Directs states to, not later than six months upon enactment of this section and as a condition of receipt of maternal and child health allotments, conduct (and report to the Secretary of HHS accordingly) a statewide needs assessment to identify at-risk communities as defined in statute. Directs HHS to award grants available for early childhood home visitation programs. Such grants are intended to assist eligible families by promoting improvements in maternal and prenatal health, parenting related to child development outcomes, school readiness and so forth.
Delineates requirements relative to demonstration of quantifiable, measurable improvement in benchmark areas under these grants, with mandated reports due to the Secretary. Priority is to be given to applicants serving certain high-risk populations. Provides for a maintenance of effort (MOE) provision such that no funds under this grant are intended to supplant funds from other sources for early childhood home visitation programs or initiatives. Requires the Secretary to submit a report to Congress by March 31, 2015 on the outcome of its evaluation, followed by a report to Congress and recommendations for any legislative and administrative actions by December 31, 2015. Appropriates $100 million for FY 2010; $250 million for FY 2011; $350 million for FY 2012; and $400 million in each of FYs 2013 and 2014 (with specified reserved set-asides in each of these FYs for certain entities).