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                                 SENATE AMENDED
        PRIOR PRINTER'S NOS. 633, 3555                PRINTER'S NO. 3732

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 200 Session of 2005


        INTRODUCED BY MUNDY, BROWNE, BEBKO-JONES, BELARDI, BELFANTI,
           BISHOP, BLACKWELL, BLAUM, BUNT, CALTAGIRONE, CAWLEY,
           CORRIGAN, CRAHALLA, CURRY, DALEY, DALLY, DeWEESE, FABRIZIO,
           FLICK, FRANKEL, FREEMAN, GERGELY, GOODMAN, GRUCELA, GRUITZA,
           HARHAI, HERMAN, JAMES, JOSEPHS, W. KELLER, LaGROTTA, LEACH,
           MACKERETH, MANDERINO, MANN, MARKOSEK, McCALL, NAILOR,
           PALLONE, PETRARCA, PISTELLA, READSHAW, REICHLEY, ROEBUCK,
           ROSS, SAINATO, SAMUELSON, SANTONI, SEMMEL, SHANER, SOLOBAY,
           STABACK, STAIRS, STETLER, STURLA, SURRA, THOMAS, TIGUE,
           WALKO, WANSACZ, WHEATLEY, YOUNGBLOOD, YUDICHAK, TRUE, VEON,
           GERBER, SHAPIRO, D. EVANS, BIANCUCCI, DERMODY, RAMALEY,
           ROONEY, RUBLEY, WOJNAROSKI, GINGRICH, WILT AND MELIO,
           FEBRUARY 16, 2005

        AS AMENDED ON SECOND CONSIDERATION, IN SENATE, MARCH 15, 2006

                                     AN ACT

     1  Providing for the strengthening and enrichment of children and    <--
     2     families by promoting safe, healthy and nurturing home
     3     environments, for the educational and supportive services of
     4     home visiting programs in this Commonwealth, for the Ounce of
     5     Prevention Program and for integrated community-based
     6     delivery of services; specifying program requirements;
     7     designating an oversight board; providing for
     8     responsibilities of the board and the Department of Public
     9     Welfare; specifying criteria for community program grant
    10     funding; requiring training and an independent evaluation
    11     process; and providing for quality assurance.
    12  ESTABLISHING THE OUNCE OF PREVENTION PROGRAM TO PROVIDE GRANTS    <--
    13     TO CERTAIN ENTITIES THAT PROVIDE HOME VISITATION AND OTHER
    14     SERVICES TO LOW-INCOME, AT-RISK EXPECTANT FIRST-TIME MOTHERS
    15     AND THEIR NEWBORN CHILDREN AND FAMILIES; AND PROVIDING FOR
    16     THE POWERS AND DUTIES OF THE DEPARTMENT OF PUBLIC WELFARE.

    17     The General Assembly of the Commonwealth of Pennsylvania
    18  hereby enacts as follows:
    19  Section 1.  Short title.

     1     This act shall be known and may be cited as the Ounce of
     2  Prevention PROGRAM Act.                                           <--
     3  Section 2.  Legislative intent.
     4     (a)  Funding.--                                                <--
     5         (1)  The General Assembly finds that family well-being is
     6     critical to a child's health and development, that parenting
     7     is a difficult responsibility and that most of the assistance
     8     available to Pennsylvania families occurs after there is a
     9     problem and often provides too little, too late. Research
    10     shows that comprehensive early home visitation programs
    11     prevent child abuse, help develop positive parent-child
    12     interactions, help brain development of the child, have a
    13     long-term savings in both public and private health care
    14     costs and help avoid future social problems. In addition to
    15     addressing child abuse, such programs help to ensure that
    16     families' social and medical needs are met and that children
    17     are ready for success in school.
    18         (2)  The General Assembly finds that Pennsylvania needs
    19     broad implementation of a program to provide support for
    20     families which need and desire assistance in establishing
    21     healthy relationships and environments for their children.
    22         (3)  The General Assembly intends to appropriate funds to
    23     the board to carry out the program.
    24     (b)  Intent.--It is the intent of the General Assembly to
    25  establish the Ounce of Prevention Program as a collaborative
    26  effort that builds on existing community-based home visiting and
    27  family support resources and will not duplicate the existing
    28  services. It is further the intent of the General Assembly to
    29  provide the needed intensity and duration of services extending
    30  beyond those available through Head Start and Early Head Start
    20050H0200B3732                  - 2 -     

     1  programs, thus filling a major gap in the existing continuum of
     2  early childhood prevention and assistance services.
     3     IT IS THE INTENT OF THE GENERAL ASSEMBLY TO ESTABLISH THE      <--
     4  OUNCE OF PREVENTION PROGRAM TO ENHANCE THE PROGRAMS AND PURPOSES
     5  OF EXISTING COMMUNITY-BASED HOME VISITATION AND FAMILY SUPPORT
     6  SERVICES WITHOUT DUPLICATING EXISTING SERVICES.
     7  Section 3.  Definitions.
     8     The following words and phrases when used in this act shall
     9  have the meanings given to them in this section unless the
    10  context clearly indicates otherwise:
    11     "Board."  The Children's Trust Fund Board.                     <--
    12     "Department."  The Department of Public Welfare of the
    13  Commonwealth.
    14     "LOW INCOME."  TWO HUNDRED AND THIRTY-FIVE PERCENT OF THE      <--
    15  FEDERAL POVERTY LEVEL.                                            <--
    16     "Program."  The Ounce of Prevention Program established in
    17  section 4 (relating to Ounce of Prevention Program).              <--
    18  Section 4.  Ounce of Prevention Program.
    19     (a)  Establishment.--The Ounce of Prevention Program is
    20  established as a voluntary home visiting grant program for        <--
    21  expectant mothers and newborn children and their families.
    22  ESTABLISHED WITHIN THE DEPARTMENT AS A GRANT PROGRAM FOR NOT-     <--
    23  FOR-PROFIT ORGANIZATIONS OR PUBLIC ENTITIES TO PROVIDE HOME
    24  VISITATION SERVICES AND REFERRAL SERVICES TO LOW-INCOME, AT-
    25  RISK, EXPECTANT FIRST-TIME MOTHERS AND THEIR NEWBORN CHILDREN
    26  AND FAMILIES.
    27     (b)  Purpose.--The purpose of the program is to strengthen
    28  families; promote early childhood growth and development;
    29  improve childhood immunization rates and well-child care;
    30  improve child health outcomes; improve school readiness;
    20050H0200B3732                  - 3 -     

     1  increase family self-sufficiency; increase the involvement of
     2  both parents with their children; and reduce the incidence of
     3  child abuse and neglect through a primary prevention approach     <--
     4  that offers home visits and linkages to family supports for
     5  families and their newborn children and continues until the
     6  children reach five years of age or begin the Head Start
     7  Program.
     8  Section 5.  Delivery of services.
     9     Service delivery under this act shall be community-based and
    10  collaborative. Services shall be integrated and coordinated with
    11  other services provided under Head Start and Early Head Start
    12  programs and by local school districts, as well as with other
    13  home visiting and family support service delivery systems
    14  currently in place in communities throughout this Commonwealth.
    15  Services shall be offered with the intensity and duration
    16  required to prevent child abuse and neglect, improve child
    17  development and child health outcomes and to promote child
    18  school-readiness and educational development.
    19  Section 6.  Program requirements.
    20     The program established under this act shall provide for
    21  intensive home visits and include the following critical home
    22  visiting elements:
    23         (1)  Initiation of services. This element provides for:
    24             (i)  Initiation of services prenatally or at the
    25         birth of the first child.
    26             (ii)  Use of a standardized assessment tool to
    27         systematically identify those at-risk families most in
    28         need of services. The home visitor shall inform any
    29         potential participant that the assessment or
    30         participation in the program is purely voluntary.
    20050H0200B3732                  - 4 -     

     1             (iii)  Offering services on a purely voluntary basis
     2         and use of positive, persistent outreach efforts to build
     3         family trust.
     4             (iv)  Working with family members to identify
     5         strengths and resources that can be mobilized to help
     6         resolve identified family concerns.
     7         (2)  Service content. This element provides for:
     8             (i)  Offering services over the long term and
     9         intensively, with well-defined criteria for increasing or
    10         decreasing the intensity of the service.
    11             (ii)  Providing services that focus on supporting
    12         first-time at-risk expectant parents and families,
    13         encouraging the interaction of both parents with their
    14         child, and enhancing the development of the child,
    15         including school readiness and educational development.
    16             (iii)  Linking at-risk families to medical providers
    17         to ensure optimal health and development of the child,
    18         timely childhood immunizations, well-child care that
    19         provides for developmental assessment and is consistent
    20         with the standards and periodicity schedules of Medicaid
    21         and the American Academy of Pediatrics and additional
    22         services, as needed.
    23             (iv)  Ensuring confidentiality and privacy for
    24         families.
    25             (v)  Having periodic evaluations of program
    26         effectiveness.
    27             (vi)  Having established mechanisms in place to refer
    28         first-time at-risk expectant parents and families for
    29         other intervention services available in the community.
    30         (3)  Qualifications and training of home visitors. This
    20050H0200B3732                  - 5 -     

     1     element provides for:
     2             (i)  Ensuring that home visitors have basic training
     3         in areas, including substance abuse, child abuse,
     4         domestic violence, drug-exposed infants and parents,
     5         child development, services available in the community,
     6         infant care and early childhood development, school
     7         readiness and parenting.
     8             (ii)  Ensuring that home visitors conducting home
     9         visits are certified registered nurses or are qualified
    10         home visitors under 45 CFR § 1304.52(e) (relating to
    11         human resources management).
    12             (iii)  Ensuring that home visitors have preservice
    13         and ongoing training that is specific to their job
    14         requirements.
    15             (iv)  Ensuring that home visit providers receive
    16         ongoing reviews and direct and intensive supervision.
    17             (v)  Ensuring that home visitors are qualified
    18         community-based private, not-for-profit or public
    19         organizations that have strong community support and the
    20         social and fiscal capacity to provide the service.
    21  Section 7.  Children's Trust Fund Board.
    22     (a)  Designation.--The board is designated as an oversight
    23  board.
    24     (b)  Powers and duties.--The board has the following powers
    25  and duties:
    26         (1)  To develop measurable outcomes consistent with
    27     established home visiting programs operating in this
    28     Commonwealth.
    29         (2)  To establish assessment and credentialing standards
    30     for home visitation programs receiving grant funding under
    20050H0200B3732                  - 6 -     

     1     this act.
     2         (3)  To review grant applications and award grants for
     3     home visiting programs. No nongovernmental member may:
     4             (i)  Review grant applications or vote to award
     5         grants to entities by which they are employed or with
     6         which they are directly affiliated.
     7             (ii)  Be a lobbyist as defined under 65 Pa.C.S. Ch.
     8         13 (relating to lobby regulation and disclosure).
     9         (4)  Grants for home visiting programs shall be awarded
    10     on a three-year basis. The board may rescind a portion of the
    11     grant not yet allocated if it determines through outcome,
    12     expenditure and performance data submitted by the grantees
    13     under section 8 (relating to implementation) that the funds
    14     are not being properly utilized.
    15         (5)  Develop an assessment tool to identify at-risk
    16     families who are eligible for home visiting grants under this
    17     act. The assessment tool shall be a mechanism to identify
    18     risk factors that may lead to child abuse or neglect or other
    19     poor childhood outcomes.
    20         (6)  Establish policies for the development,
    21     implementation and administration of the program.
    22  Section 8.  Implementation.
    23     The board shall do all of the following:
    24         (1)  Implement a community-based home visiting program
    25     for first-time at-risk expectant parents and families in this
    26     Commonwealth using the criteria set forth in this section.
    27         (2)  Develop a grant application and award grants under
    28     this program in accordance with the following requirements:
    29             (i)  Grants shall be awarded in accordance with
    30         weighted criteria based on population demographics,
    20050H0200B3732                  - 7 -     

     1         factors associated with child abuse and neglect and other
     2         appropriate criteria developed by the board.
     3             (ii)  Cash or in-kind matching funds in the amount of
     4         25% of the total program cost shall be required.
     5             (iii)  If a program is not able to meet the 25% match
     6         requirement, justification must be included in the grant
     7         application providing a detailed explanation of the
     8         reasons why this match cannot be met and the percentage
     9         of the match that can be met. A determination will be
    10         made by the board as to the merit of the justification.
    11         (3)  Develop a plan of implementation to equitably
    12     distribute funds throughout this Commonwealth.
    13         (4)  Require that, in addition to the program
    14     requirements outlined in section 6 (relating to program
    15     requirements), the following criteria be used in selecting
    16     recipients of grant funds:
    17             (i)  Preference for grant awards shall be given to
    18         community-based entities that have broad representation
    19         and have the fiscal and administrative capacity to
    20         successfully implement the program.
    21             (ii)  Home visiting programs that receive grants
    22         should collaborate with other home visiting and family
    23         support programs in the community to avoid duplication
    24         and complement and integrate with existing services.
    25             (iii)  Each applicant shall use the standardized
    26         assessment tool developed by the board under section 7
    27         (relating to Children's Trust Fund Board).
    28             (iv)  Each applicant must provide outcome,
    29         expenditure and performance data in the format and the
    30         frequency specified by the board.
    20050H0200B3732                  - 8 -     

     1             (v)  Each applicant must identify local resources
     2         available for implementation.
     3             (vi)  Implementation design must include service
     4         delivery strategies which, when appropriate, involve both
     5         parents if they have shared parental responsibility,
     6         regardless of residential custody arrangements.
     7         (5)  Evaluate and approve grant applications and local
     8     implementation plans for service delivery.
     9         (6)  Encourage applicants to coordinate service delivery
    10     with Head Start, Early Head Start, Parents as Teachers,
    11     family centers, school districts and other existing home
    12     visiting programs operating in communities in the various
    13     regions of this Commonwealth.
    14         (7)  Identify qualified trainers and training
    15     opportunities which will assure adequate opportunities for
    16     grantees and their communities to provide preservice and in-
    17     service training. Funds for training may be incorporated into
    18     the grants.
    19         (8)  Develop and implement a quality assurance and
    20     improvement process for the program.
    21         (9)  Identify and seek Federal matching funding for the
    22     program.
    23         (10)  Identify existing State funding streams that could
    24     be used to fund home visiting programs in this Commonwealth.
    25         (11)  Provide for an annual independent review which
    26     evaluates both the progress and effectiveness of community
    27     programs receiving grants and the overall progress and
    28     achievement of the designated outcomes of the programs. The
    29     board shall provide the review to the Governor, the Senate
    30     and the House of Representatives on an annual basis.
    20050H0200B3732                  - 9 -     

     1  Section 9.  Responsibilities of Department of Public Welfare.
     2     The department shall allocate the staff and financial
     3  resources necessary to assist the board in the implementation
     4  and administration of the program.
     5  Section 20.  Effective date.
     6     This act shall take effect immediately. THE PROVISION OF HOME  <--
     7  VISITS AND THE REFERRAL OF FAMILIES AND NEWBORN CHILDREN TO
     8  HEALTH CARE AND OTHER SERVICE PROVIDERS.
     9     (C)  MATCHING FUNDS.--GRANTS SHALL BE AWARDED TO APPLICANTS
    10  THAT PROVIDE MATCHING FUNDS IN THE AMOUNT OF 25% OF THE TOTAL
    11  PROGRAM COST. MATCHING FUNDS MAY BE IN THE FORM OF CASH OR IN-
    12  KIND CONTRIBUTIONS.
    13     (D)  TERM.--GRANTS SHALL BE AWARDED FOR A PERIOD OF TWO
    14  YEARS.
    15     (E)  ELIGIBILITY.--A FOR-PROFIT ENTITY THAT RECEIVED FUNDS
    16  FROM THE COMMONWEALTH TO PROVIDE SERVICES TO FIRST-TIME, AT-RISK
    17  PARENTS PRIOR TO THE EFFECTIVE DATE OF THIS ACT SHALL BE
    18  ELIGIBLE TO RECEIVE A GRANT UNDER THIS ACT.
    19  SECTION 5.  COORDINATION OF SERVICES.                             <--
    20     IN ORDER TO BE ELIGIBLE FOR A GRANT UNDER THIS ACT, AN
    21  APPLICANT MUST INTEGRATE AND COORDINATE SERVICES PROVIDED WITH
    22  RELATED PROGRAMS AND SERVICES IN THE COMMUNITY, INCLUDING
    23  PROGRAMS THAT ALSO PROVIDE HOME VISITATION.
    24  SECTION 6.  APPLICATION.
    25     (A)  SUBMISSION.--IN ORDER TO RECEIVE A GRANT UNDER THIS ACT,
    26  AN APPLICANT MUST SUBMIT AN APPLICATION IN A FORM AND MANNER
    27  PRESCRIBED BY THE DEPARTMENT.
    28     (B)  REQUIREMENTS.--AN APPLICATION SUBMITTED UNDER SUBSECTION
    29  (A) SHALL SET FORTH THE MANNER IN WHICH THE APPLICANT WILL DO
    30  THE FOLLOWING:
    20050H0200B3732                 - 10 -     

     1         (1)  IDENTIFY FIRST-TIME, LOW-INCOME, AT-RISK PARENTS AND
     2     INITIATE SERVICES PRENATALLY OR AT THE BIRTH OF THEIR FIRST
     3     CHILD.
     4         (2)  PROVIDE WRITTEN NOTICE TO THE PARENTS THAT
     5     ASSESSMENTS AND PROGRAM PARTICIPATION ARE VOLUNTARY AND
     6     ENSURE CONFIDENTIALITY AND PRIVACY OF FAMILIES.
     7         (3)  IDENTIFY FAMILY STRENGTHS AND AVAILABLE FAMILY AND
     8     COMMUNITY RESOURCES.
     9         (4)  APPLY CRITERIA TO BE USED TO DETERMINE WHETHER TO
    10     INCREASE OR DECREASE THE AMOUNT OR INTENSITY OF SERVICES
    11     PROVIDED.
    12         (5)  APPLY STRATEGIES TO ENCOURAGE THE INTERACTION OF
    13     BOTH PARENTS WITH THE CHILD AND TO ENHANCE THE DEVELOPMENT OF
    14     THE CHILD, INCLUDING HEALTH, EDUCATIONAL DEVELOPMENT AND
    15     SCHOOL READINESS.
    16         (6)  UTILIZE AGREEMENTS WITH AND REFERRALS TO HEALTH CARE
    17     PROVIDERS, INTERVENTION SERVICES AND OTHER PROGRAMS IN THE
    18     COMMUNITY. HEALTH CARE SERVICES SHALL INCLUDE IMMUNIZATION,
    19     WELL-CHILD CARE AND ANY NECESSARY DEVELOPMENTAL ASSESSMENTS.
    20         (7)  PROVIDE QUALIFIED PERSONNEL, ADEQUATE DIRECT
    21     SUPERVISION OF PERSONNEL AND REGULAR JOB PERFORMANCE
    22     EVALUATIONS.
    23         (8)  FINANCIALLY SUPPORT THE OPERATION OF THE PROGRAM FOR
    24     THE DURATION OF THE GRANT PERIOD.
    25  SECTION 7.  POWERS AND DUTIES OF DEPARTMENT.
    26     THE DEPARTMENT SHALL HAVE THE FOLLOWING POWERS AND DUTIES:
    27         (1)  TO ADMINISTER THE PROGRAM.
    28         (2)  TO DEVELOP A STANDARDIZED APPLICATION FOR THE
    29     PROGRAM.
    30         (3)  TO ESTABLISH MINIMUM QUALIFICATIONS FOR PROGRAM
    20050H0200B3732                 - 11 -     

     1     PERSONNEL, INCLUDING:
     2             (I)  REQUIRED TRAINING PROGRAMS TO BE COMPLETED PRIOR
     3         TO THE INITIAL HOME VISIT AND TO INCLUDE TRAINING IN
     4         SUBSTANCE ABUSE, CHILD ABUSE, DOMESTIC VIOLENCE, DRUG-
     5         EXPOSED INFANTS AND PARENTS, INFANT CARE, EARLY CHILDHOOD
     6         DEVELOPMENT, SCHOOL READINESS AND PARENTING.
     7             (II)  KNOWLEDGE OF OTHER RELEVANT SERVICES AVAILABLE
     8         IN THE COMMUNITY AND THIS COMMONWEALTH.
     9             (III)  CERTIFICATION AS A REGISTERED NURSE OR
    10         QUALIFIED HOME VISITOR UNDER 45 CFR § 1304.52(D)
    11         (RELATING TO HUMAN SERVICES MANAGEMENT).
    12             (IV)  CONTINUING EDUCATION REQUIREMENTS.
    13         (4)  TO APPROVE OR DENY GRANT APPLICATIONS FOR THE
    14     PROGRAM IN ACCORDANCE WITH THE FOLLOWING:
    15             (I)  GRANTS SHALL BE AWARDED TO QUALIFIED COMMUNITY-
    16         BASED PROGRAMS WITH STRONG COMMUNITY REPRESENTATION AND
    17         SUPPORT, LOCAL RESOURCES AND THE ABILITY TO COORDINATE
    18         WITH OTHER SERVICES.
    19             (II)  GRANTS SHALL BE AWARDED BASED ON WEIGHTED
    20         CRITERIA THAT INCLUDE POPULATION DEMOGRAPHICS, INCIDENCE
    21         OF CHILD ABUSE AND NEGLECT AND OTHER CRITERIA DEEMED
    22         APPROPRIATE BY THE DEPARTMENT.
    23             (III)  THE DEPARTMENT MAY RESCIND A PORTION OF THE
    24         GRANT NOT YET ALLOCATED IF IT DETERMINES THAT THE FUNDS
    25         ARE NOT BEING PROPERLY UTILIZED BASED UPON OUTCOME,
    26         EXPENDITURE AND PERFORMANCE DATA.
    27         (5)  TO DEVELOP AND APPROVE AN ASSESSMENT TOOL TO
    28     IDENTIFY FIRST-TIME, LOW-INCOME, AT-RISK PARENTS AND
    29     FAMILIES. THE ASSESSMENT TOOL SHALL INCLUDE THE
    30     IDENTIFICATION OF RISK FACTORS THAT LEAD TO CHILD ABUSE OR
    20050H0200B3732                 - 12 -     

     1     NEGLECT OR OTHER NEGATIVE OUTCOMES.
     2         (6)  TO PROVIDE MEASURES AND PROCEDURES TO ASSESS THE
     3     STRENGTHS, WEAKNESSES AND SUCCESSES OF THE SERVICES PROVIDED
     4     BY A GRANT RECIPIENT UNDER THIS ACT IN ACCORDANCE WITH
     5     SECTION 8. THE MEASURES SHALL INCLUDE PROCEDURES FOR PERIODIC
     6     REPORTING DURING THE TERM OF THE GRANT.
     7  SECTION 8.  ACCOUNTABILITY.
     8     (A)  INFORMATION REQUIRED.--A GRANT RECIPIENT SHALL PROVIDE
     9  THE FOLLOWING INFORMATION TO THE DEPARTMENT UPON REQUEST:
    10         (1)  A REPORT ON THE NUMBER OF FAMILIES AND CHILDREN
    11     SERVED AND THE SERVICES PROVIDED.
    12         (2)  PERFORMANCE DATA RELATED TO POTENTIAL DRUG ABUSE,
    13     IMPROVEMENT IN CHILD HEALTH, REDUCTION IN INCIDENCE OF CHILD
    14     ABUSE AND EDUCATIONAL IMPROVEMENT IN CHILDREN WHO PARTICIPATE
    15     IN THE PROGRAM.
    16         (3)  A PLAN TO MONITOR THE DEVELOPMENT OF EACH CHILD WHO
    17     RECEIVED SERVICES FROM THE PROGRAM FOR A PERIOD OF NOT LESS
    18     THAN TEN YEARS.
    19         (4)  AN ACCOUNTING OF THE EXPENDITURE OF FUNDS FROM THE
    20     GRANT AND ALL FUNDS RECEIVED FOR THE PROGRAM FROM OTHER
    21     SOURCES.
    22         (5)  OTHER INFORMATION DEEMED APPROPRIATE BY THE
    23     DEPARTMENT.
    24     (B)  REPORTS.--
    25         (1)  WITHIN NINE MONTHS OF THE END OF THE TERM OF A
    26     GRANT, THE GRANT RECIPIENT SHALL PROVIDE A REPORT TO THE
    27     DEPARTMENT THAT INCLUDES ANALYSIS OF PERFORMANCE AND OTHER
    28     DATA TO DETERMINE OUTCOMES AND ANY REDUCTION IN DRUG ABUSE,
    29     IMPROVEMENT IN HEALTH, REDUCTION IN THE INCIDENCE OF CHILD
    30     ABUSE OR ANY EDUCATIONAL IMPROVEMENT IN CHILDREN WHO
    20050H0200B3732                 - 13 -     

     1     PARTICIPATE IN THE PROGRAM WHEN COMPARED TO CHILDREN WHO DO
     2     NOT RECEIVE SERVICES.
     3         (2)  THE DEPARTMENT SHALL SUBMIT A BIENNIAL REPORT TO THE
     4     GOVERNOR AND TO THE CHAIRMAN AND MINORITY CHAIRMAN OF THE
     5     PUBLIC HEALTH AND WELFARE COMMITTEE OF THE SENATE AND THE
     6     CHAIRMAN AND MINORITY CHAIRMAN OF THE HEALTH AND HUMAN
     7     SERVICES COMMITTEE OF THE HOUSE OF REPRESENTATIVES THAT
     8     EVALUATES THE EFFECTIVENESS AND OUTCOMES OF THE PROGRAM.
     9     (C)  ANALYSIS.--
    10         (1)  THE DEPARTMENT SHALL REVIEW AND ANALYZE THE
    11     INFORMATION PROVIDED UNDER SUBSECTIONS (A) AND (B)(1) AND
    12     RESEARCH THE LONG-TERM RESULTS OF THE PROGRAM IN ORDER TO
    13     DETERMINE WHICH PROGRAMS ARE THE MOST COST EFFECTIVE AND
    14     PRODUCE THE MOST POSITIVE RESULTS.
    15         (2)  THE STRATEGIES DETERMINED TO BE THE MOST EFFECTIVE
    16     MAY BE REQUIRED BY THE DEPARTMENT AS A CONDITION OF RECEIPT
    17     OF A GRANT.
    18  SECTION 9.  FUNDING.
    19     FUNDING FOR THE PROGRAM SHALL BE LIMITED TO FUNDS
    20  SPECIFICALLY APPROPRIATED TO CARRY OUT THE PURPOSES OF THIS ACT.
    21  THE DEPARTMENT SHALL SEEK FEDERAL MATCHING FUNDS FOR THIS
    22  PROGRAM AS AVAILABLE.
    23  SECTION 10.  EFFECTIVE DATE.
    24     THIS ACT SHALL TAKE EFFECT IN 60 DAYS.




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