; (B) report to the Secretary on the status of adopting such recommendations; and (C) in a case in which the State declines to adopt a particular recommendation, make public the explanation for such declination. (4) Definitions For purposes of this subsection— (A) the terms child sexual abuse and sexual abuse shall not be limited to an act or a failure to act on the part of a parent or caretaker; (B) the term organization means any entity that serves children; and (C) the term systemic child sexual abuse means— (i) a pattern of informal or formal policy or de facto policy to not follow State and local requirements to report instances of child sexual abuse in violation of State and local mandatory reporting laws or policy; or (ii) a pattern of assisting individual perpetrators in maintaining their careers despite substantiated evidence of child sexual abuse. . 108. Reports (a) Scaling evidence-based treatment of child abuse and neglect Section 110 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5106f ) is amended to read as follows: 110. Study and report relating to scaling evidence-based treatment of child abuse and neglect; study and report on marital age of consent