Scratch? Who said whoever would have to start from scratch? CAFETY/ASTART didn't get on board till 2005 or later. Lots of work had already been done prior to that time. The CAFETY/ASTART folks did not start from scratch back then and a lot has been learned in the meantime. Some tweaking and reinstalling the original teeth would be a great start. In reality, the prospect of eliminating the abuse and fraud in programs is quite a seemingly insurmountable task. It is really sad to see people settle for less, toss aside kids offshore, compromise with the industry leaders and set what could turn out to be dangerous precedents for lawmakers and programs as a whole. Amendments are very hard to add so you're better off putting more teeth in the beginning or just kill the bill altogether.
I believe that the American people, including the kids in question, can be educated about what is bad about programs. Agencies can be notified and programs held accountable for fraud/abuse just fine. If there is a state somewhere that lags behind, well, put some fire under its butt. Exercise the legal system, ie lawyers, doctors, etc... There are already websites and organizations that have been around for a long time that could do a much better job than the government could ever do policing/reporting/educating etc about this industry. Why does the State Department warn parents about offshore programs now? If there was a way to acquire a million+ dollar a year budget, this would be the ultimate solution, IMO of course, but to support HR911 the way it is written right now is just not the right thing to do, also IMO.