[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 1770 Introduced in Senate (IS)]
<DOC>
116th CONGRESS
1st Session
S. 1770
To improve the identification and support of children and families who
experience trauma.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
June 10, 2019
Mr. Durbin (for himself, Mrs. Capito, Ms. Duckworth, and Ms. Murkowski)
introduced the following bill; which was read twice and referred to the
Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To improve the identification and support of children and families who
experience trauma.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Resilience Investment, Support, and
Expansion from Trauma Act'' or the ``RISE from Trauma Act''.
TITLE I--COMMUNITY PROGRAMMING
SEC. 101. TRAUMA-RELATED COORDINATING BODIES.
Title V of the Public Health Service Act is amended by inserting
after section 520A (42 U.S.C. 290bb-32) the following:
``SEC. 520B. TRAUMA-RELATED COORDINATING BODIES TO ADDRESS COMMUNITY
TRAUMA.
``(a) Grants.--
``(1) In general.--The Secretary, acting through the
Assistant Secretary, shall award grants to State, county,
local, or Indian tribe or tribal organizations (as such terms
are defined in section 4 of the Indian Self-Determination Act
and Education Assistance Act) or nonprofit private entities for
demonstration projects to enable such entities to act as
coordinating bodies to address community trauma.
``(2) Amount.--The Secretary shall award such grants in
amounts of not more than $4,000,000.
``(3) Duration.--The Secretary shall award such grants for
periods of 4 years.
``(b) Eligible Entities.--
``(1) In general.--To be eligible to receive a grant under
this section, an entity shall include 1 or more representatives
of each of the categories described in paragraph (2).
``(2) Composition.--The categories referred to in paragraph
(1) are--
``(A) governmental agencies, such as public health,
human services, or child welfare agencies, that conduct
activities to screen, assess, provide services or
referrals, prevent, or provide treatment to support
infants, children, youth, and their families as
appropriate, that have experienced or are at risk of
experiencing trauma;
``(B) faculty or qualified staff at an institution
of higher education (as defined in section 101(a) of
the Higher Education Act of 1965) or representatives of
a member of the National Child Traumatic Stress
Network, in an area related to screening, assessment,
service provision or referral, prevention, or treatment
to support infants, children, youth, and their
families, as appropriate, that have experienced or are
at risk of experiencing trauma;
``(C) hospitals, health care clinics, or other
health care institutions, such as mental health and
substance use treatment facilities;
``(D) criminal justice representatives related to
adults and juveniles, which may include law enforcement
or judicial or court employees;
``(E) local educational agencies or agencies
responsible for early childhood education programs,
which may include Head Start and Early Head Start
agencies;
``(F) community-based faith, human services, or
social services organizations, including providers of
after-school programs, home visiting programs, agencies
that serve victims of domestic and family violence and
child sexual abuse, or programs to prevent or address
the impact of violence and addiction; and
``(G) the general public, including individuals who
have experienced trauma.
``(3) Qualifications.--In order for an entity to be
eligible to receive the grant under this section, the
representatives included in the entity shall, collectively,
have professional training and expertise concerning childhood
trauma and evidence-based, evidence-informed, and promising
best practices to prevent and mitigate the impact of exposure
to trauma.
``(c) Application.--To be eligible to receive a grant under this
section, an entity shall submit an application to the Secretary at such
time, in such manner, and containing such information as the Secretary
may require, including information describing how the coordinating body
funded under the grant will continue its activities after the end of
the grant period.
``(d) Priority.--In awarding grants under this section, the
Secretary shall give priority to entities proposing to serve
communities that have faced high rates of community trauma, including
from intergenerational poverty, civil unrest, discrimination, or
oppression, which may include an evaluation of--
``(1) an age-adjusted rate of drug overdose deaths that is
above the national overdose mortality rate, as determined by
the Director of the Centers for Disease Control and Prevention;
and
``(2) an age-adjusted rate of violence-related (or
intentional) injury deaths that is above the national average,
as determined by the Director of the Centers for Disease
Control and Prevention.
``(e) Use of Funds.--An entity that receives a grant under this
section to act as a coordinating body shall use the grant funds--
``(1) to bring together stakeholders who provide or use
services in, or have expertise concerning, covered settings to
identify community needs and resources related to services to
prevent or address the impact of trauma, and to build on any
needs assessments conducted by organizations or groups
represented on the coordinating body;
``(2)(A) to collect data, on indicators specified by the
Secretary, that covers multiple covered settings; and
``(B) to use the data to identify unique community
challenges and barriers, gaps in services, and high-need areas,
related to services to prevent or address the impact of trauma;
``(3) to build awareness, skills, and leadership (including
through trauma-informed training and public outreach campaigns)
related to implementing the best practices developed under
section 7132(d) of the SUPPORT for Patients and Communities Act
(Public Law 115-271) (referred to in this subsection as the
`developed best practices'); and
``(4) to develop a strategic plan that identifies--
``(A) policy goals and coordination opportunities
(including coordination in applying for grants)
relating to implementing the developed best practices;
and
``(B) a comprehensive, integrated approach for the
entity and its members to prevent and mitigate the
impact of exposure to trauma in the community, and to
assist the community in healing from existing and prior
exposure to trauma.
``(f) Supplement Not Supplant.--Amounts made available under this
section shall be used to supplement and not supplant other Federal,
State, and local public funds and private funds expended to provide
trauma-related coordination activities.
``(g) Evaluation.--At the end of the period for which grants are
awarded under this section, the Secretary shall conduct an evaluation
of the activities carried out under each grant under this section. In
conducting the evaluation, the Secretary shall assess the outcomes of
the grant activities carried out by each grant recipient.
``(h) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $50,000,000 for the period of
fiscal years 2020 through 2023.
``(i) Definition.--In this section, the term `covered setting'
means the settings in which individuals may come into contact with
infants, children, youth, and their families, as appropriate, who have
experienced or are at risk of experiencing trauma, including schools,
hospitals, settings where health care providers, including primary care
and pediatric providers, provide services, early childhood education
and care settings, home visiting settings, after-school program
facilities, child welfare agency facilities, public health agency
facilities, mental health treatment facilities, substance use treatment
facilities, faith-based institutions, domestic violence agencies, child
advocacy centers, homeless services system facilities, refugee services
system facilities, juvenile justice system facilities, law enforcement
agency facilities, Healthy Marriage Promotion or Responsible Fatherhood
service settings, child support service settings, and service settings
focused on individuals eligible for Temporary Assistance for Needy
Families.''.
SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP PILOT FOR CHILDREN WHO
HAVE EXPERIENCED OR ARE AT RISK OF EXPERIENCING TRAUMA.
Section 526 of the Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act, 2014 (42 U.S.C.
12301 note) is amended--
(1) in subsection (a), by adding at the end the following:
``(4) `To improve outcomes for infants, children, and
youth, and their families as appropriate, who have experienced
or are at risk of experiencing trauma' means to increase the
rate at which individuals who have experienced or are at risk
of experiencing trauma, including those who are low-income,
homeless, involved with the child welfare system, involved in
the juvenile justice system, unemployed, or not enrolled in or
at risk of dropping out of an educational institution and live
in a community that has faced acute or long-term exposure to
substantial discrimination, historical oppression,
intergenerational poverty, civil unrest, a high rate of
violence or drug overdose deaths, achieve success in meeting
educational, employment, health, developmental, community
reentry, permanency from foster care, or other key goals.'';
(2) in subsection (b)--
(A) in the subsection heading, by striking ``Fiscal
Year 2014'' and inserting ``Fiscal Years 2020 Through
2024'';
(B) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively, and by moving
such subparagraphs, as so redesignated, 2 ems to the
right;
(C) by striking ``Federal agencies'' and inserting
the following:
``(1) Disconnected youth pilots.--Federal agencies''; and
(D) by adding at the end the following:
``(2) Trauma-informed care pilots.--
``(A) In general.--Federal agencies may use Federal
discretionary funds that are made available in this Act
or any appropriations Act for any of fiscal years 2020
through 2024 to carry out up to 10 Performance
Partnership Pilots. Such Pilots shall--
``(i) be designed to improve outcomes for
infants, children, and youth, and their
families as appropriate, who have experienced
or are at risk of experiencing trauma; and
``(ii) involve Federal programs targeted on
infants, children, and youth, and their
families as appropriate, who have experienced
or are at risk of experiencing trauma.
``(B) Priority.--In making funds available under
this paragraph, a Federal agency shall give priority to
entities that receive grants under section 520B of the
Public Health Service Act.'';
(3) in subsection (c)(2)--
(A) in subparagraph (A), by striking ``2018'' and
inserting ``2023''; and
(B) in subparagraph (F), by inserting before the
semicolon ``, including the age range for such
population''; and
(4) in subsection (e), by striking ``2018'' and inserting
``2023''.
SEC. 103. NATIONAL AND COMMUNITY SERVICE.
(a) Service-Learning.--Section 113(a)(2) of the National and
Community Service Act of 1990 (42 U.S.C. 12525(a)(2)) is amended--
(1) in subparagraph (C), by striking ``and'' at the end;
(2) in subparagraph (D), by striking the period and
inserting ``, and''; and
(3) by adding at the end the following:
``(E) information describing how the applicant will
give priority, in reviewing applications under
subsection (b), to entities that propose service-
learning programs in communities with high levels of
trauma (as defined in section 520B of the Public Health
Service Act).''.
(b) Americorps Recruitment.--Section 130(b)(5) of the National and
Community Service Act of 1990 (42 U.S.C. 12582(b)(5)) is amended by
inserting after ``and women,'' the following: ``and to give priority
(to the maximum extent practicable) to recruitment of participants from
communities with high levels of trauma (as defined in section 520B of
the Public Health Service Act),''.
(c) Americorps State Programs.--Section 130(c) of the National and
Community Service Act of 1990 (42 U.S.C. 12582(c)) is amended by adding
at the end the following:
``(4) In the case of a State or territory described in
section 129(e), an assurance that the State or territory, in
distributing grant funds made available under that section,
will give priority to entities proposing national service
programs that are related to the provision of trauma-informed
services in communities with high levels of trauma (as defined
in section 520B of the Public Health Service Act).''.
(d) Americorps Competitive Programs.--Section 133(d)(2) of the
National and Community Service Act of 1990 (42 U.S.C. 12585(d)(2)) is
amended--
(1) in subparagraph (B), by striking ``and'' at the end;
(2) in subparagraph (C), by striking the period and
inserting ``; and''; and
(3) by adding at the end the following:
``(D) national service programs that are related to
the provision of trauma-informed services in
communities with high levels of trauma (as defined in
section 520B of the Public Health Service Act).''.
SEC. 104. HOSPITAL-BASED INTERVENTIONS TO REDUCE READMISSIONS.
Section 911 of the Public Health Service Act (42 U.S.C. 299b) is
amended by adding at the end the following:
``(c) Hospital-Based Interventions To Reduce Readmissions.--
``(1) Grants.--The Secretary, acting through the Director
of the Agency, shall award grants to eligible entities to
evaluate hospital-based interventions to reduce subsequent
readmissions of patients that present at a hospital after
overdosing, attempting suicide, or suffering violent injury or
abuse.
``(2) Eligible entities.--To be eligible to receive a grant
under this subsection and entity shall--
``(A) be a hospital or health system (including
health systems operated by Indian tribes or tribal
organizations as such terms are defined in section 4 of
the Indian Self-Determination Act and Education
Assistance Act); and
``(B) submit to the Secretary an application at
such time, in such manner, and containing such
information as the Secretary may require, which shall
include demonstrated experience furnishing successful
hospital-based trauma interventions to improve outcomes
for patients presenting after overdosing, attempting
suicide, or suffering violent injury or abuse.
``(3) Use of funds.--An entity shall use amounts received
under a grant under this subsection to test and evaluate
hospital-based trauma-informed interventions for patients who
present at hospitals with drug overdoses, suicide attempts, and
violent injuries (such as domestic violence or intentional
penetrating wounds, including gunshots and stabbings) to
provide comprehensive education, screening, counseling,
discharge planning, skills building, and long-term case
management services to prevent hospital readmission, injury,
and improve health and safety outcomes. Such interventions may
be furnished in coordination or partnership with qualified
community-based organizations and may include or incorporate
the best practices developed under section 7132(d) of the
SUPPORT for Patients and Communities Act (Public Law 115-271).
``(4) Quality measures.--An entity that receive a grant
under this section shall submit to the Secretary a report on
the data and outcomes developed under the grant, including any
quality measures developed to prevent hospital readmissions for
the patients served under the program involved.''.
SEC. 105. SUPPORTING AT-RISK AND TRAUMA-EXPOSED STUDENTS WITH ARTS
OPPORTUNITIES.
Section 5(c) of the National Foundation on the Arts and Humanities
Act of 1965 (20 U.S.C. 954(c)) is amended--
(1) in paragraph (9), by striking ``and'' at the end;
(2) in paragraph (10), by striking the period and inserting
``; and''; and
(3) by inserting after paragraph (10), the following:
``(11) projects, programs, and workshops that provide
therapy and creative expression opportunities through the arts
for children, and their families as appropriate, who have
experienced or are at risk of experiencing trauma.''.
SEC. 106. ENSURING PARITY FOR INFANT, EARLY CHILDHOOD, AND YOUTH MENTAL
HEALTH.
Part K of title V of the Public Health Service Act (42 U.S.C. 290ll
et seq.) is amended--
(1) by redesignating section 550 (42 U.S.C. 290ee-10),
relating to sobriety treatment and recovery teams, as section
598; and
(2) by adding at the end the following:
``SEC. 599. INFANT AND EARLY CHILDHOOD MENTAL HEALTH PARITY.
``(a) In General.--The Secretary, in coordination with the
Secretary of Labor and the Secretary of Education, shall award grants
to, or enter into cooperative agreements with, States to ensure that
health insurance issuers in the State comply with section 2726, as such
section applies to infant and early childhood mental and behavioral
health.
``(b) Use of Grant.--A State shall use amounts received under a
grant or cooperative agreement under this section to--
``(1) establish clear guidelines for parity compliance for
infant and early childhood mental health that are evidence-
based;
``(2) align parity compliance with best practices for
meeting an infant's Individualized Family Service Plan under
part C of the Individuals with Disabilities Education Act or a
preschool aged child's Individualized Education Plan under part
B of such Act, as well as providing Coordinated Early
Intervening Services under part B of such Act to preschool age
children;
``(3) engage with health insurance issuers to ensure that
they comply with the guidelines promulgated and other
provisions of section 2726, as such section applies to infant
and early childhood mental health;
``(4) ensure health insurance issuer compliance through
audits, market conduct examinations, secret shopper programs,
or other means;
``(5) share learnings with other States who receive grants
under this section; and
``(6) submit a report to the Secretary, the Secretary of
Labor, and the Secretary of Education, on findings, actions,
recommendations, and any such other information as such
Secretaries shall require.
``(c) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $10,000,000 for each of fiscal
years 2020 through 2024.''.
SEC. 107. STREAMLINING AND COORDINATING TRAUMA GRANT FUNDING.
Not later than 2 years after the date of enactment of this Act, the
Director of the Office of Management and Budget, in coordination with
the Task Force created under section 7132 of the SUPPORT for Patients
and Communities Act (Public Law 115-271), shall review the Federal
grant programs and funding streams with relevance or potential to
furnish the best practices developed under section 7132(d) of such Act
for preventing and mitigating the impact of trauma, and issue guidance
to agencies on the following:
(1) Aligning measurement, reporting, and timelines for
Federal funds used to address community trauma.
(2) Leveraging different Federal funding streams to enable
effective data sharing, integration, and privacy to support
coordination for addressing community trauma.
(3) Consistency in eligibility requirements and enrollment
pathways for Federal funding to facilitate strategies for
addressing community trauma.
(4) Support for community-level planning activities that
advance the overall policy goals of each Federal funding
stream.
(5) Modeling the long-term budgetary benefits of preventing
or mitigating community trauma.
(6) The inclusion of trauma impact statements within
relevant grants focused on serving children and families.
SEC. 108. MEASURING SAVINGS FROM TRAUMA-INFORMED INTERVENTIONS.
(a) Identification of Effective Interventions.--The Secretary of
Health and Human Services, acting through the Assistant Secretary for
Planning and Evaluation, and in coordination with the Attorney General,
the Secretary of Education, and the Secretary of Labor, shall conduct a
review and analysis of the best practices developed under section
7132(d) of the SUPPORT for Patients and Communities Act (Public Law
115-271) (referred to in this section as the ``developed best
practices'') that can be furnished through a Federal grant or health
insurance program to prevent and mitigate the impact of trauma among
infants, children, and youth, and their families, as appropriate, and
identify those practices which hold the most promise to reduce long-
term costs and spending associated with children, including health care
and child welfare costs.
(b) Conduct of Review.--In conducting the review and analysis under
subsection (a), the Assistant Secretary may--
(1) solicit public input on the review design, findings,
and conclusions; and
(2) examine methods for evaluating whether the developed
best practices were effectively implemented and the predicted
outcomes and savings are likely to be achieved, which may
include competency and testing approaches, and performance or
outcome measures.
(c) Updates.--The set of best practices identified under subsection
(a) as holding promise to reduce costs shall be updated at regular
intervals.
(d) Evaluating Long-Term Savings Associated With the
Interventions.--The Director of the Office of Management and Budget
shall analyze, determine, and publicly report the cost-savings across
the Federal budget over 20 years, including an appropriate discount
rate, associated with the effective implementation of the interventions
identified in subsection (a), when applied in a representative
population of children participating in all such appropriate Federal
grant or health insurance programs in a given year, and update these
determinations at least every 5 years.
TITLE II--WORKFORCE DEVELOPMENT
SEC. 201. DIVERSITY TRAINING FOR INDIVIDUALS FROM COMMUNITIES THAT HAVE
EXPERIENCED HIGH LEVELS OF TRAUMA, VIOLENCE, OR
ADDICTION.
Part B of title VII of the Public Health Service Act (42 U.S.C. 293
et seq.) is amended by adding at the end the following:
``SEC. 742. INDIVIDUALS FROM COMMUNITIES THAT HAVE EXPERIENCED HIGH
LEVELS OF TRAUMA, VIOLENCE, OR ADDICTION.
``In carrying out activities under this part, the Secretary shall
ensure that emphasis is provided on the recruitment of individuals from
communities that have experienced high levels of trauma, violence, or
addiction and that appropriate activities under this part are carried
out in partnership with community-based organizations that have
expertise in addressing such challenges to enhance service delivery.''.
SEC. 202. FUNDING FOR THE NATIONAL HEALTH SERVICE CORPS.
Section 10503(b)(2) of the Patient Protection and Affordable Care
Act (42 U.S.C. 254b-2(b)(2)) is amended--
(1) in subparagraph (E), by striking ``and'' at the end;
(2) in subparagraph (F), by striking the period and
inserting ``; and''; and
(3) by adding at the end the following:
``(G) $360,000,000 for each of fiscal years 2020
through 2024.''.
SEC. 203. INFANT AND EARLY CHILDHOOD CLINICAL WORKFORCE.
Part P of title III of the Public Health Service Act (42 U.S.C.
280g) is amended by adding at the end the following:
``SEC. 399V-7. INFANT AND EARLY CHILDHOOD CLINICAL WORKFORCE.
``(a) In General.--The Secretary, acting through the Associate
Administrator of the Maternal and Child Health Bureau, shall establish
an Infant and Early Childhood Clinical Mental Health Leadership Program
to award grants to eligible entities to establish training institutes
and centers of excellence for infant and early childhood clinical
mental health.
``(b) Eligible Entities.--To be eligible to receive a grant under
this section, an entity shall--
``(1) be--
``(A) an institution of higher education as defined
in section 101(a) of the Higher Education Act of 1965;
or
``(B) be a hospital with affiliation with such an
institution of higher education, or a State
professional medical society or association of infant
mental health demonstrating an affiliation or
partnership with such an institution of higher
education; and
``(2) submit to the Secretary an application at such time,
in such manner, and containing such information as the
Secretary may require.
``(c) Use of Grant.--An entity shall use amounts received under a
grant under this section to establish statewide training institutes or
centers of excellence for licensed clinical social workers, licensed
professional counselors, licensed marriage and family therapists,
clinical psychologists, child psychiatrists, school psychologists,
nurses, and developmental and behavioral pediatricians on infant and
early childhood clinical mental health, with an emphasis on screening,
assessment, service provision or referral, prevention, and treatment
for infants and children who have experienced or are at risk of
experiencing trauma, as well as prevention of secondary trauma,
through--
``(1) the provision of community-based training and
supervision in evidence-based assessment, diagnosis, and
treatment, which may be conducted through partnership with
qualified community-based organizations;
``(2) the development of graduate education training
tracks;
``(3) the provision of scholarships and stipends, including
to enhance recruitment from under-represented populations in
the mental health workforce; and
``(4) the provision of mid-career training to develop the
capacity of existing health practitioners.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $25,000,000 for each of fiscal
years 2020 through 2024.''.
SEC. 204. TRAUMA-INFORMED TEACHING AND SCHOOL LEADERSHIP.
(a) Partnership Grants.--Section 202 of the Higher Education Act of
1965 (20 U.S.C. 1022a) is amended--
(1) in subsection (b)(6)--
(A) by redesignating subparagraphs (H) through (K)
as subparagraphs (I) through (L), respectively; and
(B) by inserting after subparagraph (G) the
following:
``(H) how the partnership will prepare general
education and special education teachers, including
early childhood educators, to support positive learning
outcomes and social and emotional development for
students who have experienced trauma (including
students who are involved in the foster care or
juvenile justice systems or runaway or homeless youth)
and in alternative education settings in which high
populations of youth with trauma exposure may learn
(including settings for correctional education,
juvenile justice, pregnant and parenting students, or
youth who have re-entered school after a period of
absence due to dropping out);'';
(2) in subsection (d)(1)(A)(i)--
(A) in subclause (II), by striking ``and'' after
the semicolon;
(B) by redesignating subclause (III) as subclause
(IV); and
(C) by inserting after subclause (II) the
following:
``(III) such teachers, including
early childhood educators, to adopt
evidence-based approaches for improving
behavior (such as positive behavior
interventions and supports and
restorative justice), supporting social
and emotional learning, mitigating the
effects of trauma, improving the
learning environment in the school,
preventing secondary trauma, compassion
fatigue, and burnout, and for
alternatives to suspensions,
expulsions, corporal punishment,
referrals to law enforcement, and other
actions that remove students from the
learning environment; and''; and
(3) in subsection (d), by adding at the end the following:
``(7) Trauma-informed practice and work in alternative
education settings.--Developing the teaching skills of
prospective and, as applicable, new, early childhood,
elementary school, and secondary school teachers to adopt
evidence-based trauma-informed teaching strategies--
``(A) to--
``(i) recognize the signs of trauma and its
impact on learning;
``(ii) maximize student engagement and
promote the social and emotional development of
students; and
``(iii) implement alternative practices to
suspension and expulsion that do not remove
students from the learning environment; and
``(B) including programs training teachers,
including early childhood educators, to work with
students with exposure to traumatic events (including
students involved in the foster care or juvenile
justice systems or runaway and homeless youth) and in
alternative academic settings for youth unable to
participate in a traditional public school program in
which high populations of students with trauma exposure
may learn (such as students involved in the foster care
or juvenile justice systems, pregnant and parenting
students, runaway and homeless students, and other
youth who have re-entered school after a period of
absence due to dropping out).''.
(b) Administrative Provisions.--Section 203(b)(2) of the Higher
Education Act of 1965 (20 U.S.C. 1022b(b)(2)) is amended--
(1) in subparagraph (A), by striking ``and'' after the
semicolon;
(2) in subparagraph (B), by striking the period at the end
and inserting ``; and''; and
(3) by adding at the end the following:
``(C) to eligible partnerships that have a high-
quality proposal for trauma training programs for
general education and special education teachers,
including early childhood educators.''.
(c) Grants for the Development of Leadership Programs.--Section
202(f)(1)(B) of the Higher Education Act of 1965 (20 U.S.C.
1022a(f)(1)(B)) is amended--
(1) in clause (v), by striking ``and'' at the end;
(2) in clause (vi), by striking the period and inserting
``; and''; and
(3) by adding at the end the following:
``(vii) identify students who have
experienced trauma and connect those students
with appropriate school-based or community-
based interventions and services.''.
SEC. 205. TOOLS FOR FRONT-LINE PROVIDERS.
Not later than 18 months after the date of enactment of this Act,
the Secretary of Health and Human Services, in coordination with
appropriate stakeholders with subject matter expertise which may
include the National Child Traumatic Stress Network, shall carry out
activities to develop accessible and easily understandable toolkits for
use by front-line service providers (including teachers, early
childhood educators, school leaders, mentors, social workers,
counselors, faith leaders, first responders, kinship caregivers) for
appropriately identifying, responding to, and supporting infants,
children, and youth, and their families, as appropriate, who have
experienced or are at risk of experiencing trauma. Front-line service
providers may also include programs focused on adults whose children or
who themselves have experienced trauma, including programs related to
Healthy Marriage and Responsible Fatherhood, child support, and
Temporary Assistance to Needy Families. Such toolkits shall incorporate
best practices developed under section 7132(d) of the SUPPORT for
Patients and Communities Act (Public Law 115-271), and include actions
to build a safe, stable, and nurturing environment for the infants,
children, and youth served in those settings, capacity building, and
strategies for addressing the impact of secondary trauma, compassion
fatigue, and burnout among such front-line service providers.
SEC. 206. CHILDREN EXPOSED TO VIOLENCE INITIATIVE.
Title I of the Omnibus Crime Control and Safe Streets Act of 1968
(34 U.S.C. 10101) is amended by adding at the end the following:
``PART OO--CHILDREN EXPOSED TO VIOLENCE AND ADDICTION INITIATIVE
``SEC. 3051. GRANTS TO IDENTIFY AND SUPPORT CHILDREN EXPOSED TO
VIOLENCE AND SUBSTANCE USE.
``(a) In General.--The Attorney General may make grants to States,
units of local government, Indian tribes and tribal organizations (as
such terms are defined in section 4 of the Indian Self-Determination
Act and Education Assistance Act), and nonprofit organizations to
reduce violence and substance use by preventing exposure to trauma,
violence, or substance use and identifying and supporting infants,
children, and youth, and their families, as appropriate, exposed to
trauma, violence, or substance use.
``(b) Use of Funds.--A grant under subsection (a) may be used to
implement trauma-informed policies and practices that support infants,
children, youth, and their families, as appropriate, by--
``(1) building public awareness and education, and
improving policies and practices;
``(2) providing training, tools and resources to develop
the skills and capacity of parents (including foster parents),
adult guardians, and professionals who interact directly with
infants, children, and youth, and their families, as
appropriate, in an organized or professional setting, including
through the best practices developed under section 7132(d) of
the SUPPORT for Patients and Communities Act (Public Law 115-
271); and
``(3) providing technical assistance to communities,
organizations, and public agencies on how to prevent and
mitigate the impact of exposure to trauma, violence, and
substance use.
``(c) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $11,000,000 for each of fiscal
years 2020 through 2024.''.
SEC. 207. ESTABLISHMENT OF LAW ENFORCEMENT CHILD AND YOUTH TRAUMA
COORDINATING CENTER.
(a) Establishment of Center.--
(1) In general.--The Attorney General shall establish a
National Law Enforcement Child and Youth Trauma Coordinating
Center (referred to in this section as the ``Center'') to
provide assistance to adult- and juvenile-serving State, local,
and tribal law enforcement agencies (including those operated
by Indian tribes and tribal organizations as such terms are
defined in section 4 of the Indian Self-Determination Act and
Education Assistance Act) in interacting with infants,
children, and youth who have been exposed to violence or other
trauma, and their families as appropriate.
(2) Age range.--The Center shall determine the age range of
infants, children, and youth to be covered by the activities of
the Center.
(b) Duties.--The Center shall provide assistance to adult- and
juvenile-serving State, local, and tribal law enforcement agencies by--
(1) disseminating information on the best practices for law
enforcement officers, which may include best practices based on
evidence-based and evidence-informed models from programs of
the Department of Justice and the Office of Justice Services of
the Bureau of Indian Affairs or the best practices developed
under section 7132(d) of the SUPPORT for Patients and
Communities Act (Public Law 115-271), such as--
(A) models developed in partnership with national
law enforcement organizations, Indian tribes, or
clinical researchers; and
(B) models that include--
(i) trauma-informed approaches to conflict
resolution, information gathering, forensic
interviewing, de-escalation, and crisis
intervention training;
(ii) early interventions that link child
and youth witnesses and victims, and their
families as appropriate, to age-appropriate
trauma-informed services; and
(iii) preventing and supporting officers
who experience secondary trauma;
(2) providing professional training and technical
assistance; and
(3) awarding grants under subsection (c).
(c) Grant Program.--
(1) In general.--The Attorney General, acting through the
Center, may award grants to State, local, and tribal law
enforcement agencies or to multi-disciplinary consortia to--
(A) enhance the awareness of best practices for
trauma-informed responses to infants, children, and
youth who have been exposed to violence or other
trauma, and their families as appropriate; and
(B) provide professional training and technical
assistance in implementing the best practices described
in subparagraph (A).
(2) Application.--Any State, local, or tribal law
enforcement agency seeking a grant under this subsection shall
submit an application to the Attorney General at such time, in
such manner, and containing such information as the Attorney
General may require.
(3) Use of funds.--A grant awarded under this subsection
may be used to--
(A) provide training to law enforcement officers on
best practices, including how to identify and
appropriately respond to early signs of trauma and
violence exposure when interacting with infants,
children, and youth, and their families, as
appropriate; and
(B) establish, operate, and evaluate a referral and
partnership program with trauma-informed clinical
mental health, substance use, health care, or social
service professionals in the community in which the law
enforcement agency serves.
(d) Authorization of Appropriations.--There are authorized to be
appropriated to the Attorney General--
(1) $6,000,000 for each of fiscal years 2020 through 2024
to award grants under subsection (c); and
(2) $2,000,000 for each of fiscal years 2020 through 2024
for other activities of the Center.
SEC. 208. NATIONAL INSTITUTES OF HEALTH REPORT ON TRAUMA.
Not later than 1 year after the date of the enactment of this Act,
the Director of the National Institutes of Health shall submit to
Congress a report on the activities of the National Institutes of
Health with respect to trauma (including trauma that stems from child
abuse, exposure to violence, addiction and substance use, and toxic
stress) and the implications of trauma for infants, children, and
youth, and their families, as appropriate. Such report shall include--
(1) the comprehensive research agenda of the National
Institutes of Health with respect to trauma;
(2) the capacity, expertise, and review mechanisms of the
National Institutes of Health with respect to the evaluation
and examination of research proposals related to child trauma,
including coordination across institutes and centers and
inclusion of trauma impact statements within relevant grants
focused on serving children and families;
(3) the relevance of trauma to other diseases, outcomes,
and domains;
(4) strategies to link and analyze data from multiple
independent sources, including child welfare, health care
(including mental health care), law enforcement, and education
systems, to enhance research efforts and improve health
outcomes;
(5) the efficacy of existing interventions, including
clinical treatment methods, child- and family-focused
prevention models, and community-based approaches, in
mitigating the effects of experiencing trauma and improving
health and societal outcomes; and
(6) identification of gaps in understanding in the field of
trauma and areas of greatest need for further research related
to trauma.
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