This bill would reauthorize the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program through fiscal year 2022 with $400 million allocated to it annually. The program aims to give pregnant women and families, particularly those considered at-risk, resources and skills to raise children who are physically, socially, and emotionally healthy and ready to learn. The program is set to expire at the end of September 2017.
Current law requires grantees receiving funds through the program to demonstrate improvement in specified benchmark areas three years after implementation. This bill would also require grantees in subsequent years to track and demonstrate improvement in those areas. If the grantee fails to do so, they would be required to develop and implement a corrective plan that’d be subject to the approval of the Dept. of Health and Human Services (HHS). HHS would terminate program grants to grantee that implements such a plan but continues to fail to show improvement. To receive grants, a state would have to conduct a statewide needs assessment by October 1, 2019 and at least once every five years thereafter.
Grantees would have to provide matching funds under the program starting with fiscal year 2020. They could use program funds to support a “pay-for-outcomes initiative”, which is a performance-based grant, contract, or agreement in which a commitment is made to pay for improved outcomes that result in social benefit and public-sector cost savings.
HHS would be required to establish data-exchange standards for the program.