TITLE 42 - US CODE - SUBCHAPTER I - GENERAL PROGRAM

42 USC 5101 - Office on Child Abuse and Neglect

(a) Establishment 
The Secretary of Health and Human Services may establish an office to be known as the Office on Child Abuse and Neglect.
(b) Purpose 
The purpose of the Office established under subsection (a) of this section shall be to execute and coordinate the functions and activities of this subchapter and subchapter III of this chapter. In the event that such functions and activities are performed by another entity or entities within the Department of Health and Human Services, the Secretary shall ensure that such functions and activities are executed with the necessary expertise and in a fully coordinated manner involving regular intradepartmental and interdepartmental consultation with all agencies involved in child abuse and neglect activities.

42 USC 5102 - Advisory board on child abuse and neglect

(a) Appointment 
The Secretary may appoint an advisory board to make recommendations to the Secretary and to the appropriate committees of Congress concerning specific issues relating to child abuse and neglect.
(b) Solicitation of nominations 
The Secretary shall publish a notice in the Federal Register soliciting nominations for the appointment of members of the advisory board under subsection (a) of this section.
(c) Composition 
In establishing the board under subsection (a) of this section, the Secretary shall appoint members from the general public who are individuals knowledgeable in child abuse and neglect prevention, intervention, treatment, or research, and with due consideration to representation of ethnic or racial minorities and diverse geographic areas, and who represent
(1) law (including the judiciary);
(2) psychology (including child development);
(3) social services (including child protective services);
(4) medicine (including pediatrics);
(5) State and local government;
(6) organizations providing services to disabled persons;
(7) organizations providing services to adolescents;
(8) teachers;
(9) parent self-help organizations;
(10) parents groups;
(11) voluntary groups;
(12) family rights groups; and
(13) childrens rights advocates.
(d) Vacancies 
Any vacancy in the membership of the board shall be filled in the same manner in which the original appointment was made.
(e) Election of officers 
The board shall elect a chairperson and vice-chairperson at its first meeting from among the members of the board.
(f) Duties 
Not later than 1 year after the establishment of the board under subsection (a) of this section, the board shall submit to the Secretary and the appropriate committees of Congress a report, or interim report, containing
(1) recommendations on coordinating Federal, State, and local child abuse and neglect activities with similar activities at the Federal, State, and local level pertaining to family violence prevention;
(2) specific modifications needed in Federal and State laws and programs to reduce the number of unfounded or unsubstantiated reports of child abuse or neglect while enhancing the ability to identify and substantiate legitimate cases of abuse or neglect which place a child in danger; and
(3) recommendations for modifications needed to facilitate coordinated national data collection with respect to child protection and child welfare.

42 USC 5103 - Repealed. Pub. L. 104235, title I, 103, Oct. 3, 1996, 110 Stat. 3066

Section, Pub. L. 93–247, title I, § 103, formerly 4, Jan. 31, 1974, 88 Stat. 5; Pub. L. 93–644, § 8(d)(2), Jan. 4, 1975, 88 Stat. 2310; Pub. L. 95–266, title I, § 103, Apr. 24, 1978, 92 Stat. 206; Pub. L. 98–457, title I, §§ 103, 122, 123, Oct. 9, 1984, 98 Stat. 1750, 1752, 1753; Pub. L. 99–401, title I, § 102(a), Aug. 27, 1986, 100 Stat. 903; Pub. L. 100–117, § 1, Sept. 28, 1987, 101 Stat. 751; Pub. L. 100–294, title I, § 101, Apr. 25, 1988, 102 Stat. 105; renumbered title I, 103, Pub. L. 101–126, § 3(a)(1), (2), Oct. 25, 1989, 103 Stat. 764, related to the Inter-Agency Task Force on Child Abuse and Neglect.

42 USC 5104 - National clearinghouse for information relating to child abuse

(a) Establishment 
The Secretary shall through the Department, or by one or more contracts of not less than 3 years duration let through a competition, establish a national clearinghouse for information relating to child abuse.
(b) Functions 
The Secretary shall, through the clearinghouse established by subsection (a) of this section
(1) maintain, coordinate, and disseminate information on all effective programs, including private and community-based programs, that show promise of success with respect to the prevention, assessment, identification, and treatment of child abuse and neglect and hold the potential for broad scale implementation and replication;
(2) maintain information about the best practices used for achieving improvements in child protective systems;
(3) maintain and disseminate information relating to
(A) the incidence of cases of child abuse and neglect in the United States;
(B) the incidence of such cases in populations determined by the Secretary under section 105(a)(1) of the Child Abuse Prevention, Adoption, and Family Services Act of 1988; and
(C) the incidence of any such cases related to alcohol or drug abuse;
(4) provide technical assistance upon request that may include an evaluation or identification of
(A) various methods and procedures for the investigation, assessment, and prosecution of child physical and sexual abuse cases;
(B) ways to mitigate psychological trauma to the child victim; and
(C) effective programs carried out by the States under this subchapter and subchapter III of this chapter; and
(5) collect and disseminate information relating to various training resources available at the State and local level to
(A) individuals who are engaged, or who intend to engage, in the prevention, identification, and treatment of child abuse and neglect; and
(B) appropriate State and local officials to assist in training law enforcement, legal, judicial, medical, mental health, education, and child welfare personnel.
(c) Coordination with available resources 

(1) In general 
In establishing a national clearinghouse as required by subsection (a) of this section, the Secretary shall
(A) consult with other Federal agencies that operate similar clearinghouses;
(B) consult with the head of each agency involved with child abuse and neglect and mechanisms for the sharing of such information among other Federal agencies and clearinghouses on the development of the components for information collection and management of such clearinghouse;
(C) develop a Federal data system involving the elements under subsection (b) of this section which, to the extent practicable, coordinates existing Federal, State, regional, and local child welfare data systems which shall include
(i) standardized data on false, unfounded, unsubstantiated, and substantiated reports; and
(ii) information on the number of deaths due to child abuse and neglect;
(D) through a national data collection and analysis program and in consultation with appropriate State and local agencies and experts in the field, collect, compile, and make available State child abuse and neglect reporting information which, to the extent practical, shall be universal and case specific and integrated with other case-based foster care and adoption data collected by the Secretary;
(E) compile, analyze, and publish a summary of the research conducted under section 5105 (a) of this title;
(F) collect and disseminate information that describes best practices being used throughout the Nation for making appropriate referrals related to, and addressing, the physical, developmental, and mental health needs of abused and neglected children; and
(G) solicit public comment on the components of such clearinghouse.
(2) Confidentiality requirement 
In carrying out paragraph (1)(D), the Secretary shall ensure that methods are established and implemented to preserve the confidentiality of records relating to case specific data.

42 USC 5105 - Research and assistance activities

(a) Research 

(1) Topics 
The Secretary shall, in consultation with other Federal agencies and recognized experts in the field, carry out a continuing interdisciplinary program of research, including longitudinal research, that is designed to provide information needed to better protect children from abuse or neglect and to improve the well-being of abused or neglected children, with at least a portion of such research being field initiated. Such research program may focus on
(A) the nature and scope of child abuse and neglect;
(B) causes, prevention, assessment, identification, treatment, cultural and socio-economic distinctions, and the consequences of child abuse and neglect, including the effects of abuse and neglect on a childs development and the identification of successful early intervention services or other services that are needed;
(C) appropriate, effective and culturally sensitive investigative, administrative, and judicial systems, including multidisciplinary, coordinated decisionmaking procedures with respect to cases of child abuse;
(D) the evaluation and dissemination of best practices consistent with the goals of achieving improvements in the child protective services systems of the States in accordance with paragraphs (1) through (12) of section 5106a (a) of this title;
(E) effective approaches to interagency collaboration between the child protection system and the juvenile justice system that improve the delivery of services and treatment, including methods for continuity of treatment plan and services as children transition between systems;
(F) an evaluation of the redundancies and gaps in the services in the field of child abuse and neglect prevention in order to make better use of resources;
(G) the nature, scope, and practice of voluntary relinquishment for foster care or State guardianship of low income children who need health services, including mental health services;
(H) the information on the national incidence of child abuse and neglect specified in clauses (i) through (xi) of subparagraph (H);[1] and
(I) the national incidence of child abuse and neglect, including
(i) the extent to which incidents of child abuse are increasing or decreasing in number and severity;
(ii) the incidence of substantiated and unsubstantiated reported child abuse cases;
(iii) the number of substantiated cases that result in a judicial finding of child abuse or neglect or related criminal court convictions;
(iv) the extent to which the number of unsubstantiated, unfounded and false reported cases of child abuse or neglect have contributed to the inability of a State to respond effectively to serious cases of child abuse or neglect;
(v) the extent to which the lack of adequate resources and the lack of adequate training of individuals required by law to report suspected cases of child abuse have contributed to the inability of a State to respond effectively to serious cases of child abuse and neglect;
(vi) the number of unsubstantiated, false, or unfounded reports that have resulted in a child being placed in substitute care, and the duration of such placement;
(vii) the extent to which unsubstantiated reports return as more serious cases of child abuse or neglect;
(viii) the incidence and prevalence of physical, sexual, and emotional abuse and physical and emotional neglect in substitute care;
(ix) the incidence and prevalence of child maltreatment by a wide array of demographic characteristics such as age, sex, race, family structure, household relationship (including the living arrangement of the resident parent and family size), school enrollment and education attainment, disability, grandparents as caregivers, labor force status, work status in previous year, and income in previous year; and
(x) the incidence and outcomes of abuse allegations reported within the context of divorce, custody, or other family court proceedings, and the interaction between this venue and the child protective services system.
(2) Research 
The Secretary shall conduct research on the national incidence of child abuse and neglect, including the information on the national incidence on child abuse and neglect specified in subparagraphs (i) through (ix) of paragraph (1)(I).
(3) Report 
Not later than 4 years after June 25, 2003, the Secretary shall prepare and submit to the Committee on Education and the Workforce of the House of Representatives and the Committee on Health, Education, Labor and Pensions of the Senate a report that contains the results of the research conducted under paragraph (2).
(4) Priorities 

(A) The Secretary shall establish research priorities for making grants or contracts for purposes of carrying out paragraph (1).
(B) Not later than 2 years after June 25, 2003, and every 2 years thereafter, the Secretary shall provide an opportunity for public comment concerning the priorities proposed under subparagraph (A) and maintain an official record of such public comment.
(b) Provision of technical assistance 

(1) In general 
The Secretary shall provide technical assistance to State and local public and private agencies and community-based organizations, including disability organizations and persons who work with children with disabilities, to assist such agencies and organizations in planning, improving, developing, and carrying out programs and activities, including replicating successful program models, relating to the prevention, assessment, identification, and treatment of child abuse and neglect.
(2) Evaluation 
Such technical assistance may include an evaluation or identification of
(A) various methods and procedures for the investigation, assessment, and prosecution of child physical and sexual abuse cases;
(B) ways to mitigate psychological trauma to the child victim;
(C) effective programs carried out by the States under this subchapter and subchapter III of this chapter; and
(D) effective approaches being utilized to link child protective service agencies with health care, mental health care, and developmental services to improve forensic diagnosis and health evaluations, and barriers and shortages to such linkages.
(3) Dissemination 
The Secretary may provide for and disseminate information relating to various training resources available at the State and local level to
(A) individuals who are engaged, or who intend to engage, in the prevention, identification, and treatment of child abuse and neglect; and
(B) appropriate State and local officials to assist in training law enforcement, legal, judicial, medical, mental health, education, and child welfare personnel in appropriate methods of interacting during investigative, administrative, and judicial proceedings with children who have been subjected to abuse.
(c) Authority to make grants or enter into contracts 

(1) In general 
The functions of the Secretary under this section may be carried out either directly or through grant or contract.
(2) Duration 
Grants under this section shall be made for periods of not more than 5 years.
(3) Preference for long-term studies 
In making grants for purposes of conducting research under subsection (a) of this section, the Secretary shall give special consideration to applications for long-term projects.
(d) Peer review for grants 

(1) Establishment of peer review process 

(A) The Secretary shall, in consultation with experts in the field and other federal[2] agencies, establish a formal, rigorous, and meritorious peer review process for purposes of evaluating and reviewing applications for grants under this section and determining the relative merits of the projects for which such assistance is requested. The purpose of this process is to enhance the quality and usefulness of research in the field of child abuse and neglect.
(B) In establishing the process required by subparagraph (A), the Secretary shall appoint to the peer review panels only members who are experts in the field of child abuse and neglect or related disciplines, with appropriate expertise in the application to be reviewed, and who are not individuals who are officers or employees of the Administration on Children and Families. The panels shall meet as often as is necessary to facilitate the expeditious review of applications for grants and contracts under this section, but may not meet less than once a year. The Secretary shall ensure that the peer review panel utilizes scientifically valid review criteria and scoring guidelines for review committees.
(2) Review of applications for assistance 
Each peer review panel established under paragraph (1)(A) that reviews any application for a grant shall
(A) determine and evaluate the merit of each project described in such application;
(B) rank such application with respect to all other applications it reviews in the same priority area for the fiscal year involved, according to the relative merit of all of the projects that are described in such application and for which financial assistance is requested; and
(C) make recommendations to the Secretary concerning whether the application for the project shall be approved.

The Secretary shall award grants under this section on the basis of competitive review.

(3) Notice of approval 

(A) The Secretary shall provide grants and contracts under this section from among the projects which the peer review panels established under paragraph (1)(A) have determined to have merit.
(B) In the instance in which the Secretary approves an application for a program without having approved all applications ranked above such application (as determined under paragraph (2)(B)), the Secretary shall append to the approved application a detailed explanation of the reasons relied on for approving the application and for failing to approve each pending application that is superior in merit, as indicated on the list under paragraph (2)(B).
(e) Demonstration programs and projects 
The Secretary may award grants to, and enter into contracts with, States or public or private agencies or organizations (or combinations of such agencies or organizations) for time-limited, demonstration projects for the following:
(1) Promotion of safe, family-friendly physical environments for visitation and exchange 
The Secretary may award grants under this subsection to entities to assist such entities in establishing and operating safe, family-friendly physical environments
(A) for court-ordered, supervised visitation between children and abusing parents; and
(B) to safely facilitate the exchange of children for visits with noncustodial parents in cases of domestic violence.
(2) Education identification, prevention, and treatment 
The Secretary may award grants under this subsection to entities for projects that provide educational identification, prevention, and treatment services in cooperation with preschool and elementary and secondary schools.
(3) Risk and safety assessment tools 
The Secretary may award grants under this subsection to entities for projects that provide for the development of research-based strategies for risk and safety assessments relating to child abuse and neglect.
(4) Training 
The Secretary may award grants under this subsection to entities for projects that involve research-based strategies for innovative training for mandated child abuse and neglect reporters.
[1] So in original. Probably should refer to clauses (i) through (x) of subparagraph (I).
[2] So in original. Probably should be capitalized.

42 USC 5106 - Grants to States and public or private agencies and organizations

(a) Grants for programs and projects 
The Secretary may make grants to, and enter into contracts with, States, public agencies or private agencies or organizations (or combinations of such agencies or organizations) for programs and projects for the following purposes:
(1) Training programs 
The Secretary may award grants to public or private organizations under this section
(A) for the training of professional and paraprofessional personnel in the fields of medicine, law enforcement, judiciary, social work and child protection, education, and other relevant fields, or individuals such as court appointed special advocates (CASAs) and guardian ad litem, who are engaged in, or intend to work in, the field of prevention, identification, and treatment of child abuse and neglect, including the links between domestic violence and child abuse;
(B) to improve the recruitment, selection, and training of volunteers serving in public and private children, youth and family service organizations in order to prevent child abuse and neglect;
(C) for the establishment of resource centers for the purpose of providing information and training to professionals working in the field of child abuse and neglect;
(D) for training to support the enhancement of linkages between child protective service agencies and health care agencies, including physical and mental health services, to improve forensic diagnosis and health evaluations and for innovative partnerships between child protective service agencies and health care agencies that offer creative approaches to using existing Federal, State, local, and private funding to meet the health evaluation needs of children who have been subjects of substantiated cases of child abuse or neglect;
(E) for the training of personnel in best practices to promote collaboration with the families from the initial time of contact during the investigation through treatment;
(F) for the training of personnel regarding the legal duties of such personnel and their responsibilities to protect the legal rights of children and families;
(G) for improving the training of supervisory and nonsupervisory child welfare workers;
(H) for enabling State child welfare agencies to coordinate the provision of services with State and local health care agencies, alcohol and drug abuse prevention and treatment agencies, mental health agencies, and other public and private welfare agencies to promote child safety, permanence, and family stability;
(I) for cross training for child protective service workers in research-based strategies for recognizing situations of substance abuse, domestic violence, and neglect; and
(J) for developing, implementing, or operating information and education programs or training programs designed to improve the provision of services to disabled infants with life-threatening conditions for
(i) professionals and paraprofessional personnel concerned with the welfare of disabled infants with life-threatening conditions, including personnel employed in child protective services programs and health care facilities; and
(ii) the parents of such infants.
(2) Triage procedures 
The Secretary may award grants under this subsection to public and private agencies that demonstrate innovation in responding to reports of child abuse and neglect, including programs of collaborative partnerships between the State child protective services agency, community social service agencies and family support programs, law enforcement agencies, developmental disability agencies, substance abuse treatment entities, health care entities, domestic violence prevention entities, mental health service entities, schools, churches and synagogues, and other community agencies, to allow for the establishment of a triage system that
(A) accepts, screens, and assesses reports received to determine which such reports require an intensive intervention and which require voluntary referral to another agency, program, or project;
(B) provides, either directly or through referral, a variety of community-linked services to assist families in preventing child abuse and neglect; and
(C) provides further investigation and intensive intervention where the childs safety is in jeopardy.
(3) Mutual support programs 
The Secretary may award grants to private organizations to establish or maintain a national network of mutual support and self-help programs as a means of strengthening families in partnership with their communities.
(4) Kinship care 

(A)  1 In general 
The Secretary may award grants to public and private entities in not more than 10 States to assist such entities in developing or implementing procedures using adult relatives as the preferred placement for children removed from their home, where such relatives are determined to be capable of providing a safe nurturing environment for the child and where such relatives comply with the State child protection standards.
(5) Linkages between child protective service agencies and public health, mental health, and developmental disabilities agencies 
The Secretary may award grants to entities that provide linkages between State or local child protective service agencies and public health, mental health, and developmental disabilities agencies, for the purpose of establishing linkages that are designed to help assure that a greater number of substantiated victims of child maltreatment have their physical health, mental health, and developmental needs appropriately diagnosed and treated, in accordance with all applicable Federal and State privacy laws.
(b) Discretionary grants 
In addition to grants or contracts made under subsection (a) of this section, grants or contracts under this section may be used for the following:
(1) Respite and crisis nursery programs provided by community-based organizations under the direction and supervision of hospitals.
(2) Respite and crisis nursery programs provided by community-based organizations.
(3) Programs based within childrens hospitals or other pediatric and adolescent care facilities, that provide model approaches for improving medical diagnosis of child abuse and neglect and for health evaluations of children for whom a report of maltreatment has been substantiated.
(4) 
(A) Providing hospital-based information and referral services to
(i) parents of children with disabilities; and
(ii) children who have been neglected or abused and their parents.
(B) Except as provided in subparagraph (C)(iii), services provided under a grant received under this paragraph shall be provided at the hospital involved
(i) upon the birth or admission of a child with disabilities; and
(ii) upon the treatment of a child for abuse or neglect.
(C) Services, as determined as appropriate by the grantee, provided under a grant received under this paragraph shall be hospital-based and shall consist of
(i) the provision of notice to parents that information relating to community services is available;
(ii) the provision of appropriate information to parents of a child with disabilities regarding resources in the community, particularly parent training resources, that will assist such parents in caring for their child;
(iii) the provision of appropriate information to parents of a child who has been neglected or abused regarding resources in the community, particularly parent training resources, that will assist such parents in caring for their child and reduce the possibility of abuse or neglect;
(iv) the provision of appropriate follow-up services to parents of a child described in subparagraph (B) after the child has left the hospital; and
(v) where necessary, assistance in coordination of community services available to parents of children described in subparagraph (B).

The grantee shall assure that parental involvement described in this subparagraph is voluntary.

(D) For purposes of this paragraph, a qualified grantee is a[2] acute care hospital that
(i) is in a combination with
(I) a health-care provider organization;
(II) a child welfare organization;
(III) a disability organization; and
(IV) a State child protection agency;
(ii) submits an application for a grant under this paragraph that is approved by the Secretary;
(iii) maintains an office in the hospital involved for purposes of providing services under such grant;
(iv) provides assurances to the Secretary that in the conduct of the project the confidentiality of medical, social, and personal information concerning any person described in subparagraph (A) or (B) shall be maintained, and shall be disclosed only to qualified persons providing required services described in subparagraph (C) for purposes relating to conduct of the project; and
(v) assumes legal responsibility for carrying out the terms and conditions of the grant.
(E) In awarding grants under this paragraph, the Secretary shall
(i) give priority under this section for two grants under this paragraph, provided that one grant shall be made to provide services in an urban setting and one grant shall be made to provide services in rural setting; and
(ii) encourage qualified grantees to combine the amounts received under the grant with other funds available to such grantees.
(5) Such other innovative programs and projects that show promise of preventing and treating cases of child abuse and neglect as the Secretary may approve.
(c) Evaluation 
In making grants for projects under this section, the Secretary shall require all such projects to be evaluated for their effectiveness. Funding for such evaluations shall be provided either as a stated percentage of a demonstration grant or as a separate grant or contract entered into by the Secretary for the purpose of evaluating a particular demonstration project or group of projects. In the case of an evaluation performed by the recipient of a grant, the Secretary shall make available technical assistance for the evaluation, where needed, including the use of a rigorous application of scientific evaluation techniques.
[1] So in original. There is no subpar. (B).
[2] So in original. Probably should be “an”.

42 USC 5106a - Grants to States for child abuse and neglect prevention and treatment programs

(a) Development and operation grants 
The Secretary shall make grants to the States, based on the population of children under the age of 18 in each State that applies for a grant under this section, for purposes of assisting the States in improving the child protective services system of each such State in
(1) the intake, assessment, screening, and investigation of reports of abuse and neglect;
(2) 
(A) creating and improving the use of multidisciplinary teams and interagency protocols to enhance investigations; and
(B) improving legal preparation and representation, including
(i) procedures for appealing and responding to appeals of substantiated reports of abuse and neglect; and
(ii) provisions for the appointment of an individual appointed to represent a child in judicial proceedings;
(3) case management, including ongoing case monitoring, and delivery of services and treatment provided to children and their families;
(4) enhancing the general child protective system by developing, improving, and implementing risk and safety assessment tools and protocols;
(5) developing and updating systems of technology that support the program and track reports of child abuse and neglect from intake through final disposition and allow interstate and intrastate information exchange;
(6) developing, strengthening, and facilitating training including
(A) training regarding research-based strategies to promote collaboration with the families;
(B) training regarding the legal duties of such individuals; and
(C) personal safety training for case workers;;[1]
(7) improving the skills, qualifications, and availability of individuals providing services to children and families, and the supervisors of such individuals, through the child protection system, including improvements in the recruitment and retention of caseworkers;
(8) developing and facilitating training protocols for individuals mandated to report child abuse or neglect;
(9) developing and facilitating research-based strategies for training for individuals mandated to report child abuse or neglect;
(10) developing, implementing, or operating programs to assist in obtaining or coordinating necessary services for families of disabled infants with life-threatening conditions, including
(A) existing social and health services;
(B) financial assistance; and
(C) services necessary to facilitate adoptive placement of any such infants who have been relinquished for adoption;
(11) developing and delivering information to improve public education relating to the role and responsibilities of the child protection system and the nature and basis for reporting suspected incidents of child abuse and neglect;
(12) developing and enhancing the capacity of community-based programs to integrate shared leadership strategies between parents and professionals to prevent and treat child abuse and neglect at the neighborhood level;
(13) supporting and enhancing interagency collaboration between the child protection system and the juvenile justice system for improved delivery of services and treatment, including methods for continuity of treatment plan and services as children transition between systems; or
(14) supporting and enhancing collaboration among public health agencies, the child protection system, and private community-based programs to provide child abuse and neglect prevention and treatment services (including linkages with education systems) and to address the health needs, including mental health needs, of children identified as abused or neglected, including supporting prompt, comprehensive health and developmental evaluations for children who are the subject of substantiated child maltreatment reports.
(b) Eligibility requirements 

(1) State plan 

(A) In general 
To be eligible to receive a grant under this section, a State shall, at the time of the initial grant application and every 5 years thereafter, prepare and submit to the Secretary a State plan that specifies the areas of the child protective services system described in subsection (a) of this section that the State intends to address with amounts received under the grant.
(B) Additional requirement 
After the submission of the initial grant application under subparagraph (A), the State shall provide notice to the Secretary
(i) of any substantive changes; and to any State law relating to the prevention of child abuse and neglect that may affect the eligibility of the State under this section; and
(ii) any significant changes to how funds provided under this section are used to support the activities which may differ from the activities as described in the current State application.
(2) Coordination 
A State plan submitted under paragraph (1) shall, to the maximum extent practicable, be coordinated with the State plan under part B of title IV of the Social Security Act [42 U.S.C. 620 et seq.] relating to child welfare services and family preservation and family support services, and shall contain an outline of the activities that the State intends to carry out using amounts received under the grant to achieve the purposes of this subchapter, including
(A) an assurance in the form of a certification by the chief executive officer of the State that the State has in effect and is enforcing a State law, or has in effect and is operating a Statewide program, relating to child abuse and neglect that includes
(i) provisions or procedures for the reporting of known and suspected instances of child abuse and neglect;
(ii) policies and procedures (including appropriate referrals to child protection service systems and for other appropriate services) to address the needs of infants born and identified as being affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure, including a requirement that health care providers involved in the delivery or care of such infants notify the child protective services system of the occurrence of such condition in such infants, except that such notification shall not be construed to
(I) establish a definition under Federal law of what constitutes child abuse; or
(II) require prosecution for any illegal action;
(iii) the development of a plan of safe care for the infant born and identified as being affected by illegal substance abuse or withdrawal symptoms;
(iv) procedures for the immediate screening, risk and safety assessment, and prompt investigation of such reports;
(v) triage procedures for the appropriate referral of a child not at risk of imminent harm to a community organization or voluntary preventive service;
(vi) procedures for immediate steps to be taken to ensure and protect the safety of the abused or neglected child and of any other child under the same care who may also be in danger of abuse or neglect and ensuring their placement in a safe environment;
(vii) provisions for immunity from prosecution under State and local laws and regulations for individuals making good faith reports of suspected or known instances of child abuse or neglect;
(viii) methods to preserve the confidentiality of all records in order to protect the rights of the child and of the childs parents or guardians, including requirements ensuring that reports and records made and maintained pursuant to the purposes of this subchapter and subchapter III of this chapter shall only be made available to
(I) individuals who are the subject of the report;
(II) Federal, State, or local government entities, or any agent of such entities, as described in clause (ix);
(III) child abuse citizen review panels;
(IV) child fatality review panels;
(V) a grand jury or court, upon a finding that information in the record is necessary for the determination of an issue before the court or grand jury; and
(VI) other entities or classes of individuals statutorily authorized by the State to receive such information pursuant to a legitimate State purpose;
(ix) provisions to require a State to disclose confidential information to any Federal, State, or local government entity, or any agent of such entity, that has a need for such information in order to carry out its responsibilities under law to protect children from abuse and neglect;
(x) provisions which allow for public disclosure of the findings or information about the case of child abuse or neglect which has resulted in a child fatality or near fatality;
(xi) the cooperation of State law enforcement officials, court of competent jurisdiction, and appropriate State agencies providing human services in the investigation, assessment, prosecution, and treatment of child abuse or neglect;
(xii) provisions requiring, and procedures in place that facilitate the prompt expungement of any records that are accessible to the general public or are used for purposes of employment or other background checks in cases determined to be unsubstantiated or false, except that nothing in this section shall prevent State child protective services agencies from keeping information on unsubstantiated reports in their casework files to assist in future risk and safety assessment;
(xiii) provisions and procedures requiring that in every case involving an abused or neglected child which results in a judicial proceeding, a guardian ad litem, who has received training appropriate to the role, and who may be an attorney or a court appointed special advocate who has received training appropriate to that role (or both), shall be appointed to represent the child in such proceedings
(I) to obtain first-hand, a clear understanding of the situation and needs of the child; and
(II) to make recommendations to the court concerning the best interests of the child;
(xiv) the establishment of citizen review panels in accordance with subsection (c) of this section;
(xv) provisions, procedures, and mechanisms
(I) for the expedited termination of parental rights in the case of any infant determined to be abandoned under State law; and
(II) by which individuals who disagree with an official finding of abuse or neglect can appeal such finding;
(xvi) provisions, procedures, and mechanisms that assure that the State does not require reunification of a surviving child with a parent who has been found by a court of competent jurisdiction
(I) to have committed murder (which would have been an offense under section 1111 (a) of title 18 if the offense had occurred in the special maritime or territorial jurisdiction of the United States) of another child of such parent;
(II) to have committed voluntary manslaughter (which would have been an offense under section 1112 (a) of title 18 if the offense had occurred in the special maritime or territorial jurisdiction of the United States) of another child of such parent;
(III) to have aided or abetted, attempted, conspired, or solicited to commit such murder or voluntary manslaughter; or
(IV) to have committed a felony assault that results in the serious bodily injury to the surviving child or another child of such parent;
(xvii) an assurance that, upon the implementation by the State of the provisions, procedures, and mechanisms under clause (xvi), conviction of any one of the felonies listed in clause (xvi) constitute grounds under State law for the termination of parental rights of the convicted parent as to the surviving children (although case-by-case determinations of whether or not to seek termination of parental rights shall be within the sole discretion of the State);
(xviii) provisions and procedures to require that a representative of the child protective services agency shall, at the initial time of contact with the individual subject to a child abuse and neglect investigation, advise the individual of the complaints or allegations made against the individual, in a manner that is consistent with laws protecting the rights of the informant;
(xix) provisions addressing the training of representatives of the child protective services system regarding the legal duties of the representatives, which may consist of various methods of informing such representatives of such duties, in order to protect the legal rights and safety of children and families from the initial time of contact during investigation through treatment;
(xx) provisions and procedures for improving the training, retention, and supervision of caseworkers;
(xxi) provisions and procedures for referral of a child under the age of 3 who is involved in a substantiated case of child abuse or neglect to early intervention services funded under part C of the Individuals with Disabilities Education Act [20 U.S.C. 1431 et seq.]; and
(xxii) not later than 2 years after June 25, 2003, provisions and procedures for requiring criminal background record checks for prospective foster and adoptive parents and other adult relatives and non-relatives residing in the household;
(B) an assurance that the State has in place procedures for responding to the reporting of medical neglect (including instances of withholding of medically indicated treatment from disabled infants with life-threatening conditions), procedures or programs, or both (within the State child protective services system), to provide for
(i) coordination and consultation with individuals designated by and within appropriate health-care facilities;
(ii) prompt notification by individuals designated by and within appropriate health-care facilities of cases of suspected medical neglect (including instances of withholding of medically indicated treatment from disabled infants with life-threatening conditions); and
(iii) authority, under State law, for the State child protective services system to pursue any legal remedies, including the authority to initiate legal proceedings in a court of competent jurisdiction, as may be necessary to prevent the withholding of medically indicated treatment from disabled infants with life threatening[2] conditions;
(C) a description of
(i) the services to be provided under the grant to individuals, families, or communities, either directly or through referrals aimed at preventing the occurrence of child abuse and neglect;
(ii) the training to be provided under the grant to support direct line and supervisory personnel in report taking, screening, assessment, decision making, and referral for investigating suspected instances of child abuse and neglect; and
(iii) the training to be provided under the grant for individuals who are required to report suspected cases of child abuse and neglect; and
(D) an assurance or certification that the programs or projects relating to child abuse and neglect carried out under part B of title IV of the Social Security Act [42 U.S.C. 620 et seq.] comply with the requirements set forth in paragraph (1) and this paragraph.

Nothing in subparagraph (A) shall be construed to limit the States flexibility to determine State policies relating to public access to court proceedings to determine child abuse and neglect, except that such policies shall, at a minimum, ensure the safety and well-being of the child, parents, and families.

(3) Limitation 
With regard to clauses (vi) and (vii) of paragraph (2)(A), nothing in this section shall be construed as restricting the ability of a State to refuse to disclose identifying information concerning the individual initiating a report or complaint alleging suspected instances of child abuse or neglect, except that the State may not refuse such a disclosure where a court orders such disclosure after such court has reviewed, in camera, the record of the State related to the report or complaint and has found it has reason to believe that the reporter knowingly made a false report.
(4) Definitions 
For purposes of this subsection
(A) the term near fatality means an act that, as certified by a physician, places the child in serious or critical condition; and
(B) the term serious bodily injury means bodily injury which involves substantial risk of death, extreme physical pain, protracted and obvious disfigurement, or protracted loss or impairment of the function of a bodily member, organ, or mental faculty.
(c) Citizen review panels 

(1) Establishment 

(A) In general 
Except as provided in subparagraph (B), each State to which a grant is made under this section shall establish not less than 3 citizen review panels.
(B) Exceptions 

(i) Establishment of panels by States receiving minimum allotment A State that receives the minimum allotment of $175,000 under section 5116b (b)(1)(A) of this title for a fiscal year shall establish not less than 1 citizen review panel.
(ii) Designation of existing entities A State may designate as panels for purposes of this subsection one or more existing entities established under State or Federal law, such as child fatality panels or foster care review panels, if such entities have the capacity to satisfy the requirements of paragraph (4) and the State ensures that such entities will satisfy such requirements.
(2) Membership 
Each panel established pursuant to paragraph (1) shall be composed of volunteer members who are broadly representative of the community in which such panel is established, including members who have expertise in the prevention and treatment of child abuse and neglect.
(3) Meetings 
Each panel established pursuant to paragraph (1) shall meet not less than once every 3 months.
(4) Functions 

(A) In general 
Each panel established pursuant to paragraph (1) shall, by examining the policies, procedures, and practices of State and local agencies and where appropriate, specific cases, evaluate the extent to which State and local child protection system agencies are effectively discharging their child protection responsibilities in accordance with
(i) the State plan under subsection (b) of this section;
(ii) the child protection standards set forth in subsection (b) of this section; and
(iii) any other criteria that the panel considers important to ensure the protection of children, including
(I) a review of the extent to which the State and local child protective services system is coordinated with the foster care and adoption programs established under part E of title IV of the Social Security Act [42 U.S.C. 670 et seq.]; and
(II) a review of child fatalities and near fatalities (as defined in subsection (b)(4) of this section).
(B) Confidentiality 

(i) In general The members and staff of a panel established under paragraph (1)
(I) shall not disclose to any person or government official any identifying information about any specific child protection case with respect to which the panel is provided information; and
(II) shall not make public other information unless authorized by State statute.
(ii) Civil sanctions Each State that establishes a panel pursuant to paragraph (1) shall establish civil sanctions for a violation of clause (i).
(C) Public outreach 
Each panel shall provide for public outreach and comment in order to assess the impact of current procedures and practices upon children and families in the community and in order to meet its obligations under subparagraph (A).
(5) State assistance 
Each State that establishes a panel pursuant to paragraph (1)
(A) shall provide the panel access to information on cases that the panel desires to review if such information is necessary for the panel to carry out its functions under paragraph (4); and
(B) shall provide the panel, upon its request, staff assistance for the performance of the duties of the panel.
(6) Reports 
Each panel established under paragraph (1) shall prepare and make available to the State and the public, on an annual basis, a report containing a summary of the activities of the panel and recommendations to improve the child protection services system at the State and local levels. Not later than 6 months after the date on which a report is submitted by the panel to the State, the appropriate State agency shall submit a written response to State and local child protection systems and the citizen review panel that describes whether or how the State will incorporate the recommendations of such panel (where appropriate) to make measurable progress in improving the State and local child protective system.
(d) Annual State data reports 
Each State to which a grant is made under this section shall annually work with the Secretary to provide, to the maximum extent practicable, a report that includes the following:
(1) The number of children who were reported to the State during the year as abused or neglected.
(2) Of the number of children described in paragraph (1), the number with respect to whom such reports were
(A) substantiated;
(B) unsubstantiated; or
(C) determined to be false.
(3) Of the number of children described in paragraph (2)
(A) the number that did not receive services during the year under the State program funded under this section or an equivalent State program;
(B) the number that received services during the year under the State program funded under this section or an equivalent State program; and
(C) the number that were removed from their families during the year by disposition of the case.
(4) The number of families that received preventive services from the State during the year.
(5) The number of deaths in the State during the year resulting from child abuse or neglect.
(6) Of the number of children described in paragraph (5), the number of such children who were in foster care.
(7) The number of child protective services workers responsible for the intake and screening of reports filed in the previous year.
(8) The agency response time with respect to each such report with respect to initial investigation of reports of child abuse or neglect.
(9) The response time with respect to the provision of services to families and children where an allegation of abuse or neglect has been made.
(10) The number of child protective services workers responsible for intake, assessment, and investigation of child abuse and neglect reports relative to the number of reports investigated in the previous year.
(11) The number of children reunited with their families or receiving family preservation services that, within five years, result in subsequent substantiated reports of child abuse and neglect, including the death of the child.
(12) The number of children for whom individuals were appointed by the court to represent the best interests of such children and the average number of out of court contacts between such individuals and children.
(13) The annual report containing the summary of the activities of the citizen review panels of the State required by subsection (c)(6) of this section.
(14) The number of children under the care of the State child protection system who are transferred into the custody of the State juvenile justice system.
(e) Annual report by Secretary 
Within 6 months after receiving the State reports under subsection (d) of this section, the Secretary shall prepare a report based on information provided by the States for the fiscal year under such subsection and shall make the report and such information available to the Congress and the national clearinghouse for information relating to child abuse.
[1] So in original.
[2] So in original. Probably should be “life-threatening”.

42 USC 5106a1 - Repealed. Pub. L. 103252, title IV, 401(b)(2), May 18, 1994, 108 Stat. 672

Section, Pub. L. 93–247, title I, § 107A, as added Pub. L. 101–226, § 21, Dec. 12, 1989, 103 Stat. 1937; amended Pub. L. 102–295, title I, § 115(a), May 28, 1992, 106 Stat. 195, related to emergency child abuse prevention services grants.

42 USC 5106b - Repealed. Pub. L. 104235, title I, 108, Oct. 3, 1996, 110 Stat. 3078

Section, Pub. L. 93–247, title I, § 108, formerly 9, as added Pub. L. 100–294, title I, § 101, Apr. 25, 1988, 102 Stat. 113; renumbered title I, 108, and amended Pub. L. 101–126, § 3(a)(1), (2), (b)(4), Oct. 25, 1989, 103 Stat. 764, 765, related to technical assistance to States for child abuse prevention and treatment programs.

42 USC 5106c - Grants to States for programs relating to investigation and prosecution of child abuse and neglect cases

(a) Grants to States 
The Secretary, in consultation with the Attorney General, is authorized to make grants to the States for the purpose of assisting States in developing, establishing, and operating programs designed to improve
(1) the handling of child abuse and neglect cases, particularly cases of child sexual abuse and exploitation, in a manner which limits additional trauma to the child victim;
(2) the handling of cases of suspected child abuse or neglect related fatalities;
(3) the investigation and prosecution of cases of child abuse and neglect, particularly child sexual abuse and exploitation; and
(4) the handling of cases involving children with disabilities or serious health-related problems who are victims of abuse or neglect.
(b) Eligibility requirements 
In order for a State to qualify for assistance under this section, such State shall
(1) fulfill the requirements of section 5106a (b)1 of this title;
(2) establish a task force as provided in subsection (c) of this section;
(3) fulfill the requirements of subsection (d) of this section;
(4) submit annually an application to the Secretary at such time and containing such information and assurances as the Secretary considers necessary, including an assurance that the State will
(A) make such reports to the Secretary as may reasonably be required; and
(B) maintain and provide access to records relating to activities under subsections (a) and (b) of this section; and
(5) submit annually to the Secretary a report on the manner in which assistance received under this program was expended throughout the State, with particular attention focused on the areas described in paragraphs (1) through (3) of subsection (a) of this section.
(c) State task forces 

(1) General rule 
Except as provided in paragraph (2), a State requesting assistance under this section shall establish or designate, and maintain, a State multidisciplinary task force on childrens justice (hereinafter referred to as State task force) composed of professionals with knowledge and experience relating to the criminal justice system and issues of child physical abuse, child neglect, child sexual abuse and exploitation, and child maltreatment related fatalities. The State task force shall include
(A) individuals representing the law enforcement community;
(B) judges and attorneys involved in both civil and criminal court proceedings related to child abuse and neglect (including individuals involved with the defense as well as the prosecution of such cases);
(C) child advocates, including both attorneys for children and, where such programs are in operation, court appointed special advocates;
(D) health and mental health professionals;
(E) individuals representing child protective service agencies;
(F) individuals experienced in working with children with disabilities;
(G) parents; and
(H) representatives of parents groups.
(2) Existing task force 
As determined by the Secretary, a State commission or task force established after January 1, 1983, with substantially comparable membership and functions, may be considered the State task force for purposes of this subsection.
(d) State task force study 
Before a State receives assistance under this section, and at three year intervals thereafter, the State task force shall comprehensively
(1) review and evaluate State investigative, administrative and both civil and criminal judicial handling of cases of child abuse and neglect, particularly child sexual abuse and exploitation, as well as cases involving suspected child maltreatment related fatalities and cases involving a potential combination of jurisdictions, such as interstate, Federal-State, and State-Tribal; and
(2) make policy and training recommendations in each of the categories described in subsection (e) of this section.

The task force may make such other comments and recommendations as are considered relevant and useful.

(e) Adoption of State task force recommendations 

(1) General rule 
Subject to the provisions of paragraph (2), before a State receives assistance under this section, a State shall adopt recommendations of the State task force in each of the following categories
(A) investigative, administrative, and judicial handling of cases of child abuse and neglect, particularly child sexual abuse and exploitation, as well as cases involving suspected child maltreatment related fatalities and cases involving a potential combination of jurisdictions, such as interstate, Federal-State, and State-Tribal, in a manner which reduces the additional trauma to the child victim and the victims family and which also ensures procedural fairness to the accused;
(B) experimental, model and demonstration programs for testing innovative approaches and techniques which may improve the prompt and successful resolution of civil and criminal court proceedings or enhance the effectiveness of judicial and administrative action in child abuse and neglect cases, particularly child sexual abuse and exploitation cases, including the enhancement of performance of court-appointed attorneys and guardians ad litem for children, and which also ensure procedural fairness to the accused; and
(C) reform of State laws, ordinances, regulations, protocols and procedures to provide comprehensive protection for children from abuse, particularly child sexual abuse and exploitation, while ensuring fairness to all affected persons.
(2) Exemption 
As determined by the Secretary, a State shall be considered to be in fulfillment of the requirements of this subsection if
(A) the State adopts an alternative to the recommendations of the State task force, which carries out the purpose of this section, in each of the categories under paragraph (1) for which the State task forces recommendations are not adopted; or
(B) the State is making substantial progress toward adopting recommendations of the State task force or a comparable alternative to such recommendations.
(f) Funds available 
For grants under this section, the Secretary shall use the amount authorized by section 10603a of this title.
[1] See References in Text note below.

42 USC 5106d - Miscellaneous requirements relating to assistance

(a) Construction of facilities 

(1) Restriction on use of funds 
Assistance provided under this subchapter and subchapter III of this chapter may not be used for construction of facilities.
(2) Lease, rental, or repair 
The Secretary may authorize the use of funds received under this subchapter and subchapter III of this chapter
(A) where adequate facilities are not otherwise available, for the lease or rental of facilities; or
(B) for the repair or minor remodeling or alteration of existing facilities.
(b) Geographical distribution 
The Secretary shall establish criteria designed to achieve equitable distribution of assistance under this subchapter and subchapter III of this chapter among the States, among geographic areas of the Nation, and among rural and urban areas of the Nation. To the extent possible, the Secretary shall ensure that the citizens of each State receive assistance from at least one project under this subchapter and subchapter III of this chapter.
(c) Limitation 
No funds appropriated for any grant or contract pursuant to authorizations made in this subchapter and subchapter III of this chapter may be used for any purpose other than that for which such funds were authorized to be appropriated.
(d) Sense of Congress 
It is the sense of Congress that the Secretary should encourage all States and public and private agencies or organizations that receive assistance under this subchapter to ensure that children and families with limited English proficiency who participate in programs under this subchapter are provided materials and services under such programs in an appropriate language other than English.
(e) Annual report 
A State that receives funds under section 5106a (a) of this title shall annually prepare and submit to the Secretary a report describing the manner in which funds provided under this subchapter and subchapter III of this chapter, alone or in combination with other Federal funds, were used to address the purposes and achieve the objectives of section 5106a of this title.

42 USC 5106e - Coordination of child abuse and neglect programs

The Secretary shall prescribe regulations and make such arrangements as may be necessary or appropriate to ensure that there is effective coordination among programs related to child abuse and neglect under this subchapter and subchapter III of this chapter and other such programs which are assisted by Federal funds.

42 USC 5106f - Reports

(a) Omitted 
(b) Effectiveness of State programs 
Not later than two years after the first fiscal year for which funds are obligated under section 10603a of this title, the Secretary shall submit to the appropriate committees of Congress a report evaluating the effectiveness of assisted programs in achieving the objectives of section 5106c of this title.
(c) Study and report relating to citizen review panels 

(1) Study 
The Secretary shall conduct a study by random sample of the effectiveness of the citizen review panels established under section 5106a (c) of this title.
(2) Report 
Not later than 3 years after June 25, 2003, the Secretary shall submit to the Committee on Education and the Workforce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report that contains the results of the study conducted under paragraph (1).

42 USC 5106f1 - Report concerning voluntary reporting system

Not later than April 30, 1993, and annually thereafter, the Secretary of Health and Human Services, acting through the Director of the National Center on Child Abuse and Neglect, shall prepare and submit to the appropriate committees of Congress a report concerning the measures being taken to assist States in implementing a voluntary reporting system for child abuse and neglect. Such reports shall contain information concerning the extent to which the child abuse and neglect reporting systems developed by the States are coordinated with the automated foster care and adoption reporting system required under section 679 of this title.

42 USC 5106g - Definitions

For purposes of this subchapter
(1) the term child means a person who has not attained the lesser of
(A) the age of 18; or
(B) except in the case of sexual abuse, the age specified by the child protection law of the State in which the child resides;
(2) the term child abuse and neglect means, at a minimum, any recent act or failure to act on the part of a parent or caretaker, which results in death, serious physical or emotional harm, sexual abuse or exploitation, or an act or failure to act which presents an imminent risk of serious harm;
(3) the term Secretary means the Secretary of Health and Human Services;
(4) the term sexual abuse includes
(A) the employment, use, persuasion, inducement, enticement, or coercion of any child to engage in, or assist any other person to engage in, any sexually explicit conduct or simulation of such conduct for the purpose of producing a visual depiction of such conduct; or
(B) the rape, and in cases of caretaker or inter-familial relationships, statutory rape, molestation, prostitution, or other form of sexual exploitation of children, or incest with children;
(5) the term State means each of the several States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, and the Trust Territory of the Pacific Islands;
(6) the term withholding of medically indicated treatment means the failure to respond to the infants life-threatening conditions by providing treatment (including appropriate nutrition, hydration, and medication) which, in the treating physicians or physicians reasonable medical judgment, will be most likely to be effective in ameliorating or correcting all such conditions, except that the term does not include the failure to provide treatment (other than appropriate nutrition, hydration, or medication) to an infant when, in the treating physicians or physicians reasonable medical judgment
(A) the infant is chronically and irreversibly comatose;
(B) the provision of such treatment would
(i) merely prolong dying;
(ii) not be effective in ameliorating or correcting all of the infants life-threatening conditions; or
(iii) otherwise be futile in terms of the survival of the infant; or
(C) the provision of such treatment would be virtually futile in terms of the survival of the infant and the treatment itself under such circumstances would be inhumane.

42 USC 5106h - Authorization of appropriations

(a) In general 

(1) General authorization 
There are authorized to be appropriated to carry out this subchapter $120,000,000 for fiscal year 2004 and such sums as may be necessary for each of the fiscal years 2005 through 2008.
(2) Discretionary activities 

(A) In general 
Of the amounts appropriated for a fiscal year under paragraph (1), the Secretary shall make available 30 percent of such amounts to fund discretionary activities under this subchapter.
(B) Demonstration projects 
Of the amounts made available for a fiscal year under subparagraph (A), the Secretary shall make available not more than 40 percent of such amounts to carry out section 5105 of this title.
(b) Availability of funds without fiscal year limitation 
The Secretary shall ensure that funds appropriated pursuant to authorizations in this subchapter shall remain available until expended for the purposes for which they were appropriated.

42 USC 5106i - Rule of construction

(a) In general 
Nothing in this subchapter and subchapter III of this chapter shall be construed
(1) as establishing a Federal requirement that a parent or legal guardian provide a child any medical service or treatment against the religious beliefs of the parent or legal guardian; and
(2) to require that a State find, or to prohibit a State from finding, abuse or neglect in cases in which a parent or legal guardian relies solely or partially upon spiritual means rather than medical treatment, in accordance with the religious beliefs of the parent or legal guardian.
(b) State requirement 
Notwithstanding subsection (a) of this section, a State shall, at a minimum, have in place authority under State law to permit the child protective services system of the State to pursue any legal remedies, including the authority to initiate legal proceedings in a court of competent jurisdiction, to provide medical care or treatment for a child when such care or treatment is necessary to prevent or remedy serious harm to the child, or to prevent the withholding of medically indicated treatment from children with life threatening conditions. Except with respect to the withholding of medically indicated treatments from disabled infants with life threatening conditions, case by case determinations concerning the exercise of the authority of this subsection shall be within the sole discretion of the State.

42 USC 5107 - Discretionary programs; authorization of appropriations

(a) 
(1) The Secretary of Health and Human Services, either directly, through grants to States and public and private, nonprofit">nonprofit organizations and agencies, or through jointly financed cooperative arrangements with States, public agencies, and other agencies and organizations, is authorized to provide for activities of national significance related to child abuse prevention and treatment and adoption reform, including operation of a national center to collect and disseminate information regarding child abuse and neglect, and operation of a national adoption information exchange system to facilitate the adoptive placement of children.
(2) The Secretary, in carrying out the provisions of this subsection, shall provide for the continued operation of the National Center on Child Abuse and Neglect in accordance with section 5101 (a) of this title for each of the fiscal years 1982 and 1983.
(3) If the Secretary determines, in fiscal year 1982 or 1983, to carry out any of the activities described in section 5101 (b) of this title, the Secretary shall carry out such activities through the National Center on Child Abuse and Neglect.
(b) There is authorized to be appropriated to carry out this section $12,000,000 for each of the fiscal years 1982 and 1983. Of the amounts appropriated under this subsection for any fiscal year, not less than $2,000,000 shall be available to carry out title II of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 [42 U.S.C. 5111 et seq.].