The annual report from the Department of Health and Human Services tallied 402,378 children in the foster care system as of September 30, 2013, up from about 397,000 a year earlier, but still down dramatically from a decade earlier. "While we have seen these national numbers hold steady over the past few years, it's important to note that there is great variation among states and many are still reducing their foster care populations," said JooYeun Chang, associate commissioner of HHS's Administration for Children, Youth and Families. Titled the Preventing Sex Trafficking and Strengthening Families Act, it seeks to improve the system of offering incentives to states for facilitating adoptions out of foster care.