The Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of 2022
This bill reauthorizes through FY2027, increases funding for, and modifies the Maternal, Infant, and Early Childhood Home Visiting Program. This program supports home visits for expectant and new parents who live in communities that are at-risk for poor maternal and child health outcomes.
Changes to the program include
The bill also reduces funding for the Medicare Improvement Fund.
[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8876 Introduced in House (IH)]
<DOC>
117th CONGRESS
2d Session
H. R. 8876
To reauthorize the Maternal, Infant, and Early Childhood Home Visiting
program, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
September 19, 2022
Mr. Danny K. Davis of Illinois (for himself, Mr. Wenstrup, Mr. Neal,
Mr. Brady, Mr. Pallone, Mrs. Rodgers of Washington, Ms. Eshoo, Mr.
Guthrie, Mr. Thompson of California, Mr. Buchanan, Ms. DeGette, Mr.
Bilirakis, Mr. Larson of Connecticut, Mr. Smith of Nebraska, Ms. Castor
of Florida, Mr. Bucshon, Mr. Blumenauer, Mr. Kelly of Pennsylvania, Mr.
Hudson, Mr. Kind, Mr. Smith of Missouri, Mr. Carter of Georgia, Mr.
Pascrell, Mr. Rice of South Carolina, Mr. Dunn, Ms. Sanchez, Mr.
Schweikert, Mr. Pence, Mr. Higgins of New York, Mr. LaHood, Ms. Sewell,
Mr. Ferguson, Ms. DelBene, Mr. Estes, Ms. Chu, Mr. Smucker, Ms. Moore
of Wisconsin, Mrs. Miller of West Virginia, Mr. Kildee, Mr. Murphy of
North Carolina, Mr. Brendan F. Boyle of Pennsylvania, Mr. Kustoff, Mr.
Beyer, Mr. Evans, Mr. Schneider, Mr. Suozzi, Mr. Panetta, Mrs. Murphy
of Florida, Mr. Gomez, Mr. Horsford, and Ms. Plaskett) introduced the
following bill; which was referred to the Committee on Ways and Means,
and in addition to the Committee on Energy and Commerce, for a period
to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To reauthorize the Maternal, Infant, and Early Childhood Home Visiting
program, 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 Jackie Walorski Maternal and Child
Home Visiting Reauthorization Act of 2022''.
SEC. 2. OUTCOMES DASHBOARD.
Section 511(d)(1) of the Social Security Act (42 U.S.C. 711(d)(1))
is amended--
(1) in the paragraph heading, by striking ``benchmark
areas'' and inserting ``benchmark areas related to individual
family outcomes'';
(2) in subparagraph (D)(i), by striking ``(B)'' and
inserting ``(C)''; and
(3) by redesignating subparagraphs (B) through (D) as
subparagraphs (C) through (E), respectively, and inserting
after subparagraph (A) the following:
``(B) Outcomes dashboards.--The Secretary shall,
directly or by grant or contract, establish and operate
a website accessible to the public that includes an
annually updated dashboard that--
``(i) provides easy-to-understand
information on the outcomes achieved by each
eligible entity with respect to each of the
benchmarks described in subparagraph (A) of
this paragraph that apply to the eligible
entity, which shall be based on only the data
elements or types of data collected before the
date of the enactment of this section unless
administering agencies and the Secretary agree
pursuant to subsection (h)(6) that additional
data is required;
``(ii) includes a template provided by the
Secretary that will enable comparison among
eligible entities not referred to in subsection
(k)(2)(A) of--
``(I) a profile of each eligible
entity showing outcome indicators and
how the outcomes compare to benchmarks
described in subclause (II);
``(II) information on the outcome
indicators and requisite outcome levels
established for each eligible entity;
``(III) information on each model
employed in the program operated by
each eligible entity, and regarding
each benchmark area described in
subsection (d)(1)(A) in which the model
used by the eligible entity is expected
to affect participant outcomes;
``(IV) the most recently available
information from the report required by
subparagraph (E) of this paragraph;
``(V) an electronic link to the
State needs assessment under subsection
(b)(1); and
``(VI) information regarding any
penalty imposed, or other corrective
action taken, by the Secretary against
a State for failing to achieve a
requisite outcome level or any other
requirement imposed by or under this
section, and an indication as to
whether the eligible entity is
operating under a corrective action
plan under subparagraph (E)(ii) of this
paragraph, and if so, a link to the
plan, an explanation of the reason for
the implementation of the plan, and a
report on any progress made in
operating under the plan;
``(iii) includes information relating to
those eligible entities for which funding is
reserved under subsection (k)(2)(A), with
modifications as necessary to reflect tribal
sovereignty, data privacy, and participant
confidentiality; and
``(iv) protects data privacy and
confidentiality of participant families.''.
SEC. 3. FUNDING.
(a) Grant Amounts.--
(1) In general.--Section 511(c)(4) of the Social Security
Act (42 U.S.C. 711(c)(4)) is amended to read as follows:
``(4) Grant amounts.--
``(A) Base grants.--
``(i) In general.--
``(I) General rule.--With respect
to each of fiscal years 2023 through
2027 for which an eligible entity not
referred to in subsection (k)(2)(A) is
awarded a base grant under this
section, the amount of the grant
payable to the eligible entity for the
fiscal year is the amount described by
clause (ii) of this subparagraph with
respect to the eligible entity, except
as provided in subclause (II) of this
clause.
``(II) Substitution of successor
eligible entity for predecessor.--If
the 1st fiscal year for which an
eligible entity is awarded a base grant
under this section for a program
operated in a State is among fiscal
years 2024 through 2027, the amount
described by clause (ii) with respect
to the eligible entity is the amount of
the base grant for which a program
operated in the State was eligible
under this subparagraph for fiscal year
2023.
``(ii) Amount described.--
``(I) General rule.--Subject to the
succeeding provisions of this clause,
the amount described by this clause
with respect to an eligible entity is--
``(aa) the amount made
available under subsection (k)
for base grants for fiscal year
2023 that remains after making
the reservations required by
subsection (k)(2) or any other
reductions required by Federal
law for fiscal year 2023;
multiplied by
``(bb) the percentage of
children in all States who have
not attained 5 years of age (as
determined by the Secretary on
the basis of the data most
recently available before
fiscal year 2023) that is
represented by the number of
such children in the State in
which the eligible entity is
operating a program pursuant to
this section (as so
determined).
``(II) Adjustments to ensure stable
funding.--If the amount otherwise
payable to an eligible entity under
subclause (I) for fiscal year 2023 is
less than 90 percent, or greater than
110 percent, of the amount payable
under this section to the eligible
entity for the program for fiscal year
2021, the Secretary shall increase the
amount otherwise so payable to 90
percent, or decrease the amount
otherwise so payable to 110 percent, as
the case may be, of the amount
otherwise so payable.
``(III) Adjustment to ensure all
base grant funds are allocated.--If the
amount described by subclause (I)(aa)
is different than the total of the
amounts otherwise described by
subclause (I) after applying subclause
(II), the Secretary shall increase or
decrease the amounts otherwise so
described after applying subclause (II)
by such equal percentage as is
necessary to reduce that difference to
zero.
``(IV) Minimum base grant amount.--
Notwithstanding the preceding
provisions of this clause, the amount
described by this clause with respect
to an eligible entity shall be not less
than $1,000,000.
``(B) Matching grants.--
``(i) Amount of grant.--
``(I) General rule.--With respect
to each of fiscal years 2024 through
2027 for which an eligible entity not
referred to in subsection (k)(2)(A) is
awarded a grant under this section, the
Secretary shall increase the amount of
the grant payable to the eligible
entity for the fiscal year under
subparagraph (A) of this paragraph by
the matching amount (if any) determined
under subclause (II) of this clause
with respect to the eligible entity for
the fiscal year and the additional
matching amount (if any) determined
under clause (iii) of this subparagraph
with respect to the eligible entity for
the fiscal year.
``(II) Matching amount.--
``(aa) In general.--Subject
to item (bb) of this subclause,
the matching amount with
respect to an eligible entity
for a fiscal year is 75 percent
of the sum of--
``(AA) the total
amount obligated by the
eligible entity for
home visiting services
in the State for the
fiscal year, from
Federal funds made
available for the
fiscal year under this
subparagraph; and
``(BB) the total
amount so obligated by
the eligible entity
from non-Federal funds,
determined under
subclause (III).
``(bb) Limitation.--The
matching amount with respect to
an eligible entity for a fiscal
year shall not exceed the
allotment under subclause (IV)
for the State in which the
eligible entity is operating a
program under this section for
the fiscal year.
``(III) Determination of
obligations from non-federal funds.--
For purposes of this clause, the total
amount obligated by an eligible entity
from non-Federal funds is the total of
the amounts that are obligated by the
eligible entity from non-Federal
sources, to the extent that--
``(aa) the services are
delivered in compliance with
subsections (d)(2) and (d)(3);
``(bb) the eligible entity
has reported the obligations to
the Secretary; and
``(cc) the amount is not
counted toward meeting the
maintenance of effort
requirement in subsection (f).
``(IV) State allotments.--The
amount allotted under this subclause
for a State in which an eligible entity
is operating a program under this
section for a fiscal year is--
``(aa) the minimum matching
grant allocation amount for the
fiscal year; plus
``(bb)(AA) the amount (if
any) by which the amount made
available under subsection (k)
for matching grants for the
fiscal year that remains after
making the reservations
required by subsection (k)(2)
or any other reduction required
by Federal law for the fiscal
year exceeds the sum of the
minimum matching grant
allocation amounts for all
eligible entities for the
fiscal year; multiplied by
``(BB) the percentage of
children in all States who have
not attained 5 years of age and
are members of families with
income not exceeding the
poverty line (as determined by
the Secretary on the basis of
the most recently available
data) that is represented by
the number of such children in
the State (as so determined).
``(V) Minimum matching grant
allocation amount.--Subject to
subclause (VI), for purposes of
subclause (IV), the minimum matching
grant allocation amount for a fiscal
year is--
``(aa) in the case of
fiscal year 2024, $776,000;
``(bb) in the case of
fiscal year 2025, $1,000,000;
``(cc) in the case of
fiscal year 2026, $1,500,000;
and
``(dd) in the case of
fiscal year 2027, $2,000,000.
``(VI) Special rule.--If, after
making any reductions otherwise
required by law for a fiscal year, the
amount made available for matching
grants under this clause for the fiscal
year is insufficient to provide the
minimum matching grant allocation
amount to each eligible entity
operating a program under this section
for the fiscal year, the Secretary may
make a proportionate adjustment to the
minimum matching grant allocation
amount for the fiscal year to
accommodate the reductions.
``(ii) Submission of statement expressing
interest in additional matching funds if
available.--Before the beginning of a fiscal
year for which an eligible entity desires a
matching grant under this subparagraph for a
program operated under this section, the
eligible entity shall submit to the Secretary a
statement as to whether the eligible entity
desires additional matching grant funds that
may be made available under clause (iii) for
the fiscal year.
``(iii) Carryover and reallocation of
unobligated funds.--
``(I) In general.--If the Secretary
determines that an amount allotted
under clause (i)(IV) of this
subparagraph for a fiscal year will not
be awarded during the fiscal year, or
that an amount made available under
subsection (k)(1) for a fiscal year for
matching grants will not be obligated
by an eligible entity for the fiscal
year, the amount shall be available for
matching grants under this subparagraph
for the succeeding fiscal year for
eligible entities that have made
submissions under clause (ii) of this
subparagraph for additional matching
grant funds from the amount.
``(II) State allotments.--The
Secretary shall allot to each eligible
entity that has made such a submission
for a fiscal year--
``(aa) the total amount (if
any) made available under
subclause (I) for the fiscal
year; multiplied by
``(bb) the percentage of
children who have not attained
5 years of age and are members
of families with income not
exceeding the poverty line (as
determined by the Secretary on
the basis of the most recently
available data) in all of the
States in which any eligible
entity that has made such a
submission is so operating a
program, that is represented by
the number of such children in
the State (as so determined) in
which the eligible entity is
operating such a program.
``(III) Additional matching
amount.--
``(aa) In general.--Subject
to item (bb) of this subclause,
the additional matching amount
with respect to an eligible
entity for a fiscal year is 75
percent of the sum of--
``(AA) the total
amount obligated by the
eligible entity for
home visiting services
in the State for the
fiscal year, from
Federal funds made
available for the
fiscal year under this
subparagraph; and
``(BB) the total
amount so obligated by
the eligible entity
from non-Federal funds,
determined under clause
(i)(III),
that are not taken into account
in determining the matching
amount with respect to the
eligible entity under clause
(i).
``(bb) Limitation.--The
additional matching amount with
respect to an eligible entity
for a fiscal year shall not
exceed the allotment under
subclause (II) for the State in
which the eligible entity is
operating a program under this
section for the fiscal year.''.
(2) Maintenance of effort.--Section 511(f) of such Act (42
U.S.C. 711) is amended to read as follows:
``(f) Maintenance of Effort.--
``(1) In general.--Notwithstanding any other provision of
this section, the Secretary may not make a grant to an eligible
entity under this section for a fiscal year if the total amount
of non-Federal funds obligated by the eligible entity in the
State in the fiscal year for a program operated pursuant to
this section is less than the total amount of non-Federal funds
reported to have been expended by any eligible entity for such
a program in the State in fiscal year 2019 or 2021, whichever
is the lesser.
``(2) Publication of amounts.--Not later than June 30,
2023, the Secretary shall cause to have published in the
Federal Register the amount of non-Federal funds expended as
described in this section that has been reported by each
eligible entity not referred to in subsection (k)(2)(A) for
each of fiscal years 2019 and 2021.
``(3) Grace period.--The Secretary may, in exceptional
circumstances, allow an eligible entity a period to come into
compliance with this subsection. The Secretary shall provide
technical assistance to any eligible entity to assist the
entity in doing so.''.
(b) Reservations of Funds for Certain Purposes.--Section 511(j)(2)
of such Act (42 U.S.C. 711(j)(2)) is amended--
(1) in the matter preceding subparagraph (A), by striking
``the amount'' and inserting ``each amount made available for
base grants and each amount made available for matching
grants'';
(2) in subparagraph (A)--
(A) by striking ``3'' and inserting ``6''; and
(B) by striking ``and'' at the end; and
(3) by striking subparagraph (B) and inserting the
following:
``(B) 2 percent of such amount for purposes of
providing technical assistance, directly or through
grants or contracts, for purposes as otherwise
described in subsections (c)(5), (d)(1)(C)(iii),
(d)(1)(E)(iii), and (d)(4)(E);
``(C) 2 percent of such amount for purposes of
workforce support, retention, and case management,
including workforce-related technical assistance,
research and evaluation, and program administration,
directly or through grants or contracts; and
``(D) 3 percent of such amount for purposes of
research and evaluation (directly or through grants or
contracts), and for administering this section
(directly, through contracts, or otherwise).''.
(c) Appropriations.--Section 511(j)(1) of such Act (42 U.S.C.
711(j)(1)) is amended by striking subparagraphs (A) through (H) and
inserting the following:
``(A) for fiscal year 2023, $500,000,000 for base
grants;
``(B) for fiscal year 2024, $550,000,000, of which
$500,000,000 shall be for base grants and $50,000,000
shall be for matching grants;
``(C) for fiscal year 2025, $600,000,000, of which
$500,000,000 shall be for base grants and $100,000,000
shall be for matching grants;
``(D) for fiscal year 2026, $650,000,000, of which
$500,000,000 shall be for base grants and $150,000,000
shall be for matching grants; and
``(E) for fiscal year 2027, $800,000,000, of which
$500,000,000 shall be for base grants and $300,000,000
shall be for matching grants.''.
(d) Disposition of Excess Funds Reserved for Research, Evaluation,
and Administration.--Section 511(j) of such Act (42 U.S.C. 711(j)) is
amended by adding at the end the following:
``(3) Disposition of excess funds reserved for research,
evaluation, and administration.--To the extent that the amounts
reserved under paragraph (2)(D) for a fiscal year are not
obligated in the fiscal year, the Secretary may use the funds
for any purpose described in this section or to offset any
reduction with respect to this section that is required by
Federal law.''.
SEC. 4. REQUIREMENT THAT HOME VISITING PROGRAMS BE TARGETED AND
INTENSIVE.
Section 511(d)(3) of the Social Security Act (42 U.S.C. 711(d)(3))
is amended by redesignating subparagraph (B) as subparagraph (C) and
inserting after subparagraph (A) the following:
``(B) Use of grant to provide or support targeted,
intensive home visiting services.--The program uses the
grant to provide or support targeted, intensive home
visiting services for the populations described in
paragraph (5).''.
SEC. 5. LIMITATION ON USE OF FUNDS FOR ADMINISTRATION.
(a) In General.--Section 511(d) of the Social Security Act (42
U.S.C. 711(d)) is amended by adding at the end the following:
``(5) Limitation on use of funds for administrative
costs.--
``(A) In general.--Except as provided in
subparagraph (B) of this paragraph, an eligible entity
to which funds are provided under subsection (c) or
(h)(2)(B) shall not use more than 10 percent of the
funds to cover the costs of administration.
``(B) Authority to grant exceptions.--
``(i) In general.--The Secretary may
authorize an eligible entity that meets a
condition of clause (ii) of this subparagraph
to exceed the percentage limitation in
subparagraph (A) with respect to a program
conducted under this subsection by not more
than 5 percentage points, subject to such terms
and conditions as the Secretary deems
appropriate.
``(ii) Conditions.--An eligible entity
meets a condition of this clause if the
eligible entity--
``(I) conducts the program by
directly providing home visits to
eligible families and without a sub-
recipient;
``(II) in the fiscal year for which
the grant for the program is made under
this section, proposes to expand
services in 1 or more communities
identified in the statewide needs
assessment under subsection (b) and in
which home visiting services are not
provided; or
``(III) has conducted the program
for fewer than 3 years.''.
(b) Conforming Amendments.--Section 511(i)(2) of such Act (42
U.S.C. 711(i)(2)) is amended by striking subparagraph (C) and
redesignating subparagraphs (D) through (G) as subparagraphs (C)
through (F), respectively.
SEC. 6. ANNUAL REPORT TO CONGRESS.
(a) In General.--Section 511 of the Social Security Act (42 U.S.C.
711) is amended by redesignating subsections (j) and (k) as subsections
(k) and (l), respectively, and inserting after subsection (i) the
following:
``(j) Annual Report to Congress.--By December 31, 2023, and
annually thereafter, the Secretary shall submit to the Congress a
written report on the grants made under this section for the then
preceding fiscal year, which shall include--
``(1) an eligible entity-by-eligible entity summary of the
outcomes measured by the entity with respect to each benchmark
described in subsection (e)(5) that apply to the entity;
``(2) information regarding any technical assistance funded
under subparagraph (B) or (C) of subsection (k)(2), including
the type of any such assistance provided;
``(3) information on the demographic makeup of families
served by each such entity to the extent possible while
respecting participant confidentiality, including race,
ethnicity, educational attainment at enrollment, household
income, and other demographic markers as determined by the
Secretary;
``(4) the information described in subsection (d)(1)(E);
``(5) the estimated share of the eligible population served
using grants made under this section;
``(6) a description of each service delivery model funded
under this section by the eligible entities in each State, and
the share (if any) of the grants expended on each model;
``(7) a description of non-Federal expenditures by eligible
entities to qualify for matching funds under subsection (c)(4);
``(8) information on the uses of funds reserved under
subsection (k)(2)(C);
``(9) information relating to those eligible entities for
which funding is reserved under subsection (k)(2)(A), with
modifications as necessary to reflect tribal data sovereignty,
data privacy, and participant confidentiality; and
``(10) a list of data elements collected from eligible
entities, and the purpose of each data element in measuring
performance or enforcing requirements under this section.''.
(b) Conforming Amendments.--
(1) Section 511 of such Act (42 U.S.C. 711) is amended--
(A) in subsection (b)(1)(B)(iii), by striking
``(k)(2)'' and inserting ``(l)(2)''; and
(B) in subsection (h)(2)(B)--
(i) by striking ``(j)'' and inserting
``(k)''; and
(ii) by striking ``(k)(1)(B)'' and
inserting ``(l)(1)(B)''.
(2) Section 511A(c) of such Act (42 U.S.C. 711a(c)) is
amended in each of paragraphs (5) and (7) by striking
``511(k)(2)'' and inserting ``511(l)(2)''.
SEC. 7. REDUCTION OF ADMINISTRATIVE BURDEN.
Section 511(h) of the Social Security Act (42 U.S.C. 711(h)) is
amended by adding at the end the following:
``(6) Reduction of administrative burden.--
``(A) In general.--The Secretary shall reduce the
burden, on States and public and private implementing
agencies at the local level, of administering this
section, by--
``(i) reviewing and revising administrative
data collection instruments and forms to
eliminate duplication and streamline reporting
requirements for States, eligible entities
referred to in subsection (k)(2)(A), and
nonprofit organizations referred to in
subsection (l)(1)(B), including timelines for
submitting reports;
``(ii) conducting an analysis of the total
number of hours reported by administering
agencies on complying with paperwork
requirements, and exploring, in consultation
with administering agencies, ways to reduce the
number of hours spent by at least 15 percent;
``(iii) conducting a review of paperwork
and data collection requirements for tribal
grantees, and exploring, in consultation with
tribes and tribal organizations, ways to reduce
administrative burden, respect sovereignty, and
acknowledge the different focus points for
tribal grantees;
``(iv) collecting input from relevant State
fiscal officials to align fiscal requirements
and oversight for States and eligible entities
to ensure consistency with standards and
guidelines for other Federal formula grant
programs; and
``(v) consulting with administering
agencies and service delivery model
representatives on needed and unneeded data
elements regarding the dashboards provided for
in subsection (d)(1)(B), consistent with the
data requirements of such subsection.
``(B) Findings on paperwork reduction.--
``(i) Inclusion in report.--In the 1st
report submitted pursuant to subsection (j)
more than 18 months after the date of the
enactment of this Act, the Secretary shall
include the findings of the Secretary with
respect to the matters described in
subparagraph (A).
``(ii) Implementation.--Within 2 years
after complying with clause (i), the Secretary
shall implement the findings referred to in
clause (i).''.
SEC. 8. VIRTUAL HOME VISITING AUTHORIZATION AND RESTRICTIONS.
(a) Virtual Home Visits.--
(1) Application requirements.--Section 511(e) of the Social
Security Act (42 U.S.C. 711(e)) is amended by redesignating
paragraph (10) as paragraph (11) and inserting after paragraph
(9) the following:
``(10) at the option of the eligible entity--
``(A) a description of any limitations or
constraints on virtual home visits under the program,
including--
``(i) a description of the plan of the
eligible entity to encourage in-person home
visits; and
``(ii) a description of the considerations
to be used in determining when a virtual home
visit is appropriate, including client consent,
client preference, geographic limitations,
model fidelity, and hazardous conditions
including public health emergencies, weather
events, health concerns for home visitors and
client families, and other local issues;
``(B) an assurance that--
``(i) the virtual home visit is implemented
as a model enhancement; or
``(ii) the Secretary has identified the
home visit as part of an effective model or
model adaptation, based on an evidence of
effectiveness review conducted using the
criteria established under subsection
(d)(3)(A)(iii); and
``(C) an assurance to the Secretary that at least 1
in-person home visit shall be conducted for each client
family under the program during the 12-month period
that begins with the entry of the client family into
the program, and during each succeeding 12-month
period, except that any such period in which a public
health emergency declared under Federal law, or under
the law of the State in which the program is conducted,
is in effect shall be extended by the length of time in
which the declaration is in effect.''.
(2) Applicable rules.--Section 511(d) of such Act (42
U.S.C. 711(d)) is amended by redesignating paragraph (4) and
paragraph (5) (as added by section 5(a) of this Act) as
paragraphs (5) and (6), respectively, and inserting after
paragraph (3) the following:
``(4) Virtual home visits.--
``(A) In general.--A virtual home visit conducted
under the program shall be considered a home visit for
purposes of this section if the application for funding
of the program submitted pursuant to this section most
recently after the effective date of this paragraph
includes the material described in subsection (e)(10).
``(B) Standards for training applicable to virtual
service delivery.--The standards for training
requirements applicable to virtual service delivery
under a home visiting model shall be equivalent to
those that apply to in-person service delivery under
the model.
``(C) Reporting requirement.--A grant made under
this section for the program may not be used for any
virtual home visit during a year, unless the eligible
entity to which the grant is made submits the report
described in subsection (e)(8)(A) for the year.
``(D) Virtual home visit defined.--In this section,
the term `virtual home visit' means a visit conducted
solely by use of electronic information and
telecommunications technologies.
``(E) Technical assistance.--If the Secretary finds
that an eligible entity has not complied with the
assurance described in subsection (e)(10)(C), the
Secretary shall, directly or through grants, contracts,
or cooperative agreements, provide the eligible entity
with such technical assistance as is necessary to
assist the eligible entity in doing so.''.
(3) Program requirement.--Section 511(d)(3)(C) of such Act
(42 U.S.C. 711(d)(3)(C)), as so redesignated by section 4 of
this Act, is amended by adding at the end the following:
``(vii) If the application submitted by the
eligible entity includes the assurance
described in subsection (e)(10)(C) with respect
to the program, the program provides in-person
service consistent with the assurances.''.
(4) Reports.--Section 511(e)(8)(A) of such Act (42 U.S.C.
711(e)(8)(A)) is amended by inserting ``, including the number
of virtual home visits conducted under the program in the year
covered by the report, disaggregated with respect to each home
visiting model under which the virtual home visits are
conducted'' before the semicolon.
(b) Transition Rule.--
(1) In general.--A virtual home visit conducted before the
effective date of the amendments made by this section under an
early childhood home visitation program funded under section
511 of the Social Security Act shall be considered a home visit
for purposes of such section.
(2) Virtual home visit defined.--In paragraph (1), the term
``virtual home visit'' means a visit conducted solely by use of
electronic information and telecommunications technologies.
SEC. 9. EFFECTIVE DATE.
(a) In General.--Except as provided in subsection (b), this Act and
the amendments made by this Act shall take effect on October 1, 2022.
(b) Virtual Home Visiting Provisions.--The amendments made by
section 8 shall take effect on October 1, 2023.
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Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Committee Consideration and Mark-up Session Held.
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 41 - 0.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 117-559, Part I.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 117-559, Part I.
House Committee on Energy and Commerce Granted an extension for further consideration ending not later than Nov. 30, 2022.
Rules Committee Resolution H. Res. 1499 Reported to House. Rule provides for consideration of H.R. 3372, H.R. 6878, H.R. 8876 and H.J. Res. 100. The resolution provides for adoption of H. Res. 1495 and H. Con. Res. 118.
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Committee on Energy and Commerce discharged.
Committee on Energy and Commerce discharged.
Placed on the Union Calendar, Calendar No. 426.
Considered under the provisions of rule H. Res. 1499. (consideration: CR H8713-8721)
Rule provides for consideration of H.R. 3372, H.R. 6878, H.R. 8876 and H.J. Res. 100. The resolution provides for adoption of H. Res. 1495 and H. Con. Res. 118.
DEBATE - The House proceeded with one hour of debate on H.R. 8876.
The previous question was ordered pursuant to the rule.
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 390 - 26 (Roll no. 500).
Roll Call #500 (House)On passage Passed by the Yeas and Nays: 390 - 26 (Roll no. 500). (text: CR H8713-8715)
Roll Call #500 (House)Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate and Read twice and referred to the Committee on Finance.