---
kind: "section"
citation: "42 U.S.C. § 711"
title: "42"
title_heading: "The Public Health and Welfare"
number: "711"
heading: "Maternal, infant, and early childhood home visiting programs"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/711"
units:
  - "Chapter 7 — Social Security"
  - "Subchapter V — Maternal and Child Health Services Block Grant"
---

# §711. Maternal, infant, and early childhood home visiting programs

- (a) **Purposes—** The purposes of this section are—
  - (1) to strengthen and improve the programs and activities carried out under this subchapter;
  - (2) to improve coordination of services for at risk communities; and
  - (3) to identify and provide comprehensive services to improve outcomes for families who reside in at risk communities.
- (b) **Requirement for all States to assess statewide needs and identify at risk communities—**
  - (1) **In general—** Each [State](/usc/42/619.md?p=5) shall, as a condition of receiving payments from an allotment for the [State](/usc/42/619.md?p=5) under [section 702 of this title](/usc/42/702.md), conduct a statewide needs assessment (which may be separate from but in coordination with the statewide needs assessment required under [section 705(a) of this title](/usc/42/705.md?p=a) and which shall be reviewed and updated by the [State](/usc/42/619.md?p=5) not later than October 1, 2020) that identifies—
    - (A) communities with concentrations of—
      - (i) premature birth, low-birth weight infants, and infant mortality, [including](/usc/42/1301.md?p=b) infant death due to [neglect](/usc/42/1397j.md?p=16), or other indicators of at-risk prenatal, maternal, newborn, or [child](/usc/42/1382c.md?p=c) health;
      - (ii) poverty;
      - (iii) crime;
      - (iv) domestic violence;
      - (v) high rates of high-school drop-outs;
      - (vi) substance [abuse](/usc/42/1397j.md?p=1);
      - (vii) unemployment; or
      - (viii) [child](/usc/42/1382c.md?p=c) maltreatment;
    - (B) the quality and capacity of existing programs or initiatives for early childhood home visitation in the [State](/usc/42/619.md?p=5) [including](/usc/42/1301.md?p=b)—
      - (i) the number and types of individuals and families who are receiving services under such programs or initiatives;
      - (ii) the gaps in early childhood home visitation in the [State](/usc/42/619.md?p=5); and
      - (iii) the extent to which such programs or initiatives are meeting the needs of eligible families described in [subsection (l)(2)](#l-2); and
    - (C) the [State](/usc/42/619.md?p=5)’s capacity for providing substance [abuse](/usc/42/1397j.md?p=1) [treatment](/usc/42/11851.md?p=11) and counseling services to individuals and families in need of such [treatment](/usc/42/11851.md?p=11) or services.
  - (2) **Coordination with other assessments—** In conducting the statewide needs assessment required under [paragraph (1)](#b-1), the [State](/usc/42/619.md?p=5) shall coordinate with, and take into account, other appropriate needs assessments conducted by the [State](/usc/42/619.md?p=5), as determined by the [Secretary](/usc/42/1301.md?p=a-6), [including](/usc/42/1301.md?p=b) the needs assessment required under [section 705(a) of this title](/usc/42/705.md?p=a) (both the most recently completed assessment and any such assessment in progress), the communitywide strategic planning and needs assessments conducted in accordance with [section 9835(g)(1)(C) of this title](/usc/42/9835.md?p=g-1-C), and the inventory of current unmet needs and current community-based and prevention-focused programs and activities to prevent [child](/usc/42/1382c.md?p=c) [abuse](/usc/42/1397j.md?p=1) and [neglect](/usc/42/1397j.md?p=16), and other family resource services operating in the [State](/usc/42/619.md?p=5) required under [section 205(3)](/usc/42/205.md) of the [Child](/usc/42/1382c.md?p=c) [Abuse](/usc/42/1397j.md?p=1) Prevention and Treatment Act [[42 U.S.C. 5116d(3)](/usc/42/5116d.md?p=3)].
  - (3) **Submission to the Secretary—** Each [State](/usc/42/619.md?p=5) shall submit to the [Secretary](/usc/42/1301.md?p=a-6), in such form and manner as the [Secretary](/usc/42/1301.md?p=a-6) shall require—
    - (A) the results of the statewide needs assessment required under [paragraph (1)](#b-1); and
    - (B) a description of how the [State](/usc/42/619.md?p=5) intends to address needs identified by the assessment, particularly with respect to communities identified under [paragraph (1)(A)](#b-1-A), which may include applying for a [grant](/usc/42/1397j.md?p=10) to conduct an early childhood home visitation program in accordance with the requirements of this section.
- (c) **Grants for early childhood home visitation programs—**
  - (1) **Authority to make grants—** In addition to any other payments made under this subchapter to a [State](/usc/42/619.md?p=5), the [Secretary](/usc/42/1301.md?p=a-6) shall make [grants](/usc/42/1397j.md?p=10) to [eligible entities](/usc/42/1397j.md?p=7) to enable the entities to deliver services under early childhood home visitation programs that satisfy the requirements of [subsection (d)](#d) to eligible families in order to promote improvements in maternal and prenatal health, infant health, [child](/usc/42/1382c.md?p=c) health and development, parenting related to [child](/usc/42/1382c.md?p=c) development outcomes, school readiness, and the socioeconomic status of such families, and reductions in [child](/usc/42/1382c.md?p=c) [abuse](/usc/42/1397j.md?p=1), [neglect](/usc/42/1397j.md?p=16), and injuries.
  - (2) **Authority to use initial grant funds for planning or implementation—** An [eligible entity](/usc/42/1397j.md?p=7) that receives a [grant](/usc/42/1397j.md?p=10) under [paragraph (1)](#c-1) may use a portion of the funds made available to the entity during the first 6 months of the period for which the [grant](/usc/42/1397j.md?p=10) is made for planning or implementation activities to assist with the establishment of early childhood home visitation programs that satisfy the requirements of [subsection (d)](#d).
  - (3) **Authority to use grant for a pay for outcomes initiative—** An [eligible entity](/usc/42/1397j.md?p=7) to which a [grant](/usc/42/1397j.md?p=10) is made under [paragraph (1)](#c-1) may use up to 25 percent of the [grant](/usc/42/1397j.md?p=10) for outcomes or success payments related to a pay for outcomes initiative that will not result in a reduction of funding for services delivered by the entity under a childhood home visitation program under this section while the [eligible entity](/usc/42/1397j.md?p=7) develops or operates such an initiative.
  - (4) **Grant amounts—**
    - (A) **Base grants—**
      - (i) **In general—**
        - (I) **General rule—** With respect to each of [fiscal years](/usc/42/619.md?p=3) 2023 through 2027 for which an [eligible entity](/usc/42/1397j.md?p=7) not referred to in [subsection (k)(2)(A)](#k-2-A) is awarded a base [grant](/usc/42/1397j.md?p=10) under this section, the amount of the [grant](/usc/42/1397j.md?p=10) payable to the [eligible entity](/usc/42/1397j.md?p=7) for the [fiscal year](/usc/42/619.md?p=3) is the amount described by clause (ii) of this subparagraph with respect to the [eligible entity](/usc/42/1397j.md?p=7), except as provided in subclause (II) of this clause.
        - (II) **Substitution of successor eligible entity for predecessor—** If the 1st [fiscal year](/usc/42/619.md?p=3) for which an [eligible entity](/usc/42/1397j.md?p=7) is awarded a base [grant](/usc/42/1397j.md?p=10) under this section for a program operated in a [State](/usc/42/619.md?p=5) is among [fiscal years](/usc/42/619.md?p=3) 2024 through 2027, the amount described by [clause (ii)](#c-4-A-ii) with respect to the [eligible entity](/usc/42/1397j.md?p=7) is the amount of the base [grant](/usc/42/1397j.md?p=10) for which a program operated in the [State](/usc/42/619.md?p=5) was eligible under this subparagraph for [fiscal year](/usc/42/619.md?p=3) 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](/usc/42/1397j.md?p=7) is—
          - (aa) the amount made available under [subsection (k)](#k) for base [grants](/usc/42/1397j.md?p=10) for [fiscal year](/usc/42/619.md?p=3) 2023 that remains after making the reservations required by [subsection (k)(2)](#k-2) or any other reductions required by Federal law for [fiscal year](/usc/42/619.md?p=3) 2023; multiplied by
          - (bb) the percentage of children in all [States](/usc/42/619.md?p=5) who have not attained 5 years of age (as determined by the [Secretary](/usc/42/1301.md?p=a-6) on the basis of the data most recently available before [fiscal year](/usc/42/619.md?p=3) 2023) that is represented by the number of such children in the [State](/usc/42/619.md?p=5) in which the [eligible entity](/usc/42/1397j.md?p=7) 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](/usc/42/1397j.md?p=7) under [subclause (I)](#c-4-A-ii-I) for [fiscal year](/usc/42/619.md?p=3) 2023 is less than 90 percent, or greater than 110 percent, of the amount payable under this section to the [eligible entity](/usc/42/1397j.md?p=7) for the program for [fiscal year](/usc/42/619.md?p=3) 2021, the [Secretary](/usc/42/1301.md?p=a-6) 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)](#c-4-A-ii-I-aa) is different than the total of the amounts otherwise described by [subclause (I)](#c-4-A-ii-I) after applying [subclause (II)](#c-4-A-ii-II), the [Secretary](/usc/42/1301.md?p=a-6) shall increase or decrease the amounts otherwise so described after applying [subclause (II)](#c-4-A-ii-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](/usc/42/1397j.md?p=7) 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](/usc/42/619.md?p=3) 2024 through 2027 for which an [eligible entity](/usc/42/1397j.md?p=7) not referred to in [subsection (k)(2)(A)](#k-2-A) is awarded a [grant](/usc/42/1397j.md?p=10) under this section, the [Secretary](/usc/42/1301.md?p=a-6) shall increase the amount of the [grant](/usc/42/1397j.md?p=10) payable to the [eligible entity](/usc/42/1397j.md?p=7) for the [fiscal year](/usc/42/619.md?p=3) 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](/usc/42/1397j.md?p=7) for the [fiscal year](/usc/42/619.md?p=3) and the additional matching amount (if any) determined under clause (iii) of this subparagraph with respect to the [eligible entity](/usc/42/1397j.md?p=7) for the [fiscal year](/usc/42/619.md?p=3).
        - (II) **Matching amount—**
          - (aa) **In general—** Subject to item (bb) of this subclause, the matching amount with respect to an [eligible entity](/usc/42/1397j.md?p=7) for a [fiscal year](/usc/42/619.md?p=3) is 75 percent of the sum of—
            - (AA) the total amount obligated by the [eligible entity](/usc/42/1397j.md?p=7) for home visiting services in the [State](/usc/42/619.md?p=5) for the [fiscal year](/usc/42/619.md?p=3), from Federal funds made available for the [fiscal year](/usc/42/619.md?p=3) under this subparagraph; and
            - (BB) the total amount so obligated by the [eligible entity](/usc/42/1397j.md?p=7) from [non-Federal funds](/usc/42/629a.md?p=a-9), determined under [subclause (III)](#c-4-B-i-III).
          - (bb) **Limitation—** The matching amount with respect to an [eligible entity](/usc/42/1397j.md?p=7) for a [fiscal year](/usc/42/619.md?p=3) shall not exceed the allotment under [subclause (IV)](#c-4-B-i-IV) for the [State](/usc/42/619.md?p=5) in which the [eligible entity](/usc/42/1397j.md?p=7) is operating a program under this section for the [fiscal year](/usc/42/619.md?p=3).
        - (III) **Determination of obligations from non-Federal funds—** For purposes of this clause, the total amount obligated by an [eligible entity](/usc/42/1397j.md?p=7) from [non-Federal funds](/usc/42/629a.md?p=a-9) is the total of the amounts that are obligated by the [eligible entity](/usc/42/1397j.md?p=7) from non-Federal sources, to the extent that—
          - (aa) the services are delivered in compliance with subsections [(d)(2)](#d-2) and [(d)(3)](#d-3);
          - (bb) the [eligible entity](/usc/42/1397j.md?p=7) has reported the obligations to the [Secretary](/usc/42/1301.md?p=a-6); and
          - (cc) the amount is not counted toward meeting the maintenance of effort requirement in [subsection (f)](#f).
        - (IV) **State allotments—** The amount allotted under this subclause for a [State](/usc/42/619.md?p=5) in which an [eligible entity](/usc/42/1397j.md?p=7) is operating a program under this section for a [fiscal year](/usc/42/619.md?p=3) is—
          - (aa) the minimum matching [grant](/usc/42/1397j.md?p=10) [allocation](/usc/42/2021b.md?p=2) amount for the [fiscal year](/usc/42/619.md?p=3); plus
          - (bb)
            - (AA) the amount (if any) by which the amount made available under [subsection (k)](#k) for matching [grants](/usc/42/1397j.md?p=10) for the [fiscal year](/usc/42/619.md?p=3) that remains after making the reservations required by [subsection (k)(2)](#k-2) or any other reduction required by Federal law for the [fiscal year](/usc/42/619.md?p=3) exceeds the sum of the minimum matching [grant](/usc/42/1397j.md?p=10) [allocation](/usc/42/2021b.md?p=2) amounts for all [eligible entities](/usc/42/1397j.md?p=7) for the [fiscal year](/usc/42/619.md?p=3); multiplied by
            - (BB) the percentage of children in all [States](/usc/42/619.md?p=5) who have not attained 5 years of age and are members of families with income not exceeding the [poverty line](/usc/42/1397jj.md?p=c-5) (as determined by the [Secretary](/usc/42/1301.md?p=a-6) on the basis of the most recently available data) that is represented by the number of such children in the [State](/usc/42/619.md?p=5) (as so determined).
        - (V) **Minimum matching grant allocation amount—** Subject to [subclause (VI)](#c-4-B-i-VI), for purposes of [subclause (IV)](#c-4-B-i-IV), the minimum matching [grant](/usc/42/1397j.md?p=10) [allocation](/usc/42/2021b.md?p=2) amount for a [fiscal year](/usc/42/619.md?p=3) is—
          - (aa) in the case of [fiscal year](/usc/42/619.md?p=3) 2024, $776,000;
          - (bb) in the case of [fiscal year](/usc/42/619.md?p=3) 2025, $1,000,000;
          - (cc) in the case of [fiscal year](/usc/42/619.md?p=3) 2026, $1,500,000; and
          - (dd) in the case of [fiscal year](/usc/42/619.md?p=3) 2027, $2,000,000.
        - (VI) **Special rule—** If, after making any reductions otherwise required by law for a [fiscal year](/usc/42/619.md?p=3), the amount made available for matching [grants](/usc/42/1397j.md?p=10) under this clause for the [fiscal year](/usc/42/619.md?p=3) is insufficient to provide the minimum matching [grant](/usc/42/1397j.md?p=10) [allocation](/usc/42/2021b.md?p=2) amount to each [eligible entity](/usc/42/1397j.md?p=7) operating a program under this section for the [fiscal year](/usc/42/619.md?p=3), the [Secretary](/usc/42/1301.md?p=a-6) may make a proportionate adjustment to the minimum matching [grant](/usc/42/1397j.md?p=10) [allocation](/usc/42/2021b.md?p=2) amount for the [fiscal year](/usc/42/619.md?p=3) to accommodate the reductions.
      - (ii) **Submission of statement expressing interest in additional matching funds if available—** Before the beginning of a [fiscal year](/usc/42/619.md?p=3) for which an [eligible entity](/usc/42/1397j.md?p=7) desires a matching [grant](/usc/42/1397j.md?p=10) under this subparagraph for a program operated under this section, the [eligible entity](/usc/42/1397j.md?p=7) shall submit to the [Secretary](/usc/42/1301.md?p=a-6) a statement as to whether the [eligible entity](/usc/42/1397j.md?p=7) desires additional matching [grant](/usc/42/1397j.md?p=10) funds that may be made available under [clause (iii)](#c-4-B-iii) for the [fiscal year](/usc/42/619.md?p=3).
      - (iii) **Carryover and reallocation of unobligated funds—**
        - (I) **In general—** If the [Secretary](/usc/42/1301.md?p=a-6) determines that an amount allotted under clause (i)(IV) of this subparagraph for a [fiscal year](/usc/42/619.md?p=3) will not be awarded during the [fiscal year](/usc/42/619.md?p=3), or that an amount made available under [subsection (k)(1)](#k-1) for a [fiscal year](/usc/42/619.md?p=3) for matching [grants](/usc/42/1397j.md?p=10) will not be obligated by an [eligible entity](/usc/42/1397j.md?p=7) for the [fiscal year](/usc/42/619.md?p=3), the amount shall be available for matching [grants](/usc/42/1397j.md?p=10) under this subparagraph for the succeeding [fiscal year](/usc/42/619.md?p=3) for [eligible entities](/usc/42/1397j.md?p=7) that have made submissions under clause (ii) of this subparagraph for additional matching [grant](/usc/42/1397j.md?p=10) funds from the amount.
        - (II) **State allotments—** The [Secretary](/usc/42/1301.md?p=a-6) shall allot to each [eligible entity](/usc/42/1397j.md?p=7) that has made such a submission for a [fiscal year](/usc/42/619.md?p=3)—
          - (aa) the total amount (if any) made available under [subclause (I)](#c-4-B-iii-I) for the [fiscal year](/usc/42/619.md?p=3); 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](/usc/42/1397jj.md?p=c-5) (as determined by the [Secretary](/usc/42/1301.md?p=a-6) on the basis of the most recently available data) in all of the [States](/usc/42/619.md?p=5) in which any [eligible entity](/usc/42/1397j.md?p=7) that has made such a submission is so operating a program, that is represented by the number of such children in the [State](/usc/42/619.md?p=5) (as so determined) in which the [eligible entity](/usc/42/1397j.md?p=7) is operating such a program.
        - (III) **Additional matching amount—**
          - (aa) **In general—** Subject to [item (bb)](#c-4-B-iii-bb) of this subclause, the additional matching amount with respect to an [eligible entity](/usc/42/1397j.md?p=7) for a [fiscal year](/usc/42/619.md?p=3) is 75 percent of the sum of—
            - (AA) the total amount obligated by the [eligible entity](/usc/42/1397j.md?p=7) for home visiting services in the [State](/usc/42/619.md?p=5) for the [fiscal year](/usc/42/619.md?p=3), from Federal funds made available for the [fiscal year](/usc/42/619.md?p=3) under this subparagraph; and
            - (BB) the total amount so obligated by the [eligible entity](/usc/42/1397j.md?p=7) from [non-Federal funds](/usc/42/629a.md?p=a-9), determined under [clause (i)(III)](#c-4-B-i-III),

        that are not taken into account in determining the matching amount with respect to the [eligible entity](/usc/42/1397j.md?p=7) under [clause (i)](#c-4-B-i).

        - (bb) **Limitation—** The additional matching amount with respect to an [eligible entity](/usc/42/1397j.md?p=7) for a [fiscal year](/usc/42/619.md?p=3) shall not exceed the allotment under [subclause (II)](#c-4-B-iii-II) for the [State](/usc/42/619.md?p=5) in which the [eligible entity](/usc/42/1397j.md?p=7) is operating a program under this section for the [fiscal year](/usc/42/619.md?p=3).
  - (5) **Technical assistance—** The [Secretary](/usc/42/1301.md?p=a-6) shall provide an [eligible entity](/usc/42/1397j.md?p=7) that receives a [grant](/usc/42/1397j.md?p=10) under [paragraph (1)](#c-1) with technical assistance in administering programs or activities conducted in whole or in part with [grant](/usc/42/1397j.md?p=10) funds.
- (d) **Requirements—** The requirements of this subsection for an early childhood home visitation program conducted with a [grant](/usc/42/1397j.md?p=10) made under this section are as follows:
  - (1) **Quantifiable, measurable improvement in benchmark areas related to individual family outcomes—**
    - (A) **In general—** The [eligible entity](/usc/42/1397j.md?p=7) establishes, subject to the approval of the [Secretary](/usc/42/1301.md?p=a-6), quantifiable, measurable 3- and 5-year benchmarks for demonstrating that the program results in improvements for the eligible families participating in the program in the following areas:
      - (i) Improved maternal and newborn health.
      - (ii) Prevention of [child](/usc/42/1382c.md?p=c) injuries, [child](/usc/42/1382c.md?p=c) [abuse](/usc/42/1397j.md?p=1), [neglect](/usc/42/1397j.md?p=16), or maltreatment, and reduction of emergency department visits.
      - (iii) Improvement in school readiness and achievement.
      - (iv) Reduction in crime or domestic violence.
      - (v) Improvements in family economic self-sufficiency.
      - (vi) Improvements in the coordination and referrals for other community resources and supports.
    - (B) **Outcomes dashboards—** The [Secretary](/usc/42/1301.md?p=a-6) shall, directly or by [grant](/usc/42/1397j.md?p=10) or contract, establish and operate a website accessible to the public that [includes](/usc/42/1301.md?p=b) an annually updated dashboard that—
      - (i) provides easy-to-understand information on the outcomes achieved by each [eligible entity](/usc/42/1397j.md?p=7) with respect to each of the benchmarks described in subparagraph (A) of this paragraph that apply to the [eligible entity](/usc/42/1397j.md?p=7), which shall be based on only the data elements or types of data collected before December 29, 2022, unless administering [agencies](/usc/42/1397n–12.md?p=1) and the [Secretary](/usc/42/1301.md?p=a-6) agree pursuant to [subsection (h)(6)](#h-6) that additional data is required;
      - (ii) [includes](/usc/42/1301.md?p=b) a template provided by the [Secretary](/usc/42/1301.md?p=a-6) that will enable comparison among [eligible entities](/usc/42/1397j.md?p=7) not referred to in [subsection (k)(2)(A)](#k-2-A) of—
        - (I) a profile of each [eligible entity](/usc/42/1397j.md?p=7) showing outcome indicators and how the outcomes compare to benchmarks described in [subclause (II)](#d-1-B-ii-II);
        - (II) information on the outcome indicators and requisite outcome levels established for each [eligible entity](/usc/42/1397j.md?p=7);
        - (III) information on each model employed in the program operated by each [eligible entity](/usc/42/1397j.md?p=7), and regarding each benchmark area described in [subsection (d)(1)(A)](#d-1-A) in which the model used by the [eligible entity](/usc/42/1397j.md?p=7) 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](/usc/42/619.md?p=5) needs assessment under [subsection (b)(1)](#b-1); and
        - (VI) information regarding any penalty imposed, or other corrective action taken, by the [Secretary](/usc/42/1301.md?p=a-6) against a [State](/usc/42/619.md?p=5) 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](/usc/42/1397j.md?p=7) 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](/usc/42/1301.md?p=b) information relating to those [eligible entities](/usc/42/1397j.md?p=7) for which funding is reserved under [subsection (k)(2)(A)](#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.
    - (C) **Demonstration of improvements after 3 years—**
      - (i) **Report to the Secretary—** Not later than 30 days after the end of the 3rd year in which the [eligible entity](/usc/42/1397j.md?p=7) conducts the program, the entity submits to the [Secretary](/usc/42/1301.md?p=a-6) a report demonstrating improvement in at least 4 of the areas specified in [subparagraph (A)](#d-1-A).
      - (ii) **Corrective action plan—** If the report submitted by the [eligible entity](/usc/42/1397j.md?p=7) under [clause (i)](#d-1-C-i) fails to demonstrate improvement in at least 4 of the areas specified in [subparagraph (A)](#d-1-A), the entity shall develop and implement a plan to improve outcomes in each of the areas specified in [subparagraph (A)](#d-1-A), subject to approval by the [Secretary](/usc/42/1301.md?p=a-6). The plan shall include provisions for the [Secretary](/usc/42/1301.md?p=a-6) to monitor implementation of the plan and conduct continued oversight of the program, [including](/usc/42/1301.md?p=b) through submission by the entity of regular reports to the [Secretary](/usc/42/1301.md?p=a-6).
      - (iii) **Technical assistance—**
        - (I) **In general—** The [Secretary](/usc/42/1301.md?p=a-6) shall provide an [eligible entity](/usc/42/1397j.md?p=7) required to develop and implement an improvement plan under [clause (ii)](#d-1-C-ii) with technical assistance to develop and implement the plan. The [Secretary](/usc/42/1301.md?p=a-6) may provide the technical assistance directly or through [grants](/usc/42/1397j.md?p=10), contracts, or cooperative agreements.
        - (II) **Advisory panel—** The [Secretary](/usc/42/1301.md?p=a-6) shall establish an advisory panel for purposes of obtaining recommendations regarding the technical assistance provided to entities in accordance with [subclause (I)](#d-1-C-iii-I).
      - (iv) **No improvement or failure to submit report—** If the [Secretary](/usc/42/1301.md?p=a-6) determines after a period of time specified by the [Secretary](/usc/42/1301.md?p=a-6) that an [eligible entity](/usc/42/1397j.md?p=7) implementing an improvement plan under [clause (ii)](#d-1-C-ii) has failed to demonstrate any improvement in the areas specified in [subparagraph (A)](#d-1-A), or if the [Secretary](/usc/42/1301.md?p=a-6) determines that an [eligible entity](/usc/42/1397j.md?p=7) has failed to submit the report required under [clause (i)](#d-1-C-i), the [Secretary](/usc/42/1301.md?p=a-6) shall terminate the entity’s [grant](/usc/42/1397j.md?p=10) and may include any unexpended [grant](/usc/42/1397j.md?p=10) funds in [grants](/usc/42/1397j.md?p=10) made to [nonprofit](/usc/42/300s–3.md?p=3) organizations under [subsection (h)(2)(B)](#h-2-B).
    - (D) **Final report—** Not later than December 31, 2015, the [eligible entity](/usc/42/1397j.md?p=7) shall submit a report to the [Secretary](/usc/42/1301.md?p=a-6) demonstrating improvements (if any) in each of the areas specified in [subparagraph (A)](#d-1-A).
    - (E) **Demonstration of improvements in subsequent years—**
      - (i) **Continued measurement of improvement in applicable benchmark areas—** The [eligible entity](/usc/42/1397j.md?p=7), after demonstrating improvements for eligible families as specified in subparagraphs [(A)](#d-1-A) and [(C)](#d-1-C), shall continue to track and report, not later than 30 days after the end of [fiscal year](/usc/42/619.md?p=3) 2020 and every 3 years thereafter, information demonstrating that the program results in improvements for the eligible families participating in the program in at least 4 of the areas specified in [subparagraph (A)](#d-1-A) that the service delivery model or models selected by the entity are intended to improve.
      - (ii) **Corrective action plan—** If the [eligible entity](/usc/42/1397j.md?p=7) fails to demonstrate improvement in at least 4 of the areas specified in [subparagraph (A)](#d-1-A), as compared to eligible families who do not receive services under an early childhood home visitation program, the entity shall develop and implement a plan to improve outcomes in each of the areas specified in [subparagraph (A)](#d-1-A) that the service delivery model or models selected by the entity are intended to improve, subject to approval by the [Secretary](/usc/42/1301.md?p=a-6). The plan shall include provisions for the [Secretary](/usc/42/1301.md?p=a-6) to monitor implementation of the plan and conduct continued oversight of the program, [including](/usc/42/1301.md?p=b) through submission by the entity of regular reports to the [Secretary](/usc/42/1301.md?p=a-6).
      - (iii) **Technical assistance—** The [Secretary](/usc/42/1301.md?p=a-6) shall provide an [eligible entity](/usc/42/1397j.md?p=7) required to develop and implement an improvement plan under [clause (ii)](#d-1-E-ii) with technical assistance to develop and implement the plan. The [Secretary](/usc/42/1301.md?p=a-6) may provide the technical assistance directly or through [grants](/usc/42/1397j.md?p=10), contracts, or cooperative agreements.
      - (iv) **No improvement or failure to submit report—** If the [Secretary](/usc/42/1301.md?p=a-6) determines after a period of time specified by the [Secretary](/usc/42/1301.md?p=a-6) that an [eligible entity](/usc/42/1397j.md?p=7) implementing an improvement plan under [clause (ii)](#d-1-E-ii) has failed to demonstrate any improvement in at least 4 of the areas specified in [subparagraph (A)](#d-1-A), or if the [Secretary](/usc/42/1301.md?p=a-6) determines that an [eligible entity](/usc/42/1397j.md?p=7) has failed to submit the report required by [clause (i)](#d-1-E-i), the [Secretary](/usc/42/1301.md?p=a-6) shall terminate the [grant](/usc/42/1397j.md?p=10) made to the entity under this section and may include any unexpended [grant](/usc/42/1397j.md?p=10) funds in [grants](/usc/42/1397j.md?p=10) made to [nonprofit](/usc/42/300s–3.md?p=3) organizations under [subsection (h)(2)(B)](#h-2-B).
  - (2) **Improvements in outcomes for individual families—**
    - (A) **In general—** The program is designed, with respect to an eligible family participating in the program, to result in the participant outcomes described in [subparagraph (B)](#d-2-B) that the [eligible entity](/usc/42/1397j.md?p=7) identifies on the basis of an individualized assessment of the family, are relevant for that family.
    - (B) **Participant outcomes—** The participant outcomes described in this subparagraph are the following:
      - (i) Improvements in prenatal, maternal, and newborn health, [including](/usc/42/1301.md?p=b) improved pregnancy outcomes[^1]
      - (ii) Improvements in [child](/usc/42/1382c.md?p=c) health and development, [including](/usc/42/1301.md?p=b) the prevention of [child](/usc/42/1382c.md?p=c) injuries and maltreatment and improvements in cognitive, language, [social](/usc/42/1397j.md?p=20)-emotional, and physical developmental indicators.
      - (iii) Improvements in parenting skills.
      - (iv) Improvements in school readiness and [child](/usc/42/1382c.md?p=c) academic achievement.
      - (v) Reductions in crime or domestic violence.
      - (vi) Improvements in family economic self-sufficiency.
      - (vii) Improvements in the coordination of referrals for, and the provision of, other community resources and supports for eligible families, consistent with [State](/usc/42/619.md?p=5) [child](/usc/42/1382c.md?p=c) welfare [agency](/usc/42/1397n–12.md?p=1) training.
  - (3) **Core components—** The program [includes](/usc/42/1301.md?p=b) the following core components:
    - (A) **Service delivery model or models—**
      - (i) **In general—** Subject to [clause (ii)](#d-3-A-ii), the program is conducted using 1 or more of the service delivery models described in item [(aa)](#d-3-A-i-I-aa) or [(bb)](#d-3-A-i-I-bb) of subclause (I) or in [subclause (II)](#d-3-A-i-II) selected by the [eligible entity](/usc/42/1397j.md?p=7):
        - (I) The model conforms to a clear consistent home visitation model that has been in existence for at least 3 years and is research-based, grounded in relevant empirically-based knowledge, linked to program determined outcomes, associated with a national organization or [institution of higher education](/usc/42/11851.md?p=7) that has comprehensive home visitation program [standards](/usc/42/1320d.md?p=7) that ensure high quality service delivery and continuous program quality improvement, and has demonstrated significant,[^2] (and in the case of the service delivery model described in [item (aa)](#d-3-A-i-I-aa), sustained) positive outcomes, as described in the benchmark areas specified in [paragraph (1)(A)](#d-1-A) and the participant outcomes described in [paragraph (2)(B)](#d-2-B), when evaluated using well-designed and rigorous—
          - (aa) randomized controlled research designs, and the evaluation results have been published in a peer-reviewed journal; or
          - (bb) quasi-experimental research designs.
        - (II) The model conforms to a promising and new approach to achieving the benchmark areas specified in [paragraph (1)(A)](#d-1-A) and the participant outcomes described in [paragraph (2)(B)](#d-2-B), has been developed or identified by a national organization or [institution of higher education](/usc/42/11851.md?p=7), and will be evaluated through well-designed and rigorous process.
      - (ii) **Majority of grant funds used for evidence-based models—** An [eligible entity](/usc/42/1397j.md?p=7) shall use not more than 25 percent of the amount of the [grant](/usc/42/1397j.md?p=10) paid to the entity for a [fiscal year](/usc/42/619.md?p=3) for purposes of conducting a program using the service delivery model described in [clause (i)(II)](#d-3-A-i-II).
      - (iii) **Criteria for evidence of effectiveness of models—** The [Secretary](/usc/42/1301.md?p=a-6) shall establish criteria for evidence of effectiveness of the service delivery models and shall ensure that the process for establishing the criteria is transparent and provides the opportunity for public comment.
    - (B) **Use of grant to provide or support targeted, intensive home visiting services—** The program uses the [grant](/usc/42/1397j.md?p=10) to provide or support targeted, intensive home visiting services for the populations described in [paragraph (5)](#d-5).
    - (C) **Additional requirements—**
      - (i) The program adheres to a clear, consistent model that satisfies the requirements of being grounded in empirically-based knowledge related to home visiting and linked to the benchmark areas specified in [paragraph (1)(A)](#d-1-A) and the participant outcomes described in [paragraph (2)(B)](#d-2-B) related to the purposes of the program.
      - (ii) The program employs well-trained and competent staff, as demonstrated by education or training, such as nurses, [social](/usc/42/1397j.md?p=20) workers, educators, [child](/usc/42/1382c.md?p=c) development specialists, or other well-trained and competent staff, and provides ongoing and specific training on the model being delivered.
      - (iii) The program maintains high quality supervision to establish home visitor competencies.
      - (iv) The program demonstrates strong organizational capacity to implement the activities involved.
      - (v) The program establishes appropriate linkages and referral networks to other community resources and supports for eligible families.
      - (vi) The program monitors the fidelity of program implementation to ensure that services are delivered pursuant to the specified model.
      - (vii) If the application submitted by the [eligible entity](/usc/42/1397j.md?p=7) [includes](/usc/42/1301.md?p=b) the assurance described in [subsection (e)(10)(C)](#e-10-C) with respect to the program, the program provides in-[person](/usc/42/1301.md?p=a-3) service consistent with the assurances.
  - (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](/usc/42/1301.md?p=b) the material described in [subsection (e)(10)](#e-10).
    - (B) **Standards for training applicable to virtual service delivery—** The [standards](/usc/42/1320d.md?p=7) for training requirements applicable to virtual service delivery under a home visiting model shall be equivalent to those that apply to in-[person](/usc/42/1301.md?p=a-3) service delivery under the model.
    - (C) **Reporting requirement—** A [grant](/usc/42/1397j.md?p=10) made under this section for the program may not be used for any virtual home visit during a year, unless the [eligible entity](/usc/42/1397j.md?p=7) to which the [grant](/usc/42/1397j.md?p=10) is made submits the report described in [subsection (e)(8)(A)](#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](/usc/42/1301.md?p=a-6) finds that an [eligible entity](/usc/42/1397j.md?p=7) has not complied with the assurance described in [subsection (e)(10)(C)](#e-10-C), the [Secretary](/usc/42/1301.md?p=a-6) shall, directly or through [grants](/usc/42/1397j.md?p=10), contracts, or cooperative agreements, provide the [eligible entity](/usc/42/1397j.md?p=7) with such technical assistance as is necessary to assist the [eligible entity](/usc/42/1397j.md?p=7) in doing so.
  - (5) **Priority for serving high-risk populations—** The [eligible entity](/usc/42/1397j.md?p=7) gives priority to providing services under the program to the following:
    - (A) Eligible families who reside in communities in need of such services, as identified in the statewide needs assessment required under [subsection (b)(1)(A)](#b-1-A), taking into account the staffing, community resource, and other requirements to operate at least one approved model of home visiting and demonstrate improvements for eligible families.
    - (B) Low-income eligible families.
    - (C) Eligible families who are pregnant women who have not attained age 21.
    - (D) Eligible families that have a history of [child](/usc/42/1382c.md?p=c) [abuse](/usc/42/1397j.md?p=1) or [neglect](/usc/42/1397j.md?p=16) or have had interactions with [child](/usc/42/1382c.md?p=c) welfare services.
    - (E) Eligible families that have a history of substance [abuse](/usc/42/1397j.md?p=1) or need substance [abuse](/usc/42/1397j.md?p=1) [treatment](/usc/42/11851.md?p=11).
    - (F) Eligible families that have users of tobacco products in the home.
    - (G) Eligible families that are or have children with low student achievement.
    - (H) Eligible families with children with developmental delays or disabilities.
    - (I) Eligible families who, or that include individuals who, are serving or formerly served in the Armed Forces, [including](/usc/42/1301.md?p=b) such families that have members of the Armed Forces who have had multiple deployments outside of the [United States](/usc/42/1301.md?p=a-2).
  - (6) **Limitation on use of funds for administrative costs—**
    - (A) **In general—** Except as provided in subparagraph (B) of this paragraph, an [eligible entity](/usc/42/1397j.md?p=7) to which funds are provided under subsection [(c)](#c) or [(h)(2)(B)](#h-2-B) shall not use more than 10 percent of the funds to cover the costs of [administration](/usc/42/1301.md?p=a-10).
    - (B) **Authority to grant exceptions—**
      - (i) **In general—** The [Secretary](/usc/42/1301.md?p=a-6) may authorize an [eligible entity](/usc/42/1397j.md?p=7) that meets a condition of clause (ii) of this subparagraph to exceed the percentage limitation in [subparagraph (A)](#d-6-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](/usc/42/1301.md?p=a-6) deems appropriate.
      - (ii) **Conditions—** An [eligible entity](/usc/42/1397j.md?p=7) meets a condition of this clause if the [eligible entity](/usc/42/1397j.md?p=7)—
        - (I) conducts the program by directly providing home visits to eligible families and without a sub-recipient;
        - (II) in the [fiscal year](/usc/42/619.md?p=3) for which the [grant](/usc/42/1397j.md?p=10) 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)](#b) and in which home visiting services are not provided; or
        - (III) has conducted the program for fewer than 3 years.
- (e) **Application requirements—** An [eligible entity](/usc/42/1397j.md?p=7) desiring a [grant](/usc/42/1397j.md?p=10) under this section shall submit an application to the [Secretary](/usc/42/1301.md?p=a-6) for approval, in such manner as the [Secretary](/usc/42/1301.md?p=a-6) may require, that [includes](/usc/42/1301.md?p=b) the following:
  - (1) A description of the populations to be served by the entity, [including](/usc/42/1301.md?p=b) specific information regarding how the entity will serve high risk populations described in [subsection (d)(4)](#d-4).
  - (2) An assurance that the entity will give priority to serving low-income eligible families and eligible families who reside in at risk communities identified in the statewide needs assessment required under [subsection (b)(1)(A)](#b-1-A).
  - (3) The service delivery model or models described in [subsection (d)(3)(A)](#d-3-A) that the entity will use under the program and the basis for the selection of the model or models.
  - (4) A statement identifying how the selection of the populations to be served and the service delivery model or models that the entity will use under the program for such populations is consistent with the results of the statewide needs assessment conducted under [subsection (b)](#b).
  - (5) The quantifiable, measurable benchmarks established by the [State](/usc/42/619.md?p=5) to demonstrate that the program contributes to improvements in the areas specified in [subsection (d)(1)(A)](#d-1-A) that the service delivery model or models selected by the entity are intended to improve.
  - (6) An assurance that the entity will obtain and submit documentation or other appropriate evidence from the organization or entity that developed the service delivery model or models used under the program to verify that the program is implemented and services are delivered according to the model specifications.
  - (7) Assurances that the entity will establish procedures to ensure that—
    - (A) the participation of each eligible family in the program is voluntary; and
    - (B) services are provided to an eligible family in accordance with the individual assessment for that family.
  - (8) Assurances that the entity will—
    - (A) submit annual reports to the [Secretary](/usc/42/1301.md?p=a-6) regarding the program and activities carried out under the program that include such information and data as the [Secretary](/usc/42/1301.md?p=a-6) shall require, [including](/usc/42/1301.md?p=b) 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; and
    - (B) participate in, and cooperate with, data and information collection necessary for the evaluation required under [subsection (g)(2)](#g-2) and other research and evaluation activities carried out under [subsection (h)(3)](#h-3).
  - (9) A description of other [State](/usc/42/619.md?p=5) programs that include home visitation services, [including](/usc/42/1301.md?p=b), if applicable to the [State](/usc/42/619.md?p=5), other programs carried out under this subchapter with funds made available from allotments under [section 702(c) of this title](/usc/42/702.md?p=c), programs funded under subchapter IV, title II of the [Child](/usc/42/1382c.md?p=c) [Abuse](/usc/42/1397j.md?p=1) Prevention and Treatment Act [[42 U.S.C. 5116](/usc/42/5116.md) et seq.] (relating to community-based [grants](/usc/42/1397j.md?p=10) for the prevention of [child](/usc/42/1382c.md?p=c) [abuse](/usc/42/1397j.md?p=1) and [neglect](/usc/42/1397j.md?p=16)), and [section 9840a of this title](/usc/42/9840a.md) (relating to Early Head Start programs).
  - (10) At the option of the [eligible entity](/usc/42/1397j.md?p=7)—
    - (A) a description of any limitations or constraints on virtual home visits under the program, [including](/usc/42/1301.md?p=b)—
      - (i) a description of the plan of the [eligible entity](/usc/42/1397j.md?p=7) to encourage in-[person](/usc/42/1301.md?p=a-3) home visits; and
      - (ii) a description of the considerations to be used in determining when a virtual home visit is appropriate, [including](/usc/42/1301.md?p=b) client consent, client preference, geographic limitations, model fidelity, and hazardous conditions [including](/usc/42/1301.md?p=b) 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](/usc/42/1301.md?p=a-6) 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)](#d-3-A-iii); and
    - (C) an assurance to the [Secretary](/usc/42/1301.md?p=a-6) that at least 1 in-[person](/usc/42/1301.md?p=a-3) 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](/usc/42/619.md?p=5) in which the program is conducted, is in effect shall be extended by the length of time in which the declaration is in effect.
  - (11) Other information as required by the [Secretary](/usc/42/1301.md?p=a-6).
- (f) **Maintenance of effort—**
  - (1) **In general—** Notwithstanding any other provision of this section, the [Secretary](/usc/42/1301.md?p=a-6) may not make a [grant](/usc/42/1397j.md?p=10) to an [eligible entity](/usc/42/1397j.md?p=7) under this section for a [fiscal year](/usc/42/619.md?p=3) if the total amount of [non-Federal funds](/usc/42/629a.md?p=a-9) obligated by the [eligible entity](/usc/42/1397j.md?p=7) in the [State](/usc/42/619.md?p=5) in the [fiscal year](/usc/42/619.md?p=3) for a program operated pursuant to this section is less than the total amount of [non-Federal funds](/usc/42/629a.md?p=a-9) reported to have been expended by any [eligible entity](/usc/42/1397j.md?p=7) for such a program in the [State](/usc/42/619.md?p=5) in [fiscal year](/usc/42/619.md?p=3) 2019 or 2021, whichever is the lesser.
  - (2) **Publication of amounts—** Not later than June 30, 2023, the [Secretary](/usc/42/1301.md?p=a-6) shall cause to have published in the Federal Register the amount of [non-Federal funds](/usc/42/629a.md?p=a-9) expended as described in this section that has been reported by each [eligible entity](/usc/42/1397j.md?p=7) not referred to in [subsection (k)(2)(A)](#k-2-A) for each of [fiscal years](/usc/42/619.md?p=3) 2019 and 2021.
  - (3) **Grace period—** The [Secretary](/usc/42/1301.md?p=a-6) may, in exceptional circumstances, allow an [eligible entity](/usc/42/1397j.md?p=7) a period to come into compliance with this subsection. The [Secretary](/usc/42/1301.md?p=a-6) shall provide technical assistance to any [eligible entity](/usc/42/1397j.md?p=7) to assist the entity in doing so.
- (g) **Evaluation—**
  - (1) **Independent, expert advisory panel—** The [Secretary](/usc/42/1301.md?p=a-6), in accordance with [subsection (h)(1)(A)](#h-1-A), shall appoint an independent advisory panel consisting of experts in program evaluation and research, education, and early childhood development—
    - (A) to review, and make recommendations on, the design and plan for the evaluation required under [paragraph (2)](#g-2) within 1 year after March 23, 2010;
    - (B) to maintain and advise the [Secretary](/usc/42/1301.md?p=a-6) regarding the progress of the evaluation; and
    - (C) to comment, if the panel so desires, on the report submitted under [paragraph (3)](#g-3).
  - (2) **Authority to conduct evaluation—** On the basis of the recommendations of the advisory panel under [paragraph (1)](#g-1), the [Secretary](/usc/42/1301.md?p=a-6) shall, by [grant](/usc/42/1397j.md?p=10), contract, or interagency agreement, conduct an evaluation of the statewide needs assessments submitted under [subsection (b)](#b) and the [grants](/usc/42/1397j.md?p=10) made under subsections [(c)](#c) and [(h)(3)(B)](#h-3-B). The evaluation shall include—
    - (A) an analysis, on a [State](/usc/42/619.md?p=5)-by-[State](/usc/42/619.md?p=5) basis, of the results of such assessments, [including](/usc/42/1301.md?p=b) indicators of maternal and prenatal health and infant health and mortality, and [State](/usc/42/619.md?p=5) actions in response to the assessments; and
    - (B) an assessment of—
      - (i) the effect of early childhood home visitation programs on [child](/usc/42/1382c.md?p=c) and parent outcomes, [including](/usc/42/1301.md?p=b) with respect to each of the benchmark areas specified in [subsection (d)(1)(A)](#d-1-A) and the participant outcomes described in [subsection (d)(2)(B)](#d-2-B);
      - (ii) the effectiveness of such programs on different populations, [including](/usc/42/1301.md?p=b) the extent to which the ability of programs to improve participant outcomes varies across programs and populations; and
      - (iii) the potential for the activities conducted under such programs, if scaled broadly, to improve health care [practices](/usc/42/17061.md?p=19), eliminate health disparities, and improve health care system quality, efficiencies, and reduce costs.
  - (3) **Report—** Not later than March 31, 2015, the [Secretary](/usc/42/1301.md?p=a-6) shall submit a report to Congress on the results of the evaluation conducted under [paragraph (2)](#g-2) and shall make the report publicly available.
- (h) **Other provisions—**
  - (1) **Intra-agency collaboration—** The [Secretary](/usc/42/1301.md?p=a-6) shall ensure that the Maternal and [Child](/usc/42/1382c.md?p=c) Health Bureau and the [Administration](/usc/42/1301.md?p=a-10) for Children and Families collaborate with respect to carrying out this section, [including](/usc/42/1301.md?p=b) with respect to—
    - (A) reviewing and analyzing the statewide needs assessments required under [subsection (b)](#b), the awarding and oversight of [grants](/usc/42/1397j.md?p=10) awarded under this section, the establishment of the advisory panels required under subsections (d)(1)(B)(iii)(II) and [(g)(1)](#g-1), and the evaluation and report required under [subsection (g)](#g); and
    - (B) consulting with other Federal [agencies](/usc/42/1397n–12.md?p=1) with responsibility for administering or evaluating programs that serve eligible families to coordinate and collaborate with respect to research related to such programs and families, [including](/usc/42/1301.md?p=b) the Office of the Assistant [Secretary](/usc/42/1301.md?p=a-6) for Planning and Evaluation of the Department of Health and Human Services, the Centers for Disease Control and Prevention, the National Institute of [Child](/usc/42/1382c.md?p=c) Health and Human Development of the National Institutes of Health, the Office of Juvenile Justice and Delinquency Prevention of the Department of Justice, and the Institute of Education Sciences of the Department of Education.
  - (2) **Grants to eligible entities that are not States—**
    - (A) **Indian Tribes, Tribal Organizations, or Urban Indian Organizations—** The [Secretary](/usc/42/1301.md?p=a-6) shall specify requirements for [eligible entities](/usc/42/1397j.md?p=7) that are [Indian Tribes](/usc/42/619.md?p=4-A) (or a [consortium](/usc/42/17061.md?p=4) of [Indian Tribes](/usc/42/619.md?p=4-A)), [Tribal Organizations](/usc/42/619.md?p=4-A), or Urban [Indian](/usc/42/619.md?p=4-A) Organizations to apply for and conduct an early childhood home visitation program with a [grant](/usc/42/1397j.md?p=10) under this section. Such requirements shall, to the greatest extent practicable, be consistent with the requirements applicable to [eligible entities](/usc/42/1397j.md?p=7) that are [States](/usc/42/619.md?p=5) and shall require an [Indian Tribe](/usc/42/619.md?p=4-A) (or [consortium](/usc/42/17061.md?p=4)), [Tribal Organization](/usc/42/619.md?p=4-A), or Urban [Indian](/usc/42/619.md?p=4-A) Organization to—
      - (i) conduct a needs assessment similar to the assessment required for all [States](/usc/42/619.md?p=5) under [subsection (b)](#b); and
      - (ii) establish quantifiable, measurable 3- and 5-year benchmarks consistent with [subsection (d)(1)(A)](#d-1-A).
    - (B) **Nonprofit organizations—** If, as of the beginning of [fiscal year](/usc/42/619.md?p=3) 2012, a [State](/usc/42/619.md?p=5) has not applied or been approved for a [grant](/usc/42/1397j.md?p=10) under this section, the [Secretary](/usc/42/1301.md?p=a-6) may use amounts appropriated under [paragraph (1)](#k-1) of subsection (k) that are available for expenditure under [paragraph (3)](#h-3) of that subsection to make a [grant](/usc/42/1397j.md?p=10) to an [eligible entity](/usc/42/1397j.md?p=7) that is a [nonprofit](/usc/42/300s–3.md?p=3) organization described in [subsection (l)(1)(B)](#l-1-B) to conduct an early childhood home visitation program in the [State](/usc/42/619.md?p=5). The [Secretary](/usc/42/1301.md?p=a-6) shall specify the requirements for such an organization to apply for and conduct the program which shall, to the greatest extent practicable, be consistent with the requirements applicable to [eligible entities](/usc/42/1397j.md?p=7) that are [States](/usc/42/619.md?p=5) and shall require the organization to—
      - (i) carry out the program based on the needs assessment conducted by the [State](/usc/42/619.md?p=5) under [subsection (b)](#b); and
      - (ii) establish quantifiable, measurable 3- and 5-year benchmarks consistent with [subsection (d)(1)(A)](#d-1-A).
  - (3) **Research and other evaluation activities—**
    - (A) **In general—** The [Secretary](/usc/42/1301.md?p=a-6) shall carry out a continuous program of research and evaluation activities in order to increase knowledge about the implementation and effectiveness of home visiting programs, using random assignment designs to the maximum extent feasible. The [Secretary](/usc/42/1301.md?p=a-6) may carry out such activities directly, or through [grants](/usc/42/1397j.md?p=10), cooperative agreements, or contracts.
    - (B) **Requirements—** The [Secretary](/usc/42/1301.md?p=a-6) shall ensure that—
      - (i) evaluation of a specific program or [project](/usc/42/13641.md?p=2) is conducted by [persons](/usc/42/1301.md?p=a-3) or individuals not directly involved in the operation of such program or [project](/usc/42/13641.md?p=2); and
      - (ii) the conduct of research and evaluation activities [includes](/usc/42/1301.md?p=b) consultation with independent researchers, [State](/usc/42/619.md?p=5) officials, and developers and providers of home visiting programs on topics [including](/usc/42/1301.md?p=b) research design and administrative data matching.
  - (4) **Report and recommendation—** Not later than December 31, 2015, the [Secretary](/usc/42/1301.md?p=a-6) shall submit a report to Congress regarding the programs conducted with [grants](/usc/42/1397j.md?p=10) under this section. The report required under this paragraph shall include—
    - (A) information regarding the extent to which [eligible entities](/usc/42/1397j.md?p=7) receiving [grants](/usc/42/1397j.md?p=10) under this section demonstrated improvements in the areas specified in [subsection (d)(1)(A)](#d-1-A);
    - (B) information regarding any technical assistance provided under subsection (d)(1)(B)(iii)(I), [including](/usc/42/1301.md?p=b) the type of any such assistance provided; and
    - (C) recommendations for such legislative or administrative action as the [Secretary](/usc/42/1301.md?p=a-6) determines appropriate.
  - (5) **Data exchange standards for improved interoperability—**
    - (A) **Designation and use of data exchange standards—**
      - (i) **Designation—** The head of the department or [agency](/usc/42/1397n–12.md?p=1) responsible for administering a program funded under this section shall, in consultation with an interagency work group established by the Office of Management and Budget and considering [State](/usc/42/619.md?p=5) government perspectives, designate data exchange [standards](/usc/42/1320d.md?p=7) for necessary categories of information that a [State agency](/usc/42/629a.md?p=a-3) operating the program is required to electronically exchange with another [State agency](/usc/42/629a.md?p=a-3) under applicable Federal law.
      - (ii) **Data exchange standards must be nonproprietary and interoperable—** The data exchange [standards](/usc/42/1320d.md?p=7) designated under [clause (i)](#h-5-A-i) shall, to the extent practicable, be nonproprietary and interoperable.
      - (iii) **Other requirements—** In designating data exchange [standards](/usc/42/1320d.md?p=7) under this paragraph, the [Secretary](/usc/42/1301.md?p=a-6) shall, to the extent practicable, incorporate—
        - (I) interoperable [standards](/usc/42/1320d.md?p=7) developed and maintained by an international voluntary consensus [standards](/usc/42/1320d.md?p=7) body, as defined by the Office of Management and Budget;
        - (II) interoperable [standards](/usc/42/1320d.md?p=7) developed and maintained by intergovernmental partnerships, such as the National Information Exchange Model; and
        - (III) interoperable [standards](/usc/42/1320d.md?p=7) developed and maintained by Federal entities with authority over contracting and financial assistance.
    - (B) **Data exchange standards for Federal reporting—**
      - (i) **Designation—** The head of the department or [agency](/usc/42/1397n–12.md?p=1) responsible for administering a program referred to in this section shall, in consultation with an interagency work group established by the Office of Management and Budget, and considering [State](/usc/42/619.md?p=5) government perspectives, designate data exchange [standards](/usc/42/1320d.md?p=7) to govern Federal reporting and exchange requirements under applicable Federal law.
      - (ii) **Requirements—** The data exchange reporting [standards](/usc/42/1320d.md?p=7) required by [clause (i)](#h-5-B-i) shall, to the extent practicable—
        - (I) incorporate a widely accepted, nonproprietary, searchable, computer-readable format;
        - (II) be consistent with and implement applicable accounting principles;
        - (III) be implemented in a manner that is cost-effective and improves program efficiency and effectiveness; and
        - (IV) be capable of being continually upgraded as necessary.
      - (iii) **Incorporation of nonproprietary standards—** In designating data exchange [standards](/usc/42/1320d.md?p=7) under this paragraph, the [Secretary](/usc/42/1301.md?p=a-6) shall, to the extent practicable, incorporate existing nonproprietary [standards](/usc/42/1320d.md?p=7), such as the eXtensible Mark up Language.
      - (iv) **Rule of construction—** Nothing in this paragraph shall be construed to require a change to existing data exchange [standards](/usc/42/1320d.md?p=7) for Federal reporting about a program referred to in this section, if the head of the department or [agency](/usc/42/1397n–12.md?p=1) responsible for administering the program finds the [standards](/usc/42/1320d.md?p=7) to be effective and efficient.
  - (6) **Reduction of administrative burden—**
    - (A) **In general—** The [Secretary](/usc/42/1301.md?p=a-6) shall reduce the burden, on [States](/usc/42/619.md?p=5) and public and private implementing [agencies](/usc/42/1397n–12.md?p=1) 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](/usc/42/619.md?p=5), [eligible entities](/usc/42/1397j.md?p=7) referred to in [subsection (k)(2)(A)](#k-2-A), and [nonprofit](/usc/42/300s–3.md?p=3) organizations referred to in [subsection (l)(1)(B)](#l-1-B), [including](/usc/42/1301.md?p=b) timelines for submitting reports;
      - (ii) conducting an analysis of the total number of hours reported by administering [agencies](/usc/42/1397n–12.md?p=1) on complying with paperwork requirements, and exploring, in consultation with administering [agencies](/usc/42/1397n–12.md?p=1), 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](/usc/42/619.md?p=4-A), ways to reduce administrative burden, respect sovereignty, and acknowledge the different focus points for tribal grantees;
      - (iv) collecting input from relevant [State](/usc/42/619.md?p=5) fiscal officials to align fiscal requirements and oversight for [States](/usc/42/619.md?p=5) and [eligible entities](/usc/42/1397j.md?p=7) to ensure consistency with [standards](/usc/42/1320d.md?p=7) and guidelines for other Federal formula [grant](/usc/42/1397j.md?p=10) programs; and
      - (v) consulting with administering [agencies](/usc/42/1397n–12.md?p=1) and service delivery model representatives on needed and unneeded data elements regarding the dashboards provided for in [subsection (d)(1)(B)](#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)](#j) more than 18 months after December 29, 2022, the [Secretary](/usc/42/1301.md?p=a-6) shall include the findings of the [Secretary](/usc/42/1301.md?p=a-6) with respect to the matters described in [subparagraph (A)](#h-6-A).
      - (ii) **Implementation—** Within 2 years after complying with [clause (i)](#h-6-B-i), the [Secretary](/usc/42/1301.md?p=a-6) shall implement the findings referred to in [clause (i)](#h-6-B-i).
- (i) **Application of other provisions of subchapter—**
  - (1) **In general—** Except as provided in [paragraph (2)](#i-2), the other provisions of this subchapter shall not apply to a [grant](/usc/42/1397j.md?p=10) made under this section.
  - (2) **Exceptions—** The following provisions of this subchapter shall apply to a [grant](/usc/42/1397j.md?p=10) made under this section to the same extent and in the same manner as such provisions apply to allotments made under [section 702(c) of this title](/usc/42/702.md?p=c):
    - (A) [Section 704(b)(6) of this title](/usc/42/704.md?p=b-6) (relating to prohibition on payments to excluded individuals and entities).
    - (B) [Section 704(c) of this title](/usc/42/704.md?p=c) (relating to the use of funds for the purchase of technical assistance).
    - (C) [Section 706 of this title](/usc/42/706.md) (relating to reports and audits), but only to the extent determined by the [Secretary](/usc/42/1301.md?p=a-6) to be appropriate for [grants](/usc/42/1397j.md?p=10) made under this section.
    - (D) [Section 707 of this title](/usc/42/707.md) (relating to penalties for false statements).
    - (E) [Section 708 of this title](/usc/42/708.md) (relating to nondiscrimination).
    - (F) [Section 709(a) of this title](/usc/42/709.md?p=a) (relating to the [administration](/usc/42/1301.md?p=a-10) of the [grant](/usc/42/1397j.md?p=10) program).
- (j) **Annual report to Congress—** By December 31, 2023, and annually thereafter, the [Secretary](/usc/42/1301.md?p=a-6) shall submit to the Congress a written report on the [grants](/usc/42/1397j.md?p=10) made under this section for the then preceding [fiscal year](/usc/42/619.md?p=3), which shall include—
  - (1) an [eligible entity](/usc/42/1397j.md?p=7)-by-[eligible entity](/usc/42/1397j.md?p=7) summary of the outcomes measured by the entity with respect to each benchmark described in [subsection (e)(5)](#e-5) that apply to the entity;
  - (2) information regarding any technical assistance funded under subparagraph [(B)](#k-2-B) or [(C)](#k-2-C) of subsection (k)(2), [including](/usc/42/1301.md?p=b) 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](/usc/42/1301.md?p=b) race, ethnicity, educational attainment at enrollment, household income, and other demographic markers as determined by the [Secretary](/usc/42/1301.md?p=a-6);
  - (4) the information described in [subsection (d)(1)(E)](#d-1-E);
  - (5) the estimated share of the eligible population served using [grants](/usc/42/1397j.md?p=10) made under this section;
  - (6) a description of each service delivery model funded under this section by the [eligible entities](/usc/42/1397j.md?p=7) in each [State](/usc/42/619.md?p=5), and the share (if any) of the [grants](/usc/42/1397j.md?p=10) expended on each model;
  - (7) a description of non-Federal expenditures by [eligible entities](/usc/42/1397j.md?p=7) to qualify for matching funds under [subsection (c)(4)](#c-4);
  - (8) information on the uses of funds reserved under [subsection (k)(2)(C)](#k-2-C);
  - (9) information relating to those [eligible entities](/usc/42/1397j.md?p=7) for which funding is reserved under [subsection (k)(2)(A)](#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](/usc/42/1397j.md?p=7), and the purpose of each data element in measuring performance or enforcing requirements under this section.
- (k) **Appropriations—**
  - (1) **In general—** Out of any funds in the Treasury not otherwise appropriated, there are appropriated to the [Secretary](/usc/42/1301.md?p=a-6) to carry out this section—
    - (A) for [fiscal year](/usc/42/619.md?p=3) 2023, $500,000,000 for base [grants](/usc/42/1397j.md?p=10);
    - (B) for [fiscal year](/usc/42/619.md?p=3) 2024, $550,000,000, of which $500,000,000 shall be for base [grants](/usc/42/1397j.md?p=10) and $50,000,000 shall be for matching [grants](/usc/42/1397j.md?p=10);
    - (C) for [fiscal year](/usc/42/619.md?p=3) 2025, $600,000,000, of which $500,000,000 shall be for base [grants](/usc/42/1397j.md?p=10) and $100,000,000 shall be for matching [grants](/usc/42/1397j.md?p=10);
    - (D) for [fiscal year](/usc/42/619.md?p=3) 2026, $650,000,000, of which $500,000,000 shall be for base [grants](/usc/42/1397j.md?p=10) and $150,000,000 shall be for matching [grants](/usc/42/1397j.md?p=10); and
    - (E) for [fiscal year](/usc/42/619.md?p=3) 2027, $800,000,000, of which $500,000,000 shall be for base [grants](/usc/42/1397j.md?p=10) and $300,000,000 shall be for matching [grants](/usc/42/1397j.md?p=10).
  - (2) **Reservations—** Of each amount made available for base [grants](/usc/42/1397j.md?p=10) and each amount made available for matching [grants](/usc/42/1397j.md?p=10) appropriated under this subsection for a [fiscal year](/usc/42/619.md?p=3) (or portion of a [fiscal year](/usc/42/619.md?p=3)), the [Secretary](/usc/42/1301.md?p=a-6) shall reserve—
    - (A) 6 percent of such amount for purposes of making and administering [grants](/usc/42/1397j.md?p=10) to [eligible entities](/usc/42/1397j.md?p=7) that are [Indian Tribes](/usc/42/619.md?p=4-A) (or a [consortium](/usc/42/17061.md?p=4) of [Indian Tribes](/usc/42/619.md?p=4-A)), [Tribal Organizations](/usc/42/619.md?p=4-A), or Urban [Indian](/usc/42/619.md?p=4-A) Organizations;
    - (B) 2 percent of such amount for purposes of providing technical assistance, directly or through [grants](/usc/42/1397j.md?p=10) or contracts—
      - (i) for purposes as otherwise described in subsections [(c)(5)](#c-5), [(d)(1)(C)(iii)](#d-1-C-iii), [(d)(1)(E)(iii)](#d-1-E-iii), and [(d)(4)(E)](#d-4-E); and
      - (ii) to entities referred to in subparagraph (A) of this paragraph;
    - (C) 2 percent of such amount for purposes of the provision of workforce support, retention, and case management, [including](/usc/42/1301.md?p=b) workforce-related technical assistance, to [eligible entities](/usc/42/1397j.md?p=7), research and evaluation, and program [administration](/usc/42/1301.md?p=a-10), directly or through [grants](/usc/42/1397j.md?p=10) or contracts, of which the [Secretary](/usc/42/1301.md?p=a-6) shall use not more than $1,500,000 to establish and operate the Jackie Walorski Center for Evidence-Based Case Management; and
    - (D) 3 percent of such amount for purposes of research and evaluation (directly or through [grants](/usc/42/1397j.md?p=10) or contracts), and for administering this section (directly, through contracts, or otherwise).
  - (3) **Availability—**
    - (A) **In general—** Except as provided in [subparagraph (B)](#k-3-B), funds made available to an [eligible entity](/usc/42/1397j.md?p=7) under this section for a [fiscal year](/usc/42/619.md?p=3) (or portion of a [fiscal year](/usc/42/619.md?p=3)) shall remain available for expenditure by the [eligible entity](/usc/42/1397j.md?p=7) through the end of the second succeeding [fiscal year](/usc/42/619.md?p=3) after award. Any funds that are not expended by the [eligible entity](/usc/42/1397j.md?p=7) during the period in which the funds are available under the preceding sentence may be used for [grants](/usc/42/1397j.md?p=10) to [nonprofit](/usc/42/300s–3.md?p=3) organizations under [subsection (h)(2)(B)](#h-2-B).
    - (B) **Funds for pay for outcomes initiatives—** Funds made available to an [eligible entity](/usc/42/1397j.md?p=7) under this section for a [fiscal year](/usc/42/619.md?p=3) (or portion of a [fiscal year](/usc/42/619.md?p=3)) for a pay for outcomes initiative shall remain available for expenditure by the [eligible entity](/usc/42/1397j.md?p=7) for not more than 10 years after the funds are so made available.
  - (4) **Allocation of funds—** To the extent that the [grant](/usc/42/1397j.md?p=10) amount awarded under this section to an [eligible entity](/usc/42/1397j.md?p=7) is determined on the basis of relative population or poverty considerations, the [Secretary](/usc/42/1301.md?p=a-6) shall make the determination using the most accurate Federal data available for the [eligible entity](/usc/42/1397j.md?p=7).
  - (5) **Disposition of excess funds reserved for research, evaluation, and administration—** To the extent that the amounts reserved under [paragraph (2)(D)](#k-2-D) for a [fiscal year](/usc/42/619.md?p=3) are not obligated in the [fiscal year](/usc/42/619.md?p=3), the [Secretary](/usc/42/1301.md?p=a-6) 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.
- (l) **Definitions—** In this section:
  - (1) **Eligible entity—**
    - (A) **In general—** The term “[eligible entity](/usc/42/1397j.md?p=7)” means a [State](/usc/42/619.md?p=5), an [Indian Tribe](/usc/42/619.md?p=4-A), [Tribal Organization](/usc/42/619.md?p=4-A), or Urban [Indian](/usc/42/619.md?p=4-A) Organization, Puerto Rico, Guam, the Virgin Islands, the Northern Mariana Islands, and American Samoa.
    - (B) **Nonprofit organizations—** Only for purposes of awarding [grants](/usc/42/1397j.md?p=10) under [subsection (h)(2)(B)](#h-2-B), such term shall include a [nonprofit](/usc/42/300s–3.md?p=3) organization with an established record of providing early childhood home visitation programs or initiatives in a [State](/usc/42/619.md?p=5) or several [States](/usc/42/619.md?p=5).
  - (2) **Eligible family—** The term “eligible family” means—
    - (A) a woman who is pregnant, and the father of the [child](/usc/42/1382c.md?p=c) if the father is available; or
    - (B) a parent or primary [caregiver](/usc/42/1397j.md?p=3) of a [child](/usc/42/1382c.md?p=c), [including](/usc/42/1301.md?p=b) grandparents or other relatives of the [child](/usc/42/1382c.md?p=c), and foster parents, who are serving as the [child](/usc/42/1382c.md?p=c)’s primary [caregiver](/usc/42/1397j.md?p=3) from birth to kindergarten entry, and [including](/usc/42/1301.md?p=b) a noncustodial parent who has an ongoing relationship with, and at times provides physical care for, the [child](/usc/42/1382c.md?p=c).
  - (3) **Indian Tribe; Tribal Organization—** The terms “[Indian Tribe](/usc/42/619.md?p=4-A)” and “[Tribal Organization](/usc/42/619.md?p=4-A)”, and “Urban [Indian](/usc/42/619.md?p=4-A) Organization” have the meanings given such terms in [section 1603 of title 25](/usc/25/1603.md).
  - (4) **Pay for outcomes initiative—** The term “pay for outcomes initiative” means a performance-based [grant](/usc/42/1397j.md?p=10), contract, cooperative agreement, or other agreement awarded by a public entity in which a commitment is made to pay for improved outcomes achieved as a result of the [intervention](/usc/42/1397n–12.md?p=2) that result in [social](/usc/42/1397j.md?p=20) benefit and direct cost savings or cost avoidance to the public sector. Such an initiative shall include—
    - (A) a feasibility study that describes how the proposed [intervention](/usc/42/1397n–12.md?p=2) is based on evidence of effectiveness;
    - (B) a rigorous, third-party evaluation that uses experimental or quasi-experimental design or other research methodologies that allow for the strongest possible causal inferences to determine whether the initiative has met its proposed outcomes as a result of the [intervention](/usc/42/1397n–12.md?p=2);
    - (C) an annual, publicly available report on the progress of the initiative; and
    - (D) a requirement that payments are made to the recipient of a [grant](/usc/42/1397j.md?p=10), contract, or cooperative agreement only when agreed upon outcomes are achieved, except that this requirement shall not apply with respect to payments to a third party conducting the evaluation described in [subparagraph (B)](#l-4-B).

## Footnotes

[^1]: So in original. Probably should be followed by a period.
[^2]: So in original. The comma probably should not appear.

## Source credit

(Aug. 14, 1935, ch. 531, title V, § 511, as added Pub. L. 111–148, title II, § 2951, Mar. 23, 2010, 124 Stat. 334; amended Pub. L. 113–93, title II, § 209, Apr. 1, 2014, 128 Stat. 1046; Pub. L. 114–10, title II, § 218, Apr. 16, 2015, 129 Stat. 153; Pub. L. 115–123, div. E, title VI, §§ 50601–50606(a), 50607, Feb. 9, 2018, 132 Stat. 228–231; Pub. L. 117–328, div. FF, title VI, § 6101(b)–(c)(3)(A), (c)(4)–(f)(2)(A), (g), (h)(1), Dec. 29, 2022, 136 Stat. 5953–5962.)

## Notes

### Editorial Notes

### References in Text

The effective date of this paragraph, referred to in subsec. (d)(4)(A), is Oct. 1, 2023, see section 6101(i)(2) of Pub. L. 117–328, set out as an Effective Date of 2022 Amendment note below.

The Child Abuse Prevention and Treatment Act, referred to in subsec. (e)(9), is Pub. L. 93–247, Jan. 31, 1974, 88 Stat. 4. Title II of the Act is classified generally to subchapter III (§ 5116 et seq.) of chapter 67 of this title. For complete classification of this Act to the Code, see Short Title note set out under section 5101 of this title and Tables.

### Codification

December 29, 2022, referred to in subsecs. (d)(1)(B)(i) and (h)(6)(B)(i), was in the original “the date of the enactment of this section” and “the date of the enactment of this Act”, respectively, and in both cases the quoted language was translated as meaning the date of enactment of Pub. L. 117–328, which added subsecs. (d)(1)(B) and (h)(6), to reflect the probable intent of Congress.

### Prior Provisions

A prior section 711, act Aug. 14, 1935, ch. 531, title V, § 511, as added Jan. 2, 1968, Pub. L. 90–248, title III, § 301, 81 Stat. 927, which related to training of personnel for health care and related services for mothers and children, was omitted in the general revision of this subchapter by Pub. L. 97–35, title XXI, § 2192(a), Aug. 13, 1981, 95 Stat. 818.

Another prior section 711, acts Aug. 14, 1935, ch. 531, title V, § 511, 49 Stat. 631; Aug. 10, 1939, ch. 666, title V, § 504, 53 Stat. 1380; 1946 Reorg. Plan No. 2, § 1, eff. July 16, 1946, 11 F.R. 7873, 60 Stat. 1095; Aug. 10, 1946, ch. 951, title IV, § 401(b)(4), 60 Stat. 986; Aug. 28, 1950, ch. 809, title III, pt. 3, § 331(c), pt. 6, § 361(e), 64 Stat. 551, 558; Aug. 28, 1958, Pub. L. 85–840, title VI, § 603(a), 72 Stat. 1055; Sept. 13, 1960, Pub. L. 86–778, title VII, § 707(a)(2)(A), 74 Stat. 995; Oct. 24, 1963, Pub. L. 88–156, § 3(a), 77 Stat. 273; July 30, 1965, Pub. L. 89–97, title II, § 202(a), 79 Stat. 353, authorized appropriations, for services for crippled children, of $25,000,000, $30,000,000, $35,000,000, $45,000,000, $50,000,000, $55,000,000, and $60,000,000 for fiscal years ending June 30, 1963, 1964, 1965, 1966, 1967, 1968, 1969, 1970 and thereafter respectively, prior to the general amendment of title V of the Social Security Act by Pub. L. 90–248, § 301, and was covered by former section 701 of this title.

Provisions similar to those comprising former section 711 were contained in section 516 of act Aug. 14, 1935, ch. 531, title V, as added July 30, 1965, Pub. L. 89–97, title II, § 203(a), 79 Stat. 353 (formerly classified to section 716 of this title), prior to the general amendment and renumbering of title V of act Aug. 14, 1935, by Pub. L. 90–248, § 301.

### Amendments

2022—Subsec. (b)(1)(B)(iii). Pub. L. 117–328, § 6101(f)(2)(A)(i), substituted “subsection (l)(2)” for “subsection (k)(2)”.

Subsec. (c)(4). Pub. L. 117–328, § 6101(c)(1)(A), amended par. (4) generally. Prior to amendment, text read as follows: “The Secretary shall determine the period of years for which a grant is made to an eligible entity under paragraph (1).”

Subsec. (d)(1). Pub. L. 117–328, § 6101(b)(1), substituted “benchmark areas related to individual family outcomes” for “benchmark areas” in heading.

Subsec. (d)(1)(B), (C). Pub. L. 117–328, § 6101(b)(3), added subpar. (B) and redesignated former subpar. (B) as (C). Former subpar. (C) redesignated (D).

Subsec. (d)(1)(D). Pub. L. 117–328, § 6101(b)(3), redesignated subpar. (C) as (D). Former par. (D) redesignated (E).

Subsec. (d)(1)(D)(i). Pub. L. 117–328, § 6101(b)(2), substituted “(C)” for “(B)”.

Subsec. (d)(1)(E). Pub. L. 117–328, § 6101(b)(3), redesignated subpar. (D) as (E).

Subsec. (d)(3)(B). Pub. L. 117–328, § 6101(d), added subpar. (B). Former subpar. (B) redesignated (C).

Subsec. (d)(3)(C). Pub. L. 117–328, § 6101(d), redesignated subpar. (B) as (C).

Subsec. (d)(3)(C)(vii). Pub. L. 117–328, § 6101(h)(1)(C), added cl. (vii).

Subsec. (d)(4). Pub. L. 117–328, § 6101(h)(1)(B), added par. (4). Former par. (4) redesignated (5).

Subsec. (d)(5). Pub. L. 117–328, § 6101(h)(1)(B), redesignated par. (4) as (5). Former par. (5) redesignated (6).

Pub. L. 117–328, § 6101(e)(1), added par. (5).

Subsec. (d)(6). Pub. L. 117–328, § 6101(h)(1)(B), redesignated par. (5) as (6).

Subsec. (e)(8)(A). Pub. L. 117–328, § 6101(h)(1)(D), inserted “, 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 semicolon.

Subsec. (e)(10), (11). Pub. L. 117–328, § 6101(h)(1)(A), added par. (10) and redesignated former par. (10) as (11).

Subsec. (f). Pub. L. 117–328, § 6101(c)(1)(B), amended subsec. (f) generally. Prior to amendment, text read as follows: “Funds provided to an eligible entity receiving a grant under this section shall supplement, and not supplant, funds from other sources for early childhood home visitation programs or initiatives.”

Subsec. (h)(2)(B). Pub. L. 117–328, § 6101(f)(2)(A)(ii), substituted “subsection (k)” for “subsection (j)” and “subsection (l)(1)(B)” for “subsection (k)(1)(B)” in introductory provisions.

Subsec. (h)(6). Pub. L. 117–328, § 6101(g), added par. (6).

Subsec. (i)(2)(C) to (G). Pub. L. 117–328, § 6101(e)(2), redesignated subpars. (D) to (G) as (C) to (F), respectively, and struck out former subpar. (C) which read as follows: “Section 704(d) of this title (relating to a limitation on administrative expenditures).”

Subsec. (j). Pub. L. 117–328, § 6101(f)(1), added subsec. (j). Former subsec. (j) redesignated (k).

Subsec. (j)(1). Pub. L. 117–328, § 6101(c)(3)(A), added subpars. (A) to (E) and struck out former subpars. (A) to (H) which read as follows:

“(A) $100,000,000 for fiscal year 2010;

“(B) $250,000,000 for fiscal year 2011;

“(C) $350,000,000 for fiscal year 2012;

“(D) $400,000,000 for fiscal year 2013;

“(E) $400,000,000 for fiscal year 2014;

“(F) for fiscal year 2015, $400,000,000;

“(G) for fiscal year 2016, $400,000,000; and

“(H) for each of fiscal years 2017 through 2022, $400,000,000.”

Subsec. (j)(2). Pub. L. 117–328, § 6101(c)(2)(A), substituted “each amount made available for base grants and each amount made available for matching grants” for “the amount” in introductory provisions.

Subsec. (j)(2)(A). Pub. L. 117–328, § 6101(c)(2)(B), substituted “6” for “3”, inserted “and administering” before “grants”, and struck out “and” at end.

Subsec. (j)(2)(B) to (D). Pub. L. 117–328, § 6101(c)(2)(C), added subpars. (B) to (D) and struck out former subpar. (B) which read as follows: “3 percent of such amount for purposes of carrying out subsections (d)(1)(B)(iii), (g), and (h)(3).”

Subsec. (j)(5). Pub. L. 117–328, § 6101(c)(4), added par. (5).

Subsecs. (k), (l). Pub. L. 117–328, § 6101(f)(1), redesignated subsecs. (j) and (k) as (k) and (l), respectively.

2018—Subsec. (b)(1). Pub. L. 115–123, § 50603, in introductory provisions, substituted “Each State shall, as a condition of receiving payments from an allotment for the State under section 702 of this title, conduct a statewide needs assessment (which may be separate from but in coordination with the statewide needs assessment required under section 705(a) of this title and which shall be reviewed and updated by the State not later than October 1, 2020)” for “Not later than 6 months after March 23, 2010, each State shall, as a condition of receiving payments from an allotment for the State under section 702 of this title for fiscal year 2011, conduct a statewide needs assessment (which shall be separate from the statewide needs assessment required under section 705(a) of this title)”.

Subsec. (c)(3) to (5). Pub. L. 115–123, § 50605(a), added par. (3) and redesignated former pars. (3) and (4) as (4) and (5), respectively.

Subsec. (d)(1)(A). Pub. L. 115–123, § 50602(a), struck out “each of” before “the following areas” in introductory provisions.

Subsec. (d)(1)(D). Pub. L. 115–123, § 50602(b), added subpar. (D).

Subsec. (d)(4)(A). Pub. L. 115–123, § 50604, inserted “, taking into account the staffing, community resource, and other requirements to operate at least one approved model of home visiting and demonstrate improvements for eligible families” before period at end.

Subsec. (e)(5). Pub. L. 115–123, § 50602(c), inserted “that the service delivery model or models selected by the entity are intended to improve” before period at end.

Subsec. (h)(4)(A). Pub. L. 115–123, § 50602(a), struck out “each of” before “the areas”.

Subsec. (h)(5). Pub. L. 115–123, § 50606(a), added par. (5).

Subsec. (j)(1)(H). Pub. L. 115–123, § 50601, substituted “each of fiscal years 2017 through 2022” for “fiscal year 2017”.

Subsec. (j)(3). Pub. L. 115–123, § 50605(c), designated existing provisions as subpar. (A) and inserted heading, substituted “Except as provided in subparagraph (B), funds” for “Funds”, and added subpar. (B).

Subsec. (j)(4). Pub. L. 115–123, § 50607, added par. (4).

Subsec. (k)(4). Pub. L. 115–123, § 50605(b), added par. (4).

2015—Subsec. (j)(1)(F) to (H). Pub. L. 114–10 substituted “for fiscal year 2015, $400,000,000;” for “for the period beginning on October 1, 2014, and ending on March 31, 2015, an amount equal to the amount provided in subparagraph (E).” in subpar. (F) and added subpars. (G) and (H).

2014—Subsec. (j)(1)(F). Pub. L. 113–93, § 209(1), added subpar. (F).

Subsec. (j)(2), (3). Pub. L. 113–93, § 209(2), inserted “(or portion of a fiscal year)” after “for a fiscal year”.

### Statutory Notes and Related Subsidiaries

### Effective Date of 2022 Amendment

Pub. L. 117–328, div. FF, title VI, § 6101(i), Dec. 29, 2022, 136 Stat. 5964, provided that: In general.—Except as provided in paragraph (2), this section [amending this section and section 711a of this title and enacting provisions set out as notes under this section and section 1305 of this title] and the amendments made by this section shall take effect on October 1, 2022. Virtual home visiting provisions.—The amendments made by subsection (h) [amending this section] shall take effect on October 1, 2023.”

### Effective Date of 2018 Amendment

Pub. L. 115–123, div. E, title VI, § 50606(b), Feb. 9, 2018, 132 Stat. 231, provided that: “The amendment made by subsection (a) [amending this section] shall take effect on the date that is 2 years after the date of enactment of this Act [Feb. 9, 2018].”

### Transition Rule

Pub. L. 117–328, div. FF, title VI, § 6101(h)(2), Dec. 29, 2022, 136 Stat. 5964, provided that: In general.—A virtual home visit conducted before the effective date of the amendments made by this subsection [Oct. 1, 2023] under an early childhood home visitation program funded under section 511 of the Social Security Act [42 U.S.C. 711] shall be considered a home visit for purposes of such section. Virtual home visit defined.—In subparagraph (A), the term ‘virtual home visit’ means a visit conducted solely by use of electronic information and telecommunications technologies.”

### Allowing Home Visiting Programs To Continue Serving Families Safely

Pub. L. 116–260, div. X, § 10, Dec. 27, 2020, 134 Stat. 2416, provided that: In General.—For purposes of section 511 of the Social Security Act [42 U.S.C. 711], during the COVID–19 public health emergency period— a virtual home visit shall be considered a home visit; funding for, and staffing levels of, a program conducted pursuant to such section shall not be reduced on account of reduced enrollment in the program; and funds provided for such a program may be used— to train home visitors in conducting a virtual home visit and in emergency preparedness and response planning for families served, and may include training on how to safely conduct intimate partner violence screenings remotely, training on safety and planning for families served; for the acquisition by families enrolled in the program of such technological means as are needed to conduct and support a virtual home visit; and to provide emergency supplies to families served, regardless of whether the provision of such supplies is within the scope of the approved program, such as diapers, formula, non-perishable food, water, hand soap, and hand sanitizer. Virtual Home Visit Defined.—In subsection (a), the term ‘virtual home visit’ means a home visit, as described in an applicable service delivery model, that is conducted solely by the use of electronic information and telecommunications technologies.Authority to Delay Deadlines.— In general.—The Secretary may extend the deadline by which a requirement of section 511 of the Social Security Act must be met, by such period of time as the Secretary deems appropriate, taking into consideration the impact of the COVID–19 public health emergency on eligible entity home visiting programs and the impact of families enrolled in home visiting programs. The Secretary may delay the deadline for submission, waive performance measures, or allow for alternative data sources to be used to show improvement in performance in the manner provided in section 511(d)(1) of such Act. Delay of deadline for statewide needs assessment.—The Secretary may delay the October 1, 2020, deadline for reviewing and updating any needs assessment required by section 511(b)(1) or 511(h)(2)(A) of the Social Security Act, but any such delay shall not affect the timing for, or amount of, any payment to the State involved from the fiscal year allotments available to the State under section 502(c) of such Act [42 U.S.C. 702(c)]. Guidance.—The Secretary shall provide to eligible entities funded under section 511 of the Social Security Act information on the parameters used in extending a deadline under paragraph (1) or (2) of this subsection. Timely Release of Title V Funds.—The authorities provided in this section shall not be interpreted to authorize or require any delay in the timely release of funds under title V of the Social Security Act [42 U.S.C. 701 et seq.].”

[For definitions of terms used in section 10 of div. X of Pub. L. 116–260, set out above, see section 2 of div. X of Pub. L. 116–260, set out as a note under section 629h of this title.]