Sec. 50605. Option to fund evidence-based home visiting on a pay for outcome basis
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Section 511(c) of the Social Security Act ( 42 U.S.C. 711(c) ) is amended by redesignating paragraphs
(3)and
(4)as paragraphs
(4)and (5), respectively, and by inserting after paragraph
(2)the following: An eligible entity to which a grant is made under paragraph
(1)may use up to 25 percent of the grant 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 develops or operates such an initiative. . Section 511(k) of such Act ( 42 U.S.C. 711(k) ) is amended by adding at the end the following: The term pay for outcomes initiative means a performance-based grant, 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 that result in social benefit and direct cost savings or cost avoidance to the public sector. Such an initiative shall include— a feasibility study that describes how the proposed intervention is based on evidence of effectiveness; 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; an annual, publicly available report on the progress of the initiative; and a requirement that payments are made to the recipient of a grant, 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). . Section 511(j)(3) of such Act ( 42 U.S.C. 711(j)(3) ) is amended— by striking
(3)and inserting the following: Availability.— Funds Except as provided in subparagraph (B), funds ; and by adding at the end the following: Funds made available to an eligible entity under this section for a fiscal year (or portion of a fiscal year) for a pay for outcomes initiative shall remain available for expenditure by the eligible entity for not more than 10 years after the funds are so made available. .
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Sec. 50605
Option to fund evidence-based home visiting on a pay for outcome basis
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