H.R. 2824 reauthorizes the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program through Fiscal Year 2022.
Specifically, this bill renews an expired requirement that grantees of the program demonstrate improvement in specified benchmark areas three years after program implementation (such as reducing child abuse and neglect, increasing self-sufficiency, improving maternal and newborn health, reducing crime and domestic violence, and improving school readiness and achievement), continuing this requirement in subsequent years. If the grantee fails to do so, they must develop and implement a corrective action plan, which may be subject to approval by the Department of Health and Human Services (HHS). If the grantee continues to fail to demonstrate improvement HHS may terminate the program grant.
The bill also specifies that states seeking to improve in regards to the benchmark on self-sufficiency must include measures of employment and earnings, rather than only measures of health insurance coverage and educational attainment.
The bill allows a grantee to use program funds to support a “pay-for-outcomes initiative,” meaning grantees could decide to pay for services based on whether they deliver the outcomes they are seeking, instead of paying simply based on the number of people served. In order to ensure these “pay for outcomes” initiatives are successful, payment would be tied to a third-party evaluation using high-quality research methodologies so payments are made only when agreed upon outcomes are achieved.
The bill also requires each state receiving grant funds under this program to review and update the previous statewide needs assessment by October 1, 2020.
The bill requires grantees to provide matching funds under the program, beginning with 30% of total MIECHV costs in FY2020, 40% in FY2021, and 50% for FY2022 or any succeeding fiscal years.
The bill requires HHS to designate and use data exchange standards for information that a State agency operating the program is required to electronically exchange with another State agency or the Federal government.
The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress, and was published on Sep 26, 2017.
TITLE I--INCREASING OPPORTUNITY AND SUCCESS FOR CHILDREN AND PARENTS THROUGH EVIDENCE-BASED HOME VISITING ACT
Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act
(Sec. 102) This bill amends title V (Maternal and Child Health Services) of the Social Security Act (SSAct) to reauthorize through FY2022, and otherwise revise, the Maternal, Infant, and Early Childhood Home Visiting Program.
(Sec. 103) Under current law, grantees were required, after three years of program implementation, to demonstrate improvement in specified benchmark areas. The bill requires grantees to continue to track and demonstrate, on a triennial basis, improvement in applicable benchmark areas. A grantee that fails to do so must develop and implement a corrective action plan, subject to approval by the Department of Health and Human Services (HHS). HHS shall terminate a program grant made to a grantee that implements such a plan but continues to fail to demonstrate improvement.
(Sec. 104) As a condition for receiving grant funds under the program, a state must review and update its statewide needs assessment by October 1, 2020.
(Sec. 107) A grantee may use program grant funds to support a "pay-for-outcomes initiative" (a performance-based grant, contract, or cooperative agreement, awarded by a public entity, in which a commitment is made to pay for improved outcomes that result in social benefit and public-sector cost savings).
(Sec. 108) Grantees must provide matching funds under the program beginning in FY2020.
(Sec. 109) HHS must designate data-exchange standards applicable to the program.
(Sec. 110) To the extent that grant funds are allocated on the basis of relative population or poverty considerations, HHS shall use the most accurate federal data available.
TITLE II--CONTROL UNLAWFUL FUGITIVE FELONS ACT
Control Unlawful Fugitive Felons Act of 2017
(Sec. 202) The bill amends title XVI (Supplemental Security Income) (SSI) of the SSAct to prohibit the payment of SSI benefits to an individual who is the subject of an outstanding arrest warrant for: (1) committing, or attempting to commit, a felony; or (2) violating a condition of parole or probation.
Current law prohibits the payment of such benefits to an individual who: (1) is fleeing to avoid prosecution or confinement for committing, or attempting commit, a felony; or (2) is violating a condition of parole or probation.