116 S1770 IS: Resilience Investment, Support, and Expansion from Trauma Act
U.S. Senate
2019-06-10
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.
This Act may be cited as the Resilience Investment, Support, and Expansion from Trauma Act
or the RISE from Trauma Act
.
<enum>I</enum><header>Community programming</header>
<section id="idb8ee1cf41ca64c51937845b9adc704da"><enum>101.</enum><header>Trauma-related coordinating bodies</header><text display-inline="no-display-inline">Title V of the Public Health Service Act is amended by inserting after section 520A (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-32">42 U.S.C. 290bb–32</external-xref>) the following:</text>
<quoted-block display-inline="no-display-inline" id="id2324f4bf56e7476a9cb60494add09f1a" style="OLC">
<section id="id7108229b500a4da9bcb323a59e45679a"><enum>520B.</enum><header>Trauma-related coordinating bodies to address community trauma</header>
<subsection id="id108be21b89654ce9ab78017415cc7dad"><enum>(a)</enum><header>Grants</header>
<paragraph id="id4ad98d7be1de47c7ae8889400153cbcf"><enum>(1)</enum><header>In general</header><text>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.</text>
</paragraph><paragraph id="idedfbc3dc23874fcc96afd8eefadcd9c4"><enum>(2)</enum><header>Amount</header><text>The Secretary shall award such grants in amounts of not more than $4,000,000.</text> </paragraph><paragraph id="id64604a10ce6740bf9364617cd12ec90d"><enum>(3)</enum><header>Duration</header><text>The Secretary shall award such grants for periods of 4 years.</text>
</paragraph></subsection><subsection id="id3bca82854ad147e6af4263e18926dec4"><enum>(b)</enum><header>Eligible entities</header>
<paragraph id="idd83cf9e9aeb54dbf8933e5a16e6e5d9f"><enum>(1)</enum><header>In general</header><text>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).</text>
</paragraph><paragraph id="id058c58b945604a6c947314a5f914cdde"><enum>(2)</enum><header>Composition</header><text>The categories referred to in paragraph (1) are—</text> <subparagraph id="id91b69906cb59495c865a2f1286ee52a9"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="id0fb87145b45e4feaa3facdf723a3609c"><enum>(B)</enum><text>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;</text>
</subparagraph><subparagraph id="id2a720de0b3014977a4ebaab25081d107"><enum>(C)</enum><text>hospitals, health care clinics, or other health care institutions, such as mental health and substance use treatment facilities;</text>
</subparagraph><subparagraph id="id16a7ab2be4b044568d606f240cdc6d97"><enum>(D)</enum><text>criminal justice representatives related to adults and juveniles, which may include law enforcement or judicial or court employees;</text>
</subparagraph><subparagraph id="idabb8c6ec0a9a4c0eb03d88fda59e834d"><enum>(E)</enum><text>local educational agencies or agencies responsible for early childhood education programs, which may include Head Start and Early Head Start agencies;</text>
</subparagraph><subparagraph id="id3384bc4c732240bbb481781dda25a3f0"><enum>(F)</enum><text>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</text>
</subparagraph><subparagraph id="id8d93a9bfc20a4943a2445220f45f130f"><enum>(G)</enum><text>the general public, including individuals who have experienced trauma.</text> </subparagraph></paragraph><paragraph id="id6a3f53d2f04e4563b59753dbcf3f381e"><enum>(3)</enum><header>Qualifications</header><text>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.</text>
</paragraph></subsection><subsection id="idb986d88b638a44a59dee3db9fe527709"><enum>(c)</enum><header>Application</header><text>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.</text>
</subsection><subsection id="ide632d3d8eced435e9f6bfe0895bdccff"><enum>(d)</enum><header>Priority</header><text>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—</text>
<paragraph id="idd12ea487142949f49e6ac5459c4813b7"><enum>(1)</enum><text>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</text>
</paragraph><paragraph id="ida877383f98b84c7db0427ba9b42aa684"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><subsection id="id093631c6e8ed42f6bda4d6a676af01ed"><enum>(e)</enum><header>Use of funds</header><text>An entity that receives a grant under this section to act as a coordinating body shall use the grant funds—</text>
<paragraph id="id8eba45082a0548eba91ce5fb2382c28e"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="id905792f18c304dcd9a4ba7ae5ce088ba"><enum>(2)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id01C1869D809E4B99BBF693FC65A06DCA"><enum>(A)</enum><text>to collect data, on indicators specified by the Secretary, that covers multiple covered settings; and</text>
</subparagraph><subparagraph id="idEFB03F5E97A24C4EB0749AAF5AE45BF3" indent="up1"><enum>(B)</enum><text>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;</text>
</subparagraph></paragraph><paragraph id="idf3eb8bb15d284842b0cbaf1b09e55a8e"><enum>(3)</enum><text>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 (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>) (referred to in this subsection as the <quote>developed best practices</quote>); and</text>
</paragraph><paragraph id="id02dab7c8bfe1414da7a9c459f7b9960f"><enum>(4)</enum><text>to develop a strategic plan that identifies—</text> <subparagraph id="id1d7ccbb00ccd4bc0b30f71d4837d3d78"><enum>(A)</enum><text>policy goals and coordination opportunities (including coordination in applying for grants) relating to implementing the developed best practices; and</text>
</subparagraph><subparagraph id="id3a36eecb52904c0b96578dffc5a859e4"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph></subsection><subsection id="idcee00d57c1ae4caea17de3907c8092b4"><enum>(f)</enum><header>Supplement not supplant</header><text>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.</text>
</subsection><subsection id="idc7f9e5c4a5a04c909dadce5279c29f17"><enum>(g)</enum><header>Evaluation</header><text>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.</text>
</subsection><subsection id="id37a926a0eab24edbac8672e9e52dfc34"><enum>(h)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to carry out this section $50,000,000 for the period of fiscal years 2020 through 2023.</text>
</subsection><subsection id="id09ee87d2523d40d0863d6d2a593d1447"><enum>(i)</enum><header>Definition</header><text>In this section, the term <term>covered setting</term> 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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idb0d430d2177640ecbcc4c6a6bd287a89"><enum>102.</enum><header>Expansion of performance partnership pilot for children who have experienced or are at risk of
experiencing trauma</header><text display-inline="no-display-inline">Section 526 of the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (<external-xref legal-doc="usc" parsable-cite="usc/42/12301">42 U.S.C. 12301</external-xref> note) is amended—</text>
<paragraph id="id5d9abc3eba91497fa0a750200cccf2e0"><enum>(1)</enum><text>in subsection (a), by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="ide789c6d801664d318466b0b0bd9243d0" style="OLC"> <paragraph id="id319c9b0ed9a6483894ded0b836dfddd0"><enum>(4)</enum><text><term>To improve outcomes for infants, children, and youth, and their families as appropriate, who have experienced or are at risk of experiencing trauma</term> 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.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id06714fbde5664c3ea1cb74f7c9b2466e"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="idd97e8d4c70da4647bfd45139fd3743b9"><enum>(A)</enum><text>in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">fiscal year 2014</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">fiscal years 2020 through 2024</header-in-text></quote>;</text>
</subparagraph><subparagraph id="id34e9cb66db884d869acc3afcb0d9a611"><enum>(B)</enum><text>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;</text>
</subparagraph><subparagraph id="id0dc9e0abb8c04941bb575443b28e8209"><enum>(C)</enum><text>by striking <quote>Federal agencies</quote> and inserting the following:</text> <quoted-block display-inline="no-display-inline" id="id648c1575b36f4217b73c661b90f6c2dc" style="OLC"> <paragraph id="idae4594172d254a01b1ef3fb4474e890a"><enum>(1)</enum><header>Disconnected youth pilots</header><text>Federal agencies</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id0e0eacdad4c444e8b26e0586886b41c4"><enum>(D)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="idd9de54f21b6c49a5ab009ba0887a3985" style="OLC"> <paragraph id="idde573f4a2b7641e386d59c230f61da84"><enum>(2)</enum><header>Trauma-informed care pilots</header> <subparagraph id="id10C7C0697AEC4E248D7447A53CB0DBC4"><enum>(A)</enum><header>In general</header><text>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—</text>
<clause id="id16663fc1b9394748a71025d070b43f52"><enum>(i)</enum><text>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</text>
</clause><clause id="id588c7434b2b94089afc8aa51cb019f73"><enum>(ii)</enum><text>involve Federal programs targeted on infants, children, and youth, and their families as appropriate, who have experienced or are at risk of experiencing trauma.</text>
</clause></subparagraph><subparagraph id="idCF5E9FF5DEE943E393F5C45C967BC378"><enum>(B)</enum><header>Priority</header><text>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.</text></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id802c3f2f3d124a0d92a09b699428e30c"><enum>(3)</enum><text>in subsection (c)(2)—</text> <subparagraph id="id6AB9D13D96884C89A159A8A70FE7F251"><enum>(A)</enum><text>in subparagraph (A), by striking <quote>2018</quote> and inserting <quote>2023</quote>; and</text>
</subparagraph><subparagraph id="id70ea63b08e4848738b74907c12629ec6"><enum>(B)</enum><text>in subparagraph (F), by inserting before the semicolon <quote>, including the age range for such population</quote>; and</text> </subparagraph></paragraph><paragraph id="id433f6d35255e4c51afcc9fe8a56a2d81"><enum>(4)</enum><text>in subsection (e), by striking <quote>2018</quote> and inserting <quote>2023</quote>.</text>
</paragraph></section><section id="id6820500ABD4E47D5887BAFF00E34B7FB"><enum>103.</enum><header>National and community service</header>
<subsection id="id6AC25337ABFF409AA7795561A1BE21F2"><enum>(a)</enum><header>Service-Learning</header><text>Section 113(a)(2) of the National and Community Service Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12525">42 U.S.C. 12525(a)(2)</external-xref>) is amended—</text>
<paragraph id="idEA73E48DE54A4C709797A1979198E790"><enum>(1)</enum><text>in subparagraph (C), by striking <quote>and</quote> at the end;</text> </paragraph><paragraph id="id7AF32977F9D7499BA8AD822171D2197A"><enum>(2)</enum><text>in subparagraph (D), by striking the period and inserting <quote>, and</quote>; and</text>
</paragraph><paragraph id="idEA798426BA7D4B0183A452ACE59180B2"><enum>(3)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="idB1FF07C7033C4C648C1F447090B7707B" style="OLC"> <subparagraph id="idC82A0603CA2A4FF5BA601F9379D271AD"><enum>(E)</enum><text>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).</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id29D50EBA4AE44C088E7EC762407972D8"><enum>(b)</enum><header>Americorps recruitment</header><text>Section 130(b)(5) of the National and Community Service Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12582">42 U.S.C. 12582(b)(5)</external-xref>) is amended by inserting after <quote>and women,</quote> the following: <quote>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),</quote>.</text>
</subsection><subsection id="idC9593E6F3E684EC0A198000CAFB4C385"><enum>(c)</enum><header>Americorps State programs</header><text>Section 130(c) of the National and Community Service Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12582">42 U.S.C. 12582(c)</external-xref>) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id50668DF3A7814CCD8240EB1EC51563CC" style="OLC">
<paragraph id="idC410E14AF8B44880B5BCB431D77BB64B"><enum>(4)</enum><text>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).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="idB020339581554AB2959AC240A5980888"><enum>(d)</enum><header>Americorps competitive programs</header><text>Section 133(d)(2) of the National and Community Service Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12585">42 U.S.C. 12585(d)(2)</external-xref>) is amended—</text>
<paragraph id="id95D53936DA0E4FF98D60DF33A3804015"><enum>(1)</enum><text>in subparagraph (B), by striking <quote>and</quote> at the end;</text> </paragraph><paragraph id="id08C3AA5F59F54175B763D83DD7420CDD"><enum>(2)</enum><text>in subparagraph (C), by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="id42E02EAC2DAB4785B9E86CBF9828C5A2"><enum>(3)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="id6BCBA7C3D14C468AAA1A719D3E3AA6E9" style="OLC"> <subparagraph id="idCFFFBA015B464AD9BB7988484E0E0C7A"><enum>(D)</enum><text>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).</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section commented="no" id="id067906f898b74341b8866fbea457ae82"><enum>104.</enum><header>Hospital-based interventions to reduce readmissions</header><text display-inline="no-display-inline">Section 911 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/299b">42 U.S.C. 299b</external-xref>) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id347266CCEC61451A9679152ADF03996D" style="OLC">
<subsection commented="no" id="idEFBB348FCED94F6FB09C1EA22A2F6D66"><enum>(c)</enum><header>Hospital-Based interventions To reduce readmissions</header>
<paragraph id="id4d6aebf522d947f288fad96b31d3b99f"><enum>(1)</enum><header>Grants</header><text>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.</text>
</paragraph><paragraph id="id7A80137148DB47259AECAA1DDCE8D29E"><enum>(2)</enum><header>Eligible entities</header><text>To be eligible to receive a grant under this subsection and entity shall—</text> <subparagraph id="id1355D1A44A8140F8ACBB922A75F48B0E"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="id8A0C36549A3D4ACA8F1C0E60FFC1AAB6"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="id9c344de80c934df091417a1a1c79b343"><enum>(3)</enum><header>Use of funds</header><text>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 (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>).</text>
</paragraph><paragraph id="id62c0a10c76764e69bfd4c839257450d2"><enum>(4)</enum><header>Quality measures</header><text>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.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id9b3bb8c9c86d46ca8526d487862bc3d8"><enum>105.</enum><header>Supporting at-risk and trauma-exposed students with arts opportunities</header><text display-inline="no-display-inline">Section 5(c) of the National Foundation on the Arts and Humanities Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/954">20 U.S.C. 954(c)</external-xref>) is amended—</text>
<paragraph id="idE2E93D4D43FE486A9ED1071C1BA1ABFB"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (9), by striking <quote>and</quote> at the end;</text> </paragraph><paragraph id="idFB93DCAA38FE4E4EA0AF19B51D386757"><enum>(2)</enum><text>in paragraph (10), by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="id8BDEA58A55214B07BE85924C11593A4B"><enum>(3)</enum><text>by inserting after paragraph (10), the following:</text> <quoted-block display-inline="no-display-inline" id="idA3698371F0604C629823EADF07154344" style="OLC"> <paragraph id="id33a269b4f5794726a6cb9e49b540b63d"><enum>(11)</enum><text>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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idd59cf71d82ef446aa9e7d763a2249c76"><enum>106.</enum><header>Ensuring parity for infant, early childhood, and youth mental health</header><text display-inline="no-display-inline">Part K of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ll">42 U.S.C. 290ll</external-xref> et seq.) is amended—</text> <paragraph id="idA65FDA64656A4C9AB28A8BB34613501B"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating section 550 (<external-xref legal-doc="usc" parsable-cite="usc/42/290ee-10">42 U.S.C. 290ee–10</external-xref>), relating to sobriety treatment and recovery teams, as section 598; and</text>
</paragraph><paragraph id="idAE1343E8468B4178A0405F58A0F4ABD7"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="id120FCF0161BA41DB8331D76F22344B0A" style="OLC"> <section id="id22F64D9B7F01454B8046174FF13A0DCE"><enum>599.</enum><header>Infant and early childhood mental health parity</header> <subsection id="id8d42e4c5a24d4c9597bda28399bd4599"><enum>(a)</enum><header>In general</header><text>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.</text>
</subsection><subsection id="id80d547f0cf124e6e922e1cd1a3cd030a"><enum>(b)</enum><header>Use of grant</header><text>A State shall use amounts received under a grant or cooperative agreement under this section to—</text> <paragraph id="id98f20cfd14004afab5e25f3fd2964b49"><enum>(1)</enum><text>establish clear guidelines for parity compliance for infant and early childhood mental health that are evidence-based;</text>
</paragraph><paragraph id="id64c1084465964131a76e9db12da3d877"><enum>(2)</enum><text>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;</text>
</paragraph><paragraph id="id5b6a80806dea498e85da9b05cf98fb38"><enum>(3)</enum><text>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;</text>
</paragraph><paragraph id="id92bd9fc9c22b4041b2ff954cac43a8cd"><enum>(4)</enum><text>ensure health insurance issuer compliance through audits, market conduct examinations, secret shopper programs, or other means;</text>
</paragraph><paragraph id="ida42a39a013b5488cb0702bea57df401f"><enum>(5)</enum><text>share learnings with other States who receive grants under this section; and</text> </paragraph><paragraph id="idfb75e4b383654aa8aad8774f125e6c99"><enum>(6)</enum><text>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.</text>
</paragraph></subsection><subsection id="id232e114361034fd18f3d821a2e003c0a"><enum>(c)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to carry out this section, $10,000,000 for each of fiscal years 2020 through 2024.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id81dbc969dbfd4f0485118e3578989b93"><enum>107.</enum><header>Streamlining and coordinating trauma grant funding</header><text display-inline="no-display-inline">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 (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>), 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:</text>
<paragraph id="id2add80ac998d4169a6a8395d3e5c5076"><enum>(1)</enum><text display-inline="yes-display-inline">Aligning measurement, reporting, and timelines for Federal funds used to address community trauma.</text> </paragraph><paragraph id="idb1bf6030b78142d6abe8b2ee24c8cd49"><enum>(2)</enum><text display-inline="yes-display-inline">Leveraging different Federal funding streams to enable effective data sharing, integration, and privacy to support coordination for addressing community trauma.</text>
</paragraph><paragraph id="idbece1646fee74deb9b20b94733d7307a"><enum>(3)</enum><text display-inline="yes-display-inline">Consistency in eligibility requirements and enrollment pathways for Federal funding to facilitate strategies for addressing community trauma.</text>
</paragraph><paragraph id="id74cacff2be66412ab678c8db5d0dc7ac"><enum>(4)</enum><text display-inline="yes-display-inline">Support for community-level planning activities that advance the overall policy goals of each Federal funding stream.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="iddd7b8709fd304541957722aa37df23e5"><enum>(5)</enum><text display-inline="yes-display-inline">Modeling the long-term budgetary benefits of preventing or mitigating community trauma.</text> </paragraph><paragraph id="idbda3557983a04ef384221f0d51b19623"><enum>(6)</enum><text>The inclusion of trauma impact statements within relevant grants focused on serving children and families.</text>
</paragraph></section><section id="idcb010a8ca33040e59ccc384bbc553b4d"><enum>108.</enum><header>Measuring savings from trauma-informed interventions</header>
<subsection id="id26a0ae5296fc4516b329a09acf8eff48"><enum>(a)</enum><header>Identification of effective interventions</header><text>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 (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>) (referred to in this section as the <quote>developed best practices</quote>) 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.</text>
</subsection><subsection id="idedbcbe8792ab4782ad1e378d9c58202c"><enum>(b)</enum><header>Conduct of review</header><text>In conducting the review and analysis under subsection (a), the Assistant Secretary may—</text> <paragraph id="idd6b95f0bddb84a4a9136dfbd34e44a4f"><enum>(1)</enum><text>solicit public input on the review design, findings, and conclusions; and</text>
</paragraph><paragraph id="id89c607cab3ca4b288ea2be1ccf20b158"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><subsection id="idcfd14c5085e44292b8d163e9ca9ca775"><enum>(c)</enum><header>Updates</header><text>The set of best practices identified under subsection (a) as holding promise to reduce costs shall be updated at regular intervals.</text>
</subsection><subsection commented="no" id="id8e2b3e9beedc4befb74cefb2d476447f"><enum>(d)</enum><header>Evaluating Long-Term Savings Associated with the Interventions</header><text display-inline="yes-display-inline">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.</text>
</subsection></section><enum>II</enum><header>Workforce development</header>
<section commented="no" id="idF047BD5509FA482986B9DC5CBA3F395C"><enum>201.</enum><header>Diversity training for individuals from communities that have experienced high levels of trauma,
violence, or addiction</header><text display-inline="no-display-inline">Part B of title VII of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/293">42 U.S.C. 293</external-xref> et seq.) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB1637DFB127D4B358282BBEA610F9320" style="OLC">
<section commented="no" id="id4923E2C3989E4B719DE059EEF896EA9A"><enum>742.</enum><header>Individuals from communities that have experienced high levels of trauma, violence, or addiction</header><text display-inline="no-display-inline">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.</text></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id2240EB2269B545C19CA6574CE26B6F21"><enum>202.</enum><header>Funding for the National Health Service Corps</header><text display-inline="no-display-inline">Section 10503(b)(2) of the Patient Protection and Affordable Care Act (<external-xref legal-doc="usc" parsable-cite="usc/42/254b-2">42 U.S.C. 254b–2(b)(2)</external-xref>) is amended—</text>
<paragraph id="id18BD4E681E964EF585533925579E9DA2"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (E), by striking <quote>and</quote> at the end;</text> </paragraph><paragraph id="id007FDCDBD70E40C08436DC02F2904A6D"><enum>(2)</enum><text display-inline="yes-display-inline">in subparagraph (F), by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="id89E1D1C7B2D64EF9B9E3B54D45D7084C"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="idB96B692D255944CE964CCC67A1E1353E" style="OLC"> <subparagraph commented="no" id="id1E4F4AE7941445ECAEE42FA1236A0A5D"><enum>(G)</enum><text>$360,000,000 for each of fiscal years 2020 through 2024.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" id="id4e1531a9862e476a886dbaea54d1801f"><enum>203.</enum><header>Infant and early childhood clinical workforce</header><text display-inline="no-display-inline">Part P of title III of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280g">42 U.S.C. 280g</external-xref>) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id3F7554FB3D0A4D819A1C8599ADF81F1C" style="OLC">
<section commented="no" id="id249522D9693141CC97F3463742E522A7"><enum>399V–7.</enum><header>Infant and early childhood clinical workforce</header>
<subsection id="iddee6cb4bbfa04bddafbcbe8d044421a6"><enum>(a)</enum><header>In general</header><text>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.</text>
</subsection><subsection id="id6945FA69ADD04B398563AE44033A2B02"><enum>(b)</enum><header>Eligible entities</header><text>To be eligible to receive a grant under this section, an entity shall—</text> <paragraph id="idBD3D6B43F41848B4A8B236EC15C0654F"><enum>(1)</enum><text>be—</text>
<subparagraph id="id0C2E301F0D044A31AB7423928D3A7F6F"><enum>(A)</enum><text>an institution of higher education as defined in section 101(a) of the Higher Education Act of 1965; or</text>
</subparagraph><subparagraph id="idbfbd16e98e52415c8473ca5816ef52b6"><enum>(B)</enum><text>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</text>
</subparagraph></paragraph><paragraph id="id9D237C70E8F74468847F453670356047"><enum>(2)</enum><text>submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.</text>
</paragraph></subsection><subsection id="id3152134EEED245EC86F5295627F93059"><enum>(c)</enum><header>Use of grant</header><text>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—</text>
<paragraph id="id545a31190cb642089b1d0ea26f65a84b"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="id27aecb2370f3400eb0f4cb6f2f07ae11"><enum>(2)</enum><text>the development of graduate education training tracks;</text> </paragraph><paragraph id="id948189d07c644ed9a1436f2b6b21c221"><enum>(3)</enum><text>the provision of scholarships and stipends, including to enhance recruitment from under-represented populations in the mental health workforce; and</text>
</paragraph><paragraph id="id0c26930df57b4a70894b18c8fd27c83f"><enum>(4)</enum><text>the provision of mid-career training to develop the capacity of existing health practitioners.</text> </paragraph></subsection><subsection id="idACCB7DB36A804174BDE6CC63073132B1"><enum>(d)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to carry out this section, $25,000,000 for each of fiscal years 2020 through 2024.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id1d35814b3d6e40eb96a202b375ac3b9f"><enum>204.</enum><header>Trauma-informed teaching and school leadership</header>
<subsection id="ida5a40dbbcde6489ab5d98384dc837583"><enum>(a)</enum><header>Partnership grants</header><text>Section 202 of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1022a">20 U.S.C. 1022a</external-xref>) is amended—</text> <paragraph id="id664d405fdcb2442e8264a0bcd80e89f8"><enum>(1)</enum><text>in subsection (b)(6)—</text>
<subparagraph id="idd379baf3779d4513ba30b28ad658dc41"><enum>(A)</enum><text>by redesignating subparagraphs (H) through (K) as subparagraphs (I) through (L), respectively; and</text> </subparagraph><subparagraph id="id005b8110d71d4491b4e3196502882442"><enum>(B)</enum><text>by inserting after subparagraph (G) the following:</text>
<quoted-block display-inline="no-display-inline" id="id83e401c5a5864cfda69d5ba4dfbaf835" style="OLC">
<subparagraph id="idcf8dbe7a84fa438a93bf865dabb565c2"><enum>(H)</enum><text>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);</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id56eda16378dc417fb417ab650a8f44a2"><enum>(2)</enum><text>in subsection (d)(1)(A)(i)—</text> <subparagraph id="id65a6fc1199534cd9a63096ebda17779e"><enum>(A)</enum><text>in subclause (II), by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph id="id0b168d6e98434ee99ab87ee2605fdc17"><enum>(B)</enum><text>by redesignating subclause (III) as subclause (IV); and</text> </subparagraph><subparagraph id="idbf36c5daa53a477292857922c7e35947"><enum>(C)</enum><text>by inserting after subclause (II) the following:</text>
<quoted-block display-inline="no-display-inline" id="idd7692427249f4d9699f6547a5e7648ac" style="OLC">
<subclause id="id6b41ae2846d346088de6340427bbbb9a"><enum>(III)</enum><text>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</text></subclause><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id478bdc5886004dd9944b23d1741563ea"><enum>(3)</enum><text>in subsection (d), by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="idaecbf28f9b214149b3b12bf699f7b4ed" style="OLC"> <paragraph id="idbc024f23a5b4419ab026dca3742a0bf9"><enum>(7)</enum><header>Trauma-informed practice and work in alternative education settings</header><text>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—</text>
<subparagraph id="iddeda37630e294e5bbce05af22e6f721f"><enum>(A)</enum><text>to—</text> <clause id="id9f17d309b968411ab082ef4171490958"><enum>(i)</enum><text>recognize the signs of trauma and its impact on learning;</text>
</clause><clause id="idcbd14a0124c14ad3aca607048cea9e9e"><enum>(ii)</enum><text>maximize student engagement and promote the social and emotional development of students; and</text> </clause><clause id="id89f5ae5f70a74bc9afdbfc088c6b01f4"><enum>(iii)</enum><text>implement alternative practices to suspension and expulsion that do not remove students from the learning environment; and</text>
</clause></subparagraph><subparagraph id="id2bc59809ad2b405fac4e687da8f495b6"><enum>(B)</enum><text>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).</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id0ad4e3f86eab43ccaa99156ccf09c2b1"><enum>(b)</enum><header>Administrative provisions</header><text>Section 203(b)(2) of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1022b">20 U.S.C. 1022b(b)(2)</external-xref>) is amended—</text> <paragraph id="id4d933f7c4f6246c18348f61ce19bf015"><enum>(1)</enum><text>in subparagraph (A), by striking <quote>and</quote> after the semicolon;</text>
</paragraph><paragraph id="id9be6576da4914a0e96087249f25543d5"><enum>(2)</enum><text>in subparagraph (B), by striking the period at the end and inserting <quote>; and</quote>; and</text> </paragraph><paragraph id="id312428863db54c6ba4e10215b65a1bd8"><enum>(3)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id8534db350c8a452da5d1dd7b39a2604b" style="OLC">
<subparagraph id="ide28e68c433c54a699654fb536bce60c8"><enum>(C)</enum><text>to eligible partnerships that have a high-quality proposal for trauma training programs for general education and special education teachers, including early childhood educators.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id42f918eed66b4985b967d80b5bdd236c"><enum>(c)</enum><header>Grants for the development of leadership programs</header><text>Section 202(f)(1)(B) of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1022a">20 U.S.C. 1022a(f)(1)(B)</external-xref>) is amended—</text> <paragraph id="idC85864842B184BD5A4D195C0AA988144"><enum>(1)</enum><text>in clause (v), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="id5C9C39860FC249379C65F3803B6823C4"><enum>(2)</enum><text>in clause (vi), by striking the period and inserting <quote>; and</quote>; and</text> </paragraph><paragraph id="id96CD28A9E25B44F19D5051C10B4DFCC8"><enum>(3)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id7F8C3B46D3964395A115B0B4F3C14C10" style="OLC">
<clause id="id26AC219F5BBD44059EB80FCB736BAE2C"><enum>(vii)</enum><text>identify students who have experienced trauma and connect those students with appropriate school-based or community-based interventions and services.</text></clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section id="idFB8BC0732F4D4CAFA4C61E9BBFCA5C91"><enum>205.</enum><header>Tools for front-line providers</header><text display-inline="no-display-inline">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 (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>), 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.</text>
</section><section id="idABB92372E0B74A50B6139295B53B3B07"><enum>206.</enum><header>Children Exposed to Violence Initiative</header><text display-inline="no-display-inline">Title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/34/10101">34 U.S.C. 10101</external-xref>) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id29080197C319408A885815427A4826D9" style="OLC">
<part id="id578E1A6151384CE4BC96141B8537E657" style="OLC"><enum>OO</enum><header>Children exposed to violence and addiction initiative</header>
<section id="id1A72272DF2BF4A568AED652429A8EB33"><enum>3051.</enum><header>Grants to identify and support children exposed to violence and substance use</header>
<subsection id="id664AEE9ACBD041D3B3109EFE4A12DE4F"><enum>(a)</enum><header>In general</header><text>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.</text>
</subsection><subsection id="id5D96A0B282A04BA58749DD969B42F515"><enum>(b)</enum><header>Use of funds</header><text>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—</text>
<paragraph id="id36bd1f794b234609b3c0eb3edc37d487"><enum>(1)</enum><text>building public awareness and education, and improving policies and practices;</text> </paragraph><paragraph id="idf2e9dc8812a6483b860d47d9b1abc677"><enum>(2)</enum><text>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 (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>); and</text>
</paragraph><paragraph id="idfc24cc1896b841cfac770f2fb9065147"><enum>(3)</enum><text>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.</text>
</paragraph></subsection><subsection id="id559C2CD2DE014584A4D4F055DC3822CC"><enum>(c)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated to carry out this section $11,000,000 for each of fiscal years 2020 through 2024.</text></subsection></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id6abe996045404aa29f6af12a2c741f29"><enum>207.</enum><header>Establishment of law enforcement child and youth trauma coordinating center</header>
<subsection id="idd3ec9172c19a4252915f9c432c346b97"><enum>(a)</enum><header>Establishment of center</header>
<paragraph id="id4090a9fb74d140db94620a438e9f9928"><enum>(1)</enum><header>In general</header><text>The Attorney General shall establish a National Law Enforcement Child and Youth Trauma Coordinating Center (referred to in this section as the <quote>Center</quote>) 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.</text>
</paragraph><paragraph id="id00e32b4b5d8948078da270329bf7f1b3"><enum>(2)</enum><header>Age range</header><text>The Center shall determine the age range of infants, children, and youth to be covered by the activities of the Center.</text>
</paragraph></subsection><subsection id="id95742b49558b4c5f9a7124755b60ae76"><enum>(b)</enum><header>Duties</header><text>The Center shall provide assistance to adult- and juvenile-serving State, local, and tribal law enforcement agencies by—</text>
<paragraph id="id6bdcab125e894056ac744f39ec883e9a"><enum>(1)</enum><text>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 (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>), such as—</text>
<subparagraph id="id7beeee7302854807b39dc62f2ceb7f95"><enum>(A)</enum><text>models developed in partnership with national law enforcement organizations, Indian tribes, or clinical researchers; and</text>
</subparagraph><subparagraph id="ida459e09fc72b4e13a49856099dded7b7"><enum>(B)</enum><text>models that include—</text> <clause id="idedb892ad03f74e11b6c7c711a4621549"><enum>(i)</enum><text>trauma-informed approaches to conflict resolution, information gathering, forensic interviewing, de-escalation, and crisis intervention training;</text>
</clause><clause id="idd82d910e1ab1468aa6cb1153ba9869f8"><enum>(ii)</enum><text>early interventions that link child and youth witnesses and victims, and their families as appropriate, to age-appropriate trauma-informed services; and</text>
</clause><clause id="id87ba53f7860d4410871c9b847c619d19"><enum>(iii)</enum><text>preventing and supporting officers who experience secondary trauma;</text> </clause></subparagraph></paragraph><paragraph id="id0cfe499babea4552be820a5aae5f4cce"><enum>(2)</enum><text>providing professional training and technical assistance; and</text>
</paragraph><paragraph id="id4c982b79ad7c4bacb1e2e5a1487a6c42"><enum>(3)</enum><text>awarding grants under subsection (c).</text> </paragraph></subsection><subsection id="id5ff507725a824f0b83257e5117a80a19"><enum>(c)</enum><header>Grant program</header> <paragraph id="id533179fe36fa4600a89805ffc50f6ba7"><enum>(1)</enum><header>In general</header><text>The Attorney General, acting through the Center, may award grants to State, local, and tribal law enforcement agencies or to multi-disciplinary consortia to—</text>
<subparagraph id="id864072f49b7846229296843433a6ab04"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="id3caedbe18d1249dd8a85e582e49db433"><enum>(B)</enum><text>provide professional training and technical assistance in implementing the best practices described in subparagraph (A).</text>
</subparagraph></paragraph><paragraph id="idf742f85278914c15b6820e287322c9c6"><enum>(2)</enum><header>Application</header><text>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.</text>
</paragraph><paragraph id="id05568398555e4f93a11739299efdf183"><enum>(3)</enum><header>Use of funds</header><text>A grant awarded under this subsection may be used to—</text> <subparagraph id="ide5c3fb920a52463da3a2ebf8244ee86c"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="idcc6273ef05f449e08f16ec5654a60197"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph></subsection><subsection id="idd09a582306e94ccc9bad6f687fe5a30d"><enum>(d)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated to the Attorney General—</text> <paragraph id="idf2cb4061f053415483c95b53acb2010c"><enum>(1)</enum><text>$6,000,000 for each of fiscal years 2020 through 2024 to award grants under subsection (c); and</text>
</paragraph><paragraph id="id4e56b5ceb914407bb2cff366e12e3452"><enum>(2)</enum><text>$2,000,000 for each of fiscal years 2020 through 2024 for other activities of the Center.</text> </paragraph></subsection></section><section id="id2ecfdc0eb9b7453cab2c40c15eac6829"><enum>208.</enum><header>National Institutes of Health report on trauma</header><text display-inline="no-display-inline">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—</text>
<paragraph id="id8d88781d02424311b140120dc7fa4009"><enum>(1)</enum><text>the comprehensive research agenda of the National Institutes of Health with respect to trauma;</text> </paragraph><paragraph id="idd58e35ae2c6f48b19f154acc8442fc48"><enum>(2)</enum><text>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;</text>
</paragraph><paragraph id="id832d1563021748c98f4631ff41f45116"><enum>(3)</enum><text>the relevance of trauma to other diseases, outcomes, and domains;</text> </paragraph><paragraph id="id7fc321b06e6d47c09cfea598b7dfd21f"><enum>(4)</enum><text>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;</text>
</paragraph><paragraph id="id1da88378c4e54854be9f10e14516cc90"><enum>(5)</enum><text>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</text>
</paragraph><paragraph id="id308717a05cea4ddab4836e3291c92f65"><enum>(6)</enum><text>identification of gaps in understanding in the field of trauma and areas of greatest need for further research related to trauma.</text></paragraph></section>