[Congressional Record Volume 169, Number 75 (Wednesday, May 3, 2023)]
[Senate]
[Pages S1507-S1511]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




          STATEMENTS ON INTRODUCED BILLS AND JOINT RESOLUTIONS

      By Mr. SCHMITT (for himself, Mr. Braun, Mrs. Britt, Mr. Hawley, 
        and Mr. Scott of Florida):
  S. 1419. A bill to require each agency to repeal 3 existing 
regulations before issuing a new regulation, and for other purposes; to 
the Committee on Homeland Security and Governmental Affairs.
  Mr. SCHMITT. Madam 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. 1419

       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 ``Expediting Reform and 
     Stopping Excess Regulations Act'' or the ``ERASER Act''.

     SEC. 2. DEFINITIONS.

       In this Act:
       (1) Agency; rule.--The terms ``agency'' and ``rule'' have 
     the meanings given those terms in section 551 of title 5, 
     United States Code.
       (2) Major rule.--The term ``major rule'' has the meaning 
     given the term in section 804 of title 5, United States Code.
       (3) State.--The term ``State'' means each of the several 
     States, the District of Columbia, each territory or 
     possession of the United States, and each federally 
     recognized Indian tribe.

     SEC. 3. REPEAL OF REGULATIONS REQUIRED BEFORE ISSUANCE OF A 
                   NEW RULE.

       (a) Requirement for Rule.--An agency may not issue a rule 
     unless the agency has repealed 3 or more rules described in 
     subsection (c) that, to the extent practicable, are related 
     to the rule.
       (b) Requirement for Major Rule.--
       (1) Repeal required.--An agency may not issue a major rule 
     unless--
       (A) the agency has repealed 3 or more rules described in 
     subsection (c) that, to the extent practicable, are related 
     to the major rule; and
       (B) the cost of the new major rule is less than or equal to 
     the cost of the rules repealed.
       (2) Certified cost.--For any rule issued in accordance with 
     paragraph (1), the Administrator of the Office of Information 
     and Regulatory Affairs of the Office of Management and Budget 
     shall certify that the cost of the new major rule is equal to 
     or less than the cost of the rules repealed.
       (c) Repealed Rules Described.--A rule described in this 
     section--
       (1) does not include an interpretative rule, general 
     statement of policy, or rule of agency organization, 
     procedure, or practice; and
       (2) was issued through the notice and comment rule making 
     process under section 553 of title 5, United States Code.
       (d) Publication Required.--Any rule repealed under 
     subsection (a) or (b) shall be published in the Federal 
     Register.
       (e) Applicability.--This section--
       (1) applies to any rule or major rule that imposes a cost 
     or responsibility on a nongovernmental person or a State or 
     local government; and
       (2) shall not apply to any rule or major rule that relates 
     to the management, organization, or personnel of an agency or 
     procurement by the agency.

     SEC. 4. GOVERNMENT ACCOUNTABILITY OFFICE STUDY OF RULES.

       Not later than 1 year after the date of enactment of this 
     Act, and every 5 years thereafter, the Comptroller General of 
     the United States shall conduct a study and submit to 
     Congress a report that includes, as of the date on which the 
     report is submitted--
       (1) the number of rules that are in effect;
       (2) the number of major rules that are in effect; and
       (3) the total estimated economic cost imposed by the rules 
     described in paragraphs (1) and (2).
                                 ______
                                 
      By Mr. DURBIN. (for himself, Mrs. Capito, Ms. Duckworth, and Ms. 
        Murkowski):
  S. 1426. 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. Madam 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. 1426

       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 AND RESILIENCE-RELATED COORDINATING BODIES.

       Title V of the Public Health Service Act is amended by 
     inserting after section 520C (42 U.S.C. 290bb-34) the 
     following:

     ``SEC. 520D. LOCAL COORDINATING BODIES TO ADDRESS COMMUNITY 
                   TRAUMA, PREVENTION, AND RESILIENCE.

       ``(a) Grants.--
       ``(1) In general.--The Secretary, in coordination with the 
     Director of the Centers for Disease Control and Prevention 
     and 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 prevent or mitigate 
     the impact of trauma and toxic stress in a community, or 
     promote resilience by fostering protective factors.
       ``(2) Amount.--The Secretary shall award such grants in 
     amounts of not more than $6,000,000.
       ``(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 from at least 5 of the categories described 
     in paragraph (2).
       ``(2) Composition.--The categories referred to in paragraph 
     (1) are--
       ``(A) governmental agencies, such as public health, mental 
     health, human services, or child welfare agencies, that 
     provide training related to covered services or 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 local 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 
     disorder 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 (as defined in section 
     8101 of the Elementary and Secondary Education Act of 1965 
     (20 U.S.C. 7801)) or agencies responsible for early childhood 
     education programs, which may include Head Start and Early 
     Head Start agencies;
       ``(F) workforce development, job training, or business 
     associations;
       ``(G) nonprofit, community-based faith, human services, 
     civic, or social services organizations, including 
     participants in a national or community service program (as 
     described in section 122 of the National and Community 
     Service Act of 1990 (42 U.S.C. 12572)), providers of after-
     school programs, home visiting programs, family resource 
     centers, agencies that serve victims of domestic and family 
     violence or child abuse, or programs to prevent or address 
     the impact of violence and addiction; and
       ``(H) the general public, including individuals who have 
     experienced trauma who can appropriately represent 
     populations and activities relevant to the community that 
     will be served by the entity.
       ``(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 training and expertise concerning childhood trauma, 
     resilience, and covered services.
       ``(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.
       ``(d) Priority.--In awarding grants under this section, the 
     Secretary shall give priority to entities proposing to serve 
     communities or populations that have faced or currently face 
     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;
       ``(2) an age-adjusted rate of violence-related (or 
     intentional) injury deaths that is above the national 
     average, as determined by

[[Page S1508]]

     the Director of the Centers for Disease Control and 
     Prevention; and
       ``(3) a rate of involvement in the child welfare or 
     juvenile justice systems that is above the national average, 
     as determined by the Secretary.
       ``(e) Use of Funds.--An entity that receives a grant under 
     this section to act as a coordinating body may use the grant 
     funds to--
       ``(1) bring together stakeholders who provide or use 
     services in, or have expertise concerning, covered settings 
     to identify community needs and resources related to covered 
     services, and to build on any needs assessments conducted by 
     organizations or groups represented on the coordinating body;
       ``(2)(A) collect data, on indicators to reflect local 
     priority issues, including across multiple covered settings 
     and disaggregated by age, race, and any other appropriate 
     metrics; and
       ``(B) use the data to identify unique community challenges 
     and barriers, community strengths and assets, gaps in 
     services, and high-need areas, related to covered services;
       ``(3) build awareness, skills, and leadership (including 
     through trauma-informed and resilience-focused training and 
     public outreach campaigns) on covered services in covered 
     settings;
       ``(4) develop a strategic plan, in partnership with members 
     of the served community or population, that identifies--
       ``(A) policy goals and coordination opportunities to 
     address community needs and local priority issues (including 
     coordination in applying for or utilizing existing grants, 
     insurance coverage, or other government programs), including 
     for communities of color and relating to delivering and 
     implementing covered services; and
       ``(B) a comprehensive, integrated approach for the entity 
     and its members to prevent and mitigate the impact of 
     exposure to trauma or toxic stress in the community, and to 
     assist the community in healing from existing and prior 
     exposure to trauma through promotion of resilience and 
     fostering protective factors;
       ``(5) implement such strategic plans in the local 
     community, including through the delivery of covered services 
     in covered settings; and
       ``(6) identify funding sources and partner with community 
     stakeholders to sustainably continue activities after the end 
     of the grant period.
       ``(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, including 
     outcomes related to health, education, child welfare, 
     criminal justice involvement, or other measurable outcomes 
     pertaining to wellbeing and societal impact.
       ``(h) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $600,000,000 for 
     each of fiscal years 2024 through 2031.
       ``(i) Definitions.--In this section:
       ``(1) Covered services.--The term `covered services' means 
     culturally responsive services, programs, models, or 
     interventions that are evidence-based, evidence-informed, or 
     promising best practices to support infants, children, youth, 
     and their families as appropriate by preventing or mitigating 
     the impact of trauma and toxic stress or promoting resilience 
     by fostering protective factors, which may include the best 
     practices developed under section 7132(d) of the SUPPORT for 
     Patients and Communities Act (Public Law 115-271).
       ``(2) Covered setting.--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 disorder treatment facilities, faith-based 
     institutions, domestic violence agencies, violence 
     intervention organizations, 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; and''.

     SEC. 102. EXPANSION OF PERFORMANCE PARTNERSHIP PILOT FOR 
                   CHILDREN WHO HAVE EXPERIENCED OR ARE AT RISK OF 
                   EXPERIENCING TRAUMA.

       (a) In General.--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, have been 
     victims of violence (including community, family, or sexual 
     violence), 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 2024 Through 2028'';
       (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.--Federal agencies may 
     use Federal discretionary funds that are made available in 
     this Act or any appropriations Act, including across 
     different or multiple years, for any of fiscal years 2024 
     through 2028 to carry out up to 10 Performance Partnership 
     Pilots. Such Pilots shall--
       ``(A) 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
       ``(B) involve Federal programs targeted on infants, 
     children, and youth, and their families as appropriate, who 
     have experienced or are at risk of experiencing trauma.'';
       (3) in subsection (c)(2)--
       (A) in subparagraph (A), by striking ``2018'' and inserting 
     ``2027''; 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 
     ``2027''.
       (b) Requirement.--Not later than 9 months after the date of 
     enactment of this Act, the Director of the Office of 
     Management and Budget, working with the Attorney General and 
     the Secretary of Labor, Secretary of Health and Human 
     Services, Secretary of Education, and Secretary of Housing 
     and Urban Development, and any other appropriate agency 
     representative, shall, with respect to carrying out this 
     section--
       (1) explore authorities to enable the issuance of 
     appropriate start-up funding;
       (2) issue guidance documents, template waivers and 
     performance measurements, best practices and lessons learned 
     from prior pilot programs, recommendations for how to sustain 
     projects after award periods, and other technical assistance 
     documents as needed; and
       (3) align application timing periods to provide maximum 
     flexibility, which may include the availability of initial 
     planning periods for awardees.

     SEC. 103. HOSPITAL-BASED INTERVENTIONS TO REDUCE 
                   READMISSIONS.

       Section 393 of the Public Health Service Act (42 U.S.C. 
     280b-1a) is amended by adding at the end the following:
       ``(c) Hospital-based Interventions to Reduce 
     Readmissions.--
       ``(1) Grants.--The Secretary shall award grants to eligible 
     entities to deliver and evaluate hospital-based interventions 
     to improve outcomes and reduce subsequent reinjury or 
     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 and prevent reinjury or 
     readmission 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 deliver, test, and 
     evaluate hospital-based trauma-informed interventions for 
     patients who present at hospitals with drug overdoses, 
     suicide attempts, or violent injuries (such as domestic 
     violence or intentional penetrating wounds, including 
     gunshots and stabbings), or other presenting symptoms 
     associated with exposure to trauma, violence, substance 
     misuse, or suicidal ideation, to provide comprehensive 
     education, screening, counseling, discharge planning, skills 
     building, and long-term case management services to such 
     individuals,

[[Page S1509]]

     and their guardians or caregivers as appropriate, to prevent 
     hospital readmission, injury, and improve health, wellness, 
     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, evaluated, and validated to 
     prevent hospital readmissions for the patients served under 
     the program involved.
       ``(5) Sustainable coverage.--The Secretary, acting through 
     the Administrator of the Centers for Medicare & Medicaid 
     Services, shall evaluate existing authorities, flexibilities, 
     and policies and disseminate appropriate and relevant 
     information to eligible entities on the opportunities for 
     health insurance coverage and reimbursement for the 
     activities described in paragraph (3).''.

     SEC. 104. REAUTHORIZING THE NATIONAL CHILD TRAUMATIC STRESS 
                   NETWORK.

       Section 582 of the Public Health Service Act (42 U.S.C. 
     290hh-1) is amended--
       (1) in subsection (a)--
       (A) in paragraph (1), by striking ``and'' at the end;
       (B) in paragraph (2), by striking the period and inserting 
     ``; and''; and
       (C) by adding at the end the following:
       ``(3) collaboration among all NCTSI grantees for purposes 
     of developing evidence-based resources, training, 
     interventions, practices, and other information, as an 
     integral part of required grant activities.'';
       (2) in subsection (d), by adding at the end the following: 
     ``In carrying out this subsection, the Secretary shall permit 
     all grantees to deliver both training and services, as 
     appropriate.''; and
       (3) in subsection (j), by striking ``$63,887,000 for each 
     of fiscal years 2019 through 2023'' and inserting 
     ``$93,887,000 for each of fiscal years 2024 through 2028'';

     SEC. 105. REAUTHORIZING THE TRAUMA SUPPORT SERVICES IN 
                   SCHOOLS GRANT PROGRAM.

       Section 7134(l) of the SUPPORT for Patients and Communities 
     Act (Public Law 115-271) is amended by striking ``fiscal 
     years 2019 through 2023'' and inserting ``fiscal years 2024 
     through 2028''.

     SEC. 106. REAUTHORIZING CDC SURVEILLANCE AND DATA COLLECTION 
                   ACTIVITIES.

       Section 7131(e) of the SUPPORT for Patients and Communities 
     Act (Public Law 115-271) is amended by striking ``$2,000,000 
     for each of fiscal years 2019 through 2023'' and inserting 
     ``$9,000,000 for each of fiscal years 2024 through 2028''.

                    TITLE II--WORKFORCE DEVELOPMENT

     SEC. 201. REAUTHORIZING THE INTERAGENCY TASK FORCE ON TRAUMA-
                   INFORMED CARE.

       Section 7132(i) of the SUPPORT for Patients and Communities 
     Act (Public Law 115-271) is amended by striking ``2023'' and 
     inserting ``2028''.

     SEC. 202. TRAINING AND RECRUITMENT OF INDIVIDUALS FROM 
                   COMMUNITIES THAT HAVE EXPERIENCED HIGH LEVELS 
                   OF TRAUMA, VIOLENCE, OR ADDICTION.

       Part B of title VII of the Public Health Service Act (42 
     U.S.C. 293 et seq.) is amended by adding at the end the 
     following:

     ``SEC. 742. INDIVIDUALS FROM COMMUNITIES THAT HAVE 
                   EXPERIENCED HIGH LEVELS OF TRAUMA, VIOLENCE, OR 
                   ADDICTION.

       ``In carrying out activities under this part, the Secretary 
     shall ensure that emphasis is provided on the recruitment of 
     individuals from communities that have experienced high 
     levels of trauma, violence, or addiction and that appropriate 
     activities under this part are carried out in partnership 
     with community-based organizations that have expertise in 
     addressing such challenges to enhance service delivery.''.

     SEC. 203. 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 (G), by striking ``and'' at the end;
       (2) in subparagraph (H), by striking the period and 
     inserting ``; and''; and
       (3) by adding at the end the following:
       ``(I) in addition to the amounts provided for under 
     subparagraph (H) for fiscal year 2023, $50,000,000 for each 
     of fiscal years 2024 through 2028, to be allocated in each 
     such fiscal year for awards to eligible individuals whose 
     obligated service locations are in schools or community-based 
     settings as described in section 338N of the Public Health 
     Service Act.''.

     SEC. 204. 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-8. 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 Mental 
     Health Clinical Leadership Program to award grants to 
     eligible entities to establish a national network of training 
     institutes 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, including 
     historically Black colleges and universities (as defined for 
     purposes of section 322 of the Higher Education Act of 1965 
     (20 U.S.C. 1061)), and Tribal colleges (as defined for 
     purposes of section 316(b) of the Higher Education Act of 
     1965 (20 U.S.C. 1059c)).; 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 training 
     institutes to--
       ``(1) equip aspiring and current mental health 
     professionals, including clinical social workers, 
     professional counselors, marriage and family therapists, 
     clinical psychologists, child psychiatrists, school 
     psychologists, school counselors, school social workers, 
     nurses, home visitors, community health workers, and 
     developmental and behavioral pediatricians with 
     specialization in infant and early childhood clinical mental 
     health, and those pursuing certification or licensure in such 
     professions; and
       ``(2) emphasize equipping trainees with culturally 
     responsive skills in prevention, mental health consultation, 
     screening, assessment, diagnosis, and treatment for infants 
     and children, and their parents as appropriate, who have 
     experienced or are at risk of experiencing trauma, including 
     from intergenerational poverty, civil unrest, discrimination, 
     or oppression, exposure to violence or overdose, as well as 
     prevention of secondary trauma, through--
       ``(A) 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;
       ``(B) the development of graduate education training 
     tracks;
       ``(C) the provision of scholarships, stipends, and trainee 
     supports, including to enhance recruitment, retention, and 
     career placement of students from populations under-
     represented populations in the mental health workforce; and
       ``(D) 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 2024 through 2028.''.

     SEC. 205. 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 and, as applicable, early 
     childhood educators, to support positive learning outcomes 
     and social and emotional development for students--
       ``(i) who have experienced trauma (including students who 
     are involved in the foster care or juvenile justice system or 
     runaway or homeless youth); and
       ``(ii) in alternative education settings in which high 
     populations of youth with trauma exposure may learn 
     (including settings for correctional education, juvenile 
     justice, pregnant, expecting, 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 and, as applicable, early childhood 
     educators, to adopt evidence-based approaches for--

       ``(aa) improving behavior (such as positive behavior 
     interventions and supports and restorative justice 
     practices);
       ``(bb) supporting social and emotional learning;
       ``(cc) mitigating the effects of trauma;
       ``(dd) improving the learning environment in the school;
       ``(ee) preventing secondary trauma, compassion fatigue, and 
     burnout; and
       ``(ff) alternatives to punitive discipline practices, 
     including 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 and resilience-focused practice and 
     work in alternative education settings.--Developing the 
     teaching skills of prospective and, as applicable, new, early 
     childhood educators and elementary school and secondary 
     school teachers to

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     adopt evidence-based trauma-informed and resilience-focused 
     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;
       ``(iii) implement alternative practices to suspension and 
     expulsion that do not remove students from the learning 
     environment; and
       ``(iv) engage with other school personnel, including 
     administrators and nonteaching staff, to foster a shared 
     understanding of the items described in clauses (i), (ii), 
     and (iii); and
       ``(B) including programs training teachers and, as 
     applicable, early childhood educators to work with students--
       ``(i) with exposure to traumatic events (including students 
     involved in the foster care or juvenile justice system or 
     runaway and homeless youth); and
       ``(ii) 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 system, pregnant, expecting, and parenting students, 
     runaway and homeless students, students exposed to family 
     violence or trafficking, 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)(ii), 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-informed and resilience-focused training 
     programs for general education and special education teachers 
     and, as applicable, 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'' after the semicolon;
       (2) in clause (vi), by striking the period at the end 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. 206. 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 or other resource centers funded by 
     the Department of Health and Human Services, shall carry out 
     activities to develop accessible and easily understandable 
     toolkits for use by front-line service providers (including 
     teachers, early childhood educators, school and out-of-school 
     program leaders, paraeducators and school support staff, home 
     visitors, mentors, social workers, counselors, health care 
     providers, child welfare agency staff, individuals in 
     juvenile justice settings, faith leaders, first responders, 
     kinship caregivers, domestic violence agencies, child 
     advocacy centers, homeless services personnel, and youth 
     development and community-based organization personnel) 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 or toxic stress. 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 
     and other caregivers.

     SEC. 207. 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 PP--CHILDREN EXPOSED TO VIOLENCE AND ADDICTION INITIATIVE

     ``SEC. 3061. GRANTS TO 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 children's trauma from exposure to violence 
     or substance use and supporting infants, children, and youth, 
     and their families, who have been harmed by violence, trauma, 
     or substance use to heal.
       ``(b) Use of Funds.--
       ``(1) In general.--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--
       ``(A) building public awareness and education about the 
     importance of addressing childhood trauma as a means to 
     reduce violence and substance use and improve educational, 
     economic, developmental, and societal outcomes for infants, 
     children, and youth;
       ``(B) 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, in an organized 
     or professional setting, to reduce the impact of trauma, 
     grief, and exposure to violence on children, including 
     through the best practices developed under section 7132(d) of 
     the SUPPORT for Patients and Communities Act (Public Law 115-
     271); and
       ``(C) supporting community collaborations and providing 
     technical assistance to communities, organizations, and 
     public agencies on how they can coordinate to prevent and 
     mitigate the impact of trauma from exposure to violence and 
     substance use on children in their homes, schools, and 
     communities.
       ``(2) Priority.--Priority in awarding grants under this 
     section shall be given to communities that seek to address 
     multiple types of violence and serve children who have 
     experienced poly-victimization.
       ``(c) Authorization of Appropriations.--There are 
     authorized to be appropriated to carry out this section 
     $11,000,000 for each of fiscal years 2024 through 2028.''.

     SEC. 208. ESTABLISHMENT OF LAW ENFORCEMENT CHILD AND YOUTH 
                   TRAUMA COORDINATING CENTER.

       (a) Establishment of Center.--
       (1) In general.--The Attorney General, in coordination with 
     the Civil Rights Division, 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 2024 through 2028 
     to award grants under subsection (c); and
       (2) $2,000,000 for each of fiscal years 2024 through 2028 
     for other activities of the Center.

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