) is amended by striking Not later than and all that follows through section 505(a)) and inserting Each State shall, as a condition of receiving payments from an allotment for the State under section 502, conduct a statewide needs assessment (which may be separate from but in coordination with the statewide needs assessment required under section 505(a) and which shall be reviewed and updated by the State not later than October 1, 2020) . 234. Improving the likelihood of success in high-risk communities Section 511(d)(4)(A) of the Social Security Act ( 42 U.S.C. 711(d)(4)(A) ) is amended by inserting , taking into account the staffing, community resource, and other requirements to operate at least one approved model of home visiting and demonstrate improvements for eligible families before the period. 235. Option to fund evidence-based home visiting on a pay for outcome basis (a) In general Section 511(c) of the Social Security Act ( 42 U.S.C. 711(c) ) is amended by redesignating paragraphs (3) and (4) as paragraphs (4) and (5), respectively, and by inserting after paragraph (2) the following: (3) Authority to use grant for a pay for outcomes initiative An eligible entity to which a grant is made under paragraph (1) may use up to 25 percent of the grant for outcomes or success payments related to a pay for outcomes initiative that will not result in a reduction of funding for services delivered by the entity under a childhood home visitation program under this section while the eligible entity develops or operates such an initiative. . (b) Definition of pay for outcomes initiative Section 511(k) of such Act ( 42 U.S.C. 711(k) ) is amended by adding at the end the following: (4) Pay for outcomes initiative The term pay for outcomes initiative means a performance-based grant, contract, cooperative agreement, or other agreement awarded by a public entity in which a commitment is made to pay for improved outcomes achieved as a result of the intervention that result in social benefit and direct cost savings or cost