program. (iii) The extent to which families eligible for participation in the pilot program actually participate in the pilot program. (iv) The characteristics of families eligible for participation in the pilot program that do not participate in the pilot program, and summaries of the reasons for lack of participation. (v) The ability of nurses to adhere to the clinical protocols of the pilot program. (vi) The extent to which families participating in the program are being connected to services and resources under the pilot program. (vii) The extent to which families participating in the pilot program are using services and resources under the pilot program. (B) Such recommendations for legislative or administrative action as the Secretary considers appropriate in light of the pilot program, including expansion or extension of the pilot program. (k) Ongoing evaluation (1) In general Not later than three years after the date of the report required by subsection (j)(2), and every five years thereafter, the Secretary shall conduct a scientifically rigorous evaluation of universal nurse home visits provided in accordance with this section, using administrative records, in order to assess the effectiveness of such visits in— (A) reducing incidence of child abuse and neglect and fatalities due to abuse and neglect