; (B) contact with unsafe adults or youth; and (C) exposure to unsafe or isolated environments. (6) The caregivers with whom a child is placed through unregulated custody transfer often have no legal responsibility with respect to such child, placing the child at risk for additional unregulated custody transfers. (7) Such caregivers also may not have complete records with respect to such child, including the child’s birth, medical, or immigration records. (8) A child adopted through intercountry adoption may be at risk of not acquiring United States citizenship if an unregulated custody transfer occurs before the adoptive parents complete all necessary steps to finalize the adoption of such child. (9) Engaging in, or offering to engage in, unregulated custody transfer places children at risk of harm. (b) Report to Congress (1) In general Not later than 1 year after the date of the enactment of this section, the Secretary of Health and Human Services shall provide to the Committee on Education and Labor of the House of Representatives, the Committee on Ways and Means of the House of Representatives, and the Committee on Health, Education, Labor, and Pensions of the Senate a report on unregulated custody transfers of children, including of adopted children. (2) Elements The report required under paragraph (1) shall include— (A) the causes, methods, and characteristics of unregulated custody transfers, including the use of social media and the internet; (B) the effects of unregulated custody transfer on children, including the lack of assessment of a child’s safety and well-being by social services agencies and courts due to such unregulated custody transfer; (C) the prevalence of unregulated custody transfers within each State and across all States; and (D) recommended policies for preventing, identifying, and responding to unregulated custody transfers, including of adopted children, that include— (i) amendments to Federal and State law to address unregulated custody transfers