Sec. 2. Strengthening national data on child fatalities from maltreatment
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Section 422(b)(19) of the Social Security Act ( 42 U.S.C. 622(b)(19) ) is amended— in subparagraph (A), by striking and after the semicolon; in subparagraph (B), by striking the period at the end and inserting ; and ; and by adding at the end the following: an assurance that the State shall— engage at least annually, and, more frequently as necessary, in a multidisciplinary review of all child fatalities from maltreatment in the State that occurred during the previous year in accordance with the requirements of section 429A; and .
Subpart 1 of part B of title IV of the Social Security Act ( 42 U.S.C. 621 et seq.) is amended by adding at the end the following: In order to satisfy the requirements of section 422(b)(19)(C), a State shall require the State's multidisciplinary child death review team or, if the State does not have such a team as of the date of enactment of this section, a multidisciplinary team established by the State that is comprised of representatives of integral elements of the State child welfare system, such as child welfare workers, child protective services workers, prosecutors, law enforcement, coroners or medical examiners, public health care providers, pediatricians with expertise in child maltreatment and the child welfare system, substance use disorder treatment providers, and advocates and researchers for the prevention and treatment of domestic violence, as well as representatives of educators, including early childhood educators and child care providers, to review at least annually and more frequently as necessary all child fatalities from maltreatment in the State that occurred during the most recently ended fiscal year and for which all administrative or judicial review is complete or no longer timely (in this section referred to as the review team ).
Any child fatality from maltreatment in the State that occurred during the most recently ended fiscal year but for which administrative or judicial review is not complete or remains timely shall be reviewed by the review team in during the first review period that occurs after all administrative or judicial review is complete or no longer timely. The review team shall— for each child fatality from maltreatment in the State subject to review, make findings based on information available to the review team regarding the causes of child's fatality and other factors that impacted the child's fatality, including to the extent possible and taking into account privacy protections under Federal and State law, the circumstances of the fatality, the characteristics of the victim, the perpetrators, including their relationship to the child, and the parents or guardians of the child, whether there were previous familial interactions with child protective services and the outcomes of those interactions, whether the child had any siblings and how many, whether there were other children present or living in the household at the time of the fatality, and the social services, public cash or in-kind assistance (including housing), health (including mental health) services, alcohol or substance use disorder treatment, or other public or private services provided to or on behalf of the child prior to the child's death; submit all findings and data made in accordance with paragraph
(1)to the Child Death Review Case Reporting System (in this section referred to as the CDR Reporting System ) operated by the National Center for Fatality Review and Prevention; based on the findings made in accordance with paragraph (1), develop recommendations for preventing future child fatalities from maltreatment; and submit a report, at least annually, and, more frequently as necessary, to the State Governor, the State legislature, and, if the incident reporting threshold established under subsection
(c)is met, to the Secretary, that contains the findings and data submitted to the CDR Reporting System under subparagraph
(2)(de-identified) and the recommendations developed under paragraph (3). The Secretary annually shall establish a national reporting incident threshold for each State for purposes of protecting the privacy of families and other living individuals whose information is part of the findings and data submitted under subsection (b)(2) and the reports to the State Governor and State Legislature required under subsection (b)(4). In establishing the national reporting incident threshold for a State, the Secretary shall ensure that the reporting threshold is subject to privacy protections that are designed to protect the privacy of— children; individuals who are not the perpetrators of the child maltreatment that resulted in the fatality; and individuals who are or have been victimized by domestic violence or who are at risk of domestic violence. If the number of child fatalities from maltreatment in a State in a fiscal year is below the reporting threshold established for the State for the fiscal year, the State shall not submit the report required under subsection (b)(4) to the Secretary but shall submit to the Secretary— the findings and data submitted to the CDR Reporting System under subsection (b)(2) for the purpose of making such findings and data accessible as a public use data set on the national website required under subsection
(g)after redacting any personal identifying information; and the recommendations developed under subsection (b)(3). In order to satisfy the requirements of section 422(b)(19)(C) and subsection (i), a State shall provide short-term training for the members and staff of the State’s multidisciplinary child death review team, coroners, medical examiners, pathologists, crime scene investigators, social workers, and law enforcement regarding— the set of national definition standards promulgated under section 3(a) of the Child Abuse Death Disclosure Act ; and approaches to— reduce and prevent discrimination based on race or culture (including training related to implicit biases) in the provision of child protection and welfare services related to child abuse and neglect; and address racial or cultural disproportionality in the incidence of child maltreatment fatality cases. Subject to paragraph (2), amounts expended by a State during each quarter beginning after the effective date of this section for administrative costs (as defined in section 422(c)(1)) to carry out this section and section 422(b)(19)(C) shall be deemed to be amounts expended during such quarter as found necessary by the Secretary for the proper and efficient administration of the State plan under part E and eligible for Federal matching payments under section 474(a)(3)(E) without regard to whether such costs are incurred on behalf of a child who is, or is potentially, eligible for foster care maintenance payments or adoption assistance under part E. Amounts expended by a State during each quarter beginning after the effective date of this section for providing training required under subsection
(d)of this section shall be eligible for Federal matching payments under section 474(a)(3)(B) without regard to whether such costs are incurred on behalf of a child who is, or is potentially, eligible for foster care maintenance payments or adoption assistance under part E. The Secretary, in consultation with the Assistant Secretary-Indian Affairs of the Bureau of Indian Affairs of the Department of Interior and tribal child welfare organizations, shall determine how and the extent to which the requirements of this section shall apply to Indian tribes and tribal organizations (as defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 ). The limitations on payments for administrative costs under sections 424(e) and 472(i) shall not apply to State expenditures made to carry out this section. The Secretary, in coordination with the National Center for Fatality Review and Prevention, shall publish on a website that is available to the public and maintained and updated at least annually— each report submitted to the Secretary under subsection (b)(4); and the findings and data submitted to the CDR Reporting System under subsection (b)(2) (with any personal identifying information or information that identifies the submitting State redacted) in a manner that is accessible as a public use data set for purposes of research to identify risk factors and to prevent future deaths of children from maltreatment. The Secretary shall notify Congress when information on the website required under paragraph
(1)is updated. . Section 425 of the Social Security Act ( 42 U.S.C. 625 ) is amended by striking 426, 427, and 429 and inserting 422(b)(19)(C), 426, 427, 429, and 429A .
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Sec. 2
Strengthening national data on child fatalities from maltreatment
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