[Congressional Record Volume 165, Number 96 (Monday, June 10, 2019)]
[Senate]
[Pages S3288-S3292]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
By Mr. DURBIN (for himself, Mrs. Capito, Ms. Duckworth, and Ms.
Murkowski):
S. 1770. A bill to improve the identification and support of children
and families who experience trauma; to the Committee on Health,
Education, Labor, and Pensions.
Mr. DURBIN. Mr. President, I ask unanimous consent that the text of
the bill be printed in the Record.
There being no objection, the text of the bill was ordered to be
printed in the Record, as follows:
S. 1770
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.
[[Page S3289]]
``(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).''.
[[Page S3290]]
(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:
[[Page S3291]]
``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--
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``(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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