The focus of this hearing is on State efforts to comply with Federal child welfare review requirements related to safety, permanency, and child and family well-being. This document commences with the Advisory of May 6, 2004, announcing the hearing. This is followed by witness testimonies from: U.S. Department of Health and Human Services, Honorable Wade F. Horn, Assistant Secretary for Children and Families; U.S. General Accounting Office, Cornelia M. Ashby, Director, Education Work force and Income Security Issues; New Jersey Department of Human Services, Edward E. Cotton; and Maryland Department of Human Resources, Honorable Christopher McCabe. Statements submitted for the record are then presented from: Honorable Joe Baca, a Representative in Congress from the State of California; Child Welfare League of America; Anita M. Crowley, Wichita Falls, Texas; Family Rights West Virginia, Keyser, West Virginia, Christina M. Amtower; Fostering Results, Mike Shaver, Chicago, Illinois; Honorable George Miller, a Representative in Congress from the State of California; Thomas E. Miller, Smithfield, Utah; New York State Office of Children and Family Services, Commissioner, John A. Johnson, Rensselaer, New York; and Elaine Reeves, Fort Walton Beach, Florida. A statement submitted for the record and attachments are then provided by James D. Untershire, Long Beach, California.