[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 600 Introduced in Senate (IS)]

<DOC>






119th CONGRESS
  1st Session
                                 S. 600

   To enhance pre- and post-adoption support services, and for other 
                               purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           February 13, 2025

  Ms. Klobuchar (for herself and Mr. Cramer) introduced the following 
  bill; which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
   To enhance pre- and post-adoption support services, and for other 
                               purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Supporting Adopted Children and 
Families Act''.

SEC. 2. ADOPTION SUPPORT SERVICES.

    (a) Ensuring the Well-Being of Adopted Children and Their Adoptive 
Families.--Section 421 of the Social Security Act (42 U.S.C. 621) is 
amended--
            (1) in paragraph (4), by striking ``and'' at the end;
            (2) by redesignating paragraph (5) as paragraph (6); and
            (3) by inserting after paragraph (4) the following new 
        paragraph:
            ``(5) ensuring the well-being of adopted children and their 
        adoptive families and promoting efforts to prevent such 
        children from entering the foster care system through the 
        provision of pre- and post-adoption support services; and''.
    (b) Pre- and Post-Adoption Support Services.--Paragraph (8) of 
section 431(a) of such Act (42 U.S.C. 629a(a)) is amended to read as 
follows:
            ``(8) Adoption promotion and support services.--
                    ``(A) In general.--The term `adoption promotion and 
                support services' means services and activities 
                designed to encourage more adoptions out of the foster 
                care system and support domestic adoptions and 
                adoptions from other countries, consistent with 
                promoting the best interests of adopted children and 
                their adoptive families. Such services and activities 
                may include pre- and post-adoption support services, as 
                described in subparagraph (B), that are designed to 
                support adopted children and their adoptive families.
                    ``(B) Pre- and post-adoption support services.--The 
                term `pre- and post-adoption support services' means 
                the following:
                            ``(i) Pre-adoption support services, which 
                        may include--
                                    ``(I) direct services, including 
                                training, educational support, 
                                counseling, and other services for 
                                adoptive parents and families that 
                                address caregiver interests and 
                                concerns regarding common behavioral 
                                issues, such as--
                                            ``(aa) issues relating to 
                                        emotional, behavioral, or 
                                        developmental health needs;
                                            ``(bb) issues relating to 
                                        attachment, identity, 
                                        abandonment, cultural 
                                        differences, grief, loss, and 
                                        trauma; and
                                            ``(cc) issues resulting 
                                        from birth defects due to fetal 
                                        alcohol syndrome or any other 
                                        substance abuse-related 
                                        developmental disorder;
                                    ``(II) the provision of educational 
                                resources for adoptive parents 
                                regarding the geographic, ethnic, and 
                                cultural background of the adopted 
                                child;
                                    ``(III) peer-to-peer mentoring and 
                                support groups that permit a newly 
                                adoptive parent to communicate and 
                                learn from more experienced adoptive 
                                parents, including programs that 
                                enhance communication between adoptive 
                                parents with children of similar 
                                geographic, ethnic, or cultural 
                                backgrounds; and
                                    ``(IV) the provision of 
                                informational resources for adoptive 
                                parents, including--
                                            ``(aa) resources available 
                                        through Federal and State 
                                        agencies, including information 
                                        regarding benefits for children 
                                        with a medical condition or a 
                                        physical, mental, or emotional 
                                        disability;
                                            ``(bb) newsletters, 
                                        websites, and other 
                                        informational resources 
                                        regarding adoption-related 
                                        services;
                                            ``(cc) the establishment of 
                                        lending libraries containing 
                                        information and resources for 
                                        adoptive parents; and
                                            ``(dd) conferences, 
                                        discussion groups, and seminars 
                                        that are available to adoptive 
                                        parents and other relevant 
                                        stakeholders.
                            ``(ii) Post-adoption support services, 
                        which may include--
                                    ``(I) continued provision to 
                                adoptive parents of pre-adoption 
                                support services described in clause 
                                (i);
                                    ``(II) the provision of accessible 
                                and reliable respite services for 
                                adoptive parents;
                                    ``(III) direct services and 
                                counseling for adopted children, 
                                including, as appropriate--
                                            ``(aa) support services for 
                                        an adopted child with 
                                        emotional, behavioral, or 
                                        developmental health needs;
                                            ``(bb) support services 
                                        that address issues relating to 
                                        attachment, identity, 
                                        abandonment, cultural 
                                        differences, grief, and loss; 
                                        and
                                            ``(cc) treatment services 
                                        that are specialized for 
                                        adopted children, including 
                                        psychiatric residential 
                                        services, outpatient mental 
                                        health services, social skills 
                                        training, intensive in-home 
                                        supervision services, 
                                        recreational therapy, suicide 
                                        prevention, and substance abuse 
                                        treatment;
                                    ``(IV) peer-to-peer mentoring and 
                                support groups that allow adopted 
                                children to communicate and socialize 
                                with other adopted children, including 
                                programs that provide for communication 
                                between adopted children from similar 
                                geographic, ethnic, or cultural 
                                backgrounds; and
                                    ``(V) crisis and family 
                                preservation services, including crisis 
                                counseling and a 24-hour emergency 
                                hotline for adoptive parents.''.

SEC. 3. FUNDING FOR ADOPTION PROMOTION AND SUPPORT SERVICES.

    Paragraph (8) of section 473(a) of the Social Security Act (42 
U.S.C. 673(a)) is amended to read as follows:
            ``(8) With respect to the amount of savings (if any) in 
        State expenditures under this part resulting from the 
        application of paragraph (2)(A)(ii) to all applicable children 
        for a fiscal year, a State shall--
                    ``(A) spend a significant portion of such amount to 
                provide pre- and post-adoption support services (as 
                defined in section 431(a)(8)(B));
                    ``(B) spend the remainder of such amount to provide 
                to children or families any other services that may be 
                provided under this part or part B; and
                    ``(C) on an annual basis, submit to the Secretary a 
                report that provides a detailed account of any services 
                that were funded pursuant to this paragraph.''.

SEC. 4. FEDERAL GRANT PROGRAM FOR POST-ADOPTION AND POST-LEGAL 
              GUARDIANSHIP MENTAL HEALTH SERVICES.

    (a) Funding.--Section 436(b) of the Social Security Act (42 U.S.C. 
629f(b)) is amended by adding at the end the following new paragraph:
            ``(5) Post-adoption and post-legal guardianship mental 
        health services.--The Secretary shall reserve $20,000,000 for 
        grants under section 437(h).''.
    (b) Grant Program.--Section 437 of the Social Security Act (42 
U.S.C. 629g) is amended by adding at the end the following new 
subsection:
    ``(h) Post-Adoption and Post-Legal Guardianship Mental Health 
Service Programs.--
            ``(1) In general.--From the amounts reserved for each of 
        fiscal years 2026 through 2029 under section 436(b)(6), the 
        Secretary shall award grants or cooperative agreements under 
        this subsection to eligible entities to--
                    ``(A) develop and implement statewide or tribal 
                post-adoption and post-legal guardianship mental health 
                service programs for all children who are adopted or 
                placed in legal guardianship and their families;
                    ``(B) support public organizations and private 
                nonprofit organizations actively involved in statewide 
                or tribal post-adoption and post-legal guardianship 
                mental health service programs;
                    ``(C) collect and analyze data on State-sponsored 
                statewide or tribal post-adoption and post-legal 
                guardianship mental health service programs that can be 
                used to monitor the effectiveness of such services and 
                for research, technical assistance, and policy 
                development;
                    ``(D) develop and provide adoption and legal 
                guardianship competent educational and training 
                opportunities concerning the mental health needs of 
                children who are adopted or placed in legal 
                guardianship, and their families, for use by teachers, 
                social workers, and other community mental health 
                service providers;
                    ``(E) develop and provide materials for potential 
                adoptive parents and legal guardians, both for children 
                who already reside in the United States at the time of 
                adoption or placement in legal guardianship and for 
                those who at such time reside in other countries, 
                describing the possible need for post-adoption and 
                post-legal guardianship mental health services and 
                available resources;
                    ``(F) develop and provide respite care services for 
                adoptive and legal guardian families; and
                    ``(G) support research on, and development of, 
                promising practices (as defined in section 
                471(e)(4)(C)(iii)) for post-adoption and post-legal 
                guardianship mental health services.
            ``(2) Eligible entity defined.--
                    ``(A) In general.--In this subsection, the term 
                `eligible entity' means--
                            ``(i) a State;
                            ``(ii) a public organization or private 
                        nonprofit organization designated by a State to 
                        develop or direct the State-sponsored statewide 
                        post-adoption and post-legal guardianship 
                        mental health service program under a grant 
                        under this subsection; and
                            ``(iii) a federally recognized Indian tribe 
                        or tribal organization (as defined in the 
                        Indian Self-Determination and Education 
                        Assistance Act) or an urban Indian organization 
                        (as defined in the Indian Health Care 
                        Improvement Act) that is actively involved in 
                        the development and continuation of a post-
                        adoption and post-legal guardianship mental 
                        health service program.
                    ``(B) Limitation.--In carrying out this subsection, 
                the Secretary shall ensure that each State is awarded 
                only 1 grant or cooperative agreement under this 
                subsection. For purposes of the preceding sentence, a 
                State shall be considered to have been awarded a grant 
                or cooperative agreement if the eligible entity 
                involved is the State or an entity designated by the 
                State under subparagraph (A)(ii). Nothing in this 
                subparagraph shall be construed to apply to entities 
                described in subparagraph (A)(iii).
            ``(3) Preference.--In providing assistance under a grant or 
        cooperative agreement under this subsection, the Secretary 
        shall give preference to--
                    ``(A) eligible entities that have demonstrated 
                success in increasing the level of adoption and legal 
                guardianship competency among mental health providers, 
                adoption and legal guardianship lawyers, social 
                workers, case workers, adoptive parents, and legal 
                guardians; and
                    ``(B) eligible entities that plan to partner with 
                their State mental health agency in carrying out the 
                activities for which the grant or cooperative agreement 
                is made.
            ``(4) Requirement for direct services.--Not less than 85 
        percent of funds received under a grant or cooperative 
        agreement under this subsection shall be used to provide direct 
        services, of which not less than 5 percent shall be used for 
        activities authorized under paragraph (1)(C).
            ``(5) Coordination and collaboration.--
                    ``(A) In general.--In carrying out this subsection, 
                the Secretary shall collaborate with relevant Federal 
                agencies and adoption and legal guardianship-related 
                working groups to promote interaction between domestic 
                foster care agencies and private adoption agencies in 
                other countries.
                    ``(B) Consultation.--In carrying out this 
                subsection, the Secretary shall consult with--
                            ``(i) State and social service agencies 
                        engaged in the placement of children for 
                        adoption, domestically or from other countries;
                            ``(ii) local and national organizations 
                        that serve foster and adopted youth and youth 
                        placed in legal guardianship;
                            ``(iii) health and education specialists 
                        who focus on adoption, legal guardianship, and 
                        foster care medicine;
                            ``(iv) youth who have been in foster care, 
                        adopted, or in legal guardianship, domestically 
                        or from other countries, including youth who 
                        have experienced adoption or guardianship 
                        disruptions or dissolutions;
                            ``(v) families and friends of youth who 
                        have been in foster care, adopted, or in legal 
                        guardianship, domestically or from other 
                        countries, including foster and adoptive 
                        parents and legal guardians; and
                            ``(vi) qualified professionals who possess 
                        the specialized knowledge, skills, experience, 
                        and relevant attributes needed to serve 
                        children who are adopted or placed in legal 
                        guardianship and their families.
                    ``(C) Policy development.--In carrying out this 
                subsection, the Secretary shall--
                            ``(i) coordinate and collaborate on policy 
                        development with relevant Department of Health 
                        and Human Services agencies and adoption and 
                        legal guardianship-related working groups; and
                            ``(ii) consult on policy development at the 
                        Federal level with those in the private sector 
                        engaged in the recruitment of foster and 
                        adoptive parents and legal guardians, the 
                        placement of children in foster care, for 
                        adoption, and in legal guardianship, and the 
                        provision of post-adoption and post-legal 
                        guardianship s