; and (B) State efforts to improve reporting on, and responding to reports of, child abuse or neglect; and (2) data regarding any changes in the rate of substantiated child abuse reports and changes in the rate of child abuse fatalities since the date of enactment of the CAPTA Reauthorization Act of 2019 . (d) Report relating to injuries indicating the presence of child abuse Not later than 2 years after the date of enactment of the CAPTA Reauthorization Act of 2019 , the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Labor of the House of Representatives a report that contains— (1) information on best practices developed by medical institutions and other multidisciplinary partners to identify and appropriately respond to injuries indicating the presence of potential physical abuse in children, including— (A) the identification and assessment of such injuries by health care professionals and appropriate child protective services referral and notification processes; and (B) an identification of effective programs replicating best practices, and barriers or challenges to implementing programs; and (2) data on any outcomes associated with the practices described in paragraph (1), including subsequent revictimization and child fatalities. (e) Report relating to child abuse and neglect in Indian tribal communities Not later than 2 years after the date of enactment of the CAPTA Reauthorization Act of 2019 , the Comptroller General of the United States, in consultation with Indian Tribes from each of the 12 Bureau of Indian Affairs Regions, shall submit a report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Labor of the House of Representatives that contains— (1) information about Indian Tribes and Tribal Organizations providing child abuse and neglect prevention activities, including types of programming and number of tribes providing services