection (d)--</DELETED>
<DELETED> (A) in paragraph (1), by inserting ``,
disaggregated, where available, by demographic
characteristics such as age, sex, race and ethnicity,
disability, caregiver risk factors, caregiver
relationship, living arrangement, and relation of
victim to their perpetrator'' before the
period;</DELETED>
<DELETED> (B) in paragraph (5), by striking
``neglect.'' and inserting ``neglect, including--
</DELETED>
<DELETED> ``(A) the number of child deaths due to
child abuse and neglect from separate reporting sources
within the State, including information from the State
child welfare agency and the State child death review
program that--</DELETED>
<DELETED> ``(i) is compiled by the State
welfare agency for submission; and</DELETED>
<DELETED> ``(ii) considers State data,
including vital statistics death records, State
and local medical examiner and coroner office
records, and uniform crime reports from local
law enforcement; and</DELETED>
<DELETED> ``(B) information about the circumstances
under which a child death occurred due to abuse and
neglect, including the cause of the death, whether the
child was referred to the State child welfare agency,
the determination made by the child welfare agency, and
the perpetrator's previous maltreatment of children and
the sources used to provide such
information.'';</DELETED>
<DELETED> (C) in paragraph (13)--</DELETED>
<DELETED> (i) by inserting ``and
recommendations'' after ``the activities'';
and</DELETED>
<DELETED> (ii) by striking ``subsection
(c)(6)'' and inserting ``subsection
(c)(5)'';</DELETED>
<DELETED> (D) in paragraph (16), by striking
``subsection (b)(2)(B)(xxi)'' and inserting
``subsection (b)(2)(B)(xix)''; and</DELETED>
<DELETED> (E) in paragraph (17), by striking
``subsection (b)(2)(B)(xxiv)'' and inserting
``subsection (b)(2)(B)(xxii)'';</DELETED>
<DELETED> (5) by redesignating subsections (e) and (f) as
subsections (f) and (g), respectively;</DELETED>
<DELETED> (6) by inserting after subsection (d) the
following:</DELETED>
<DELETED> ``(e) Assisting States in Implementation.--The Secretary
shall provide technical assistance to support States in reporting the
information required under subsection (d)(5).'';</DELETED>
<DELETED> (7) in subsection (f), as so redesignated, by
striking ``the Congress'' and inserting ``the Committee on
Health, Education, Labor, and Pensions of the Senate and the
Committee on Education and Labor of the House of
Representatives''; and</DELETED>
<DELETED> (8) by adding at the end the following:</DELETED>
<DELETED> ``(h) Annual Report.--A State that receives funds under
subsection (a) shall annually prepare and submit to the Secretary a
report describing the manner in which funds provided under this Act,
alone or in combination with other Federal funds, were used to address
the purposes and achieve the objectives of section 106, including--
</DELETED>
<DELETED> ``(1) a description of how the State used such
funds to improve the child protective system related to--
</DELETED>
<DELETED> ``(A) effective collaborative and
coordination strategies among child protective services
and social services, legal, health care (including
mental health and substance use disorder services),
domestic violence services, education agencies, and
community-based organizations that contribute to
improvements of the overall well-being of children and
families; and</DELETED>
<DELETED> ``(B) capacity-building efforts to support
identification and improvement of responses to, child
maltreatment; and</DELETED>
<DELETED> ``(2) how the State collaborated with community-
based prevention organizations to reduce barriers to, and
improve the effectiveness of, programs related to child abuse
and neglect.''.</DELETED>
<DELETED>SEC. 106. GRANTS TO STATES FOR PROGRAMS RELATING TO THE
INVESTIGATION AND PROSECUTION OF CHILD ABUSE AND NEGLECT
CASES.</DELETED>
<DELETED> Section 107 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5106c) is amended--</DELETED>
<DELETED> (1) in subsection (a)--</DELETED>
<DELETED> (A) by striking ``the assessment and
investigation'' each place it appears and inserting
``the assessment, investigation, and
prosecution'';</DELETED>
<DELETED> (B) in paragraph (1)--</DELETED>
<DELETED> (i) by striking ``and
exploitation,'' and inserting ``, exploitation,
and child sex-trafficking,''; and</DELETED>
<DELETED> (ii) by inserting ``, including
through a child abuse investigative
multidisciplinary review team'' before the
semicolon;</DELETED>
<DELETED> (C) in paragraph (2), by adding ``and''
after the semicolon;</DELETED>
<DELETED> (D) by striking paragraph (3);</DELETED>
<DELETED> (E) by redesignating paragraph (4) as
paragraph (3); and</DELETED>
<DELETED> (F) in paragraph (3), as so redesignated,
by inserting ``, or other vulnerable populations,''
after ``health-related problems'';</DELETED>
<DELETED> (2) in subsection (c)(1)--</DELETED>
<DELETED> (A) in subparagraph (I), by striking
``and'' at the end;</DELETED>
<DELETED> (B) in subparagraph (J), by striking the
period and inserting ``; and''; and</DELETED>
<DELETED> (C) by adding at the end the
following:</DELETED>
<DELETED> ``(K) individuals experienced in working
with underserved or overrepresented groups in the child
welfare system.''; and</DELETED>
<DELETED> (3) in subsection (d)(1), by striking ``and
exploitation'' and inserting ``, exploitation, and child sex-
trafficking''; and</DELETED>
<DELETED> (4) in subsection (e)(1)--</DELETED>
<DELETED> (A) in subparagraph (A), by striking ``and
exploitation'' and inserting ``, exploitation, and
child sex-trafficking'';</DELETED>
<DELETED> (B) in subparagraph (B), by striking ``;
and'' at the end and inserting a semicolon;</DELETED>
<DELETED> (C) in subparagraph (C)--</DELETED>
<DELETED> (i) by striking ``and
exploitation'' and inserting ``, exploitation,
and child sex-trafficking''; and</DELETED>
<DELETED> (ii) by striking the period and
inserting ``; and''; and</DELETED>
<DELETED> (D) by adding at the end the
following:</DELETED>
<DELETED> ``(D) improving coordination among
agencies regarding reports of child abuse and neglect
to ensure both law enforcement and child protective
services agencies have ready access to full information
regarding past reports, which may be done in
coordination with other States or geographic
regions.''.</DELETED>
<DELETED>SEC. 107. MISCELLANEOUS REQUIREMENTS RELATING TO
ASSISTANCE.</DELETED>
<DELETED> Section 108 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5106d) is amended by striking subsection (e).</DELETED>
<DELETED>SEC. 108. REPORTS.</DELETED>
<DELETED> Section 110 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5106f) is amended--</DELETED>
<DELETED> (1) in subsection (a), by striking ``CAPTA
Reauthorization Act of 2010'' and inserting ``CAPTA
Reauthorization Act of 2019'';</DELETED>
<DELETED> (2) in subsection (b)--</DELETED>
<DELETED> (A) in the heading, by striking
``Effectiveness of State Programs'' and inserting
``Activities''; and</DELETED>
<DELETED> (B) by striking ``evaluating the
effectiveness of programs receiving assistance under
section 106 in achieving the'' and inserting ``on
activities of technical assistance for programs that
support State efforts to meet the needs and'';
and</DELETED>
<DELETED> (3) by striking subsections (c) and (d) and
inserting the following:</DELETED>
<DELETED> ``(c) Report on State Mandatory Reporting Laws.--Not later
than 4 years after the date of enactment of the CAPTA Reauthorization
Act of 2019, the Secretary shall submit to the Committee on Health,
Education, Labor, and Pensions of the Senate and the Committee on
Education and Labor of the House of Representatives a report that
contains--</DELETED>
<DELETED> ``(1) information on--</DELETED>
<DELETED> ``(A) training supported by this Act for
mandatory reporters of child abuse or neglect;
and</DELETED>
<DELETED> ``(B) State efforts to improve reporting
on, and responding to reports of, child abuse or
neglect; and</DELETED>
<DELETED> ``(2) data regarding any changes in the rate of
substantiated child abuse reports and changes in the rate of
child abuse fatalities since the date of enactment of the CAPTA
Reauthorization Act of 2019.</DELETED>
<DELETED> ``(d) Report Relating to Injuries Indicating the Presence
of Child Abuse.--Not later than 2 years after the date of enactment of
the CAPTA Reauthorization Act of 2019, the Secretary shall submit to
the Committee on Health, Education, Labor, and Pensions of the Senate
and the Committee on Education and Labor of the House of
Representatives a report that contains--</DELETED>
<DELETED> ``(1) information on best practices developed by
medical institutions and other multidisciplinary partners to
identify and appropriately respond to injuries indicating the
presence of potential physical abuse in children, including--
</DELETED>
<DELETED> ``(A) the identification and assessment of
such injuries by health care professionals and
appropriate child protective services referral and
notification processes; and</DELETED>
<DELETED> ``(B) an identification of effective
programs replicating best practices, and barriers or
challenges to implementing programs; and</DELETED>
<DELETED> ``(2) data on any outcomes associated with the
practices described in paragraph (1), including subsequent
revictimization and child fatalities.</DELETED>
<DELETED> ``(e) Report Relating to Child Abuse and Neglect in Indian
Tribal Communities.--Not later than 2 years after the date of enactment
of the CAPTA Reauthorization Act of 2019, the Comptroller General of
the United States, in consultation with Indian Tribes from each of the
12 Bureau of Indian Affairs Regions, shall submit a report to the
Committee on Health, Education, Labor, and Pensions of the Senate and
the Committee on Education and Labor of the House of Representatives
that contains--</DELETED>
<DELETED> ``(1) information about Indian Tribes and Tribal
Organizations providing child abuse and neglect prevention
activities, including types of programming and number of tribes
providing services;</DELETED>
<DELETED> ``(2) promising practices used by tribes for child
abuse and neglect prevention;</DELETED>
<DELETED> ``(3) information about the child abuse and
neglect prevention activities Indian Tribes are providing with
Tribal, State, and Federal funds;</DELETED>
<DELETED> ``(4) ways to support prevention efforts regarding
child abuse and neglect of American Indian and Alaska Native
children, such as through the children's trust fund
model;</DELETED>
<DELETED> ``(5) an assessment of Federal agency
collaboration and technical assistance efforts to address child
abuse and neglect prevention and treatment of American Indian
and Alaska Native children;</DELETED>
<DELETED> ``(6) an examination of access to child abuse and
neglect prevention research and demonstration grants by Indian
tribes under this Act; and</DELETED>
<DELETED> ``(7) an examination of Federal child abuse and
neglect data systems to identify what Tribal data is being
submitted to the Department of Health and Human Services, any
barriers to the submission of such data, and recommendations on
improving the submission of such data.''.</DELETED>
<DELETED>SEC. 109. AUTHORIZATION OF APPROPRIATIONS.</DELETED>
<DELETED> Section 112(a)(1) of the Child Abuse Prevention and
Treatment Act (42 U.S.C. 5106h(a)(1)) is amended to read as
follows:</DELETED>
<DELETED> ``(1) General authorization.--There are authorized
to be appropriated to carry out this title such sums as may be
necessary for each of fiscal years 2021 through
2026.''.</DELETED>
<DELETED>TITLE II--COMMUNITY-BASED GRANTS FOR THE PREVENTION OF CHILD
ABUSE AND NEGLECT</DELETED>
<DELETED>SEC. 201. PURPOSE AND AUTHORITY.</DELETED>
<DELETED> Section 201 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116) is amended--</DELETED>
<DELETED> (1) in subsection (a)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) by inserting ``State and''
after ``to support''; and</DELETED>
<DELETED> (ii) by inserting ``statewide and
local networks of'' after ``coordinate'';
and</DELETED>
<DELETED> (B) in paragraph (2), by striking ``foster
an understanding, appreciation, and knowledge of
diverse populations'' and inserting ``support local
programs in increasing access for diverse populations
to programs and activities''; and</DELETED>
<DELETED> (2) in subsection (b)--</DELETED>
<DELETED> (A) by striking paragraph (2);</DELETED>
<DELETED> (B) by redesignating paragraphs (3)
through (5) as paragraphs (4) through (6),
respectively;</DELETED>
<DELETED> (C) in paragraph (1)--</DELETED>
<DELETED> (i) in subparagraph (C), by
inserting ``healthy relationships and'' before
``parenting skills'';</DELETED>
<DELETED> (ii) in subparagraph (E), by
striking ``including access to such resources
and opportunities for unaccompanied homeless
youth;'' and inserting ``such as providing
referrals to early health and developmental
services, including access to such resources
and opportunities for homeless families and
those at risk of homelessness; and'';</DELETED>
<DELETED> (iii) by striking subparagraph
(H);</DELETED>
<DELETED> (iv) by redesignating subparagraph
(G) as paragraph (3) and adjusting the margin
accordingly; and</DELETED>
<DELETED> (v) in the matter preceding
subparagraph (A)--</DELETED>
<DELETED> (I) by inserting
``statewide and local networks of''
after ``enhancing''; and</DELETED>
<DELETED> (II) by striking ``that--
'' and inserting the following: ``in
order to provide a continuum of
services to children and
families;</DELETED>
<DELETED> ``(2) supporting local programs, which may include
capacity building activities such as technical assistance,
training, and professional development to provide community-
based and prevention-focused programs and activities designed
to strengthen and support families to prevent child abuse and
neglect that help families build protective factors linked to
the prevention of child abuse and neglect that--'';</DELETED>
<DELETED> (D) in paragraph (3), as so redesignated,
by striking ``demonstrate a commitment to involving
parents in the planning and program implementation of
the lead agency and entities carrying out'' and
inserting ``supporting the meaningful involvement of
parents in the planning, program implementation, and
evaluation of the lead entity and'';</DELETED>
<DELETED> (E) in paragraph (4), as so redesignated,
by striking ``specific community-based'' and all that
follows through ``section 205(a)(3)'' and inserting
``core child abuse and neglect prevention services
described in section 205(a)(3) and the services
identified by the inventory required under section
204(3)'';</DELETED>
<DELETED> (F) in paragraph (5), as so redesignated--
</DELETED>
<DELETED> (i) by striking ``funds for the''
and inserting ``Federal, State, local, and
private funds, to carry out the purposes of
this title, which may include''; and</DELETED>
<DELETED> (ii) by striking ``reporting and
evaluation costs for establishing, operating,
or expanding'' and inserting ``such as data
systems to facilitate statewide monitoring,
reporting, and evaluation costs for'';
and</DELETED>
<DELETED> (G) in paragraph (6), as so redesignated--
</DELETED>
<DELETED> (i) by inserting ``, which may
include activities to increase public awareness
and education, and developing comprehensive
outreach strategies to engage diverse,
underserved, and at-risk populations,'' after
``information activities''; and</DELETED>
<DELETED> (ii) by striking ``and the
promotion of child abuse and neglect prevention
activities''.</DELETED>
<DELETED>SEC. 202. ELIGIBILITY.</DELETED>
<DELETED> Section 202 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116a) is amended--</DELETED>
<DELETED> (1) in paragraph (1)--</DELETED>
<DELETED> (A) in subparagraph (A)--</DELETED>
<DELETED> (i) by inserting ``, taking into
consideration the capacity and expertise of
eligible entities,'' after ``Governor of the
State''; and</DELETED>
<DELETED> (ii) by inserting ``statewide and
local networks of'' before ``community-
based'';</DELETED>
<DELETED> (B) in subparagraph (B)--</DELETED>
<DELETED> (i) by striking ``who are
consumers'' and inserting ``who are or who have
been consumers'';</DELETED>
<DELETED> (ii) by striking ``applicant
agency'' and inserting ``lead entity'';
and</DELETED>
<DELETED> (iii) by adding ``and'' after the
semicolon;</DELETED>
<DELETED> (C) in subparagraph (C)--</DELETED>
<DELETED> (i) by inserting ``local,'' after
``State,''; and</DELETED>
<DELETED> (ii) by striking ``; and'' and
inserting a semicolon; and</DELETED>
<DELETED> (D) by striking subparagraph
(D);</DELETED>
<DELETED> (2) in paragraph (2)--</DELETED>
<DELETED> (A) in subparagraph (A), by striking
``composed of'' and all that follows through ``children
with disabilities'' and inserting ``carried out by
local, collaborative, and public-private
partnerships''; and</DELETED>
<DELETED> (B) in subparagraph (C), by inserting
``local,'' after ``State,''; and</DELETED>
<DELETED> (3) in paragraph (3)--</DELETED>
<DELETED> (A) in subparagraph (A), by striking
``parental participation in the development, operation,
and oversight of the'' and inserting ``the meaningful
involvement of parents in the development, operation,
evaluation, and oversight of the State and local
efforts to support'';</DELETED>
<DELETED> (B) in subparagraph (B)--</DELETED>
<DELETED> (i) by inserting ``relevant''
before ``State and community-based'';
and</DELETED>
<DELETED> (ii) by striking ``the community-
based'' and inserting ``community-
based'';</DELETED>
<DELETED> (C) in subparagraph (C)--</DELETED>
<DELETED> (i) by striking ``community-based
and prevention-focused programs and activities
designed to strengthen and support families to
prevent child abuse and neglect'' and inserting
``local programs''; and</DELETED>
<DELETED> (ii) by striking ``; and'' and
inserting a semicolon;</DELETED>
<DELETED> (D) in subparagraph (D)--</DELETED>
<DELETED> (i) by striking ``, parents with
disabilities,'' and inserting ``or parents with
disabilities, and members of underserved or
overrepresented groups in the child welfare
system,''; and</DELETED>
<DELETED> (ii) by striking the period and
inserting ``; and''; and</DELETED>
<DELETED> (E) by adding at the end the
following:</DELETED>
<DELETED> ``(E) will take into consideration
barriers to access to community-based and prevention-
focused programs and activities designed to strengthen
and support families to prevent child abuse and
neglect, including for populations described in section
204(7)(A)(iii) and gaps in unmet need identified in the
inventory described in section 204(3) when distributing
funds to local programs for use in accordance with
section 205(a).''.</DELETED>
<DELETED>SEC. 203. AMOUNT OF GRANT.</DELETED>
<DELETED> Section 203 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116b) is amended--</DELETED>
<DELETED> (1) in subsection (a), by adding at the end the
following: ``In any fiscal year for which the amount
appropriated under section 209 exceeds the amount appropriated
under such section for fiscal year 2019 by more than
$2,000,000, the Secretary may increase the reservation
described in this subsection to up to 5 percent of the amount
appropriated under section 210 for the fiscal year for the
purpose described in the preceding sentence.''; and</DELETED>
<DELETED> (2) in subsection (b)(1)(A), by striking
``$175,000'' and inserting ``$200,000''.</DELETED>
<DELETED>SEC. 204. APPLICATION.</DELETED>
<DELETED> Section 204 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116d) is amended--</DELETED>
<DELETED> (1) in the matter preceding paragraph (1), by
striking ``the State'' and inserting ``the lead
entity'';</DELETED>
<DELETED> (2) in paragraph (1), by striking ``which meets
the requirements of section 202'';</DELETED>
<DELETED> (3) in paragraph (2), by striking ``community-
based child abuse and neglect prevention programs'' and
inserting ``such services'';</DELETED>
<DELETED> (4) in paragraph (3), by inserting ``designed to
strengthen and support families'' after ``programs and
activities'';</DELETED>
<DELETED> (5) in paragraph (5), by striking ``start up'' and
inserting ``start-up'';</DELETED>
<DELETED> (6) by amending paragraph (6) to read as
follows:</DELETED>
<DELETED> ``(6) a description of the lead entity's capacity
to ensure the meaningful involvement of family advocates,
kinship caregivers, adult former victims of child abuse or
neglect, and parents who are, or who have been, consumers of
preventive supports, in the planning, implementation, and
evaluation of the programs and policy decisions;'';</DELETED>
<DELETED> (7) by amending paragraph (7) to read as
follows:</DELETED>
<DELETED> ``(7) a description of the criteria that the lead
entity will use to--</DELETED>
<DELETED> ``(A) select and fund local programs, and
how the lead entity will take into consideration the
local program's ability to--</DELETED>
<DELETED> ``(i) collaborate across a broad
range of services and initiatives and engage in
long-term and strategic planning for,
community-based and prevention-focused programs
and activities designed to strengthen and
support families to prevent child abuse and
neglect;</DELETED>
<DELETED> ``(ii) meaningfully involve
parents in the development, implementation,
oversight, and evaluation of services;
and</DELETED>
<DELETED> ``(iii) reduce barriers to access
to community-based and prevention-focused
programs and activities designed to strengthen
and support families to prevent child abuse and
neglect, including for diverse, underserved,
and at-risk populations; or</DELETED>
<DELETED> ``(B) develop or provide community-based
and prevention-focused programs and activities designed
to strengthen and support families to prevent child
abuse and neglect, and provide a description of how
such activities are evidence-based or evidence-
informed;'';</DELETED>
<DELETED> (8) in paragraph (8)--</DELETED>
<DELETED> (A) by striking ``entity and the
community-based and prevention-focused programs
designed to strengthen and support families to prevent
child abuse and neglect'' and inserting ``lead entity
and local programs'';</DELETED>
<DELETED> (B) by striking ``homeless families and
those at risk of homelessness, unaccompanied homeless
youth'' and inserting ``victims of domestic violence,
homeless families and those at risk of homelessness,
families experiencing trauma''; and</DELETED>
<DELETED> (C) by inserting ``, including underserved
or overrepresented groups in the child welfare system''
before the semicolon;</DELETED>
<DELETED> (9) in paragraph (9), by striking ``community-
based and prevention-focused programs and activities designed
to strengthen and support families to prevent child abuse and
neglect'' and inserting ``local programs'';</DELETED>
<DELETED> (10) in paragraph (10), by striking ``applicant
entity's activities and those of the network and its members
(where appropriate) will be evaluated'' and inserting ``lead
entity's activities and local programs will be evaluated,
including in accordance with section 206'';</DELETED>
<DELETED> (11) in paragraph (11)--</DELETED>
<DELETED> (A) by striking ``applicant entity'' and
inserting ``lead entity''; and</DELETED>
<DELETED> (B) by inserting ``, including how the
lead entity will promote and consider improving access
among diverse, underserved, and at-risk populations''
before the semicolon; and</DELETED>
<DELETED> (12) in paragraph (12), by striking ``applicant
entity'' and inserting ``lead entity''.</DELETED>
<DELETED>SEC. 205. LOCAL PROGRAM REQUIREMENTS.</DELETED>
<DELETED> Section 205 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116e) is amended--</DELETED>
<DELETED> (1) in subsection (a)--</DELETED>
<DELETED> (A) in the matter preceding paragraph
(1)--</DELETED>
<DELETED> (i) by striking ``Grants made''
and inserting ``Grants or contracts made by the
lead entity''; and</DELETED>
<DELETED> (ii) by striking ``that--'' and
inserting ``, which may include--'';</DELETED>
<DELETED> (B) by amending paragraph (1) to read as
follows:</DELETED>
<DELETED> ``(1) assessing community assets and needs through
a planning process that--</DELETED>
<DELETED> ``(A) involves other community-based
organizations or agencies that have already performed a
needs assessment;</DELETED>
<DELETED> ``(B) includes the meaningful involvement
of parents; and</DELETED>
<DELETED> ``(C) uses information and expertise from
local public agencies, local nonprofit organizations,
and private sector representatives in meaningful
roles;'';</DELETED>
<DELETED> (C) in paragraph (2), by striking
``develop'' and inserting ``developing'';</DELETED>
<DELETED> (D) in paragraph (3)--</DELETED>
<DELETED> (i) in subparagraph (A)--
</DELETED>
<DELETED> (I) in the matter
preceding clause (i), by striking
``provide for'' and inserting
``providing''; and</DELETED>
<DELETED> (II) in clause (i), by
striking ``mutual support and'' and
inserting ``which may include programs
and services that improve knowledge of
healthy child development, parental
resilience, mutual support, and'';
and</DELETED>
<DELETED> (ii) in subparagraph (B)--
</DELETED>
<DELETED> (I) in the matter
preceding clause (i), by striking
``provide access to optional services''
and inserting ``connecting individuals
and families to additional
services'';</DELETED>
<DELETED> (II) in clause (ii), by
striking ``and intervention'' and
inserting ``, such as Head Start,
including early Head Start, and early
intervention'';</DELETED>
<DELETED> (III) by redesignating
clauses (iii) through (ix) as clauses
(iv) through (x),
respectively;</DELETED>
<DELETED> (IV) by inserting after
clause (ii) the following:</DELETED>
<DELETED> ``(iii) nutrition programs, which
may include the special supplemental nutrition
program for women, infants, and children
established by section 17 of the Child
Nutrition Act of 1966 (42 U.S.C. 1786) and the
supplemental nutrition assistance program under
the Food and Nutrition Act of 2008 (7 U.S.C.
2011 et seq.);'';</DELETED>
<DELETED> (V) in clause (vi), as so
redesignated, by striking ``services,
such as academic tutoring, literacy
training, and General Educational
Degree services'' and inserting ``and
workforce development programs,
including adult education and literacy
training and academic tutoring'';
and</DELETED>
<DELETED> (VI) in clause (x), as so
redesignated, by striking ``service
programs that provide services and
treatment to children and their non-
abusing caregivers'' and inserting
``services'';</DELETED>
<DELETED> (E) in paragraph (4)--</DELETED>
<DELETED> (i) by striking ``develop
leadership roles for the'' and inserting
``developing and maintaining'';</DELETED>
<DELETED> (ii) by inserting ``, and, as
applicable, kinship caregivers,'' after
``parents''; and</DELETED>
<DELETED> (iii) by striking ``the programs''
and inserting ``programs'';</DELETED>
<DELETED> (F) in paragraph (5), by striking
``provide'' and inserting ``providing''; and</DELETED>
<DELETED> (G) in paragraph (6), by striking
``participate'' and inserting ``participating'';
and</DELETED>
<DELETED> (2) in subsection (b), by striking ``programs..''
and inserting ``programs.''.</DELETED>
<DELETED>SEC. 206. PERFORMANCE MEASURES.</DELETED>
<DELETED> Section 206 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116f) is amended--</DELETED>
<DELETED> (1) in paragraph (2), by striking ``optional
services as described in section 202'' and inserting
``additional services as described in section
205(a)(3)(B)'';</DELETED>
<DELETED> (2) in paragraph (3), by striking ``section
205(3)'' and inserting ``section 204'';</DELETED>
<DELETED> (3) in paragraph (5), by striking ``used the
services of'' and inserting ``participated in'';</DELETED>
<DELETED> (4) in paragraph (6), by striking ``community
level'' and inserting ``local level'';</DELETED>
<DELETED> (5) in paragraph (7), by striking ``; and'' and
inserting a semicolon;</DELETED>
<DELETED> (6) by redesignating paragraph (8) as paragraph
(9);</DELETED>
<DELETED> (7) by inserting after paragraph (7) the
following:</DELETED>
<DELETED> ``(8) shall describe the percentage of total
funding provided to the State under section 203 that supports
evidence-based and evidence-informed community-based and
prevention-focused programs and activities designed to
strengthen and support families to prevent child abuse and
neglect; and''; and</DELETED>
<DELETED> (8) in paragraph (9), as so redesignated, by
striking ``continued leadership'' and inserting ``meaningful
involvement''.</DELETED>
<DELETED>SEC. 207. DEFINITIONS.</DELETED>
<DELETED> Section 208(2) of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116h(2)) is amended--</DELETED>
<DELETED> (1) in the paragraph heading, by inserting
``designed to strengthen and support families'' after
``activities'';</DELETED>
<DELETED> (2) by striking ``respite care programs'' and
inserting ``respite care services'';</DELETED>
<DELETED> (3) by inserting ``for parents and children''
after ``mutual support programs''; and</DELETED>
<DELETED> (4) by striking ``or respond to''.</DELETED>
<DELETED>SEC. 208. AUTHORIZATION OF APPROPRIATIONS.</DELETED>
<DELETED> Section 209 of the Child Abuse Prevention and Treatment
Act (42 U.S.C. 5116i) is amended to read as follows:</DELETED>
<DELETED>``SEC. 209. AUTHORIZATION OF APPROPRIATIONS.</DELETED>
<DELETED> ``There are authorized to be appropriated to carry out
this title such sums as may be necessary for each of fiscal years 2021
through 2026.''.</DELETED>
<DELETED>TITLE III--MISCELLANEOUS PROVISIONS</DELETED>
<DELETED>SEC. 301. TECHNICAL AMENDMENTS.</DELETED>
<DELETED> The Child Abuse Prevention and Treatment Act (42 U.S.C.
5101 et seq.) is amended--</DELETED>
<DELETED> (1) in section 3, by amending paragraph (5) to
read as follows:</DELETED>
<DELETED> ``(5) the terms `Indian', `Indian Tribe', and
`Tribal organization' have the meanings given the terms
`Indian', `Indian tribe', and `tribal organization',
respectively, in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b);'';</DELETED>
<DELETED> (2) by striking ``tribe'' each place such term
appears (other than section 3(5)) and inserting ``Tribe'';
and</DELETED>
<DELETED> (3) by striking ``tribal'' each place such term
appears (other than section 3(5)) and inserting
``Tribal''.</DELETED>
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``CAPTA
Reauthorization Act of 2019''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. General definitions.
Sec. 4. Technical amendments.
TITLE I--GENERAL PROGRAM
Sec. 101. Interagency work group on child abuse and neglect.
Sec. 102. National clearinghouse for information relating to child
abuse.
Sec. 103. Research and assistance activities.
Sec. 104. Grants to States, Indian Tribes or Tribal organizations, and
public or private agencies and
organizations.
Sec. 105. Grants to States for child abuse or neglect prevention and
treatment programs.
Sec. 106. Grants to States for programs relating to the investigation
and prosecution of child abuse and neglect
cases.
Sec. 107. Miscellaneous requirements relating to assistance.
Sec. 108. Reports.
Sec. 109. Authorization of appropriations.
TITLE II--COMMUNITY-BASED GRANTS FOR THE PREVENTION OF CHILD ABUSE AND
NEGLECT
Sec. 201. Purpose and authority.
Sec. 202. Eligibility.
Sec. 203. Amount of grant.
Sec. 204. Application.
Sec. 205. Local program requirements.
Sec. 206. Performance measures.
Sec. 207. Definitions.
Sec. 208. Authorization of appropriations.
TITLE III--ADOPTION OPPORTUNITIES
Sec. 301. Congressional findings and declaration of purpose.
Sec. 302. Information and services.
Sec. 303. Reports.
Sec. 304. Authorization of appropriations.
TITLE IV--FAMILY VIOLENCE PREVENTION AND SERVICES
Sec. 401. Purpose.
Sec. 402. Definitions.
Sec. 403. Authorization of appropriations.
Sec. 404. Authority of Secretary.
Sec. 405. Formula grants to States.
Sec. 406. State application.
Sec. 407. Subgrants and uses of funds.
Sec. 408. Grants for Indian Tribes.
Sec. 409. National resource centers and training and technical
assistance.
Sec. 410. Grants to State Domestic Violence Coalitions.
Sec. 411. Grants to Tribal Domestic Violence Coalitions.
Sec. 412. Specialized services for abused parents and their children.
Sec. 413. National domestic violence hotline grant.
Sec. 414. Domestic violence prevention enhancement and leadership
through alliances.
Sec. 415. Grants to enhance services for underserved communities.
SEC. 2. FINDINGS.
Section 2 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5101 note) is amended--
(1) in paragraph (1), by striking ``2008, approximately
772,000'' and inserting ``2017, approximately 674,000'';
(2) in paragraph (2)--
(A) in subparagraph (A)--
(i) by striking ``close to \1/3\'' and
inserting ``75 percent''; and
(ii) by striking ``2008'' and inserting
``2017''; and
(B) by amending subparagraph (B) to read as
follows:
``(B) investigations have determined that approximately 75
percent of children who were victims of maltreatment in fiscal
year 2017 suffered neglect, 18 percent suffered physical abuse,
and 9 percent suffered sexual abuse;'';
(3) in paragraph (3)--
(A) in subparagraph (B), by striking ``2008, an
estimated 1,740'' and inserting ``2017, an estimated
1,720''; and
(B) by amending subparagraph (C) to read as
follows:
``(C) in fiscal year 2017, children younger than 1 year old
comprised nearly one half of child maltreatment fatalities and
72 percent of child maltreatment fatalities were younger than 3
years of age;'';
(4) in paragraph (4)(B)--
(A) by striking ``37'' and inserting ``40''; and
(B) by striking ``2008'' and inserting ``2017'';
(5) in paragraph (5), by striking ``, American Indian
children, Alaska Native children, and children of multiple
races and ethnicities'' and inserting ``and Indian children,
including Alaska Native children,'';
(6) in paragraph (6)--
(A) in subparagraph (A), by inserting ``to
strengthen families'' before the semicolon; and
(B) in subparagraph (C), by striking
``neighborhood'' and inserting ``community'';
(7) in paragraph (11), by inserting ``trauma-informed,''
after ``comprehensive,''; and
(8) in paragraph (15)--
(A) in subparagraph (D), by striking ``implementing
community plans'' and inserting ``supporting community-
based programs to strengthen and support families in
order to prevent child abuse and neglect''; and
(B) by amending subparagraph (E) to read as
follows:
``(E) improving professional, paraprofessional, and
volunteer resources to strengthen the child welfare
workforce; and''.
SEC. 3. GENERAL DEFINITIONS.
Section 3 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5101 note) is amended--
(1) in paragraph (7), by striking ``; and'' and inserting a
semicolon;
(2) in paragraph (8), by striking the period and inserting
``; and''; and
(3) by adding at the end the following:
``(9) the term `underserved or overrepresented groups in
the child welfare system' includes youth that enter the child
welfare system following family rejection, parental
abandonment, sexual abuse or sexual exploitation, or
unaccompanied homelessness.''.
SEC. 4. TECHNICAL AMENDMENTS.
The Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 et
seq.) is amended--
(1) in section 3 (42 U.S.C. 5101 note), by amending
paragraph (5) to read as follows:
``(5) the terms `Indian', `Indian Tribe', and `Tribal
organization' have the meanings given the terms `Indian',
`Indian tribe', and `tribal organization', respectively, in
section 4 of the Indian Self-Determination and Education
Assistance Act (25 U.S.C. 5304);'';
(2) by striking ``tribe'' each place such term appears
(other than section 3(5)) and inserting ``Tribe''; and
(3) by striking ``tribal'' each place such term appears
(other than section 3(5)) and inserting ``Tribal''.
TITLE I--GENERAL PROGRAM
SEC. 101. INTERAGENCY WORK GROUP ON CHILD ABUSE AND NEGLECT.
Section 102 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5102) is amended to read as follows:
``SEC. 102. INTERAGENCY WORK GROUP ON CHILD ABUSE AND NEGLECT.
``(a) Establishment.--The Secretary may continue the work group
known as the Interagency Work Group on Child Abuse and Neglect
(referred to in this section as the `Work Group').
``(b) Composition.--The Work Group shall be comprised of
representatives from Federal agencies with responsibility for child
abuse and neglect related programs and activities.
``(c) Duties.--The Work Group shall--
``(1) coordinate Federal efforts and activities with
respect to child abuse and neglect prevention and treatment;
``(2) serve as a forum that convenes relevant Federal
agencies to communicate and exchange ideas concerning child
abuse and neglect related programs and activities; and
``(3) further coordinate Federal efforts and activities to
maximize resources to address child abuse and neglect in areas
of critical needs for the field, such as improving research,
focusing on prevention, and addressing the links between child
abuse and neglect and domestic violence.''.
SEC. 102. NATIONAL CLEARINGHOUSE FOR INFORMATION RELATING TO CHILD
ABUSE.
Section 103 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5104) is amended--
(1) in subsection (b)--
(A) in paragraph (1), by striking ``effective
programs'' and inserting ``evidence-based and evidence-
informed programs'';
(B) by redesignating paragraphs (4) through (9) as
paragraphs (5) through (10), respectively;
(C) by inserting after paragraph (3) the following:
``(4) maintain and disseminate information on best
practices to support children being cared for by relative
caregivers, including such children whose living arrangements
with relative caregivers occurred without the involvement of a
child welfare agency;'';
(D) in paragraph (5), as so redesignated, by
inserting ``, including efforts to prevent child abuse
and neglect'' before the semicolon;
(E) in paragraph (7), as so redesignated--
(i) in subparagraph (A), by striking the
semicolon and inserting ``, including among at-
risk populations, such as young parents,
parents with young children, and parents who
are adult former victims of domestic violence
or child abuse or neglect; and'';
(ii) by striking subparagraph (B);
(iii) by redesignating subparagraph (C) as
subparagraph (B); and
(iv) in subparagraph (B), as so
redesignated, by striking ``abuse'' and
inserting ``use disorder'';
(F) in paragraph (8), as so redesignated--
(i) by redesignating subparagraphs (B) and
(C) as subparagraphs (C) and (D), respectively;
(ii) by inserting after subparagraph (A)
the following:
``(B) best practices in child protection workforce
development and retention;''; and
(iii) in subparagraph (C), as so
redesignated, by striking ``mitigate
psychological'' and inserting ``prevent and
mitigate the effects of''; and
(G) in subparagraph (B) of paragraph (9), as so
redesignated, by striking ``abuse'' and inserting ``use
disorder''; and
(2) in subsection (c)--
(A) in the heading, by inserting ``; Data
Collection and Analysis'' after ``Resources'';
(B) in paragraph (1)(C)--
(i) in clause (ii), by striking the
semicolon and inserting ``, including--
``(I) the number of child
fatalities, and (as applicable and
practicable) near fatalities, due to
child abuse and neglect reported by
various sources, including information
from the State child welfare agency and
from the State child death review
program or any other source that
compiles State data, including vital
statistics death records, State and
local medical examiner and coroner
office records, and uniform crime
reports from local law enforcement; and
``(II) data, to the extent
practicable, about the circumstances
under which a child fatality, or (as
applicable and practicable) near
fatality, occurred due to child abuse
and neglect, including the cause of the
death listed on the death certificate
in the case of a child fatality,
whether the child was referred to the
State child welfare agency, the child's
placement at the time (as applicable),
the determination made by the child
welfare agency (as applicable), and any
known previous maltreatment of children
by the perpetrator;''; and
(ii) in clause (iv), by striking
``substance abuse'' and inserting ``substance
use disorder''; and
(C) in subparagraph (F), by striking ``abused and
neglected children'' and inserting ``victims of child
abuse or neglect''.
SEC. 103. RESEARCH AND ASSISTANCE ACTIVITIES.
Section 104 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5105) is amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) in the heading, by striking ``Topics''
and inserting ``In general'';
(ii) in the matter preceding subparagraph
(A)--
(I) by striking ``consultation with
other Federal agencies and'' and
inserting ``coordination with
applicable Federal agencies and in
consultation with''; and
(II) by inserting ``, including
information on primary prevention of
child abuse and neglect,'' before ``and
to improve'';
(iii) by striking subparagraphs (C), (E),
(I), (J), and (N);
(iv) by redesignating subparagraphs (D),
(F), (G), (H), (K), (L), and (M) as
subparagraphs (F) through (L), respectively;
(v) by inserting after subparagraph (B) the
following:
``(C) evidence-based and evidence-informed programs
to prevent child abuse and neglect in families that
have not had contact with the child welfare system;
``(D) best practices in recruiting, training, and
retaining a child protection workforce that addresses
identified needs;
``(E) options for updating technology of outdated
devices and data systems to improve communication,
including facilitating timely information sharing,
between systems that are designed to serve children and
families;'';
(vi) in subparagraph (G), as so
redesignated, by striking ``and the juvenile
justice system that improve the delivery of
services and treatment, including methods'' and
inserting ``, the juvenile justice system, and
other relevant agencies engaged with children
and families that improve the delivery of
services and treatment, including related to
domestic violence or mental health and
substance use disorders,'';
(vii) in subparagraph (L), as so
redesignated--
(I) by inserting ``underserved or
overrepresented groups in the child
welfare system or'' after ``facing'';
and
(II) by striking ``Indian tribes
and Native Hawaiian'' and inserting
``such'';
(viii) by inserting after subparagraph (L),
as so redesignated, the following:
``(M) methods to address geographic, racial, and
cultural disparities in the child welfare system,
including a focus on access to services;''; and
(ix) by redesignating subparagraph (O) as
subparagraph (N); and
(B) in paragraph (2), by striking ``paragraph
(1)(O)'' and inserting ``paragraph (1)(N) and analyses
based on data from previous years of surveys of
national incidence under this Act'';
(C) in paragraph (3)--
(i) by striking ``of 2010'' and inserting
``of 2019'';
(ii) by striking ``Education and the
Workforce'' and inserting ``Education and
Labor''; and
(iii) by striking ``that contains the
results of the research conducted under
paragraph (2).'' and inserting ``that--
``(A) identifies the research priorities under
paragraph (4) and the process for determining such
priorities;
``(B) contains a summary of the research supported
pursuant to paragraph (1);
``(C) contains the results of the research
conducted under paragraph (2); and
``(D) describes how the Secretary will continue to
improve the accuracy of information on the national
incidence on child abuse and neglect specified in
paragraph (2).'';
(D) in subparagraph (B) of the first paragraph (4)
(relating to priorities)--
(i) by striking ``1 years'' and inserting
``1 year''; and
(ii) by inserting ``, at least 30 days
prior to publishing the final priorities,''
after ``subparagraph (A)''; and
(E) by striking the second paragraph (4) (relating
to a study on shaken baby syndrome), as added by
section 113(a)(5) of the CAPTA Reauthorization Act of
2010 (Public Law 111-320);
(2) in subsection (b)--
(A) in paragraph (1)--
(i) by inserting ``or underserved or
overrepresented groups in the child welfare
system'' after ``children with disabilities'' ;
and
(ii) by striking ``substance abuse'' and
inserting ``substance use disorder'';
(B) by redesignating paragraphs (2) and (3) as
paragraphs (3) and (4), respectively;
(C) by inserting after paragraph (1) the following:
``(2) Content.--The technical assistance under paragraph
(1) shall be designed to, as applicable--
``(A) promote best practices for addressing child
abuse and neglect in families with complex needs, such
as families who have experienced domestic violence,
substance use disorders, and adverse childhood
experiences;
``(B) provide training for child protection workers
in trauma-informed practices and supports that prevent
and mitigate the effects of trauma for infants,
children, youth, and adults;
``(C) reduce geographic, racial, and cultural
disparities in child protection systems, which may
include engaging law enforcement, education, and health
systems, and other systems;
``(D) leverage community-based resources to prevent
child abuse and neglect, including resources regarding
health (including mental health and substance use
disorder), housing, parent support, financial
assistance, early childhood education and care, and
education services, and other services to assist
families;
``(E) provide other technical assistance, as
determined by the Secretary in consultation with such
State and local public and private agencies and
community-based organizations as the Secretary
determines appropriate; and
``(F) promote best practices for maximizing
coordination and communication between State and local
child welfare agencies and relevant health care
entities, consistent with all applicable Federal and
State privacy laws.'';
(D) in subparagraph (B) of paragraph (3), as so
redesignated, by striking ``mitigate psychological''
and inserting ``prevent and mitigate the effects of'';
and
(E) in subparagraph (B) of paragraph (4), as so
redesignated--
(i) by striking ``substance abuse'' and
inserting ``substance use disorder''; and
(ii) by striking ``and domestic violence
services personnel'' and inserting ``domestic
violence services personnel, and personnel from
relevant youth-serving and religious
organizations,'';
(3) in subsection (c)(3), by inserting ``, which may
include applications related to research on primary prevention
of child abuse and neglect'' before the period; and
(4) by striking subsection (e).
SEC. 104. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL ORGANIZATIONS, AND
PUBLIC OR PRIVATE AGENCIES AND ORGANIZATIONS.
Section 105 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5106) is amended to read as follows:
``SEC. 105. GRANTS TO STATES, INDIAN TRIBES OR TRIBAL ORGANIZATIONS,
AND PUBLIC OR PRIVATE AGENCIES AND ORGANIZATIONS.
``(a) Authority to Award Grants or Enter Into Contracts.--The
Secretary may award grants, and enter into contracts, for programs and
projects in accordance with this section, for any of the following
purposes:
``(1) Capacity building, in order to create coordinated,
inclusive, and collaborative systems that have statewide,
local, or community-based impact in preventing, reducing, and
treating child abuse and neglect.
``(2) Innovation, through time-limited, field-initiated
demonstration projects that further the understanding of the
field to reduce child abuse and neglect.
``(3) Plans of safe care grants to improve and coordinate
State responses to ensure the safety, permanency, and well-
being of infants affected by substance use.
``(b) Capacity Building Grant Program.--
``(1) In general.--The Secretary may award grants or
contracts to an eligible entity that is a State or local
agency, Indian Tribe or Tribal organization, a nonprofit
entity, or a consortium of such entities.
``(2) Applications.--To be eligible to receive a grant or
contract under this subsection, an entity shall submit an
application to the Secretary at such time, in such manner, and
containing such information as the Secretary may require.
``(3) Uses of funds.--An eligible entity receiving a grant
or contract under this subsection shall use the grant funds to
better align and coordinate community-based, local, or State
activities to strengthen families and prevent child abuse and
neglect, by--
``(A) training professionals in prevention,
identification, and treatment of child abuse and
neglect, which may include--
``(i) training of professional and
paraprofessional personnel in the fields of
health care, medicine, law enforcement,
judiciary, social work and child protection,
education, early childhood care and education,
and other relevant fields, or individuals such
as court appointed special advocates (CASAs)
and guardians ad litem, who are engaged in, or
intend to work in, the field of prevention,
identification, and treatment of child abuse
and neglect, including training on the links
between child abuse and neglect and domestic
violence and approaches to working with
families with substance use disorder;
``(ii) training on evidence-based and
evidence-informed programs to improve child
abuse and neglect reporting by adults, with a
focus on adults who work with children in a
professional or volunteer capacity, which may
include those in a leadership role within such
organizations, including on recognizing and
responding to child sexual abuse;
``(iii) training of personnel in best
practices to meet the unique needs and
development of special populations of children,
including those with disabilities, and children
under the age of 3, including training on
promoting interagency collaboration;
``(iv) improving the training of
supervisory child welfare workers on best
practices for recruiting, selecting, and
retaining personnel;
``(v) enabling State child welfare and
child protection agencies to coordinate the
provision of services with State and local
health care agencies, substance use disorder
prevention and treatment agencies, mental
health agencies, other public and private
welfare agencies, and agencies that provide
early intervention services to promote child
safety, permanence, and family stability, which
may include training on improving coordination
between agencies to meet health evaluation and
treatment needs of children who have been
victims of substantiated cases of child abuse
or neglect;
``(vi) training of personnel in best
practices relating to the provision of
differential response; or
``(vii) training for child welfare
professionals to reduce and prevent
discrimination (including training related to
implicit biases) in the provision of child
protection and child welfare services related
to child abuse and neglect;
``(B) enhancing systems coordination and triage
procedures, including information systems, for
responding to reports of child abuse and neglect, which
include programs of collaborative partnerships between
the State child protective services agency, community
social service agencies and community-based family
support programs, law enforcement agencies and legal
systems, developmental disability agencies, substance
use disorder treatment agencies, health care entities,
domestic violence prevention entities, mental health
service entities, schools, places of worship, and other
community-based agencies, such as children's advocacy
centers, in accordance with all applicable Federal and
State privacy laws, to allow for the establishment or
improvement of a coordinated triage system; or
``(C) building coordinated community-level systems
of support for children, parents, and families through
prevention services in order to strengthen families and
connect families to the services and supports relevant
to their diverse needs and interests, including needs
related to substance use disorder prevention.
``(c) Field-initiated Innovation Grant Program.--
``(1) In general.--The Secretary may award grants to
entities that are States or local agencies, Indian Tribes or
Tribal organizations, or public or private agencies or
organizations (or combinations of such entities) for field-
initiated demonstration projects of up to 5 years that advance
innovative approaches to prevent, reduce, or treat child abuse
and neglect.
``(2) Applications.--To be eligible to receive a grant
under this subsection, an entity shall submit an application to
the Secretary at such time, in such manner, and containing such
information as the Secretary may require, including a rigorous
methodological approach to the evaluation of the grant.
``(3) Use of funds.--An entity that receives a grant under
this subsection shall use the funds made available through the
grant to carry out or bring to scale promising, evidence-
informed, or evidence-based activities to prevent, treat, or
reduce child abuse and neglect that shall include one or more
of the following:
``(A) Multidisciplinary systems of care to
strengthen families and prevent child abuse and
neglect, and primary prevention programs or strategies
aimed at reducing the prevalence of child abuse and
neglect.
``(B) Projects for the development of new research-
based strategies for risk and safety assessments and
ongoing evaluation and reassessment of performance and
accuracy of existing risk and safety assessment tools,
including to improve practices utilized by child
protective services agencies, which may include
activities to reduce and prevent bias in such
practices.
``(C) Projects that involve research-based
strategies for innovative training for mandated child
abuse and neglect reporters, which may include training
that is specific to the mandated individual's
profession or role when working with children.
``(D) Projects to improve awareness of child
welfare professionals and volunteers in the child
welfare system and the public about--
``(i) child abuse or neglect under State
law;
``(ii) the responsibilities of individuals
required to report suspected and known
incidents of child abuse or neglect under State
law, as applicable; and
``(iii) the resources available to help
prevent child abuse and neglect.
``(E) Programs that promote safe, trauma-informed,
and family-friendly physical environments for
visitation and exchange--
``(i) for court-ordered, supervised
visitation between children and abusing
parents; and
``(ii) to facilitate the safe exchange of
children for visits with noncustodial parents
in cases of domestic violence.
``(F) Innovative programs, activities, and services
that are aligned with the research priorities
identified under section 104(a)(4).
``(G) Projects to improve implementation of best
practices to assist medical professionals in
identifying, assessing, and responding to potential
abuse in infants, including regarding referrals to
child protective services as appropriate and
identifying injuries indicative of potential abuse in
infants, and to assess the outcomes of such best
practices.
``(H) Projects to establish or implement evidence-
based or evidence-informed child sexual abuse awareness
and prevention programs for parents, guardians, and
professionals, including on recognizing and safely
reporting such abuse.
``(I) Projects to improve the quality of data that
child welfare agencies and State child death review
programs collect on child fatalities, and (as
applicable and practicable) near fatalities, due to
child abuse and neglect, including through data system
improvements, cross-agency collaboration and data
sharing, and related program evaluation activities, in
a manner that, at a minimum, protects personal privacy
to the extent required by applicable Federal and State
privacy laws.
``(d) Grants to States to Improve and Coordinate Their Response to
Ensure the Safety, Permanency, and Well-being of Infants Affected by
Substance Use.--
``(1) Program authorized.--The Secretary is authorized to
make grants to States for the purpose of assisting child
welfare agencies, social services agencies, substance use
disorder treatment agencies, hospitals with labor and delivery
units, medical staff, public health and mental health agencies,
and maternal and child health agencies to facilitate
collaboration in developing, updating, implementing, and
monitoring plans of safe care described in section
106(b)(2)(B)(iii). Section 112(a)(2) shall not apply to the
program authorized under this paragraph.
``(2) Distribution of funds.--
``(A) Reservations.--Of the amounts made available
to carry out paragraph (1), the Secretary shall
reserve--
``(i) no more than 3 percent for the
purposes described in paragraph (7); and
``(ii) up to 3 percent for grants to Indian
Tribes and Tribal organizations to address the
needs of infants born with, and identified as
being affected by, substance abuse or
withdrawal symptoms resulting from prenatal
drug exposure or a fetal alcohol spectrum
disorder and their families or caregivers,
which, to the extent practicable, shall be
consistent with the uses of funds described
under paragraph (4).
``(B) Allotments to states and territories.--The
Secretary shall allot the amount made available to
carry out paragraph (1) that remains after application
of subparagraph (A) to each State that applies for such
a grant, in an amount equal to the sum of--
``(i) $500,000; and
``(ii) an amount that bears the same
relationship to any funds made available to
carry out paragraph (1) and remaining after
application of subparagraph (A), as the number
of live births in the State in the previous
calendar year bears to the number of live
births in all States in such year.
``(C) Ratable reduction.--If the amount made
available to carry out paragraph (1) is insufficient to
satisfy the requirements of subparagraph (B), the
Secretary shall ratably reduce each allotment to a
State.
``(3) Application.--A State desiring a grant under this
subsection shall submit an application to the Secretary at such
time and in such manner as the Secretary may require. Such
application shall include--
``(A) a description of--
``(i) the impact of substance use disorder
in such State, including with respect to the
substance or class of substances with the
highest incidence of abuse in the previous year
in such State, including--
``(I) the prevalence of substance
use disorder in such State;
``(II) the aggregate rate of births
in the State of infants affected by
substance abuse or withdrawal symptoms
or a fetal alcohol spectrum disorder
(as determined by hospitals, insurance
claims, claims submitted to the State
Medicaid program, or other records), if
available and to the extent
practicable; and
``(III) the number of infants
identified, for whom a plan of safe
care was developed, and for whom a
referral was made for appropriate
services, as reported under section
106(d)(18);
``(ii) the challenges the State faces in
developing, implementing, and monitoring plans
of safe care in accordance with section
106(b)(2)(B)(iii);
``(iii) the State's lead agency for the
grant program and how that agency will
coordinate with relevant State entities and
programs, including the child welfare agency,
the State substance abuse agency, hospitals
with labor and delivery units, health care
providers, the public health and mental health
agencies, programs funded by the Substance
Abuse and Mental Health Services Administration
that provide substance use disorder treatment
for women, the State Medicaid program, the
State agency administering the block grant
program under title V of the Social Security
Act (42 U.S.C. 701 et seq.), the State agency
administering the programs funded under part C
of the Individuals with Disabilities Education
Act (20 U.S.C. 1431 et seq.), the maternal,
infant, and early childhood home visiting
program under section 511 of the Social
Security Act (42 U.S.C. 711), the State
judicial system, and other agencies, as
determined by the Secretary, and Indian Tribes
and Tribal organizations, as appropriate, to
develop the application under this paragraph,
implement the activities under paragraph (4),
and develop reports under paragraph (5);
``(iv) how the State will monitor local
development and implementation of plans of safe
care, in accordance with section
106(b)(2)(B)(iii)(II), including how the State
will monitor to ensure plans of safe care
address differences between substance use
disorder and medically supervised substance
use, including for the treatment of a substance
use disorder;
``(v) if applicable, how the State plans to
utilize funding authorized under part E of
title IV of the Social Security Act (42 U.S.C.
670 et seq.) to assist in carrying out any plan
of safe care, including such funding authorized
under section 471(e) of such Act (as in effect
on October 1, 2018) for mental health and
substance abuse prevention and treatment
services and in-home parent skill-based
programs and funding authorized under such
section 472(j) (as in effect on October 1,
2018) for children with a parent in a licensed
residential family-based treatment facility for
substance abuse; and
``(vi) an assessment of the treatment and
other services and programs available in the
State to effectively carry out any plan of safe
care developed, including identification of
needed treatment, and other services and
programs to ensure the well-being of young
children and their families affected by
substance use disorder, such as programs
carried out under part C of the Individuals
with Disabilities Education Act (20 U.S.C. 1431
et seq.) and comprehensive early childhood
development services and programs such as Head
Start programs;
``(B) a description of how the State plans to use
funds for activities described in paragraph (4) for the
purposes of ensuring State compliance with requirements
under clauses (ii) and (iii) of section 106(b)(2)(B);
and
``(C) an assurance that the State will comply with
requirements to refer a child identified as substance-
exposed to early intervention services as required
pursuant to a grant under part C of the Individuals
with Disabilities Education Act (20 U.S.C. 1431 et
seq.).
``(4) Uses of funds.--Funds awarded to a State under this
subsection may be used for the following activities, which may
be carried out by the State directly, or through grants or
subgrants, contracts, or cooperative agreements:
``(A) Improving State and local systems with
respect to the development and implementation of plans
of safe care, which--
``(i) shall include parent and caregiver
engagement, as required under section
106(b)(2)(B)(iii)(I), regarding available
treatment and service options, which may
include resources available for pregnant,
perinatal, and postnatal women; and
``(ii) may include activities such as--
``(I) developing policies,
procedures, or protocols for the
administration or development of
evidence-based and validated screening
tools for infants who may be affected
by substance use withdrawal symptoms or
a fetal alcohol spectrum disorder and
pregnant, perinatal, and postnatal
women whose infants may be affected by
substance use withdrawal symptoms or a
fetal alcohol spectrum disorder;
``(II) improving assessments used
to determine the needs of the infant
and family;
``(III) improving ongoing case
management services;
``(IV) improving access to
treatment services, which may be prior
to the pregnant woman's delivery date;
and
``(V) keeping families safely
together when it is in the best
interest of the child.
``(B) Developing policies, procedures, or protocols
in consultation and coordination with health
professionals, public and private health facilities,
and substance use disorder treatment agencies to ensure
that--
``(i) appropriate notification to child
protective services is made in a timely manner,
as required under section 106(b)(2)(B)(ii);
``(ii) a plan of safe care is in place, in
accordance with section 106(b)(2)(B)(iii),
before the infant is discharged from the birth
or health care facility; and
``(iii) such health professionals and
related agency professionals are trained on how
to follow such protocols and are aware of the
supports that may be provided under a plan of
safe care.
``(C) Training health professionals and health
system leaders, child welfare workers, substance use
disorder treatment agencies, and other related
professionals such as home visiting agency staff and
law enforcement in relevant topics including--
``(i) State mandatory reporting laws
established under section 106(b)(2)(B)(i) and
the referral and process requirements for
notification to child protective services when
child abuse or neglect reporting is not
mandated;
``(ii) the co-occurrence of pregnancy and
substance use disorder, and implications of
prenatal exposure;
``(iii) the clinical guidance about
treating substance use disorder in pregnant and
postpartum women;
``(iv) appropriate screening and
interventions for infants affected by substance
use disorder, withdrawal symptoms, or a fetal
alcohol spectrum disorder and the requirements
under section 106(b)(2)(B)(iii); and
``(v) appropriate multigenerational
strategies to address the mental health needs
of the parent and child together.
``(D) Establishing partnerships, agreements, or
memoranda of understanding between the lead agency and
other entities (including health professionals, health
facilities, child welfare professionals, juvenile and
family court judges, substance use and mental disorder
treatment programs, early childhood education programs,
maternal and child health and early intervention
professionals (including home visiting providers),
peer-to-peer recovery programs such as parent mentoring
programs, and housing agencies) to facilitate the
implementation of, and compliance with, section
106(b)(2) and subparagraph (B) of this paragraph, in
areas which may include--
``(i) developing a comprehensive, multi-
disciplinary assessment and intervention
process for infants, pregnant women, and their
families who are affected by substance use
disorder, withdrawal symptoms, or a fetal
alcohol spectrum disorder, that includes
meaningful engagement with and takes into
account the unique needs of each family and
addresses differences between medically
supervised substance use, including for the
treatment of substance use disorder, and
substance use disorder;
``(ii) ensuring that treatment approaches
for serving infants, pregnant women, and
perinatal and postnatal women whose infants may
be affected by substance use, withdrawal
symptoms, or a fetal alcohol spectrum disorder,
are designed to, where appropriate, keep
infants with their mothers during both
inpatient and outpatient treatment; and
``(iii) increasing access to all evidence-
based medication-assisted treatment approved by
the Food and Drug Administration, behavioral
therapy, and counseling services for the
treatment of substance use disorders, as
appropriate.
``(E) Developing and updating systems of technology
for improved data collection and monitoring under
section 106(b)(2)(B)(iii), including existing
electronic medical records, to measure the outcomes
achieved through the plans of safe care, including
monitoring systems to meet the requirements of this Act
and submission of performance measures.
``(5) Reporting.--Each State that receives funds under this
subsection, for each year such funds are received, shall submit
a report to the Secretary, disaggregated by geographic
location, economic status, and major racial and ethnic groups,
except that such disaggregation shall not be required if the
results would reveal personally identifiable information on,
with respect to infants identified under section
106(b)(2)(B)(ii)--
``(A) the number who experienced removal associated
with parental substance use;
``(B) the number who experienced removal and
subsequently are reunified with parents, and the length
of time between such removal and reunification;
``(C) the number who are referred to community
providers without a child protection case;
``(D) the number who receive services while in the
care of their birth parents;
``(E) the number who receive post-reunification
services within 1 year after a reunification has
occurred; and
``(F) the number who experienced a return to out-
of-home care within 1 year after reunification.
``(6) Secretary's report to congress.--The Secretary shall
submit an annual report to the Committee on Health, Education,
Labor, and Pensions and the Committee on Appropriations of the
Senate and the Committee on Education and Labor and the
Committee on Appropriations of the House of Representatives
that includes the information described in paragraph (5) and
recommendations or observations on the challenges, successes,
and lessons derived from implementation of the grant program.
``(7) Assisting states' implementation.--The Secretary
shall use the amount reserved under paragraph (2)(A)(i) to
provide written guidance and technical assistance to support
States in complying with and implementing this subsection,
which shall include--
``(A) technical assistance, including programs of
in-depth technical assistance, to additional States,
territories, and Indian Tribes and Tribal organizations
in accordance with the substance-exposed infant
initiative developed by the National Center on
Substance Abuse and Child Welfare;
``(B) guidance on the requirements of this Act with
respect to infants born with, and identified as being
affected by, substance use or withdrawal symptoms or
fetal alcohol spectrum disorder, as described in
clauses (ii) and (iii) of section 106(b)(2)(B),
including by--
``(i) enhancing States' understanding of
requirements and flexibilities under this Act,
including by clarifying key terms;
``(ii) addressing State-identified
challenges with developing, implementing, and
monitoring plans of safe care, including those
reported under paragraph (3)(A)(ii);
``(iii) disseminating best practices on
implementation of plans of safe care, on such
topics as differential response, collaboration
and coordination, and identification and
delivery of services for different populations,
while recognizing needs of different
populations and varying community approaches
across States; and
``(iv) helping States improve the long-term
safety and well-being of young children and
their families;
``(C) supporting State efforts to develop
information technology systems to manage plans of safe
care; and
``(D) preparing the Secretary's report to Congress
described in paragraph (6).
``(8) Sunset.--The authority under this subsection shall
sunset on September 30, 2023.
``(e) Evaluation.--In making grants or entering into contracts for
projects under this section, the Secretary shall require all such
projects to report on the outcomes of such activities. Funding for such
evaluations shall be provided either as a stated percentage of a
demonstration grant or as a separate grant or contract entered into by
the Secretary for the purpose of evaluating a particular demonstration
project or group of projects. In the case of an evaluation performed by
the recipient of a grant, the Secretary shall make available technical
assistance for the evaluation, where needed, including the use of a
rigorous application of scientific evaluation techniques.''.
SEC. 105. GRANTS TO STATES FOR CHILD ABUSE OR NEGLECT PREVENTION AND
TREATMENT PROGRAMS.
Section 106 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5106a) is amended--
(1) in subsection (a)--
(A) in the matter preceding paragraph (1)--
(i) by striking ``subsection (f)'' and
inserting ``subsection (g)''; and
(ii) by striking ``State in--'' and
inserting ``State with respect to one or more
of the following activities:'';
(B) by amending paragraph (1) to read as follows:
``(1) Maintaining and improving the intake, assessment,
screening, and investigation of reports of child abuse or
neglect, including support for timely responses to all such
reports, with special attention to the provision of rapid
responses to such reports involving children under the age of
3, and especially children under the age of 1.'';
(C) in paragraph (2)--
(i) in subparagraph (A)--
(I) by striking ``creating and''
and inserting ``Creating and''; and
(II) by inserting ``, which may
include such teams used by children's
advocacy centers,'' after
``multidisciplinary teams'';
(ii) in subparagraph (B)(ii), by striking
the semicolon and inserting a period;
(D) by amending paragraph (3) to read as follows:
``(3) Implementing and improving case management
approaches, including ongoing case monitoring, and delivery of
services and treatment provided to children and their families
to ensure safety and respond to family needs, that include--
``(A) multidisciplinary approaches to assessing
family needs and connecting them with services;
``(B) organizing treatment teams of community
service providers that prevent and treat child abuse
and neglect, and improve child well-being;
``(C) case-monitoring that can ensure progress in
child well-being; and
``(D) the use of differential response, including
during intake and screening, as appropriate.'';
(E) by striking paragraphs (4), (5), and (6) and
inserting the following:
``(4)(A) Developing or enhancing data systems to improve
case management coordination and communication between relevant
agencies;
``(B) enhancing the general child protective system by
developing, improving, and implementing risk and safety
assessment tools and protocols, such as tools and protocols
that allow for the identification of cases requiring rapid
responses, systems of data sharing with law enforcement,
including the use of differential response, and activities to
reduce and prevent bias;
``(C) developing and updating systems of technology that
support the program and track reports of child abuse and
neglect from intake through final disposition and allow for
interstate and intrastate information exchange; and
``(D) real-time case monitoring for caseworkers at the
local agency level, and State agency level, to track
assessments, service referrals, follow-up, case reviews, and
progress toward case plan goals.
``(5) Developing, strengthening, and facilitating training
for professionals and volunteers engaged in the prevention,
intervention, and treatment of child abuse and neglect
including training on--
``(A) the legal duties of such individuals;
``(B) personal safety training for case workers;
``(C) early childhood, child, and adolescent
development and the impact of child abuse and neglect,
including long-term impacts of adverse childhood
experiences;
``(D) improving coordination among child protective
service agencies and health care agencies, entities
providing health care (including mental health and
substance use disorder services), and community
resources, for purposes of conducting evaluations
related to substantiated cases of child abuse or
neglect;
``(E) improving screening, forensic diagnosis, and
health and developmental evaluations, which may include
best practices for periodic reevaluations, as
appropriate;
``(F) addressing the unique needs of children with
disabilities, including promoting interagency
collaboration to address such needs;
``(G) the placement of children with relative
caregivers, and the unique needs and strategies as
related to children in such placements;
``(H) responsive, family-oriented approaches to
prevention, identification, intervention, and treatment
of child abuse and neglect;
``(I) ensuring child safety;
``(J) the links between child abuse and neglect and
domestic violence, and approaches to working with
families with mental health needs or substance use
disorder; or
``(K) coordinating with other services and
agencies, as applicable, to address family and child
needs, including trauma.'';
(F) by redesignating paragraphs (7) and (8) as
paragraphs (6) and (7), respectively;
(G) in paragraph (6), as so redesignated--
(i) by striking ``improving'' and inserting
``Improving'';
(ii) by striking ``the skills,
qualifications, and availability of individuals
providing services to children and families,
and the supervisors of such individuals,
through the child protection system, including
improvements in''; and
(iii) by striking the semicolon and
inserting ``, which may include efforts to
address the effects of indirect trauma exposure
for child welfare workers.'';
(H) in paragraph (7), as so redesignated--
(i) by striking ``developing,'' and
inserting ``Developing,''; and
(ii) by striking the semicolon and
inserting ``, which may include improving
public awareness and understanding relating to
the role and responsibilities of the child
protection system and the nature and basis for
reporting suspected incidents of child abuse
and neglect.''; and
(I) by striking paragraphs (9) through (14) and
inserting the following:
``(8) Collaborating with other agencies in the community,
county, or State and coordinating services to promote a system
of care focused on both prevention and treatment, such as by--
``(A) developing and enhancing the capacity of
community-based programs to integrate shared leadership
strategies between parents and professionals to prevent
and treat child abuse and neglect at the community
level; or
``(B) supporting and enhancing interagency
collaboration between the child protection system,
public health agencies, education systems, domestic
violence systems, law enforcement, and the juvenile
justice system for improved delivery of services and
treatment, such as models of co-locating service
providers, which may include--
``(i) methods for continuity of treatment
plans and services as children transition
between systems;
``(ii) addressing the health needs,
including mental health needs, of children
identified as victims of child abuse or
neglect, including supporting prompt,
comprehensive health and developmental
evaluations for children who are the subject of
substantiated child maltreatment reports; or
``(iii) the provision of services that
assist children exposed to domestic violence,
and that also support the caregiving role of
their nonabusing parents.'';
(2) in subsection (b)--
(A) in paragraph (1)--
(i) in subparagraph (A), by striking
``areas of the child protective services
system'' and inserting ``ways in which the
amounts received under the grant will be used
to improve and strengthen the child protective
services system through the activities''; and
(ii) by amending subparagraphs (B) and (C)
to read as follows:
``(B) Duration of plan.--Each State plan shall--
``(i) be submitted not less frequently than
every 5 years, in coordination with the State
plan submitted under part B of title IV of the
Social Security Act; and
``(ii) be periodically reviewed and revised
by the State, as necessary to reflect any
substantive changes to State law or regulations
related to the prevention of child abuse and
neglect that may affect the eligibility of the
State under this section, or if there are
significant changes from the State application
in the State's funding of strategies and
programs supported under this section.
``(C) Public comment.--Each State shall consult
widely with public and private organizations in
developing the plan, make the plan public by electronic
means in an easily accessible format, and provide all
interested members of the public at least 30 days to
submit comments on the plan.'';
(B) in paragraph (2)--
(i) in the matter preceding subparagraph
(A)--
(I) by inserting ``be developed, as
appropriate, in collaboration with the
lead entity designated by the State
under section 202(1), local programs
supported by the lead entity, and
families affected by child abuse and
neglect, and'' after ``shall''; and
(II) by striking ``achieve the
objectives of this title'' and
inserting ``strengthen families and
reduce incidents of and prevent child
abuse and neglect'';
(ii) in subparagraph (A), by inserting
``and takes into account prevention services
across State agencies in order to improve
coordination of efforts to prevent and reduce
child abuse and neglect'' before the semicolon;
(iii) in subparagraph (B)--
(I) by amending clause (i) to read
as follows:
``(i) provisions or procedures for
individuals to report known and suspected
instances of child abuse and neglect directly
to a State child protection agency or to a law
enforcement agency, as applicable under State
law, including a State law for mandatory
reporting by individuals required to report
such instances, including, as defined by the
State--
``(I) health professionals;
``(II) school and child care
personnel;
``(III) law enforcement officials;
and
``(IV) other individuals, as the
applicable State law or statewide
program may require;'';
(II) by moving the margins of
subclauses (I) and (II) of clause (iii)
2 ems to the right;
(III) in clause (vi), by inserting
``, which may include placements with
relative caregivers'' before the
semicolon;
(IV) by striking clauses (x) and
(xx);
(V) by redesignating clauses (xi)
through (xix) as clauses (x) through
(xviii), respectively;
(VI) in clause (xvi), as so
redesignated, by striking ``clause
(xvi)'' and inserting ``clause (xv)'';
and
(VII) by redesignating clauses
(xxi) through (xxv) as clauses (xix)
through (xxiii), respectively;
(iv) in subparagraph (D)--
(I) in clause (i), by inserting ``,
and how such services will be
strategically coordinated with relevant
agencies to provide a continuum of
prevention services and be'' after
``referrals'';
(II) in clause (ii), by inserting
``and retention activities'' after
``training'';
(III) in clause (iii), by inserting
``, including for purposes of making
such individuals aware of these
requirements'' before the semicolon;
(IV) in clause (v)--
(aa) by inserting ``the
State's efforts to improve''
before ``policies'';
(bb) by striking
``substance abuse treatment
agencies, and other agencies''
and inserting ``substance abuse
treatment agencies, other
agencies, and kinship
navigators''; and
(cc) by striking ``; and''
and inserting a semicolon;
(V) in clause (vi), by striking the
semicolon and inserting ``, to improve
outcomes for children and families;
and''; and
(VI) by adding at the end the
following:
``(vii) the State's procedures requiring
timely public disclosure of the findings or
information about the case of child abuse or
neglect that has resulted in a child fatality
or near fatality, which shall provide for
exceptions to the release of such findings or
information in order to ensure the safety and
well-being of the child, or when the release of
such information would jeopardize a criminal
investigation;''; and
(v) by striking the flush text that follows
subparagraph (G); and
(C) in paragraph (3)--
(i) in the heading, by striking
``Limitation'' and inserting ``Limitations'';
(ii) by striking ``With regard to clauses
(vi) and (vii) of paragraph (2)(B)'' and
inserting the following:
``(B) Certain identifying information.--With regard
to clauses (vi) and (vii) of paragraph (2)(B)'';
(iii) by inserting before subparagraph (B),
as added by clause (ii), the following:
``(A) In general.--Nothing in paragraph (2)(B)
shall be construed to limit a State's authority to
determine State policies relating to public access to
court proceedings to determine child abuse and neglect,
except that such policies shall, at a minimum, ensure
the safety and well-being of the child, parents, and
families.''; and
(iv) by adding at the end the following:
``(C) Mandated reporters in certain states.--With
respect to a State in which State law requires all of
the individuals to report known or suspected instances
of child abuse and neglect directly to a State child
protection agency or to a law enforcement agency, the
requirement under paragraph (2)(B)(i) shall not be
construed to require the State to define the classes of
individuals described in subclauses (I) through (IV) of
such paragraph.'';
(3) in subsection (c)--
(A) in paragraph (1)--
(i) in subparagraph (A)--
(I) by striking ``Except as
provided in subparagraph (B), each''
and inserting ``Each''; and
(II) by striking ``not less than 3
citizen review panels'' and inserting
``at least 1 citizen review panel'';
and
(ii) by amending subparagraph (B) to read
as follows:
``(B) Exception.--A State may designate a panel for
purposes of this subsection, comprised of one or more
existing entities established under State or Federal
law, such as child fatality panels, or foster care
review panels, or State task forces established under
section 107, if such entities have the capacity to
satisfy the requirements of paragraph (3) and the State
ensures that such entities will satisfy such
requirements.'';
(B) by striking paragraph (3);
(C) by redesignating paragraphs (4) through (6) as
paragraphs (3) through (5), respectively;
(D) in paragraph (4), as so redesignated--
(i) by redesignating subparagraphs (A) and
(B) as subparagraphs (B) and (C), respectively;
(ii) in subparagraph (B), as so
redesignated, by striking ``paragraph (4)'' and
inserting ``paragraph (3)''; and
(iii) by inserting before subparagraph (B),
as so redesignated, the following:
``(A) shall develop a memorandum of understanding
with each panel, clearly outlining the panel's roles
and responsibilities, and identifying any support from
the State;''; and
(E) in paragraph (5), as so redesignated--
(i) by inserting ``which may be carried out
collectively by a combination of such panels,''
before ``on an annual basis'';
(ii) by striking ``whether or''; and
(iii) by inserting ``, which may include
providing examples of efforts to implement
citizen review panel recommendations'' before
the period at the end of the second sentence;
(4) in subsection (d)--
(A) in paragraph (1), by inserting ``,
disaggregated, where available, by demographic
characteristics such as age, sex, race and ethnicity,
disability, caregiver risk factors, caregiver
relationship, living arrangement, and relation of
victim to their perpetrator'' before the period;
(B) in paragraph (5), by striking ``neglect.'' and
inserting ``neglect, including--
``(A) the number of child fatalities, and (as
applicable and practicable) near fatalities, due to
child abuse and neglect from separate reporting sources
within the State, including information from the State
child welfare agency and from the State child death
review program that--
``(i) is compiled by the State child
welfare agency for submission; and
``(ii) considers State data, including
vital statistics death records, State and local
medical examiner and coroner office records,
and uniform crime reports from local law
enforcement; and
``(B) information, and the sources used to provide
such information, about the circumstances under which a
child fatality, or (as applicable and practicable) near
fatality, occurred due to child abuse and neglect,
including the cause of the death listed on the death
certificate in the case of a child fatality, whether
the child was referred to the State child welfare
agency, the child's placement at the time (as
applicable), the determination made by the child
welfare agency (as applicable), and any known previous
maltreatment of children by the perpetrator.'';
(C) in paragraph (13)--
(i) by inserting ``and recommendations''
after ``the activities''; and
(ii) by striking ``subsection (c)(6)'' and
inserting ``subsection (c)(5)'';
(D) in paragraph (16), by striking ``subsection
(b)(2)(B)(xxi)'' and inserting ``subsection
(b)(2)(B)(xix)''; and
(E) in paragraph (17), by striking ``subsection
(b)(2)(B)(xxiv)'' and inserting ``subsection
(b)(2)(B)(xxii)'';
(5) by redesignating subsections (e) and (f) as subsections
(f) and (g), respectively;
(6) by inserting after subsection (d) the following:
``(e) Assisting States in Implementation.--The Secretary shall
provide technical assistance to support States in reporting the
information required under subsection (d)(5).'';
(7) in subsection (f), as so redesignated, by striking
``the Congress'' and inserting ``the Committee on Health,
Education, Labor, and Pensions of the Senate and the Committee
on Education and Labor of the House of Representatives''; and
(8) by adding at the end the following:
``(h) Annual Report.--A State that receives funds under subsection
(a) shall annually prepare and submit to the Secretary a report
describing the manner in which funds provided under this Act, alone or
in combination with other Federal funds, were used to address the
purposes and achieve the objectives of section 106, including--
``(1) a description of how the State used such funds to
improve the child protective system related to--
``(A) effective collaborative and coordination
strategies among child protective services and social
services, legal services, health care services
(including mental health and substance use disorder
services), domestic violence services, education
agencies, and community-based organizations that
contribute to improvements of the overall well-being of
children and families; and
``(B) capacity-building efforts to support
identification of, and improvement of responses to,
child maltreatment; and
``(2) how the State collaborated with community-based
prevention organizations to reduce barriers to, and improve the
effectiveness of, programs related to child abuse and
neglect.''.
SEC. 106. GRANTS TO STATES FOR PROGRAMS RELATING TO THE INVESTIGATION
AND PROSECUTION OF CHILD ABUSE AND NEGLECT CASES.
Section 107 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5106c) is amended--
(1) in subsection (a)--
(A) by striking ``the assessment and
investigation'' each place it appears and inserting
``the assessment, investigation, and prosecution'';
(B) in paragraph (1)--
(i) by striking ``and exploitation,'' and
inserting ``, exploitation, and child sex-
trafficking,''; and
(ii) by inserting ``, including through a
child abuse investigative multidisciplinary
review team'' before the semicolon;
(C) in paragraph (2), by adding ``and'' after the
semicolon;
(D) by striking paragraph (3);
(E) by redesignating paragraph (4) as paragraph
(3); and
(F) in paragraph (3), as so redesignated, by
inserting ``, or other vulnerable populations,'' after
``health-related problems'';
(2) in subsection (c)(1)--
(A) in subparagraph (I), by striking ``and'' at the
end;
(B) in subparagraph (J), by striking the period and
inserting ``; and''; and
(C) by adding at the end the following:
``(K) individuals experienced in working with
underserved or overrepresented groups in the child
welfare system.''; and
(3) in subsection (d)(1), by striking ``and exploitation''
and inserting ``, exploitation, and child sex-trafficking'';
(4) in subsection (e)(1)--
(A) in subparagraph (A), by striking ``and
exploitation'' and inserting ``, exploitation, and
child sex-trafficking'';
(B) in subparagraph (B), by striking ``; and'' at
the end and inserting a semicolon;
(C) in subparagraph (C)--
(i) by striking ``and exploitation'' and
inserting ``, exploitation, and child sex-
trafficking''; and
(ii) by striking the period and inserting
``; and''; and
(D) by adding at the end the following:
``(D) improving coordination among agencies
regarding reports of child abuse and neglect to ensure
both law enforcement and child protective services
agencies have ready access to full information
regarding past reports, which may be done in
coordination with other States or geographic
regions.''.
SEC. 107. MISCELLANEOUS REQUIREMENTS RELATING TO ASSISTANCE.
Section 108 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5106d) is amended by striking subsection (e).
SEC. 108. REPORTS.
Section 110 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5106f) is amended--
(1) in subsection (a), by striking ``CAPTA Reauthorization
Act of 2010'' and inserting ``CAPTA Reauthorization Act of
2019'';
(2) in subsection (b)--
(A) in the heading, by striking ``Effectiveness of
State Programs'' and inserting ``Activities'';
(B) by striking ``evaluating the effectiveness of
programs receiving assistance under section 106 in
achieving the'' and inserting ``on activities of
technical assistance for programs that support State
efforts to meet the needs and'';
(3) by striking subsections (c) and (d) and inserting the
following:
``(c) Report on State Mandatory Reporting Laws.--Not later than 4
years after the date of enactment of the CAPTA Reauthorization Act of
2019, the Secretary shall submit to the Committee on Health, Education,
Labor, and Pensions of the Senate and the Committee on Education and
Labor of the House of Representatives a report that contains--
``(1) information on--
``(A) training supported by this Act, and through
other relevant Federal programs, for mandatory
reporters of child abuse or neglect;
``(B) State efforts to improve reporting on, and
responding to reports of, child abuse or neglect; and
``(C) barriers, if any, affecting mandatory
reporting; and
``(2) data regarding any changes in the rate of
substantiated child abuse and neglect reports, and changes in
the rate of child fatalities, and near fatalities, from child
abuse and neglect, since the date of enactment of the CAPTA
Reauthorization Act of 2019.
``(d) Report Relating to Injuries Indicating the Presence of Child
Abuse.--Not later than 2 years after the date of enactment of the CAPTA
Reauthorization Act of 2019, the Secretary shall submit to the
Committee on Health, Education, Labor, and Pensions of the Senate and
the Committee on Education and Labor of the House of Representatives a
report that contains--
``(1) information on best practices developed by medical
institutions and other multidisciplinary partners to identify
and appropriately respond to injuries indicating the presence
of potential physical abuse in children, particularly among
infants, including--
``(A) the identification and assessment of such
injuries by health care professionals and appropriate
child protective services referral and notification
processes; and
``(B) an identification of effective programs
replicating best practices, and barriers or challenges
to implementing programs; and
``(2) data on any outcomes associated with the practices
described in paragraph (1), including subsequent
revictimization and child fatalities.
``(e) Report Relating to Child Abuse and Neglect in Indian Tribal
Communities.--Not later than 3 years after the date of enactment of the
CAPTA Reauthorization Act of 2019, the Comptroller General of the
United States, taking into consideration the perspectives of Indian
Tribes from each of the 12 Bureau of Indian Affairs Regions, as
identified for the report under this subsection, shall submit a report
to the Committee on Health, Education, Labor, and Pensions of the
Senate and the Committee on Education and Labor of the House of
Representatives that contains--
``(1) information about such Indian Tribes and Tribal
Organizations providing child abuse and neglect prevention
activities, including types of programming and number of such
Tribes providing services;
``(2) promising practices used by such Tribes for child
abuse and neglect prevention;
``(3) information about the child abuse and neglect
prevention activities such Tribes are providing, including
those activities supported by Tribal, State, and Federal funds;
``(4) ways to support prevention efforts regarding child
abuse and neglect of children who are Indians, including Alaska
Natives, which may include the use of the children's trust fund
model;
``(5) an assessment of Federal agency collaboration and
technical assistance efforts to address child abuse and neglect
prevention and treatment of children who are Indians, including
Alaska Natives;
``(6) an examination of access to child abuse and neglect
prevention research and demonstration grants by Indian tribes
under this Act; and
``(7) an examination of Federal child abuse and neglect
data systems to identify what Tribal data is being submitted to
the Department of Health and Human Services, or other relevant
agencies, as applicable, any barriers to the submission of such
data, and recommendations on improving the submission of such
data.''.
SEC. 109. AUTHORIZATION OF APPROPRIATIONS.
Section 112(a)(1) of the Child Abuse Prevention and Treatment Act
(42 U.S.C. 5106h(a)(1)) is amended to read as follows:
``(1) General authorization.--There are authorized to be
appropriated to carry out this title such sums as may be
necessary for each of fiscal years 2020 through 2025.''.
TITLE II--COMMUNITY-BASED GRANTS FOR THE PREVENTION OF CHILD ABUSE AND
NEGLECT
SEC. 201. PURPOSE AND AUTHORITY.
Section 201 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116) is amended--
(1) in subsection (a)--
(A) in paragraph (1), by striking ``the
coordination of'' and inserting ``State, regional, and
local coordination of'' ; and
(B) in paragraph (2), by striking ``foster an
understanding, appreciation, and knowledge of diverse
populations'' and inserting ``support local programs in
increasing access for diverse populations to programs
and activities''; and
(2) in subsection (b)--
(A) by striking paragraph (2);
(B) by redesignating paragraphs (3) through (5) as
paragraphs (4) through (6), respectively;
(C) in paragraph (1)--
(i) in subparagraph (C), by inserting
``healthy relationships and'' before
``parenting skills'';
(ii) in subparagraph (E), by striking
``including access to such resources and
opportunities for unaccompanied homeless
youth;'' and inserting ``such as providing
referrals to early health and developmental
services, including access to such resources
and opportunities for homeless families and
those at risk of homelessness; and'';
(iii) by striking subparagraph (H);
(iv) by redesignating subparagraph (G) as
paragraph (3) and adjusting the margin
accordingly; and
(v) in the matter preceding subparagraph
(A)--
(I) by inserting ``State, regional,
and local capacity, to the extent
practicable, of'' after ``enhancing'';
and
(II) by striking ``that--'' and
inserting the following: ``in order to
provide a continuum of services to
children and families;
``(2) supporting local programs, which may include capacity
building activities such as technical assistance, training, and
professional development to provide community-based and
prevention-focused programs and activities designed to
strengthen and support families to prevent child abuse and
neglect that help families build protective factors linked to
the prevention of child abuse and neglect that--'';
(D) in paragraph (3), as so redesignated, by
striking ``demonstrate a commitment to involving
parents in the planning and program implementation of
the lead agency and entities carrying out'' and
inserting ``supporting the meaningful involvement of
parents in the planning, program implementation, and
evaluation of the lead entity and'';
(E) in paragraph (4), as so redesignated, by
striking ``specific community-based'' and all that
follows through ``section 205(a)(3)'' and inserting
``core child abuse and neglect prevention services
described in section 205(a)(3) and the services
identified by the inventory required under section
204(3)'';
(F) in paragraph (5), as so redesignated--
(i) by striking ``funds for the'' and
inserting ``Federal, State, local, and private
funds, to carry out the purposes of this title,
which may include'';
(ii) by inserting ``and'' before
``information management and reporting''; and
(iii) by striking ``reporting and
evaluation costs for establishing, operating,
or expanding'' and inserting ``such as data
systems to facilitate statewide monitoring,
reporting, and evaluation costs for''; and
(G) in paragraph (6), as so redesignated--
(i) by inserting ``, which may include
activities to increase public awareness and
education, and developing comprehensive
outreach strategies to engage diverse,
underserved, and at-risk populations,'' after
``information activities''; and
(ii) by striking ``and the promotion of
child abuse and neglect prevention
activities''.
SEC. 202. ELIGIBILITY.
Section 202 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116a) is amended--
(1) in paragraph (1)--
(A) in subparagraph (A)--
(i) by inserting ``, taking into
consideration the capacity and expertise of
eligible entities,'' after ``Governor of the
State''; and
(ii) by inserting ``State, regional, and
local capacity of'' before ``community-based'';
(B) in subparagraph (B)--
(i) by striking ``who are consumers'' and
inserting ``who are or who have been
consumers'';
(ii) by striking ``applicant agency'' and
inserting ``lead entity''; and
(iii) by adding ``and'' after the
semicolon;
(C) in subparagraph (C)--
(i) by inserting ``local,'' after
``State,''; and
(ii) by striking ``; and'' and inserting a
semicolon; and
(D) by striking subparagraph (D);
(2) in paragraph (2)--
(A) in subparagraph (A), by striking ``composed
of'' and all that follows through ``children with
disabilities'' and inserting ``carried out by local,
collaborative, and public-private partnerships''; and
(B) in subparagraph (C), by inserting ``local,''
after ``State,'';
(3) in paragraph (3)--
(A) in subparagraph (A), by striking ``parental
participation in the development, operation, and
oversight of the'' and inserting ``the meaningful
involvement of parents in the development, operation,
evaluation, and oversight of the State and local
efforts to support'';
(B) in subparagraph (B)--
(i) by inserting ``relevant'' before
``State and community-based''; and
(ii) by striking ``the community-based''
and inserting ``community-based'';
(C) in subparagraph (C)--
(i) by striking ``community-based and
prevention-focused programs and activities
designed to strengthen and support families to
prevent child abuse and neglect'' and inserting
``local programs''; and
(ii) by striking ``; and'' and inserting a
semicolon;
(D) in subparagraph (D)--
(i) by striking ``, parents with
disabilities,'' and inserting ``or parents with
disabilities, and members of underserved or
overrepresented groups in the child welfare
system,''; and
(ii) by striking the period and inserting
``; and''; and
(E) by adding at the end the following:
``(E) will take into consideration barriers to
access to community-based and prevention-focused
programs and activities designed to strengthen and
support families to prevent child abuse and neglect,
including for populations described in section
204(7)(A)(iii) and gaps in unmet need identified in the
inventory described in section 204(3) when distributing
funds to local programs for use in accordance with
section 205(a).''.
SEC. 203. AMOUNT OF GRANT.
Section 203 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116b) is amended--
(1) in subsection (a)--
(A) by striking ``210'' and inserting ``209''; and
(B) by adding at the end the following: ``In any
fiscal year for which the amount appropriated under
section 209 exceeds the amount appropriated under such
section for fiscal year 2019 by more than $2,000,000,
the Secretary shall increase the reservation described
in this subsection to up to 5 percent of the amount
appropriated under section 209 for the fiscal year for
the purpose described in the preceding sentence.''; and
(2) in subsection (b)(1)--
(A) in the matter preceding subparagraph (A), by
striking ``210'' and inserting ``209''; and
(B) in subparagraph (A), by striking ``$175,000''
and inserting ``$200,000''.
SEC. 204. APPLICATION.
Section 204 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116d) is amended--
(1) in the matter preceding paragraph (1), by striking
``the State'' and inserting ``the lead entity'';
(2) in paragraph (1), by striking ``which meets the
requirements of section 202'';
(3) in paragraph (2), by striking ``community-based child
abuse and neglect prevention programs'' and inserting
``programs and activities'';
(4) in paragraph (3), by inserting ``designed to strengthen
and support families'' after ``programs and activities'';
(5) in paragraph (5), by striking ``start up'' and
inserting ``start-up'';
(6) by amending paragraph (6) to read as follows:
``(6) a description of the lead entity's capacity to ensure
the meaningful involvement of family advocates, relative
caregivers, adult former victims of child abuse or neglect, and
parents who are, or who have been, consumers of preventive
supports, in the planning, implementation, and evaluation of
the programs and policy decisions;'';
(7) by amending paragraph (7) to read as follows:
``(7) a description of the criteria that the lead entity
will use to--
``(A) select and fund local programs, and how the
lead entity will take into consideration the local
program's ability to--
``(i) collaborate with other community-
based organizations and service providers and
engage in long-term and strategic planning for
community-based and prevention-focused programs
and activities designed to strengthen and
support families to prevent child abuse and
neglect;
``(ii) meaningfully partner with parents in
the development, implementation, oversight, and
evaluation of services; and
``(iii) reduce barriers to access to
community-based and prevention-focused programs
and activities designed to strengthen and
support families to prevent child abuse and
neglect, including for diverse, underserved,
and at-risk populations; or
``(B) develop or provide community-based and
prevention-focused programs and activities designed to
strengthen and support families to prevent child abuse
and neglect, and provide a description of how such
activities are evidence-based or evidence-informed;'';
(8) in paragraph (8)--
(A) by striking ``entity and the community-based
and prevention-focused programs designed to strengthen
and support families to prevent child abuse and
neglect'' and inserting ``lead entity and local
programs'';
(B) by striking ``homeless families and those at
risk of homelessness, unaccompanied homeless youth''
and inserting ``victims of domestic violence, homeless
families and those at risk of homelessness, families
experiencing trauma''; and
(C) by inserting ``, including underserved or
overrepresented groups in the child welfare system''
before the semicolon;
(9) in paragraph (9), by striking ``community-based and
prevention-focused programs and activities designed to
strengthen and support families to prevent child abuse and
neglect'' and inserting ``local programs'';
(10) in paragraph (10), by striking ``applicant entity's
activities and those of the network and its members (where
appropriate) will be evaluated'' and inserting ``lead entity's
activities and local programs will be evaluated, including in
accordance with section 206'';
(11) in paragraph (11)--
(A) by striking ``applicant entity'' and inserting
``lead entity''; and
(B) by inserting ``, including how the lead entity
will promote and consider improving access among
diverse, underserved, and at-risk populations'' before
the semicolon; and
(12) in paragraph (12), by striking ``applicant entity''
and inserting ``lead entity''.
SEC. 205. LOCAL PROGRAM REQUIREMENTS.
Section 205 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116e) is amended--
(1) in subsection (a)--
(A) in the matter preceding paragraph (1)--
(i) by striking ``Grants made'' and
inserting ``Grants or contracts made by the
lead entity''; and
(ii) by striking ``that--'' and inserting
``, which may include--'';
(B) by amending paragraph (1) to read as follows:
``(1) assessing community assets and needs through a
planning process that--
``(A) involves other community-based organizations
or agencies that have already performed a needs
assessment;
``(B) includes the meaningful involvement of
parents; and
``(C) uses information and expertise from local
public agencies, local nonprofit organizations, and
private sector representatives in meaningful roles;'';
(C) in paragraph (2), by striking ``develop'' and
inserting ``developing'';
(D) in paragraph (3)--
(i) in subparagraph (A)--
(I) in the matter preceding clause
(i), by striking ``provide for'' and
inserting ``providing''; and
(II) in clause (i), by striking
``mutual support and'' and inserting
``which may include programs and
services that improve knowledge of
healthy child development, parental
resilience, mutual support, and''; and
(ii) in subparagraph (B)--
(I) in the matter preceding clause
(i), by striking ``provide access to
optional services'' and inserting
``connecting individuals and families
to additional services'';
(II) in clause (ii), by striking
``and intervention'' and inserting ``,
such as Head Start, including early
Head Start, and early intervention'';
(III) by redesignating clauses
(iii) through (ix) as clauses (iv)
through (x), respectively;
(IV) by inserting after clause (ii)
the following:
``(iii) nutrition programs, which may
include the special supplemental nutrition
program for women, infants, and children
established by section 17 of the Child
Nutrition Act of 1966 (42 U.S.C. 1786) and the
supplemental nutrition assistance program under
the Food and Nutrition Act of 2008 (7 U.S.C.
2011 et seq.);''; and
(V) in clause (vi), as so
redesignated, by striking ``services,
such as academic tutoring, literacy
training, and General Educational
Degree services'' and inserting ``and
workforce development programs,
including adult education and literacy
training and academic tutoring'';
(E) in paragraph (4)--
(i) by striking ``develop leadership roles
for the'' and inserting ``developing and
maintaining'';
(ii) by inserting ``, and, as applicable,
relative caregivers,'' after ``parents''; and
(iii) by striking ``the programs'' and
inserting ``programs'';
(F) in paragraph (5), by striking ``provide'' and
inserting ``providing''; and
(G) in paragraph (6), by striking ``participate''
and inserting ``participating''; and
(2) in subsection (b), by striking ``programs..'' and
inserting ``programs.''.
SEC. 206. PERFORMANCE MEASURES.
Section 206 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116f) is amended--
(1) in paragraph (2), by striking ``optional services as
described in section 202'' and inserting ``additional services
as described in section 205(a)(3)(B)'';
(2) in paragraph (3), by striking ``section 205(3)'' and
inserting ``section 204'';
(3) in paragraph (5), by striking ``used the services of''
and inserting ``participated in'';
(4) in paragraph (6), by striking ``community level'' and
inserting ``local level'';
(5) in paragraph (7), by striking ``; and'' and inserting a
semicolon;
(6) by redesignating paragraph (8) as paragraph (9);
(7) by inserting after paragraph (7) the following:
``(8) shall describe the percentage of total funding
provided to the State under section 203 that supports evidence-
based and evidence-informed community-based and prevention-
focused programs and activities designed to strengthen and
support families to prevent child abuse and neglect; and''; and
(8) in paragraph (9), as so redesignated, by striking
``continued leadership'' and inserting ``meaningful
involvement''.
SEC. 207. DEFINITIONS.
Section 208(2) of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116h(2)) is amended--
(1) in the paragraph heading, by inserting ``designed to
strengthen and support families'' after ``activities'';
(2) by striking ``organizations such as'';
(3) by inserting ``for parents and children'' after
``mutual support programs''; and
(4) by striking ``or respond to''.
SEC. 208. AUTHORIZATION OF APPROPRIATIONS.
Section 209 of the Child Abuse Prevention and Treatment Act (42
U.S.C. 5116i) is amended to read as follows:
``SEC. 209. AUTHORIZATION OF APPROPRIATIONS.
``There are authorized to be appropriated to carry out this title
such sums as may be necessary for each of fiscal years 2020 through
2025.''.
TITLE III--ADOPTION OPPORTUNITIES
SEC. 301. CONGRESSIONAL FINDINGS AND DECLARATION OF PURPOSE.
Section 201 of the Child Abuse Prevention and Treatment and
Adoption Reform Act of 1978 (42 U.S.C. 5111) is amended--
(1) in the section heading, by striking ``and declaration
of purpose'' and inserting ``, declaration of purpose, and
definition'';
(2) in subsection (a)--
(A) in paragraph (1), by striking ``2009, some
424,000'' and inserting ``2018, some 437,000'';
(B) in paragraph (3)--
(i) by striking subparagraphs (A) through
(D); and
(ii) by striking ``services because the
children entering foster care--'' and inserting
``services;'';
(C) in paragraph (6)--
(i) in subparagraph (A), by striking
``2009, there were 115,000'' and inserting
``2018, there were 125,000'';
(ii) in subparagraph (C)--
(I) in clause (i), by striking
``2009'' and inserting ``2018''; and
(II) in clause (ii), by striking
``more than 8'' and inserting ``less
than 8''; and
(iii) in subparagraph (D)--
(I) in clause (i)--
(aa) by striking ``25
percent'' and inserting ``17
percent''; and
(bb) by striking ``2009''
and inserting ``2018''; and
(II) in clause (ii)--
(aa) by striking ``30
percent'' and inserting ``22
percent''; and
(bb) by striking ``2009''
and inserting ``2018''; and
(D) in paragraph (9)(B)--
(i) by inserting ``should not'' before ``be
maintained''; and
(ii) by striking ``or institutions''; and
(3) in subsection (b)--
(A) in the matter preceding paragraph (1)--
(i) by inserting ``children with
disabilities, underserved or overrepresented
children and youth in the child welfare
system,'' after ``minority children,''; and
(ii) by striking ``including disabled
infants with life-threatening conditions,'';
(B) in paragraph (2)(C), by striking ``; and'' and
inserting a semicolon;
(C) in paragraph (3), by striking the period and
inserting ``; and''; and
(D) by adding at the end the following:
``(4) support the development and implementation of
evidence-based and evidence-informed post-legal adoption
services for families that adopt children in order to increase
permanency.''; and
(4) by adding at the end the following:
``(c) Definition.--In this title, the term `child with special
needs' means a child facing barriers to adoption, including a child
with special needs as determined under section 473(c) of the Social
Security Act (42 U.S.C. 673(c)).''.
SEC. 302. INFORMATION AND SERVICES.
Section 203 of the Child Abuse Prevention and Treatment and
Adoption Reform Act of 1978 (42 U.S.C. 5113) is amended--
(1) in subsection (a)--
(A) by striking ``such purposes, including
services'' and all that follows through the period at
the end and inserting the following: ``such purposes,
including--
``(1) services to facilitate the adoption of older
children, minority children, children with disabilities,
underserved or overrepresented children and youth in the child
welfare system, and children with special needs;
``(2) services to families considering adoption of children
with special needs; and
``(3) post-legal adoption services for families to provide
permanent and caring home environments for children who would
benefit from adoption.'';
(2) in subsection (b)--
(A) in paragraph (1)--
(i) by striking ``on adoption, and'' and
inserting ``on adoption, including the
evaluation of training and accessible education
materials;''; and
(ii) by inserting ``, and update such
training and education materials, as
appropriate'' before the semicolon;
(B) in paragraph (2), by inserting ``children with
disabilities, underserved or overrepresented children
and youth in the child welfare system,'' after
``minority children,'';
(C) in paragraph (7), by inserting ``children with
disabilities, underserved or overrepresented children
and youth in the child welfare system,'' after
``minority children,'';
(D) in paragraph (9)(D)--
(i) by inserting ``and disseminate'' after
``identify''; and
(ii) by striking ``termination'' and
inserting ``dissolution, and increase
permanency, including related to pre- and post-
legal adoption services'';
(E) in paragraph (10)(A)--
(i) by redesignating clauses (iii) through
(ix) as clauses (iv) through (x), respectively;
(ii) in clause (ii)--
(I) by inserting ``, and finding
such family and relatives willing to
adopt such child to improve
permanency'' before the semicolon; and
(II) by striking ``such children,
including developing'' and inserting
``such children;
``(iii) developing'';
(iii) in clause (vi), as so redesignated,
by inserting ``, including such groups for
individuals who may enter into relative
caregiver arrangements'' before the semicolon;
and
(iv) in clause (ix), as so redesignated, by
inserting ``, including such groups for kinship
caregiver arrangements'' before the semicolon;
and
(F) in paragraph (11)--
(i) in the matter preceding subparagraph
(A), by inserting ``Indian Tribes or Tribal
organizations,'' after ``States,'';
(ii) in subparagraph (B), by striking ``;
and'' and inserting a semicolon;
(iii) in subparagraph (C), by striking the
period and inserting ``; and''; and
(iv) by adding at the end the following:
``(D) procedures to identify and support potential
kinship care arrangements.'';
(3) in subsection (c)--
(A) in paragraph (1), by striking ``post legal
adoption'' and inserting ``post-legal adoption''; and
(B) in paragraph (2)(G), by inserting ``, including
such parents, children, and siblings in kinship care
arrangements'' before the semicolon;
(4) in subsection (d)--
(A) in the subsection heading, by inserting ``and
Improving Post-legal Adoption Support Services'' after
``Care'';
(B) in paragraph (1), by inserting ``including
through the improvement of post-legal adoption
services,'' after ``free for adoption,'';
(C) in paragraph (2)--
(i) in subparagraph (A)--
(I) in clause (i), by inserting ``,
including plans to assess the need for
and provide, as appropriate, post-legal
adoption services in order to improve
permanency'' before the semicolon;
(II) in clause (ii), by inserting
``children with disabilities,
underserved or overrepresented children
and youth in the child welfare
system,'' after ``minority children,'';
and
(III) in clause (iv), by striking
``section 473 of the Social Security
Act (42 U.S.C. 673)'' and inserting
``subpart 2 of part B of title IV of
the Social Security Act (42 U.S.C. 629
et seq.) and part E of such title IV
(42 U.S.C. 670 et seq.)''; and
(ii) in subparagraph (B)--
(I) in clause (i), by inserting
``children with disabilities,
underserved or overrepresented children
and youth in the child welfare
system,'' after ``minority children,'';
and
(II) in clause (ii), by striking
``successful'' and inserting
``evidence-based and evidence-
informed''; and
(D) in paragraph (3)(A), by striking ``Payments
under this subsection shall begin during fiscal year
1989.''; and
(5) in subsection (e)(1), by inserting ``, such as through
the use of an electronic interstate case processing system''
before the period.
SEC. 303. REPORTS.
The Child Abuse Prevention and Treatment and Adoption Reform Act of
1978 is amended by striking section 204 (42 U.S.C. 5114) and inserting
the following:
``SEC. 204. REPORTS.
``(a) Report on the Outcomes of Individuals Who Were Adopted From
Foster Care.--Not later than 2 years after the date of enactment of the
CAPTA Reauthorization Act of 2019, the Secretary shall submit to the
Committee on Health, Education, Labor, and Pensions of the Senate and
the Committee on Education and Labor of the House of Representatives a
report on research regarding the outcomes of individuals who were
adopted from foster care as children, and a summary of the post-
adoption services available to families that adopt, including the
extent to which such services are evidence-based or evidence-informed.
``(b) Report on Adoption Disruption and Dissolution.--No later than
18 months after the date of enactment of CAPTA Reauthorization Act of
2019, the Secretary shall submit to the Committee on Health, Education,
Labor, and Pensions of the Senate and the Committee on Education and
Labor of the House of Representatives a report on children who enter
into foster care under the supervision of a State after prior
finalization of an adoption or legal guardianship, including cases
involving adoption of foster youth. The Secretary shall include in such
report information, to the extent that such information is available,
regarding the incidence of adoption disruption and dissolution and
factors associated with such circumstances, including whether affected
individuals received pre- or post-legal adoption services, and other
relevant information, such as the age of the child.''.
SEC. 304. AUTHORIZATION OF APPROPRIATIONS.
Section 205 of the Child Abuse Prevention and Treatment and
Adoption Reform Act of 1978 (42 U.S.C. 5115) is amended--
(1) in subsection (a)--
(A) by striking ``$40,000,000'' and all that
follows through ``2015'' and inserting ``such sums as
may be necessary for fiscal years 2020 through 2025'';
and
(B) by striking ``this subtitle'' and inserting
``this title''; and
(2) in subsection (b), by striking ``30 percent'' and
inserting ``35 percent''.
TITLE IV--FAMILY VIOLENCE PREVENTION AND SERVICES
SEC. 401. PURPOSE.
Section 301(b) of the Family Violence Prevention and Services Act
(42 U.S.C. 10401(b)) is amended--
(1) in the matter preceding paragraph (1), by striking
``(b)'' and all that follows through ``title to--'' and
inserting the following:
``(b) Purpose.--It is the purpose of this title to support and
improve prevention of, interventions in, and services for family
violence, domestic violence, and dating violence, by--'';
(2) in paragraph (1), by striking ``assist States and
Indian tribes'' and inserting ``assisting States and Indian
Tribes'';
(3) in paragraph (2), by striking ``assist'' and all that
follows through ``immediate'' and inserting ``strengthening the
capacity of States and Indian Tribes and Tribal organizations
in efforts to provide accessible immediate'';
(4) by striking paragraph (3) and inserting the following:
``(3) providing for national domestic violence hotlines;'';
(5) in paragraph (4)--
(A) by striking ``(4) provide for'' and inserting
``(4) providing'';
(B) by striking ``Indian tribes'' and inserting
``Indian Tribes'';
(C) by striking ``tribal organizations'' and
inserting ``Tribal organizations''; and
(D) by striking the period at the end and inserting
``; and''; and
(6) by adding at the end the following:
``(5) supporting the development and implementation of
evidence-based and evidence-informed community-based prevention
approaches and programs.''.
SEC. 402. DEFINITIONS.
Section 302 of the Family Violence Prevention and Services Act (42
U.S.C. 10402) is amended--
(1) in paragraphs (2) and (3), by striking ``42 U.S.C.
13925(a)'' and inserting ``34 U.S.C. 12291(a)'';
(2) by striking paragraph (5) and inserting the following:
``(5) Indian; indian tribe; tribal organization.--The terms
`Indian', `Indian Tribe', and `Tribal organization' have the
meanings given the terms `Indian', `Indian tribe', and `tribal
organization' in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 5304).'';
(3) by redesignating paragraphs (6) through (12), and (13)
and (14), as paragraphs (7) through (13), and (15) and (16),
respectively;
(4) by inserting after paragraph (5) the following:
``(6) Institution of higher education.--The term
`institution of higher education' has the meaning given such
term in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001).'';
(5) in paragraph (8), as so redesignated, by striking ``42
U.S.C. 13925(a)'' and inserting ``34 U.S.C. 12291(a)'';
(6) in paragraph (10), as so redesignated--
(A) by striking ``State law'' and inserting ``State
and Tribal law''; and
(B) by striking ``shelter, safe homes, meals, and
supportive services'' and inserting ``shelter, safe
homes, meals, and supportive services, which may
include the provision of basic necessities,'';
(7) by inserting after paragraph (13), as so redesignated,
the following:
``(14) Tribal domestic violence coalition.--The term
`Tribal Domestic Violence Coalition' means an established
nonprofit, nongovernmental Indian organization that--
``(A) provides education, support, and technical
assistance to member Indian service providers in a
manner that enables those member providers to establish
and maintain culturally appropriate services, including
shelter and supportive services, designed to assist
Indian women and the dependents of those women who are
victims of family violence, domestic violence, and
dating violence; and
``(B) is comprised of board and general members
that are representative of--
``(i) the member service providers
described in subparagraph (A); and
``(ii) the Tribal communities in which the
services are being provided.'';
(8) in paragraph (15), as so redesignated--
(A) by striking ``tribally designated official''
and inserting ``Tribally designated official'';
(B) by striking ``Indian tribe, tribal
organization'' and inserting ``Indian Tribe, Tribal
organization''; and
(C) by striking ``Indian tribe, to'' and inserting
``Indian Tribe, to''; and
(9) in the first sentence of paragraph (16), as so
redesignated, by striking ``42 U.S.C. 13925(a)'' and inserting
``34 U.S.C. 12291(a)''.
SEC. 403. AUTHORIZATION OF APPROPRIATIONS.
Section 303 of the Family Violence Prevention and Services Act (42
U.S.C. 10403) is amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) by striking ``There is'' and inserting
``There are''; and
(ii) by striking ``, $175,000,000 for each
of fiscal years 2011 through 2015.'' and
inserting ``, amounts consisting of--
``(i) $179,000,000 for fiscal year 2020;
``(ii) $184,000,000 for fiscal year 2021;
``(iii) $188,000,000 for fiscal year 2022;
``(iv) $193,000,000 for fiscal year 2023;
``(v) $198,000,000 for fiscal year 2024;
and
``(vi) $203,000,000 for fiscal year
2025.'';
(B) in paragraph (2)(D)--
(i) in the subparagraph heading, by
striking ``state''; and
(ii) by striking ``Of the amounts
appropriated under paragraph (1)'' and all that
follows through the period at the end and
inserting the following:
``(i) State domestic violence coalitions.--
Of the amounts appropriated under paragraph (1)
for a fiscal year and not reserved under
subparagraph (A)(i), not less than 10 percent
of such amounts shall be made available to the
Secretary for making grants under section 311.
``(ii) Reservation of funds for tribal
domestic violence coalitions.--Notwithstanding
clause (i), for any fiscal year for which the
amount appropriated under paragraph (1) exceeds
$185,000,000, a portion of the funds made
available to the Secretary under clause (i)
shall be reserved for the Secretary to make
grants under section 311A.
``(iii) Portion.--The portion referred to
in clause (ii) shall be calculated as 25
percent of the difference between--
``(I) the amount made available
under clause (i) to the Secretary for
making grants under section 311 for the
fiscal year involved; and
``(II) the amount that would have
been made available under clause (i) to
the Secretary for making grants under
section 311 for a fiscal year, if--
``(aa) the amount was
calculated using the same
percentage reservations under
subparagraph (A)(i) and clause
(i) as were used for
calculating the amount under
subclause (I); and
``(bb) the amount
appropriated under paragraph
(1) for such fiscal year was
$185,000,000.'';
(2) in subsection (b), by striking ``$3,500,000 for each of
fiscal years 2011 through 2015'' and inserting ``$10,300,000
for each of fiscal years 2020 through 2025''; and
(3) in subsection (c), by striking ``2011 through 2015''
and inserting ``2020 through 2025''.
SEC. 404. AUTHORITY OF SECRETARY.
Section 304 of the Family Violence Prevention and Services Act (42
U.S.C. 10404) is amended--
(1) in subsection (a)--
(A) in paragraph (4), by striking ``CAPTA
Reauthorization Act of 2010'' and inserting ``CAPTA
Reauthorization Act of 2019''; and
(B) in paragraph (5), by striking ``provision of
assistance'' and inserting ``provision of interventions
or services''; and
(2) in subsection (b)--
(A) in paragraph (3), by redesignating
subparagraphs (A) through (C) as clauses (i) through
(iii) and indenting the margins of those clauses to
match the margins of clause (i) of section 306(c)(2)(B)
of that Act;
(B) by redesignating paragraphs (1) through (4) as
subparagraphs (A) through (D) and indenting the margins
of those clauses to match the margins of subparagraph
(A) of section 306(c)(2) of that Act;
(C) by striking ``The Secretary shall--'' and
insert the following: ``The Secretary--
``(1) shall--'';
(D) in paragraph (1), as so redesignated--
(i) in subparagraph (B), as so
redesignated, by striking ``prevention and
treatment of'' and inserting ``prevention of
and services for''; and
(ii) in subparagraph (D), as so
redesignated, by striking the period at the end
and inserting ``; and''; and
(E) by adding at the end the following:
``(2) may award grants to eligible entities or enter into
contracts with for-profit or nonprofit nongovernmental entities
or institutions of higher education to conduct or support
research, as appropriate, on family violence, domestic
violence, or dating violence, or evaluation of programs related
to family violence, domestic violence, or dating violence.''.
SEC. 405. FORMULA GRANTS TO STATES.
Section 306(c) of the Family Violence Prevention and Services Act
(42 U.S.C. 10406(c)) is amended--
(1) in paragraph (1), by striking ``tribal'' and inserting
``Tribal'';
(2) in paragraph (2)--
(A) in subparagraph (C), in the matter preceding
clause (i)--
(i) by striking ``tribe'' each place it
appears and inserting ``Tribe''; and
(ii) by striking ``tribally'' and inserting
``Tribally''; and
(B) in subparagraph (D), by striking ``tribe'' and
inserting ``Tribe'';
(3) in paragraph (4), by striking ``Indian tribe'' and
inserting ``Indian Tribe or Tribal organization'';
(4) in paragraph (5)--
(A) in subparagraphs (D)(i) and (G), by striking
``tribal'' and inserting ``Tribal''; and
(B) in subparagraph (F), by striking ``tribe'' and
inserting ``Tribe''; and
(5) in paragraph (6)--
(A) by striking ``tribe'' and inserting ``Tribe'';
and
(B) by striking ``tribal'' and inserting
``Tribal''.
SEC. 406. STATE APPLICATION.
(a) Application.--Section 307(a) of the Family Violence Prevention
and Services Act (42 U.S.C. 10407(a)) is amended--
(1) in paragraph (1)--
(A) by striking ``tribally'' and inserting
``Tribally''; and
(B) by adding at the end the following: ``For
purposes of section 2007 of the Omnibus Crime Control
and Safe Streets Act of 1968 (34 U.S.C. 10446), the
application described in this section may be considered
to be the State plan described in subsection (c)(3) of
that section 2007.''; and
(2) in paragraph (2)--
(A) in subparagraph (B)(iii)(I), by striking
``operation of shelters'' and inserting ``provision of
shelter'';
(B) in subparagraph (D)--
(i) by striking ``Coalition in the
planning'' and inserting ``Coalition, and a
Tribal Domestic Violence Coalition as
applicable, in the planning, coordination,'';
and
(ii) by striking ``section 308(a)'' and
inserting ``section 308'';
(C) in subparagraph (E), by striking ``State or
Indian tribe'' and inserting ``State, Indian Tribe, or
Tribal organization'' in both places it occurs;
(D) in subparagraph (F),--
(i) by striking State or Indian tribe'' and
inserting ``State, Indian Tribe, or Tribal
organization''; and
(ii) by inserting after ``including'' the
following- ``how such activities and services
utilize a trauma-informed care approach, as
appropriate, and'';
(E) in subparagraph (G)--
(i) by striking ``tribally'' and inserting
``Tribally''; and
(ii) by striking ``tribe'' each place it
appears and inserting ``Tribe''; and
(F) in subparagraph (H)--
(i) by striking ``tribe'' and inserting
``Tribe''; and
(ii) by striking ``to bar'' and inserting
``to remove, or exclude or bar,''.
(b) Approval.--Section 307(b) of such Act (42 U.S.C. 10407(b)) is
amended--
(1) in paragraph (2), by striking ``tribe'' each place the
term appears and inserting ``Tribe'';
(2) in paragraph (3)--
(A) by striking ``State Domestic Violence
Coalitions, or comparable coalitions for Indian tribes,
shall'' and inserting ``State Domestic Violence
Coalitions or Tribal Domestic Violence Coalitions
shall''; and
(B) by striking ``tribes'' and inserting
``Tribes''.
SEC. 407. SUBGRANTS AND USES OF FUNDS.
Section 308 of the Family Violence Prevention and Services Act (42
U.S.C. 10408) is amended--
(1) in subsection (a), by striking ``that is'' and
inserting ``that are'';
(2) in subsection (b)(1)--
(A) in subparagraph (B), by striking ``developing
safety plans'' and inserting ``safety planning''; and
(B) in subparagraph (G)--
(i) by striking the matter preceding clause
(i) and inserting the following:
``(G) provision of advocacy and services (including
case management and information and referral services),
which may include facilitating partnerships that
improve the development and delivery of services
referred to in this subparagraph concerning issues
related to family violence, domestic violence, or
dating violence intervention and prevention,
including--'';
(ii) in clause (i), by striking ``Federal
and State'' and inserting ``Federal, State, and
local'';
(iii) in clause (iii), by striking ``mental
health, alcohol, and drug abuse treatment'' and
inserting ``mental and substance use disorder
treatment'';
(iv) in clause (v), by striking ``and'' at
the end; and
(v) by adding at the end the following:
``(vii) language assistance for victims
with limited English proficiency, or victims
who are deaf or hard of hearing; and'';
(3) in subsection (c)(1), by striking ``tribal
organizations,'' and inserting ``Tribal organizations,''; and
(4) in subsection (d)(1), in the paragraph heading, by
striking ``dependants'' and inserting ``dependents''.
SEC. 408. GRANTS FOR INDIAN TRIBES.
Section 309 of the Family Violence Prevention and Services Act (42
U.S.C. 10409) is amended--
(1) in subsection (a)--
(A) by striking ``tribal'' and inserting
``Tribal''; and
(B) by striking ``(42'' and all that follows
through ``tribes'' and inserting ``(34 U.S.C. 20126),
shall continue to award grants for Indian Tribes''; and
(2) in subsection (b)--
(A) by striking ``tribe'' each place it appears and
inserting ``Tribe''; and
(B) by striking ``tribal organization'' each place
it appears and inserting ``Tribal organization''.
SEC. 409. NATIONAL RESOURCE CENTERS AND TRAINING AND TECHNICAL
ASSISTANCE.
(a) Grants Authorized.--Section 310(a)(2) of the Family Violence
Prevention and Services Act (42 U.S.C. 10410(a)(2)) is amended--
(1) in subparagraph (A)--
(A) in clause (i), by striking ``and'' at the end;
(B) in clause (ii), by striking ``7'' and inserting
``8''; and
(C) by adding at the end the following:
``(iii) at least one State resource center
to reduce disparities in domestic violence in
States with high proportions of Indian
(including Alaska Native) or Native Hawaiian
populations (as provided for in subsection
(b)(3)); and''; and
(2) in subparagraph (B)--
(A) by striking ``grants, to--'' and all that
follows through ``(ii) support'' and inserting
``grants, to support''; and
(B) by inserting before ``, to entities'' the
following: ``, including the housing needs of domestic
violence victims and their families''.
(b) Domestic Violence Resource Centers.--Section 310(b) of the
Family Violence Prevention and Services Act (42 U.S.C. 10410(b)) is
amended--
(1) in paragraph (1)--
(A) in subparagraph (A)(ii)--
(i) in the matter preceding subclause (I),
by inserting ``, which may be posted on the
Internet,'' after ``center resource library'';
and
(ii) in subclause (I), by striking
``incidence and'' and inserting ``incidence and
prevalence of, trends concerning, and''; and
(B) in subparagraph (B)--
(i) in clause (i)--
(I) by striking ``tribes'' each
place it appears and inserting
``Tribes'';
(II) by striking ``tribal
organizations'' and inserting ``Tribal
organizations''; and
(III) by striking ``42'' and all
the follows through ``3796gg-10 note''
and inserting ``34 U.S.C. 10452 note'';
(ii) in clause (ii)--
(I) by striking ``tribes'' and
inserting ``Tribes'';
(II) by striking ``tribal
organizations'' and inserting ``Tribal
organizations''; and
(III) by striking ``42'' and all
the follows through ``3796gg-10 note''
and inserting ``34 U.S.C. 10452 note'';
and
(iii) in clause (iii), by striking ``the
Office on Violence Against Women'' and
inserting ``the Office for Victims of Crime,
and the Office on Violence Against Women,'';
(2) in paragraph (2)--
(A) in the matter preceding subparagraph (A), in
the first sentence, by inserting before the period the
following: ``in order to support effective policy,
practice, research, and collaboration''; and
(B) in subparagraph (D)--
(i) by striking ``mental health systems''
and inserting ``mental and substance use
disorder treatment systems''; and
(ii) by striking ``and to their children
who are exposed to domestic violence'' and
inserting ``, and to their children, who
experience psychological trauma that is, or
have mental or substance use disorders that
are, related to their exposure to domestic
violence; and'';
(C) by redesignating subparagraph (E) as
subparagraph (F); and
(D) by inserting after subparagraph (D) the
following:
``(E) The response of domestic violence service
programs to victims who are underserved, including
enhancing the capacity of related organizations
generally serving those victims to respond to and
prevent domestic violence.'';
(3) in paragraph (3)--
(A) in subparagraph (A)--
(i) by striking ``may award grants to'' and
inserting ``shall award grants to one or
more''; and
(ii) by striking ``Indian tribes, tribal
organizations'' and inserting ``Indian Tribes,
Tribal organizations,'';
(B) in subparagraph (B)(i)--
(i) by striking ``Indian tribes, tribal
organizations, and'' and inserting ``Indian
Tribes or Tribal organizations, and'' and
(ii) by striking ``tribes, organizations,''
and inserting ``Tribes, organizations,''; and
(4) by adding at the end the following:
``(4) Clarification.--Within available funds, the Secretary
shall continue to support the resource centers funded for
purposes pursuant to paragraphs (2) and (3) in fiscal year
2019.''.
(c) Eligibility.--Section 310(c) of the Family Violence Prevention
and Services Act (42 U.S.C. 10410(c)) is amended--
(1) in paragraph (1)--
(A) in the matter preceding subparagraph (A), by
striking ``(C), or (D)'' and inserting ``(C), (D), (E),
or (F)''; and
(B) in subparagraph (B)--
(i) by striking ``entity's advisory board''
and inserting ``entity's Board of Directors or
advisory committees''; and
(ii) by inserting before the semicolon the
following ``, and reflect or have experience
working with the communities to be served
through the center involved'';
(2) in paragraph (2)--
(A) in the matter preceding subparagraph (A)--
(i) by striking ``tribal organization'' and
inserting ``Tribal organization''; and
(ii) by striking ``Indian tribes'' and
inserting ``Indian Tribes'';
(B) in subparagraph (A)--
(i) by striking ``Indian tribes and tribal
organizations'' and inserting ``Indian Tribes
and Tribal organizations''; and
(ii) by striking ``42'' and all that
follows through ``3796gg-10 note'' and
inserting ``34 U.S.C. 10452 note'';
(C) in subparagraph (B)--
(i) by striking ``Indian tribes and tribal
organizations'' and inserting ``Indian Tribes
and Tribal organizations'';
(ii) by striking ``tribally'' and inserting
``Tribally''; and
(iii) by striking ``42'' and all that
follows through ``3796gg-10 note'' and
inserting ``34 U.S.C. 10452 note'';
(D) in subparagraph (C), by striking ``tribes'' and
inserting ``Tribes'';
(E) in subparagraph (D), by striking ``Indian
tribes and tribal organizations'' and inserting
``Indian Tribes and Tribal organizations''; and
(F) in subparagraph (E), by striking ``tribes'' and
inserting ``Tribes'';
(3) in paragraph (3), in the matter preceding subparagraph
(A), by striking ``subsection (b)(2)(E)'' and inserting
``subsection (b)(2)(F)''; and
(4) in paragraph (4)--
(A) in subparagraph (A), by striking clause (ii)
and inserting the following:
``(ii) be--
``(I) an Indian Tribe, Tribal
organization, or Native Hawaiian
organization with experience providing
assistance in developing prevention and
intervention services that focus
primarily on issues of domestic
violence among Indians (including
Alaska Natives) or Native Hawaiians; or
``(II) an institution of higher
education; and''; and
(B) in subparagraph (B), by striking
``underdeveloped'' and inserting ``underserved''.
SEC. 410. GRANTS TO STATE DOMESTIC VIOLENCE COALITIONS.
Section 311 of the Family Violence Prevention and Services Act (42
U.S.C. 10411) is amended--
(1) in subsection (b)(1)--
(A) by inserting ``and made available to carry out
this section'' before ``for each fiscal year''; and
(B) by inserting ``and made available'' before
``for such fiscal year'';
(2) in subsection (d)--
(A) in paragraph (4), by striking ``mental health,
social welfare, or business'' and inserting ``mental
and substance use disorders, social welfare, education,
or business''; and
(B) in paragraph (8), by striking ``tribes and
tribal organizations'' and inserting ``Tribes and
Tribal organizations''; and
(3) in subsection (h), by striking ``tribes and tribal
organizations'' and inserting ``Tribes and Tribal
organizations''.
SEC. 411. GRANTS TO TRIBAL DOMESTIC VIOLENCE COALITIONS.
The Family Violence Prevention and Services Act is amended by
inserting after section 311 (42 U.S.C. 10411) the following:
``SEC. 311A. GRANTS TO TRIBAL DOMESTIC VIOLENCE COALITIONS.
``(a) Grants Authorized.--Beginning with fiscal year 2020, out of
amounts appropriated under section 303 and made available to carry out
this section for a fiscal year, the Secretary shall award grants to
eligible entities in accordance with this section.
``(b) Eligible Entities.--To be eligible to receive a grant under
this section, an entity shall be a Tribal Domestic Violence Coalition
that is recognized by the Office on Violence Against Women of the
Department of Justice and that provides services to Indian Tribes.
``(c) Application.--Each Tribal Domestic Violence Coalition
desiring a grant under this section shall submit an application to the
Secretary at such time, in such manner, and containing such information
as the Secretary may require. The application submitted by the
coalition for the grant shall provide documentation of the coalition's
work, demonstrating that the coalition--
``(1) meets all the applicable requirements set forth in
this section; and
``(2) has the ability to conduct all activities described
in this section, as indicated by--
``(A) documented experience in administering
Federal grants to conduct the activities described in
subsection (d); or
``(B) a documented history of activities to further
the purposes of this section set forth in subsection
(d).
``(d) Use of Funds.--A Tribal Domestic Violence Coalition that
receives a grant under this section may use the grant funds for
administration and operation of activities to further the purposes of
preventing and addressing family violence, domestic violence, and
dating violence, including--
``(1) working with local Tribal family violence, domestic
violence, or dating violence service programs and providers of
direct services to encourage appropriate and comprehensive
responses to family violence, domestic violence, and dating
violence against adults or youth within the Indian Tribes
served, including working by providing training and technical
assistance and conducting Tribal needs assessments;
``(2) participating in planning and monitoring the
distribution of subgrants and subgrant funds within the State
under section 308(a);
``(3) working in collaboration with Tribal service
providers and community-based organizations to address the
needs of victims of family violence, domestic violence, and
dating violence, and their children and dependents;
``(4) collaborating with, and providing information to,
entities in such fields as housing, health care, mental and
substance use disorders, social welfare, education, and law
enforcement to support the development and implementation of
effective policies;
``(5) supporting the development and implementation of
effective policies, protocols, legislation, codes, and programs
that address the safety and support needs of adult and youth
Tribal victims of family violence, domestic violence, or dating
violence;
``(6) encouraging appropriate responses to cases of family
violence, domestic violence, or dating violence against adults
or youth, by working with Tribal, State, and Federal judicial
agencies and law enforcement agencies;
``(7) working with Tribal, State, and Federal judicial
systems (including family law judges and criminal court
judges), child protective service agencies, and children's
advocates to develop appropriate responses to child custody and
visitation issues--
``(A) in cases of child exposure to family
violence, domestic violence, or dating violence; or
``(B) in cases in which--
``(i) family violence, domestic violence,
or dating violence is present; and
``(ii) child abuse is present;
``(8) providing information to the public about prevention
of family violence, domestic violence, and dating violence
within Indian Tribes; and
``(9) carrying out other activities, as the Secretary
determines applicable and appropriate.''.
SEC. 412. SPECIALIZED SERVICES FOR ABUSED PARENTS AND THEIR CHILDREN.
Section 312 of the Family Violence Prevention and Services Act (42
U.S.C. 10412) is amended--
(1) in subsection (a)(2), by striking ``2 years'' each
place it appears and inserting ``3 years''; and
(2) in subsection (b)--
(A) by striking ``local agency'' and inserting
``State, local, or Tribal agency'' ; and
(B) by striking ``tribal'' and inserting
``Tribal'';
(3) in subsection (c)(2), by inserting before the semicolon
``, which such services shall utilize trauma-informed care
approaches, as appropriate, and may include supporting the
caregiving capacity of adult victims''; and
(4) in subsection (d)(2)--
(A) in subparagraph (A), by striking ``mental
health'' and inserting ``mental and substance use
disorder''; and
(B) in subparagraph (C), by adding ``and
referrals'' before the period at the end; and
(5) by adding at the end the following:
``(f) Definition.--In this section, the term `child' includes a
youth under age 18.''.
SEC. 413. NATIONAL DOMESTIC VIOLENCE HOTLINE GRANT.
Section 313 of the Family Violence Prevention and Services Act (42
U.S.C. 10413) is amended--
(1) in subsection (a)--
(A) by striking ``(a)'' and all that follows
through the end of the first sentence and inserting the
following:
``(a) Grants.--
``(1) In general.--The Secretary shall award grants to 1 or
more private entities to provide for the ongoing operation of
toll-free telephone hotlines, including hotlines that utilize
other available communication technologies, as appropriate, for
the purposes of providing information and assistance to adult
and youth victims of family violence, domestic violence, or
dating violence, family and household members of such victims,
and persons affected by the victimization. Through such grants,
the Secretary shall provide for--
``(A) the ongoing operation of a 24-hour, toll-
free, national hotline; and
``(B) the ongoing operation of a toll-free hotline
for Indians, Indian Tribes, and Tribal
organizations.''; and
(B) in the second sentence, by striking ``The
Secretary'' and inserting the following:
``(2) Priority.--The Secretary'';
(2) in subsection (d)--
(A) in paragraph (2)--
(i) in the matter preceding subparagraph
(A), by striking ``national'';
(ii) in subparagraph (E), by striking
``callers'' and inserting ``individuals
contacting the hotline'';
(iii) in subparagraph (F), by striking
``persons with hearing impairments; and'' and
inserting ``individuals with disabilities,
including training for hotline personnel to
support such access;'';
(iv) in subparagraph (G), by striking the
semicolon at the end and inserting ``; and'';
and
(v) by adding at the end the following:
``(H) a plan for utilizing other available
communications technologies, as appropriate;'';
(B) in paragraph (5), by striking ``callers,
directly connect callers'' and inserting ``individuals
contacting the hotline, directly connect such
individuals''; and
(C) in paragraph (6), by inserting ``appropriate''
before ``services to underserved''; and
(3) in subsection (e)--
(A) in paragraph (1), by striking ``hotline to''
and inserting ``hotline under subsection (a)(1)(A), or
a toll-free telephone hotline under subsection
(a)(1)(B), to''; and
(B) in paragraph (2)--
(i) in subparagraph (B), by striking
``callers on a 24-hour-a-day basis, and
directly connect callers'' and inserting
``individuals contacting the hotline, and
directly connect such individuals'';
(ii) in subparagraph (C), by striking
``callers'' and inserting ``individuals''; and
(iii) by striking subparagraph (D) and
inserting the following:
``(D) shall widely publicize the hotline, and other
available communications technologies utilized by the
hotline, as appropriate, in accessible formats,
including formats accessible to individuals with
disabilities, as appropriate;''.
SEC. 414. DOMESTIC VIOLENCE PREVENTION ENHANCEMENT AND LEADERSHIP
THROUGH ALLIANCES.
Section 314 of the Family Violence Prevention and Services Act (42
U.S.C. 10414) is amended--
(1) by striking subsection (a) and inserting the following:
``(a) In General.--The Secretary, acting through the Director of
the Centers for Disease Control and Prevention, shall enter into
cooperative agreements with State Domestic Violence Coalitions, which
may partner with local entities carrying out programs, to--
``(1) build capacity at the organizational, State, Tribal,
or local level for primary and secondary prevention of family
violence, domestic violence, and dating violence; or
``(2) scale up, or replicate, evidence-based, evidence-
informed, or promising primary prevention strategies and models
to prevent family violence, domestic violence, and dating
violence.'';
(2) in subsection (d)--
(A) in paragraph (1), by inserting ``or Tribal
Domestic Violence Coalition'' before the semicolon; and
(B) in paragraph (2)--
(i) in subparagraph (A), by striking ``and
State or local health departments'';
(ii) in subparagraph (D), by inserting ``,
including the juvenile justice system'' before
the semicolon;
(iii) in subparagraph (G), by striking
``and'' at the end; and
(iv) by striking subparagraph (H) and
inserting the following:
``(H) community-based organizations, including
those serving racial and ethnic minority populations;
``(I) child- and youth-serving organizations;
``(J) health departments and public health
organizations; and
``(K) other pertinent sectors.'';
(3) in subsection (e)--
(A) by redesignating paragraphs (1) through (5),
and paragraph (6), as paragraphs (2) through (6), and
paragraph (8), respectively;
(B) by inserting before paragraph (2), as so
redesignated, the following:
``(1) in the case of an applicant applying for a grant
under the authority of subsection (a)(2), identifies
comprehensive evidence-based, evidence-informed, or promising
primary prevention strategies and models to be used and partner
organizations who will develop, expand, or replicate programs
to prevent family violence, domestic violence, or dating
violence;'';
(C) in paragraph (3), as so redesignated, by
inserting ``, including underserved populations''
before the semicolon;
(D) in paragraph (6), as so redesignated, by
striking ``and'' at the end; and
(E) by inserting after paragraph (6), as so
redesignated, the following:
``(7) demonstrates that the applicant will build
organizational and statewide capacity, as applicable, for
primary and secondary prevention of family violence, domestic
violence, and dating violence; and'';
(4) in subsection (f), by striking ``organizations in
States geographically dispersed'' and inserting ``organizations
in States or Indian-serving organizations that, collectively,
are geographically dispersed'';
(5) in subsection (g)--
(A) in paragraph (2)(A), by inserting before the
semicolon the following: ``, which may include
facilitating the provision of technical assistance from
other grantees that enter into a cooperative agreement
under subsection (a)''; and
(B) in paragraph (3)--
(i) in subparagraph (C), by inserting ``as
applicable,'' after ``communities,'';
(ii) in subparagraph (D)--
(I) in the matter preceding clause
(i), by striking ``conduct
comprehensive, evidence-informed
primary prevention programs'' and
inserting ``implement evidence-based,
evidence-informed primary prevention
programs''; and
(II) in clause (vi), by inserting
``prevention strategies and'' before
``information'';
(iii) in subparagraph (E)--
(I) by striking ``utilize evidence-
informed'' and inserting ``implement
evidence-based or evidence-informed'';
and
(II) by striking ``; and'' and
inserting a semicolon;
(iv) in subparagraph (F), by striking the
period at the end and inserting ``; and''; and
(v) by adding at the end the following:
``(G) use an amount (subject to subsection (j))
that is not less than 30 percent of the funds awarded
through such agreement (excluding funds awarded for the
initial year of the agreement) to subcontract with
local family violence and domestic violence programs,
or other community-based programs, to develop and
implement such project.''; and
(6) by adding at the end the following:
``(i) Training and Dissemination of Information.--Not later than
one year after the date of enactment of the CAPTA Reauthorization Act
of 2019, and at least annually thereafter, the Secretary, acting
through the Director of the Centers for Disease Control and Prevention,
in consultation with the Assistant Secretary of the Administration for
Children and Families, shall disseminate information, including
information related to training, to State domestic violence coalitions,
and other stakeholders, related to building organizational capacity and
leadership in the fields of primary and secondary prevention of family
violence, domestic violence, and dating violence.
``(j) Minimum Amount for Subcontracting.--The Secretary may, as
appropriate, reduce the percentage described in subsection (g)(3)(G)
that an organization that enters into a cooperative agreement under
this section is required to use in accordance with such subsection to a
percentage not less than 25 percent.''.
SEC. 415. GRANTS TO ENHANCE SERVICES FOR UNDERSERVED COMMUNITIES.
The Family Violence Prevention and Services Act (42 U.S.C. 10401 et
seq.) is further amended by adding at the end the following:
``SEC. 315. GRANTS TO ENHANCE SERVICES FOR UNDERSERVED COMMUNITIES.
``(a) In General.--The Secretary shall, as appropriate, award
grants to eligible entities to assist communities in preventing and
addressing family violence, domestic violence, and dating violence in
underserved communities.
``(b) Use of Funds.--In carrying out subsection (a), the Secretary
shall award grants to eligible entities for supporting programs based
in underserved communities to establish or enhance family violence,
domestic violence, and dating violence intervention and prevention
efforts that address family violence, domestic violence, and dating
violence in underserved communities, including by providing culturally
appropriate services, as appropriate.
``(c) Application.--An eligible entity seeking a grant under this
section shall submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary may
reasonably require. Such application shall include--
``(1) a description of how the funds of the grant will be
used to support culturally-appropriate, community-based
programs providing access to shelter or supportive services,
including for activities related to planning, prevention, and
capacity building;
``(2) an assessment of any barriers that prevent
underserved individuals or communities from accessing other
resources to prevent and address family violence, domestic
violence, and dating violence and a description of how the
entity intends to address such barriers; and
``(3) a demonstration of the ability of the entity to
establish, or work with, other community-based organizations
and coalitions.
``(d) Technical Assistance and Training.--The Secretary may enter
into cooperative agreements or contracts with organizations to provide
training and technical assistance to eligible entities receiving grants
under this section, as appropriate.
``(e) Eligible Entities.--To be eligible to receive a grant under
this section, an entity shall--
``(1) be a private nonprofit, nongovernmental organization
that is--
``(A) a community-based organization that provides
culturally appropriate services to victims of family
violence, domestic violence, or dating violence from
underserved communities, which may include an
organization whose primary purpose is providing
culturally appropriate services to victims of family
violence, domestic violence, or dating violence from
specific underserved communities; or
``(B) a community-based organization that can
partner with an organization having demonstrated
expertise in serving victims of family violence,
domestic violence, or dating violence; and
``(2) have a board of directors and staff which are
reflective of, or have experience working with, the communities
in which the entity will provide services through a grant under
this section.
``(f) Term.--The Secretary shall award grants under this section
for a period of 3 years, and may extend such period for not more than 2
years, as appropriate.
``(g) Reports and Evaluation.--Each eligible entity receiving a
grant under this section shall submit a report to the Secretary, at
such time as the Secretary shall reasonably require, describing the
activities carried out using the funds of such grant, identifying
progress towards achieving performance measures, and providing such
additional information as the Secretary may reasonably require.
``(h) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section such sums as may be necessary
for each of fiscal years 2020 through 2025.''.
Calendar No. 408
116th CONGRESS
2d Session
S. 2971
_______________________________________________________________________
A BILL
To amend and reauthorize the Child Abuse Prevention and Treatment Act,
and for other purposes.
_______________________________________________________________________
January 15, 2020
Reported with an amendment