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ONE PAGER: The Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of 2022

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The Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of 2022 is a bipartisan bill that reauthorizes the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program and increases federal investment over five years.

The Walorski home visiting bill supports expectant mothers and parents of young children to improve maternal and child health outcomes. The bill includes:

  • A $100 million increase in base funding starting in fiscal year 2023
  • Phased in additional federal matching funding starting in fiscal year 2024 which requires a 25 percent state match (for every $1 in state investment, $3 federal contribution)
  • Doubles the tribal set-aside (from three percent to six percent) starting in fiscal year 2023
  • Dedicated funding (two percent set-aside) for workforce support, retention, and case management
  • Set-aside funding for research, evaluation, and administration (three percent) and technical assistance (two percent)
  • An increase over fiscal year 2021 state allocations for every state and territory

  • Requires a new, annually updated “outcomes dashboard” to help Congress and the public track MIECHV’s success in improving family outcomes in every state or territory.
  • Requires a new annual report to Congress to allow Members to better oversee the program and make improvements in the future.
  • Requires HHS to work with states, beneficiary advocates, and home visiting models to reduce administrative burden by focusing data collection and monitoring on improving family outcomes, instead of details of local site financial accounting.
  • Adds a transparent, predictable funding formula, which targets new funding to states with more eligible families using their share of children (and poor children) under age five.
  • Clear, predictable “maintenance of effort” requirement for states and territories.
  • Clarifies limited uses of virtual home visiting as a model enhancement to an approved model, and requires that all home visiting models provide at least one in-person visit per year.
  • Limits state administrative spending to 10 percent of grants and requires grantees to focus their program dollars on targeted, intensive services for at-risk families.
  • Maintains the current strong focus on evidence-based home visiting models and practices.

CLICK HERE for a printable version of this one-pager.

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