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Home Visiting Enacted Legislation in States

Home Visiting Enacted Legislation in States

5/19/2014

Enacted Legislation | 2008-2014

State legislators play an important role in establishing effective home visiting policy. Home visiting is when visitors, such as trained nurses, social workers or child development specialists, go to the homes to help expecting and new parents. Participation is voluntary and the visits teach parents about health, child development and learning activities that foster their child’s development. Since 2008, more than 20 states have enacted legislation to address home visiting effectiveness, accountability, and continuous quality improvement, including comprehensive, statewide home visiting definitions, standards, outcomes and funding and reporting requirements. State legislation also addresses the importance of home visiting as a critical component in states’ comprehensive early childhood systems.

Legislation in states also address how home visiting plays a critical part in states’ birth-to-five system for at-risk, pregnant mothers, newborns, infants and toddlers. Some legislations also deals with the role of home visiting as a proven strategy to prevent child neglect and abuse, provide parenting support, promote parent education in child health and development, and increase school readiness. Finally, enacted home visiting legislation also addresses the long-term sustainability of home visiting through innovative financing mechanisms and strategic allocation of limited public resources.

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State Bill   Year Provisions

Alabama

 

SB 51    
SB 64          

Act 552                           Act 553

2008

Appropriates State Education Trust Funds and tobacco settlement revenues to the Department of Education and Office of School Readiness to administer the Home Instruction for Parents of Preschool Youngsters (HIPPY) and Head Start programs.

Alaska

SB 182

Chapter 19

2012

Establishes the Parents As Teachers (PAT) home visiting program within the Department of Education and Early Development. Requires the department to implement programming that is evidence-based, involves parents, is consistent with research and best practices for high quality early childhood education,  incorporates early learning guidelines, and coordinates with existing pre-elementary education programs. Requires a report to the Legislature on program effectiveness and participation.

Arkansas

HB 1103             HB 1111

Act 252                        Act 62

2014

Appropriates state grants for development and operation of the Healthy Families America Home Visiting Program and support of the Pregnant Parenting Teens Program.

SB 491

Act 528             

2013

Requires the State Child Abuse and Neglect Prevention Board, the Department of Health and the Department of Human Services to implement statewide, voluntary home visiting services to promote prenatal care and healthy births. Prohibits the state from compelling parents to participate in home visiting services or hindering their ability to withdraw from services. Prohibits the state from considering a parent’s withdrawal from a program grounds for child protective services investigations. Establishes definitions for evidence-based and promising practice home visiting models. Excludes IDEA Part C early intervention, one-time home visiting services, and medical or protective services from the state definition of home visiting. Requires the state to use at least 90 percent of funding toward evidence-based and promising practice models. Requires state agencies to develop protocols for sharing and reporting program data and a uniform contract for providers.  Requires agencies to explore the inclusion of home visiting data in health-based, education-based or child welfare-based statewide longitudinal data systems and recommend to the General Assembly if interagency memoranda of understanding for data sharing are needed. Requires a review and update of the statewide home visiting measurement plan every five years and requires programs that receive state funding to submit data annually.

California

SB 252

Chapter 563

2013

Allows pregnant women to satisfy welfare-to-work participation requirements by participating in a voluntary home visiting program under the auspices of the federal home visiting grant or another program for low-income Californians as approved by the U.S. Department of Health and Human Services. Pending approval from the federal government, allows the home visiting hours to count as welfare-to-work hours for up to 10 months.

Colorado

HB 1117

Chapter 169

2013

Moves the state home visiting program from the Department of Public Health and Environment to the Department of Human Services to better coordinate learning, health, mental health, family support and parent education services for young children.

HB 1180            HB 1181

Chapter 200                 Chapter 74

2013

Requires the state to transfer unexpended and unencumbered tobacco settlement funds to pay for state home visiting services instead of using state general funds.

HB 1291

Chapter 363

2013

Creates the Infant and Toddler Quality and Availability Grant Program to provide tiered reimbursements to high-quality, accredited early childhood programs that serve low-income infants and toddlers, including home-based Early Head Start programs.

SB 64

Chapter 56

2012

Requires funds from the Colorado Children's Trust Fund to go toward child abuse and neglect prevention, not intervention programs.

SB 224

Chapter 155

2011

Suspends annual increases in tobacco settlement funding for the Nurse Family Partnership program and reduces FY 2011 funding by $797,627.

SB 73

Chapter 386

2010

Requires the Colorado Nurse Family Partnership to consult and collaborate with the Health Sciences Division at the University of Colorado and the Department of Public Health and Environment as a condition of state funding. 

Connecticut

SB 972

Public Act 178

2013

Requires the Office of Early Childhood to recommend ways to improve home visiting services, develop a common family referral process, establish core competencies and training for home visitors, and develop program standards and monitor outcomes.

Florida

HB 5001

Chapter 152

2008

Allocates State Welfare Transition Trust Funds to the Home Instruction Program for Pre-School Youngsters (HIPPY).

Hawaii

HB 908

Act 91

2013

Establishes a statewide hospital-based home visiting and early identification program in the State Department of Health. Outlines the goals of the program as identifying families of newborns at risk for poor birth outcomes, promoting healthy child development and strengthening families. Requires the program to provide universal screening of newborns and refer high-risk families to evidence-based home visiting services. Appropriates tobacco settlement funds to the Department of Health to administer the program.

Iowa

SF 2321

Chapter 1132

2012

Appropriates $22 million in general funds for FY 2013-2014 to the Department of Education Early Childhood Iowa Fund for family support services and parent education programs targeted at families expecting a child or with newborn and infant children through age five.

HF 649

Chapter 129

2011

Specifies that evidence-based or promising practice home visiting programs have priority in state funding. 

Kentucky

HB 366

Chapter 118

2013

Establishes definitions, criteria and goals for a statewide home visiting system. Requires programs to adhere to research-based or promising models and provide voluntary home visits for at-risk parents during the prenatal period or until the child's third birthday. Requires programs receiving state funds to meet the state definitions of home visiting by FY 2014; demonstrate their ability to work as part of a coordinated system; and report outcomes and relevant data to the state home visiting data system. Excludes from the definition services that have few or infrequent home visits, medically referred home visits, child protective services home visits, and visits conducted as part of the federal IDEA Part B or C program.

Maine

HP 1105

Resolve 77

2011

Requires the Department of Human Services to develop a comprehensive, multi-year plan for state home visiting services with an emphasis on research-proven strategies to improve early childhood health and cognition abilities, and services to improve outcomes for infants who are negatively affected by physical, emotional, developmental or environmental factors.

HP 1671

Chapter 683

2008

Requires the Department of Health and Human Services, subject to the availability of funds, to offer voluntary universal home visiting for new families, regardless of family income.

Maryland

HB 699               SB 566

Chapter 80                        Chapter 79

2012

Requires the state to fund evidence-based and promising home visiting models only. Establishes definitions for evidence-based programs, program monitoring and data reporting to the Governor's Office for Children and the General Assembly. Requires the state to use 75 percent of state funding for evidence-based home visiting programs.

Michigan

HB 5572

Public Act 291                        

2012

Requires the Departments of Community Health, Human Services and Education to collaborate and ensure that only voluntary, home visiting programs that meet evidence-based or promising practice standards are funded by state funds. Requires state-funded home visiting services to utilize home visiting as the primary method of service delivery. Excludes IDEA Part C early intervention services and services that provide only one-time visitation from the state definition.  Requires state agencies to collaborate to collect and share home visiting data.

Mississippi

HB 1067

Chapter 485

2010

Creates a pilot home visiting program (Nurse-Family Partnership) to provide home visiting to low-income pregnant women.

Montana

HB 4

Chapter 294

2013

Authorizes remaining FY 2013 federal home visiting funds to the Public Health and Safety Division for use in FY 2014.

Nebraska

LB 194

Enacted

2013

Reappropriates unexpended general funds to home visiting programs.

New Mexico

HB 2

Chapter 227

2013

Appropriates state funds for technical assistance and support capacity-building of home visiting services and staff in high-risk areas of the state.

SB 113

Chapter 228

2013

Transfers general funds to the tobacco settlement permanent fund for the Department of Children, Youth and Families (DCYF) to administer various early care and education services in FY 2014, including $2 million to expand enrollment of children and families in home visiting programs.

SB 297

Chapter 25

2013

Allows the Children’s Trust Fund to maximize federal funds, private donations, bequests and other grants to carry out its programs and services, including home visiting.

SB 365

Chapter 118

2013

Requires the Department of Children, Youth and Families (DCYF) to establish statewide home visiting definitions, criteria and standards. Excludes from the definition of home visiting services provided as part of Medicaid case management, and one-time or infrequent home visits and services conducted as part of the federal IDEA Part C or B services. Requires home visiting services to achieve at least two out of nine state-established objectives. Requires the DCYF to share home visiting data with the state Early Learning Advisory Council and requires the DCYF to consult with home visiting evaluators to develop indicators and measure objectives.

HB 2

Chapter 19

2012

Appropriates $3,176,800 from state general funds (a $900,000 increase over the current year) to augment and increase home visiting services. 

Oregon

HB 4165

Chapter 37

2011

Expands the role and duties of the Early Learning Council in the oversight of a unified early learning and care system that includes home visiting.

Tennessee

SB 2241

Chapter 873

2012

Outlines goals for state home visiting services as improved child development, health and family economic sufficiency. Defines evidence-based and promising program models. Excludes home visiting services performed as part of Medicaid case management from the state definition. Allocates 50 percent of state funds toward evidence-based home visiting services in FY 2012-13 and 75 percent by FY 2013-14. 

Texas

HB 2620

Chapter 1021

2013

Requires a representative from the Texas Home Visiting Program to be appointed to the newly created Task Force on Domestic Violence.

SB 1836

Chapter 820

2013

Allows individuals who conduct business at local vital statistics records and marriage licensing offices to donate cash to the newly created Texas Home Visiting Trust Fund.

SB 426

Chapter 421

2013

Establishes the voluntary Texas Home Visiting program for pregnant women and families with children under age 6. Establishes the definitions of and funding for evidence-based and promising programs (75 percent and 25 percent, respectively). Requires the Commissioner of Health to see out federal funds, private gifts, and charitable donations to support home visiting services. Requires home visiting programs to be evaluated and biennial reports submitted to the Legislature.

Vermont

SB 156

Act 66

2013

Requires the Secretary of Human Services to establish standards for statewide home visiting services. Requires the Secretary to address issues related to provider training and supervision, family outreach, intake, referrals and transitions; and state funding eligibility and criteria.

Washington

HB 1723

Chapter 323

2013

Requires the Department of Early Learning to deposit at least 80 percent of available home visiting funds into the Home Visiting Services Account (HVSA) and up to 20 percent of new funds to provide parent support services. Requires home visiting services to serve families involved in the child welfare system.

SB 5809

Chapter 165

2013

Requires the Department of Early Learning to deposit federal home visiting funds into the Home Visiting Services Account (HVSA) and administer federal home visiting grant requirements. Requires an annual 50 percent local match through public-private partnerships and requires that unmet match goals be reported to the Legislature. Prohibits the cost of program administration from exceeding four percent in any two consecutive years.

HB 1965

Chapter 32 

2011

Appropriates state funding to the Home Visiting Services Account to be administered to evidence-based home visiting services by the Department of Early Learning (DEL). Requires the DEL to ensure funding coordination between various public and private stakeholders.

SB 6444

Chapter 37

2010

Increases state supplemental funding to home visiting programs under the auspices of the Department of Early Learning.

HB 2687

Chapter 329

2008

Establishes the Home Visiting Services Account (HVSA) and appropriates funding for home visiting activities to enhance child development and well-being, reduce child abuse and neglect prevalence, and promote school readiness. Requires HVSA expenditures for home visiting services and infrastructure building to be allocated only after private matching funds have been secured by Thrive by Five, a public-private partnership home visiting contractor.

*Sources: StateNet and state legislature websites. Bill status up to date as reported by StateNet and legislatures' websites as of May 1, 2014. Some appropriation bills may not be included. Visit the Early Care & Education database and search for legislation from 50 states and the territories on a variety of early care and education issues (child care, child care financing, pre-kindergarten, professional development, home visiting, infants and toddlers, and financing early education).

 Map of States with Home Visiting Legislation

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