CAPTA Reauthorization Act of 2019
This bill revises and reauthorizes through FY2025 state and community-based child abuse and prevention grants programs, supports for adoption and foster care, and family and domestic violence prevention and treatment programs.
[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 2971 Introduced in Senate (IS)]
<DOC>
116th CONGRESS
1st 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
_______________________________________________________________________
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,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``CAPTA Reauthorization Act of 2019''.
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 40 percent 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 American Indian or
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.''.
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 kin, including
such children whose living arrangements with kin 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 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
``(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
(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
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
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,'';
(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''; and
(ii) 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; and
``(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.'';
(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 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 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.
``(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--
``(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 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;
``(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;
``(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;
``(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
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 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 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.
``(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:
``(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.
``(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, 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.
``(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 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;
``(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 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 paragraph, 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 the law,
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 rapid response to
investigations, with special attention to cases involving
children under the age of 5, 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''; and
(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.'';
(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 at least one of the following--
``(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;
``(F) addressing the unique needs of children with
disabilities, including promoting interagency
collaboration;
``(G) the placement of children with kin, 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; and
``(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 semicolong 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, 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
plan 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
local programs funded under title II
and with 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
caregivers who are kin'' before the
semicolon;
(IV) by striking clauses (x) and
(xx);
(V) by redesignating clauses (xi)
through (xix) as clauses (x) through
(xviii), respectively; and
(VI) 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 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
(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 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 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--
``(i) is compiled by the State 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 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.'';
(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, 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
``(B) capacity-building efforts to support
identification 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'';
and
(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''; and
(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
(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 for mandatory
reporters of child abuse or neglect; and
``(B) State efforts to improve reporting on, and
responding to reports of, child abuse or neglect; and
``(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.
``(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, 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 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--
``(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;
``(2) promising practices used by tribes for child abuse
and neglect prevention;
``(3) information about the child abuse and neglect
prevention activities Indian Tribes are providing with Tribal,
State, and Federal funds;
``(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;
``(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;
``(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, 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 2021 through 2026.''.
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)--
(i) by inserting ``State and'' after ``to
support''; and
(ii) by inserting ``statewide and local
networks of'' after ``coordinate''; 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 ``statewide and
local networks 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''; and
(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
(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 ``statewide and local
networks 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,''; and
(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), 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
(2) in subsection (b)(1)(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 ``such
services'';
(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, 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;'';
(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 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;
``(ii) meaningfully involve 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.);'';
(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
(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'';
(E) in paragraph (4)--
(i) by striking ``develop leadership roles
for the'' and inserting ``developing and
maintaining'';
(ii) by inserting ``, and, as applicable,
kinship 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 ``respite care programs'' and inserting
``respite care services'';
(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 2021 through
2026.''.
TITLE III--MISCELLANEOUS PROVISIONS
SEC. 301. TECHNICAL AMENDMENTS.
The Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 et
seq.) is amended--
(1) in section 3, 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. 450b);'';
(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''.
<all>
Introduced in Senate
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.
Placed on Senate Legislative Calendar under General Orders. Calendar No. 408.
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